2014-07-03T11:39:08-05:00 2013-12-31 411690382 Malloy Montague Karnowski Radosevich 5353 Wayzata Blvd Ste 410 Minneapolis MN 55416 990 2013-01-01 860906621 Northern Arizona Senior Living Community LLC NORT 9523618000 1107 Hazeltine Blvd No 200 Chaska MN 55318 Ron Nutting Chief Financial Officer 9523618000 2014-06-25 1 Victoria L Holinka P00735616 9525450424 2014-06-18 2013 2015-11-30 17:44:51Z The Peaks Ron Nutting 1107 Hazeltine Blvd No 200 Chaska MN 55318 13626072 0 X www.thepeaks.org X X 1997 MN The Corporation was formed to develop and operate a senior living and mentoring facility. 6 6 282 32 0 0 0 700 12805695 13557538 344083 67834 0 0 13149778 13626072 0 0 0 0 4680576 5067495 0 0 0 8602712 8444842 13283288 13512337 -133510 113735 34452393 27698410 37342214 30474496 -2889821 -2776086 X To develop and operate a senior living and mentoring facility. 0 0 11686271 13557538 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 unlike any senior community in the county because 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 unique intergenerational activities that benefit the 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 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, 2013, The Peaks participated in various charitable initiatives such as the provision of discounted care through participation in the Arizona State Medicaid program. We average 20 Medicaid patients in our skilled nursing facility on a daily basis and discounted their care by $199,737 during the 2013 year. In our lodge we averaged 24 residents on a daily basis and discounted their care by $604,425 during 2013. We have a partnership with the Museum of Northern Arizona (MNA) that consists of supporting 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 Foundation to be used for scholarships for degree advancement for registered nurses who aspire to earn a bachelors degree in nursing. The Peaks also gave a donation to the Northland Hospice by sponsoring a golf hole for $2,500 during their 2013 annual fund raising golf tournament. A gift of $1,000 was presented to the Poore Clinic, a local clinic that provides free services for the underserved in Flagstaff. 11686271 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 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 0 0 0 0 0 0 1 63 0 1 282 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 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 Joseph Guertin Manager 1.00 X 0 0 0 Christopher Bavasi Manager 1.00 X 0 0 0 Mark Wilson Manager 1.00 X 0 0 0 Robert Bruenig Non-Voting Member 1.00 X 0 0 0 Denise Gustafson Co-Chief Executive Officer 1.00 X X 0 0 0 Irwin Bloom Co-Chief Executive Officer 1.00 X X 0 0 0 0 0 0 1 0 0 0 Synertx 7540 North 19th Avenue Suite 200 Phoenix AZ 85021 Therapy 1419603 The Goodman Group LLC 1107 Hazeltine Blvd 200 Chaska MN 55318 Management and Accounting Services, info 887602 Pharmerica Corporation of America PO Box 409251 Atlanta GA 30384 Pharmacy 520140 John B Goodman Limited Partnership 1107 Hazeltine Blvd 200 Chaska MN 55318 Construction Management & Development 159102 4 700 700 Resident services 623990 8467784 8467784 Ancillary services 623990 4999023 4999023 Other operating revenue 623990 90731 90731 13557538 67834 67834 13626072 13557538 0 67834 X 106325 106325 4544686 4307516 237170 53821 270 53551 362663 339851 22812 747671 747671 41877 41877 261425 261425 1767171 1767171 69715 68053 1662 1114651 969121 145530 320399 320399 85964 20274 65690 1841251 1841251 887834 887834 546178 446908 99270 Dietary food 497936 497936 Equipment rental and ma 138764 112838 25926 Amortization 74244 74244 Other expenses 26721 9564 17157 23041 23041 13512337 11686271 1826066 0 1441721 1726363 124196 123124 829138 1011084 56052 58423 93157 97173 28409029 10146061 18711138 18262968 13196991 6419275 34452393 27698410 801666 793321 72931 35540000 28760000 1000548 848244 37342214 30474496 X -2889821 -2776086 -2889821 -2776086 34452393 27698410 113735 0 X X 0 1 X 1 0 X 700 700 12429084 12239655 13186802 12798046 13557538 64211125 12429084 12239655 13186802 12798046 13558238 64211825 0 0 0 64211825 375568 375515 365831 351732 67834 1536480 375568 375515 365831 351732 67834 1536480 12804652 12615170 13552633 13149778 13626072 65748305 0.97660 0.96040 0.02340 0.03960 X 660000 660000 21775297 6832238 14943059 3423742 1824280 1599462 2549990 1489543 1060447 18262968 Accrued interest receivable 1095 Insurance escrow 96081 Bond funds 3837814 Replacement reserve account 1002510 Deferred loan costs and capitalized - net of amortization 1479269 Tenant/patient funds held in trust 2506 6419275 Security deposits 31500 Tenant/patient funds held in trust 2406 Accrued interest 814338 848244 X 13625372 0 13625372 700 700 13626072 13511637 0 13511637 700 700 13512337 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, 2013. The Company is subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any open tax periods. The Company's open audit periods are the years ended December 31, 2010, 2011, and 2012. Part XI, Line 4b - Other Adjustments: Charitable contribution revenue netted with expense 700. Part XII, Line 4b - Other Adjustments: Charitable contribution revenue netted with expense 700. A The Industrial Development Authority of the City of Flagstaff Arizona 521293802 338448AG8 2007-08-01 30650000 Refinance real estate used by organization 0 0 0 B The Industrial Development Authority of the City of Flagstaff Arizona 521293802 338448AD5 2003-02-27 7000000 Construction additions 0 0 0 A 1890000 30650000 2050428 6866968 610673 797387 20324544 2007 0 1 1 1 B 7000000 7086053 587938 501000 225000 25000 5747115 2003 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 1 1 0 0 0 0 B 1 1 0 0 0 0 A 0 B 0 Form 990, Schedule K, Part II, Line 3, Column B, Entity 1 The $7,086,053 of proceeds received is made up of the par amount of the bond of $7,000,000 plus cost of issuance in excess of 2.0% of bonds of $85,000 plus rounding of bonds to increments of $5,000 of $1,053. This bond was paid off in 2013 with legally defeased funds. Form 990, Part VI, Section B, line 11 The Form 990 is prepared by an independent certified public accounting firm. It is then reviewed by the controller of the management company who is a CPA. 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 Nursing and therapy : Program service expenses 1,460,919. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,460,919. General and medical services: Program service expenses 95,353. Management and general expenses 0. Fundraising expenses 0. Total expenses 95,353. Other: Program service expenses 146,883. Management and general expenses 0. Fundraising expenses 0. Total expenses 146,883. Dining, laundry, and housekeeping : Program service expenses 64,016. Management and general expenses 0. Fundraising expenses 0. Total expenses 64,016. 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. FORM 990, PART VI, LINE 1A - NON-VOTING MEMBER: Robert Breunig is a non-voting board member and is not included in the total for voting members. Changes in presentation: The following line items have been presented separately in the 2013 Form 990: 1) Tenant/patient funds held in trust = $2,506 (prior year balance included in cash - savings and temporary cash investments) 2) Deferred revenue = $72,931 (prior year balance netted against accounts receivable) Functional expenses, Form 990 Part IX, were presented differently in several accounts from the prior year presentation to better conform with the functional expenses reporting.