2018-05-11T17:48:14-05:00 2017-06-30 860133881 HENRY & HORNE LLP 2055 E WARNER RD STE 101 TEMPE AZ 85284 990 2016-07-01 860411904 FSL PROGRAMS INC FSLP 6022851800 1201 E THOMAS ROAD PHOENIX AZ 85014 TOM EGAN PRESIDENT 6022851800 2018-05-08 1 COLETTE KAMPS CPA P00367616 4808394900 2018-05-08 2016 2022-09-23 18:48:47Z TOM EGAN 1201 E THOMAS ROAD PHOENIX AZ 85014 11841667 0 X WWW.FSL.ORG X 1980 AZ TO PROVIDE HOME AND COMMUNITY-BASED SERVICES AND DEVELOP ENERGY-EFFICIENT, AFFORDABLE HOUSING TO PROMOTE HEALTH, INDEPENDENCE AND DIGNITY FOR ALL. 4 0 258 162 0 0 2106756 1616775 10384961 10210146 10620 13869 37 877 12502374 11841667 0 0 0 0 6350998 6509021 0 0 0 5375014 5172212 11726012 11681233 776362 160434 2557604 2786525 1792691 1861178 764913 925347 X TO PROVIDE HOME AND COMMUNITY-BASED SERVICES AND DEVELOP ENERGY-EFFICIENT, AFFORDABLE HOUSING TO PROMOTE HEALTH, INDEPENDENCE AND DIGNITY FOR ALL. 1 0 2322965 2453957 THROUGH ITS AFFILIATES, FOUNDATION FOR SENIOR LIVING (FSL) HAS BEEN CARING FOR ARIZONANS SINCE 1974. WE PROVIDE A SAFE HOME FOR NEARLY 900 ARIZONANS EACH NIGHT THROUGH THE DEVELOPMENT OF BOTH SINGLE- AND MULTI-FAMILY HOMES AND THE MANAGEMENT OF MULTI-FAMILY AFFORDABLE HOUSING COMPLEXES AND RESIDENTIAL BEHAVIORAL HEALTH GROUP HOMES. ADDITIONALLY, WE TRAIN AND MONITOR SPONSORS OF THE ADULT FOSTER CARE AND ADULT BEHAVIORAL HEALTH THERAPEUTIC HOME PROGRAMS. IN FISCAL YEAR 2016-17, WE PROVIDED MORE THAN 700,000 MEALS TO FAMILIES IN NEED VIA OUR RURAL FOOD PANTRIES, CONGREGATE AND HOME-DELIVERED MEAL PROGRAMS. (CONTINUED ON SCHEDULE O)HOME AND COMMUNITY-BASED SERVICES ARE PROVIDED TO ENHANCE INDEPENDENCE FOR PEOPLE OF ALL AGES, INCLUDING ADULT DAY HEALTH CARE, MEDICARE-CERTIFIED HOME HEALTH CARE AND NON-MEDICAL HOME CARE SERVICES. MOREOVER, WE EDUCATE CLIENTS, FAMILY AND PROFESSIONAL CAREGIVERS AND MEMBERS OF THE COMMUNITY IN AN EFFORT TO EMPOWER THEM TO MAINTAIN AND ENHANCE INDEPENDENCE FOR THEMSELVES, THEIR LOVED ONES AND THEIR CLIENTS. PLEASE SEE SCHEDULE R FOR RELATED ENTITIES.FSL'S COMMUNITY LIVING RESOURCES IS A COMPILATION OF SERVICES DESIGNED TO HELP ENSURE THE PROVISION OF QUALITY CARE IN ASSISTED LIVING AND SKILLED NURSING FACILITIES, PRIMARY CARE AND SPECIALIST PHYSICIAN OFFICES AND ATTENDANT AND DIRECT CARE WORKER PROGRAMS, AS DETERMINED BY THE ARIZONA LONG TERM CARE SERVICES HEALTH PLANS AND ARIZONA DEPARTMENT OF HEALTH SERVICES. THESE SERVICES INCLUDE ANNUAL QUALITY MONITORING AND PERIODIC INVESTIGATIVE AUDITS OF THESE FACILITIES. FOR FYE 2017, 706 QUALITY MONITORING AUDITS WERE PROVIDED TO ENSURE THE RESIDENTS AND PATIENTS' HEALTH AND WELL-BEING. 3321991 3217202 ADULT DAY HEALTH CARE: IN FYE 2017, FSL RECEIVED A $123,811 TWO-YEAR GRANT FROM THE ARIZONA ATTORNEY GENERAL'S OFFICE TO PROVIDE AN EVIDENCE-BASED FALLS PREVENTION PROGRAM, SAIL (STAY ACTIVE AND INDEPENDENT FOR LIFE), FOR CLIENTS WITH DEMENTIA AND/OR ALZHEIMER'S DISEASE. IN ADDITION TO DAILY EXERCISE PROGRAMS, EDUCATIONAL OFFERINGS AND COMMUNITY OUTINGS, 197,883 MILES OF TRANSPORTATION AND 43,953 NUTRITIOUS MEALS WERE PROVIDED TO CLIENTS.IN 1975, FSL OPENED THE FIRST ADULT DAY HEALTH SERVICES CENTER IN ARIZONA TO PROVIDE A SAFE, SUPPORTIVE AND CARING ENVIRONMENT FOR SENIORS AND ADULTS WITH DISABILITIES. FSL NOW OPERATES THREE CENTERS - IN GLENDALE, PHOENIX AND TEMPE - WHICH ARE ALL LICENSED BY THE ARIZONA DEPARTMENT OF HEALTH SERVICES. CLIENTS BENEFIT FROM NURSING SERVICES, PERSONAL CARE ASSISTANCE AND SOCIAL SERVICE CONNECTIONS, ALL OF WHICH HELP THEM MAINTAIN THEIR INDIVIDUAL LEVEL OF INDEPENDENCE. 299,325 HOURS OF CARE WERE PROVIDED TO 512 CLIENTS IN FYE 2017. ALONG WITH PROVIDING SUPERVISION, FSL'S DEDICATED STAFF CREATE MONTHLY THERAPEUTIC RECREATION CALENDARS OFFERING ACTIVITIES TO MEET THE NEEDS OF FSL'S CLIENTS' VARIOUS COGNITIVE AND PHYSICAL ABILITIES. 3145202 3131294 SINCE 1977, FSL HOME CARE HAS BEEN SUPPORTING ARIZONANS WITH CUSTOMIZED NON-MEDICAL SERVICES -HOUSEKEEPING, MEAL PREPARATION, PERSONAL HYGIENE ASSISTANCE, TRANSPORTATION, COMPANIONSHIP AND RESPITE FOR FAMILY CAREGIVERS - DESIGNED TO ENHANCE ONE'S ABILITY TO REMAIN AT HOME, WHERE WE ALL WANT TO BE. IN FYE 2017, FSL CARED FOR 358 CLIENTS AND PROVIDED NEARLY 40,000 HOURS OF RESPITE CARE IN HOMES THROUGHOUT MARICOPA COUNTY. FSL HOME HEALTH AGENCY IS MEDICARE-CERTIFIED, LICENSED BY THE ARIZONA DEPARTMENT OF HEALTH SERVICES, AND HAS BEEN PROVIDING SKILLED SERVICES IN THE COMFORT OF PATIENTS' HOMES SINCE 1985. NURSING, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, MEDICAL SOCIAL WORK AND HOME HEALTH AIDE ARE OFFERED BASED UPON PATIENT NEED, PHYSICIANS ORDERS AND INSURANCE REQUIREMENTS. SOME PATIENTS RECEIVE ASSISTANCE FOR A SHORT DURATION, AFTER A MEDICAL INCIDENT OR INJURY, WHILE OTHER PATIENTS RECEIVE ONGOING ASSISTANCE TO HELP MANAGE THEIR DISEASE PROCESS. ADDITIONALLY, FSL HOME HEALTH PROVIDES SKILLED HOURLY CARE FOR THE SUPERVISION OF PATIENTS LIVING AT HOME WITH A VENTILATOR OR TRACH. THESE PATIENTS REQUIRE 24-HOUR SUPERVISION, AND WITHOUT THE SERVICES PROVIDED BY FSL, THEY WOULD MOST LIKELY BE INSTITUTIONALIZED. IN TOTAL DURING FYE 2017, FSL HOME HEALTH AGENCY PROVIDED NEARLY 35,000 HOURS OF INTERMITTENT AND VENTILATOR SPECIALTY SKILLED CARE.ALL FSL HOME CARE AND HOME HEALTH SERVICES ARE PROVIDED TO HELP PATIENTS MAINTAIN OR RETURN TO THEIR HIGHEST FUNCTIONAL QUALITY OF LIFE. 1664946 1408570 OTHER SERVICES TO SUPPORT AND FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION ARE NUTRITION CENTERS, COMMUNITY SOCIAL SERVICES AND CAREGIVER SERVICE. FSL PROGRAMS LAUNCHED THE CATCH PROGRAM TO IMPROVE HEALTH OUTCOMES FOR UNINSURED PATIENTS OF THE INTERNAL MEDICINE CLINIC AT ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER. ALSO, IT EXPANDED THE ACTIVATE PROGRAM FOR TRANSITIONAL CARE WITH MERCY CARE AND DIGNITY HEALTH TO INCLUDE CHANDLER REGIONAL HOSPITAL. 1664946 1408570 10455104 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 19 0 258 1 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 AZ X THE ORGANIZATION 6022851800 1201 E THOMAS ROAD PHOENIX AZ 85014 X BLANCA RUIZ BOARD TREASURER 0.00 40.00 X X 0 86673 5806 ANNETTE INIGUEZ BOARD SECRETARY 0.00 40.00 X X 0 53619 6023 STEVE HASTINGS CHIEF OF REAL ESTATE & BOARD VICE PRESIDENT 0.00 40.00 X X 0 145457 9330 TOM EGAN CEO & PRESIDENT 0.00 40.00 X X 0 192957 5004 CARRIE SMITH CHIEF OPERATING OFFICER 0.00 40.00 X 0 128701 8488 MITCHELL MOORE CHIEF ADMINISTRATIVE OFFICER 0.00 40.00 X 0 104692 8488 0 712099 43139 0 0 1 0 FSL MANAGEMENT 1201 E THOMAS ROAD PHOENIX AZ 85014 MANAGEMENT FEES 991363 MURIEL FENTON 6535 W SWEETWATER GLENDALE AZ 85304 ON CALL NURSING 420368 ST JOSEPH'S HOSPITAL FILE 57431 LOS ANGELES CA 900748781 CATERING 312897 MELVA CALVIN 22831 S RECKER RD GILBERT AZ 85298 ON CALL NURSING 292583 RUBY GRAHAM 3815 E BECKER PHOENIX AZ 85028 ON CALL NURSING 227496 6 4642 853000 759133 1616775 GOVERNMENT CONTRACTS 623000 8839190 8839190 CLIENT FEES 623000 1142246 1142246 AGENCY SUPPORT 623000 184192 184192 PROGRAM INCOME 623000 44518 44518 10210146 13869 13869 MISCELLANEOUS REVENUE 999999 877 877 877 11841667 10211023 0 13869 5564260 5544959 19301 52491 52491 467408 467408 424862 421391 3471 1164143 1164143 5750 5750 39526 39526 16873 16873 86246 86246 71821 71821 573576 573576 14322 14322 6092 6092 71818 71818 SPONSOR PAYMENTS 2020013 2020013 FOOD AND BEVERAGE 434280 434280 VEHICLE EXPENSES 206025 206025 PROGRAM SUPPLIES AND MI 199269 165805 33464 262458 262458 11681233 10455104 1226129 0 434857 654066 415000 232680 1506436 1765276 20855 17626 21260 28190 804171 716009 94254 88162 64942 525 2557604 2786525 694472 828467 95022 111853 20687 16225 982510 904633 1792691 1861178 X 4241 443273 760672 482074 764913 925347 2557604 2786525 160434 0 X X 0 1 X 1 1 1 X 974722 1128951 1472741 2106756 1616775 7299945 10487007 10204158 10169736 10384961 10210146 51456008 11461729 11333109 11642477 12491717 11826921 58755953 0 426501 208711 168595 462491 271966 1538264 426501 208711 168595 462491 271966 1538264 57217689 11772 15118 16755 10620 13869 68134 146 146 11772 15264 16755 10620 13869 68280 10000 37 877 10914 11473501 11348373 11669232 12502374 11841667 58835147 0.97250 0.97690 0.00120 0.00170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 X 58500 58500 28292 28292 717379 716009 1370 88162 DUE TO AFFILIATES 676837 CURRENT PORTION OF NOTE PAYABLE - AFFILIATE 6438 NOTE PAYABLE - AFFILIATE, NET OF CURRENT PORTION 221358 904633 X PART IV, LINE 2B: FSL PROGRAMS ACTS AS A REPRESENTATIVE FOR THEIR CLIENTS TO MAINTAIN SEPARATE ACCOUNTS FOR THEIR EXPENDITURES. A CORRESPONDING LIABILITY IS MAINTAINED FOR THE BALANCE OF THESE ACCOUNTS. PART X, LINE 2: FSL PROGRAMS RECOGNIZES UNCERTAINTY IN INCOME TAXES IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY-THAN-NOT THAT THE POSITIONS WILL NOT BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF JUNE 30, 2017, FSL PROGRAMS HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 STEVE HASTINGS CHIEF OF REAL ESTATE & BOARD VICE PR 0 139957 0 5500 0 0 0 3044 0 6286 0 154787 0 0 TOM EGAN CEO & PRESIDENT 0 173457 0 19500 0 0 0 3972 0 1032 0 197961 0 0 SCHEDULE J, PART I, LINE 3 TOM EGAN AND THE OFFICERS (OTHER THAN STEVE HASTINGS) LISTED IN FORM 990, PART VII, ARE COMPENSATED BY THE RELATED ORGANIATION, FSL MANAGEMENT, FOR SERVICES PROVIDED TO THE FILING ORGANIZATION AND RELATED ORGANIZATIONS. STEVE HASTINGS IS COMPENSATED BY FSL REAL ESTATE. FSL MANAGEMENT EMPLOYS THE MANAGEMENT GROUP FOR ALL RELATED FSL AFFILATES. THE FILING ORGANIZATION RELIED ON FSL MANAGEMENT, WHICH USED ONE OR MORE OF THE METHODS DESCRIBED IN PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. X UTILITIES 1 0 0 0 0 FORM 990, PART III, LINE 2 IN JANUARY 2017, AT THE REQUEST OF AREA AGENCY ON AGING, REGION 1, FSL ASSUMED THE MANAGEMENT OF A DAY RESPITE PROGRAM IN THE RURAL TOWN OF WICKENBURG, AZ. THIS NON-MEDICAL SOCIAL MODEL PROGRAM IS DESIGNED TO GIVE FAMILY CAREGIVERS A BREAK FROM THEIR DUTIES AND TIME TO CARE FOR THEMSELVES WHILE PROVIDING THE ADULT PARTICIPANTS WITH MEANINGFUL ACTIVITIES AND SOCIALIZATION DURING THE DAY. FORM 990, PART VI, SECTION A, LINE 3 FSL PROGRAMS PAYS FSL MANAGEMENT, AN AFFILIATE, A MANAGEMENT FEE. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, FINANCIAL, HUMAN RESOURCES, AND RISK MANAGEMENT OVERSIGHT. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS ORGANIZATION IS FOUNDATION FOR SENIOR LIVING. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE APPOINTED BY THE FOUNDATION FOR SENIOR LIVING. DIRECTORS MAY BE REMOVED AT ANY TIME WITHOUT CAUSE BY THE FOUNDATION FOR SENIOR LIVING. FORM 990, PART VI, SECTION A, LINE 8B FSL PROGRAMS DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE CONTROLLER OF THE FOUNDATION FOR SENIOR LIVING, INC. (FSL), WILL REVIEW THE RETURN PRIOR TO BEING SUBMITTED TO THE GOVERNING BOARD. THE RETURN WILL ALSO BE PROVIDED TO THE FSL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EVERYONE ON THE BOARDS OF DIRECTORS OF FOUNDATION FOR SENIOR LIVING (FSL) AND ITS AFFILIATES, AND ALL EMPLOYEES OF FSL AND ITS AFFILIATES, ARE COVERED UNDER THE POLICY. ANY CONFLICTS OF INTEREST AT THE FSL LEVEL ARE DISCUSSED AND RESOLVED BY THE FSL BOARD OF DIRECTORS. ANY CONFLICTS OF INTEREST RELATING TO ANY OF THE OTHER FSL AFFILIATE ENTITIES ARE DISCUSSED AND RESOLVED EITHER BY THE FSL BOARD OF DIRECTORS, OR BY THE AFFILIATED ENTITY'S BOARD OF DIRECTORS. ALL POTENTIAL CONFLICTS OF INTEREST, REGARDLESS OF HOW SMALL OR INSIGNIFICANT, ARE TO BE REPORTED TO THE PRESIDENT OF THE BOARD OF DIRECTORS (OR COMMITTEE CHAIR) PRIOR TO ENGAGING IN A POTENTIAL CONFLICT OF INTEREST BOARD OR COMMITTEE ACTION. THE PRESIDENT WILL ASK THE BOARD OF DIRECTORS TO MAKE A DECISION AS TO WHETHER THE RELATIONSHIP IS AN APPROPRIATE ONE FOR FSL. THE BOARD MEMBER DECLARING THE CONFLICT WILL HAVE NO VOTE ON THE MATTER. MOREOVER, THE PERSON HAVING A CONFLICT OF INTEREST SHALL RETIRE FROM THE ROOM IN WHICH THE BOARD (OR ITS COMMITTEE) IS MEETING AND SHALL NOT PARTICIPATE IN THE FINAL DELIBERATION REGARDING THE MATTER UNDER CONSIDERATION. HOWEVER, THE PERSON SHALL BE PERMITTED TO PROVIDE THE BOARD OR COMMITTEE WITH ANY AND ALL RELEVANT INFORMATION PRIOR TO LEAVING THE MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE CEO IS COMPENSATED BY FSL MANAGEMENT FOR SERVICES PROVIDED TO FSL AND ITS RELATED ORGANIZATIONS. THE COMPENSATION IS APPROVED BY THE GOVERNING BOARD OF FSL. ON AN ANNUAL BASIS, THEY ARE PROVIDED WITH COMPARABILITY DATA/COMPENSATION STUDIES TO DETERMINE THE COMPENSATION. OTHER OFFICERS AND DIRECTORS ARE PROVIDED COMPENSATION FROM FSL MANAGEMENT FOR THEIR SERVICES AS EMPLOYEES OF FSL MANAGEMENT, AND NOT FOR THEIR SERVICES AS BOARD MEMBERS OF THE FILING ORGANIZATION. THEIR COMPENSATION IS APPROVED BY THE PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 1 THE BOARD MEMBERS ARE NOT INDEPENDENT AS THEY ARE COMPENSATED BY FSL MANAGEMENT FOR THEIR SERVICES PROVIDED TO FOUNDATION FOR SENIOR LIVING (FSL) AND ALL AFFILIATES OF FSL. FSL HAS AN INDEPENDENT BOARD WHICH APPOINTS/ELECTS THE BOARD MEMBERS FOR FSL PROGRAMS. PART VII, SECTION A FSL MANAGEMENT EMPLOYS THE EMPLOYEES WHO MAKE UP THE MANAGEMENT GROUP THAT PROVIDES MANAGEMENT SERVICES FOR ALL RELATED FSL AFFILIATES, INCLUDING FSL PROGRAMS. THEREFORE, ALTHOUGH THE EMPLOYEES THAT ARE PART OF THE MANAGEMENT GROUP PERFORM SERVICES FOR ALL FSL AFFILIATES, THEIR HOURS ARE 100% RELATED TO FSL MANAGEMENT. FSL PROGRAMS PAYS A MANAGEMENT FEE TO FSL MANAGEMENT FOR THESE SERVICES. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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