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CYPRESS COVE AT HEALTHPARK FLORIDA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CYPRESS COVE AT HEALTHPARK FLORIDA INC (EIN 65-0610085)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-05-08
IRS object ID
201431289349300728
Schema version
2012v2.3
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

FieldValueIRS element (for citing)
Timestamp2014-05-08T08:42:50-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GENE R SOLOMON CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11342 COLONIAL BLVD STE B11AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33907ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN650610085EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CYPRESS COVE AT HEALTHPARK FLORIDABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCYPRNameControl
Phone2394890023Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DRIVE STE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN A NOLANDName
TitlePRESIDENTTitle
Phone2394890023Phone
Date Signed2014-05-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGENE R SOLOMONName
Phone2399395303Phone
Date Prepared2014-05-08DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN NOLANDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DRIVE STE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25864613GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCYPRESSCOVELIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO CREATE AND SUSTAIN A CONTINUING CARE RETIREMENT COMMUNITY AT HEALTHPARK, FL AT A REASONABLE COST; AN ENVIRONMENT OF VITALITY WHILE COMFORTABLE AND SECURE. CYPRESS COVE OFFERS THE SECURITY OF CONTINUING CARE, WHEREBY RESIDENTS WHO HAVE QUALIFIED BOTH FINANCIALLY AND PHYSICALLY, CAN LIVE WITHIN THE COMMUNITY AND, IF NEEDED, RECEIVE ASSISTED LIVING AND SKILLED CARE FOR THE CONTRACTUAL MONTHLY FEE FOR THE DURATION OF THEIR LIVES. CYPRESS COVE WILL NOT DISMISS OR TERMINATE THE RESIDENT SOLELY BECAUSE OF FINANCIAL INABILITY TO PAY ALL OR A PART OF THE CONTRACTED MONTHLY SERVICE FEE. RESIDENTS CONTINUE THEIR ACTIVE AND INDEPENDENT LIFESTYLES, AGING WITH DIGNITY AND ADDED PEACE OF MIND.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees341TotalNbrEmployees
Total Nbr Volunteers123TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year92524ContributionsGrantsPriorYear
Contributions Grants Current Year301664ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24812566ProgramServiceRevenuePriorYear
Program Service Revenue CY25005991ProgramServiceRevenueCY
Investment Income Prior Year-953915InvestmentIncomePriorYear
Investment Income Current Year102913InvestmentIncomeCurrentYear
Other Revenue Prior Year224876OtherRevenuePriorYear
Other Revenue Current Year6487OtherRevenueCurrentYear
Total Revenue Prior Year24176051TotalRevenuePriorYear
Total Revenue Current Year25417055TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10134316SalariesEtcPriorYear
Salaries Etc Current Year11097881SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year176190TotalFundrsngExpCurrentYear
Other Expense Prior Year18904920OtherExpensePriorYear
Other Expenses Current Year18879255OtherExpensesCurrentYear
Total Expenses Prior Year29039236TotalExpensesPriorYear
Total Expenses Current Year29977136TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4863185RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4560081RevenuesLessExpensesCY
Total Assets BOY97109924TotalAssetsBOY
Total Assets EOY100459685TotalAssetsEOY
Total Liabilities BOY119825159TotalLiabilitiesBOY
Total Liabilities EOY128451571TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-22715235NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-27991886NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR MISSION IS TO CREATE AND SUSTAIN A CONTINUING CARE RETIREMENT COMMUNITY AT HEALTHPARK, FL AT A REASONABLE COST; AN ENVIRONMENT OF VITALITY WHILE COMFORTABLE AND SECURE. CYPRESS COVE OFFERS THE SECURITY OF CONTINUING CARE, WHEREBY RESIDENTS WHO HAVE QUALIFIED BOTH FINANCIALLY AND PHYSICALLY, CAN LIVE WITHIN THE COMMUNITY AND, IF NEEDED, RECEIVE ASSISTED LIVING AND SKILLED CARE FOR THE CONTRACTUAL MONTHLY FEE FOR THE DURATION OF THEIR LIVES. CYPRESS COVE WILL NOT DISMISS OR TERMINATE THE RESIDENT SOLELY BECAUSE OF FINANCIAL INABILITY TO PAY ALL OR A PART OF THE CONTRACTED MONTHLY SERVICE FEE. RESIDENTS CONTINUE THEIR ACTIVE AND INDEPENDENT LIFESTYLES, AGING WITH DIGNITY AND ADDED PEACE OF MIND.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4220605Expense
Revenue3757218Revenue
DescriptionPROVIDING A CONTINUING CARE COMMUNITY INCLUDING 332 INDEPENDENT LIVING APARTMENTS AND 30 VILLAS, TOGETHER WITH APPROPRIATE COMMON AND AMENITY AREAS SITUATED ON 48 ACRES OF THE HEALTHPARK FLORIDA CAMPUS, LOCATED IN LEE COUNTY, FL. WE OFFER A HOLISTIC APPROACH TO LIFE BY PROVIDING AN ACTIVITIES DEPARTMENT AND WELLNESS CENTER PLACING STRONG EMPHASIS ON PREVENTIVE CARE AND MAINTAINING GOOD HEALTH. A PERSONAL TRAINER AND ACTIVITIES COORDINATOR ARE ALL INCLUDED. WE FULFIL OUR MISSION BY 1) CREATING A CONTINUING CARE COMMUNITY THAT ENCOURAGES ACTIVITY AND PERSONAL GROWTH. 2) PROVIDING DINING SERVICES OFFERING A BROAD, SATISFYING, AND NUTRITIOUS ARRAY OF CHOICES EVERY DAY. 3) BY PROVIDING HOUSEKEEPING AND TRANSPORTION, FREEING RESIDENT'S TIME AND ENERGY. 4) DEVELOPING A NEIGHBORHOOD WHICH FOSTERS NEW FRIENDSHIPS. 5) PROVIDING GOOD BUSINESS PRACTICES. 6) EXCEEDING RESIDENT EXPECTATIONS WHILE ATTENDING TO THEIR EMOTIONAL AND SPIRITUAL NEEDS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense23607154Expense
Revenue21015289Revenue
DescriptionPRESENTING 44 ASSISTED LIVING UNITS AND A FACILITY OFFERING 64 BED NURSING. PROVIDING ON CAMPUS AND ON STAFF A MEDICAL DIRECTOR AND NURSING SERVICES INCLUDING REHABILITATIVE AND SKILLED NURSING TO CONTINUING CARE RESIDENTS FOR AS LONG AS REQUIRED. WE FULFIL OUR MISSION BY 1) MAINTAINING A HIGH QUALITY CONTINUING CARE PROGRAM WITH PROVISIONS FOR ASSISTED LIVING AND NURSING CARE AS IS APPROPRIATE, CONSIDERING THE NEEDS OF THE INDIVIDUAL RESIDENT. 2) OFFERING AN ENVIRONMENT WHERE RESIDENTS ARE RESPONSIBLE FOR ORGANIZING THEIR OWN LIVES, YET KNOW THAT SHOULD THEY NEED IT, SUPPORT IS AVAILABLE. 3) PROMOTING INNOVATIVE PROGRAMS AND SERVICES, WELLNESS, HEALTHFUL LIVING AND THE OPPORTUNITY FOR RESIDENTS TO LIVE LONGER, HEALTHIER AND MORE FULFILLING LIVES.Description
FieldValueIRS element (for citing)
Total Program Service Expense27827759TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109662NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees341NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJACK EISENGANamePerson
Telephone Number2394890023TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DR STE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN A NOLAND
CHAIRMAN/PRE3.00XX000
CARL A BARRACO
VICE CHAIR2.00XX000
E BRUCE STRAYHORN
SECRETARY2.00XX000
GARRETT H REASONER
TREASURER2.00XX000
ALBERT B WINCHELL
DIRECTOR1.00X000
DANIEL F ADAMS
DIRECTOR1.00X000
JO ELLEN BEAUVOIS
DIRECTOR1.00X000
CHARLES B EDWARDS SR
DIRECTOR1.00X000
JOSEPH CATTI
DIRECTOR1.00X000
CHRIS GAIR
DIRECTOR1.00X000
ROBBIE BRIGGS ROEPSTORFF
DIRECTOR1.00X000
RONALD EUGENE INGE
DIRECTOR1.00X000
DAWSON MCDANIEL
DIRECTOR1.00X000
TIMOTHY D FICKER
EXEC DIR68.002530412975014767X
JOEL ANDERSON
ASSC EXEC DI67.001843945608814733X
NICOLE D MULLER
DIR OF MKTG49.00205859014503X
JAY A GROESSER
DIR OF HEALT67.00168753014519X
GERALDINE G HARRIS
RETIREMENT C51.0020871005395X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1020757TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs85838TotalReportableCompFrmRltdOrgs
Total Other Compensation63917TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LEE MEMORIAL HOSPITAL
D/B/A LEE HEALTHCARE RESOURCES9800 S HEALTHPARK DRIVE 350FORT MYERSFL33908GROUND LS + INT4101209
AEGIS THERAPIES INC
3250 WINKLER AVEFORT MYERSFL33916THERAPY: PHYSI832791
ELIAS BROTHERS GROUP
3570 ENTERPRISE AVE 100NAPLESFL34104PAINTING746253
LEE FP INC
9800 S HEALTHPARK DRIVE STE 350FORT MYERSFL33908MANAGEMENT FEE694251
JUNIOR CARPET INSTALLATION
GUSTAVO HERNANDEZ3813 12TH ST WLEHIGH ACRESFL33971CARPET INSTALL479740
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events12500FundraisingEvents
All Other Contributions289164AllOtherContributions
Noncash Contributions11000NoncashContributions
Total Contributions301664TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INDEPENDENT LIVING (MO SVC)1316629713166297
ASSIST. LVG & NURSING76421247642124
MEMBERSHIP41975704197570
FieldValueIRS element (for citing)
Total Program Service Revenue25005991TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column336397TotalRevenueColumn
Exclusion$336,397ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities181366Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities32156Securities
Other382694Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities149210Securities
Other-382694Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-233484TotalRevenueColumn
Related Or Exempt Function Income-233484RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events39195GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events12500CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses32708FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6487TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25417055TotalRevenueColumn
Related Or Exempt Function Income24772507RelatedOrExemptFunctionIncome
Exclusion$336,397ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total925593Total
Program Services650960ProgramServices
Management And General274633ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8394544Total
Program Services7836027ProgramServices
Management And General410730ManagementAndGeneral
Fundraising147787Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total203509Total
Program Services180588ProgramServices
Management And General19694ManagementAndGeneral
Fundraising3227Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total874699Total
Program Services776182ProgramServices
Management And General84647ManagementAndGeneral
Fundraising13870Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total699536Total
Program Services624001ProgramServices
Management And General64229ManagementAndGeneral
Fundraising11306Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11583Total
Management And General11583ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45990Total
Management And General45990ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total8809Total
Management And General8809ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total251296Total
Management And General251296ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total542506Total
Program Services542506ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total91087Total
Program Services44274ProgramServices
Management And General46813ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total244592Total
Program Services244592ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1108050Total
Program Services1108050ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total90942Total
Program Services39876ProgramServices
Management And General51066ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40913Total
Program Services17253ProgramServices
Management And General23660ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4199543Total
Program Services4199543ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total4678900Total
Program Services4000000ProgramServices
Management And General678900ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3281639Total
Program Services3281639ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1328575Total
Program Services1327438ProgramServices
Management And General1137ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DINING SERVICES15243911524391
NURSING SERVICES13401541340154
RESIDENT SERVICES7261972619
HOME HEALTH1766217662

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4Total
Program Services4ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29977136Total
Program Services27827759ProgramServices
Management And General1973187ManagementAndGeneral
Fundraising176190Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4533610BOY
EOY5922824EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY457220BOY
EOY632140EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1988298BOY
EOY2919400EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY104432BOY
EOY133036EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY850735BOY
EOY927402EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis100879373LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec36341887LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY64706876BOY
EOY64537486EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY18372947BOY
EOY19775190EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY5881383BOY
EOY5397784EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY214423BOY
EOY214423EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY97109924BOY
EOY100459685EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1523112BOY
EOY3629869EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY66650858BOY
EOY66675085EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1231838BOY
EOY462355EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY50419351BOY
EOY57684262EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY119825159BOY
EOY128451571EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-22715235BOY
EOY-27991886EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-22715235BOY
EOY-27991886EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY97109924BOY
EOY100459685EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-4560081ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-339468ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-377102ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6548267CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6498860CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11607818CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5641656CurrentTaxYearMinus1Year
Current Tax Year4499234CurrentTaxYear
Total34795835Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19659543CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19371700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19148113CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19488310CurrentTaxYearMinus1Year
Current Tax Year20814908CurrentTaxYear
Total98482574Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26207810CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25870560CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30755931CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25129966CurrentTaxYearMinus1Year
Current Tax Year25314142CurrentTaxYear
Total133278409Total
FieldValueIRS element (for citing)
Public Support Total509133278409PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years734808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years673508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years413401CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year430875CurrentTaxYearMinus1Year
Current Tax Year336397CurrentTaxYear
Total2588989Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years734808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years673508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years413401CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year430875CurrentTaxYearMinus1Year
Current Tax Year336397CurrentTaxYear
Total2588989Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26942618CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26544068CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31169332CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25560841CurrentTaxYearMinus1Year
Current Tax Year25650539CurrentTaxYear
Total135867398Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98090PublicSupportPercentage509
Prior Year Support Percentage0.97680PriorYearSupportPercentage
Investment Income Percentage0.02000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1339344OtherCostOrOtherBasis
Book Value1339344BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis90839643OtherCostOrOtherBasis
Depreciation36341887Depreciation
Book Value54497756BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8700386OtherCostOrOtherBasis
Book Value8700386BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings64537486TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
PROGRAM RELATED INVESTMENTS18576057C
BOARD DESIGNATED ASSETS1199133C
FieldValueIRS element (for citing)
Total Of Book Value Program Related19775190TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
UNEARNED ENTRANCE FEES$50,148,721
GROUND LEASE PAYABLE$7,200,541
PHILANTHROPY NOTE FROM LHR$335,000
FieldValueIRS element (for citing)
Total Of Amounts57684262TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt25077585TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-339468NetUnrealizedGainsInvestments
Other Revenues-2OtherRevenues
Revenue Not Rptd F990-339470RevenueNotRptdF990
Revenue Subtotal25417055RevenueSubtotal
Total Revenue Per Form99025417055TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt30354236TotExpensesEtcAuditedFinclStmt
Prior Year Adjustments377102PriorYearAdjustments
Other Expenses Included-2OtherExpensesIncluded
Expenses Not Rptd F990377100ExpensesNotRptdF990
Expenses Subtotal29977136ExpensesSubtotal
Total Expenses Per Form99029977136TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XCYPRESS COVE HAS ADOPTED ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES AS IT RELATES TO UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED SEPTEMBER 30, 2013 AND 2012. CYPRESS COVE HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE LAST THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. HOWEVER, THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY ANY TAX JURISDICTION.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 2DROUNDING -2
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DROUNDING -2

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALA 2013NameOfEvent1
Gross Receipts Event151695GrossReceiptsEvent1
Charitable Contributions Event112500CharitableContributionsEvent1
Gross Revenue Event139195GrossRevenueEvent1
Food And Beverage Event115524FoodAndBeverageEvent1
Entertainment Event14450EntertainmentEvent1
Other Direct Expenses Event112734OtherDirectExpensesEvent1
Gross Receipts Total51695GrossReceiptsTotal
Charitable Contributions Total12500CharitableContributionsTotal
Gross Revenue Total Events39195GrossRevenueTotalEvents
Food And Beverage Total Events15524FoodAndBeverageTotalEvents
Entertainment Total Events4450EntertainmentTotalEvents
Other Direct Expenses Total Events12734OtherDirectExpensesTotalEvents
Direct Expense Summary Events32708DirectExpenseSummaryEvents
Net Income Summary6487NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
TIMOTHY D FICKER
EXEC DIR214617175002841212250100121476726780829750
JOEL ANDERSON
ASSC EXEC DIR1570985258821058350062381473319912756088
NICOLE D MULLER
DIR OF MKTG & SALES14963948853736714503220362
JAY A GROESSER
DIR OF HEALTH ADMIN143633149341018614519183272
GERALDINE G HARRIS
RETIREMENT COUNSELOR1381586584247105395214105

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATIONIdentifier
Return ReferenceSCHEDULE J, PAGE 1, PART I, LINE 5AReturnReference
ExplanationTHE RETIREMENT COUNSELOR RECEIVES A BASE SALARY AND COMMISSIONS. THE DIRECTOR OF MARKETING AND SALES RECEIVES A BASE SALARY AND COMMISSIONS.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1LEE CNTY INDL DEV AUTHBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2012-09-01DateIssued
Issue Price66650857IssuePrice
Description Of PurposeCAP. EXPEND./BD. RETIRE.DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds66650857TotalProceeds
Amount In Reserve Fund4489013AmountInReserveFund
Refunding Escrow54627394RefundingEscrow
Issuance Costs From Proceeds1333017IssuanceCostsFromProceeds
Capital Expenditures3634662CapitalExpenditures
Amount Unspent2566771AmountUnspent
Year Of Subst Completion2015YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Exception To RebatetrueExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOHN A NOLAND
OFCR & DIRECTORSEE BELOWfalse
JOSEPH CATTI
DIRECTORSEE BELOWfalse
DANIEL F ADAMS
DIRECTORSEE BELOWfalse
ROBBIE BRIGGS ROEPSTORFF
DIRECTORSEE BELOWfalse
RONALD EUGENE INGE
DIRECTORSEE BELOWfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationJOHN A NOLAND NOT ONLY SERVES AS CHAIRMAN AND DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS CHAIRMAN AND DIRECTOR OF LEE FP INC LFP A RELATED TAXABLE CORPORATION JOSEPH CATTI NOT ONLY SERVES AS DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS VICE CHAIR TREASURER AND DIRECTOR OF LFP DANIEL F ADAMS NOT ONLY SERVES AS DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS SECRETARY AND DIRECTOR OF LFP ROBBIE BRIGGS ROEPSTORFF NOT ONLY SERVES AS DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS DIRECTOR OF LFP RONALD EUGENE INGE NOT ONLY SERVES AS DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS DIRECTOR OF LFPExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONOUR MISSION IS TO CREATE AND SUSTAIN A CONTINUING CARE RETIREMENT COMMUNITY AT HEALTHPARK, FL AT A REASONABLE COST; AN ENVIRONMENT OF VITALITY WHILE COMFORTABLE AND SECURE. CYPRESS COVE OFFERS THE SECURITY OF CONTINUING CARE, WHEREBY RESIDENTS WHO HAVE QUALIFIED BOTH FINANCIALLY AND PHYSICALLY, CAN LIVE WITHIN THE COMMUNITY AND, IF NEEDED, RECEIVE ASSISTED LIVING AND SKILLED CARE FOR THE CONTRACTUAL MONTHLY FEE FOR THE DURATION OF THEIR LIVES. CYPRESS COVE WILL NOT DISMISS OR TERMINATE THE RESIDENT SOLELY BECAUSE OF FINANCIAL INABILITY TO PAY ALL OR A PART OF THE CONTRACTED MONTHLY SERVICE FEE. RESIDENTS CONTINUE THEIR ACTIVE AND INDEPENDENT LIFESTYLES, AGING WITH DIGNITY AND ADDED PEACE OF MIND.
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4AFRIENDSHIPS. 5) PROVIDING GOOD BUSINESS PRACTICES. 6) EXCEEDING RESIDENT EXPECTATIONS WHILE ATTENDING TO THEIR EMOTIONAL AND SPIRITUAL NEEDS.
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3MEMBERS OF THE MANAGEMENT TEAM ARE EMPLOYEES OF LEE FP, INC. - A RELATED FOR-PROFIT CORPORATION.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE BOARD MEMBERS OF LEE MEMORIAL HOSPITAL, INC D/B/A LEE HEALTHCARE RESOURCES (A 501(C)(3) CORPORATION) SELECT THE MEMBERS OF THE BOARD OF DIRECTORS UNDER ALL CIRCUMSTANCES INCLUDING, BUT NOT LIMITED TO: (I) THE ANNUAL ELECTION, (II) IN THE EVENT THERE IS AN INCREASE IN THE SIZE OF THE BOARD, OR (III) IN THE EVENT THERE IS A VACANCY IN THE MEMBERSHIP OF THE BOARD.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS PREPARED BY OUR OUTSIDE TAX ADVISOR/CPA FROM INFORMATION PROVIDED. THE 990 IS PRESENTED IN DRAFT FORM TO THE FINANCE COMMITTEE. UPON COMMITTEE APPROVAL THE 990 IS SENT TO ALL BOARD MEMBERS, DISCUSSED AND APPROVED AT A BOARD MEETING PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CALL DIRECTORS, OFFICERS AND COMMITTEE MEMBERS WITH BOARD-DELEGATED POWERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AT THE TIME THE BOARD MAY BE CONSIDERING A RELATED TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL WITH THE CONFLICT IS PRECLUDED FROM VOTING ON MATTERS TO WHICH THE CONFLICT PERTAINS. IN ADDITION, ON AN ANNUAL BASIS, EACH DIRECTOR IS REQUIRED TO SIGN A STATEMENT AFFIRMING THEY HAVE READ AND UNDERSTAND THE POLICY AND HAVE NOT BEEN INVOLVED IN ANY CONFLICTS OF INTEREST. CYPRESS COVE ALSO PERFORMS PERIODIC REVIEWS TO ENSURE COMPLIANCE WITH THIS POLICY.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AAN INDEPENDENT COMPENSATION CONSULTANT IS ENGAGED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND MANAGEMENT COMPANY (LEE FP INC) TO REGULARLY CONDUCT A FORMAL EXECUTIVE COMPENSATION STUDY. NO MEMBER OF THE COMMITTEE HAS ANY CONFLICT OF INTEREST WITH RESPECT TO THE EXECUTIVE DIRECTOR'S COMPENSATION. THE COMMITTEE AND MANAGEMENT COMPANY UTILIZE THE STUDY'S RESULTS WITH OTHER RELATED INDUSTRY DATA (SUCH AS INFORMATION REPORTED ON FORMS 990 FILED BY COMPARABLE ORGANIZATIONS) AS A BASIS FOR COMPARISON PURPOSES OF OVERALL EXECUTIVE COMPENSATION. THE STUDY FINDINGS AND APPROVED RECOMMENDATIONS FROM THE COMMITTEE MEETINGS ARE DOCUMENTED IN THE MINUTES TO THE COMMITTEE MEETING AND DELEGATED TO THE MANAGEMENT COMPANY TO IMPLEMENT AND OVERSEE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT THE OFFICE OF THE EXECUTIVE DIRECTOR UPON REQUEST. IN ADDITION, THE AUDITED FINANCIAL STATEMENTS ARE REVIEWED ANNUALLY WITH THE CYPRESS COVE RESIDENT FINANCIAL COMMUNICATIONS COMMITTEE. QUARTERLY FINANCIAL UPDATES ARE ALSO PROVIDED IN PUBLIC FORUM FOR ALL RESIDENTS.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9ROUNDING -2 ROUNDING 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LEE MEMORIAL HOSPITAL INCBusinessNameLine1
Business Name Line2D/B/A LEE HEALTHCARE RESOURCESBusinessNameLine2

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTH PARK DRAddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
EIN237160360EIN
Primary ActivitiesSEE SUPLMTPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status11CPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LEE FP INC & SUBSIDIARIESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DR STE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
EIN650184989EIN
Primary ActivityMANAGEMENTPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LEE MEM HOSP INC (LHR) - GRND LS
E7200541COST
LHR - PHILANTHROPY NOTE
E335000COST
LHR - ACCRUED INTEREST
E373055COST
LHR - RENT (GROUND LEASE)
K1051392COST
LEE FP INC - MANAGEMENT FEES
M648900COST
LHR - PLEDGE FEE
M30000COST

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE RReturnReference
ExplanationSCHEDULE R PART II LINE 1 COLUMNB SUPPORT 1 LMHSPUBLIC HOSPITAL FUNCTIONS 2 CYPRESS COVECHARITABLEExplanation