2012-11-14T09:58:09-06:00 2011-12-31 450250958 EIDE BAILLY LLP 1850 N CENTRAL AVE SUITE 400 PHOENIX AZ 850044527 990 2011-01-01 860962052 CHRISTIAN CARE TUCSON INC CHRI 6029431800 2002 W SUNNYSIDE DRIVE PHOENIX AZ 85029 JOHN S NORRIS 6029431800 2012-11-12 1 BRENDA BLUNT P00075126 6022645844 2012-11-12 2011 2016-02-24 21:20:13Z FELLOWSHIP SQUARE - TUCSON JOHN S NORRIS 2002 W SUNNYSIDE DRIVE PHOENIX AZ 85029 9932980 0 X WWW.FELLOWSHIPSQUARETUCSON.ORG X 1999 AZ PROVIDING QUALITY AFFORDABLE RESIDENTIAL LIVING FOR SENIORS. 15 15 0 2779 0 0 26865 17880 9432749 9899887 3435 -3785 13331 14898 9476380 9928880 0 0 0 0 3264533 3513010 0 0 0 6137398 6257086 9401931 9770096 74449 158784 24259616 23782148 31011650 30375398 -6752034 -6593250 X MOTIVATED BY CHRISTIAN LOVE AND CONCERN, WE STRIVE TO PROVIDE QUALITY AND RESPONSIVE SENIOR HOUSING, HOSPITALITY AND HEALTHCARE SERVICES. 0 0 8228391 9899887 CHRISTIAN CARE TUCSON, INC. DBA FELLOWSHIP SQUARE TUCSON PROVIDES QUALITY, RESPONSIVE, AFFORDABLE SENIOR HOUSING AND HOSPITALITY SERVICES. FELLOWSHIP SQUARE CONSISTS OF 612 STUDIO, 1-BEDROOM, AND 2-BEDROOM SUITES LOCATED ON A 19 ACRE, PROFESSIONALLY LANDSCAPED CAMPUS. FIFTY-TWO OF THE 612 UNITS ARE LICENSED FOR ASSISTED LIVING. OUR RESIDENTS ENJOY AT LEAST 15 MEALS PER MONTH, SEMI-MONTHLY HOUSEKEEPING, 24-HOUR SECURITY, AND PRIVATE BUS TRANSPORTATION TO GROCERY AND OTHER SHOPPING, MEDICAL APPOINTMENTS, RESTAURANTS AND OTHER VENUES AROUND TOWN. FELLOWSHIP SQUARE HAS FITNESS CENTERS IN EACH VILLA AND A WELLNESS PROGRAM WITH A PERSONAL TRAINER. WE HAVE A FULLY EQUIPPED COMPUTER LAB AND STOCKED LIBRARY. FELLOWSHIP SQUARE HAS AN ACTIVITY PROGRAM WITH A VARIETY OF EVENTS ON CAMPUS AND (CONTINUED ON SCH O) ENRICHING ACTIVITIES OFF-CAMPUS TO PROVIDE RESIDENTS WITH FELLOWSHIP AND FUN! 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 THE RELATED CHRISTIAN CARE COMPANIES. THE CHRISTIAN CARE COMPANIES ARE COMPRISED OF NON-PROFIT CORPORATIONS CONTROLLED BY THE NON-DENOMINATIONAL CHRISTIAN CHURCHES OF ARIZONA. GOVERNED BY A COMMON BOARD OF DIRECTORS, RELATED ENTITIES INCLUDE: CHRISTIAN CARE RETIREMENT APARTMENTS, INC., CHRISTIAN CARE ASSISTED LIVING (PHOENIX), INC., CHRISTIAN CARE MESA, INC.; CHRISTIAN CARE MESA II, INC., CHRISTIAN CARE NURSING CENTER, INC., CHRISTIAN CARE MANOR I, INC., CHRISTIAN CARE MANOR II, INC., CHRISTIAN CARE MANOR III, INC., CHRISTIAN HOUSING MESA, INC., CHRISTIAN CARE MESA III, INC., CHRISTIAN HOUSING COTTONWOOD, INC. CHRISTIAN CARE COTTONWOOD, INC., CHRISTIAN CARE COTTONWOOD III, INC., CHRISTIAN CARE COTTONWOOD IV, INC., CHRISTIAN CARE COTTONWOOD V, INC., CHRISTIAN CARE COTTONWOOD VI, INC., CHRISTIAN CARE COTTONWOOD VII, INC., CHRISTIAN CARE COTTONWOOD VIII, INC., CHRISTIAN CARE CALIFORNIA, INC., CHRISTIAN CARE FOUNDATION, CHRISTIAN CARE MANAGEMENT, INC., CHRISTIAN CARE MANAGEMENT II, INC. AND CHRISTIAN CARE HOLDING COMPANY, INC.AT DECEMBER 31, 2011, THE CHRISTIAN CARE COMPANIES OWN AND OPERATE 1,628 UNITS OF MIDDLE-INCOME, MARKET-RATE INDEPENDENT AND ASSISTED LIVING FOR SENIORS ON FOUR CAMPUSES, 338 UNITS OF SUBSIDIZED HOUSING, AND A 68-BED HEALTH CENTER. IN ADDITION, WE PROVIDE ASSISTED LIVING SERVICES TO UP TO 91 RESIDENTS OF OUR SUBSIDIZED HOUSING.BENEFITS OF BEING PART OF A CHRISTIAN CARE CAMPUS 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.CHRISTIAN CARE MANAGEMENT, INC., PROVIDES STRATEGIC DIRECTION, DEVELOPMENT, HUMAN RESOURCES, ACCOUNTING, PAYROLL, BUDGETARY, INFORMATION TECHNOLOGY AND CORPORATE MANAGEMENT SUPPORT. CHRISTIAN CARE HOLDING COMPANY, INC. PROVIDES FINANCIAL ASSETS TO MEET LIQUIDITY NEEDS, MAINTAINS BANK LINES OF CREDIT, AND SPONSORS SOME OF THE RELATED ORGANIZATIONS. CHRISTIAN CARE FOUNDATION CREATES A POSITIVE AWARENESS AND RAISES FUNDS TO SUPPORT AND EXPAND THE CHRISTIAN CARE MISSION AND ENTITIES. 8228391 1 1 0 0 0 0 0 0 1 0 1 0 0 0 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 X 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X DAVID KLEMM 6024435451 2002 W SUNNYSIDE DRIVE PHOENIX AZ 85029 X LARRY D DAILY 1.00 X 0 0 0 JAY MIHALEK 1.00 X 0 0 0 CHRISTINE GUERIN 1.00 X 0 0 0 SHARON JOHNSON-SHANNON 1.00 X 0 0 0 EARL KRUEGER 1.00 X 0 0 0 ROGER BLUMENTHAL 1.00 X 0 0 0 FRANK SUNG 1.00 X 0 0 0 MARILYN METZGER 1.00 X 0 0 0 CONNIE ROSS 1.00 X 0 0 0 JACK MARTIN 1.00 X X 0 0 0 THOMAS HARTZLER 1.00 X X 0 0 0 JOHN MCKINDLES 1.00 X X 0 0 0 DONALD DEWITT 1.00 X X 0 0 0 GEOFFREY LEWIS 1.00 X X 0 0 0 BARBARA CARR 1.00 X X 0 0 0 JOHN S NORRIS 2.00 X 0 184207 92575 DAVID KLEMM 3.00 X 0 120792 42406 EDWARD JOHNSON 3.00 X 0 120820 10232 GEORGE ORTEGA 40.00 X 0 110686 14080 0 536505 159293 0 0 1 0 CHRISTIAN CARE MANAGEMENT INC PO BOX 83210 PHOENIX AZ 85071 MANAGEMENT FEE 496991 LANDTAMERS LANDSCAPING LLC PO BOX 18095 TUCSON AZ 85731 LANDSCAPING SERVICES 110448 2 17880 17880 RENTAL AND SERVICE INC 623000 9899887 9899887 9899887 315 315 14898 0 14898 14898 14898 4100 -4100 -4100 -4100 9928880 9899887 0 11113 2976277 2694511 281766 15351 12587 2764 285011 264130 20881 236371 215939 20432 496991 496991 12000 12000 651 651 75336 74902 434 154831 14335 140496 60418 10760 49658 2405772 1937346 468426 9538 5387 4151 108994 94463 14531 1195196 1195196 926424 926424 FOOD LAUNDRY DIETARY 620170 619797 373 SUPPLIES 126995 126995 MISCELLANEOUS PERSONNEL 31626 20008 11618 REPAIRS & MAINTENANCE 11106 11106 21038 3854 17184 9770096 8228391 1541705 0 5914 20406 219586 347554 19511 26315 12033 9208 219822 45115 29679864 8124615 22012851 21555249 710449 722946 1059450 1055355 24259616 23782148 690838 687816 128389 99980 27496838 26774400 245460 222040 48587 33801 2401538 2557361 31011650 30375398 X -6752034 -6593250 -6752034 -6593250 24259616 23782148 158784 0 X 0 1 1 X 0 X 30756 10882 7456 26865 17880 93839 8143522 8226197 8508227 9432749 9899887 44210582 8174278 8237079 8515683 9459614 9917767 44304421 0 0 0 44304421 172494 88756 -11133 17176 15213 282506 172494 88756 -11133 17176 15213 282506 8346772 8325835 8504550 9476790 9932980 44586927 0.99370 0.99100 0.00630 0.00900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 3717550 3717550 23451710 6359835 17091875 274130 69318 204812 1854906 1396585 458321 381568 298877 82691 21555249 DUE TO AFFILIATES 2557361 2557361 9928880 9770096 158784 158784 9932980 0 9932980 -4100 -4100 9928880 9774196 4100 4100 9770096 0 9770096 PART IV, LINE 2B: THE ORGANIZATION HOLDS DEPOSITS IN TRUST FOR ITS RESIDENTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 DECEMBER 31, 2011 AND 2010, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSET -4,100. PART XIII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSET 4,100. 0 0 0 0 0 0 0 0 0 JOHN S NORRIS 0 171082 0 315 0 12810 0 3625 0 88950 0 276782 0 0 DAVID KLEMM 0 108562 0 210 0 12020 0 2162 0 40245 0 163199 0 0 SUPPLEMENTAL INFORMATION PART III 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 MINISTERS, PART OF THE COMPENSATION PAID TO JOHN NORRIS AND DAVID KLEMM 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. THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF PIMA 860445981 721901JB3 2006-12-18 19975000 ACQUIRING A MULTIFAMILY RENTAL HOUSING PROJECT FOR CONVERSION TO SR. LIVING 0 0 0 THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF PIMA 860445981 721901JA5 2006-12-18 2260000 ACQUIRING A MULTIFAMILY RENTAL HOUSING PROJECT FOR CONVERSION TO SR. LIVING 0 0 0 THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF PIMA 860445981 721904HZ2 2006-12-18 1675000 ACQUIRING A MULTIFAMILY RENTAL HOUSING PROJECT FOR CONVERSION TO SR. LIVING 0 0 0 THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF PIMA 860445981 721901HY5 2006-12-18 4600000 ACQUIRING A MULTIFAMILY RENTAL HOUSING PROJECT FOR CONVERSION TO SR. LIVING 0 0 0 20988352 257435 18495978 541101 1853278 2006 0 1 1 1 2387896 29127 2104333 61562 210852 2006 0 1 1 1 1759503 21587 1550561 45362 155365 2006 0 1 1 1 4835820 724273 4261565 124673 427005 2006 0 1 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 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 TUCSON, INC. FORM 990, PART VI, SECTION A, LINE 3 THE CEO, CFO, HUMAN RESOURCE OFFICER AND ADMINISTRATOR 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 6 THE MEMBERSHIP OF THE CORPORATION IS COMPOSED OF AND LIMITED TO THE INDEPENDENT CHRISTIAN CHURCHES OF ARIZONA. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION MAY NOT SELL OR OTHERWISE DISPOSE OF MORE THAN $200,000 OF REAL PROPERTY OVER THE OBJECTION OF 51% OR MORE OF THE MEMBERS EXCEPT IN THE ORDINARY COURSE OF BUSINESS AND ON SUCH TERMS AND CONDITIONS AS ARE CONSISTENT WITH THE BEST INTEREST AND PURPOSES OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 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, HIGHEST COMPENSATED INDEPENDENT CONTRACTORS AND ANY OTHER PERSON WITH SUBSTANTIAL INFLUENCE ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. 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 EXCUSE THEMSELVES FROM DISCUSSION OF THE ISSUE AND THE VOTING PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO IS NOT COMPENSATED BY CHRISTIAN CARE TUCSON, INC. THE CEO IS COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR HIS SERVICES PROVIDED TO ALL RELATED CHRISTIAN CARE COMPANIES. THE COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEY AND STUDY. THE CEO'S COMPENSATION IS REVIEWED BY THE PERSONNEL COMMITTEE AND RATIFIED BY THE INDEPENDENT GOVERNING BOARD. THE COMPENSATION ARRANGEMENT IS DOCUMENTED IN A WRITTEN EMPLOYMENT CONTRACT. THIS DOCUMENTATION IS PREPARED IN JANUARY OF EACH YEAR. THE CFO AND HUMAN RESOURCE OFFICER ARE NOT COMPENSATED BY CHRISTIAN CARE TUCSON, INC. THEY ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR SERVICES TO MULTIPLE CHRISTIAN CARE RELATED ENTITIES. THEIR COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS AND STUDY. 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. FORM 990, PART VII: THE CEO AND CFO AND HUMAN RESOURCE OFFICER ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR THEIR SERVICES PROVIDED TO CHRISTIAN CARE TUCSON, INC. AND ALL 20 OTHER RELATED CHRISTIAN CARE COMPANIES. THE CEO SERVES EACH RELATED ORGANIZATION AN AVERAGE OF 2 HOURS PER WEEK. THE CFO AND HUMAN RESOURCE OFFICER SERVES EACH RELATED ORGANIZATION AN AVERAGE OF 3 HOURS PER WEEK. THE ADMINISTRATOR IS COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR HIS SERVICES PROVIDED TO CHRISTIAN CARE TUCSON, INC., SERVING AN AVERAGE OF 40 HOURS PER WEEK. THE GOVERNING BOARD MEETS TEN TIMES ANNUALLY ON BEHALF OF ALL CHRISTIAN CARE COMPANIES DEVOTING AN AVERAGE OF ONE HOUR PER WEEK. 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