2017-09-15T11:31:55-05:00 2016-10-31 450250958 EIDE BAILLY LLP 1850 N CENTRAL AVE STE 400 PHOENIX AZ 850044624 990 2015-11-01 860521061 ARIZONA RETIREMENT CENTERS INC ARIZ 6239720212 17300 N 88TH AVE PEORIA AZ 85382 JENNIFER NEALON CEO 6239720212 2017-09-14 1 BRENDA BLUNT P00075126 6022645844 2017-09-14 2015 2021-01-29 14:40:06Z SIERRA WINDS SHANNON BROWN 17300 N 88TH AVE PEORIA AZ 85382 40508660 0 X WWW.SIERRAWINDS.COM X 1984 AZ OPERATE AND MAINTAIN A LIFE CARE RETIREMENT CENTER. 8 8 434 25 0 0 32355 50515 12155043 12074161 -217811 160862 10536 31036 11980123 12316574 0 0 0 0 5650834 6077115 0 0 0 6829609 6897701 12480443 12974816 -500320 -658242 36604968 36861958 57754751 58601314 -21149783 -21739356 X THE MISSION OF SIERRA WINDS IS TO PROVIDE THE FACILITIES, PROGRAMS AND SERVICES WHICH WILL PROMOTE THE HIGHEST DEGREE OF COMFORT, SECURITY, INDEPENDENCE, AND LIFE SATISFACTION FOR ITS RESIDENTS. SIERRA WINDS IS COMMITTED TO THE BELIEF THAT (CONTINUED ON SCH. O) THE RETIREMENT YEARS CAN BE THE MOST FULFILLING YEARS OF LIFE; THEREFORE, ALL GOALS AND OBJECTIVES ARE DEDICATED TO ENHANCE THE QUALITY OF LIFE DURING THESE YEARS. 0 0 9040582 12074161 THE ORGANIZATION PROVIDES SERVICES FOR 240 APARTMENT RESIDENTS AND 70 SKILLED NURSING CARE RESIDENTS. 9040582 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 54 0 1 434 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 1 1 0 0 0 AZ X ROBERT PLOHAL 6029720212 17300 N 88TH AVE PEORIA AZ 85382 X PAM PRIME DIRECTOR 1.00 X 0 0 0 LAURIE FOX DIRECTOR 1.00 X 0 0 0 VICKI FRYE DIRECTOR 1.00 X 0 0 0 SHELLEIGH WOLFE-PETERSEN DIRECTOR 4.00 0.50 X 0 0 0 PAUL QUACKENBUSH DIRECTOR 1.00 X 0 0 0 KATHLEEN CROWLEY PRESIDENT 4.00 0.50 X X 0 0 0 RITA DANINGER VICE PRESIDENT 2.00 X X 0 0 0 CATHY ROSS SECRETARY 2.00 X X 0 0 0 JENNIFER NEALON EXECUTIVE DIRECTOR 40.00 X 0 0 0 VICTORIA WELTON MARKETING DIRECTOR 40.00 X 103693 0 4437 103693 0 4437 1 0 0 0 QUALITY CARE REHAB 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 PT, OT, ST CONTRACTOR 527951 LIFE CARE SERVICES LLC 400 LOCUST STREET STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 519082 GUARDIAN PHARMACY OF ARIZONA 2401 W BEHREND DR 17 PHOENIX AZ 85027 PHARMACY PROVIDER 157478 3 50515 50515 50515 RETIREMENT CENTER 623000 7213738 7213738 HEALTHCARE CENTER 621400 3018241 3018241 RESIDENT ENTRANCE FEES 900099 1842182 1842182 12074161 173119 173119 11645 0 11645 11645 11645 28179579 250 28192086 0 -12507 250 -12257 -12257 REBATES 900099 16258 16258 MISCELLANEOUS INCOME 900099 3133 3133 19391 12316574 12074161 0 191898 5105786 4218667 887119 472018 415945 56073 499311 449034 50277 417611 417611 32041 32041 57742 57742 4610 4610 47396 22937 24459 114979 114979 418437 295889 122548 80386 80386 749459 709777 39682 68320 40204 28116 48441 41373 7068 1675002 1675002 988483 988483 221583 221583 FOOD 1162468 1162468 MEDICAL SUPPLIES 665035 665035 MISC 145708 30770 114938 12974816 9040582 3934234 0 691007 402928 1121 0 506908 253181 141429 132006 190549 159214 36446008 18734663 15753408 17711345 17228755 16136462 2091791 2066822 36604968 36861958 1043093 2201902 22710927 22958255 33060000 32425000 116500 188500 824231 827657 57754751 58601314 X -22539440 -23126821 1389657 1387465 -21149783 -21739356 36604968 36861958 -658242 -106571 175240 0 X 0 1 X 0 0 X 73502 74198 39516 32355 50515 270086 11470305 11809544 11952487 12155043 12074161 59461540 11543807 11883742 11992003 12187398 12124676 59731626 0 249751 831049 535094 528692 29651 2174237 249751 831049 535094 528692 29651 2174237 57557389 329807 322631 259236 317840 184764 1414278 329807 322631 259236 317840 184764 1414278 365 8133 1257 19391 29146 11873614 12206738 12259372 12506495 12328831 61175050 0.94090 0.93300 0.02310 0.02630 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: VENDING MACHING - 2012 AMOUNT: $ 166. 2013 AMOUNT: $ 154. 2014 AMOUNT: $ 89. 2015 AMOUNT: $ 0. MISCELLANEOUS REVENUE - 2012 AMOUNT: $ 199. 2013 AMOUNT: $ 7,979. 2014 AMOUNT: $ 1,168. 2015 AMOUNT: $ 3,133. REBATES - 2015 AMOUNT: $ 16,258. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 4446473 4446473 27543773 14985968 12557805 4455762 3748695 707067 17711345 DEFERRED BOND COSTS (NET) 631741 ECONOMIC INTEREST IN FOUNDATION 1387465 INTEREST RECEIVABLE 47616 2066822 ACCRUED INTEREST 806657 WAIT LIST 21000 827657 X PART IV, LINE 1B: THE ORGANIZATION HOLDS DEPOSITS IN TRUST ON BEHALF OF ITS RESIDENTS. PART X, LINE 2: THE ORGANIZATION EVALUATES ITS TAX POSITIONS THAT HAVE BEEN TAKEN OR ARE EXPECTED TO BE TAKEN ON INCOME TAX RETURNS TO DETERMINE IF AN ACCRUAL IS NECESSARY FOR UNCERTAIN TAX POSITIONS. AS OF OCTOBER 31, 2016 AND 2015, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO. A THE INDUSTRIAL AUTHORITY OF THE CITY OF PEORIA ARIZONA 521767454 71284MCA5 2014-11-18 32958450 REFINANCING SENIOR LIVING PROJECT BONDS ISSUED 8/18/1999 0 0 0 A 533450 32958450 7496742 656000 24270352 5603548 1 0 0 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 X FURNITURE AND CAPITAL IMPROVEMENTS 1 50515 COST 0 0 0 0 PART I, COLUMN (B): PART I COLUMN B REPORTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH LIFE CARE SERVICES CORPORATION TO PROVIDE MANAGEMENT SERVICES RELATED TO THE OPERATION OF THE ORGANIZATION. THIS INCLUDES MANAGEMENT FEES, MARKETING FEES, AND REIMBURSEMENT OF THE COMPENSATION AND RELATED COSTS FOR SPECIFIED EMPLOYEES. EXECUTIVE DIRECTOR, JENNIFER NEALON, WHO REPRESENTS THE TOP MANAGEMENT AND TOP FINANCIAL OFFICIAL IS COMPENSATED BY THE MANAGEMENT COMPANY. THE EXECUTIVE DIRECTOR IS NO LONGER WITH THE ORGANIZATION. A REASONABLE EFFORT WAS MADE TO OBTAIN BASE COMPENSATION AND OTHER COMPENSATION. BASE COMPENSATION HAS BEEN ESTIMATED BY THE FEES PAID TO THE MANAGEMENT COMPANY FOR HER SERVICES WHICH TOTALED $209,646 FOR THE CALENDAR YEAR 2015. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WILL BE REVIEWED BY THE EXECUTIVE DIRECTOR, ACCOUNTING DIRECTOR AND BOARD PRESIDENT PRIOR TO THE RETURN BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ONLY THE MEMBERS OF THE BOARD OF DIRECTORS. ANY DIRECTOR WITH A CONFLICT IS ASKED TO RESIGN FROM THE BOARD OF DIRECTORS OR DISCONTINUE THE CONFLICT. THE ORGANIZATION ALSO HAS A CORPORATE COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, LINE 15: LIFE CARE SERVICES, THE MANAGEMENT COMPANY, CONSULTS WITH THE BOARD MEMBERS REGARDING PERFORMANCE OF THE EXECUTIVE DIRECTOR TO HELP DETERMINE COMPENSATION. LIFE CARE SERVICES DETERMINES COMPENSATION BASED ON COMPARATIVE DATA, YEARS OF EXPERIENCE AND PERFORMANCE. 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. FORM 990, PART VI, SECTION A, LINE 1A: THE EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT, VICE PRESIDENT, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE HAS AND CAN ACT ON BEHALF OF THE GOVERNING BODY IN AN EMERGENCY. SIERRA WINDS CHARITABLE FOUNDATION 17300 N 88TH AVE PL 2 PEORIA AZ 85382 860908834 SUPPORTING ORGANIZATION AZ 501(C)(3) LINE 11A, I ARIZONA RETIREMENT CENTERSINC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 SIERRA WINDS CHARITABLE FOUNDATION C 50515 COST