2017-05-10T17:38:38-05:00 2016-06-30 860133881 HENRY & HORNE LLP 2055 E WARNER RD STE 101 TEMPE AZ 85284 990 2015-07-01 860411904 FSL PROGRAMS INC FSLP 6022851800 1201 E THOMAS ROAD PHOENIX AZ 85014 TOM EGAN PRESIDENT 6022851800 2017-05-09 1 COLETTE KAMPS CPA P00367616 4808394900 2017-05-02 2015 2021-01-29 14:40:06Z TOM EGAN 1201 E THOMAS ROAD PHOENIX AZ 85014 12502374 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 0 276 179 0 0 1472741 2106756 10169736 10384961 16755 10620 10000 37 11669232 12502374 0 0 0 0 6265358 6350998 0 0 0 5560662 5375014 11826020 11726012 -156788 776362 2372310 2557604 2383759 1792691 -11449 764913 X TO PROVIDE HOME AND COMMUNITY-BASED SERVICES AND DEVELOP ENERGY-EFFICIENT, AFFORDABLE HOUSING TO PROMOTE HEALTH, INDEPENDENCE AND DIGNITY FOR ALL. 1 0 2233659 2318379 FSL PROGRAMS IS ONE OF SEVERAL AFFILIATES RELATED TO THE FOUNDATION FOR SENIOR LIVING. THROUGH ITS AFFILIATES, FOUNDATION FOR SENIOR LIVING (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 NEARLY 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.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 06/30/2016, 999 QUALITY MONITORING AUDITS WERE PROVIDED TO ENSURE THE RESIDENTS AND PATIENTS' HEALTH AND WELL-BEING. ADDITIONALLY, 3 INVESTIGATIVE AUDITS WERE COMPLETED AT THE REQUEST OF MERCYCARE PLAN. IN ADDITION TO THE MONITORING AND INVESTIGATIVE SERVICES, WE ALSO PROCESS SPONSOR PAYMENTS AND ACT AS A PAYEE ON BEHALF OF MERCYCARE AND SCAN FOR 10 RESIDENTS OF THE ADULT FOSTER CARE PROGRAM WHO DO NOT HAVE A FAMILY MEMBER OR POA. 3538614 3445628 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. 315,247 HOURS OF CARE WERE PROVIDED TO 582 CLIENTS IN FYE 06/30/2016. 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. (CONTINUED ON SCHEDULE 0) IN ADDITION TO DAILY EXERCISE PROGRAMS, EDUCATIONAL OFFERINGS AND COMMUNITY OUTINGS, 252,206 MILES OF TRANSPORTATION AND 44,209 NUTRITIOUS MEALS WERE PROVIDED TO CLIENTS. 3365943 3271878 THE HOME HEALTH AGENCY IS A MEDICARE CERTIFIED, STATE LICENSED PROGRAM THAT PROVIDES INTERMITTENT MEDICALLY NECESSARY SKILLED NURSING, THERAPY, SOCIAL SERVICES AND HOME HEALTH AID SERVICES THAT ALLOW PATIENTS THROUGHOUT THE PHOENIX METROPOLITAN AREA TO REMAIN SAFELY AND COMFORTABLY AT HOME. WE HAVE FOCUSED ON EXPANDING AND GROWING OUR MEDICARE BUSINESS AND HAVE A FULL TIME PHYSICAL THERAPIST. OUR TYPICAL DAILY CENSUS IS ABOUT 250 CLIENTS.THE HOME HEALTH AGENCY'S SKILLED HOURLY CARE FOR VENTILATOR/TRACK- DEPENDENT CLIENTS CONTINUES TO GROW. THIS PROGRAM PROVIDES MUCH NEEDED SKILLED NURSING SERVICES TO CLIENTS AND FAMILIES IN THE HOME SETTING WITH MOST SHIFTS OF SERVICE LASTING (CONTINUED ON SCHEDULE O) WITHIN 8 TO 12 HOURS. DURING THE PAST FISCAL YEAR, WE SERVED 19 PATIENTS WITH 18,520 HOURS UNDER THIS PROGRAM.THE HOME CARE PROGRAM OFFERS A VARIETY OF NON-MEDICAL SERVICES TO INCLUDE HOUSEKEEPING, PERSONAL CARE ASSISTANCE AND CHORE SERVCIES ALL DESIGNED TO INCREASE OR MAINTAIN ONE'S ABILITY TO LIVE SAFELY IN THE COMMUNITY. THE DAILY AVERAGE CENSUS IS 227. BETWEEN THE HOME HEALTH AND THE HOME CARE PROGRAMS, SERVICES WERE PROVIDED TO OVER 1200 CLIENTS DURING THE FISCAL YEAR. 1419486 1349113 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. 1419486 1349113 10557702 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 16 0 276 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 STEVE HASTINGS CHIEF OF REAL ESTATE & BOARD VICE PRESIDENT 0.00 40.00 X X 0 148781 11150 BLANCA RUIZ BOARD TREASURER 0.00 40.00 X X 0 86485 4749 ANNETTE INIGUEZ BOARD SECRETARY 0.00 40.00 X X 0 52970 9150 TOM EGAN CEO & PRESIDENT 0.00 40.00 X X 0 161059 23757 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 JOHN HANSON FORMER BOARD MEMBER (THRU 6/15) 0.00 40.00 X 0 11489 689 GUY MIKKELSEN FORMER PRESIDENT 0.00 40.00 X 0 113229 27534 LINDA MARTIN FORMER VICE PRESIDENT 0.00 40.00 X 0 116742 23843 0 861844 123675 0 1 1 0 FSL MANAGEMENT 1201 E THOMAS ROAD PHOENIX AZ 85014 MANAGEMENT FEES 916067 MURIEL FENTON 6535 W SWEETWATER GLENDALE AZ 85304 ON CALL NURSING 415868 MELVA CALVIN 22831 S RECKER RD GILBERT AZ 85298 ON CALL NURSING 202819 SANDRA BAKER 6811 W VILLA THERESA GLENDALE AZ 85308 ON CALL NURSING 147228 RUBY GRAHAM 3815 E BECKER PHOENIX AZ 85028 ON CALL NURSING 118058 5 17841 810000 1278915 14220 2106756 GOVERNMENT CONTRACTS 623000 8495678 8495678 CLIENT FEES 623000 1842871 1842871 PROGRAM INCOME 623000 46412 46412 10384961 10620 10620 MISCELLANEOUS REVENUE 999999 37 37 37 12502374 10384998 0 10620 5286719 5286719 39529 39529 616386 616386 408364 408364 1161114 1161114 1446 1446 5750 5750 170008 170008 6783 6783 75672 75672 5047 5047 392596 392596 112906 112906 5847 5847 14842 14842 57998 57998 70616 70616 SPONSOR PAYMENTS 1934957 1934957 FOOD AND BEVERAGE 483590 483590 MISCELLANEOUS 255803 255803 REPAIR AND MAINTENANCE 188165 188165 431874 431874 11726012 10557702 1168310 0 425474 434857 62810 415000 1697222 1506436 23992 20855 10560 21260 804171 709917 152252 94254 0 64942 2372310 2557604 649010 694472 92539 95022 4016 24975 20687 1613219 982510 2383759 1792691 X -195845 4241 184396 760672 -11449 764913 2372310 2557604 776362 0 X X 0 1 X 1 1 1 X 1191620 974722 1128951 1472741 2106756 6874790 11509437 10487007 10204158 10169736 10384961 52755299 12701057 11461729 11333109 11642477 12491717 59630089 0 4466 426501 208711 168595 462491 1270764 4466 426501 208711 168595 462491 1270764 58359325 45230 11772 15118 16755 10620 99495 146 146 45230 11772 15264 16755 10620 99641 10000 37 10037 12746287 11473501 11348373 11669232 12502374 59739767 0.97690 0.98010 0.00170 0.00210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 X 804171 709917 94254 94254 DUE TO AFFILIATES 982510 982510 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, 2016, 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 148781 0 0 0 0 0 3151 0 7999 0 159931 0 0 TOM EGAN CEO & PRESIDENT 0 161059 0 0 0 0 0 15779 0 7978 0 184816 0 0 JOHN HANSON FORMER BOARD MEMBER (THRU 6/15) 0 11489 0 0 0 0 0 689 0 0 0 12178 0 0 GUY MIKKELSEN FORMER PRESIDENT 0 113229 0 0 0 0 0 23000 0 4534 0 140763 0 0 LINDA MARTIN FORMER VICE PRESIDENT 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 PROGRAMS, INC. AND RELATED ORGANIZATIONS. X UTILITIES 1 14220 0 0 0 PART I, COLUMN (B): THE NUMBER IN PART I, COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART III, LINE 2 FSL PROGRAMS RECEIVED A $750,000 GRANT TO LAUNCH A 3-YEAR CARE COORDINATION PROGRAM, CALLED CARE BY DESIGN. THIS PROGRAM ENSURES THAT NEW FSL CLIENTS, NO MATTER THEIR POINT OF ENTRY, RECEIVE A FULL SOCIAL SERVICE ANALYSIS WITH RECOMMENDATIONS TO LOCAL RESOURCES BOTH INSIDE AND OUTSIDE FSL'S SCOPE OF PROGRAMS. 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 11 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 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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