2014-11-12T13:42:27-06:00 2013-12-31 341884125 CBIZ MHM LLC 3101 N CENTRAL AVE STE 300 PHOENIX AZ 85012 990 2013-01-01 860265218 FRIENDSHIP RETIREMENT CORPORATION FRIE 6238473006 8611 NORTH 67TH AVENUE GLENDALE AZ 85302 SUSAN HORNBOSTEL SENIOR VP/CFO 6238473006 2014-11-06 1 AMY A O'LOUGHLIN P00869687 6022646835 2013 2015-11-30 17:44:51Z GLENCROFT JOHN N WENZLAU 8611 N 67TH AVE GLENDALE AZ 85302 19872787 0 X WWW.GLENCROFT.COM X 1970 AZ THE MISSION OF GLENCROFT IS TO PROVIDE A BROAD CONTINUUM OF HIGH QUALITY SENIOR SERVICES IN A... THE MISSION OF GLENCROFT IS TO PROVIDE A BROAD CONTINUUM OF HIGH QUALITY SENIOR SERVICES IN A MANNER THAT DEMONSTRATES CHRISTIAN LOVE AND COMPASSION. 8 8 532 500 0 0 265755 156428 18533419 18841970 181735 168496 0 267976 18980909 19434870 12600 20552 0 0 11305908 11734018 0 0 151880 7561317 8608893 18879825 20363463 101084 -928593 27718453 25821738 13659063 17117143 14059390 8704595 X THE MISSION OF GLENCROFT IS TO PROVIDE A BROAD CONTIUUM OF HIGH QUALITY SENIOR SERVICES IN A MANNER THAT DEMONSTRATES CHRISTIAN LOVE AND COMPASSION. 0 0 12555072 12467148 OUR 225-BED CARE CENTER, KNOWN AS PROVIDENCE PLACE, IS LOCATED NEAR THE ENTRY TO OUR CAMPUS. CERTIFIED TO ACCEPT BOTH MEDICARE AND MEDICAID (ALTCS), THE CARE CENTER CONSISTENTLY RECEIVES AN 'EXCELLENT' QUALITY RATING FROM THE DEPARTMENT OF HEALTH SERVICES AND ENJOYS A 5-STAR MEDICARE RATING. THE FOLLOWING CARE SERVICES ARE AVAILABLE: 24-HOUR SKILLED NURSING CARE; MEDICARE/SUBACUTE CARE UNIT; SHORT TERM, LONG TERM AND RESPITE CARE; COMFORT CARE; HOSPICE CARE IS AVAILABLE; RESTORATIVE NURSING; CONTRACTED WITH MOST MANAGED CARE INSURANCE PLANS; DAILY ACTIVITIES PROGRAM THAT INCLUDES OFF-CAMPUS TRIPS, COMPUTER FOR RESIDENT USE AND SOCIAL EVENTS AND ON-SITE CHAPLAINCY SERVICES AND VISITS. THE CARE CENTER PROVIDED SKILLED NURSING TO OVER 715 PEOPLE. 3447277 4221996 GLENCROFT OFFERS INDEPENDENT LIVING ARRANGEMENTS WITH COMFORTABLE ONE AND TWO BEDROOM APARTMENTS EQUIPPED WITH RANGES, REGRIGERATORS, WINDOW COVERINGS, FLOOR COVERINGS, DISPOSALS, EMERGENCY ALL SYSTEMS, SMOKE DETECTORS, SPRINKLER SYSTEMS AND FIRE ALARMS. EACH YEAR OVER 350 RESIDENTS ARE SERVED. 1283319 2000 2079508 GLENCROFT OFFERS ASSISTED LIVING IN THE VILLA COMPLEX CALLED THE MANORS AT GLENCROFT. WE ARE LICENSED BY THE STATE OF ARIZONA TO PROVIDE PERSONAL, SUPERVISORY, AND DIRECTOR CARE. YOU WILL FIND ROOMY ACCOMMODATIONS IN OUR STUDIO, ONE AND TWO BEDROOM APARTMENTS. RESIDENTS ARE ENCOURAGED TO PARTICIPATE IN DAILY ACTIVITIES. A COMPASSIONATE AND CARING STAFF PROVIDES THE SECURITY AND PRIVACY OF ASSISTANCE AROUND THE CLOCK. THE PROGRAM PROVIDES THREE MEALS PER DAY PLUS SNACKS, CAREGIVERS ON-SITE 24 HOURS PER DAY; ASSISTANCE WITH ACTIVITIES OF DAILY LIVING; MEDICATION SUPERVISION; WEEKLY GENERAL HOUSEKEEPING; WEEKLY INDIVIDUAL LAUNDRY SERVICES, PERSONAL EMERGENCY RESPONSE SYSTEM, APPROPRIATE ACTIVITES AND SOCIAL SERVICES, ALL UTILITIES EXCEPT TELEPHONE. PROVIDED ASSISTED LIVING SERVICES TO OVER 85 ELDERLY PEOPLE. 18552 18552 73318 FRC PROVIDED $18,552 OF ASSISTANCE TO FRIENDSHIP FOUNDATION, INC. WHICH WORKS TO RAISE THE AWARENESS OF ITS PROGRAMS, MINISTRY, AND SERVICE. THE ORGANIZATION PROVIDES MANAGEMENT SERVICES TO ITS RELATED ORGANIZATIONS: FRIENDSHIP FOUNDATION, GLENCROFT TOWERS I, SARAH'S PLACE AND COLTER COMMONS. 18552 18552 73318 17304220 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 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 23 0 1 532 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 0 1 0 0 AZ X SUSAN M HORNBOSTEL 6238473006 8611 N 67TH AVENUE GLENDALE AZ 85302 HAROLD C LOEWEN TREASURER 2.00 1.00 X X 0 0 0 STEVEN J GOOD DIRECTOR 1.00 1.00 X 0 0 0 ERIC T VINCENT DIRECTOR 1.00 1.00 X 0 0 0 MARY F TEMM CHAIR 2.00 1.00 X X 0 0 0 JOHN A SMITH SECRETARY 1.00 1.00 X X 0 0 0 KIMBERLEE K MILLICAN DIRECTOR 2.00 1.00 X 0 0 0 JAMES M BATDORF DIRECTOR 2.00 1.00 X 0 0 0 GRETCHEN L KREHBIEL DIRECTOR 1.00 1.00 X 0 0 0 DENISE M WASSENAAR VICE CHAIR 1.00 1.00 X X 0 0 0 STEVE R YODER DIRECTOR 1.00 1.00 X 0 0 0 DONNA M SIEMONS DIRECTOR 1.00 1.00 X 0 0 0 ARTURO MONTOYA DIRECTOR 1.00 1.00 X 0 0 0 MARK TELLIER DIRECTOR 2.00 1.00 X 0 0 0 F JAY SHETLER PRESIDENT AND CEO 40.00 10.00 X 173924 0 7475 SUSAN M HORNBOSTEL SENIOR VP AND CFO 40.00 10.00 X 104977 0 9367 HEIDI HOKANSON VP OF HUMAN RESOURCES 40.00 5.00 X 104272 0 6155 383173 0 22997 3 0 1 0 COVENANT ALLIANCE REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 THERAPY 583482 MORRISON MANAGEMENT SPECIALIST PO BOX 102289 ATLANTA GA 30368 DIETARY MANAGEMENT 525199 SODEXO SENIOR SERVICES 2300 CONTRA COSTA BLVD STE 275 PLEASANT HILL CA 94523 DIETARY MANAGEMENT 190880 ADDITIONAL OPTIONS 2842 E SHADY SPRING TRAIL PHOENIX AZ 85024 CONSTRUCTION 139252 ACE CONTRUCTION SERVICES 2020 W LONE CACTUS DR PHOENIX AZ 85027 CONSTRUCTION 105364 6 89176 67252 156428 NURSING SERVICES 623000 14664744 14664744 RENTAL INCOME 623000 1617334 1617334 SERVICE FEES 900099 1078864 1078864 ANCILLARY SERVICES 900099 923939 923939 EARNED ENTRANCE FEES 900099 483771 483771 73318 73318 18841970 76384 76384 528029 2000 437917 0 90112 2000 92112 92112 INSURANCE REIMB. 524126 267976 267976 267976 19434870 18841970 0 436472 20552 20552 295743 295743 9660478 8423084 1152722 84672 39482 32734 6139 609 998148 896593 98358 3197 740167 647792 86526 5849 308389 276860 30529 1000 106355 106355 64250 52250 12000 23501 23501 934549 690053 244496 29915 29915 297891 181845 104972 11074 167235 163710 3525 1251189 1250757 432 29692 20301 9334 57 23525 7283 15840 402 91490 91490 1608752 1474409 134343 400582 372031 28551 DIETARY SUPPLIES 1132394 945633 185601 1160 MEDICAL SUPPLIES 976437 976437 BAD DEBTS 548510 548510 SUPPLIES 233064 210666 17133 5265 381173 237190 120913 23070 20363463 17304220 2907363 151880 132946 423453 4492811 3742276 2697195 1870061 43571 36459 174012 193608 43420402 29339795 14482210 14080607 2291387 1244192 316643 634468 3087678 3596614 27718453 25821738 1655147 1691694 2554783 2053655 5780000 5780000 3669133 7591794 13659063 17117143 X 14059390 8704595 14059390 8704595 27718453 25821738 X -928593 127812 -4554014 X 0 1 X 1 0 X 299994 354464 299706 265755 156428 1376347 19488793 18898309 18961480 18533419 18841970 94723971 19788787 19252773 19261186 18799174 18998398 96100318 270994 104769 78363 185826 149798 789750 0 270994 104769 78363 185826 149798 789750 95310568 105158 90852 157423 97760 76384 527577 105158 90852 157423 97760 76384 527577 267976 267976 19893945 19343625 19418609 18896934 19342758 96895871 0.98360 0.98420 0.00540 0.00670 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: INSURANCE REIMB - 2013 AMOUNT: $ 267,976. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 99744 99744 37627083 24690854 12936229 5687478 4648941 1038537 6097 6097 14080607 DUE FROM AFFILIATES 132317 SECURITY DEPOSITS 53560 INTEREST RESERVE BONDS 119930 DEBT SERVICE RESERVE 1781230 REPLACEMENT RESERVE 1509577 3596614 SECURITY DEPOSITS 147977 REFUNDABLE ENTRANCE DEPOSITS 7393774 DUE TO AFFILIATES 50043 7591794 X 21935191 2950225 2950225 18984966 449904 449904 19434870 23699842 3557127 3557127 20142715 220748 220748 20363463 PART X, LINE 2: THE COMPANY EVALUATES ITS UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF ITS POLICIES AND PROCEDURES, REVIEW OF ITS REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. AS OF DECEMBER 31, 2013 AND 2012, MANAGEMENT DOES NOT BELIEVE ANY UNCERTAIN TAX POSITIONS EXIST. PART XI, LINE 2D - OTHER ADJUSTMENTS: GLENCROFT TOWERS REVENUES: 2,876,035. FRIENDSHIP FOUNDATION REVENUES: 287,113. SARAH'S PLACE REVENUES: 783,595. COLTER COMMONS REVENUES: 305,942. INTERCOMPANY ELIMINATIONS: -1,302,460. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES: 23,501. GLENCROFT NURSING HOME NON-OPERATING GAINS: 323,919. GLENCROFT VILLA NON-OPERATING GAINS: 8,560. FRIENDSHIP RETIREMENT CORPORATION NON-OPERATING GAINS: 93,924. PART XII, LINE 2D - OTHER ADJUSTMENTS: GLENCROFT TOWERS EXPENSES: 3,291,991. FRIENDSHIP FOUNDATION EXPENSES: 235,660. SARAH'S PLACE EXPENSES: 1,051,028. COLTER COMMONS EXPENSES: 395,282. INTERCOMPANY ELIMINATIONS: -1,416,834. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 23,501. GLENCROFT NURSING HOME NON-OPERATING LOSSES: 197,247. 0 FRIENDSHIP FOUNDATION INC 8611 NORTH 67TH AVENUE GLENDALE AZ 85302 860501985 501(C)(3) 18552 SUPPORT 1 PART I, LINE 2: GRANTS WERE MADE TO CONTROLLED ENTITY FOR SPECIFIED PURPOSES. NO ONGOING MONITORING OF THE GRANT FUNDS IS DEEMED NECESSARY. X X 0 0 0 0 0 0 0 0 0 F JAY SHETLER PRESIDENT AND CEO 173924 0 0 0 0 0 0 0 7475 0 181399 0 0 0 SUSAN HORNBOSTEL COMMON OFFICER THERAPY SVS 0 F JAY SHETLER COMMON OFFICER INSURANCE 0 FORM 990, SCHEDULE L, PART IV F. JAY SHETLER, PRESIDENT AND CEO, AND SUSAN HORNBOSTEL, SENIOR VICE PRESIDENT AND CFO, ARE OFFICERS OF FRIENDSHIP RETIREMENT CORPORATION.F. JAY SHETLER IS ALSO ON THE BOARD OF CARING COMMUNITIES, A RECIPROCALRISK RETENTION GROUP. THE TOTAL AMOUNT OF LIABILITY INSURANCE PURCHASED BY GLENCROFT THROUGH CARING COMMUNITIES WAS $358,521. SUSAN HORNBOSTEL IS ALSO ON THE BOARD OF COVENANT ALLIANCE REHABILITATION. THE TOTAL AMOUNT OF THERAPY SERVICES PURCHASED BY GLENCROFT THROUGH COVENANT ALLIANCE REHABILITATION WAS $639,947. FORM 990, PART VI, SECTION A, LINE 7B NEW BOARD MEMBERS, NOMINATED BY THE FRIENDSHIP RETIREMENT CORPORATION BOARD OF DIRECTORS, MUST BE APPROVED BY MENNONITE ALLIANCE HEALTH SERVICES (MHS). MHS APPROVES THE APPOINTMENT OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND IS REVIEWED BY THE CEO, CFO, AND FINANCE COMMITTEE. THE FINAL DRAFT OF THE 990 IS SENT ELECTRONICALLY TO ALL BOARD MEMBERS PRIOR TO BEING FILED WITH THE IRS. BOARD MEMBER HAVE A COMMENT PERIOD IN WHICH TO RESPOND WITH QUESTIONS OR CHANGES. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THE BOARD CHAIR AND THE CEO DETERMINE IF THERE IS A CONFLICT OF INTEREST BASED ON CONFLICT OF INTEREST POLICY QUESTIONNAIRES GIVEN TO EACH BOARD MEMBER AT THE START OF THE BOARD YEAR. WHEN A CONFLICT ARISES, THAT PERSON IS RECUSED AND MAY BE ASKED TO LEAVE THE ROOM DURING THE DELIBERATIONS OF THE ISSUE. IT IS NOTED IN THE MINUTES WHEN A BOARD MEMBER HAS A CONFLICT AND HAS ABSTAINED FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15A SALARY SURVEYS OR INFORMATION FROM LEADINGAGE ARIZONA, LEADINGAGE, AND MENNONITE HEALTH SERVICES ARE ALL USED TO DETERMINE THE COMPENSATION OF THE CEO. GOALS ARE MUTUALLY DETERMINED AND A BONUS IS BASED ON ACCOMPLISHING THE GOALS OVER THE NEXT YEAR. THE PRESIDENT/CEO WAS LAST EVALUATED BY THE BOARD OF DIRECTORS ON MAY 1, 2012. FORM 990, PART VI, SECTION C, LINE 19 ANNUAL AUDITED STATEMENTS ARE AVAILABLE IN THE GLENCROFT LIBRARY FOR REVIEW OR UPON REQUEST FROM THE CORPORATE OFFICE. ARTICLES OF INCORPORATION AND BYLAWS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE. CURRENTLY THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: PRIOR YEAR CHANGE IN ACCOUNTING PRINCIPLE -4,554,014. FRIENDSHIP FOUNDATION INC 8611 N 67TH AVENUE GLENDALE AZ 85302 860501985 FUNDRAISING AZ 501(C)3 LINE 9 N/A 0 GLENCROFT TOWERS I INC 8611 N 67TH AVENUE GLENDALE AZ 85302 860861606 LOW INCOME HOUSING AZ 501(C)3 LINE 9 FRC 1 MENNONITE HEALTH SERVICES ALLIANCE 234 SOUTH MAIN STREET SUITE 1 GOSHEN IN 46526 231421919 CONSULTANT PA 501(C)3 LINE 9 N/A 0 SARAH'S PLACE INC 8611 N 67TH AVENUE GLENDALE AZ 85302 364654886 ASSISTED LIVING AZ 501(C)3 LINE 9 FRC 1 COLTER COMMONS 8611 N 67TH AVENUE GLENDALE AZ 85302 364662674 LOW INCOME HOUSING AZ 501(C)3 LINE 9 FRC 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 FRIENDSHIP FOUNDATION INC C 89176 FMV GLENCROFT TOWERS I INC P 585680 FMV GLENCROFT TOWERS I INC Q 467418 FMV