2025-08-15T12:15:31-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-04-01 272027950 HAVERLAND CARTER LIFESTYLE GROUP HAVE 5052966700 10501 LAGRIMA DE ORO NE ALBUQUERQUE NM 871113737 DOUG WILSON BOARD CHAIR 5052966700 2025-08-13 1 1 KURT BENNION CPA P01469618 4252506100 2025-08-12 2024 2025-03-06 01:10:19Z X DOUG WILSON 10501 LAGRIMA DE ORO NE ALBUQUERQUE NM 871113737 4322411 0 X WWW.RETIRMENT.ORG X 2010 NM HAVERLAND CARTER LIFESTYLE GROUP, AS AN EXPRESSION OF CHRISTIAN MISSION, ENHANCES THE WELL-BEING AND QUALITY OF LIFE FOR OLDER PERSONS THROUGH PREMIER MANAGEMENT SERVICES WITH COMPETENCY, COMPASSION, AND ETHICAL BEHAVIOR. 3 3 0 3 28711 14578 5350 1000 10114700 4197163 149506 94500 120 24457 10269676 4317120 0 0 0 0 5896400 3006176 0 0 0 10255231 5982514 16151631 8988690 -5881955 -4671570 44507484 43820595 73406116 57259741 -28898632 -13439146 HAVERLAND CARTER LIFESTYLE GROUP, AS AN EXPRESSION OF CHRISTIAN MISSION, ENHANCES THE WELL-BEING AND QUALITY OF LIFE FOR OLDER PERSONS THROUGH PREMIER MANAGEMENT SERVICES WITH COMPETENCY, COMPASSION, AND ETHICAL BEHAVIOR. 0 0 5488622 0 4106230 ENHANCEMENT OF THE WELL-BEING AND QUALITY OF LIFE FOR OLDER PERSONS THROUGH PREMIER MANAGEMENT SERVICES WITH COMPETENCY, COMPASSION, AND ETHICAL BEHAVIOR. 5488622 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 NM X KATRINA BYWATER 5416463300 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 X MARIE TRIGG CHAIR (THROUGH APRIL 2024) 1.00 2.00 X X 0 0 0 DOUG WILSON CHAIR 1.00 1.00 X X 0 0 0 DAN SHAPIRO VICE-CHAIR (THROUGH APRIL 2024) 1.00 0.00 X X 0 0 0 TERRY SHIRROD VICE-CHAIR 1.00 2.00 X X 0 0 0 EDWARD LICON SECRETARY TREASURER (THROUGH APRIL 2024) 1.00 0.00 X X 0 0 0 DON HOSSINK SECRETARY 1.00 1.00 X X 0 0 0 WALT ARNOLD MEMBER (THROUGH APRIL 2024) 1.00 0.00 X 0 0 0 RENEE ENNIS MEMBER (THROUGH APRIL 2024) 1.00 0.00 X 0 0 0 MARCIA LUBAR MEMBER (THROUGH APRIL 2024) 1.00 0.00 X 0 0 0 REGNER RIDER MEMBER (THROUGH APRIL 2024) 1.00 0.00 X 0 0 0 ALISON SCHULER MEMBER (THROUGH APRIL 2024) 1.00 0.00 X 0 0 0 JESSICA TURNLEY MEMBER (THROUGH APRIL 2024) 1.00 0.00 X 0 0 0 E DEANN EATON CEO 40.00 0.00 X 0 0 0 ANGIE JULIAN CFO 40.00 0.00 X 0 0 0 0 0 0 0 1000 1000 HEALTHCARE SERVICES 623000 4060619 4060619 PROPERTY LEASE 531120 129257 45611 28711 54935 ANCILLARY REVENUES 623000 7287 7287 4197163 7005 7005 92786 92786 5291 -5291 -5291 -5291 MISCELLANEOUSE INCOME 900099 24457 24457 24457 4317120 4106230 28711 181179 2355778 1291379 1064399 36819 20183 16636 412555 226152 186403 201024 110196 90828 305471 165871 139600 4235 2300 1935 830077 450733 379344 43286 23504 19782 129393 82578 46815 89476 10009 79467 174971 23646 151325 100249 11214 89035 1898 212 1686 1786093 1786093 1085119 1085119 126984 14204 112780 BAD DEBT EXPENSES 769261 86049 683212 DIETARY 210395 23535 186860 MISCELLANEOUS EXPENSES 86808 9710 77098 MEDICAL SUPPLIES 74519 47558 26961 164279 18377 145902 8988690 5488622 3500068 0 622687 266434 3912502 3967824 1123483 548165 55257 141009 27769089 808534 35656264 26960555 1418608 10038136 1718683 1898472 44507484 43820595 3767474 6605638 44496133 27617252 3202798 21939711 23036851 73406116 57259741 X -28898632 -13439146 -28898632 -13439146 44507484 43820595 X -4671570 24004 26107052 -6000000 X 0 0 0 X 1173004 2411 1968265 5350 1000 3150030 8508970 8256910 9269748 9948040 4106230 40089898 7287 7287 9681974 8259321 11238013 9953390 4114517 43247215 0 0 0 43247215 105588 324890 134414 251370 154726 970988 35626 41109 35820 22427 28711 163693 141214 365999 170234 273797 183437 1134681 539 120 24457 25116 9823727 8625320 11408247 10227307 4322411 44407012 0.97390 0.97410 0.02560 0.02580 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME SCHEDULE A, PART III, COLUMN E: THE ORGANIZATION CHANGED ITS ACCOUNTING PERIOD AND THIS RETURN COVERS A SHORT YEAR FROM APRIL, 1, 2024 TO SEPTEMBER 30, 2024. THE DATA UNDER COLUMN E REPRESENT INCOME FROM A SHORT-YEAR FILING. 2780000 2780000 20766376 808534 19957842 2827850 2827850 1394863 1394863 26960555 DUE TO RELATED PARTY ORGANIZATION 23036851 23036851 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FCL6 2017-05-17 46905421 ACQUIRE RESIDENTIAL CARE FACILITY 0 0 0 B NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL 850426875 657377AN0 2019-07-25 107934316 LA VIDA LLENA EXPANSION PROJECT AND REFUND TAXABLE BONDS 0 0 0 C NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL 850426875 647377AWO 2022-04-04 32383700 REFUND SERIES 2022 BONDS (ISSUED 1/24/13) 0 0 0 A 1800000 46905421 2809025 832976 47611 42345909 869900 2017 0 0 1 1 B 16180000 107934316 7786715 1970100 49302921 48874580 2022 0 1 1 1 C 1920000 32424876 647674 31777202 2022 1 0 1 1 A 1 1 0 0 0 0 1 B 1 1 0 0 0 0 1 C 1 1 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/07/2022 PART I, ROW A - SERIES 2017: HAVERLAND CARTER RALSTON CREEK, LLC, WHOSE SOLE MEMBER IS HAVERLAND CARTER LIFESTYLE GROUP, IS THE OWNER OF THE PROPERTY FINANCED BY THIS TAX EXEMPT BOND ISSUE. HAVERLAND CARTER RALSTON CREEK, LLC'S INFORMATION IS REPORTED ON PAGE 1, PART I OF SCHEDULE R OF HAVERLAND CARTER LIFESTYLE GROUP'S 990. PART 1, ROW B - SERIES 2019: THIS ISSUANCE IS BEING REPORTED ON THIS SCHEDULE K AS THE DESIGNATED BORROWER OF THE FUNDS, BUT THE RESULTING PROCEEDS / TAX-EXEMPT BOND LIABILITY HAS BEEN REPORTED ON THE RESPECTIVE BALANCE SHEETS OF THE TWO RELATED ORGANIZATIONS WHO BENEFITTED FROM THE BOND ISSUANCE - LA VIDA LLENA (EIN: 85-0282570) IN THE AMOUNT OF $59,959,671 AND THE NEIGHBORHOOD IN RIO RANCHO (EIN: 47-1462853) IN THE AMOUNT OF $47,973,491. PART II, LINE 3, COLUMN C: THE TOTAL PROCEEDS OF ISSUE INCLUDES INVESTED INTEREST EARNINGS FOR THE BOND ISSUE. PART II, LINE 11: OTHER SPENT PROCEEDS REPRESENTS PROCEEDS USED TO PAY OFF PRIOR TAXABLE BOND ISSUANCES OF THE HCLG OBLIGATED GROUP. FORM 990, PART VI, SECTION A, LINE 3 HAVERLAND CARTER LIFESTYLE GROUP'S BOARD DELEGATE MANAGEMENT DUTIES TO PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 6 PACIFIC RETIREMENT SERVICES IS THE SOLE MEMBER OF HAVERLAND CARTER LIFESTYLE GROUP. FORM 990, PART VI, SECTION A, LINE 7A ALL MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY PACIFIC RETIREMENT SERVICES, THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B PACIFIC RETIREMENT SERVICES HAS THE EXCLUSIVE POWER TO TAKE THE FOLLOWING ACTIONS ON BEHALF OF HAVERLAND CARTER LIFESTYLE GROUP: (A) AMEND, RESTATE OR REPEAL THE BYLAWS OR ADOPT NEW BYLAWS; (B) COORDINATE THE ORGANIZATION'S ACTIVITIES AND ENGAGE IN THE OVERALL PLANNING, POLICY DEVELOPMENT, BUDGETING AND RESOURCE ALLOCATION FOR THE ORGANIZATION; (C) APPOINT OUTSIDE AUDITORS FOR THE ORGANIZATION; (D) ELECT OR APPOINT THE ORGANIZATION'S DIRECTORS AND FILL VACANCIES CAUSED BY THE DEATH, REMOVAL OR RESIGNATION OF A DIRECTOR; AND (E) REMOVE ANY OF THE ORGANIZATION'S DIRECTORS OR OFFICERS. THE PRIOR APPROVAL OF PACIFIC RETIREMENT SERVICES IS REQUIRED BEFORE THE BOARD OF DIRECTORS MAY: (A) APPROVE ANY MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER ENTITY, OR ANY PARTIAL OR TOTAL LIQUIDATION OF THE ORGANIZATION'S ASSETS; (B) INCUR ANY DEBT, OR ENTER INTO ANY CONTRACT, NOT CONTEMPLATED BY THE ANNUAL BUDGET IF THE AGGREGATE DOLLAR AMOUNT EXCEEDS $100,000; (C) MAKE ANY GIFT OR GRATUITOUS TRANSFER IN EXCESS OF $15,000 IN THE AGGREGATE IN ANY CALENDAR YEAR; (D) CREATE A TAXABLE OR TAX-EXEMPT SUBSIDIARY OR AFFILIATED ORGANIZATION; (E) ACQUIRE A CONTROLLING INTEREST IN ANOTHER ENTITY; AND (F) APPROVE ANY AMENDMENT, REPEAL OR RESTATE OF THE ORGANIZATION'S ARTICLES OF INCORPORATION OR ADOPT ANY ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CORPORATE DIRECTOR OF ACCOUNTING, VICE PRESIDENT OF ACCOUNTING, AND CFO. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE SENT TO ALL BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THERE ARE TWO POLICIES RELATED TO CONFLICTS OF INTEREST: 1) BOARD OF DIRECTORS; 2)KEY EMPLOYEES, WHICH IDENTIFY THE PURPOSE, DEFINITIONS, AND PROCEDURES. IF A CONFLICT IS SELF-IDENTIFIED BY A BOARD MEMBER OR KEY EMPLOYEE IN THE QUESTIONNAIRE AND/OR MEETING, PROCEDURES ARE FOLLOWED AND DOCUMENTED ACCORDING TO THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION COMMITTEE OF THE PRS BOARD EXISTS TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR OF EACH COMMUNITY. THIS COMMITTEE IS COMPRISED OF THE OFFICERS OF THE PRS BOARD OF DIRECTORS. THE COMMITTEE HAS A CHARTER THAT OUTLINES ITS DUTIES AND RESPONSIBILITIES. IT ALSO HAS AGENDA ELEMENTS THAT DESCRIBE THE ACTIVITIES THAT THE COMMITTEE UNDERTAKES DURING THE YEAR. THE VP OF HUMAN RESOURCES PROVIDED SALARY STUDIES FROM THE FOLLOWING RESOURCES TO THE COMMITTEE RELATIVE TO EXECUTIVE DIRECTOR COMPENSATION: SALARY.COM, PAYSCALE.COM, 990 REVIEW (LIKE SIZE ORGANIZATIONS), CEMO (CHIEF EXECUTIVE OFFICERS OF MULTI-FACILITY ORGANIZATIONS) SALARY STUDY RESULTS, AND INDUSTRY STATE ASSOCIATION SALARY STUDY RESULTS BASED ON GEOGRAPHICAL LOCATION. THE RECOMMENDATION FOR BASE COMPENSATION AND BONUS ARE PROVIDED BY THE EXECUTIVE DIRECTOR'S DIRECT SUPERVISOR (COO OR VP OF OPERATIONS). FORM 990, PART VI, SECTION C, LINE 19 CORPORATE FINANCIAL DATA AND GOVERNANCE INFORMATION IS NOT PUBLIC INFORMATION, AND AS SUCH, IS RELEASED ONLY PURSUANT TO LEGAL REGULATION, COURT ORDER, OR OTHER APPLICABLE LAW, AND AS DIRECTED BY CORPORATE COUNSEL. FORM 990, PART XI, LINE 9: LOSS ON GUARANTEE -6,000,000. HAVERLAND CARTER LIFESTYLE GROUP PROPERTY LLC 10701 MONTGOMERY BLVD NE SUITE F ALBUQUERQUE NM 87111 452990739 PROPERTY RENTAL NM 135212 3138063 HAVERLAND CARTER LIFESTYLE GROUP HAVERLAND CARTER LIFESTYLE GROUP OPERATING LLC 10701 MONTGOMERY BLVD NE SUITE F ALBUQUERQUE NM 87111 272028287 PROPERTY MANAGEMENT NM 0 0 HAVERLAND CARTER LIFESTYLE GROUP HAVERLAND CARTER LIFESTYLE GROUP PROPERTY HOLDINGS LLC 10701 MONTGOMERY BLVD NE SUITE F ALBUQUERQUE NM 87111 452993830 PROPERTY HOLDING NM 1050 206216 HAVERLAND CARTER LIFESTYLE GROUP HAVERLAND CARTER RALSTON CREEK LLC 10701 MONTGOMERY BLVD NE SUITE F ALBUQUERQUE NM 87111 820947483 SENIOR LIVING CO 3062931 38074731 HAVERLAND CARTER LIFESTYLE GROUP DEL CORAZON HOSPICE LLC 811 ST MICHAELS DRIVE SUITE 207 SANTA FE NM 87505 274287788 HOSPICE NM 1106573 430399 HAVERLAND CARTER LIFESTYLE GROUP PACIFIC RETIREMENT SERVICES INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 931067253 SUPPORTING ORGANIZATION OR 501(C)(3) LINE 12C, III-FI N/A 0 PACIFIC 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