2011-11-14T13:18:29-06:00 2010-12-31 LARSONALLEN LLP 2301 N GREENVILLE AVENUE SUITE 150 RICHARDSON TX 75082 990 2010-01-01 752516330 SEARS METHODIST RETIREMENT SYSTEM INC SEAR 3256915519 ONE VILLAGE DRIVE NO 400 ABILENE TX 79606 D KEITH PERRY 5123296716 2011-11-09 1 9726443167 2010 2016-03-07 17:11:31Z D KEITH PERRY 1114 LOST CREEK BLVD SUITE 220 AUSTIN TX 78746 6540668 0 X WWW.SEARS-METHODIST.COM X 1993 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. 11 11 82 0 0 0 55321 89196 5037824 5646979 657148 689216 24055 106253 5774348 6531644 0 0 0 0 3864421 3863243 0 0 0 8774701 8429363 12639122 12292606 -6864774 -5760962 43021210 54448020 112659280 120822275 -69638070 -66374255 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 8423102 5646979 GENERAL AND ADMINISTRATIVE SUPPORT FOR A TAX EXEMPT SYSTEM OF RETIREMENT AND NURSING HOME OPERATIONS, HOSPICE AND SKILLED NURSING. 8423102 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 1 26 0 82 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 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 JEFFREY A SMITH 2.00 X X 0 0 0 RICK RHODES 2.00 X X 0 0 0 STEVE EXTER 2.00 X X 0 0 0 VANCE B GODDARD 2.00 X X 0 0 0 QUINTAN CHAMNESS 2.00 X 0 0 0 BARBARA CHERRY 2.00 X 0 0 0 CAROL DENTON 2.00 X 0 0 0 LARRY DODSON CPA 2.00 X 0 0 0 DAN OLSON 2.00 X 0 0 0 HOWARD TOBIN 2.00 X 0 0 0 D KEITH PERRY 40.00 X X 347083 0 48173 TERRY MYERS 40.00 X 189392 0 9462 TIM JOHNSON 40.00 X 189488 0 9135 MARK HORNER 40.00 X 161892 0 8712 MIKE SIMS 40.00 X 171774 0 8324 JAN THOMPSON 40.00 X 247698 0 12360 MARY JANE FITTS 40.00 X 184379 0 8500 1491706 0 104666 18 0 1 0 CARING COMMUNITIES INSURANCE CO PO BOX 1109GT STRATHVALE HOUSE CAYMEN ISLANDS BWI CJ INSURANCE PREMIUMS 903458 LARSONALLEN LLP 600 WASHINGTON AVE SUITE 1800 ST LOUIS MO 63101 ACCOUNTING / CONSULTING SERVICES 379978 PROVIDENT LIFE & ACCIDENT INSURANCE CO PO BOX 40378 ATLANTA GA 30384 INSURANCE PREMIUMS 334344 VISA PO BOX 267 ATTN CREDIT CARD DEPT ABILENE TX 79604 CREDIT CARD SERVICES 205874 ANCHOR CLAIMS MANAGEMENT 14785 PRESTON RD 350 DALLAS TX 75254 THIRD PARTY INSURANCE CLAIMS ADMINISTRAT 178837 9 18123 71073 89196 INTERCAMPUS FEES 623000 5646979 5646979 5646979 698240 698240 7629 1395 -7629 -1395 -9024 -9024 OTHER REVENUE 623000 106253 106253 106253 6531644 5646979 0 795469 3203438 2572587 630851 464809 464809 194996 196803 -1807 10575 10575 106320 106320 30048 30048 146911 146911 199086 199086 270806 270806 302927 201923 101004 16191 16191 6742977 5451789 1291188 332591 332591 15804 15804 PROFESSIONAL SERVICES 222733 222733 DUES AND LICENSES 23431 23431 RISK MANAGEMENT 8963 8963 12292606 8423102 3869504 0 85750 86647 462021 1308004 38950 192307 4031494 4031494 200754 284544 2664648 1494631 1216593 1170017 20811802 20877790 16173846 26497217 43021210 54448020 1024300 874086 291667 241666 101532220 86172753 3120594 25823444 6690499 7710326 112659280 120822275 X -69638070 -66374255 -69638070 -66374255 43021210 54448020 X -5760962 9024777 X X 0 1 1 X 0 X X X X 0 0 0 SEARS METHODIST CENTERS INC 751234917 9 0 1 1 0 SEARS PANHANDLE RETIREMENT CORPORATION 752503233 9 0 1 1 0 SEARS PERMIAN RETIREMENT CORPORTATION 752707608 9 0 1 1 0 SEARS PLAINS RETIREMENT CORPORATION 752768233 9 0 1 1 0 SEARS BRAZOS RETIREMENT CORPORATOIN 010598053 9 0 1 1 0 SEARS TYLER METHODIST RETIREMENT CORPORATION 203500571 9 0 1 1 0 SEARS CAPROCK RETIREMENT CORPORATION 020709581 9 0 1 1 0 SEARS METHODIST FOUNDATION 757692545 11 0 1 1 0 8 0 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PAGE 1, LINE 11: IN ORDER TO STREAMLINE OPERATIONS AND NOT DUPLICATE FUNCTIONS, MOST ADMINISTRATIVE FUNCTIONS ARE PROVIDED BY THIS ENTITY TO THE LISTED SUPPORTED ORGANIZATIONS. THEREFORE THERE IS NOT A QUANTITATIVE AMOUNT OF SUPPORT PAID TO THE ORGANIZATIONS FOR THE SERVICES PROVIDED. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 830150 830150 148386 104320 44066 1686112 1390311 295801 1170017 SECURITIES 10392528 F INVESTMENT IN OTHER INVESTMENTS 681937 F INVESTMENT IN SEARS METHODIST FOUNDATION 9803325 F 20877790 DUE FROM OTHER CAMPUSES 23295257 INTEREST RECEIVABLE 355709 BOND ISSUANCE COST 2408318 CONSTRUCTION IN PROGRESS 437933 26497217 MEDICAL CLAIMS PAYABLE 375543 DEFERRED COMPENSATION 939249 INTEREST PAYABLE 1064801 DUE TO RELATED PARTY 5330733 7710326 6531644 12292606 -5760962 -50568 9075345 9024777 3263815 15556421 -50568 9075345 9024777 6531644 0 6531644 12292606 0 12292606 0 12292606 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. PART XI, LINE 8 - OTHER ADJUSTMENTS: INTERCOMPANY FUND TRANSFERS 35,764. DEBT SERVICE PAYMENTS 8,566,951. CHANGE IN SMF INVESTMENT 472,630. PART XII, LINE 2D - OTHER ADJUSTMENTS: DEBT SERVICE PAYMENT 8,566,951. INVESTMENT IN SMF 472,630. INTERCOMPANY FUND TRANSFERS 35,764. X X X 1 1 0 0 0 0 0 0 0 D KEITH PERRY 317200 0 22425 0 7458 0 48173 0 0 0 395256 0 0 0 TERRY MYERS 189231 0 101 0 60 0 9462 0 0 0 198854 0 0 0 TIM JOHNSON 56731 0 0 0 132757 0 9135 0 0 0 198623 0 0 0 MARK HORNER 142734 0 16784 0 2374 0 8712 0 0 0 170604 0 0 0 MIKE SIMS 166477 0 101 0 5196 0 8324 0 0 0 180098 0 0 0 JAN THOMPSON 247200 0 101 0 397 0 12360 0 0 0 260058 0 0 0 MARY JANE FITTS 184020 0 101 0 258 0 8500 0 0 0 192879 0 0 0 PART I, LINES 4A-B D. KEITH PERRY PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $48,173 TO THE PLAN DURING THE YEAR. TIM JOHNSON PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $9,135 TO THE PLAN DURING THE YEAR. TERRY MYERS PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $9,462 TO THE PLAN DURING THE YEAR. MARK HORNER PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $8,712 TO THE PLAN DURING THE YEAR. MIKE SIMS PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $8,324 TO THE PLAN DURING THE YEAR. JAN THOMPSON PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $12,360 TO THE PLAN DURING THE YEAR. MARY JANE FITTS PARTICIPATED IN A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. SEARS METHODIST RETIREMENT SYSTEM CONTRIBUTED $8,500 TO THE PLAN DURING THE YEAR. TIMOTHY JOHNSON RECEIVED A SEVERANCE PAYMENT OF $130,769 UPON LEAVING THE EMPLOYMENT OF THE COMPANY. ABILENE HEALTH FACILITIES DEVELOPMENT CORPORATION 756000440 003453BJ5 2003-04-22 47034298 CONSTRUCTION OF FACILITIES IN THE OBLIGATED GROUP 0 0 0 47222187 3427938 4447232 1398899 5914632 32033486 2004 0 0 1 1 0 0 0 0 1 1 1 1 0 0 0 0 D KEITH PERRY PRESIDENT/CEO/EX-OFFICIO OF SEARS METHODIST RETIREMENT SYSTEM 903458 CARING COMMUNITIES INSURANCE COMPANY (CCIC) - HAS A CLAIMS MADE POLICY FOR GENERAL LIABILITY INSURANCE. MR. PERRY ALSO SERVES ON THE BOARD OF DIRECTORS OF CCIC. DURING 2010, SEARS METHODIST RETIREMENT SYSTEM PAID INSURANCE PREMIUMS TOTALING APPROXIMATELY $903,458. 0 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 CENTER 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 PERFORMANCE/COMPENSATION COMMITTEE AND IS APPROVED 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 INCREASE 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, THE ORGANIZATION WILL PROVIDE PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THOSE WHO REQUEST ONE OR MORE OF THESE ITEMS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -50,568. INTERCOMPANY FUND TRANSFERS 35,764. DEBT SERVICE PAYMENTS 8,566,951. CHANGE IN SMF INVESTMENT 472,630. TOTAL TO FORM 990, PART XI, LINE 5: 9,024,777. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CANYONS SENIOR LIVING LP 1114 LOST CREEK BLVD STE 220 AUSTIN TX 78746 260888545 SENIOR LIVING TX 674006 4710137 SEARS METHODIST SENIOR HOUSING LLC SEARS METHODIST SENIOR HOUSING LLC 1114 LOST CREEK BLVD STE 220 AUSTIN TX 78746 260888483 SENIOR LIVING TX 674006 4710137 N/A SEARS METHODIST CENTERS INC ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 751234917 SENIOR LIVING TX 501C3 509A2 N/A 0 SEARS PANHANDLE RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752503233 SENIOR LIVING TX 501C3 509A2 N/A 0 SEARS PERMIAN RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752707608 SENIOR LIVING TX 501C3 509A2 N/A 0 SEARS METHODIST FOUNDATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 755692545 MANAGES CHARITABLE FUNDS FOR ALL SMRS RELATED ENTITIES TX 501C3 509A3 N/A 0 SEARS CAPROCK RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 020709581 SENIOR LIVING TX 501C3 509A2 N/A 0 SEARS PLAINS RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752768233 SENIOR LIVING TX 501C3 509A2 N/A 0 SEARS BRAZOS RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 010598053 SENIOR LIVING TX 501C3 509A2 N/A 0 SEARS TYLER METHODIST RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 203500571 SENIOR LIVING TX 501C3 509A2 N/A 0 SENIOR DIMENSIONS INC ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752814016 CONSULTING TX N/A C 24455247 6566614 1.00000 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 SEARS METHODIST CENTERS INC K 1007600 SEARS PAHANDLE RETIREMENT CORPORATION K 660000 SEARS PERMIAN RETIREMENT CORPORATION K 366000 SEARS PLAINS RETIREMENT CORPORATION K 750000 SEARS METHODIST FOUNDATION K 258000 SENIOR DIMENSIONS INC K 2049357 SEARS BRAZOS RETIREMENT CORPORATION K 240000 SEARS CAPROCK RETIREMENT CORPORATION K 316000