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CARPENTERS HOME ESTATES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CARPENTERS HOME ESTATES INC (EIN 59-2347336)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-12
IRS object ID
201112559349300806
Schema version
2010v3.4
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)
Timestamp2011-09-12T09:06:23-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Moore Stephens Lovelace PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1311 Park Place Blvd Suite 100AddressLine1
CityClearwaterCity
StateFLState
ZIP Code33759ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592347336EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Carpenter's Home Estates IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARPNameControl
Phone8638583847Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 Carpenters WayAddressLine1
CityLakelandCity
StateFLState
ZIP Code33809ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLou McCraneyName
TitleSecretary/Vice President ElectTitle
Phone8638583847Phone
Date Signed2011-09-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKarin E VickersName
Phone7275314477Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLou McCraneyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11001 Carpenters WayAddressLine1
CityLakelandCity
StateFLState
ZIP Code33809ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16449513GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionSee Schedule O.The Estates at Carpenter's is a not-for-profit Continuing Care Retirement Community as defined in Florida Statute 651 and is dedicated to providing nursing and personal services to meet the spritual, social, emotional, physical and health needs of the residents and the community we serve. We strive to promote and enhance an environment that encourages dignity, personal growth, happiness and self-esteem while valuing a sense of purpose and independence, and we do this at the lowest possible cost to the resident.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees379TotalNbrEmployees
Total Nbr Volunteers92TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year17913ContributionsGrantsPriorYear
Contributions Grants Current Year31217ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16535199ProgramServiceRevenuePriorYear
Program Service Revenue CY16274003ProgramServiceRevenueCY
Investment Income Prior Year886169InvestmentIncomePriorYear
Investment Income Current Year144293InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year17439281TotalRevenuePriorYear
Total Revenue Current Year16449513TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6335GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY25031GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7366191SalariesEtcPriorYear
Salaries Etc Current Year8349439SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7711420OtherExpensePriorYear
Other Expenses Current Year7463433OtherExpensesCurrentYear
Total Expenses Prior Year15083946TotalExpensesPriorYear
Total Expenses Current Year15837903TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2355335RevenuesLessExpensesPriorYear
Revenues Less Expenses CY611610RevenuesLessExpensesCY
Total Assets BOY44353185TotalAssetsBOY
Total Assets EOY44365546TotalAssetsEOY
Total Liabilities BOY41018239TotalLiabilitiesBOY
Total Liabilities EOY40418990TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3334946NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3946556NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe Estates at Carpenter's is a not-for-profit Continuing Care Retirement Community as defined in Florida Statute 651 and is dedicated to providing nursing and personal services to meet the spiritual, social, emotional, physical, and health needs of the residents and community we serve. We strive to promote and enhance an environment that encourages dignity, personal growth, happiness and self-esteem while valuing a sense of purpose and independence, and we do this at the lowest possible cost to the resident.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3778686Expense
Revenue4264209Revenue
DescriptionSee Schedule O.Carpenter's Home Estates, Inc. ("the Estates") operates a 72 bed skilled nursing facility and participates in the Medicare and Medicaid programs. In 2010, 59% of the total patient days served in the nursing home were receiving lifecare benefits. Through their resident agreement, these residents receive a guarantee for the provision of services regardless of their ability to pay, as long as they have not disposed of their assets at less than fair market value. In addition, the Estates demonstrates commitment to the service and support of the indigent elderly population of the local community. In 2010, 15% of the total patient days in the skilled nursing component were for care provided to residents covered by the Medicaid program. In the Estates 25 year history, no resident has ever been asked to leave due to their inability to meet their financial obligations to the organization.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1059675Expense
Revenue1195833Revenue
DescriptionSee Schedule O.Carpenter's Home Estates, Inc. operates a 49 unit assisted living facility with a licensed occupancy of 52 residents. The facility holds an extended congregate care license to allow for the provision of nursing services to the residents. This specialty license allows the facility to expand the number and types of services provided to the residents with the intent of allowing them to "age in place." This license and staffing pattern, which includes 24-hour a day nursing coverage, permits the residents to age with dignity and postpones their transfer to skilled nursing, which has a higher cost than assisted living. In 2010, 93% of the residents served in the assisted living facility were receiving lifecare benefits. Through their resident agreement, these residents receive a guarantee for the provision of services and support regardless of their ability to pay, as long as they have not disposed of their assets at less than fair market value. In the Estates 25 year history, no resident has ever been asked to leave due to their inability to meet their financial obligations to the organization.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense9275179Expense
Grants31217Grants
Revenue10466945Revenue
DescriptionSee Schedule O.Carpenter's Home Estates, Inc. operates 372 independent living apartments as part of the continuing care retirement community. The independent living apartments provide financial support to the operating activities of the skilled nursing facility and the assisted living facility. The Estates operates a Wellness Clinic staffed by licensed nurses to provide oversight of resident health concerns, communicate with medical providers to improve care and minimize waste, and to assist in the coordination of outside medical services. The resident agreement executed at admission to the community provides residents with a sense of security and peace of mind by guaranteeing the provisions of services and support for the rest of their lives and regardless of their ability to pay, as long as they have not disposed of their assets at less than fair market value. In the Estates 25 year history, no resident has ever been asked to leave due to their inability to meet their financial obligations to the organization.Description
FieldValueIRS element (for citing)
Total Program Service Expense14113540TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees379NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John ThompsonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8638583847TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11001 Carpenters WayAddressLine1
CityLakelandCity
StateFLState
ZIP Code33809ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Mallory Johnson
President3.00XX000
Rev Dwight Edwards
Board Member3.00X000
Lou McCraney
Secretary/Vice President Elect3.00XX000
Dr Riley Short
Board Member3.00X000
Leo Gillman
Treasurer3.00XX000
Lynne Breidenbach
Board Member3.00X000
Sammy Taylor
Board Member3.00X000
Brian Robare
Director of Operations40.00X123573040255
John Thompson
Executive Director40.00X126606011316
FieldValueIRS element (for citing)
Total Reportable Comp From Org250179TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation51571TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Great West Health Care
1511 N Westshore Blvd 700TampaFL33607Health Insurance Provider1079579
HMS of Lakeland Inc
1009 Carpenters WayLakelandFL33809Management Services663725
US Food Service Inc
PO Box 281841AtlantaGA30384Food Vendor411526
Sysco Food Services
200 West Story RoadOcoeeFL34761Food Vendor316145
Pharmerica
735B West Highway 434LongwoodFL32750Pharmacy Supplies212187
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
All Other Contributions31217AllOtherContributions
Total Contributions31217TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Assisted Living Revenu6230001436485714364857
Medicare/Medicaid Paym62300015621301562130
Beauty Shop Income900099190397$190,397
Resident Services623000156619$156,619
FieldValueIRS element (for citing)
Total Program Service Revenue16274003TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column144293TotalRevenueColumn
Exclusion$144,293ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16449513TotalRevenueColumn
Related Or Exempt Function Income15926987RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$491,309ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total25031Total
Program Services25031ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total301750Total
Management And General301750ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6449941Total
Program Services6251972ProgramServices
Management And General197969ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total57524Total
Program Services42572ProgramServices
Management And General14952ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1004634Total
Program Services990230ProgramServices
Management And General14404ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total535590Total
Program Services464169ProgramServices
Management And General71421ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total539316Total
Program Services194154ProgramServices
Management And General345162ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total46296Total
Program Services35761ProgramServices
Management And General10535ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32045Total
Management And General32045ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total98349Total
Program Services1952ProgramServices
Management And General96397ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total912237Total
Program Services850654ProgramServices
Management And General61583ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total36602Total
Program Services23085ProgramServices
Management And General13517ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total38390Total
Program Services19494ProgramServices
Management And General18896ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1545694Total
Program Services1545694ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1758017Total
Program Services1758017ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total375093Total
Program Services125453ProgramServices
Management And General249640ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Dietary Food and Suppli1358878130573453144
Utilities206105206105
Charitable Care1355248638649138
Postage and Freight68253374964504
Miscellaneous55009166853341

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total257625Total
Program Services181660ProgramServices
Management And General75965ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15837903Total
Program Services14113540ProgramServices
Management And General1724363ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY215730BOY
EOY66398EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5889727BOY
EOY7343778EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY575182BOY
EOY681583EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY270111BOY
EOY351741EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY46615BOY
EOY58276EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY354554BOY
EOY472365EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47962827LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20213141LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28484690BOY
EOY27749686EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8516576BOY
EOY7641719EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY44353185BOY
EOY44365546EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1678390BOY
EOY1468998EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY13411223BOY
EOY13238004EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY24855000BOY
EOY24855000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1073626BOY
EOY856988EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41018239BOY
EOY40418990EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3334946BOY
EOY3946556EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3334946BOY
EOY3946556EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44353185BOY
EOY44365546EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses611610ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years230209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years190614CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22977CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17913CurrentTaxYearMinus1Year
Current Tax Year31217CurrentTaxYear
Total492930Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14760154CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15503198CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16834865CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16593075CurrentTaxYearMinus1Year
Current Tax Year16261646CurrentTaxYear
Total79952938Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14990363CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15693812CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16857842CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16610988CurrentTaxYearMinus1Year
Current Tax Year16292863CurrentTaxYear
Total80445868Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7373CurrentTaxYearMinus4Years
Total7373Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7373CurrentTaxYearMinus4Years
Total7373Total
FieldValueIRS element (for citing)
Public Support Total50980438495PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years391417CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years442447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years443917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year886169CurrentTaxYearMinus1Year
Current Tax Year144292CurrentTaxYear
Total2308242Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years391417CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years442447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years443917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year886169CurrentTaxYearMinus1Year
Current Tax Year144292CurrentTaxYear
Total2308242Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15381780CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16136259CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17301759CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17497157CurrentTaxYearMinus1Year
Current Tax Year16437155CurrentTaxYear
Total82754110Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97200PublicSupportPercentage509
Prior Year Support Percentage0.96940PriorYearSupportPercentage
Investment Income Percentage0.02790InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03050PriorYrInvestIncomePercentage
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 Basis1775399OtherCostOrOtherBasis
Book Value1775399BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis41669446OtherCostOrOtherBasis
Depreciation17252993Depreciation
Book Value24416453BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2659924OtherCostOrOtherBasis
Depreciation1749644Depreciation
Book Value910280BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1858058OtherCostOrOtherBasis
Depreciation1210504Depreciation
Book Value647554BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27749686TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Deferred Financing Costs664039
Investments Whose Use Is Limited6896565
Utility Deposits81115
FieldValueIRS element (for citing)
Total Book Value Other Assets7641719TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Entrance Fee Deposits$246,248
Refundable Entrance Fees$610,740
FieldValueIRS element (for citing)
Total Of Amounts856988TotalOfAmounts
Total Revenue16449513TotalRevenue
Total Expenses15837903TotalExpenses
Excess Or Deficit For Year611610ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS611610ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16453213TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3700NetUnrealizedGainsInvestments
Revenue Not Rptd F9903700RevenueNotRptdF990
Revenue Subtotal16449513RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016449513TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15837903TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15837903ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015837903TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEmployee Emergency AssistanceTypeOfGrant
Number Of Recipients40NumberOfRecipients
Amount Of Cash Grant25031AmountOfCashGrant
Method Of ValuationAmounts paid directly to creditors and other vendors on behalf of employees.MethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule I, Part 1, Line 2:Identifier
Return ReferenceGrant Monitoring:ReturnReference
ExplanationThe board is responsible for approving, monitoring and evaluating the payment of all grants and other assistance. The use of the grant funds are monitored by the organization making payments directly to creditors and vendors on behalf of the grant recipients.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonBrian RobareNamePerson
Base Compensation Filing Org123573BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org40255NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org163828TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of Lakeland Rev and Ref Bonds 2008BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN596000354IssuerEIN
CUSIP Number511727AH2CUSIPNumber
Date Issued2008-05-01DateIssued
Issue Price26555000IssuePrice
Description Of PurposeSee continuation statement belowDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1700000AmountRetired
Total Proceeds26544437TotalProceeds
Amount In Reserve Fund2189838AmountInReserveFund
Capitalized Interest1545694CapitalizedInterest
Refunding Escrow13660414RefundingEscrow
Issuance Costs From Proceeds762333IssuanceCostsFromProceeds
Capital Expenditures6686158CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements1AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00050PrcntgePrvtBusinessUseByOthers
Total Private Business Use0.00050TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Schedule K, Part I(f)Purpose of Series 2008 Bonds:The proceeds from the Series 2008 Bonds were used to finance certain expansions to the facilities on Carpenter's Home Estate's campus, advance refund the Series 1998 Bonds, and pay certain expenses related to the financing of the Series 2008 Bonds.
Schedule KAdditional Information Related to Bond Issuance:In April 2008, the Estates issued the City of Lakeland, Florida, Retirement Community First Mortgage Revenue and Refunding Bonds, Series 2008 (the "Series 2008 Bonds"), with yearly principal payments due in varying increasing installments in the amount of $550,000 beginning January 1, 2012, to $2,735,000 in January 1, 2043. The Series 2008 Bonds were issued to refinance the existing Series 1998 Bonds, construct and equip an additional 32 independent living units, and pay the cost of issuing the Series 2008 Bonds. The 32 independent living units were completed during the year ended December 31, 2009.
Schedule K, Part I(C)Information pertaining to CUSIP of 2008 Series Bond Issue:The Series 2008 Bond Issue Consists of the Following: CUSIP No. 511727AH2, $8,555,000 5.875% Term Bonds Due January 1, 2019 CUSIP No. 511727AJ8, $3,630,000 6.25% Term Bonds Due January 1, 2028 CUSIP No. 511727AK5, $14,370,000 6.375% Term Bonds Due January 1, 2043
Schedule K, Part II, Line 3Additional Information Related to Bond Issuance:The total proceeds for series 2008 bond issue are not identical to the issue price listed in Part I, Column (e), the difference is a underwriters discount of $10,563.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HMS of Lakeland IncBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipManagement CompanyRelationship
Amount Of Transaction663725AmountOfTransaction
Description Of TransactionMgt. fee HMS provides operational management services to the organization. It is owned 75% by the organization's Executive Director, Health Care Administrator and Director of Operations.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2John Thompson is the Executive Director and Matthew Thompson is the Health Center Administrator. They have a direct family relationship as father and son. In addition, they are both part owners of the Management Company, HMS of Lakeland. John Thompson, Matthew Thompson and Brian Robare are business partners through their ownership in the Management Company, HMS of Lakeland.
Form 990, Part VI, Section A, line 3The organization delegates control over management duties that are customarily performed by or under the direct supervision of officers, directors, trustees or key employees to HMS of Lakeland, Inc. The organization's Executive Director, Director of Operations and Administrator are three of the four owners of HMS. The Board of Directors believes that the management fee is reasonable based on the duties that are performed by the management company. The Board of Directors also believes that the management fee does not result in private inurement or an excess benefit transaction.
Form 990, Part VI, Section B, line 11The return is sent to the entire Board via email, comments are taken into consideration and the return is modified as necessary. A copy of the final return is provided to all of the voting members of organization's Board before it is filed with the IRS.
The conflict of interest policy is reviewed with the Board of Directors and key employees on an annual basis. At this time, individuals are requested to declare areas of potential conflict. If any potential conflicts are identified, the Board approved policy is followed.Form 990, Part VI, Section B, line 12c
The compensation of the Executive Director is reviewed and approved by the Executive & Finance Committees of the Board of Directors, which are made up of independent persons. The compensation is set based upon comparable data available from other similar organizations and online resources, such as Guidestar. The organization has contemporaneous documentation of the deliberation and decision to pay the compensation.Form 990, Part VI, Section B, line 15a
The unaudited monthly financial statements are provided to our Board of Directors, the President of the resident association (CHERA), and two resident representatives to our Board of Directors. The unaudited quarterly and annual financial statements are provided to all existing residents of the community, posted quarterly on Municipal Securities Rulemaking Board (MSRB) website, and posted on the Florida Office of Insurance Regulation website. The audited annual financial statements are filed with the MSRB and the Florida Department of Insurance. A copy of the audited annual financial statements is provided to each Board member, the two resident representatives to the Board and the President of the CHERA. In addition, a summary of the annual financial statements is posted on our bulletin board and a copy is available in the business for inspection by the general public upon request. The governing documents and conflict of interest policy are available to the general public at our business location upon request.Form 990, Part VI, Section C, line 19
Oversight of AuditThe Audit Committee of the Board of Directors has responsibility for oversight of audit and selection of an independent accountant. The process has not changed from the prior year.Form 990, Part XII, Line 2c