2011-02-14T13:27:16-06:00 2010-03-31 LARSONALLEN LLP 18 SENTRY PARK WEST SUITE 300 BLUE BELL PA 194222240 990 2009-04-01 521281156 COLLINGTON EPISCOPAL LIFE CARE COMMUNITY INC COLL 3018834764 10450 LOTTSFORD ROAD MITCHELLVILLE MD 20721 Mitch Miller 3018834764 2011-02-14 1 2156433900 2009 2016-02-24 21:20:13Z Neil Grammer 10450 Lottsford Road Mitchellville MD 20721 23837522 0 X www.collington.com X 1982 MD PROVISION OF CARE TO THE ELDERLY 15 15 328 10 0 0 237548 162291 21767451 21504124 -44564 250303 240260 191006 22200695 22107724 0 0 8591162 8352097 0 0 14091919 14282054 22683081 22634151 -482386 -526427 70667929 70373305 101833649 99420906 -31165720 -29047601 Provision of Care to the Elderly 0 0 18977832 21504124 TO DEVELOP, CONSTRUCT & OPERATE A CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES FOR THE PRIMARY NEEDS(HOUSING & FOOD) AS WELL AS THE PHYSICAL, RECREATIONAL, AND EMOTIONAL NEEDS OF THE ELDERLY. 18977832 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 48 0 1 328 1 0 0 0 0 0 0 0 0 0 0 0 15 15 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MD X X Neil Grammer Treasurer 3018834764 10450 LOTTSFORD ROAD Mitchellville MD 20721 Paul E Cooney 1.00 X X 0 0 0 James A Dula 1.00 X 0 0 0 Annetha Hall 1.00 X X 0 0 0 Susan Dovell 1.00 X 0 0 0 Lance Elliott 1.00 X X 0 0 0 Norman Prince 1.00 X 0 0 0 Fran Volel-Stech 1.00 X 0 0 0 LAWRENCE R HARRIS JR 1.00 X 0 0 0 JUNE White VARTOUKIAn Esq 1.00 X 0 0 0 Roanne Hartfield 1.00 X 0 0 0 NEIL GRAMMER 1.00 X X 0 0 0 Salli Hartman 1.00 X 0 0 0 JOHN EVANS 1.00 X 0 0 0 Mary Kirkeby 1.00 X 0 0 0 Agnes Hatfield 1.00 X 0 0 0 Michele Hagans 1.00 X 0 0 0 Larry Mabry LCS 40.00 X 0 0 0 Roberto Lagdameo 40.00 X 89576 0 5422 Angela Layfield LCS 40.00 X 0 0 0 Oladele Alade 40.00 X 108902 0 9923 198478 0 15345 1 0 0 0 LIFE CARE SERVICES LLC 400 LOCUST STREET STE 820 DES MOINES IA 50309 MANAGEMENT COMPANY 832533 ZILLNER MARKETING COMMUNICATIONS 8725 ROSEHILL ROAD 200 LENEXA KS 66215 MARKETING COMPANY 365869 Igor Oster 109 Church Lane Pikesville MD 21208 Painting/Remodeling 348986 AJ Gallgher Risk Management Services 5229 Payshpere Circle Chicago IL 60674 Insurance Brokers 322786 Rehabcare Group Inc PO Box 503534 St Louis MO 631503534 Therapy Services 197695 10 154231 8060 162291 RES CARE SVCS 623000 11971239 11833413 137826 Amortization of Deferr 623000 4223463 4223463 HEALTH CARE REVENUE 623000 2773048 2773048 ANCILLARY INCOME 623000 2536374 2503715 32659 21504124 239763 239763 1740338 1729798 10540 10540 10540 MISCELLANEOUS INCOME 900099 191006 191006 191006 22107724 21333639 0 611794 94998 94998 6984093 5920738 1063355 35635 30696 4939 647801 602331 45470 589570 521784 67786 301925 301925 83516 83516 67105 67105 40940 500 40440 1548793 1388011 160782 114175 71173 43002 2812574 2503191 309383 3851030 3851030 328062 291975 36087 Food 1032634 1032634 ContRACTED SERVICES 864142 455247 408895 REPAIRS AND MAINTENANCE 706979 646143 60836 Promotions and Sales 608099 608099 PROPERTY TAXES 511297 453845 57452 1410783 1208534 202249 22634151 18977832 3656319 0 4370778 3744197 1410035 977220 923600 264647 267457 96532484 47572267 51508515 48960217 3274696 2883987 4096652 6471878 5742606 6144749 70667929 70373305 1761852 1874335 37520183 36372434 56455000 55670000 1300000 1300000 4796614 4204137 101833649 99420906 X -34858535 -33311286 3692815 4263685 -31165720 -29047601 70667929 70373305 X 0 1 1 X 0 X 107259 95958 370626 181677 162291 917811 20458954 21326864 21982425 21767451 21333639 106869333 20566213 21422822 22353051 21949128 21495930 107787144 0 0 0 107787144 741594 641475 448373 232705 239763 2303910 741594 641475 448373 232705 239763 2303910 102381 125619 139066 240260 191006 798332 21410188 22189916 22940490 22422093 21926699 110889386 0.97200 0.97100 0.02080 0.02260 X 892186 892186 49005371 43354778 5650593 40577256 485570 40091686 4309486 3731919 577567 1748185 1748185 48960217 CASH & EQUIVALENTS 2061655 F Marketable Equity Securities 4380084 F Accrued Interest 30139 F 6471878 deferred financing costs (net of amortization) 1490828 due from affiliate 56852 DEFERRED MARKETING COSTS 333384 Interest in Net Assets of Collington Foundation 4263685 6144749 deposits from residents 143808 due to affiliate 141384 Obligation under interest rate swap agreement 3918945 4204137 22107724 22634151 -526427 1567926 1076620 2644546 2118119 24181400 1567926 505750 2073676 22107724 0 22107724 22634151 0 22634151 0 22634151 Part X: Description of Uncertain Tax Positions Under FIN 48: Collington Episcopal Life Care Community, Inc. is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code; accordingly, no provision for income taxes is required. Collington Episcopal Life Care Community, Inc. follows the provisions of the income tax standard regarding the recognition and measurement of uncertain tax positions. The application of these provisions has no impact on Collington Episcopal Life Care Community, Inc.'s financial statements. Collington Episcopal Life Care Community, Inc.'s tax return is subject to review and examination by federal and state authorities. The tax returns for the tax years 2006 to 2008 are open to examination by federal and state authorities. Part XI, Line 8 - Other Adjustments: Change in Fair Value of Interest Swap Agreements: 505750. Change in Interest in the Net Assets of Collington Foundation, Inc. : 570870. Part XII, Line 2d - Other Adjustments: Change in FV of Interest Rate Swap Agreements: 505750. X 1 0 0 0 0 0 0 0 0 0 0 Part I, Line 1a Providing first class or charter travel to the Organizations officer, director, trustee, key employee or highest compensated employee was paid by Life Care Services (LCS) and not by Collington Episcopal Life Care Community. Prince George's County 526000998 741724BH0 2006-07-28 26350000 To refinance both the series 1994 and series 2001 bonds. 0 0 Prince George's County 526000998 741724BJ6 2006-07-28 24310000 To refinance both the series 1994 and series 2001 bonds. 0 0 26350000 25600914 222086 527000 1 0 1 1 24310000 23602034 221766 486200 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 Bank of America 78.000000000000 0 0 0 Larry Mabry LCS Top management official - Employeed by Life Care Services. 832358 Management fees of $832,358 paid by Collington Episcopal Life Care community to Life Care Services, LLC (LCS). This included salary of $183,311 and benefits of $10,578 to Larry Mabry. 0 Angela Layfield Top Financial official - Employeed by life care services. 170486 Salary of $156,218 and benefits of $14,268 paid by Life Care Services, LLC 0 Form 990, Part VI, Section A, line 3 The Organization entered into an agreement with Life Care Services LLC dated October 2, 2003 to manage, operate and maintain Collington Episcopal Life Care Community, Inc. Form 990, Part VI, Section B, line 11 Prior to filing the form 990 the Board of Trustees will receive a copy of the 990, they will review and approve it. Form 990, Part VI, Section B, line 12c The organization enforces the written conflict of interest policy by annually being reviewed and executed by the Board Members and senior staff members. Form 990, Part VI, Section B, line 15a The organization entered into an agreement with Life Care Services LLC to manage, operate and maintain Collington Episcopal Life Care Community, Inc. The Organization's CEO and HCA are Life Care Services employees. Their compensations are paid directly by Life Care Services and not by the Organization. LCS is paid a management fee by CELCC. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XI, Line 2C This process has not changed from the prior year. Collington Care Services Inc 10450 Lottsford road mitchellville MD 20721 522011248 To provide management services to Collington Episcopal Life Care Community. MD 501(c)(3) 11 Collington Care Services Collington Foundation INC 10450 Lottsford road Mitchellville MD 20721 522011239 To provide support to CELCC MD 501(c)(3) 11 Collington Care Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1