FSL PROGRAMS: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- FSL PROGRAMS (EIN 86-0411904)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201341359349308799
- Schema version
- 2011v1.5
- 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 | 2013-05-15T17:33:42-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1850 N CENTRAL AVE SUITE 400 | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 850044527 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860411904 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FSAL PROGRAMS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FSAL | NameControl |
| Phone | 6022851800 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 E THOMAS ROAD | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 85014 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GUY MIKKELSEN | Name |
| Title | CEO | Title |
| Phone | 6022851800 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRENDA BLUNT | Name |
| PTIN | P00075126 | PTIN |
| Phone | 6022645844 | Phone |
| Date Prepared | 2013-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GUY MIKKELSEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 E THOMAS ROAD | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 85014 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12771424 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.FSL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | AZ | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE PROGRAMS AND SERVICES FOR SENIOR ADULTS, PERSONS WITH DISABILITIES, AND THEIR FAMILIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 332 | TotalNbrEmployees |
| Total Nbr Volunteers | 384 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1317919 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1191620 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10370442 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11530313 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 28511 | InvestmentIncomePriorYear |
| Investment Income Current Year | 24354 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -26 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11716846 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12746287 | 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 | 6698389 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6524018 | 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 | 5184543 | OtherExpensePriorYear |
| Other Expenses Current Year | 5481186 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11882932 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12005204 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -166086 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 741083 | RevenuesLessExpensesCY |
| Total Assets BOY | 3527250 | TotalAssetsBOY |
| Total Assets EOY | 2629067 | TotalAssetsEOY |
| Total Liabilities BOY | 3515374 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1876108 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11876 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 752959 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDE PROGRAMS AND SERVICES FOR SENIOR ADULTS, PERSONS WITH DISABILITIES, AND THEIR FAMILIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4462488 | Expense |
| Revenue | 4766511 | Revenue |
| Description | ADULT DAY HEALTH SERVICES PROVIDES MEDICAL SERVICES, THERAPEUTIC RECREATION, AND SOCIAL SERVICES DURING THE DAY TO SENIORS AND ADULTS WITH PHYSICAL AND COGNITIVE IMPAIRMENTS, OR TO ANYONE WHO CANNOT BE LEFT HOME ALONE SAFELY DURING THE DAY. ADHS FOCUSES ON MAINTAINING OR IMPROVING AN INDIVIDUAL'S PHYSICAL AND/OR MENTAL FUNCTIONS TO ALLOW THEM TO REMAIN LIVING AT HOME FOR AS LONG AS POSSIBLE WHILE PROVIDING THE CAREGIVERS WITH THE NECESSARY SUPPORT SYSTEM FOR THEMSELVES. IN THIS FISCAL YEAR FSL'S ADHS PROGRAM SERVED A TOTAL OF 315,016 HOURS, OVER 252 DAYS, TO 677 UNDUPLICATED PERSONS, THE MAJORITY OF WHICH ARE ON A FIXED INCOME. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3003997 | Expense |
| Revenue | 2837984 | Revenue |
| Description | COMMUNITY LIVING RESOURCES (CLR) IS A COMPILATION OF SERVICES DESIGNED TO HELP ENSURE THE PROVISION OF QUALITY CARE IN ASSISTED LIVING FACILITIES, AS DETERMINED BY ARIZONA LONG TERM CARE SERVICES (ALTCS) HEALTH PLANS AND THE ARIZONA DEPARTMENT OF HEALTH SERVICES (ADHS). THERE ARE THREE CLASSIFICATIONS OF LICENSED ASSISTED LIVING FACILITIES (ALF), EACH BASED ON A MAXIMUM NUMBER OF INDIVIDUALS LICENSED TO BE SERVED IN THE FACILITY: FOSTER CARE (AFC) - 1-4 RESIDENTSASSISTED LIVING HOMES (ALH) - 1-10 RESIDENTSASSISTED LIVING CENTERS (ALC) - 11 OR MORE RESIDENTS (CONT. ON SCH O)TOTAL NUMBER OF CONTRACTED ALF'S FOR THREE ALTCS HEALTH PLANS: 851ADULT FOSTER CARE (AFC) - 64ASSISTED LIVING HOMES (ALH) - 720ASSISTED LIVING CENTERS (ALC) - 67 SERVICE COMPONENTS AND DATA FOR FY 2011/2012 INCLUDE THE FOLLOWING:MONITORING AND INVESTIGATIVE SERVICES PROVIDED ON A CONTRACTUAL BASIS FOR THREE ALTCS HEALTH PLANS TO ENSURE COMPLIANCE WITH ADHS LICENSURE REGULATIONS. EACH HOME IS MONITORED ONCE PER YEAR TO ENSURE COMPLIANCE OF ADHS REGULATIONS. INVESTIGATIONS ARE REFERRED BY CONTRACTED HEALTH PLANS AND ARE DEPENDENT UPON NUMBER OF REQUESTS. NUMBER OF INVESTIGATIVE REQUEST HAS DECLINED, AND THE ONLY REQUESTS HAVE BEEN FROM MERCY CARE AND EVERCARE (SCAN IS PERFORMING THEIR OWN INVESTIGATIONS). TOTAL NUMBER OF MONITORING VISITS - 851TOTAL NUMBER OF INVESTIGATIVE VISITS - 1ASSISTED LIVING TRAINING IS A CERTIFIED TRAINING PROGRAM APPROVED BY ADHS AND LICENSED BY ARIZONA STATE BOARD FOR PRIVATE POSTSECONDARY EDUCATION TO TRAIN CERTIFIED CAREGIVERS AND MANAGERS FOR ASSISTED LIVING FACILITIES. THE CERTIFIED CAREGIVER/MANAGER TRAINING PROGRAM IS OFFERED ONCE PER MONTH (OR BASED ON NUMBER OF STUDENT ENROLLMENTS, 8 OR MORE REQUIRED) FOR 74 CLOCK HOURS. TOTAL NUMBER OF STUDENTS ATTENDED TRAININGS DURING FY 2011/2012 - 87.ADULT FOSTER CARE HOME (AFC) ALTCS CLIENT BILLING CLR PROCESSES SPONSOR PAYMENTS AND ACTS AS A PAYEE (SSI, SSA CHECKS), ON BEHALF OF TWO HEALTH PLANS (MERCY CARE AND SCAN), FOR RESIDENTS WHO DO NOT HAVE A FAMILY MEMBER OR POA, AND WHO RESIDE IN CONTRACTED AFC HOMES. TOTAL NUMBER OF PAYEE CLIENTS SERVED - 18. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2852281 | Expense |
| Revenue | 3080310 | Revenue |
| Description | FSL PROGRAMS HOME HEALTH AGENCY IS A MEDICARE CERTIFIED, STATE LICENSED PROGRAM THAT PROVIDES INTERMITTENT MEDICALLY NECESSARY SKILLED NURSING, THERAPY, SOCIAL SERVICES AND HOME HEALTH AIDE SERVICES THAT ALLOW PATIENTS THROUGHOUT THE PHOENIX METROPOLITAN AREA TO REMAIN SAFELY AND COMFORTABLY AT HOME. IN JANUARY 2011, FSL HOME HEALTH AGENCY BEGAN A NEW PROGRAM FOR SKILLED HOURLY CARE FOR VENTILATOR DEPENDENT CLIENTS. THIS PROGRAM PROVIDES MUCH NEEDED SKILLED NURSING SERVICES TO CLIENTS AND FAMILIES IN THE HOME SETTING WITH MOST SHIFTS OF SERVICE LASTING WITHIN 8-12 HOURS. SINCE ITS INCEPTION HOURS OF NURSING SERVICES TO THIS FRAGILE POPULATION HAS CONTINUED TO GROW. (CONT. ON SCH O)FSL HOME CARE PROGRAM OFFERS A VARIETY OF NON-MEDICAL SERVICES TO INCLUDE HOUSEKEEPING, PERSONAL CARE ASSISTANCE AND CHORE SERVICES ALL DESIGNED TO INCREASE OR MAINTAIN ONE'S ABILITY TO LIVE SAFELY IN THE COMMUNITY. CLIENTS ARE TYPICALLY ELDERLY OR PHYSICALLY CHALLENGED INDIVIDUALS WHO ARE ON A FIXED INCOME AND HAVE NO FINANCIAL RESOURCES TO ASSIST THEM IN PAYING FOR SERVICES. THE MARICOPA HOME CARE/HOME HEALTH PROGRAMS PROVIDED 16,872 HOME CARE UNITS TO 320 CLIENTS AND 19,812 SKILLED NURSING, THERAPY AND HOME HEALTH AIDE UNITS TO 623 CLIENTS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 703841 | Expense |
| Revenue | 824632 | Revenue |
| Description | OTHER SERVICES TO SUPPORT AND FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION ARE NUTRITION CENTERS, COMMUNITY SOCIAL SERVICES AND CAREGIVER SERVICES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 703841 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 824632 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 11022607 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 1 | 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 | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 27 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 332 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | 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 | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | 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 | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | 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 | RICHARD ARMSTRONG | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6022851800 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 E THOMAS ROAD | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 85014 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| GUY MIKKELSEN | ||||||
| PRESIDENT | 2.00 | X | X | 0 | 197413 | 20024 |
| STEVE HASTINGS | ||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 139648 | 17614 |
| BLANCA RUIZ | ||||||
| TREASURER | 5.00 | X | X | 0 | 77845 | 6321 |
| JOHN HANSEN | ||||||
| SECRETARY | 6.00 | X | X | 0 | 73379 | 7052 |
| CARRIE SMITH | ||||||
| CHIEF OF IN-HOME SERVICES | 14.00 | X | X | 103329 | 0 | 6486 |
| RICHARD ARMSTRONG | ||||||
| CONTROLLER | 2.00 | X | 0 | 114677 | 10948 | |
| LINDA MARTIN | ||||||
| VICE PRESIDENT OF OPERATION | 20.00 | X | 0 | 127172 | 7631 | |
| CAROLYN HILL | ||||||
| CHIEF OF CLINICAL SERVICES | 10.00 | X | 0 | 104955 | 395 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 103329 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 835089 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 76471 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| FSL MANAGEMENT | |||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | MANAGEMENT FEES | 954291 |
| ST JOSEPH'S HOSPITAL CATERING | |||||
| 350 W THOMAS RD | PHOENIX | AZ | 85013 | CATERED LUNCHES FOR ADHS CENTERS | 329908 |
| SANDRA BAKER | |||||
| 6811 W VILLA THERESA | GLENDALE | AZ | 85308 | INDIVIDUAL ON CALL NURSING | 294001 |
| MELVA CALVIN | |||||
| 22831 S RECKER RD | GILBERT | AZ | 85298 | INDIVIDUAL ON CALL NURSING | 274003 |
| MURIEL FENTON | |||||
| 6535 W SWEETWATER | GLENDALE | AZ | 85304 | INDIVIDUAL ON CALL NURSING | 265850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Federated Campaigns | 106214 | FederatedCampaigns |
| Related Organizations | 650000 | RelatedOrganizations |
| All Other Contributions | 435406 | AllOtherContributions |
| Total Contributions | 1191620 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| GOVERNMENT CONTRACTS | 623000 | 9850596 | 9850596 |
| CLIENT FEES | 623000 | 1621693 | 1621693 |
| PROGRAM INCOME | 623000 | 58024 | 58024 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11530313 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45230 | TotalRevenueColumn |
| Exclusion | $45,230 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4261 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 25137 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -20876 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -20876 | TotalRevenueColumn |
| Related Or Exempt Function Income | -20876 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12746287 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11509437 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $45,230 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105779 | Total |
| Program Services | 83471 | ProgramServices |
| Management And General | 22308 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5481711 | Total |
| Program Services | 5481711 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3041 | Total |
| Program Services | 3041 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 415680 | Total |
| Program Services | 415680 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 517807 | Total |
| Program Services | 517807 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 954291 | Total |
| Management And General | 954291 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5998 | Total |
| Management And General | 5998 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2194817 | Total |
| Program Services | 2194817 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27339 | Total |
| Program Services | 27339 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 654225 | Total |
| Program Services | 654225 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 618830 | Total |
| Program Services | 618830 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418025 | Total |
| Program Services | 418025 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10615 | Total |
| Program Services | 10615 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15121 | Total |
| Program Services | 15121 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118758 | Total |
| Program Services | 118758 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65062 | Total |
| Program Services | 65062 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| FOOD & BEVERAGE | 186986 | 186986 |
| REPAIRS & MAINTENENCE | 72227 | 72227 |
| BAD DEBTS | 59966 | 59966 |
| MISCELLANEOUS EXPENSE | 57881 | 57881 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21045 | Total |
| Program Services | 21045 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12005204 | Total |
| Program Services | 11022607 | ProgramServices |
| Management And General | 982597 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 604327 | BOY |
| EOY | 350414 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11653 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2364577 | BOY |
| EOY | 1938530 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63141 | BOY |
| EOY | 63141 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1037696 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 805137 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 376455 | BOY |
| EOY | 232559 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107097 | BOY |
| EOY | 44423 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3527250 | BOY |
| EOY | 2629067 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 812157 | BOY |
| EOY | 820517 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 943225 | BOY |
| EOY | 168693 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36072 | BOY |
| EOY | 5927 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1723920 | BOY |
| EOY | 880971 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3515374 | BOY |
| EOY | 1876108 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -421299 | BOY |
| EOY | 421899 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 433175 | BOY |
| EOY | 331060 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11876 | BOY |
| EOY | 752959 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3527250 | BOY |
| EOY | 2629067 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 741083 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1577647 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1375527 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1107573 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1317919 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1191620 | CurrentTaxYear |
| Total | 6570286 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12920669 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11672507 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10445831 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10370442 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11509437 | CurrentTaxYear |
| Total | 56918886 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14498316 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13048034 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11553404 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11688361 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12701057 | CurrentTaxYear |
| Total | 63489172 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 650000 | CurrentTaxYear |
| Total | 650000 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 38491 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 231245 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4466 | CurrentTaxYear |
| Total | 274202 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 38491 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 231245 | CurrentTaxYearMinus1Year |
| Current Tax Year | 654466 | CurrentTaxYear |
| Total | 924202 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 62564970 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 77628 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7685 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 32175 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45230 | CurrentTaxYear |
| Total | 162718 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 77628 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7685 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 32175 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45230 | CurrentTaxYear |
| Total | 162718 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14498316 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13125662 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11561089 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11720536 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12746287 | CurrentTaxYear |
| Total | 63651890 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98290 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99400 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00260 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00180 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1037696 | OtherCostOrOtherBasis |
| Depreciation | 805137 | Depreciation |
| Book Value | 232559 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 232559 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $593,913 |
| DUE TO COMBINED AFFILIATES | $31,781 |
| NOTES PAYABLE AFFILIATES | $255,277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 880971 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION ACTS AS A REPRESENTATIVE FOR THEIR CLIENTS TO MAINTAIN SEPERATE ACCOUNTS FOR THEIR EXPENDITURES. A CORRESPONDING LIABILITY IS MAINTAINED FOR THE BALANCE OF THESE ACCOUNTS. | |
| PART X: | THE ORGANIZATION EVALUATES ITS TAX POSITIONS THAT HAVE BEEN TAKEN OR ARE EXPECTED TO BE TAKEN ON INCOME TAX RETURNS TO DETERMINE IF AN ACCRUAL IS NECESSARY FOR UNCERTAIN TAX POSITIONS. AS OF JUNE 30, 2012 AND 2011, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GUY MIKKELSEN | |||||||||||||
| 0 | 172751 | 0 | 10000 | 0 | 14662 | 0 | 0 | 0 | 20511 | 0 | 217924 | 0 | 0 |
| STEVE HASTINGS | |||||||||||||
| 0 | 131272 | 0 | 0 | 0 | 8376 | 0 | 0 | 0 | 17614 | 0 | 157262 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | SCHEDULE J, PART II: 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 I, QUESTION 3: GUY MIKKELSEN AND STEVE HASTINGS ARE COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES PROVIDED TO FSAL PROGRAMS, INC. AND RELATED ORGANIZATIONS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 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 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 THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CONTROLLER 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, LINE 15A: GUY MIKKELSEN IS COMPENSATED BY A RELATED ORGANIZATION, FSAL MANAGEMENT (FSAL), FOR HIS SERVICES PROVIDED TO FSAL AND ITS RELATED ORGANIZATIONS. HIS COMPENSATION IS APPROVED BY THE GOVERNING BOARD OF FSAL. 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. THE ORGANIZATION EXPANDED THE REVIEW BY INDEPENDENT PERSONS FOR THE FISCAL YEAR. DURING THE YEAR, FSL AND ITS RELATED ORGANIZATIONS USED AN INDEPENDENT CONSULTANT TO PERFORM A MARKET STUDY ANALYSIS ON COMPENSATION ACROSS SEVERAL INDUSTRIES. | |
| 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 VII, SECTION A | THE FOLLOWING OFFICERS, DIRECTORS AND HIGHEST COMPENSATED EMPLOYEES SERVE FOUNDATION FOR SENIOR LIVING AND ALL OTHER RELATED ORGANIZATIONS THE FOLLOWING HOURS PER WEEK. GUY MIKKELSEN - 38 HOURS CAROLYN HILL - 30 HOURS BLANCA RUIZ - 35 HOURS JOHN HANSEN - 34 HOURS CARRIE SMITH - 20 HOURS LINDA MARTIN - 21 HOURS STEVE HASTINGS - 39 HOURS RICHARD ARMSTRONG - 38 HOURS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FOUNDATION FOR SENIOR LIVING | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 860298945 | PROVIDE POLICY ADVICE AND GUIDANCE TO ITS SUBSIDIARIES | AZ | 501C3 | 7 | N/A | 0 | |
| FOUNDATION FOR SENIOR ADULT LIVING INC | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 860462784 | LOW-INCOME HOUSING AND RELATED SERVICES TO THE ELDERLY | AZ | 501C3 | 9 | 0 | FOUNDATION FOR SENIOR LIVING | |
| FSL PATHYWAYS | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 860748876 | GROUP HOUSING AND BEHAVIORAL HEALTH SERVICES TO MENTALLY IMPAIRED ADULTS | AZ | 501C3 | 9 | 0 | FOUNDATION FOR SENIOR LIVING | |
| FSL HOME IMPROVEMENTS | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 383649930 | REHABILITIATION OF HOMES FOR THE BENEFIT OF FSL FACILITIES | AZ | 501C3 | 9 | 0 | FOUNDATION FOR SENIOR LIVING | |
| FSL MANAGEMENT | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 860462786 | MANAGEMENT SERVICES TO RELATED FOUNDATION FOR SENIOR LIVING ORGANIZATIONS | AZ | 501C3 | 11, TYPE 1 | 0 | FOUNDATION FOR SENIOR LIVING | |
| FSL REAL ESTATE SERVICES | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 861006866 | REAL ESTATE DEVELOPMENT SERVICES TO FOUNDATION FOR SENIOR LIVING | AZ | 501C3 | 11, TYPE 1 | 0 | FOUNDATION FOR SENIOR LIVING | |
| PAYSON SENIOR LIVING INC | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 860458284 | LOW-INCOME HOUSING AND RELATED SERVICES TO THE ELDERLY | AZ | 501C3 | 9 | 0 | FOUNDATION FOR SENIOR LIVING | |
| FSL CHRISTOPHER PROPERTIES INC | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 300506152 | LOW-INCOME HOUSING AND RELATED SERVICES TO THE ELDERLY | AZ | 501C3 | 9 | 0 | FOUNDATION FOR SENIOR LIVING | |
| FSL RURAL DEVELOPMENT | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 860380470 | LOW-INCOME HOUSING AND RELATED SERVICES TO THE ELDERLY | AZ | 501C3 | 9 | 0 | FOUNDATION FOR SENIOR LIVING | |
| ST CLAIRE SENIOR LIVING | |||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 753021717 | LOW-INCOME HOUSING AND RELATED SERVICES TO THE ELDERLY - IN ACTIVE | AZ | 501C3 | 9 | 0 | FOUNDATION FOR SENIOR LIVING | |
Form990 Schedule R Part III Form990ScheduleRPartIII (18 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| FSL HOLDING PROPERTIES LLC | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 020605634 | REAL ESTATE RENTAL | AZ | FSL REAL ESTATE SERVICES INC | RELATED | 0 | 0 |
| FSL WHITE MOUNTAIN VILLAS LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 753233168 | REAL ESTATE RENTAL | AZ | FSL WHITE MOUNTIAN INC | RELATED | 0 | 0 |
| FSL RUBY HEIGHTS VILLAGE LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 753233177 | REAL ESTATE RENTAL | AZ | FSL RUBY HEIGHTS INC | RELATED | 0 | 0 |
| FSL BECKET HOUSE APARTMENTS LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 205096899 | REAL ESTATE RENTAL | AZ | AFFORDABLE SERVICES FOR SENIORS INC | RELATED | 0 | 0 |
| ROESER SENIOR RESIDENCES LLC | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 861005141 | REAL ESTATE RENTAL | AZ | FSL ROESER VILLAGE INC | RELATED | 0 | 0 |
| MOUNTAIN VILLAGE SENIORS LLC | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 830403683 | REAL ESTATE RENTAL | AZ | FSL MOUNTAIN VILLAGE INC | RELATED | 0 | 0 |
| FSL YUMA SENIOR TERRACES LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 200844505 | REAL ESTATE RENTAL | AZ | FSL YUMA SENIOR TERRACES INC | RELATED | 0 | 0 |
| FSL ESPERANZA VILLAGE LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 200844462 | REAL ESTATE RENTAL | AZ | FOUNDATION FOR SENIOR LIVING | RELATED | 0 | 0 |
| FSL COLLINS COURT LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 900646418 | REAL ESTATE RENTAL | AZ | FSL COLLINS INC | RELATED | 0 | 0 |
| FSL SETON VILLAGE LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800673263 | REAL ESTATE RENTAL | AZ | FSL SETON INC | RELATED | 0 | 0 |
| FSL SOLAR ONE LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800587023 | REAL ESTATE RENTAL | AZ | FSL SOLAR 1 INC | RELATED | 0 | 0 |
| FSL SOLAR THREE LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800673255 | REAL ESTATE RENTAL | AZ | FSL SOLAR 3 INC | RELATED | 0 | 0 |
| FSL SOLAR TWO LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800673259 | REAL ESTATE RENTAL | AZ | FSL SOLAR 2 INC | RELATED | 0 | 0 |
| FSL ST FRANCIS VILLAS LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800439708 | REAL ESTATE RENTAL | AZ | FSL ST FRANCIS INC | RELATED | 0 | 0 |
| FSL ST PETER PLACE LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800559418 | REAL ESTATE RENTAL | AZ | FSL ST PETER INC | RELATED | 0 | 0 |
| FSL ST ANNE VILLAGE LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 320333661 | REAL ESTATE RENTAL | AZ | FSL ST ANNE INC | RELATED | 0 | 0 |
| FSL ST MONICA VILLAS LP | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 383833524 | REAL ESTATE RENTAL | AZ | FSL ST MONICA INC | RELATED | 0 | 0 |
| FSL SOUTH MOUNTAIN VISTA LLC | ||||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 470853854 | REAL ESTATE RENTAL | AZ | FSL MANAGEMENT | RELATED | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| AFFORDABLE SERVICES FOR SENIORS INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 710869419 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL WHITE MOUNTAIN INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 870796482 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL RUBY HEIGHTS INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 870796484 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL MOUNTAIN VILLAGE INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 201094637 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL ROESER VILLAGE INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 860462785 | MANAGEMENT RESIDENTIAL RENTAL | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL YUMA SENIOR TERRACES I INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 870796479 | MANAGEMENT RESIDENTIAL RENTAL | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL COLLINS INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C | |
| FSL GIBSON GARDEN INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800439678 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL SETON INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 900646416 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL SOLAR 1 INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800587030 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL SOLAR 2 INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 900646941 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL SOLAR 3 INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 900646403 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL ST FRANCIS INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800439674 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL ST PETER INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 800559415 | RENTAL REAL ESTATE | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL ST ANNE INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 300665774 | MANAGEMENT RESIDENTIAL RENTAL | AZ | FOUNDATION FOR SENIOR LIVING | C |
| FSL ST MONICA INC | ||||||||
| 1201 E THOMAS ROAD | PHOENIX | AZ | 85014 | 371623334 | MANAGEMENT RESIDENTIAL RENTAL | AZ | FOUNDATION FOR SENIOR LIVING | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FSL HOLDING PROPERTIES | ||
| J | 456537 | FMV |
| FSL HOLDING PROPERTIES | ||
| O | 257275 | FMV |
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