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 020709581 SEARS CAPROCK RETIREMENT CORPORATION SEAR 3256915519 ONE VILLAGE DRIVE NO 400 ABILENE TX 79606 D KEITH PERRY 3256915519 2011-11-09 1 9726443167 2010 2016-02-24 21:20:13Z MESA SPRINGS RETIREMENT LIVING D KEITH PERRY 1114 LOST CREEK BLVD SUITE 220 AUSTIN TX 78746 5726795 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. 11 11 149 70 0 0 4649 21089 5381734 5690063 15689 5881 0 0 5402072 5717033 0 0 0 0 2385741 2625708 0 0 0 3162325 3588376 5548066 6214084 -145994 -497051 10350358 10360006 11026812 11569397 -676454 -1209391 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 5227234 5680301 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 A 76 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. 5227234 1 1 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 26 0 149 1 0 0 0 0 0 0 0 0 0 0 X 11 11 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 400 AUSTIN TX 78746 JEFFREY A SMITH 2.00 X 0 0 0 RICK RHODES 2.00 X 0 0 0 RICHARD S EXTER 2.00 X 0 0 0 VANCE B GODDARD 2.00 X 0 0 0 D KEITH PERRY 40.00 X X 0 347083 48173 MIKE SIMS 40.00 X X 0 171774 8324 JAN THOMPSON 40.00 X X 0 247698 12360 TIM JOHNSON 40.00 X X 0 189488 9135 MARK HORNER 40.00 X X 0 161892 8712 TERRY MYERS 40.00 X X 0 189392 9462 MARY JANE FITTS 40.00 X X 0 184379 8500 0 1491706 104666 0 0 1 0 SOUTHWEST THERAPY SERVICES ONE VILLAGE DR STE 400 ABILENE TX 79606 RESIDENT THERAPY SERVICES 567118 PHARMERICA PO BOX 409251 ATLANTA GA 30384 MEDICAL DRUGS FOR RESIDENTS 221589 TEXAS NURSE CONNECTION 3385 N 3RD ST SUITE 1 ABILENE TX 79603 CONTRACT NURSES 177100 SHIELDS CONSTRUCTION 12186 CR 449 MERKEL TX 79536 FACILITY REPAIRS & CONSTRUCTION 137500 SYSCO WEST TEXAS PO BOX 5910 LUBBOCK TX 79408 FOOD SERVICES 111998 6 21089 21089 RESIDENT CHARGES 623000 5690063 5690063 5690063 15643 15643 9762 -9762 -9762 -9762 5717033 5680301 0 15643 2175523 1949141 226382 285484 255765 29719 164701 147556 17145 316000 316000 12482 12482 883419 883419 87997 87997 267018 267018 241001 235699 5302 3812 3812 802 802 185657 181573 4084 401613 392778 8835 81609 79814 1795 ANCILLARY 605826 605826 FOOD 183279 183279 SUPPLIES 171328 167559 3769 MAINTENANCE 77633 75925 1708 BAD DEBT 68900 68900 6214084 5227234 986850 0 400 400 198518 371651 466843 447781 8355 15176 75457 61582 9390019 988746 8563347 8401273 316592 314681 720846 747462 10350358 10360006 327532 227612 2066625 2377598 7970000 7785000 528156 553438 134499 625749 11026812 11569397 X -676454 -1209391 -676454 -1209391 10350358 10360006 X -497051 -35886 X X 0 1 1 X 0 X 4649 21089 25738 3433203 5381734 5690063 14505000 3433203 5386383 5711152 14530738 0 0 0 14530738 22084 15689 15643 53416 22084 15689 15643 53416 3455287 5402072 5726795 14584154 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 819468 819468 7302977 565634 6737343 1267574 423112 844462 8401273 INTEREST RECEIVABLE 1685 BOND ISSUANCE COST 08 SERIES 383864 CONSTRUCTION IN PROGRESS 361913 747462 DUE TO OTHER CAMPUSES 615605 ERC FUND PAYABLE 4637 RESIDENT APPRECIATION FUND 4409 OTHER CURRENT LIABILITY 500 RESIDENT TRUST ACCOUNTS LIABILITY 598 625749 5717033 6214084 -497051 -6921 -28965 -35886 -532937 5681147 -6921 -28965 -35886 5717033 0 5717033 6214084 0 6214084 0 6214084 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 -29,218. CHANGE IN SMF INVESTMENT 253. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN SMF INVESTMENT 253. INTERCOMPANY FUND TRANSFERS -29,218. X X X 0 1 0 0 0 0 0 0 0 D KEITH PERRY 0 317200 0 22425 0 7458 0 48173 0 0 0 395256 0 0 MIKE SIMS 0 166477 0 101 0 5196 0 8324 0 0 0 180098 0 0 JAN THOMPSON 0 247200 0 101 0 397 0 12360 0 0 0 260058 0 0 TIM JOHNSON 0 56731 0 0 0 132757 0 9135 0 0 0 198623 0 0 MARK HORNER 0 142734 0 16784 0 2374 0 8712 0 0 0 170604 0 0 TERRY MYERS 0 189231 0 101 0 60 0 9462 0 0 0 198854 0 0 MARY JANE FITTS 0 184020 0 101 0 258 0 8500 0 0 0 192879 0 0 PART I, LINE 4B 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. HFDC OF CENTRAL TEXAS INC 371453424 42833RAX3 2008-06-02 7895000 ACQUISITION OF BUILDING AND STRUCTURES 0 0 0 110000 7895000 315800 0 0 1 1 0 0 0 0 1 1 1 1 0 0 0 0 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 LOSSES ON INVESTMENTS: -6,921. INTERCOMPANY FUND TRANSFERS -29,218. CHANGE IN SMF INVESTMENT 253. TOTAL TO FORM 990, PART XI, LINE 5: -35,886. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SEARS PLAINS RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752768233 SENIOR LIVING TX 501(C) 3 509(A) 2 N/A 0 SEARS METHODIST RETIREMENT SYSTEM INC ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752516330 SENIOR LIVING TX 501(C) 3 509(A) 3 N/A 0 SEARS PANHANDLE RETIREMENT CORPORATION INC ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752503233 SENIOR LIVING TX 501(C) 3 509(A) 2 N/A 0 SEARS PERMIAN RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 752707608 SENIOR LIVING TX 501(C) 3 509(A) 2 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) 3 509(A) 3 N/A 0 SEARS METHODIST CENTERS INC ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 751234917 SENIOR LIVING TX 501(C) 3 509(A) 2 N/A 0 SEARS BRAZOS RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 010598053 SENIOR LIVING TX 501(C) 3 509(A) 2 N/A 0 SEARS TYLER METHODIST RETIREMENT CORPORATION ONE VILLAGE DRIVE SUITE 400 ABILENE TX 79606 203500571 SENIOR LIVING TX 501(C) 3 509(A) 2 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 316000