CYPRESS OF RALEIGH CLUB INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CYPRESS OF RALEIGH CLUB INC (EIN 20-2818389)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-18
- IRS object ID
- 201722919349300527
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-18T11:35:56-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 562344058 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOSPODAREK & DREHER CPA PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4101 LAKE BOONE TRL STE 215 | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202818389 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CYPRESS OF RALEIGH CLUB INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CYPR | BusinessNameControlTxt |
| Phone | 9195188936 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8801 CYPRESS LAKES DRIVE | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27615 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK ANDREWS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9195188936 | PhoneNum |
| Signature | 2017-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUG DREHER | PreparerPersonNm |
| PTIN | P00543597 | PTIN |
| Phone | 9195109399 | PhoneNum |
| Preparation | 2017-08-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | BA24F935BB1BC4D4243162E9284C3AE76B957495 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7ED8333607F08C5A3E798CE16FB4BFD50A5DA94A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK ANDREWS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8801 CYPRESS LAKES DRIVE | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27615 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,796,475 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.THECYPRESSOFRALEIGH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | THE CYPRESS OF RALEIGH CLUB WAS FORMED TO SERVE AS THE MANAGEMENT ENTITY WHICH CARRIES OUT THE CONTRACTUAL AGREEMENT WITH MEMBERS OF THE CONTINUING CARE RETIREMENT COMMUNITY. THE CLUB MANAGES THE COMMONLY OWNED PROPERTY OF THE CYPRESS, INCLUDING THE CLUBHOUSE AND HEALTH CENTER, AS WELL AS THE SERVICES PROVIDED AT THE CLUBHOUSE AND HEALTH CENTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 327 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,272,710 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,496,853 | CYProgramServiceRevenueAmt |
| PY Investment Income | $416,339 | PYInvestmentIncomeAmt |
| CY Investment Income | -$260,631 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $10,689,049 | PYTotalRevenueAmt |
| CY Total Revenue | $10,236,222 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,413,594 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,579,200 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,823,288 | PYOtherExpensesAmt |
| CY Other Expenses | $3,882,813 | CYOtherExpensesAmt |
| PY Total Expenses | $10,236,882 | PYTotalExpensesAmt |
| CY Total Expenses | $10,462,013 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $452,167 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$225,791 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,550,522 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,093,281 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $830,773 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,287,834 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,719,749 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,805,447 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE CYPRESS OF RALEIGH CLUB WAS FORMED TO SERVE AS THE MANAGEMENT ENTITY WHICH CARRIES OUT THE CONTRACTUAL AGREEMENT WITH MEMBERS OF THE CONTINUING CARE RETIREMENT COMMUNITY. THE CLUB MANAGES THE COMMONLY OWNED PROPERTY OF THE CYPRESS, INCLUDING THE CLUBHOUSE AND HEALTH CENTER, AS WELL AS THE SERVICES PROVIDED AT THE CLUBHOUSE AND HEALTH CENTER. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,401,320 | ExpenseAmt |
| Revenue | $5,936,576 | RevenueAmt |
| Desc | THE CYPRESS OF RALEIGH CLUB IS A CONTINUING CARE RETIREMENT COMMUNITY THAT INCLUDES 205 INDEPENDENT LIVING UNITS AND A 40 BED NURSING FACILITY. SERVICES AVAILABLE TO THOSE MEMBERS IN INDEPENDENT LIVING AS A PART OF THE MONTHLY PAYMENT INCLUDE CLUB ACTIVITIES, URGENT CALL SYSTEM, MONTHLY FOOD SERVICE ALLOWANCE, PRIVATE DINING ROOM, WEEKLY FLAT LAUNDRY, WEEKLY HOUSEKEEPING, SCHEDULED MAINTENANCE OF COTTAGE OR VILLA AND COMMON AREA, GROUNDS CARE AND GARDENING, CERTAIN UTILITIES, SCHEDULED TRANSPORTATION, CAMPUS SECURITY, MAIL DELIVERY, ABSENCE CREDIT, THE ROSEWOOD HEALTH CENTER, MEMBER COMMITTEES, MONTHLY BILLING SERVICE, UNCOVERED SURFACE PARKING FOR MEMBERS AND GUESTS. ADDITIONAL SERVICES NOT INCLUDED IN MONTHLY PAYMENT ARE BEAUTY AND BARBERSHOP, COVERED PARKING AND GARAGE PARKING AND ON SITE HOME CARE AGENCY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,170,213 | ExpenseAmt |
| Revenue | $1,207,164 | RevenueAmt |
| Desc | THE HOME CARE AGENCY PROVIDES PERSONAL SERVICES TO MEMBERS TO CONTINUE LIVING IN THEIR COTTAGE OR VILLAS. THESE SERVICES ARE PROVIDED BY NURSING STAFF AND OTHER STAFF MEMBERS. SERVICES SUCH AS BATHING, DRESSING, SHOPPING, PERSONAL LAUNDRY, ADDITIONAL HOUSEKEEPING, IN HOME CARE AND SPECIAL TRANSPORTATION WILL BE AVAILABLE TO THE MEMBERS ON A FEE FOR SERVICE BASIS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,818,162 | ExpenseAmt |
| Revenue | $3,353,113 | RevenueAmt |
| Desc | THE CYPRESS OF RALEIGH CLUB INCLUDES THE ROSEWOOD HEALTH CENTER WHICH IS A COMBINATION FACILITY OF 36 SKILLED NURSING BEDS AND 4 ADULT CARE HOME BEDS. THE ROSEWOOD HAS PRIVATE AND SEMIPRIVATE ROOMS, A PHYSICAL THERAPY ROOM, AN ARTS AND CRAFTS THERAPY AREA, A DINING ROOM AND LOUNGES. FOR MEMBERS WHO ARE ABLE TO DO SO THE ROSEWOOD EMPHASIZES RESTORATIVE CARE AND WELLNESS FOR PURPOSES OF RETURNING THESE MEMBERS TO THEIR COTTAGES OR VILLAS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,389,695 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 50 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 327 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROL DAVIS | PersonNm |
| Phone | 9195188936 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8801 CYPRESS LAKES DRIVE | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27615 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| MARK ANDREWS | ||||||
| PRESIDENT | 15.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAEL SANDMAN | ||||||
| VICE PRESIDE | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CRAIG HUGGINS | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| JOE STEVEN CLINE | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| DOUGLAS VINSEL | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| JOHN R MITTERLING | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| SHANE GABIS | ||||||
| SECRETARY/TR | 40.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CYPRESS OF RALEIGH LLC | |||||
| 7201 CREEDMOOR RD | RALEIGH | NC | 27613 | MANAGEMENT SERV | $1,216,214 |
| LIFE CARE SERVICES LLC | |||||
| 400 LOCUST STREET STE 820 | DES MOINES | IA | 503092334 | MANAGEMENT COMP | $935,763 |
| LANDCARE USA LLC | |||||
| 800 BEACON LAKE DR | RALEIGH | NC | 27610 | LANDSCAPING | $225,879 |
| HERITAGE HEALTHCARE | |||||
| 536 OLD HOWELL RD | GREENVILLE | SC | 29615 | THERAPY SERVICE | $221,532 |
| ENVIRO-COMPANIES LLC | |||||
| 1200 CORPORATION PKWY | RALEIGH | NC | 27610 | CONSTRUCTION | $191,383 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEMBER FEES | 623000 | $5,936,576 | $5,936,576 |
| HEALTH CENTER | 623000 | $3,353,113 | $3,353,113 |
| HOME HEALTH | 623000 | $1,207,164 | $1,207,164 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,496,853 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $161,972 | TotalRevenueColumnAmt |
| Exclusion | $161,972 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,122,316 | SecuritiesAmt |
| Other | $15,334 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,503,338 | SecuritiesAmt |
| Other | $56,915 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$381,022 | SecuritiesAmt |
| Other | -$41,581 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$422,603 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$41,581 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$381,022 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,236,222 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,455,272 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$219,050 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,411,525 | TotalAmt |
| Program Services | $5,045,642 | ProgramServicesAmt |
| Management And General | $365,883 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,645 | TotalAmt |
| Program Services | $30,947 | ProgramServicesAmt |
| Management And General | $3,698 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $682,064 | TotalAmt |
| Program Services | $622,626 | ProgramServicesAmt |
| Management And General | $59,438 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,966 | TotalAmt |
| Program Services | $420,653 | ProgramServicesAmt |
| Management And General | $30,313 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,396,411 | TotalAmt |
| Management And General | $1,396,411 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,750 | TotalAmt |
| Management And General | $4,750 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,757 | TotalAmt |
| Management And General | $25,757 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,763 | TotalAmt |
| Program Services | $58,054 | ProgramServicesAmt |
| Management And General | $20,709 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,546 | TotalAmt |
| Program Services | $2,513 | ProgramServicesAmt |
| Management And General | $33 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,837 | TotalAmt |
| Program Services | $23,236 | ProgramServicesAmt |
| Management And General | $6,601 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,303 | TotalAmt |
| Program Services | $98,303 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,930 | TotalAmt |
| Management And General | $48,930 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| FOOD EXPENSES | $890,117 | $890,117 |
| OTHER MEDICAL EXPENSES | $340,906 | $340,906 |
| SUPPLIES | $191,340 | $191,340 |
| MEDICAL SUPPLIES | $135,890 | $135,890 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $639,263 | TotalAmt |
| Program Services | $529,468 | ProgramServicesAmt |
| Management And General | $109,795 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,462,013 | TotalAmt |
| Program Services | $8,389,695 | ProgramServicesAmt |
| Management And General | $2,072,318 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,485 | BOYAmt |
| EOY | $371,524 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $467,936 | BOYAmt |
| EOY | $489,876 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,040 | BOYAmt |
| EOY | $80,931 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,549 | BOYAmt |
| EOY | $163,313 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $998,039 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $281,608 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,724 | BOYAmt |
| EOY | $716,431 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,203,176 | BOYAmt |
| EOY | $7,618,616 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,612 | BOYAmt |
| EOY | -$347,410 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,550,522 | BOYAmt |
| EOY | $9,093,281 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,600 | BOYAmt |
| EOY | $403,086 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $106,467 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $708,173 | BOYAmt |
| EOY | $778,281 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $830,773 | BOYAmt |
| EOY | $1,287,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,635,749 | BOYAmt |
| EOY | $5,690,447 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,084,000 | BOYAmt |
| EOY | $2,115,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,719,749 | BOYAmt |
| EOY | $7,805,447 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,550,522 | BOYAmt |
| EOY | $9,093,281 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$225,791 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $495,731 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$184,242 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,670 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,220 | DepreciationAmt |
| Book Value | $6,450 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $973,369 | OtherCostOrOtherBasisAmt |
| Depreciation | $263,388 | DepreciationAmt |
| Book Value | $709,981 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $716,431 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PAID TIME OFF (PTO) | $270,836 |
| ACCRUED PAYROLL | $191,181 |
| ACCRUED - OTHER | $177,959 |
| ACCRUED INTEREST - OTHER | $39,563 |
| FICA - WITHHELD | $36,846 |
| FEDERAL W/H | $25,411 |
| STATE W/H - NORTH CAROLINA | $8,373 |
| SUTA -NORTH CAROLINA | $8,013 |
| 401K/403B CONTRIBUTION - PLAN 1 | $7,309 |
| EMPLOYEE ACTIVITY FUND | $5,789 |
| ACCRUED INTEREST - BONDS | $4,931 |
| FUTA | $2,004 |
| 401K/403B LOAN | $592 |
| LIFE INSURANCE W/H | -$169 |
| ACCRUED INTEREST - OTHER | -$357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $778,281 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $10,773,534 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $495,731 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $495,731 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,277,803 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$41,581 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$41,581 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,236,222 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,462,013 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $10,462,013 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $10,462,013 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 4, PART XI, LINE 4B | FormAndLineReferenceDesc |
| Explanation | LOSS ON SALE OF ASSETS -41,581 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE CYPRESS OF RALEIGH CLUB WAS FORMED TO SERVE AS THE MANAGEMENT ENTITY WHICH CARRIES OUT THE CONTRACTUAL AGREEMENT WITH MEMBERS OF THE CONTINUING CARE RETIREMENT COMMUNITY. THE CLUB MANAGES THE COMMONLY OWNED PROPERTY OF THE CYPRESS, INCLUDING THE CLUBHOUSE AND HEALTH CENTER, AS WELL AS THE SERVICES PROVIDED AT THE CLUBHOUSE AND HEALTH CENTER. |
| FORM 990, PAGE 2, PART III, LINE 4A | HOME CARE AGENCY. |
| FORM 990, PAGE 6, PART VI, LINE 3 | MANAGEMENT SERVICES ARE PROVIDED BY LIFE CARE SERVICES (LCS). |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE SECRETARY/TREASURER WILL REVIEW THE COMPLETED 990 WITH THE OFFICER OF THE GOVERNING BODY. |
| FORM 990, PAGE 6, PART VI, LINE 12C | MANAGEMENT MONITORS TRANSACTIONS AND ACTIVITIES CLOSELY. THE MANAGEMENT COMPANY PROVIDES OVERSIGHT IN DAILY ACTIVITES AND TRANSACTIONS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR'S COMPENSATION IS SET AND PAID BY THE MANAGEMENT COMPANY. A COMPARISON IS DONE TO OTHER EXECUTIVE DIRECTORS- AND ADMINISTRATORS' COMPENSATION AND A THIRD PARTY COMPANY HELPS DETERMINE ANY ADDITIONAL COST OF LIVING ADJUSTMENTS BASED ON GEOGRAPHIC LOCATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | TRANSFERS TO OWNERS ASSOCIATION 29,349 ASSETS TRANSFERRED TO HOA -244,591 RESERVE DEPOSITS 31,000 TOTAL -184,242 |