2015-05-15T20:16:52-05:00 2014-06-30 450250958 EIDE BAILLY LLP 1850 N CENTRAL AVE SUITE 400 PHOENIX AZ 850044527 990 2013-07-01 860748876 FSL PATHWAYS FSLP 6022851800 1201 E THOMAS ROAD PHOENIX AZ 85014 CARRIE SMITH CHIEF OPERATING OFFICER 6022851800 2015-05-15 1 BRENDA BLUNT P00075126 6022645844 2015-05-15 2013 2016-02-25 16:41:14Z TOM EGAN 1201 E THOMAS ROAD PHOENIX AZ 85014 7143764 0 0928 X WWW.FSL.ORG X 1993 AZ TO PROVIDE GROUP HOUSING AND RELATED BEHAVIORAL HEALTH SERVICES FOR MENTALLY IMPAIRED ADULTS. 4 0 191 0 0 0 0 0 6932568 7122871 23199 12738 15994 8155 6971761 7143764 0 0 0 0 4565090 4505585 0 0 0 2559122 2485267 7124212 6990852 -152451 152912 3470599 3690078 344124 462947 3126475 3227131 X TO PROVIDE GROUP HOUSING AND RELATED BEHAVIORAL HEALTH SERVICES FOR MENTALLY IMPAIRED ADULTS. 0 0 5825457 6632920 THE ASSISTED GROUP LIVING PROGRAM (FSL PATHWAYS) OPERATES COMMUNITY-BASED HOMES THROUGHOUT MARICOPA COUNTY, DESIGNED FOR ADULTS WITH SPECIAL NEEDS BOTH MEDICAL AND PSYCHIATRIC. ALL HOMES HAVE TRAINED STAFF WHO PROVIDE CONTINUOUS SUPERVISION AND SUPPORT. THE PROGRAMS ARE DESIGNED TO PROMOTE SELF-RELIANCE AND INDEPENDENCE FOCUSING ON WELLNESS AND STRENGTHS OF EACH INDIVIDUAL SERVED. THE MAJORITY OF OUR CLIENTS HAVE VERY LIMITED INCOMES. ALL PARTICIPANTS OF THIS PROGRAM HAVE A DIAGNOSIS OF A SERIOUSLY MENTAL ILLNESS, ARE AGE 21 YEARS AND OLDER AND HAVE A VARIETY OF FUNCTIONAL LEVELS. LAST YEAR THIS PROGRAM PROVIDED 28,696 BED DAYS TO 127 INDIVIDUALS. DIRECT CARE PROFESSIONAL AND PARA-PROFESSIONALS STAFF SALARIES CONTRIBUTE TO THE LARGEST EXPENSE OF THE PROGRAM. (CONTINUED ON SCHEDULE O)ULTIMATE PROGRAM GOAL IS TO AVOID INSTITUTIONALIZATION AND PROVIDE CLIENTS WITH A COMMUNITY RESIDENTIAL SETTING IN THE LEAST RESTRICTIVE ENVIRONMENT POSSIBLE WITH POSITIVE OUTCOMES AND A FOCUS ON TRANSITIONING TO A LEVEL OF INDEPENDENCE WHEN POSSIBLE. FSLS ASSISTED GROUP LIVING PROGRAM OPERATES 17 COMMUNITY-BASED HOMES THROUGHOUT MARICOPA COUNTY, ALL OF WHICH ARE STATE-LICENSED RESIDENTIAL BEHAVIORAL HEALTH FACILITIES. THESE HOMES ARE LICENSED FOR FIVE RESIDENTS AND ARE DESIGNED SPECIFICALLY FOR ADULTS WHO HAVE MEDICAL AND BEHAVIORAL HEALTH NEEDS.WIDELY REGARDED AS A MODEL OF EXCEPTIONAL COMMUNITY CARE, FSLS ASSISTED GROUP LIVING PROGRAM HAS HAD GREAT SUCCESS WITH ITS PARTICIPANTS, MANY OF WHOM HAD HISTORIES OF FAILED PLACEMENTS WITH OTHER TYPES OF PROGRAMS OR WITH THEIR FAMILIES.SERVICES AVAILABLE INCLUDE:-PLANNED, STRUCTURED AND COORDINATED THERAPEUTIC ACTIVITIES-BEHAVIORAL HEALTH MANAGEMENT-NURSING OVERSIGHT-PROFESSIONAL MEDICATION MONITORING (AVAILABLE AT SOME SITES)-ON-CALL CLINICAL TEAM-TRANSPORTATION FOR APPOINTMENTS AND THERAPEUTIC ACTIVITIES-ASSISTANCE WITH SELF-MEDICATION PROGRAM-LIFE SKILLS TRAINING/INDEPENDENT LIVING PROGRAM-PARTICIPATION IN LICENSED ADULT DAY HEALTH SERVICES PROGRAM-PSYCHOSOCIAL REHABILITATION-INDIVIDUAL/FAMILY/GROUP COUNSELING -PERSONAL CARE SERVICESOUR RESIDENTIAL TEAM OF TRAINED PROFESSIONALS INTEGRATES BOTH BEHAVIORAL AND MEDICAL HEALTH SERVICES TO PROVIDE A WELL-ROUNDED AND HOLISTIC LIVING ENVIRONMENT FOR RESIDENTS: A PLACE THEY CALL HOME. 502719 498106 THE 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. THE FOSTER FAMILIES OFFER SUPPORT WITH ACTIVITIES, PERSONAL CARE, TRANSPORTATION AND GENERAL LIVING SKILLS. LAST YEAR, THE FSL PROGRAM PROVIDED 3,405 BED DAYS TO 14 INDIVIDUALS.FSL ACTS AS THE FACILITATING PLACEMENT AGENCY AND SUPPORTS THE THERAPEUTIC CARE FAMILY. THE GOAL IS TO MAINTAIN THE CLIENT IN A COMMUNITY-BASED SETTING WHILE PREPARING FOR PERMANENT PLACEMENT: RETURN TO FAMILY OF ORIGIN, KINSHIP CARE OR INDEPENDENT LIVING.SERVICES AVAILABLE FROM THE LICENSED SPONSORS INCLUDE: (CONTINUED ON SCHEDULE O)-PERSONAL ASSISTANCE AND LIVING SKILLS-FAMILY SUPPORT SERVICES-ROOM AND BOARD SERVICES-OVER-THE-COUNTER DRUGS-NON-EMERGENCY TRANSPORTATION-SOCIAL SKILLS TRAINING-COORDINATION OF BEHAVIORAL HEALTH SERVICES-OFFSITE SERVICES ARE PROVIDED FOR CONTINUING CARE OF THE CLIENT THROUGH THE RBHA PROGRAM-PARTICIPATION IN CASE MANAGEMENT TEAM MEETINGS-DAILY DOCUMENTATION ON CLIENT BEHAVIORS-SPONSOR WILL ASSIST CLIENTS ON AN AS-NEEDED BASIS WITH SELF-ADMINISTRATION OF MEDICATIONS 6328176 1 0 0 0 0 0 0 0 1 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 X 15 0 1 191 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 0 1 1 0 0 0 AZ X BLANCA RUIZ 6022851800 1201 E THOMAS ROAD PHOENIX AZ 85014 GUY MIKKELSEN PRESIDENT 1.00 39.00 X X 0 203173 15842 LINDA MARTIN VICE PRESIDENT 1.00 39.00 X X 0 145068 8078 BLANCA RUIZ TREASURER 3.00 37.00 X X 0 82241 6111 STEVE HASTINGS SECRETARY 1.00 39.00 X X 0 146692 13342 RICHARD ARMSTRONG CHIEF FINANCIAL OFFICER 2.00 38.00 X 0 128792 6646 CARRIE SMITH CHIEF OPERATING OFFICER 14.00 26.00 X 0 121394 5915 0 827360 55934 0 0 1 0 FSL MANAGEMENT 1201 E THOMAS ROAD PHOENIX AZ 85014 MANAGEMENT FEES 647066 FSL PROGRAMS 1201 E THOMAS ROAD PHOENIX AZ 85014 ADHS SERVICES 407665 2 GOVERNMENT CONTRACTS 623000 6345096 6345096 PROGRAM INCOME 623000 759253 759253 CLIENT FEES 623000 18522 18522 7122871 11531 11531 1207 0 1207 1207 1207 OTHER 900099 8155 8155 8155 7143764 7131026 0 12738 3564200 3564200 17138 17138 565105 565105 359142 359142 656359 656359 5873 5873 549973 549973 444 444 201224 201224 469715 469715 83089 83089 295 295 2975 2975 24735 24735 60369 60369 BAD DEBT 163356 163356 FOOD 154131 154131 REPAIRS AND MAINT 74083 74083 LICENSE, FEES & PERMITS 20984 20984 17662 17662 6990852 6328176 662676 0 395342 397932 1143140 834442 40775 40775 491994 371278 52527 120716 1838815 2296213 3470599 3690078 299475 327847 20008 23103 84466 24641 27531 344124 462947 X 3097444 3207777 29031 19354 3126475 3227131 3470599 3690078 152912 -52256 0 X X 0 1 X 1 0 X 39359 39359 8563216 7580294 7360565 6948562 7131026 37583663 8563216 7580294 7399924 6948562 7131026 37623022 0 458130 905842 635710 840928 681672 3522282 458130 905842 635710 840928 681672 3522282 34100740 1269 4373 7980 7526 11531 32679 1269 4373 7980 7526 11531 32679 8564485 7584667 7407904 6956088 7142557 37655701 0.90560 0.90600 0.00090 0.00110 X 0 1 X 491994 371278 120716 120716 DUE FROM AFFILIATES 2296213 2296213 DUE TO AFFILIATE 27531 27531 X 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. PART X, LINE 2: EACH ENTITY BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE COMBINED FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 GUY MIKKELSEN PRESIDENT 0 181666 0 10000 0 11507 0 0 0 15842 0 219015 0 0 LINDA MARTIN VICE PRESIDENT 0 127112 0 6000 0 11956 0 0 0 8078 0 153146 0 0 STEVE HASTINGS SECRETARY 0 137966 0 0 0 8726 0 0 0 13342 0 160034 0 0 SCHEDULE J, PART I, LINE 3: THE ORGANIZATION RELIED ON A RELATED 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: GUY MIKKELSEN, LINDA MARTIN, AND STEVE HASTINGS ARE COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES PROVIDED TO FSL PATHWAYS AND RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 1B: THE BOARD MEMBERS ARE NOT INDEPENDENT AS THEY ARE COMPENSATED BY FOUNDATION FOR SENIOR LIVING (FSL) RELATED ORGANIZATIONS FOR THEIR SERVICES PROVIDED TO THE FSL ORGANIZATION AS A WHOLE. FOUNDATION FOR SENIOR LIVING HAS AN INDEPENDENT BOARD AND THEY ELECT 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 THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE TREASURY MANAGER 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 12 EVERYONE ON BOARDS OR WORKING FOR THE FOUNDATION AND ITS AFFILIATES ARE COVERED UNDER THE POLICY. FOR FOUNDATION, CONFLICTS ARE DETERMINED AT THE FSL BOARD LEVEL. FOR AFFILIATE CORPORATIONS, CONFLICTS ARE DETERMINED EITHER AT THE FSL LEADERSHIP COUNCIL LEVEL OR THE AFFILIATE BOARD LEVEL FOR BOTH THE LEVEL AT WHICH DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE AND THE LEVEL AT WHICH ACTUAL CONFLICTS ARE REVIEWED. 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 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 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 FORM 990, PART VI, LINE 15A: GUY MIKKELSEN IS COMPENSATED BY A RELATED ORGANIZATION, FSL MANAGEMENT(FSL) FOR HIS SERVICES PROVIDED TO FSL AND ITS RELATED ORGANIZATIONS. HIS COMPENSATION IS APPROVED BY THE GOVERNING BOARD OF FSL. ON AN ANNUAL BASIS, THEY ARE PROVIDED WITH COMPARABILITY DATA/COMPENSATION STUDIES TO DETERMINE HIS COMPENSATION. OTHER OFFICERS AND DIRECTORS ARE PROVIDED COMPENSATION FROM FSL AND OTHER RELATED ORGANIZATIONS FOR THEIR SERVICES, BEYOND BEING ON THE GOVERNING BOARD, PROVIDED TO THAT ENTITY AND OTHER RELATED ORGANIZATIONS. THEIR COMPENSATION IS APPROVED BY GUY MIKKELSEN, PRESIDENT AND CEO. 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 XII, LINE 3B FSL PROGRAMS & FSL HOME IMPROVEMENTS HAD A SINGLE AUDIT PERFORMED. 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