2025-11-05T07:15:26-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-01-01 860906621 NORTHERN ARIZONA SENIOR LIVING COMMUNITY LLC NORT 9523618000 1107 HAZELTINE BLVD 200 CHASKA MN 55318 CLINT KNACKE CO-CHIEF EXECUTIVE OFFICER 9523618000 2025-08-12 1 0 JUSTIN HARTERT P02236744 5074467100 2025-08-12 2024 2025-03-06 01:10:19Z THE PEAKS THOMAS A EGAN 1107 HAZELTINE BLVD 200 CHASKA MN 55318 15995388 0 X WWW.THEPEAKS.ORG X 1997 MN THE CORPORATION WAS FORMED TO DEVELOP AND OPERATE A SENIOR LIVING AND MENTORING FACILITY. 4 4 296 480 0 0 95006 2166961 12722089 13652870 -69866 -18380 50955 62263 12798184 15863714 3400 0 0 0 7572107 8457463 0 0 0 7013951 7092026 14589458 15549489 -1791274 314225 16778630 16514196 23139883 22561224 -6361253 -6047028 X TO DEVELOP AND OPERATE A SENIOR LIVING AND MENTORING FACILITY. 0 0 11516612 0 13652870 THE PEAKS, LOCATED IN FLAGSTAFF, ARIZONA, IS DISTINGUISHED BY ITS STRONG COMMUNITY INVOLVEMENT, PARTICULARLY THROUGH ITS CONNECTIONS WITH THE MUSEUM OF NORTHERN ARIZONA AND FLAGSTAFF MEDICAL CENTER. THE PEAKS OFFERS A RANGE OF INTERGENERATIONAL ACTIVITIES THAT BENEFIT BOTH ITS RESIDENTS AND LOCAL CHILDREN, FOSTERING ENGAGEMENT ACROSS GENERATIONS. SERVICES PROVIDED INCLUDE INDEPENDENT LIVING, ASSISTED LIVING, PROGRESSIVE MEMORY CARE, REHABILITATION, LONG-TERM CARE, AND SKILLED NURSING, ALLOWING RESIDENTS TO "AGE IN PLACE." RESIDENTS HAVE THE ABILITY TO AGE IN PLACE AND CONTINUE TO RECEIVE PERSONALIZED SERVICES THAT MEET THEIR CARE NEEDS. THE PEAKS WAS DEVELOPED THROUGH A NONPROFIT PARTNERSHIP BETWEEN INTERGENERATIONAL LIVING AND HEALTH CARE AND NORTHERN ARIZONA HEALTHCARE. EFFECTIVE JANUARY 1, 2024, THE GOODMAN FAMILY OPERATING FOUNDATION ACQUIRED 50% OWNERSHIP FROM INTERGENERATIONAL LIVING AND HEALTH CARE. FOR THE FISCAL YEAR ENDED DECEMBER 31, 2024, THE PEAKS PARTICIPATED IN VARIOUS CHARITABLE INITIATIVES, INCLUDING PROVIDING DISCOUNTED CARE THROUGH THE ARIZONA STATE MEDICAID PROGRAM AND INDIAN HEALTH SERVICES. ON AVERAGE, OUR SKILLED NURSING FACILITY ACCOMMODATED 21 MEDICAID PATIENTS DAILY, AND OUR LODGE AVERAGED 15 RESIDENTS DAILY RESULTING IN $352,827 IN DISCOUNTED CARE FOR ELIGIBLE RESIDENTS DURING 2024. MOREOVER, THE PEAKS HAS A PARTNERSHIP WITH THE MUSEUM OF NORTHERN ARIZONA (MNA) TO SUPPORT AN ART COLLECTION WITHIN THE FACILITY AND TWO MUSEUM DOCENT PROGRAMS. THIS COLLABORATION ENRICHES THE LIVES OF OUR RESIDENTS AND THE WIDER COMMUNITY. ADDITIONALLY, NURSING STUDENTS FROM NORTHERN ARIZONA UNIVERSITY'S BACCALAUREATE PROGRAMS COMPLETED PART OF THEIR INTERNSHIP AT THE PEAKS HEALTH & REHABILITATION. FUTURE CERTIFIED NURSING ASSISTANTS FROM COCONINO COMMUNITY COLLEGE SHADOW SKILLED NURSING FACILITY CNAS TO FULFILL GRADUATION REQUIREMENTS. 11516612 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 62 0 1 296 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 1 0 AZ X THE GOODMAN GROUP LLC 9523618000 1107 HAZELTINE BLVD CHASKA MN 55318 JENNIE A CLARKE MANAGER (THRU MAY 2024) 1.00 X 0 0 0 LISA D DAVISON MANAGER 1.00 X 0 0 0 WENDY HARDEN MANAGER (THRU MAY 2024) 1.00 X 0 0 0 JACOB LANSBURG MANAGER 1.00 X 0 0 0 JUDY STECH MANAGER 1.00 X 0 0 0 JESSICA CAMPOLLI MANAGER 1.00 X 0 0 0 CHRIS BAVASI CO-CEO 1.00 X 0 0 0 CLINT KNACKE CO-CEO 1.00 X 0 0 0 GARY OLSON EXECUTIVE DIRECTOR 40.00 X 26835 0 883 PATRICK KINNEY EXECUTIVE DIRECTOR 40.00 X 110786 0 0 CLARA EFFERTZ DIRECTOR OF NURSING 40.00 X 103368 0 30566 240989 0 31449 2 0 0 0 THE GOODMAN GROUP LLC 1107 HAZELTINE BLVD 200 CHASKA MN 55318 MANAGEMENT AND ACCOUNTING SERVICES, INFO 881553 RELIANT REHABILITATION HOLDINGS INC 5800 GRANITE PARKWAY SUITE 1000 PLANO TX 75024 THERAPY 557649 SHIFTKEY 5221 N OCONNOR BLVD 1400 IRVING TX 75039 CONTRACTED NURSING 438029 GUARDIAN PHARMACY OF ARIZONA LLC 925 E COVEY LN PHOENIX AZ 85024 PHARMACY 276786 PRIME TIME HEALTHCARE LLC 18010 BURT ST ELKHORN NE 68022 CONTRACTED NURSING 159957 6 59583 2107378 31501 2166961 RESIDENT SERVICES 623990 10872611 10872611 ANCILLARY SERVICES 623990 2780259 2780259 13652870 4784 4784 108510 131674 -23164 -23164 -23164 MISCELLANOUS REVENUE 900099 62263 62263 62263 15863714 13652870 0 43883 138504 138504 7170729 6391275 779454 36681 32074 4607 630579 551385 79194 480970 420566 60404 731877 731877 13744 13744 214536 214536 1100211 819640 280571 141520 141520 97659 97659 164625 164625 461968 461968 133041 33484 99557 601027 429309 171718 910338 650242 260096 374148 267251 106897 DIETARY FOOD 676303 676303 OTHER EXPENSES 641120 117016 524104 SUPPLIES 517935 400672 117263 DRUGS 265427 265427 46547 46547 15549489 11516612 4032877 0 210079 462274 417227 3846 1215650 1590013 51162 49280 250940 384334 32206268 19324307 13528384 12881961 1105188 1142488 16778630 16514196 967604 796303 171304 319202 9293 12309 21991682 21433410 23139883 22561224 X -6361253 -6047028 -6361253 -6047028 16778630 16514196 314225 0 X 0 1 X 1 0 X 3083824 2002338 23000 95006 2166961 7371129 12179954 12861048 12316087 12722089 13652870 63732048 15263778 14863386 12339087 12817095 15819831 71103177 3049371 1973602 2105501 7128474 0 3049371 1973602 2105501 7128474 63974703 10358 550 7409 38174 4784 61275 10358 550 7409 38174 4784 61275 101345 71131 50382 50955 62263 336076 15375481 14935067 12396878 12906224 15886878 71500528 0.89470 0.99530 0.00090 0.00090 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 101,345. 2021 AMOUNT: $ 71,131. 2022 AMOUNT: $ 50,382. 2023 AMOUNT: $ 50,955. 2024 AMOUNT: $ 62,263. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 660000 660000 23941123 13178738 10762385 4924032 3749598 1174434 2681113 2395971 285142 12881961 REPLACEMENT RESERVE ACCOUNT 181040 TENANT/PATIENT FUNDS HELD IN TRUST 12409 RESIDUAL RECEIPTS RESERVE 800402 TAX AND INSURANCE ESCROW 148637 1142488 X 15886878 0 15886878 -23164 -23164 15863714 15572653 23164 23164 15549489 0 15549489 PART IV, LINE 2B: RESIDENT FUND TOTALING $12,309 PART X, LINE 2: THE PROJECT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES; ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE PROJECT FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE PROJECT FILES INFORMATION RETURNS AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEAR SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY -23,164. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY 23,164. X PHONE SYSTEM 1 31501 COST 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B). FORM 990, PART VI, SECTION A, LINE 3 THE GOODMAN GROUP, LLC, MANAGES THE PROJECT'S FACILITIES. MANAGEMENT FEES ARE INCURRED PURSUANT TO A MANAGEMENT AGREEMENT BASED ON 5.5% OF GROSS RECEIPTS, AS APPROVED BY HUD. THE PROJECT PAYS THE GOODMAN GROUP, LLC AN ACCOUNTING SERVICES FEE. THE ACCOUNTING FEE IS BASED UPON THE MARKET RATE FOR SERVICES. THE FEE IS CHARGED TO ALL PROJECTS MANAGED BY THE GOODMAN GROUP, LLC ON A PRO RATA ALLOCATION BASED ON NET REVENUES EARNED. THE PROJECT PAYS THE GOODMAN GROUP, LLC AN IT FEE. THE IT FEE IS BASED UPON AN ALLOCATION OF THE COSTS OF INFORMATION TECHNOLOGY AND RELATED SERVICES. THE FEE IS CHARGED TO ALL PROJECTS MANAGED BY THE GOODMAN GROUP, LLC ON A PRO RATA ALLOCATION BASED ON COMPUTER UNITS. THE GOODMAN GROUP, LLC ALSO PROVIDES LEGAL SERVICES, WHICH ARE CHARGED TO THE PROJECT ON A PER HOUR BASIS BASED ON ACTUAL COSTS INCURRED. FORM 990, PART VI, SECTION A, LINE 8B NO INDIVIDUAL COMMITTEE CREATED BY THE BOARD HAS THE BROAD AUTHORITY TO ACT ON BEHALF OF THE BOARD. 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 DIRECTORS, OFFICERS, COMMITTEE MEMBERS AND KEY EMPLOYEES OF THE NORTHERN ARIZONA SENIOR LIVING COMMUNITY OWE SUCH ENTITIES A DUTY OF GOOD FAITH LOYALTY. THUS, PERSONS HOLDING SUCH POSITIONS MAY NOT USE THEIR POSITIONS TO PROFIT PERSONALLY OR TO ASSIST OTHERS IN PROFITING IN ANY WAY AT THE EXPENSE OF ANY OF THE NORTHERN ARIZONA SENIOR LIVING COMMUNITY. CONSEQUENTLY, RESPONSIBLE PERSONS ARE REQUIRED TO DISCLOSE ALL CONFLICTS OF INTEREST PROMPTLY AND FULLY TO THE CHAIR OF THE BOARD AND THE CO-CHIEF EXECUTIVE OFFICERS OF NORTHERN ARIZONA SENIOR LIVING COMMUNITY, WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE BOARD. IF A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE PERSON WITH SUCH CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE AFFAIRS OF NORTHERN ARIZONA SENIOR LIVING COMMUNITY IN CONNECTION WITH THE SPECIFIC CONTRACT, TRANSACTION OR RELATIONSHIP THAT FORMS THE BASIS OF SUCH CONFLICT OF INTEREST, EXCEPT AS EXPRESSLY PERMITTED UNDER THIS POLICY. EACH POTENTIAL CONFLICT OF INTEREST MUST BE PRESENTED TO THE BOARD (OR A COMMITTEE DESIGNATED BY THE BOARD) FOR AUTHORIZATION, APPROVAL OR RATIFICATION. THE BOARD SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO NORTHERN ARIZONA SENIOR LIVING COMMUNITY. THE DECISION OF THE BOARD ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION, AND THEIR CONCERN MUST BE THE WELFARE OF NORTHERN ARIZONA SENIOR LIVING COMMUNITY AND THE ADVANCEMENT OF ITS PURPOSE. THE DISCLOSING PERSON SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS OR HER INTEREST AND SHALL INCLUDE ANY KNOWN, RELEVANT AND MATERIAL FACTS ABOUT THE CONTRACT OR TRANSACTION, INCLUDING ALL AREAS THAT MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO NORTHERN ARIZONA SENIOR LIVING COMMUNITY'S INTERESTS OR TO BE BENEFICIAL TO THE DISCLOSING PERSON. THE PERSON WITH THE POTENTIAL CONFLICT OF INTEREST SHALL BE EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION, EXCEPT AS EXPRESSLY REQUESTED BY THE BOARD (OR OTHER DESIGNATED COMMITTEE) AND SUCH PERSON SHALL NOT BE COUNTED IN DETERMINING ANY NECESSARY QUORUM OR APPROVAL FOR ACTION TO BE TAKEN. AFTER DISCLOSURE, TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE PERMITTED TO BE UNDERTAKEN IF A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS, IF APPLICABLE OR THE BOARD HAS DETERMINED THAT THE TERMS OF THE TRANSACTION ARE FAIR AND REASONABLE; AND THE BOARD HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION REVIEWS AND APPROVES COMPENSATION LEVELS ANNUALLY DURING BUDGET REVIEW, INCLUDING PAY LEVELS FOR KEY EMPLOYEES. TO FACILITATE THIS REVIEW, THE ORGANIZATION UTILIZES AN INDEPENDENT MANAGEMENT COMPANY TO RESEARCH AND RECOMMEND PAY LEVELS. THE MANAGEMENT COMPANY HAS OVER 50 YEARS OF EXPERIENCE IN THE SENIOR HOUSING AND PROPERTY MANAGEMENT INDUSTRY WITH NUMEROUS RESOURCES TO INDEX. KEY EMPLOYEES WOULD INCLUDE EXECUTIVE DIRECTORS AND LEADERSHIP AT THE WHOLLY OWNED ENTITIES OF THE ORGANIZATION, AS WELL AS, RECOMMENDATIONS OF PAY LEVELS FOR MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.