CYPRESS OF CHARLOTTE CLUB INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CYPRESS OF CHARLOTTE CLUB INC (EIN 56-2103741)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201113159349301701
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T07:55:46-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM MCGLADREY INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 N ELM ST STE 1100 | AddressLine1 |
| City | GREENSBORO | City |
| State | NC | State |
| ZIP Code | 27401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562103741 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CYPRESS OF CHARLOTTE CLUB INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CYPR | NameControl |
| Phone | 7047145500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3442 CYPRESS CLUB DR | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28210 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GEORGE M CHATFIELD III | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 7047145500 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ADRIENNE MCKINNEY | Name |
| Phone | 3362724551 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CYPRESS OF CHARLOTTE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GEORGE M CHATFIELD III | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3442 CYPRESS CLUB DR | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11804185 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.THECYPRESS.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE OTHE CYPRESS OF CHARLOTTE CLUB, INC. WAS ESTABLISHED AS A NON-PROPIETARY, NON-SHAREHOLDER, NOT-FOR-PROFIT MUTUAL BENEFIT CORPORATION UNDER THE LAWS OF NC, EXCLUSIVELY TO MAINTAIN HOUSING FOR THE ELDERLY, TO DIRECTLY PROVIDE HEALTHCARE FOR THE PHYSICAL AND MENTAL WELL-BEING OF ITS RESIDENTS, TO PROVIDE FINANCIAL SECURITY FOR ITS RESIDENTS WITH POLICIES PERMITTING RESIDENTS TO REMAIN AT THE CYPRESS EVEN THOUGH THEY MAY RUN OUT OF FUNDS, AND TO OPERATE THE FACILITY AT ITS LOWEST FEASIBLE AND ACCEPTABLE COST. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 400 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11005963 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11121927 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3888 | InvestmentIncomePriorYear |
| Investment Income Current Year | 83313 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9999 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11019850 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11205240 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5085655 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6681646 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5821786 | OtherExpensePriorYear |
| Other Expenses Current Year | 4638608 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10907441 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11320254 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 112409 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -115014 | RevenuesLessExpensesCY |
| Total Assets BOY | 4815529 | TotalAssetsBOY |
| Total Assets EOY | 4736220 | TotalAssetsEOY |
| Total Liabilities BOY | 2689700 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2695530 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2125829 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2040690 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE CYPRESS OF CHARLOTTE, CHARLOTTE'S PREMIER CONTINUING CARE RETIREMENT COMMUNITY, IS COMMITTED TO ENHANCING THE LIVES OF OUR MEMBERS BY PROVIDING EXCEPTIONAL SERVICE AND PEACE OF MIND IN AN UPSCALE ENVIRONMENT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8990924 | Expense |
| Grants | 0 | Grants |
| Revenue | 11121927 | Revenue |
| Description | THE CYPRESS OF CHARLOTTE CLUB PROVIDES SERVICES TO ELDERLY RESIDENTS LIVING IN 310 PRIVATELY OWNED RESIDENTIAL UNITS. RESIDENTS RECEIVED ASSISTED LIVING, INCLUDING HEALTHCARE, FOR PHYSICAL AND MENTAL WELL BEING. | Description |
| Total Program Service Expense | 8990924 | TotalProgramServiceExpense |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 46 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 400 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGE M CHATFIELD III | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7047145500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3442 CYPRESS CLUB DR | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28210 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JAMES P COLEMAN | |||||||
| PRESIDENT | 5.00 | X | X | 0 | 0 | 0 | |
| DR ROBERT HIGGINS | |||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | ||
| GEORGE M CHATFIELD III | |||||||
| SECRETARY/TREASURER | 40.00 | X | X | 143079 | 0 | 19761 | |
| MICHELLE FISH | |||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | ||
| MICHAEL J HARRISON | |||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | ||
| REBECCA C DAVIS | |||||||
| MARKETING DIRECTOR | 40.00 | 124681 | 0 | 0 | X | ||
| SONDRA C KEY | |||||||
| MARKETING DIRECTOR | 40.00 | 124800 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 392560 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 19761 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| THE CYPRESS OF CHARLOTTE LLC | |||||
| 20 LADY SLIPPER LANE | HILTON HEAD ISLAND | SC | 29926 | CONTRACTUAL OVERHEAD-SEE STMT O | 1319269 |
| LIFE CARE SERVICES LLC | |||||
| 400 LOCUST ST SUITE 820 | DES MOINES | IA | 50309 | MANAGEMENT SERVICES | 526541 |
| HERITAGE HEALTHCARE INC | |||||
| 536 OLD HOWELL ROAD | GREENVILLE | SC | 29615 | HEALTHCARE PROVIDER | 420147 |
| TOMMIE FARMER | |||||
| 7708 DENBUR DRIVE | CHARLOTTE | NC | 28214 | BEAUTY SALON OPERATOR | 143164 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEMBER DUES | 623000 | 6215955 | 6215955 |
| HEALTH SERVICE | 623000 | 3021097 | 3021097 |
| HOME HEALTH SERVICE | 621610 | 1352936 | 1352936 |
| OTHER MEMBER FEES | 623000 | 531939 | 531939 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11121927 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 78119 | TotalRevenueColumn |
| Exclusion | $78,119 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 604139 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 598945 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5194 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5194 | TotalRevenueColumn |
| Exclusion | $5,194 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11205240 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11121927 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $83,313 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162840 | Total |
| Management And General | 162840 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5459129 | Total |
| Program Services | 5120075 | ProgramServices |
| Management And General | 339054 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34573 | Total |
| Program Services | 22429 | ProgramServices |
| Management And General | 12144 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 517848 | Total |
| Program Services | 458923 | ProgramServices |
| Management And General | 58925 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 507256 | Total |
| Program Services | 481040 | ProgramServices |
| Management And General | 26216 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 954635 | Total |
| Program Services | 63893 | ProgramServices |
| Management And General | 890742 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13160 | Total |
| Management And General | 13160 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48147 | Total |
| Management And General | 48147 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82000 | Total |
| Management And General | 82000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20242 | Total |
| Program Services | 17661 | ProgramServices |
| Management And General | 2581 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24539 | Total |
| Management And General | 24539 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13477 | Total |
| Program Services | 2500 | ProgramServices |
| Management And General | 10977 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125761 | Total |
| Program Services | 110142 | ProgramServices |
| Management And General | 15619 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6979 | Total |
| Program Services | 4707 | ProgramServices |
| Management And General | 2272 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 353 | Total |
| Management And General | 353 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188698 | Total |
| Management And General | 188698 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248838 | Total |
| Management And General | 248838 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| FOOD COST | 1221469 | 1221469 | |
| MEDICAL EXPENSES | 577227 | 577227 | |
| SUPPLIES | 407831 | 398236 | 9595 |
| WORKERS COMP | 184125 | 177500 | 6625 |
| ACTIVITIES | 156233 | 156233 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364894 | Total |
| Program Services | 178889 | ProgramServices |
| Management And General | 186005 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11320254 | Total |
| Program Services | 8990924 | ProgramServices |
| Management And General | 2329330 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500 | BOY |
| EOY | 500 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 334711 | BOY |
| EOY | 422677 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 448687 | BOY |
| EOY | 585253 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85633 | BOY |
| EOY | 83047 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 237632 | BOY |
| EOY | 250408 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1986506 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1028159 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 954984 | BOY |
| EOY | 958347 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2442714 | BOY |
| EOY | 1086348 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45649 | BOY |
| EOY | 1340728 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 265019 | BOY |
| EOY | 8912 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4815529 | BOY |
| EOY | 4736220 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1102880 | BOY |
| EOY | 955033 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 89188 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1586820 | BOY |
| EOY | 1651309 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2689700 | BOY |
| EOY | 2695530 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2125829 | BOY |
| EOY | 2040690 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2125829 | BOY |
| EOY | 2040690 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4815529 | BOY |
| EOY | 4736220 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -115014 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 29875 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1986506 | OtherCostOrOtherBasis |
| Depreciation | 1028159 | Depreciation |
| Book Value | 958347 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 958347 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INSURANCE RESERVES-CDS & MONEY MKT | 535651 | F |
| PUBLICLY TRADED - ISHARES BARCLAYS 1-3 YR CREDIT BOND FUND | 513475 | F |
| PUBLICLY TRADED - VANGUARD INTERMEDIATE TERM BOND ETF | 291602 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 1340728 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $1,515,051 |
| EMPLOYEE FUNDS | $47,003 |
| DUE TO HOMEOWNERS | $14,117 |
| CAPITAL LEASE OBLIGATION | $75,138 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1651309 | TotalOfAmounts |
| Total Revenue | 11205240 | TotalRevenue |
| Total Expenses | 11320254 | TotalExpenses |
| Excess Or Deficit For Year | -115014 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 29875 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 29875 | TotalAdjustments |
| Excess Or Deficit Per FS | -85139 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 11235115 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 29875 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 29875 | RevenueNotRptdF990 |
| Revenue Subtotal | 11205240 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 11205240 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11320254 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11320254 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11320254 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE CLUB FOLLOWS THE PROVISIONS OF ACCOUNTING ASC 740-10 AND DETERMINED THAT THE CLUB DID NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION ON DECEMBER 31, 2010. WITH FEW EXCEPTIONS, THE CLUB IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL TAX AUTHORITIES FOR YEARS BEFORE 2007. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GEORGE M CHATFIELD III | NamePerson |
| Base Compensation Filing Org | 121356 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 21723 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 8801 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 10960 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 162840 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | FORM 990, PART VII, SECTION A, LINE 5: UNRELATED ORGANIZATION - LIFE CARE SERVICES, LLC PERSON RECEIVING COMPENSATION - GEORGE M. CHATFIELD,III, SECRETARY/TREASURER COMPENSATION - REFER TO FORM 990, SCHEDULE J, PART II | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CYPRESS OF CHARLOTTE LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE STMT O | Relationship |
| Amount Of Transaction | 1319269 | AmountOfTransaction |
| Description Of Transaction | SEE STMT O | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE CYPRESS OF CHARLOTTE CLUB ("CLUB")HAS CONTRACTED WITH LIFE CARE SERVICES, LLC TO PROVIDE SERVICES, INCLUDING MANAGEMENT SERVICES AND EMPLOYEES, TO THE CLUB. THE CLUB HAS AN AGREEMENT WITH THE CYPRESS OF CHARLOTTE, LLC ("COMPANY") TO PROVIDE SUPERVISION AND OVERSIGHT OF THOSE CONTRACTED ACTIVITIES AND EMPLOYEES. THE BOARD IS STILL ULTIMATELY RESPONSIBLE FOR THE CLUB AND MAY TERMINATE THE MANAGEMENT AGREEMENT WITH THE COMPANY SHOULD THE COMPANY BE IN DEFAULT. | |
| FORM 990, PART VI, SECTION A, LINE 6 | ONE CLASS OF MEMBERS | |
| FORM 990, PART VI, SECTION B, LINE 11 | NO REVIEW WILL BE CONDUCTED | |
| THESE DOCUMENTS ARE MADE AVAILABLE THROUGH THE ORGANIZATION'S ANNUAL DISCLOSURE STATEMENT, WHICH IS REQUIRED BY THE NC DEPARTMENT OF INSURANCE, WHICH REGULATES ALL CONTINUING CARE RETIREMENT COMMUNITIES IN THE STATE OF NORTH CAROLINA. ALL CYPRESS MEMBERS, ALL POTENTIAL CYPRESS MEMBERS, AND ANY OTHER INTERESTED PARTIES CAN RECEIVE A COPY OF THE DISCLOSURE STATEMENT UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 29,875. | FORM 990, PART XI, LINE 5: |
| WE HAVE MEMBERS (RESIDENTS) WHO ARE ELECTED TO SERVE ON ADVISORY COMMITTEES AND OTHER MEMBERS WHO VOLUNTEER THEIR TIME AT OUR NURSING FACILITY READING TO AND VISITING THE SICK. | FORM 990, PART I, LINE 6: | |
| THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR AND HEALTHCARE ADMINISTRATION IS CONDUCTED BY THE ORGANIZATION'S MANAGEMENT COMPANY, LIFE CARE SERVICES, LLC OF DES MOINES, IOWA, SUBJECT TO THE APPROVAL OF THE BOARD. THE EXECUTIVE DIRECTOR AND HEALTHCARE ADMINISTRATOR ARE LIFE CARE SERVICES, LLC EMPLOYEES (I.E. THEY ARE NOT EMPLOYEES OF THE CYPRESS OF CHARLOTTE). | FORM 990, PART VI, LINES 15A & B: | |
| THE BOARD ITSELF SERVES AS THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE BOARD IS MADE UP, IN THE MAJORITY, OF INDEPENDENT DIRECTORS WITH NO OTHER AFFILIATION WITH ANY OF THE CYPRESS ENTITIES. | FORM 990, PART XI, LINE 2C: | |
| (A) NAME OF PERSON: THE CYPRESS OF CHARLOTTE, LLC (B) RELATIONSHIP OF INTERESTED PERSON AND ORGANIZATION: BOARD PRESIDENT JAMES COLEMAN INDIRECTLY OWNS 25% OF THE CYPRESS OF CHARLOTTE, LLC (D) DESCRIPTION OF TRANSACTION: THE CYPRESS OF CHARLOTTE, LLC PLANNED, DESIGNED, AND BUILT THE CYPRESS OF CHARLOTTE COMMUNITY. THE BUSINESS MODEL ALLOWED THE COMMUNITY TO BE BUILT AND OPERATED WITHOUT DEBT BY ALLOWING FOR AN OVERHEAD PAYMENT EQUAL TO 10% OF THE OPERATING EXPENSES TO BE PAID TO THE LLC. THIS STRUCTURE ALLOWS THE CYPRESS OF CHARLOTTE CLUB MEMBER FEES TO BE LOWER THAN 95% OF COMPARABLE COMMUNITIES, WHILE AT THE SAME TIME PROVIDING A HIGHER LEVEL OF FINANCIAL SECURITY FOR THE MEMBERS OF THE COMMUNITY. THE AMOUNTS PAID TO THE CYPRESS OF CHARLOTTE, LLC ARE SET AS FIXED PERCENTAGES ESTABLISHED WHEN THE COMMUNITY WAS STARTED. THE SAME PAYMENTS WOULD BE MADE TO THE LLC REGARDLESS OF MR. COLEMAN'S PRESENCE ON THE BOARD, NOR ARE THEY TIED TO THE REVENUE OF THE CLUB. | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | |
| THE NORTH CAROLINA DEPARTMENT OF INSURANCE ISSUED THE LICENSE TO OPERATE A CONTINUING CARE RETIREMENT COMMUNITY COLLECTIVELY TO THE CYPRESS OF CHARLOTTE CLUB ("CLUB"), THE CYPRESS OF CHARLOTTE OWNERS' ASSOCIATION ("OA"), AND THE CYPRESS OF CHARLOTTE, LLC ("COMPANY"). THE DEPARTMENT OF INSURANCE REQUIRES THESE THREE LEGAL ENTITIES WORK TOGETHER TO FULFILL THE MISSION OF THE CYPRESS OF CHARLOTTE. THIS STRUCTURE ALLOWS THE COMPANY TO CONTRIBUTE REAL AND PERSONAL PROPERTY TO THE PROJECT WITHOUT DEBT TO EITHER THE CLUB OR THE OA, ALLOWING FOR MUCH GREATER FINANCIAL SECURITY AND LOWER MEMBER FEES THAN ANY COMPARABLE COMMUNITIES. IN RETURN, THE COMPANY RECOVERS ITS INVESTMENT THROUGH THE OVERHEAD FEES PAID BY THE COMMUNITY. THE TERMS OF AND DETAILS OF THE OVERHEAD PAYMENT ARE PROVIDED TO AND ACKNOWLEDGED BY MEMBERS WHEN THEY JOIN THE COMMUNITY. THIS MODEL ALIGNS THE INTERESTS OF THE CLUB, OA, COMPANY AND MEMBERS TO ENSURE THE COMMUNITY CONTINUES TO GROW AND THRIVE. THE SUCCESS OF THIS STRUCTURE CAN BE SEEN IN A 95% MEMBER SATISFACTION RATE AND SIGNIFICANT INCREASES IN THE VALUE OF THE RESIDENCES UPON RESALE. | FORM 990, SCHEDULE R, PART III AND PART IV: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CYPRESS OF CHARLOTTE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3442 CYPRESS CLUB DR | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activity | MGT SERVICES & CO-LICENSEE OF CYPRESS OF CHARLOTTE. | PrimaryActivity |
| Legal Domicile State | NC | LegalDomicileState |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.00000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CYPRESS OF CHARLOTTE OWNERS' ASSOCIATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3442 CYPRESS CLUB DRIVE | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562205827 | EIN |
| Primary Activity | HOME OWNERS ASSOC AND CO-LICENSEE OF THE CYPRESS OF CHARLOTTE. | PrimaryActivity |
| Legal Domicile State | NC | LegalDomicileState |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CYPRESS OF CHARLOTTE OWNERS'ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | O | TransactionType |
| Amount Involved | 1543542 | AmountInvolved |
| Method Of Amt Determination | CLUB INCOME/EXPENSE ALLOCATION | MethodOfAmtDetermination |