2011-08-15T09:41:12-05:00 2010-12-31 Malloy Montague Karnowski Radosevich 5353 Wayzata Blvd Ste 410 Minneapolis MN 55416 990 2010-01-01 860906621 Northern Arizona Senior Living Community LLC NORT 9523618000 1107 Hazeltine Blvd No 200 Chaska MN 55318 Dan R Peterka 9523618000 2011-08-11 1 Thomas M Montague 9525450424 2011-08-05 2010 2016-02-24 21:20:13Z Dan R Peterka 1107 Hazeltine Blvd No 200 Chaska MN 55318 12686312 0 X www.thepeaks.org X 1997 MN The Corporation was formed to develop and operate a senior living and mentoring facility. 6 6 221 7 0 0 0 0 12325457 12310797 354195 304373 125000 0 12804652 12615170 0 0 0 0 4005140 4233349 0 0 0 8825265 8334597 12830405 12567946 -25753 47224 35508650 35289607 38543869 38277602 -3035219 -2987995 To develop and operate a senior living and mentoring facility. 0 0 11048998 12239655 The 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. 11048998 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 59 0 1 221 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 AZ X The Goodman Group LLC 9523618000 1107 Hazeltine Blvd Chaska MN 55318 X Bruce Weisensel 1.00 X 0 0 0 Denise Gustafson 1.00 X 0 0 0 Chris Bavasi 1.00 X 0 0 0 Mark Wilson 1.00 X 0 0 0 Robert Breunig 1.00 X 0 0 0 Dan R Peterka 1.00 X 0 0 0 Roger S Schuler 1.00 X 0 0 0 0 0 0 0 0 0 0 Synertx 7540 N 19th Ave Phoenix AZ 85021 Therapy 1278748 The Goodman Group LLC 1107 Hazeltine Blvd 200 Chaska MN 55318 Management and Accounting Services 575499 Nurses Plus Healthcare PO Box 9576 Phoenix AZ 85068 Nursing pool 269883 John B Goodman Limited Partnership 1107 Hazeltine Blvd 200 Chaska MN 55318 Construction Management & Development 245542 4 Resident Services 623000 8517160 8517160 Ancillary Services 623000 3705466 3705466 Other operating revenu 623000 88171 88171 12310797 375515 375515 71142 -71142 -71142 -71142 12615170 12239655 0 375515 3880205 3513353 366852 46145 46145 306999 276245 30754 616281 616281 16996 16996 123256 123256 64740 64740 1019171 1019171 279212 279212 45952 1227 44725 2192288 2192288 968392 968392 474184 256665 217519 Contracted Services 1834820 1834820 Dietary Food 425680 425680 Equipment rental & main 103195 103195 Contracted Services 98951 98951 Professional fees 48000 48000 23479 19865 3614 12567946 11048998 1518948 0 1051712 1305384 947878 1044733 50730 47951 86007 86696 26973027 7779955 19577089 19193072 13795234 13611771 35508650 35289607 710302 857349 36795000 36400000 1038567 1020253 38543869 38277602 X -3035219 -2987995 -3035219 -2987995 35508650 35289607 47224 0 X X 0 1 1 X 0 X 9810796 10975483 11616636 12429084 12239655 57071654 9810796 10975483 11616636 12429084 12239655 57071654 0 0 0 57071654 127804 690866 1095759 375568 375515 2665512 127804 690866 1095759 375568 375515 2665512 9938600 11666349 12712395 12804652 12615170 59737166 0.95540 0.95720 0.04460 0.04280 X 660000 660000 21494025 5202894 16291131 2297237 1134215 1163022 2520070 1442846 1077224 1695 1695 19193072 Accrued interest receivable 121755 Debt service reserve 2015781 Bond fund 1787990 Net amortized loan costs 1844492 Reserve for replacement 652247 Insurance escrow 88737 Advance refunding escrow 7100769 13611771 Security Deposits 10500 Patient Funds 1828 Accrued Interest 1007925 1020253 12615170 12567946 47224 0 47224 12686312 0 12686312 -71142 -71142 12615170 12639088 0 12639088 -71142 -71142 12567946 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. The Industrial Development Authority of the City of Flagstaff Arizona 521293802 338448AG8 2007-08-01 30650000 Refinance real estate used by organization 1 0 0 30650000 2759313 610673 27823489 2007 0 1 1 1 0 0 0 0 1 1 1 1 0 0 0 0 Form 990, Part VI, Section A, line 6 Members Form 990, Part VI, Section A, line 7a Members can elect members of the governing body. Form 990, Part VI, Section A, line 7b Decisions of the governing body are subject to approval by members. Form 990, Part VI, Section B, line 11 The Form 990 is prepared by an independent certified public accounting firm. It is then 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. Form 990, Part VI, Section B, line 12c Each member of the governing board completes a disclosure of conflict of interest questionnaire annually. Form 990, Part VI, Section B, line 15 Compensation is based on experience and market salary surveys. Form 990, Part VI, Section C, line 19 The organization makes it governing documents, conflict of interest policy and financial statements available to the public upon request. Contact Addresses for Officers, Directors, Etc Form 990, Part VII Bruce 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 XI, Line 2c: The financial statements are prepared by an independent accounting firm. The statements are reviewed and approved by the board before being issued. This process was the same as last year. Related Organization Compensation: Made an effort to obtain information on compensation, if any were paid from a related organization. No response received and no transactions noted. Form 990, Part VI, Line 1A: Robert Breunig is a non-voting board member and is not included in the total for voting members. Form 990, Part III, Line 4a Program Service Accomplishments 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).