2017-05-10T17:38:19-05:00 2016-06-30 860133881 HENRY & HORNE LLP 2055 E WARNER RD STE 101 TEMPE AZ 85284 990 2015-07-01 860748876 FSL PATHWAYS FSLP 6022851800 1201 E THOMAS ROAD PHOENIX AZ 85014 TOM EGAN PRESIDENT 6022851800 2017-05-09 1 COLETTE KAMPS CPA P00367616 4808394900 2017-05-09 2015 2021-01-29 14:40:06Z TOM EGAN 1201 E THOMAS ROAD PHOENIX AZ 85014 8082504 0 X WWW.FSL.ORG X 1993 AZ TO PROVIDE HOME AND COMMUNITY-BASED SERVICES AND DEVELOP ENERGY-EFFICIENT, AFFORDABLE HOUSING TO PROMOTE HEALTH, INDEPENDENCE AND DIGNITY FOR ALL. 4 0 181 0 0 0 50 0 7543823 7763384 3435 72200 6050 6167 7553358 7841751 0 0 0 0 4679643 4714461 0 0 0 2683679 2981536 7363322 7695997 190036 145754 3799633 4038018 382466 475097 3417167 3562921 X TO PROVIDE HOME AND COMMUNITY-BASED SERVICES AND DEVELOP ENERGY-EFFICIENT, AFFORDABLE HOUSING TO PROMOTE HEALTH, INDEPENDENCE AND DIGNITY FOR ALL. 0 0 FSL PATHWAYS IS ONE OF SEVERAL AFFILIATES RELATED TO THE FOUNDATION FOR SENIOR LIVING (FSL). THROUGH ITS AFFILIATES, FSL HAS BEEN CARING FOR ARIZONANS SINCE 1974. DEMONSTRATING DONOR STEWARDSHIP, FSL ENSURES THAT 87 CENTS OF EVERY DOLLAR CONTRIBUTED GOES DIRECTLY TO PROGRAMS AND SERVICES. WE PROVIDE A SAFE HOME FOR OVER 1,000 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.(CONTINUED ON SCHEDULE O)IN FISCAL YEAR 2015-16, WE PROVIDED MORE THAN 800,000 MEALS TO FAMILIES IN NEED VIA OUR RURAL FOOD PANTRIES, CONGREGATE AND HOME-DELIVERED MEAL PROGRAMS. 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. 6394259 7147217 FSL PATHWAYS ASSISTED GROUP LIVING PROGRAM OPERATES 17 COMMUNITY-BASED HOMES THROUGHOUT MARICOPA COUNTY, DESIGNED FOR ADULTS, AGES 21 YEARS AND OLDER, WITH SPECIAL MEDICAL AND PSYCHIATRIC NEEDS. THESE HOMES ARE STATE-LICENSED AS RESIDENTIAL BEHAVIORAL HEALTH FACILITIES. TRAINED STAFF PROVIDE CONTINUOUS SUPERVISION AND SUPPORT TO PROMOTE SELF-RELIANCE AND INDEPENDENCE IN THE LEAST RESTRICTIVE ENVIRONMENT POSSIBLE, AVOIDING INSTITUTIONALIZATION FOR THESE CLIENTS. IN FYE 06/30/2016, 29,818 BED DAYS WERE PROVIDED TO 122 INDIVIDUALS. 486553 622334 FSL PATHWAYS ADULT BEHAVIORAL HEALTH THERAPEUTIC HOME PROGRAM IS A NETWORK OF FOSTER FAMILIES PROVIDING IN-HOME SUPPORT SERVICES FOR BEHAVIORAL HEALTH RESIDENTS TO ASSIST THEM IN ACHIEVING THEIR SERVICE PLAN GOALS AND OBJECTIVES. IN FYE 06/30/2016, 4,172 BED DAYS WERE PROVIDED TO 13 INDIVIDUALS. WE ARE THE FACILITATING PLACEMENT AGENCY AND SUPPORT THE THERAPEUTIC CARE FAMILY WITH A GOAL TO MAINTAIN THE CLIENT IN A COMMUNITY-BASED SETTING WHILE PREPARING FOR PERMANENT PLACEMENT WHICH COULD INCLUDE A RETURN TO THE FAMILY OF ORIGIN, KINSHIP CARE OR INDEPENDENT LIVING. 6880812 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 181 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 86485 4749 STEVE HASTINGS BOARD SECRETARY 0.00 40.00 X X 0 148781 11150 TOM EGAN CEO & BOARD PRESIDENT 0.00 40.00 X X 0 161059 23757 ANNETTE INIGUEZ BOARD VICE PRESIDENT 0.00 40.00 X X 0 52970 9150 CARRIE SMITH CHIEF OPERATING OFFICER 0.00 40.00 X 0 129103 14689 MITCHELL MOORE CHIEF ADMINISTRATIVE OFFICER 0.00 40.00 X 0 41986 8114 GUY MIKKELSEN FORMER PRESIDENT (THRU 1/15) 0.00 40.00 X 0 113229 27534 LINDA MARTIN FORMER VICE PRESIDENT (THRU 1/15) 0.00 40.00 X 0 116742 23843 0 850355 122986 0 1 1 0 FSL MANAGEMENT 1201 E THOMAS RD PHOENIX AZ 85014 MANAGEMENT FEES 476232 FSL PROGRAMS 1201 E THOMAS RD PHOENIX AZ 85014 ADHC SERVICES 363753 2 GOVERNMENT CONTRACTS 623000 7030866 7030866 PROGRAM INCOME 623000 729129 729129 CLIENT FEES 623000 3389 3389 7763384 1154 1154 311799 240753 71046 71046 71046 6167 6167 6167 7841751 7769551 0 72200 3916391 3916391 22699 22699 400864 400864 374507 374507 815185 815185 693 693 72763 72763 39162 39162 491297 491297 84835 84835 1898 1898 3997 3997 34025 34025 30752 30752 IN-HOME ADHS SERVICES 325182 325182 SPONSOR PAYMENTS 322491 322491 REPAIRS & MAINTENANCE 322192 322192 FOOD & BEVERAGE 143567 143567 293497 293497 7695997 6880812 815185 0 94428 223710 685736 428616 21425 21454 251241 198574 86692 52667 2911352 3311571 3799633 4038018 291428 359795 23215 6774 67823 50032 0 58496 382466 475097 X 3407490 3562921 9677 0 3417167 3562921 3799633 4038018 145754 0 X X 0 1 X 1 0 X 39359 50 39409 7360565 6948562 7131026 7543823 7763384 36747360 7399924 6948562 7131026 7543873 7763384 36786769 0 635710 840928 681672 611112 290317 3059739 635710 840928 681672 611112 290317 3059739 33727030 7980 7526 11531 3435 1154 31626 7980 7526 11531 3435 1154 31626 6167 6167 7407904 6956088 7142557 7547308 7770705 36824562 0.91590 0.89870 0.00090 0.00100 X 0 251241 198574 52667 52667 DUE FROM AFFILIATES 3311571 3311571 DUE TO AFFILIATES 58496 58496 X PART X, LINE 2: FSL MANAGEMENT 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, 2016, FSL MANAGEMENT HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART IV, LINE 2B THE ORGANIZATION ACTS AS A REPRESENTATIVE FOR THEIR CLIENTS TO MAINTAIN SEPARATE ACCOUNTS FOR THEIR EXPENDITURES. A SEPARATE BANK ACCOUNT IS SET UP AT A BANK FOR EACH INDIVIDUAL. A CORRESPONDING LIABILITY IS MAINTAINED FOR THE BALANCE OF THESE ACCOUNTS. 0 0 0 0 0 0 0 0 0 STEVE HASTINGS BOARD SECRETARY 0 148781 0 0 0 0 0 3151 0 7999 0 159931 0 0 TOM EGAN CEO & BOARD PRESIDENT 0 161059 0 0 0 0 0 15779 0 7978 0 184816 0 0 GUY MIKKELSEN FORMER PRESIDENT (THRU 1/15) 0 113229 0 0 0 0 0 23000 0 4534 0 140763 0 0 LINDA MARTIN FORMER VICE PRESIDENT (THRU 1/15) 0 116742 0 0 0 0 0 19396 0 4447 0 140585 0 0 SCHEDULE J, PART I, LINE 3 A RELATED ORGANIZATION, FSL MANAGEMENT, EMPLOYS THE MANAGEMENT GROUP FOR ALL RELATED FSL AFFILATES. THE FILING ORGANIZATION RELIED ON THAT ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SCHEDULE J, PART II COMPENSATION LISTED ON FORM 990, PART VII WAS PAID BY THE RELATED ORGANIZATIONS, FSL MANAGEMENT OR FSL REAL ESTATE SERVICES, FOR SERVICES PROVIDED TO FSL PATHWAYS, INC. AND RELATED ORGANIZATIONS. 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. FOUNDATION FOR SENIOR LIVING HAS AN INDEPENDENT BOARD WHICH APPOINTS/ELECTS THE BOARD MEMBERS FOR FSL PATHWAYS. FORM 990, PART VI, SECTION A, LINE 3 FSL PATHWAYS 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 PATHWAYS DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE CONTROLLER OF THE ORGANIZATION'S PARENT, FOUNDATION FOR SENIOR LIVING (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. 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 PATHWAYS. 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 PATHWAYS 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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