2021-11-15T12:04:28-06:00 2020-12-31 450250958 EIDE BAILLY LLP 2355 E CAMELBACK RD STE 900 PHOENIX AZ 850169065 990 2020-01-01 270919033 CHRISTIAN CARE SURPRISE INC CHRI 6023851592 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 ALAN HIEB CEO/BOARD PRESIDENT 6023851592 2021-11-12 1 ALAN HIEB 999009999 BRENDA BLUNT CPA P00075126 4803151040 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ALAN HIEB 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 11190439 0 X FELLOWSHIPSQUARESENIORLIVING.ORG X 2010 AZ PROVIDING QUALITY MIDDLE MARKET RESIDENTIAL AND ASSISTED LIVING FOR SENIORS 12 11 0 85 0 0 36609 180250 7538054 10931627 138467 49267 13214 19160 7726344 11180304 0 0 0 0 4326832 4721893 0 0 0 9349132 9733125 13675964 14455018 -5949620 -3274714 76030918 75343051 84679700 87266547 -8648782 -11923496 X THROUGH CHRISTIAN LOVE AND EXCELLENCE, WE ARE DEDICATED TO PROVIDING A FULFILLING LIFESTYLE AND PROMOTING INDEPENDENCE TO THOSE WE SERVE. 0 0 12576004 10931627 IN 2014 CHRISTIAN CARE SURPRISE ACQUIRED A PARCEL OF LAND SUITABLE FOR BUILDING A FELLOWSHIP SQUARE COMMUNITY IN SURPRISE ARIZONA. IN 2016 CHRISTIAN CARE SURPRISE FINALIZED BUILDING PLANS AND ACQUIRED FINANCING TO ENABLE FELLOWSHIP SQUARE SURPRISE TO BEGIN CONSTRUCTION. IN DECEMBER 2016, CHRISTIAN CARE BEGAN CONSTRUCTION ON FELLOWSHIP SQUARE SURPRISE. IN JULY OF 2018 CONSTRUCTION OF PHASE 1 WAS FINALIZED AND FIRST RESIDENTS MOVED IN. THE CAMPUS NOW HOSTS 255 APARTMENT HOMES ON 14+ ACRES, IN A FULLY GATED COMMUNITY. FELLOWSHIP SQUARE OFFERS 1 AND 2 BEDROOM FLOOR PLANS. THE INDEPENDENT LIVING COMMUNITY INCLUDES LARGE COMMUNITY AND GATHERING AREAS, A STATE-OF-THE-ART FITNESS CENTER WITH A (CONT'D ON SCH. O) FULL-TIME TRAINER AND FITNESS PROGRAMMING AND CLASSES (SENIOR FIT). A HEATED POOL, SPA, AND POOL HOUSE ARE ALSO PROVIDED. A FULLY STOCKED ART ROOM, WOOD SHOP, VARIOUS ACTIVITY AREAS, ARE AVAILABLE. A KOI POND, BOCCE BALL COURT, PICKLE BALL COURTS, AND PUTTING GREENS ARE ALSO ENJOYED BY THE RESIDENTS.OPPORTUNITIES TO LEARN, SUCH AS A FULL-SERVICE COMPUTER LAB AND CLASS ROOM, AS WELL AS A FULLY STOCKED LIBRARY ARE PROVIDED FOR RESIDENTS.A GARDEN CAFE, AND A FINE DINING ROOM ARE OPENED DAILY. RESIDENTS RECEIVE DINING DOLLARS INCLUDED IN THEIR MONTHLY RENT, IN THE AMOUNT OF $375. TRANSPORTATION, HOUSEKEEPING, ACTIVITIES, RECREATION, AND CHAPLAIN SERVICES ARE INCLUDED IN THE MONTHLY RENTAL FEE. RESIDENTS ENJOY HIGH SPEED WIFI, 24-HOUR CONCIERGE, AND AN EMERGENCY CALL SYSTEM, AT NO ADDITIONAL CHARGE. THE ASSISTED LIVING IS CALLED "THE OASIS AT FELLOWSHIP SQUARE". THIS COMMUNITY HOSTS 42 APARTMENT HOMES, PLUS 28 SUITES OF MEMORY CARE, WITH 1-BEDROOM AND STUDIO FLOOR PLANS, WITH LARGE COMMUNITY AREAS INCLUDING TWO DINING ROOMS, ACTIVITIES AREA AND ACCESS TO THE CAMPUS AMENITIES. OUTDOOR AREAS, A FULL ARRAY OF ACTIVITIES, TRANSPORTATION, AND ALL MEALS AND SNACKS ARE INCLUDED IN THE MONTHLY RENT. A FITNESS CENTER, LIBRARY, LAUNDRY ROOM, AND MULTIPLE ACTIVITY AREAS ARE PROVIDED. AN EMERGENCY CALL SYSTEM, 24-HOUR OVERSITE AND CARE ARE AVAILABLE.OUTPATIENT REHAB CLINIC: A LICENSED OUTPATIENT REHABILITATION CLINIC THAT PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES TO RESIDENTS AND EMPLOYEES OF FELLOWSHIP SQUARE SURPRISE, AS WELL AS THE COMMUNITY AT LARGE.FOUNDED IN 1979, THE CHRISTIAN CARE COMPANIES BEGAN WITH 96 UNITS OF SUBSIDIZED HOUSING AND A 60-BED NURSING CENTER ON THE PHOENIX CAMPUS. THE NURSING CENTER CORNERSTONE QUOTES PSALM 71:9, CAST ME NOT OFF IN THE TIME OF OLD AGE; FORSAKE ME NOT WHEN MY STRENGTH FAILETH. THE ORGANIZATION IS ONE OF 24 RELATED TAX EXEMPT CHRISTIAN CARE COMPANIES (THE NAMES OF THE OTHER 23 ARE LISTED ON SCHEDULE R) WHO PROVIDE HOUSING, HOSPITALITY AND HEALTHCARE SERVICES FOR VERY-LOW-TO-MIDDLE INCOME ARIZONA SENIORS. THE CHRISTIAN CARE COMPANIES WERE FOUNDED BY THE NONDENOMINATIONAL CHRISTIAN CHURCHES OF ARIZONA AND ARE GOVERNED BY CORPORATE BOARDS OF DIRECTORS. AT DECEMBER 31, 2020, THE CHRISTIAN CARE COMPANIES OWN AND OPERATE 1,990 UNITS OF MIDDLE-INCOME, MARKET-RATE INDEPENDENT, ASSISTED, AND MEMORY CARE UNITS FOR SENIORS ON SIX CAMPUSES, 338 UNITS OF SUBSIDIZED HOUSING, AND A 68-BED HEALTH CENTER. IN ADDITION, WE PROVIDE ASSISTED LIVING SERVICES TO UP TO 110 RESIDENTS OF OUR SUBSIDIZED HOUSING. BENEFITS OF BEING PART OF A CHRISTIAN CARE COMMUNITY TYPICALLY INCLUDE SHARED HOUSEKEEPING; MAINTENANCE AND SECURITY SERVICES, INCLUDING CALL BUTTON MONITORING; ACCESS TO PRIVATE SCHEDULED TRANSPORTATION; AND COMPUTER LABS WITH HIGH-SPEED INTERNET. RESIDENTS TYPICALLY HAVE ENTREE TO ON-CAMPUS FOOD SERVICE VENUES, ENTERTAINING ACTIVITY PROGRAMS, HEALTH & WELLNESS OPPORTUNITIES AND CHAPLAINCY SERVICES. 12576004 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 13 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 1 1 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X KATHLEEN CONDON 6024435487 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 LARRY DAILY DIRECTOR 0.10 0.40 X 0 0 0 JAY MIHALEK DIRECTOR 0.10 0.40 X 0 0 0 CHRISTINE GUERIN DIRECTOR 0.10 0.40 X 0 0 0 FRANK SUNG DIRECTOR 0.10 0.40 X 0 0 0 JACK MARTIN DIRECTOR (THRU 6/13) 0.10 0.40 X 0 0 0 JOHN MCKINDLES DIRECTOR (THRU 7/10) 0.10 0.40 X 0 0 0 DENNIS RUTHERFORD DIRECTOR (FROM 11/7) 0.10 0.40 X 0 0 0 DONALD DEWITT DIRECTOR 0.10 0.40 X 0 0 0 ROGER BLUMENTHAL DIRECTOR/VICE CHAIRMAN 0.10 0.90 X X 0 0 0 MARILYN METZGER PRESIDENT/DIRECTOR 0.10 0.90 X X 0 0 0 GEOFFREY LEWIS SECRETARY (THRU 5/2) 0.10 0.90 X X 0 0 0 BARBARA CARR 2ND VP/SECRETARY 0.10 0.90 X X 0 0 0 THOMAS HARTZLER TREASURER 0.10 0.90 X X 0 0 0 ED FRENCH DIRECTOR/1ST VP/CHAIRMAN 0.10 0.90 X X 0 0 0 JOHN S NORRIS SR. VP/DIRECTOR 5.00 35.00 X X 0 79077 113294 ALAN HIEB PRESIDENT OF BOARD/CEO 1.00 39.00 X 0 409656 45196 KATHLEEN CONDON CFO 3.00 47.00 X 0 159892 32646 EDWARD JOHNSON CF HUMAN RESOURCE OFFICER 1.00 49.00 X 0 200680 45860 JAMI GROSS EXECUTIVE DIRECTOR 39.00 1.00 X 0 151639 35286 KATHRYN LOSCHEIDER EXECUTIVE DIRECTOR (THRU 7/31) 39.00 1.00 X 0 132204 28256 0 1133148 300538 0 0 1 0 SYMBRIA REHAB BILLING 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 PATIENT THERAPIES 115842 1 145659 34591 731 180250 RESIDENT SERVICE INCOME 623000 10931627 10931627 10931627 50057 50057 4197 0 4197 4197 4197 790 -790 -790 -790 11687 9345 2342 2342 REBATE INCOME 900099 10012 10012 INSURANCE PROCEEDS 900099 2109 2109 MISCELLANEOUS REVENUE 900099 500 500 12621 11180304 10931627 0 68427 4089059 3477827 611232 38500 28030 10470 270729 223198 47531 323605 278081 45524 549712 549712 5000 5000 13315 13315 65579 62139 3440 90233 66 90167 156813 156813 81351 81351 1007249 963218 44031 710 710 6798 4535 2263 4544850 4544850 1914814 1819073 95741 166378 158059 8319 FOOD LAUNDRY DIETARY 747278 747278 INVENTORY AND SUPPLIES 225712 224298 1414 FINANCING 61013 61013 MISCELLANEOUS 54908 45352 9556 41412 41412 14455018 12576004 1879014 0 60533 412867 15377 87407 200741 324404 21725 25801 40690 34189 69920214 4006546 67760169 65913668 7891681 8522337 40002 22378 76030918 75343051 4062011 4648977 18620 10962 64038507 63646037 305475 307900 1375000 1375000 25242 18650 14854845 17259021 84679700 87266547 X -8648782 -11923496 -8648782 -11923496 76030918 75343051 -3274714 0 X 0 1 X 1 0 X 200 33363 36609 180250 250422 12175 1268850 7538054 10931627 19750706 10367 11687 22054 12375 1302213 7585030 11123564 20023182 14156 15100 6930 36186 247068 247068 261224 15100 6930 283254 19739928 29831 144455 54254 228540 29831 144455 54254 228540 295 500 795 12375 1332044 7729780 11178318 20252517 0.97470 0.94970 0.01130 0.01920 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 295. 2020 AMOUNT: $ 500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3734928 3734928 64024348 3388066 60636282 1062080 338676 723404 1098858 279804 819054 65913668 MONEY MARKET FUNDS 8522337 C 8522337 NET BOND ISSUANCE COSTS -2782570 DUE TO RELATED ENTITIES 19986874 OPERATING LEASES 6708 FINANCE LEASES 48009 17259021 X 11190439 10135 10135 11180304 0 11180304 14465153 10135 10135 14455018 0 14455018 PART IV, LINE 2B: THE ORGANIZATION HOLDS DEPOSITS IN TRUST FOR ITS RESIDENTS. PART X, LINE 2: MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY INCOME TAX POSITIONS TAKEN, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD INCLUDED IN REVENUE 9,345. LOSS ON DISPOSAL OF ASSET 790. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD INCLUDED IN REVENUE 9,345. LOSS ON DISPOSAL OF ASSET 790. 0 0 0 0 0 0 0 0 0 ALAN HIEB PRESIDENT OF BOARD/CEO 0 402456 0 0 0 7200 0 11400 0 37381 0 458437 0 0 EDWARD JOHNSON CF HUMAN RESOURCE OFFICER 0 200680 0 0 0 0 0 8532 0 41496 0 250708 0 0 KATHLEEN CONDON CFO 0 159892 0 0 0 0 0 6643 0 28336 0 194871 0 0 JOHN S NORRIS SR. VP/DIRECTOR 0 79077 0 0 0 0 0 7606 0 105715 0 192398 0 0 JAMI GROSS EXECUTIVE DIRECTOR 0 151639 0 0 0 0 0 4810 0 32911 0 189360 0 0 KATHRYN LOSCHEIDER EXECUTIVE DIRECTOR (THRU 7/31) 0 132204 0 0 0 0 0 5373 0 24059 0 161636 0 0 SCHEDULE J, PART I, QUESTION 3: THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, CHRISTIAN CARE MANAGEMENT, INC., THAT USED THE FOLLOWING METHODS DESCRIBED IN QUESTION 3 TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION COMMITTEE (A.K.A. PERSONNEL COMMITTEE), FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY THE INDEPENDENT GOVERNING BOARD. SCHEDULE J, PART II: AS A MINISTER, PART OF THE COMPENSATION PAID TO JOHN NORRIS INCLUDES A HOUSING ALLOWANCE, WHICH IS APPROVED BY THE BOARD AND INCLUDED IN OTHER COMPENSATION IN COLUMN D. TOTAL COMPENSATION TO THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES REMAINS MODEST COMPARED TO SIMILAR INDUSTRY POSITIONS. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF MARICOPA 860445263 56682PBU4 2016-11-14 64014659 SENIOR LIVING FACILITY, CHRISTIAN CARE SURPRISE, INC. PROJECT 0 0 0 A 400000 64767958 4900935 9511175 1276375 45445795 3676432 94 2019 0 0 1 1 A 0 1 0 0 0.00100 0.00000 0.00100 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 PART II, LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES THE ISSUE PRICE PLUS $753,299 OF INVESTMENT INCOME EARNED ON THE BOND FUNDS DURING THE COMPLETION PERIOD AS OF YEAR END. SCHEDULE K, PART III, LINE 9, PART IV, LINE 7 AND PART V THE ORGANIZATION CONTRACTS WITH BLX GROUP LLC TO MONITOR BOND COMPLIANCE WITH FEDERAL TAX REQUIREMENTS GENERALLY, AND IRS REGULATIONS 1.141-12 AND 1.145-2 AND INTERNAL REVENUE CODE SECTION 148 IN PARTICULAR. ED FRENCH 1ST VP AND CHAIRMAN OF THE BOARD FUND DEVELOPMENT OF A SENIOR HOUSING FACILITY X 300000 300000 0 1 1 LIVING TRUST OF ESTHER FRENCH CONTROLLED ENTITY OF FAMILY MEMBER OF 1ST VP AND CHAIRMAN OF THE BOARD FUND DEVELOPMENT OF A SENIOR HOUSING FACILITY X 300000 300000 0 1 1 JOHN NORRIS SR. VP AND BOARD MEMBER FUND DEVELOPMENT OF A SENIOR HOUSING FACILITY X 75000 75000 0 1 1 AGN DEVELOPMENT CORP CONTROLLED ENTITY OF SR VP AND BOARD MEMBER FUND DEVELOPMENT OF A SENIOR HOUSING FACILITY X 125000 125000 0 1 1 GEOFFREY LEWIS BOARD MEMBER FUND DEVELOPMENT OF A SENIOR HOUSING FACILITY X 175000 175000 0 1 1 BARBARA CARR BOARD MEMBER FUND DEVELOPMENT OF A SENIOR HOUSING FACILITY X 150000 150000 0 1 1 JAY MIHALEK BOARD MEMBER FUND DEVELOPMENT OF A SENIOR HOUSING FACILITY X 50000 50000 0 1 1 FRANK SUNG BOARD MEMBER FUND DEVELOPMENT OF A SENIOR HOUSING FACILITY X 100000 100000 0 1 1 LOSCHEIDER PROPERTIES LLC CONTROLLED ENTITY OF KEY EMPLOYEE FUND DEVELOPMENT OF A SENIOR HOUSING FACILITY X 100000 100000 0 1 1 1375000 FORM 990, PART V, LINE 2A: EMPLOYEES ARE EMPLOYEES OF CHRISTIAN CARE MANAGEMENT, INC., NO FEDERAL OR STATE PAYROLL REPORTING IS DONE BY CHRISTIAN CARE SURPRISE, INC. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE, CONSISTING OF THE OFFICERS OF THE CORPORATION AND THE PAST CHAIRMAN OR PRESIDENT, ARE AUTHORIZED TO REPRESENT THE BOARD OF DIRECTORS IN NEGOTIATIONS WITH ANY AND ALL AGENTS REPRESENTING INTERESTED OR RELATED PARTIES. HOWEVER, THE COMMITTEE MAY NOT ENCUMBER OR OBLIGATE THE CORPORATION WITHOUT SPECIFIC CONFIRMATION FROM THE BOARD OF DIRECTORS. THE PRESIDENT OF THE BOARD IS AN EX OFFICIO MEMBER WITH NO VOTING PRIVILEGES. FORM 990, PART VI, SECTION A, LINE 3 THE CEO, CFO, SR. VP, CHIEF HUMAN RESOURCE OFFICER, AND EXECUTIVE DIRECTOR ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR PROVIDING OVERSIGHT OF THE DAILY MANAGEMENT OF THE ORGANIZATION. THE CORPORATION AND MANAGEMENT ENTERED INTO A MANAGEMENT AGREEMENT ON A MONTH-TO-MONTH BASIS UNDER WHICH THE CORPORATION IS TO PAY MANAGEMENT AND BOOKKEEPING FEES IN AN AMOUNT SPECIFIED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED IN 2020 FOR THE FOLLOWING: - THE ARTICLES WERE AMENDED TO ALLOW THE BOARD OF DIRECTORS TO AMEND THE ARTICLES IN THE FUTURE WITHOUT HAVING TO GET MEMBER CONSENT. - THE ARTICLES WERE AMENDED TO ELIMINATE MEMBERSHIP BY THE INDEPENDENT CHRISTIAN CHURCHES OF ARIZONA AND REPLACE THEM WITH CHRISTIAN CARE HOLDING COMPANY AS ITS SOLE MEMBER. - BOTH THE ARTICLES AND BYLAWS WERE AMENDED TO CHANGE THE MINIMUM NUMBER OF DIRECTORS FROM THREE TO SEVEN. - THE BYLAWS WERE AMENDED TO IMPLEMENT A FOUR-YEAR TERM LIMIT FOR EACH DIRECTOR, WITH A LIMIT OF TWO TERMS (TOTALING EIGHT YEARS). - THE BYLAWS WERE AMENDED TO SPECIFY THAT THE DIRECTOR EMERITUS DOES NOT HAVE VOTING RIGHTS. - THE BYLAWS WERE AMENDED TO CHANGE THAT THE BOARD OF DIRECTORS MAY NOT SELL OR OTHERWISE DISPOSE OF THE ORGANIZATION'S REAL PROPERTY OF A VALUE IN EXCESS OF $200,000, IF THE MEMBER (CHRISTIAN CARE HOLDING COMPANY) OBJECTS IN WRITING, SIGNED BY THE MEMBER AND RECEIVED WITHIN 30 DAYS OF THE MAILING OF NOTICE OF SUCH SALE OR DISPOSAL, EXCEPT IN THE ORDINARY COURSE OF BUSINESS AND ON SUCH TERMS AND CONDITIONS AS ARE CONSISTENT WITH THE ORGANIZATION'S BEST INTERESTS. - THE BYLAWS WERE AMENDED TO REQUIRE EACH DIRECTOR TO BE IN GOOD STANDING AT A CHRISTIAN CHURCH. PREVIOUSLY THE BYLAWS REQUIRED MEMBERS TO BE IN GOOD STANDING AT AN INDEPENDENT CHRISTIAN CHURCH OF ARIZONA. FORM 990, PART VI, SECTION A, LINE 6 ITS SOLE MEMBER IS CHRISTIAN CARE HOLDING COMPANY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS MAY NOT, OVER THE OBJECTION OF THE MEMBER AS EXPRESSED IN WRITING AND SIGNED, WHICH OBJECTION MUST BE RECEIVED WITHIN THIRTY (30) DAYS OF THE MAILING OF NOTICE OF SUCH SALE OR DISPOSAL, SELL OR OTHERWISE DISPOSE OF THE CORPORATION'S REAL PROPERTY OF A VALUE IN EXCESS OF $200,000 EXCEPT IN THE ORDINARY COURSE OF BUSINESS AND ON SUCH TERMS AND CONDITIONS AS ARE CONSISTENT WITH THE BEST INTERESTS AND PURPOSES OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO WILL REVIEW COMPLETED FORM 990 AND PROVIDE A FINAL DRAFT TO THE GOVERNING BOARD ALLOWING FOR A COMMENT PERIOD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND ANY OTHER PERSON WITH SUBSTANTIAL INFLUENCE ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. PART OF THIS STATEMENT REQUIRES THEM TO SIGN AND CONFIRM THAT THEY HAVE READ AND UNDERSTOOD THE COMPANY'S CONFLICT OF INTEREST POLICY. THEY ALSO AGREE TO NOTIFY THE CHAIR OF THE BOARD OR PRESIDENT AND/OR THE CEO IMMEDIATELY IF THEY BECOME AWARE OF ANY POTENTIAL CONFLICTS. IF AN INDIVIDUAL HAS A CONFLICT, THEY ARE REQUIRED TO LEAVE THE ROOM PRIOR TO PRESENTATION OF THE PROPOSED RESOLUTION(S) AND RECUSE THEMSELVES FROM DISCUSSION OF THE ISSUE AND THE VOTING PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND SR. VP ARE NOT COMPENSATED BY CHRISTIAN CARE SURPRISE, INC. THE CEO AND SR. VP ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR THEIR SERVICES PROVIDED TO ALL CHRISTIAN CARE COMPANIES. THEIR COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS AND STUDIES. THE CEO'S COMPENSATION IS REVIEWED BY THE PERSONNEL COMMITTEE AND RATIFIED BY THE INDEPENDENT GOVERNING BOARD. THE CEO AND SR. VP'S COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN WRITTEN EMPLOYMENT CONTRACTS. THIS DOCUMENTATION IS PREPARED IN JUNE OF EACH YEAR. THE CFO, EXECUTIVE DIRECTOR AND CHIEF HUMAN RESOURCE OFFICER ARE NOT COMPENSATED BY CHRISTIAN CARE SURPRISE, INC. THE CFO, EXECUTIVE DIRECTOR, AND CHIEF HUMAN RESOURCE OFFICER ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR THEIR SERVICES PROVIDED TO MULTIPLE CHRISTIAN CARE RELATED ENTITIES. THEIR COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF COMPENSATION SURVEYS AND STUDIES. THEY DO NOT HAVE WRITTEN EMPLOYMENT CONTRACTS. THEIR COMPENSATION IS ALSO REVIEWED ANNUALLY ON THEIR ANNIVERSARY DATE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHRISTIAN CARE MANAGEMENT INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 942756711 MANAGEMENT SERVICES AND SUPPORT FOR CHRISTIAN CARE COMPANIES AZ 501(C)(3) LINE 12B, II N/A 0 CHRISTIAN CARE HOLDING COMPANY INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860892946 ENHANCING LIQUIDITY FOR CHRISTIAN CARE COMPANIES AZ 501(C)(3) LINE 12B, II N/A 0 CHRISTIAN CARE FOUNDATION 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 201239464 SUPPORTING AND EXPANDING CHRISTIAN CARE'S MINISTRY AZ 501(C)(3) LINE 12B, II N/A 0 CHRISTIAN CARE ASSISTED LIVING (PHOENIX) INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860828877 MIDDLE MARKET ASSISTED LIVING FOR SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE RETIREMENT APARTMENTS INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 742455683 MIDDLE MARKET RESIDENTIAL LIVING FOR SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE MESA INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860828879 MIDDLE MARKET RESIDENTIAL & ASSISTED LIVING FOR SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE TUCSON INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860962052 MIDDLE MARKET RESIDENTIAL AND ASSISTED LIVING FOR SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE NURSING CENTER INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860318085 AFFORDABLE LONG-TERM CARE AND SKILLED NURSING AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE MESA II INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 900067112 MIDDLE MARKET RESIDENTIAL LIVING FOR SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE MANOR II INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860433280 SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN HOUSING MESA INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 953471692 SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE MANOR III INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 742437015 SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN HOUSING-COTTONWOOD INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860775063 SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE COTTONWOOD INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860809772 SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE COTTONWOOD III INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860852384 SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE COTTONWOOD IV INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860898511 SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE COTTONWOOD V INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 860943071 SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE COTTONWOOD VI INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 861002178 SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE COTTONWOOD VII INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 861020888 SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE COTTONWOOD VIII INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 861045413 SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS AZ 501(C)(3) LINE 10 N/A 0 CHRISTIAN CARE CALIFORNIA 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 330264173 AFFORDABLE SENIOR HOUSING AND HEALTHCARE CA 501(C)(3) PF CHRISTIAN CARE HOLDING COMPANY INC 0 CHRISTIAN CARE MANAGEMENT II INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 264242355 ASSISTED LIVING SERVICES FOR VERY-LOW TO MIDDLE INCOME SENIORS AZ 501(C)(3) PF N/A 0 CHRISTIAN CARE MESA III INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 203253081 AFFORDABLE ASSISTED LIVING FOR SENIORS AZ 501(C)(3) LINE 12B, II N/A 0 COVENANT HOME HEALTH LLC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 834353828 PROVIDING HOME HEALTH SERVICES AZ N/A 0 0 CHRISTIAN CARE MANAGEMENT IV INC 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 471154405 CHARITABLE HEALTH AND/OR EDUCATIONAL ORGANIZATION AZ N/A C 0 HOME HEALTH CARE INC DBA COVENANT HOME HEALTH 2400 W DUNLAP AVE SUITE 250 PHOENIX AZ 85021 841387500 PROVIDING HOME HEALTH SERVICES AZ N/A C 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 1 1 1 0 1