STRATEGY STUDIO / PUBLIC DATA EXPLORER

EAGLE LAKE FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
EAGLE LAKE FOUNDATION INC (EIN 20-2813348)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-07
IRS object ID
201223129349300207
Schema version
2011v1.2
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)
Timestamp2012-11-07T07:44:50-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ROY & PAPE LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1419 CENTER STREETAddressLine1
CityMANCHESTERCity
StateCTState
ZIP Code06040ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN202813348EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EAGLE LAKE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEAGLNameControl
Phone7277233000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line124641 US HIGHWAY 19 NORTHAddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code33763ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBEN ATKINSName
TitlePRESIDENTTitle
Phone7277233000Phone
Date Signed2012-11-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRISTOPHER PAPEName
Phone8606478403Phone
Date Prepared2012-11-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts4730855GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteEAGLELAKEREHAB.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionEAGLE LAKE REHAB AND CARE CENTER STRIVES TO PROVIDE COMPASSIONATE AND DIVERSIFIED CARE IN A CLEAN AND COMFORTABLE ENVIRONMENT FOR THOSE WHO ARE UNABLE TO COMPLETELY CARE FOR THEMSELVES. A VARIETY OF SERVICES INCLUDE REHABILITAION, RESPITE, AND LONG-TERM NURSING CARE SERVICES RANGING FROM MINIMAL TO TOTAL SUPPORT. THE 59 BED LICENSED FACULTY AVERAGE 84% OCCUPANCY DURING 2011.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees165TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year850ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4467320ProgramServiceRevenuePriorYear
Program Service Revenue CY4722402ProgramServiceRevenueCY
Investment Income Prior Year18InvestmentIncomePriorYear
Investment Income Current Year53InvestmentIncomeCurrentYear
Other Revenue Prior Year8400OtherRevenuePriorYear
Other Revenue Current Year8400OtherRevenueCurrentYear
Total Revenue Prior Year4476588TotalRevenuePriorYear
Total Revenue Current Year4730855TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2226379SalariesEtcPriorYear
Salaries Etc Current Year2394717SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1962346OtherExpensePriorYear
Other Expenses Current Year1949615OtherExpensesCurrentYear
Total Expenses Prior Year4188725TotalExpensesPriorYear
Total Expenses Current Year4344332TotalExpensesCurrentYear
Revenues Less Expenses Prior Year287863RevenuesLessExpensesPriorYear
Revenues Less Expenses CY386523RevenuesLessExpensesCY
Total Assets BOY854178TotalAssetsBOY
Total Assets EOY1064131TotalAssetsEOY
Total Liabilities BOY462875TotalLiabilitiesBOY
Total Liabilities EOY248939TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY391303NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY815192NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEAGLE LAKE REHAB AND CARE CENTER STRIVES TO PROVIDE COMPASSIONATE AND DIVERSIFIED CARE IN A CLEAN AND COMFORTABLE ENVIRONMENT FOR THOSE WHO ARE UNABLE TO COMPLETELY CARE FOR THEMSELVES. A VARIETY OF SERVICES INCLUDE REHABILITAION, RESPITE, AND LONG-TERM NURSING CARE SERVICES RANGING FROM MINIMAL TO TOTAL SUPPORT. THE 59 BED LICENSED FACULTY AVERAGE 84% OCCUPANCY DURING 2011.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3717513Expense
Revenue3717115Revenue
DescriptionFIRST AND ONLY ACHIEVEMENT WAS THAT EAGLE LAKE FOUNDATION, INC. PROVIDED QUALITY, CLEAN, WELL STAFFED NURSING CARE FOR THE ELDERLY. THE NURSING HOME WAS 84% FILLED DURING 2011.Description
Total Program Service Expense3717513TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees165NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BAC CONSULTING LLCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7277233075TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line124641 US HIGHWAY 19 NORTHAddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code33763ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BEN ATKINS
PRESIDENT5.00XX000
MARYA MORRISON
TREASURER5.00XX000
GENE RENSCH
SECRETARY5.00XX000
ADAM GARFF
DIRECTOR5.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AGENCY FOR HEALTHCARE ADMINISTRATION
MS14 FINANCE ACCOUNTINGTALLAHASSEEFL32308BED TAXES280358
TRADITIONS SENIOR MANAGEMENT INC
24641 US HIGHWAY 19 NORTHCLEARWATERFL33763MANAGEMENT/BILL149819
TRADITIONS MANAGEMENT OF FL LLC
24641 US HIGHWAY 19 NORTHCLEARWATERFL33763MANAGEMENT/BILL129568
GORDON FOOD SERVICE
DEPT CH 10490PALATINEIL60055FOOD106886
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING HOME CARE FEESDescription
Business Code623000BusinessCode
Total Revenue Column4722402TotalRevenueColumn
Related Or Exempt Function Income4722402RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4722402TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column53TotalRevenueColumn
Related Or Exempt Function Income53RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionVAN RENTALDescription
Business Code480000BusinessCode
Total Revenue Column8400TotalRevenueColumn
Related Or Exempt Function Income8400RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue8400TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4730855TotalRevenueColumn
Related Or Exempt Function Income4730855RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2136972Total
Program Services1988082ProgramServices
Management And General148890ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total80357Total
Program Services76058ProgramServices
Management And General4299ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total177388Total
Program Services171361ProgramServices
Management And General6027ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5462Total
Management And General5462ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9000Total
Management And General9000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total16761Total
Program Services16761ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15402Total
Program Services1466ProgramServices
Management And General13936ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total35872Total
Program Services12062ProgramServices
Management And General23810ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total562459Total
Program Services517462ProgramServices
Management And General44997ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total154Total
Program Services154ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2702Total
Program Services2702ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total71074Total
Program Services70330ProgramServices
Management And General744ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total154852Total
Program Services47573ProgramServices
Management And General107279ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES356091356091
QUALITY ASSESSMENT284770284770
MANAGEMENT SERVICES235412235412
CONTRACT MEDICAL SERVICES8841188411

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total111193Total
Program Services84230ProgramServices
Management And General26963ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4344332Total
Program Services3717513ProgramServices
Management And General626819ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY141065BOY
EOY233060EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY401647BOY
EOY528412EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3803BOY
EOY3566EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY55753BOY
EOY25108EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis395801LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec141313LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY235493BOY
EOY254488EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16417BOY
EOY19497EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY854178BOY
EOY1064131EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY118946BOY
EOY152988EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY190708BOY
EOY3377EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY153221BOY
EOY92574EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY462875BOY
EOY248939EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY391303BOY
EOY815192EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY391303BOY
EOY815192EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY854178BOY
EOY1064131EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses386523ReconcilationRevenueExpenses
Reconcilation Other Changes37366ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years3564CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year850CurrentTaxYearMinus1Year
Total4414Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3935678CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4139112CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4141917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4475738CurrentTaxYearMinus1Year
Current Tax Year4730855CurrentTaxYear
Total21423300Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3935678CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4139112CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4145481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4476588CurrentTaxYearMinus1Year
Current Tax Year4730855CurrentTaxYear
Total21427714Total
FieldValueIRS element (for citing)
Public Support Total50921427714PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3935678CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4139112CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4145481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4476588CurrentTaxYearMinus1Year
Current Tax Year4730855CurrentTaxYear
Total21427714Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ACCRUED WAGES$53,273
ACCRUED FEES$22,299
PATIENTS DEPOSITS$17,002
ACCRUED PAYROLL TAXES
ACCRUED FEES
FieldValueIRS element (for citing)
Total Of Amounts92574TotalOfAmounts
Total Revenue4730855TotalRevenue
Total Expenses4344332TotalExpenses
Excess Or Deficit For Year386523ExcessOrDeficitForYear
Other$37,366OtherAmount
Total Adjustments37366TotalAdjustments
Excess Or Deficit Per FS423889ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4730855TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4730855RevenueSubtotal
Total Revenue Per Form9904730855TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4306966TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4306966ExpensesSubtotal
Other Expenses Not Included37366OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt37366ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904344332TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8BOOK / TAX DEPRECIATION DIFFERENCE 37,366
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BBOOK / TAX DEPRECIATION DIFFERENCE 37,366

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARRINGTON PLACE OF ST PETEBusinessNameLine1
FieldValueIRS element (for citing)
Purpose Of LoanAP RECLASSED TO NOTE PAYABLEPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$19,507OriginalPrincipalAmount
Balance Due3377BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementfalseWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due3377TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

Business Name Line2NameOfInterestedPerson/NameBusiness/BusinessNameLine2RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BAMA REAL ESTATE HOLDINGS
BAMA REAL ESTATE HOLDINGSMORE THAN 35%198687RENTAL OF PROPERTYfalse
BAMA REAL ESTATE HOLDINGS
BAMA REAL ESTATE HOLDINGSMORE THAN 35%198687RENTAL OF PROPERTYfalse
TRADITION MANAGEMENT OF FL LLC
TRADITIONS MANAGEMENT OF FL LLCMORE THAN 35%63521MANGEMENTfalse
TRADITION MANAGEMENT OF FL LLC
TRADITIONS MANAGEMENT OF FL LLCMORE THAN 35%63521MANGEMENTfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONEAGLE LAKE REHAB AND CARE CENTER STRIVES TO PROVIDE COMPASSIONATE AND DIVERSIFIED CARE IN A CLEAN AND COMFORTABLE ENVIRONMENT FOR THOSE WHO ARE UNABLE TO COMPLETELY CARE FOR THEMSELVES. A VARIETY OF SERVICES INCLUDE REHABILITAION, RESPITE, AND LONG-TERM NURSING CARE SERVICES RANGING FROM MINIMAL TO TOTAL SUPPORT. THE 59 BED LICENSED FACULTY AVERAGE 84% OCCUPANCY DURING 2011.
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2BAMA REAL ESTATE HOLDING CO BAMA REAL ESTATE HOLDING CO. MANAGER MANAGER MEMBER TRADITIONS MANAGEMENT OF FL, LLC TRADITIONS MANAGEMENT OF FL, LLC MANAGER MANAGER MEMBER TRADITIONS MANAGEMENT STAFF, LLC TRADITIONS MANAGEMENT STAFF.FL, LLC MANAGER MANAGER MEMBER
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3TRADITIONS MANAGEMENT OF FL, LLC
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION HAS ON STAFF A COMPLIANCE OFFICERS WHO MONITORS ANY DEALING BETWEEN THE ORGANIZATION AND ITS DIRECTORS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ANO COMPENSATION FOR ANY OFFICERS, CEO OR EXECUTIVES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC