NORTHERN ARIZONA SENIOR LIVING COMMUNITY LLC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTHERN ARIZONA SENIOR LIVING COMMUNITY LLC (EIN 86-0906621)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-07-15
- IRS object ID
- 201321969349301127
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-07-15T14:17:29-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411690382 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Malloy Montague Karnowski Radosevich | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5353 Wayzata Blvd Ste 410 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 55416 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860906621 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northern Arizona Senior Living Community LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 9523618000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 Hazeltine Blvd No 200 | AddressLine1 |
| City | Chaska | City |
| State | MN | State |
| ZIP Code | 55318 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dan R Peterka | Name |
| Title | Manager-Co Chief Executive Officer | Title |
| Phone | 9523618000 | Phone |
| Date Signed | 2013-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Thomas M Montague | Name |
| PTIN | P00089901 | PTIN |
| Phone | 9525450424 | Phone |
| Date Prepared | 2013-05-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Dan R Peterka | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 Hazeltine Blvd No 200 | AddressLine1 |
| City | Chaska | City |
| State | MN | State |
| ZIP Code | 55318 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13157427 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.thepeaks.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | The Corporation was formed to develop and operate a senior living and mentoring facility. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 247 | TotalNbrEmployees |
| Total Nbr Volunteers | 28 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13195855 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12805695 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 356778 | InvestmentIncomePriorYear |
| Investment Income Current Year | 344083 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 13552633 | TotalRevenuePriorYear |
| Total Revenue Current Year | 13149778 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4660606 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4680576 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8660343 | OtherExpensePriorYear |
| Other Expenses Current Year | 8602712 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13320949 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13283288 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 231684 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -133510 | RevenuesLessExpensesCY |
| Total Assets BOY | 35149518 | TotalAssetsBOY |
| Total Assets EOY | 34452393 | TotalAssetsEOY |
| Total Liabilities BOY | 37905829 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 37342214 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -2756311 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -2889821 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To develop and operate a senior living and mentoring facility. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11636189 | Expense |
| Revenue | 12805695 | Revenue |
| Description | The Peaks, Flagstaff, Arizona, is unlike any senior community in the county because it shares strong ties with the Museum of Northern Arizona. The Peaks also provides its residents, as well as children in the area, with unique intergenerational activities that benefit the older adults and the 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 also provides assisted living, progressive memory care, rehabilitation, long-term care, and skilled nursing. The Peaks offers the opportunity for residents to "age in place," which encourages the resident to remain in their apartment homes receiving assistance with activities of daily living through personalized levels of care. Northern Arizona Senior Living Community, LLC is a comprehensive senior living and healthcare campus consisting of 58 skilled nursing beds, 96 assisted living units, and 39 bungalows. | Description |
| Total Program Service Expense | 11636189 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 60 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 247 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | AZ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Goodman Group LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9523618000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 Hazeltine Blvd | AddressLine1 |
| City | Chaska | City |
| State | MN | State |
| ZIP Code | 55318 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| Lisa Brugh | ||||||
| Manager | 1.00 | X | 0 | 0 | 0 | |
| Denise Gustafson | ||||||
| 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 Breunig | ||||||
| Non-Voting Member | 1.00 | X | 0 | 0 | 0 | |
| Dan R Peterka | ||||||
| Co-Chief Executive Officer | 1.00 | 0 | 0 | 0 | X | |
| Irwin Bloom | ||||||
| Co-Chief Executive Officer | 1.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Synertx | |||||
| 7540 North 19th Avenue Suite 200 | Phoenix | AZ | 85021 | Therapy | 1524636 |
| The Goodman Group LLC | |||||
| 1107 Hazeltine Blvd 200 | Chaska | MN | 55318 | Management and Accounting Services, info | 818478 |
| John B Goodman Limited Partnership | |||||
| 1107 Hazeltine Blvd 200 | Chaska | MN | 55318 | Construction Management & Development | 566314 |
| Pharmerica Corporation of America | |||||
| PO Box 409251 | Atlanta | GA | 30384 | Pharmacy | 526457 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Resident Services | 623000 | 8505179 | 8505179 |
| Ancillary Services | 623000 | 4220130 | 4220130 |
| Other operating revenue | 623000 | 80386 | 80386 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12805695 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 351732 | TotalRevenueColumn |
| Exclusion | $351,732 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7649 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -7649 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7649 | TotalRevenueColumn |
| Exclusion | -$7,649 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13149778 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12805695 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $344,083 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4291449 | Total |
| Program Services | 3951883 | ProgramServices |
| Management And General | 339566 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39955 | Total |
| Program Services | 39955 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 349172 | Total |
| Program Services | 319089 | ProgramServices |
| Management And General | 30083 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 834582 | Total |
| Management And General | 834582 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26158 | Total |
| Management And General | 26158 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116262 | Total |
| Management And General | 116262 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67598 | Total |
| Program Services | 67598 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1068944 | Total |
| Program Services | 1068944 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310160 | Total |
| Program Services | 310160 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78625 | Total |
| Program Services | 415 | ProgramServices |
| Management And General | 78210 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2142413 | Total |
| Program Services | 2142413 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 990718 | Total |
| Program Services | 990718 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 494212 | Total |
| Program Services | 276466 | ProgramServices |
| Management And General | 217746 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Contracted Services | 1861822 | 1861822 |
| Dietary Food | 453105 | 453105 |
| Equipment rental & main | 91248 | 91248 |
| Miscellaneous | 62373 | 62373 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4492 | Total |
| Management And General | 4492 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13283288 | Total |
| Program Services | 11636189 | ProgramServices |
| Management And General | 1647099 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1834696 | BOY |
| EOY | 1441721 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123025 | BOY |
| EOY | 124196 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 861352 | BOY |
| EOY | 829138 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45281 | BOY |
| EOY | 56052 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95185 | BOY |
| EOY | 93157 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 27969365 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9258227 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18791483 | BOY |
| EOY | 18711138 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13398496 | BOY |
| EOY | 13196991 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35149518 | BOY |
| EOY | 34452393 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 910220 | BOY |
| EOY | 801666 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35985000 | BOY |
| EOY | 35540000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1010609 | BOY |
| EOY | 1000548 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37905829 | BOY |
| EOY | 37342214 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2756311 | BOY |
| EOY | -2889821 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2756311 | BOY |
| EOY | -2889821 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35149518 | BOY |
| EOY | 34452393 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -133510 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11616636 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12429084 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12239655 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13186802 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12798046 | CurrentTaxYear |
| Total | 62270223 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11616636 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12429084 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12239655 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13186802 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12798046 | CurrentTaxYear |
| Total | 62270223 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 62270223 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1095759 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 375568 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 375515 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 365831 | CurrentTaxYearMinus1Year |
| Current Tax Year | 351732 | CurrentTaxYear |
| Total | 2564405 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1095759 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 375568 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 375515 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 365831 | CurrentTaxYearMinus1Year |
| Current Tax Year | 351732 | CurrentTaxYear |
| Total | 2564405 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12712395 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12804652 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12615170 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13552633 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13149778 | CurrentTaxYear |
| Total | 64834628 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.96040 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.95420 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.03960 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.04580 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 660000 | OtherCostOrOtherBasis |
| Book Value | 660000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21775297 | OtherCostOrOtherBasis |
| Depreciation | 6285103 | Depreciation |
| Book Value | 15490194 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2430150 | OtherCostOrOtherBasis |
| Depreciation | 1367969 | Depreciation |
| Book Value | 1062181 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3101276 | OtherCostOrOtherBasis |
| Depreciation | 1605155 | Depreciation |
| Book Value | 1496121 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2642 | OtherCostOrOtherBasis |
| Book Value | 2642 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 18711138 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Accrued interest receivable | 111477 |
| Debt service reserve | 2043438 |
| Bond fund | 1786149 |
| Net amortized loan costs | 1553513 |
| Reserve for replacement | 982410 |
| Insurance escrow | 101603 |
| Advance refunding escrow | 6618401 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 13196991 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Security Deposits | $13,500 |
| Patient Funds | $2,298 |
| Accrued Interest | $984,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1000548 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 13157427 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 13157427 | RevenueSubtotal |
| Other Revenues Not Included | -7649 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -7649 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 13149778 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13290937 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 13290937 | ExpensesSubtotal |
| Other Expenses Not Included | -7649 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -7649 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 13283288 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | The Company is exempt from federal and state income taxes under Internal Revenue Code 501(c)(3). The Company is subject to tax on income from any unrelated business. On January 1, 2010, the Company adopted the recognition requirements for uncertain income tax positions as required by the 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 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, 2012. |
| Part XI, Line 4b - Other Adjustments: | Loss on disposal of property and equipment -7,649. | |
| Part XII, Line 4b - Other Adjustments: | Loss on disposal of property and equipment -7,649. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| The Industrial Development Authority of the City of Flagstaff Arizona | ||||||||
| A | 521293802 | 338448AG8 | 2007-08-01 | 30650000 | Refinance real estate used by organization | 0 | 0 | 0 |
| The Industrial Development Authority of the City of Flagstaff Arizona | ||||||||
| B | 521293802 | 338448AD5 | 2003-02-27 | 7000000 | Construction additions | 1 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount Bond DefeasedAmountBondDefeased | Capitalized InterestCapitalizedInterest | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 1525000 | 30650000 | 2050428 | 6866968 | 610673 | 797387 | 20324544 | 2007 | 0 | 1 | 1 | 1 | |||
| B | 585000 | 7086053 | 587938 | 225000 | 25000 | 2003 | 0 | 0 | 1 | 1 | 6415000 | 501000 | 5747115 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|
| A | 1 | 1 | 0 | 0 | 0 | 0 |
| B | 1 | 1 | 0 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Members | |
| Form 990, Part VI, Section A, line 7a | Members can elect members of the governing body. | |
| Form 990, Part VI, Section A, line 7b | Decisions of the governing body are subject to approval by members. | |
| 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 a 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 completes a disclosure of conflict of interest questionnaire annually. | |
| Form 990, Part VI, Section B, line 15 | Compensation is based on experience and market salary surveys. | |
| 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 request. | |
| Form 990, Part VII | Irwin Bloom - 1200 North Beaver Street, Flagstaff, AZ 86001. Lisa Brugh - 1200 N. Beaver Street, Flagstaff, AZ 86001. Denise Gustafson - 3386 Pilot Knob Road, Eagan, MN 55121. Christopher Bavasi - Flagstaff Medical Center, PO Box 891, Flagstaff, AZ 86002. Mark Wilson - 220 South 6th Street, Suite 1800, Minneapolis, MN 55402. Robert Breunig - 3101 North Fort Valley Road, Flagstaff, AZ 86001. | Contact Addresses for Officers, Directors, Etc |
| 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 is the same as last year. | Financial statement preperation |
| Made an effort to obtain information on compensation, if any were paid from a related organization. No responses received and no transactions noted. | RELATED ORGANIZATION COMPENSATION: | |
| Form 990, Part III, Line 4a | 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, 2012, The Peaks participated in various charitable initiatives such as the provision of discounted care through participation in the Arizona State Medicaid program. We average 18 Medicaid patients in our skilled nursing facility on a daily basis and discounted their care by $264,016 during the 2012 year. In our lodge we averaged 27 residents on a daily basis and discounted their care by $44,165 during 2012. 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. 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 Universitys 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 $5,000 during their annual fund raising golf tournament. A gift of $4,250 was presented to the Poore Clinic, a local clinic that provides free services for the underserved in Flagstaff. As well, in 2012, a gift of $5,000 was given to Camp Colton. Camp Colton is owned and operated by Flagstaff Unified School District (FUSD) and has been in operation since 1971. Over this time, 38,000 children have attended Camp Colton. As its core purpose, Camp Colton educates children about the natural sciences and elevates their understanding and appreciation for the environment through meaningful outdoor experiences. | Program Service Accomplishments |
| FORM 990, PART VI, LINE 1A: | Robert Breunig is a non-voting board member and is not included in the total for voting members. | Non-voting member |
| Schedule K | The entity has an outstanding refunding escrow that is both an asset and liability on the books. Therefore it is not included on the Schedule K. | Refunding Escrow |
| Form 990, Schedule K, Part II, Column B, Line 3 | The total proceeds received is greater than the bond issuance price as the bond was issued at a premium. | Bond issued at a premium |
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