2018-07-10T11:31:39-05:00 2017-12-31 411690382 Malloy Montague Karnowski Radosevich 5353 Wayzata Blvd Ste 410 Minneapolis MN 55416 990 2017-01-01 860906621 Northern Arizona Senior Living Community LLC NORT 9523618000 1107 Hazeltine Blvd No 200 Chaska MN 55318 Randall Benson Authorized Signatory 9523618000 2018-06-28 1 Thomas A Karnowski P00148364 9525450424 2017 2022-09-23 18:48:47Z The Peaks Randall Benson 1107 Hazeltine Blvd No 200 Chaska MN 55318 14610365 0 X www.thepeaks.org X 1997 MN The Corporation was formed to develop and operate a senior living and mentoring facility. 7 7 273 100 0 0 1126 250 14068583 14604600 -335105 -390286 0 0 13734604 14214564 0 0 0 0 5507890 5924129 0 0 0 7823995 8069871 13331885 13994000 402719 220564 23995265 22294833 26099848 25528665 -2104583 -3233832 X To develop and operate a senior living and mentoring facility. 0 0 11944627 14604600 Northern Arizona Senior Living Community, LLC dba The Peaks, a Senior Living Facility (The Peaks) located in Flagstaff, Arizona, is a comprehensive senior living and healthcare campus consisting of 58 skilled nursing beds, 96 assisted living units, and 39 bungalows. The Peaks, Flagstaff, Arizona, is unique in its community involvement in that it shares strong ties with the Museum of Northern Arizona, and Flagstaff Medical Center. The Peaks provides its residents, as well as children in the area, with fully developed intergenerational activities benefiting older adults and children alike. Two of The Peaks residents and The Lodge executive director are docents of the museum, providing education on local history, and discoveries of the Colorado Plateau to area schools, associations, the public and Peaks residents. The Peaks provides independent, assisted living, progressive memory care, rehabilitation, long-term care, and skilled nursing, with the opportunity for residents to "age in place." Residents are encouraged to remain in their apartment homes receiving assistance with activities of daily living through personalized levels of care. The community was developed through a nonprofit partnership between Intergenerational Living and Health Care, the Museum of Northern Arizona and Northern Arizona Healthcare. For the fiscal year ended December 31, 2017, The Peaks participated in various charitable initiatives such as the provision of discounted care through participation in the Arizona State Medicaid program and Indian Health Services. We average 18 Medicaid patients in our skilled nursing facility on a daily basis. In our lodge, and bungalows we averaged 11 residents on a daily basis discounting eligible resident's care by $430,336 during 2017. We have a partnership with the Museum of Northern Arizona (MNA), which supports an art collection within The Peaks and three museum docent programs. The Peaks has come to an agreement with the Museum of Northern Arizona to issue memberships to all Peaks' residents. We believe this art enriches the lives of our residents and the community as a whole. Each month we support the museum with an $825 monthly fee. (Value $9,900). We currently have a $7,500 endowment at Northern Arizona University within the Behavioral and Social Science Department for scholarships to students who plan careers that would support seniors. In addition, an endowment in the amount of $15,000 was established with The Northern Arizona University's (NAU) Foundation to be used for scholarships for degree advancement for registered nurses who aspire to earn a bachelor's degree in nursing. NAU nursing students in the baccalaureate and masters programs serve a portion of their internship in The Peaks' healthcare center. Future Certified Nursing Assistants from Coconino Community College shadow Lodge caregivers to fulfil program graduation requirements. The cost of Caregiver training, and certification increased to $1,000. In 2017 The Peaks funded Caregiver training, and certification for five candidates at a cost of $5,000. To offset the cost of school supplies not provided by the Flagstaff Independent School District, The Peaks donated $10,000 to local teachers to purchase supplies, which would have otherwise come out of their personal funds. Each school received $1,000 to distribute among their teachers. 11944627 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 76 0 1 273 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 AZ X The Goodman Group LLC 9523618000 1107 Hazeltine Blvd Chaska MN 55318 X Lisa Brugh Manager 1.00 X 0 0 0 Florence Spyrow Manager 1.00 X 0 0 0 Jennie Clarke Manager 1.00 X 0 0 0 Joseph Guertin Manager 1.00 X 0 0 0 Christopher Bavasi Co-Chief Executive Officer 1.00 X X 0 0 0 Thomas Egan Co-Chief Executive Officer 1.00 X X 0 0 0 Robert Breuning Manager 1.00 X 0 0 0 Russell Goddard Executive Director 40.00 X 117686 0 29421 Janet Simpkin-Mars Assisted Living Director 40.00 X 108044 0 27011 225730 0 56432 2 0 0 0 Synertx 7540 North 19th Avenue Suite 200 Phoenix AZ 85021 Therapy 1180424 John B Goodman Limited Partnership 1107 Hazeltine Blvd 200 Chaska MN 55318 Construction Management & Development 1104337 The Goodman Group LLC 1107 Hazeltine Blvd 200 Chaska MN 55318 Management and Accounting Services, info 934875 Pharmerica Corporation of America PO Box 409251 Atlanta GA 30384 Pharmacy 554333 4 250 250 Resident Services 623990 9228533 9228533 Ancillary Services 623990 5285088 5285088 Other operating revenue 623990 90979 90979 14604600 4115 4115 1400 395801 -394401 -394401 -394401 14214564 14604600 0 -390286 X 5429887 5035456 394431 59428 59428 434814 404047 30767 805006 805006 19290 19290 209164 209164 1541606 1541606 265672 263017 2655 238681 27822 210859 310348 310348 90624 6050 84574 1013842 1013842 1064808 1064808 683897 558059 125838 General Medical 819083 819083 Dietary food 650698 650698 Equipment rental and ma 165065 165065 Miscellaneous administr 92422 92422 99665 84726 14939 13994000 11944627 2049373 0 2124510 1046865 358581 360390 1139245 1136242 52327 56492 197110 199220 29895554 13004378 16958115 16891176 3165377 2604448 23995265 22294833 851140 730809 154820 110156 25016561 24617472 77327 70228 26099848 25528665 X -2104583 -3233832 -2104583 -3233832 23995265 22294833 X 220564 -1349813 X X 0 1 X 1 0 X 700 288 10100 1226 250 12564 13557538 13613353 13435166 14068583 14604600 69279240 13558238 13613641 13445266 14069809 14604850 69291804 0 0 0 69291804 67834 12842 16484 3910 4115 105185 67834 12842 16484 3910 4115 105185 13626072 13626483 13461750 14073719 14608965 69396989 0.99850 0.99330 0.00150 0.00670 X 660000 660000 22246648 8472501 13774147 4506731 2563311 1943420 2482175 1968566 513609 16891176 Replacement reserve account 935800 Tenant/patient funds held in trust 748 Operating reserve 788844 Insurance escrow 65144 Capitalized interest - net of accum 813912 2604448 Accrued Interest 69580 Patient funds 648 70228 X 14650337 0 14650337 -435773 -435773 14214564 14429773 0 14429773 -435773 -435773 13994000 Part X, Line 2: The Company is exempt from taxation as a nonprofit organization in accordance with 501(c)(3) of the Internal Revenue Code. The Company adopted the recognition requirements for uncertain income tax positions as required by Financial Accounting Standards Board Accounting Standards Codification (FASB ASC) 740-10 (formerly known as FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes), with no cumulative effect adjustment required. Income tax benefits are recognized for income tax positions taken or expected to be taken in a tax return, only when it is determined that the income tax position will more-likely-than-not be sustained upon examination by taxing authorities. The Company has analyzed tax positions taken for filing with the Internal Revenue Service and the state jurisdiction where it operates. The Company believes that income tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on the Company's financial condition, results of operations, or cash flows. Accordingly, the Company has not recorded any reserves or related accruals for interest and penalties for uncertain income tax positions at December 31, 2015. The Company is subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any open tax periods. Part XI, Line 4b - Other Adjustments: Loss on disposal of property -394,401. Uncollectible accounts - netted with revenue -41,372. Part XII, Line 4b - Other Adjustments: Loss on disposal of property -394,401. Uncollectible accounts - netted with revenue -41,372. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent certified public accounting firm. It is then reviewed by the controller and CPAs of the management company. The Form 990 is given to each Board member in advance of a scheduled meeting of the Board for their review. There is discussion of the Form 990 at the Board meeting with the preparers and the management company's representative prior to Board approval of the Form 990. Form 990, Part VI, Section B, line 12c Each member of the governing board annually completes a disclosure of conflict of interest questionnaire. Form 990, Part VI, Section B, line 15 Compensation is based on experience and market salary surveys, and is reviewed annually. Form 990, Part VI, Section C, line 19 The organization makes it governing documents, conflict of interest policy, and financial statements available to the public upon written request. Form 990, Part IX, line 11g General medical services : Program service expenses 36,900. Management and general expenses 0. Fundraising expenses 0. Total expenses 36,900. Nursing and therapy : Program service expenses 1,191,605. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,191,605. Dining, laundry, and housekeeping : Program service expenses 70,640. Management and general expenses 0. Fundraising expenses 0. Total expenses 70,640. Other : Program service expenses 242,461. Management and general expenses 0. Fundraising expenses 0. Total expenses 242,461. Form 990, Part XI, line 9: Capital transfer -1,349,813. FORM 990, PART XII, LINE 2C: The financial statements are prepared by an independent accounting firm. The statements are reviewed and approved by the board before being issued. This process was the same as last year. RELATED ORGANIZATION COMPENSATION: Made an effort to obtain information on compensation, if any were paid from a related organization. No other compensation or transactions were noted other than those listed on Form 990, Part VII, Line 1a.