NORTHERN ARIZONA SENIOR LIVING COMMUNITY LLC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NORTHERN ARIZONA SENIOR LIVING COMMUNITY LLC (EIN 86-0906621)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-15
IRS object ID
201132279349300318
Schema version
2010v3.4
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

FieldValueIRS element (for citing)
Timestamp2011-08-15T09:41:12-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Malloy Montague Karnowski RadosevichBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15353 Wayzata Blvd Ste 410AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code55416ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860906621EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Northern Arizona Senior Living Community LLCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone9523618000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11107 Hazeltine Blvd No 200AddressLine1
CityChaskaCity
StateMNState
ZIP Code55318ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDan R PeterkaName
TitleManager-Co Chief Executive OfficerTitle
Phone9523618000Phone
Date Signed2011-08-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameThomas M MontagueName
Phone9525450424Phone
Date Prepared2011-08-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDan R PeterkaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11107 Hazeltine Blvd No 200AddressLine1
CityChaskaCity
StateMNState
ZIP Code55318ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12686312GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.thepeaks.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionThe Corporation was formed to develop and operate a senior living and mentoring facility.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees221TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12325457ProgramServiceRevenuePriorYear
Program Service Revenue CY12310797ProgramServiceRevenueCY
Investment Income Prior Year354195InvestmentIncomePriorYear
Investment Income Current Year304373InvestmentIncomeCurrentYear
Other Revenue Prior Year125000OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year12804652TotalRevenuePriorYear
Total Revenue Current Year12615170TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4005140SalariesEtcPriorYear
Salaries Etc Current Year4233349SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8825265OtherExpensePriorYear
Other Expenses Current Year8334597OtherExpensesCurrentYear
Total Expenses Prior Year12830405TotalExpensesPriorYear
Total Expenses Current Year12567946TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-25753RevenuesLessExpensesPriorYear
Revenues Less Expenses CY47224RevenuesLessExpensesCY
Total Assets BOY35508650TotalAssetsBOY
Total Assets EOY35289607TotalAssetsEOY
Total Liabilities BOY38543869TotalLiabilitiesBOY
Total Liabilities EOY38277602TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-3035219NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2987995NetAssetsOrFundBalancesEOY
Mission DescriptionTo develop and operate a senior living and mentoring facility.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11048998Expense
Revenue12239655Revenue
DescriptionThe Peaks, Flagstaff, Arizona, is unlike any senior community the country because it shares its campus with the renowned Museum of Northern Arizona and with a nationally acclaimed charter high school. 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. Residents of The Peaks tutor students at the charter school and assist in museum programs. The Peaks also provides assisted living, progressive memory care and skilled nursing. The Peaks allows its residents to age in place which allows them to remain in their apartment homes and have increased services brought to them.Description
Total Program Service Expense11048998TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109659NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees221NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1The Goodman Group LLCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9523618000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11107 Hazeltine BlvdAddressLine1
CityChaskaCity
StateMNState
ZIP Code55318ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Bruce Weisensel
Manager1.00X000
Denise Gustafson
Manager1.00X000
Chris Bavasi
Manager1.00X000
Mark Wilson
Manager1.00X000
Robert Breunig
Non-Voting Member1.00X000
Dan R Peterka
Co-Chief Executive1.00000X
Roger S Schuler
Co-Chief Executive1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Synertx
7540 N 19th AvePhoenixAZ85021Therapy1278748
The Goodman Group LLC
1107 Hazeltine Blvd 200ChaskaMN55318Management and Accounting Services575499
Nurses Plus Healthcare
PO Box 9576PhoenixAZ85068Nursing pool269883
John B Goodman Limited Partnership
1107 Hazeltine Blvd 200ChaskaMN55318Construction Management & Development245542
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Resident Services62300085171608517160
Ancillary Services62300037054663705466
Other operating revenu6230008817188171
FieldValueIRS element (for citing)
Total Program Service Revenue12310797TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column375515TotalRevenueColumn
Exclusion$375,515ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other71142Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-71142Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-71142TotalRevenueColumn
Related Or Exempt Function Income-71142RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12615170TotalRevenueColumn
Related Or Exempt Function Income12239655RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$375,515ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3880205Total
Program Services3513353ProgramServices
Management And General366852ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total46145Total
Program Services46145ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total306999Total
Program Services276245ProgramServices
Management And General30754ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total616281Total
Management And General616281ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16996Total
Management And General16996ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total123256Total
Management And General123256ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total64740Total
Program Services64740ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1019171Total
Program Services1019171ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total279212Total
Program Services279212ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total45952Total
Program Services1227ProgramServices
Management And General44725ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2192288Total
Program Services2192288ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total968392Total
Program Services968392ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total474184Total
Program Services256665ProgramServices
Management And General217519ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contracted Services18348201834820
Dietary Food425680425680
Equipment rental & main103195103195
Contracted Services9895198951
Professional fees4800048000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total23479Total
Program Services19865ProgramServices
Management And General3614ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12567946Total
Program Services11048998ProgramServices
Management And General1518948ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1051712BOY
EOY1305384EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY947878BOY
EOY1044733EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY50730BOY
EOY47951EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY86007BOY
EOY86696EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26973027LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7779955LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19577089BOY
EOY19193072EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13795234BOY
EOY13611771EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY35508650BOY
EOY35289607EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY710302BOY
EOY857349EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY36795000BOY
EOY36400000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1038567BOY
EOY1020253EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY38543869BOY
EOY38277602EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3035219BOY
EOY-2987995EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-3035219BOY
EOY-2987995EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35508650BOY
EOY35289607EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses47224ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9810796CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10975483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11616636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12429084CurrentTaxYearMinus1Year
Current Tax Year12239655CurrentTaxYear
Total57071654Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9810796CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10975483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11616636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12429084CurrentTaxYearMinus1Year
Current Tax Year12239655CurrentTaxYear
Total57071654Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50957071654PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years127804CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years690866CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1095759CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year375568CurrentTaxYearMinus1Year
Current Tax Year375515CurrentTaxYear
Total2665512Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years127804CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years690866CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1095759CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year375568CurrentTaxYearMinus1Year
Current Tax Year375515CurrentTaxYear
Total2665512Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9938600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11666349CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12712395CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12804652CurrentTaxYearMinus1Year
Current Tax Year12615170CurrentTaxYear
Total59737166Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95540PublicSupportPercentage509
Prior Year Support Percentage0.95720PriorYearSupportPercentage
Investment Income Percentage0.04460InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04280PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis660000OtherCostOrOtherBasis
Book Value660000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21494025OtherCostOrOtherBasis
Depreciation5202894Depreciation
Book Value16291131BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2297237OtherCostOrOtherBasis
Depreciation1134215Depreciation
Book Value1163022BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2520070OtherCostOrOtherBasis
Depreciation1442846Depreciation
Book Value1077224BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1695OtherCostOrOtherBasis
Book Value1695BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19193072TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
Accrued interest receivable121755
Debt service reserve2015781
Bond fund1787990
Net amortized loan costs1844492
Reserve for replacement652247
Insurance escrow88737
Advance refunding escrow7100769
FieldValueIRS element (for citing)
Total Book Value Other Assets13611771TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Security Deposits$10,500
Patient Funds$1,828
Accrued Interest$1,007,925
FieldValueIRS element (for citing)
Total Of Amounts1020253TotalOfAmounts
Total Revenue12615170TotalRevenue
Total Expenses12567946TotalExpenses
Excess Or Deficit For Year47224ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS47224ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12686312TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12686312RevenueSubtotal
Other Revenues Not Included-71142OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-71142RevenueNotRptdOnFinStmt
Total Revenue Per Form99012615170TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12639088TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12639088ExpensesSubtotal
Other Expenses Not Included-71142OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-71142ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012567946TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X: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, 2010.
Part XII, Line 4b - Other Adjustments:Loss on disposal of property and equipment -71,142.
Part XIII, Line 4b - Other Adjustments:Loss on disposal of property and equipment -71,142.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1The Industrial Development Authority of the City of Flagstaff ArizonaBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521293802IssuerEIN
CUSIP Number338448AG8CUSIPNumber
Date Issued2007-08-01DateIssued
Issue Price30650000IssuePrice
Description Of PurposeRefinance real estate used by organizationDescriptionOfPurpose
Defeased1Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds30650000TotalProceeds
Amount In Reserve Fund2759313AmountInReserveFund
Issuance Costs From Proceeds610673IssuanceCostsFromProceeds
Other Spent Proceeds27823489OtherSpentProceeds
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed1Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6Members
Form 990, Part VI, Section A, line 7aMembers can elect members of the governing body.
Form 990, Part VI, Section A, line 7bDecisions of the governing body are subject to approval by members.
Form 990, Part VI, Section B, line 11The Form 990 is prepared by an independent certified public accounting firm. It is then reveiwed 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.
Each member of the governing board completes a disclosure of conflict of interest questionnaire annually.Form 990, Part VI, Section B, line 12c
Compensation is based on experience and market salary surveys.Form 990, Part VI, Section B, line 15
The organization makes it governing documents, conflict of interest policy and financial statements available to the public upon request.Form 990, Part VI, Section C, line 19
Contact Addresses for Officers, Directors, EtcBruce Weisensel - 1200 N. Beaver Street, Flagstaff, AZ 86001. Denise Gustafson - 3386 Pilot Knob Road, Eagan, MN 55121. Chris Bavasi - Flagstaff Medical Center, PO Box 891, Flagstaff, AZ 86002. Mark Wilson - 220 South 6th Street, Suite #1800, Minneapolis, MN XXX-XX-XXXX. Roger S. Schuler - 1200 N. Beaver Street, Flagstaff, AZ 86001. Robert Breunig - 3101 North Fort Valley Road, Flagstaff, AZ 86001.Form 990, Part VII
The financial statements are prepared by an independent accounting firm. The statements are reviewed and approved by the board before being issued. This process was the same as last year.Form 990, Part XI, Line 2c:
Related Organization Compensation:Made an effort to obtain information on compensation, if any were paid from a related organization. No response received and no transactions noted.
Robert Breunig is a non-voting board member and is not included in the total for voting members.Form 990, Part VI, Line 1A:
This 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, 2010, The Peaks participated in various charitable initiatives such as the provision of discounted care due to participation in the state Medicaid program. We average 21 Medicaid patients in our skilled nursing facility on a daily basis and discounted their care by $375,824 during the 2010 year. In our lodge we averaged 20 residents on a daily basis and discounted their care by $16,026 during 2010. 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. E each month we support the museum with an $825 monthly fee. (Value $9,900). In the budget for 2011 we added an additional $5,000 to support the programming held at The Peaks by MNA. We currently have a $5,000 endowment at Northern Arizona University within the Behavioral and Social Science Department for scholarships to students who plan careers that would support seniors. The endowment minimum was recently raised to $25,000. In 2011 the plan is to double the original endowment by contributing $1,250 per quarter to be added to the original endowment. (Value: $5,000). The Peaks participated in the American Cancer Society Climb The Mountain event. We registered several of our employees to climb the 7 mile hike up the mountain north of the Peaks. (Value: $1,080). We supported Flagstaff Big Brothers and Big Sisters by sponsoring two bowling teams during their fundraiser in 2010. (Value: $500). We also supported Northland Hospice, which is a local non-profit hospice agency, by sponsoring a hole at their annual golf tournament and fund-raiser. (Value: $250). We supported Northern Arizona Alzheimer's Association through donations to their annual Memory Walk. (Value: $200). Over the holidays we had two barrels for food donations to the Northern Arizona Food Bank. (Value: $200). We supported the community through a donation to the Coconino Humane Society. (Value: $100).Form 990, Part III, Line 4a Program Service Accomplishments

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