2024-11-13T10:57:41-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-01-01 752771278 NORTHWEST SENIOR HOUSING CORPORATION NORT 5152885805 3501 OLYMPUS BLVD 300 DALLAS TX 75019 NICK HARSHFIELD SVP, CFO & TREASURER 5152885805 2024-11-11 1 0 CHAD KUNZE P01587750 6123764500 2024-11-11 2023 2024-10-15 13:58:12Z X EDGEMERE JESSE JANTZEN 3501 OLYMPUS BLVD 300 DALLAS TX 75019 25264795 0 X WWW.EDGEMEREDALLAS.COM X 1998 TX CREATE COMMUNITIES CELEBRATING THE LIVES OF SENIORS X 5 2 382 10 0 0 463213 89596 32567757 15068233 320865 405778 0 0 33351835 15563607 26868 14534 0 0 15630941 6964216 0 0 0 58878187 29724901 74535996 36703651 -41184161 -21140044 252040300 0 372983082 0 -120942782 0 X CREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. LIFESPACE RECOGNIZES THAT ITS MISSION CAN ONLY BE FULFILLED THROUGH THE DEDICATED EFFORTS OF ITS EMPLOYEES, THEREFORE, INCLUDED IN OUR MISSION IS THE ABILITY TO PROVIDE DISASTER RELIEF FUNDS TO EMPLOYEES WHO ENCOUNTER CIRCUMSTANCES RECOGNIZED BY FEDERAL AND STATE AGENCIES AS QUALIFYING FOR EMERGENCY DISASTER RELIEF. 0 1 34238623 14534 15068233 TO PROVIDE APARTMENTS AND HEALTH CARE FOR RETIRED PERSONS. RESIDENTS PAY AN INITIAL ENTRANCE FEE AND MONTHLY FEES THEREAFTER WHICH ENTITLE THEM TO USE OF THE COMMUNITY FOR LIFE AND UNLIMITED USE OF THE HEALTH CENTER. RESIDENTS DO NOT ACQUIRE TITLE TO THE PROPERTY. 34238623 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 65 0 1 382 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X NICK HARSHFIELD 5152885805 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 JESSE JANTZEN PRESIDENT & CEO 2.00 40.00 X X 0 1372900 42832 NICHOLAS HARSHFIELD CHIEF FINANCIAL OFFICER 2.00 40.00 X X 0 952088 55588 BRIAN ROBBINS CHIEF OPERATING OFFICER 2.00 40.00 X X 0 485799 38876 DANA SMITH CHIEF MARKETING & EXPERIENCE OFFICER 2.00 40.00 X X 0 345389 34531 DAVID STEWART DIRECTOR 2.00 0.00 X 18250 0 0 STUART WALKER DIRECTOR 2.00 0.00 X 18250 0 0 TERESA BATES ASSOCIATE EXECUTIVE DIRECTOR 42.00 0.00 X 118170 0 6065 JOHN FALLDINE EXECUTIVE DIRECTOR 42.00 0.00 X 260414 0 2108 415084 3156176 180000 2 0 1 0 FTI CONSULTING 16701 MELFORD BLVD STE 200 BOWIE MD 20715 CONSULTING/RESTRUCTURING 5864274 POLSINELLI PC PO BOX 878681 KANSAS CITY MO 64187 CONSULTING/RESTRUCTURING 2029642 UNIDINE CORPORATION PO BOX 102289 ATLANTA GA 30348 CULINARY 1449748 MINTZ 120 SIXTH ST SOUTH STE 1400 MINNEAPOLIS MN 55402 PROFESSIONAL SERVICES 750000 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 60694 THERAPY SERVICES 533642 16 89596 89596 INDEPENDENT LIVING 531110 7954937 7954937 SKILLED NURSING 623000 5930704 5930704 ENTRANCE FEES 531110 1182592 1182592 15068233 403878 403878 9703088 9701188 1900 1900 1900 15563607 15068233 0 405778 14534 14534 36500 7300 29200 6141037 4912830 1228207 78597 62878 15719 213934 171147 42787 494148 395318 98830 13671 13671 4496 4496 468046 468046 -27831 -22265 -5566 123978 123978 542486 542486 9568 7654 1914 5799720 5799720 6713022 6377371 335651 259029 253848 5181 OTHER GENERAL AND ADMIN 9977315 9977315 MEDICAL AND OTHER RESID 2602167 2602167 DIETARY 1444024 1444024 REAL ESTATE TAXES 1029141 926227 102914 766069 766069 36703651 34238623 2465028 0 3310517 902253 96922 547052 0 219116804 343478 9524778 18198496 0 252040300 0 15945317 111195779 3100048 242741938 0 372983082 0 X -120942782 0 -120942782 0 252040300 0 X -21140044 4 142082822 X X 0 1 X 1 0 X 1144618 29700 463213 89596 1727127 39354708 35421052 31176230 32567757 15068233 153587980 39354708 36565670 31205930 33030970 15157829 155315107 0 0 0 155315107 1000403 753318 366115 213430 403878 2737144 1000403 753318 366115 213430 403878 2737144 40355111 37318988 31572045 33244400 15561707 158052251 0.98270 0.97460 0.01730 0.02210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 359127 -359127 718254 303748 55379 359127 303748 303748 0 X PART IV, LINE 2B: ESCROW AND CUSTODIAL ARRANGEMENTS THE ORGANIZATION REQUIRES FUTURE RESIDENTS WISHING TO RESERVE SPACE AT THE COMMUNITY TO PAY A DEPOSIT OF 10% OF THE ADVANCE FEE WHICH WILL BE REQUIRED UPON RESIDENCY. THE DEPOSITS ARE HELD IN AN INTEREST-BEARING ACCOUNT UNTIL RESIDENCY IS ESTABLISHED AT WHICH TIME THE RESIDENT PAYS THE BALANCE OF THE REQUIRED ENTRANCE FEE. THE RESIDENT'S DEPOSIT IS RESTRICTED BY THE TEXAS DEPARTMENT OF INSURANCE UNTIL THE RESIDENT TAKES OCCUPANCY OF AN APARTMENT. PART X, LINE 2: EDGEMERE HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN DESIGNATED AS A PUBLICLY SUPPORTED ORGANIZATION (RATHER THAN A PRIVATE FOUNDATION). EDGEMERE EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING ITS TAX RETURNS TO DETERMINE WHETHER IT IS "MORE LIKELY THAN NOT" THAT EACH TAX POSITION WOULD BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, EDGEMERE HAS NOT RECORDED ANY SUCH TAX BENEFIT OR EXPENSE IN THE ACCOMPANYING FINANCIAL STATEMENTS. NO EXAMINATIONS ARE IN PROGRESS OR ANTICIPATED AT THIS TIME. EDGEMERE'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2019 THROUGH DECEMBER 31, 2022. 1 HARDSHIP ASSISTANCE - REDUCTION OF FEES 1 14534 FMV RESIDENTS DO FROM TIME TO TIME SEEK FINANCIAL ASSISTANCE BY REQUESTING ASSISTANCE WITH THE MONTHLY FEE. SINCE THESE RESIDENTS HAVE SIGNED A LIFE CARE CONTRACT, THE ORGANIZATION IS OBLIGATED TO LET THEM CONTINUE TO LIVE IN THE COMMUNITY. MANAGEMENT SHALL REVIEW CRITERIA TO DETERMINE WHETHER THE RESIDENT IS A CANDIDIATE TO RECEIVE A HARDSHIP DISCOUNT. IF THE RESIDENT QUALIFIES FOR A HARDSHIP DISCOUNT, THE DISCOUNT WILL BEGIN TO BE DEDUCTED FROM THE MONTHLY FEES. PART I, LINE 2: THE ORGANIZATION CAN EASILY MONITOR THE USE OF THE GRANTS TO INDIVIDUALS BECAUSE THE GRANTS ARE SIMPLY REDUCTIONS OF THE MONTHLY FEES AND ENTRANCE FEES THAT THE RESIDENT WOULD OWE IF THE HARDSHIP ASSISTANCE WAS NOT GRANTED. 0 0 0 0 0 0 0 0 0 JESSE JANTZEN PRESIDENT & CEO 0 712577 0 515666 0 144657 0 30250 0 12582 0 1415732 0 0 NICHOLAS HARSHFIELD CHIEF FINANCIAL OFFICER 0 443305 0 263761 0 245022 0 46916 0 8672 0 1007676 0 0 BRIAN ROBBINS CHIEF OPERATING OFFICER 0 387304 0 0 0 98495 0 30946 0 7930 0 524675 0 0 DANA SMITH CHIEF MARKETING & EXPERIENCE OFFICER 0 212093 0 103570 0 29726 0 24134 0 10397 0 379920 0 0 JOHN FALLDINE EXECUTIVE DIRECTOR 114597 0 100000 0 45817 0 0 0 2108 0 262522 0 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT & CEO IS DETERMINED BY LIFESPACE COMMUNITIES, INC., A RELATED ENTITY. THE FOLLOWING WERE USED BY LIFESPACE COMMUNITIES INC. TO DETERMINE COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE ASSET WAS SOLD 6/13/2023 IN BANKRUPTCY PROCEEDINGS 2023-06-13 215406806 COST 884418047 BAY 9 HOLDINGS LLC 811 E 17TH AVE DENVER CO 80218 SINGLE MEMBER LLC 0 0 0 0 FORM 990, PART III, LINE 3 THE COMMUNITY WAS DISPOSED OF IN 2023 AND IS UNDER NEW OWNERSHIP FORM 990, PART VI, SECTION A, LINE 1A THE HAVE EXECUTIVE COMMITTEE WHICH CAN ACT BETWEEN BOARD MEETINGS, SUBJECT TO CERTAIN LIMITATIONS. FORM 990, PART VI, SECTION A, LINE 6 LIFESPACE COMMUNITIES, INC. IS THE SOLE MEMBER OF NORTHWEST SENIOR HOUSING CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A LIFESPACE COMMUNITIES, INC. HAS THE AUTHORITY TO ELECT THE MEMBERS OF THE GOVERNING BODY OF NORTHWEST SENIOR HOUSING CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS OF LIFESPACE COMMUNITIES, INC. HAS RESERVED POWERS OVER CERTAIN GOVERNANCE DECISIONS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PERFORMS A THOROUGH REVIEW OF THE FORM 990. A COPY OF THE FORM 990 WILL BE DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. MEMBERS OF THE BOARD OF DIRECTORS DIRECT ANY QUESTIONS OR CONCERNS TO THE CHIEF FINANCIAL OFFICER TO BE RESOLVED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF NORTHWEST SENIOR HOUSING CORPORATION AND ALL RELATED ORGANIZATIONS MUST CONDUCT THEIR PERSONAL AFFAIRS IN SUCH A MANNER AS TO AVOID ANY POSSIBLE CONFLICTS OF INTEREST WITH DUTIES AND RESPONSIBILITIES AS OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS. ALL NEW BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THIS IS REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE GOVERNANCE AND NOMINATING COMMITTEE TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST PRIOR TO REAPPOINTMENT TO THE BOARD AND OFFICER POSITIONS. ANY DIRECTORS HAVING A CONFLICT OF INTEREST SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR DIRECTORS (INCLUDING THE OFFICER-DIRECTOR POSITIONS OF CHAIR AND VICE-CHAIR) IS REVIEWED ANNUALLY BY THE GOVERNANCE AND NOMINATING COMMITTEE. GENERALLY, AN OUTSIDE CONSULTANT IS RETAINED EVERY YEAR TO DETERMINE THE REASONABLENESS OF DIRECTOR COMPENSATION. A REPORT IS PROVIDED TO THE BOARD OF DIRECTORS BY THE CONSULTANT. THE BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION BASED ON THESE REVIEWS. COMPENSATION FOR EMPLOYEES WHO ARE DISQUALIFIED PERSONS UNDER INTERMEDIATE SANCTIONS REGULATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE DISQUALIFIED PERSONS INCLUDE THE CEO, THE CFO, THE SVP OF OPERATIONS, AND THE SVP OF SUCCESSFUL AGING AND HEALTH SERVICES. THE COMPENSATION COMMITTEE USES AN OUTSIDE, INDEPENDENT COMPENSATION CONSULTANT AT LEAST EVERY OTHER YEAR TO DETERMINE THE REASONABLENESS OF THE DISQUALIFIED PERSONS' COMPENSATION. THE COMPENSATION CONSULTANT PROVIDES A REPORT TO THE COMPENSATION COMMITTEE OF ITS MARKET COMPETITIVENESS REVIEW, FINDINGS, AND RECOMMENDATIONS, AND A LETTER STATING ITS ASSESSMENT OF THE REASONABLENESS OF COMPENSATION. IN YEARS WHEN THE COMPENSATION COMMITTEE DOES NOT USE AN OUTSIDE CONSULTANT, IT REVIEWS SURVEY INFORMATION TO DETERMINE THE REASONABLENESS OF COMPENSATION. THE COMPENSATION COMMITTEE RECOMMENDS TO THE BOARDS, AND THE BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION CHANGES BASED ON THE RECOMMENDATION OF THE COMPENSATION COMMITTEE. THE SALARIES AND BENEFITS LISTED CONTAIN THE TOTAL SALARIES AND BENEFITS PAID TO EACH INDIVIDUAL THROUGH LIFESPACE COMMUNITIES, INC. AND ALL RELATED ENTITIES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FROM THIRD PARTIES FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE REFERRED TO THE CHIEF FINANCIAL OFFICER. ANNUAL RETURNS AND THE APPLICATION FOR EXEMPTION ARE MADE AVAILABLE FOR THE PUBLIC INSPECTION AND ARE PROVIDED TO INDIVIDUALS WHO REQUEST THEM. COPIES ARE PROVIDED WITHIN 30 DAYS OF A WRITTEN REQUEST OR THE SAME DAY IF REQUESTED IN PERSON. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 7,479,094. SALE OF DISCONTINUED OPERATIONS 134,603,728. FORM 990, PART XII, LINE 2C: THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. TARRANT COUNTY SENIOR LIVING CENTER INC 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 208068602 OPERATION OF RETIREMENT COMMUNITIES TX 501(C)(3) LINE 10 LIFESPACE COMMUNITIES INC 0 LIFESPACE COMMUNITIES INC 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 421068850 OPERATION OF RETIREMENT COMMUNITIES IA 501(C)(3) LINE 10 LIFESPACE INC 0 THE LIFESPACE FOUNDATION 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 421370848 SUPPORT OF RETIREMENT COMMUNITIES IA 501(C)(3) LINE 12A, I LIFESPACE INC 0 LIFESPACE INC 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 273270337 OWNERSHIP & ADMINISTRATION OF RETIREMENT COMMUNITY PROPERTY IA 501(C)(3) LINE 12B, II N/A 0 SENIOR QUALITY LIFESTYLES CORPORATION 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 364502669 OPERATION OF RETIREMENT COMMUNITIES TX 501(C)(3) LINE 10 LIFESPACE COMMUNITIES INC 0 BARTON CREEK SENIOR LIVING INC 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 201203479 OPERATION OF RETIREMENT COMMUNITIES TX 501(C)(3) LINE 10 LIFESPACE COMMUNITIES INC 0 MEADOW LAKE LLC 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 882146585 OPERATION OF RETIREMENT COMMUNITIES TX 501(C)(3) LINE 10 LIFESPACE COMMUNITIES INC 0 WESLEY COURT LLC 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 882178567 OPERATION OF RETIREMENT COMMUNITIES TX 501(C)(3) LINE 10 LIFESPACE COMMUNITIES INC 0 CRAIG AMARILLO LLC 3501 OLYMPUS BLVD STE 300 DALLAS TX 75019 882122474 OPERATION OF RETIREMENT COMMUNITIES TX 501(C)(3) LINE 10 LIFESPACE COMMUNITIES INC 0 FRIENDSHIP VILLAGE AT MILL CREEK NFP 801 FRIENDSHIP WAY GENEVA IL 60134 203300991 OPERATION OF RETIREMENT COMMUNITIES IL 501(C)(3) LINE 10 LIFESPACE COMMUNITIES INC 0 AUGUSTINE HOME HEALTH TEXAS LLC 8161 TEAL DR 201 EASTON MD 51601 900801215 HEALTH CARE TX NWSHC RELATED 36743 0 0 0.50000 SENIORITY INC 4201 CORPORATE DRIVE WEST DES MOINES IA 50266 943287180 OPERATION OF RETIREMENT COMMUNITIES TX N/A C 0 PRAIRIE VIEW CLUB OF KANSAS 8101 MISSION RD PRAIRIE VILLAGE KS 66208 481159378 RESIDENT ENTERTAINMENT SERVICES KS N/A C 0 1 1 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 1