2012-11-14T14:45:16-06:00 2011-12-31 410746749 CLIFTONLARSONALLEN 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2011-01-01 020709581 SEARS CAPROCK RETIREMENT CORPORATION SEAR 3256915519 ONE VILLAGE DRIVE NO 400 ABILENE TX 79606 TERRY MYERS 3256915519 2012-11-14 1 TROY LANGSDALE P00847944 9723835700 2011 2016-02-24 21:20:13Z MESA SPRINGS RETIREMENT LIVING KEITH PERRY 1114 LOST CREEK BLVD SUITE 220 AUSTIN TX 78746 5930503 0 X WWW.SEARS-METHODIST.COM X 2003 TX THE MISSION OF SEARS IS TO PROVIDE LEADERSHIP IN RESPONSE TO THE NEEDS OF OUR AGING POPULATION. WE BELIEVE WE HAVE A RESPONSIBILITY FOR STUDYING, ANALYZING, PLANNING, DEVELOPING, AND IMPLEMENTING QUALITY SERVICE TO THE AGING WHERE APPROPRIATE NEEDS ARE FOUND FOR HEALTH CARE AND RESIDENTIAL LIVING SERVICES AND CAN BE PROVIDED IN A CHRISTIAN ENVIRONMENT. 4 4 208 35 0 0 21089 7383 5690063 5919623 5881 3497 0 0 5717033 5930503 0 0 0 0 2625708 3068105 0 0 0 3588376 3432545 6214084 6500650 -497051 -570147 10360006 10629137 11569397 11683096 -1209391 -1053959 X THE MISSION OF SEARS IS TO PROVIDE LEADERSHIP IN RESPONSE TO THE NEEDS OF OUR AGING POPULATION. WE BELIEVE WE HAVE A RESPONSIBILITY FOR STUDYING, ANALYZING, PLANNING, DEVELOPING, AND IMPLEMENTING QUALITY SERVICE TO THE AGING WHERE APPROPRIATE NEEDS ARE FOUND FOR HEALTH CARE AND RESIDENTIAL LIVING SERVICES AND CAN BE PROVIDED IN A CHRISTIAN ENVIRONMENT. 0 0 5326194 5919623 SEARS CAPROCK RETIREMENT CORPORATION, DBA: MESA SPRINGS RETIREMENT VILLAGE IS A NON-PROFIT 501 (C)(3) ORGANIZATION, WHICH CONSISTS OF 16 INDEPENDENT LIVING EXECUTIVE HOMES, 34 INDEPENDENT LIVING GARDEN HOMES, AND 10 INDEPENDENT LIVING APARTMENTS AS WELL AS AN 75 BED SKILLED NURSING FACILITY IN ABILENE, TEXAS. THE FACILITY PROVIDES NURSING HOME AND DEMENTIA CARE OPERATIONS. IT ALSO PROVIDES LONG-TERM NURSING CARE TO ELDERLY AS WELL AS A MEDICARE SKILLED UNIT FOR REHABILITATION. 0 5326194 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 20 0 208 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TERRY MYERS CFO 5123296716 1114 LOST CREEK BLVD SUITE 220 AUSTIN TX 78746 DR JEFFREY A SMITH 2.00 X X 0 0 0 RICK RHODES 2.00 X X 0 0 0 VANCE GODDARD 2.00 X X 0 0 0 STEVE EXTER 2.00 X X 0 0 0 D KEITH PERRY 40.00 X 0 396020 32904 M TERRY MYERS 40.00 X 0 217013 10096 PAMELA MCGREW 40.00 X 0 112940 4892 GARY ANDERSON 40.00 X 0 165806 7212 0 891779 55104 0 0 1 0 PHARMERICA PO BOX 409251 ATLANTA GA 30384 MEDICAL DRUGS FOR RESIDENTS 122967 1 7383 7383 RESIDENT CHARGES 623000 5919623 5919623 5919623 3497 3497 5930503 5919623 0 3497 2546933 2257011 289922 326781 289593 37188 194391 172269 22122 475000 475000 17106 17106 575674 575674 64691 64691 233697 233697 274183 268151 6032 4062 4062 1244 1244 201940 197497 4443 436422 426821 9601 84926 83058 1868 ANCILLARY 420652 420652 FOOD 272915 272915 SUPPLIES 192994 188748 4246 MAINTENANCE 131612 128717 2895 45427 45088 339 6500650 5326194 1174456 0 400 400 371651 568924 447781 459504 15176 14411 61582 47156 9951722 1425168 8401273 8526554 314681 263955 747462 748233 10360006 10629137 227612 455086 2377598 2875463 7785000 7545000 553438 395919 625749 411628 11569397 11683096 X -1209391 -1053959 -1209391 -1053959 10360006 10629137 X -570147 725578 X X 0 1 1 X 0 X 4649 21089 7383 33121 3433203 5381734 5690063 5687520 20192520 3433203 5386383 5711152 5694903 20225641 0 0 0 20225641 22084 15689 15643 4071 57487 22084 15689 15643 4071 57487 3455287 5402072 5726795 5698974 20283128 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 819468 819468 7375093 802393 6572700 1757161 622775 1134386 8526554 INTEREST RECEIVABLE 1679 BOND ISSUANCE COST 08 SERIES 389602 CONSTRUCTION IN PROGRESS 356952 748233 DUE TO OTHER CAMPUSES 296032 ERC FUND PAYABLE 5413 RESIDENT APPRECIATION FUND 4063 OTHER CURRENT LIABILITY 104741 RESIDENT TRUST ACCOUNTS LIABILITY 1379 411628 5930503 6500650 -570147 3990 721588 725578 155431 5934492 3990 3990 5930502 0 5930502 6500650 0 6500650 0 6500650 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE SYSTEM ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE SYSTEM'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE SYSTEM IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE SYSTEM IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2008 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: INTERCOMPANY FUND TRANSFERS -12,695. EQUITY TRANSFER 734,283. TOTAL TO SCHEDULE D, PART XI, LINE 8: 721,588. X X X 0 1 0 0 0 0 0 0 0 D KEITH PERRY 0 366238 0 22324 0 7458 0 32904 0 0 0 428924 0 0 M TERRY MYERS 0 201923 0 15000 0 90 0 10096 0 0 0 227109 0 0 GARY ANDERSON 0 163411 0 0 0 2395 0 7212 0 0 0 173018 0 0 PART I, LINE 4B D. KEITH PERRY PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $32,904 TO THE PLAN DURING THE YEAR. M. TERRY MYERS PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $10,096 TO THE PLAN DURING THE YEAR. PAMELA MCGREW PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $4,892 TO THE PLAN DURING THE YEAR. GARY ANDERSON PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $7,212 TO THE PLAN DURING THE YEAR. HFDC OF CENTRAL TEXAS INC 371453424 42833RAX3 2008-06-02 3275000 ACQUISITION OF BUILDING AND STRUCTURES 0 0 0 HFDC OF CENTRAL TEXAS INC 371453424 42833RAY1 2008-06-02 4620000 ACQUISITION OF BUILDING AND STRUCTURES 0 0 0 145000 3275000 161615 3113385 0 0 1 1 205000 4620000 227987 4392013 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OFTEN MAKES DECISIONS FOR THE BOARD; HOWEVER, THE BOARD IS ALWAYS NOTIFIED OF ANY ACTION THE EXECUTIVE COMMITTEE TAKES. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY, TREASURER, AND PRESIDENT. THE PRESIDENT IS A NON-VOTING MEMBER WITH VOICE. WITH REGARD TO SCOPE, THE EXECUTIVE COMMITTEE "SHALL POSSESS AND MAY EXERCISE ALL THE POWERS OF THE BOARD OF TRUSTEES EXCEPT AS SUBJECT TO THE PROVISIONS OF ARTICLE 7.07. THE EXECUTIVE COMMITTEE SHALL EXERCISE THESE POWERS ONLY WHEN IT IS IMPRACTICAL TO CONVENE A CALLED MEETING OF THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES MAY DELEGATE SPECIFIC AUTHORITY OR RESPONSIBILITY TO THE EXECUTIVE COMMITTEE." THE EXECUTIVE COMMITTEE MAY NOT: AMEND THE ARTICLES OF INCORPORATION; ADOPT A PLAN OF MERGER OR A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZE THE SALE, LEASE, EXCHANGE, OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION; REVOKE PROCEEDINGS FOR THE VOLUNTARY DISSOLUTION OF THE CORPORATION; ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; AMEND, ALTER OR REPEAL THE BY LAWS; ELECT, APPOINT, OR REMOVE A MEMBER OF A COMMITTEE OR A TRUSTEE OR OFFICER OF THE CORPORATION; APPROVE ANY TRANSACTION TO WHICH THE CORPORATION IS A PARTY AND THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST AS DEFINED IN PARAGRAPH 10.05, BELOW; TAKE ANY ACTION OUTSIDE THE SCOPE OF AUTHORITY DELEGATED TO IT BY THE BOARD OF TRUSTEES; TAKE FINAL ACTION ON A MATTER THAT REQUIRES THE APPROVAL OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES MANAGEMENT DUTIES INCLUDING SUPERVISING PERSONNEL, OPERATIONS, AND BUDGETING TO SEARS METHODIST RETIREMENT SYSTEM, INC., THE PARENT COMPANY. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS FOR SEARS METHODIST RETIREMENT SYSTEM, INC. HAS A GOVERNANCE COMMITTEE WHO IS RESPONSIBLE FOR NOMINATING NEW BOARD MEMBERS. THE NOMINATING BOARD MEMBERS ARE THEN VOTED ON BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS EMAILED TO ALL BOARD MEMBERS FOR REVIEW AND APPROVAL BEFORE FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE COMPLETED ANNUALLY BY SEARS METHODIST RETIREMENT SYSTEM BOARD OF TRUSTEES, SEARS TYLER METHODIST RETIREMENT SYSTEM BOARD OF DIRECTORS, AND ALL SENIOR STAFF. ANY NEW BOARD MEMBERS OR SENIOR STAFF ARE REQUIRED TO COMPLETE THE STATEMENT UPON HIRE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD IN AN ANNUAL REVIEW. ANY RAISE OR BONUS IS DISCUSSED AND VOTED ON BY THE BOARD. EVERY FEW YEARS AN OUTSIDE COMPENSATION SPECIALIST IS HIRED TO HELP DETERMINE COMPENSATION FOR THE CEO. EACH SENIOR VP OR EXECUTIVE VP REVIEW OR SALARY IS DETERMINED BY THE CEO IN AN ANNUAL REVIEW PROCESS. EACH SENIOR VP HAS KEY OFFICERS UNDER THEM THAT ARE REVIEWED IN THE SAME MANNER. FORM 990, PART VI, SECTION C, LINE 19 ALTHOUGH NOT REQUIRED, PHOTO COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO ALL WHO REQUEST ONE OR MORE OF THESE DOCUMENTS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,990. INTERCOMPANY FUND TRANSFERS -12,695. EQUITY TRANSFER 734,283. TOTAL TO FORM 990, PART XI, LINE 5: 725,578. AUDIT COMMITTEE / FINANCIAL STATEMENT OVERSIGHT FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGES FROM PRIOR YEAR. SEARS PLAINS RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752768233 SENIOR LIVING TX 501(C)(3) LINE 9 N/A 0 SEARS METHODIST RETIREMENT SYSTEM INC ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752516330 SENIOR LIVING TX 501(C)(3) LINE 11B, II N/A 0 SEARS PANHANDLE RETIREMENT CORPORATION INC ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752503233 SENIOR LIVING TX 501(C)(3) LINE 9 N/A 0 SEARS PERMIAN RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752707608 SENIOR LIVING TX 501(C)(3) LINE 9 N/A 0 SEARS METHODIST FOUNDATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752492545 MANAGES CHARITABLE FUNDS FOR ALL SMRS'S RELATED ENTITIES TX 501(C)(3) LINE 11C, III-FI N/A 0 SEARS METHODIST CENTERS INC ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 751234917 SENIOR LIVING TX 501(C)(3) LINE 9 N/A 0 SEARS BRAZOS RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 010598053 SENIOR LIVING TX 501(C)(3) LINE 9 N/A 0 SEARS TYLER METHODIST RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 203500571 SENIOR LIVING TX 501(C)(3) LINE 9 N/A 0 SENIOR DIMENSIONS INC ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752814016 SENIOR LIVING TX N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 SEARS METHODIST RETIREMENT SYSTEM INC L 475000