2023-11-15T18:02:29-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 20 E THOMAS RD STE 2300 PHOENIX AZ 85012 990 2022-01-01 860682800 LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX INC LIFE 6239333333 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 NATHAN MERRILL CFO 7194815481 2023-11-15 1 NATHAN MERRILL 999009999 1 CHAD D KUNZE CPA P00639380 6022662248 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NATHAN MERRILL 15475 GLENEAGLE DRIVE COLORADO SPRINGS CO 80921 2035127 0 X WWWW.LIFESTREAMLIVING.COM X 1993 AZ SERVING SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITY 8 8 16 10 0 0 20565 5263 1786422 2024556 -4735 -2989 8925 5308 1811177 2032138 0 0 0 0 753256 539120 0 0 0 1359568 1552192 2112824 2091312 -301647 -59174 5535208 5366064 5331543 5221573 203665 144491 OUR MISSION IS TO SERVE SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITY. 0 0 1811220 0 2024556 LIFESTREAM AT THUNDERBIRD OPERATES A 77-APARTMENT RETIREMENT COMMUNITY IN PHOENIX, ARIZONA. THE CAMPUS INCLUDES 77 APARTMENTS OF INDEPENDENT LIVING. AN AVERAGE OF 75 INDEPENDENT RESIDENTS LIVED WITH US IN 2022. SERVICES INCLUDE TRANSPORTATION, ACTIVITIES PROGRAMS, HOUSEKEEPING AND LAUNDRY, MEALS IN A DINING ROOM, SPIRITUAL CARE VIA A CHAPLAIN, AND OTHER SERVICES TO OUR RESIDENTS. 1811220 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 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 1 9 0 16 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X NATHAN MERRILL 7194815481 15475 GLENEAGLE DRIVE COLORADO SPRINGS CO 80921 DARWYN HARP BOARD MEMBER THRU 3/22 0.20 0.80 X 0 0 0 DICK DICKSON CHAIRMAN - THRU 3/22 0.20 0.80 X 0 0 0 JODI SHEAHAN VICE CHAIR - THRU 3/22 0.20 0.80 X 0 0 0 KENNETH KORTMAN BOARD MEMBER THRU 3/22 0.20 0.80 X 0 0 0 TAMI WISELY BOARD MEMBER THRU 3/22 0.20 0.80 X 0 0 0 JENNY KENNEDY BOARD MEMBER 0.40 3.60 X 0 0 0 DANA RASIC BOARD CHAIR / CEO 2.00 53.00 X X 0 0 0 NATHAN MERRILL TREASURER / CFO 2.00 53.00 X X 0 0 0 DAN VAGLE BOARD MEMBER 0.40 3.60 X 0 0 0 RICK SUMMERS BOARD MEMBER / COO 2.00 53.00 X X 0 0 0 DALE TURNER BOARD MEMBER 0.40 3.60 X 0 0 0 DON MORGAN BOARD MEMBER 0.40 3.60 X 0 0 0 LARRY SMITH BOARD MEMBER 0.40 3.60 X 0 0 0 DONNA TAYLOR END 622 EXECUTIVE VICE PRESIDENT/COO 6.00 34.00 X 0 340536 10591 RONALD E ESTES END 322 PRESIDENT/CEO/CFO 6.00 34.00 X 0 358240 9412 JULIE A HOFFMAN CONTROLLER 0.00 40.00 X 0 118835 5084 LISA D SISCO EXECUTIVE DIRECTOR NORTH PHOENIX 40.00 0.00 X 0 103101 19388 0 920712 44475 0 0 1 0 0 5263 5263 SENIOR HOUSING 623990 1916244 1916244 LIFE TENANCY REVENUE 623990 108312 108312 2024556 2989 -2989 -2989 -2989 MISC. REVENUES 812900 3783 3783 BEAUTY/BARBER SERVICES 812900 1462 1462 EMPLOYEE/GUEST MEALS 812900 63 63 5308 2032138 2024556 0 2319 X 434362 434362 72330 72330 32428 32428 117904 117904 306667 306667 21399 21399 51583 51583 24748 24748 267126 267126 3046 3046 3092 3092 198649 198649 323098 323098 54566 54566 RESIDENT SERVICES / FOO 111125 111125 MAINTENANCE AND REPAIRS 62074 62074 DUES AND SUBSCRIPTIONS 6800 6800 MISCELLANEOUS 290 290 25 25 2091312 1811220 280092 0 250 1000 329631 245953 1620 245 2362 12423574 7307070 5203707 5116504 5535208 5366064 92975 95091 353680 252698 3206588 3206588 343071 239005 1335229 1428191 5331543 5221573 X 203665 144491 203665 144491 5535208 5366064 -59174 0 X X 0 1 X 1 0 X 2888 4261 2953 20565 5263 35930 2601423 2663230 2313515 1786422 2024556 11389146 2604311 2667491 2316468 1806987 2029819 11425076 0 0 0 11425076 127 119 68 1 0 315 127 119 68 1 315 27390 29377 15575 8925 5308 86575 2631828 2696987 2332111 1815913 2035127 11511966 0.99250 0.99080 0.00000 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ALL OTHER MISC - 2018 AMOUNT: $ 10,106. 2019 AMOUNT: $ 16,169. 2020 AMOUNT: $ 12,043. 2021 AMOUNT: $ 6,804. 2022 AMOUNT: $ 3,783. BEAUTY/BARBER - 2018 AMOUNT: $ 10,650. 2019 AMOUNT: $ 8,865. 2020 AMOUNT: $ 2,349. 2021 AMOUNT: $ 1,471. 2022 AMOUNT: $ 1,462. HOUSEKEEPING/LAUNDRY - 2018 AMOUNT: $ 3,052. OTHER RESIDENT SERVICES - 2018 AMOUNT: $ 3,582. 2019 AMOUNT: $ 4,343. 2020 AMOUNT: $ 1,183. 2021 AMOUNT: $ 650. 2022 AMOUNT: $ 63. 603284 603284 10972114 6752194 4219920 848176 554876 293300 5116504 SECURITY DEPOSITS 73915 REFUNDABLE LIFE TENANCY CONTRACTS 305550 DUE TO AFFILIATES 1048726 1428191 X PART X, LINE 2: THE ORGANIZATION APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. 0 0 0 0 0 0 0 0 0 RONALD E ESTES END 322 PRESIDENT/CEO/CFO 0 127327 0 0 0 230913 0 404 0 9008 0 367652 0 0 DONNA TAYLOR END 622 EXECUTIVE VICE PRESIDENT/COO 0 69962 0 0 0 270574 0 0 0 10591 0 351127 0 0 SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT & CEO. THE RELATED ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. A IDA OF THE CITY OF PEORIA AZ 521767454 F1284MBG3 2012-12-20 3198828 REFUNDED PRIOR ISSUE DATED 11/20/03 0 0 0 A 3198828 172643 63976 2962208 2013 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: IDA OF THE CITY OF PEORIA, AZ DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2022 FORM 990, PART VI, SECTION A, LINE 4 LIFESTREAM COMPLETE SENIOR LIVING, INC. AND ITS AFFILIATED ORGANIZATIONS, LIFESTREAM COMPLETE SENIOR LIVING AT SUN RIDGE, INC., LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD, INC., AND LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC. (COLLECTIVELY LIFESTREAM), ENTERED INTO A TRANSITION AGREEMENT WITH BETHESDA FOUNDATION DBA BETHESDA SENIOR LIVING COMMUNITIES (BETHESDA) ON DECEMBER 15, 2021, THAT PROVIDED FOR BETHESDA, SUBJECT TO THE COMPLETION OF THE DUE DILIGENCE, TO ACQUIRE GOVERNANCE CONTROL OF LIFESTREAM ON APRIL 1, 2022. THE GOVERNANCE CONTROL WAS EFFECTED THROUGH ACTION BY LIFESTREAM'S BOARD OF DIRECTORS ON MARCH 17, 2022. BETHESDA BOARD MEMBERS WERE ELECTED TO SERVE AS LIFESTREAM BOARD MEMBERS EFFECTIVE APRIL 1, 2022, AND LIFESTREAM'S EXISTING BOARD MEMBERS TENDERED THEIR RESIGNATION EFFECTIVE MARCH 31, 2022. THIS TRANSACTION AND AGREEMENT DID NOT IMPACT LIFESTREAM'S CORPORATE STRUCTURE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS LIFESTREAM COMPLETE SENIOR LIVING, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER ELECTS THE BOARD OF DIRECTORS OF LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC. FORM 990, PART VI, SECTION B, LINE 11B TAX RETURNS ARE PROVIDED TO THE BOARD MEMBERS PRIOR TO THE FILING OF THE RETURN. BOARD MEMBERS ARE AFFORDED THE OPPORTUNITY TO PROPOSE APPROPRIATE CHANGES TO THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND FORMS ARE DISTRIBUTED AND DISCUSSED AT THE ANNUAL MEETING OF THE BOARD. EACH BOARD DIRECTOR, COMMITTEE MEMBER AND OFFICER WITH BOARD DELEGATED POWERS WHETHER THEY BE DIRECT OR INDIRECT MUST READ AND SIGN INDICATING TO HAVE READ AND UNDERSTOOD THE CONFLICT POLICY AND AGREE TO COMPLY. EACH PERSON, ACCORDING TO THE POLICY, HAS THE DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST BY DISCLOSING THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. THE MINUTES OF THE BOARD AND ALL COMMITTEE WITH BOARD-DELEGATED POWERS SHALL CONTAIN - THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. 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 IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 305,434. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 305,434. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,233. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,233. FORM 990, PAGE 12, PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. LIFESTREAM COMPLETE SENIOR LIVING INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 237458267 SKILLED NURSING AZ 501(C)(3) LINE 10 BETHESDA SENIOR LIVING COMMUNITIES 0 LIFESTREAM COMPLETE SENIOR LIVING AT SUN RIDGE INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 860712529 SKILLED NURSING AZ 501(C)(3) LINE 10 LIFESTREAM COMPLETE SENIOR LIVING INC 0 LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 860739097 SENIOR APTS AZ 501(C)(3) LINE 10 LIFESTREAM COMPLETE SENIOR LIVING INC 0 BETHESDA SENIOR LIVING COMMUNITIES 15475 GLENEAGLE DRIVE COLORADO SPRINGS CO 80921 470497753 DEVELOPMENT AND OPERATIONS CO 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0