2023-11-15T11:55:20-06:00 2022-12-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 570951170 THE CYPRESS CLUB INC CYPR 8436897000 20 LADY SLIPPER LANE HILTON HEAD ISLAND SC 29926 BARBARA SEPICH EXECUTIVE DIRECTOR 8436897000 2023-11-15 1 BARBARA SEPICH 999009999 0 AMY BIBBY P00445891 8282542254 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BARBARA SEPICH 20 LADY SLIPPER LANE HILTON HEAD ISLAND SC 29926 23570745 0 X WWW.THECYPRESS.COM X 1992 SC THE CYPRESS CLUB, INC. WAS ESTABLISHED AS A NON-PROPRIETARY, NON- SHAREHOLDER, NOT-FOR-PROFIT MUTUTAL BENEFIT CORPORATION UNDER THE LAWS OF SOUTH CAROLINA, EXCLUSIVELY TO MAINTAIN HOUSING FOR THE ELDERLY, TO DIRECTLY PROVIDE HEALTH CARE FOR THE PHYSICAL AND MENTAL WELL-BEING OF ITS RESIDENTS, AND TO OPERATE THE FACILITY AT ITS LOWEST FEASIBLE AND ACCEPTABLE COST. 5 3 370 0 0 0 0 1846691 19878275 21651754 257 397 188588 71903 20067120 23570745 0 0 0 0 10841129 12677904 0 0 0 7372943 9105599 18214072 21783503 1853048 1787242 31122152 35189945 1257652 2082604 29864500 33107341 X THE CYPRESS CLUB, INC. WAS ESTABLISHED AS A NON-PROPRIETARY, NON- SHAREHOLDER, NOT-FOR-PROFIT MUTUTAL BENEFIT CORPORATION UNDER THE LAWS OF SOUTH CAROLINA, EXCLUSIVELY TO MAINTAIN HOUSING FOR THE ELDERLY, TO DIRECTLY PROVIDE HEALTH CARE FOR THE PHYSICAL AND MENTAL WELL-BEING OF ITS RESIDENTS, AND TO OPERATE THE FACILITY AT ITS LOWEST FEASIBLE AND ACCEPTABLE COST. 0 0 8482377 12663929 LIFE CARE SERVICES HAS BEEN ENGAGED AS A MANAGEMENT COMPANY AND IS RESPONSIBLE FOR IMPLEMENTING POLICIES AND PROCEDURES ESTABLISHED BY THE CLUB, SUPERVISING DAY TO DAY MANAGEMENT OF THE CLUB, AND PROVIDING/RECOMMENDING OPERATIONAL PROJECTIONS AND GOALS FOR THE CLUB. AS A PART OF THE MANAGEMENT AGREEMENT, LIFE CARE SERVICES HIRES AND COMPENSATES THE EXECUTIVE DIRECTOR OF THE CLUB, SANDY GRIFFIN-BUKOSKEY AND THE ADMINISTRATOR, MONIQUE MCRAE. THE CLUB REIMBURSES LIFE CARE SERVICES FOR ALL SUCH PAYROLL EXPENSES IN ADDITION TO CONTRACTED MANAGEMENT FEES. ADDITIONAL INFORMATION REGARDING THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS FOUND ON PART VII OF THIS 990 AS WELL AS SCHEDULE J. 5545579 6177735 THE CYPRESS HAS AN ON-SITE HEALTH CARE CENTER WHICH IS LICENSED TO PERFORM NURSING CARE SERVICES. 2657177 2811390 THE CYPRESS OFFERS IN-HOME ASSISTED LIVING AND CLINIC SERVICES FOR ITS MEMBERS. 16685133 0 1 0 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 71 0 1 370 1 0 0 0 0 0 0 0 0 0 0 X 5 3 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 1 1 0 0 0 SC X SANDY GRIFFIN-BUKOSKEY 8436897000 20 LADY SLIPPER LAND HILTON HEAD ISLAND SC 29926 X MARC PUNTERERI DIRECTOR 0.30 X 0 0 0 JEFF BRADLEY DIRECTOR 0.30 X 0 0 0 BOB RAEHN DIRECTOR 0.30 X 0 0 0 SANDRA GRIFFIN-BUKOSKEY EXECUTIVE DIRECTOR 40.00 X X 0 0 0 IGOR SISTER DIRECTOR 0.30 X 0 0 0 JAMES P COLEMAN DIRECTOR 0.30 X 0 0 0 GALEN MILLER DIR. OF TECHNOLOGY 40.00 X 100895 0 6200 100895 0 6200 1 0 0 0 LIFE CARE COMPANIES LLC 400 LOCUST SUITE 820 CAPITAL SQUARE DES MOINES IA 50309 HEALTHCARE SERVICES 990454 PRIME TIME HEALTHCARE LLC 15380 WEIR ST OMAHA NE 68137 HEALTHCARE SERVICES 649392 ONESTAFF MEDICAL LLC 10802 FARNAM OMAHA NE 68154 HEALTHCARE SERVICES 613099 SELECT REHABILITATION INC 2600 COMPASS RD GLENVIEW IL 60026 REHABILITATION SERVICES 601509 COUNTERFITTERS LLC 2319 STATE HWY 20 CARLISLE NY 12031 HOME IMPROVEMENT SERVICES 174210 8 1846691 1846691 MEMBERSHIP INCOME 623990 12662629 12662629 HEALTH CENTER 623990 6177735 6177735 HOME HEALTH SERVICES 623990 2595660 2595660 CLINIC/HOME HEALTH 623990 215730 215730 21651754 397 397 1300 0 1300 1300 1300 OTHER REVENUES 623990 70603 70603 70603 23570745 21653054 0 71000 10520183 9532888 987295 111055 102249 8806 1280761 1179184 101577 765905 705172 60733 2889728 2889728 70156 70156 46709 46709 384364 282140 102224 90914 80817 10097 188948 90178 98770 136131 136131 919868 692155 227713 59192 8898 50294 2620 2620 291009 291009 133525 133525 FOOD COSTS 2050296 2050296 THERAPY EXPENSE 1013349 1007552 5797 OPERATING SUPPLIES 820075 653880 166195 CASUALTY LOSSES 8715 8715 21783503 16685133 5098370 0 983061 492189 746537 1198047 28004100 31480140 165263 169032 868309 990949 296162 116701 150072 179461 25000 25000 179810 655127 31122152 35189945 1209717 1570523 47935 512081 1257652 2082604 X 29864500 33107341 29864500 33107341 31122152 35189945 X 1787242 1455599 X X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 296162 116701 179461 179461 EMPLOYEE ACTIVITY FUND 36764 LEASE LIABILITY 475317 512081 X PART X, LINE 2: THE CLUB IS A NONPROFIT ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND FILES A FORM 990 TAX RETURN. MANAGEMENT HAS EVALUATED THAT THE CLUB'S TAX POSITIONS AND CONCLUDED THAT THE CLUB HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE COMBINED FINANCIAL STATEMENTS. THE CLUB FILES AS A TAX-EXEMPT ORGANIZATION. BECAUSE MANAGEMENT HAS NOT IDENTIFIED UNRELATED BUSINESS INCOME IN PAST YEARS, THE CLUB HAS NOT FILED FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF THE CLUB. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR THE CLUB. HOMEOWNERS ASSOCIATIONS MAY BE TAXED EITHER AS MEMBERSHIP ORGANIZATIONS OR AS REGULAR CORPORATIONS. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, THE REGIME WAS TAXED AS A MEMBERSHIP ORGANIZATION. AS A MEMBERSHIP ORGANIZATION, MEMBERSHIP INCOME IS EXEMPT FROM TAXATION IF CERTAIN ELECTIONS ARE MADE, AND THE REGIME IS TAXED ONLY ON ITS NON-MEMBERSHIP INCOME, SUCH AS INTEREST EARNINGS, AT REGULAR FEDERAL AND STATE CORPORATE RATES. THE REGIME FOLLOWS THE PROVISIONS OF ASC 740-10 AND HAS DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION AS OF DECEMBER 31, 2022 AND 2021. X 0 0 0 0 0 0 0 0 0 THE CYPRESS OF HILTON HEAD ASSOCIATES LP DEVELOPER 2502310 MANAGEMENT FEES 0 FORM 990, PART VI, SECTION A, LINE 3 COMPENSATION FROM AN UNRELATED ORGANIZATION: COMPENSATION SHOWN FOR SANDRA GRIFFIN-BUKOSKEY, EXECUTIVE DIRECTOR, WAS FROM AN UNRELATED ORGANIZATION, LIFE CARE SERVICES, LLC, THE MANAGEMENT COMPANY OF THE CYPRESS CLUB. PURSUANT TO THE AGREEMENT WITH THE MANAGEMENT COMPANY, A PORTION OF THE MANAGEMENT FEES PAID INCLUDES EXECUTIVE DIRECTOR COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 EACH PROPERTY OWNER AT THE CYPRESS IS A MEMBER. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE TAX RETURN IS PROVIDED TO THE FINANCIAL MANAGER AND EXECUTIVE DIRECTOR OF THE ORGANIZATION FOR REVIEW BEFORE THE INCOME TAX RETURN IS FILED. BOARD MEMBERS MAY REQUEST A COPY. FORM 990, PART VI, SECTION B, LINE 12C THE PROCESS IS REVIEWED WITH EACH NEW EMPLOYEE AT THEIR HIRE DATE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST AND APPROVAL OF MANAGEMENT AND THE BOARD OF DIRECTORS. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF RELATED ORGANIZATION 1,455,599. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. THE CYPRESS OF HILTON HEAD OWNERS' ASSOCIATION 20 LADY SLIPPER LANE HILTON HEAD ISLAND SC 29926 570951143 HOMEOWNERS ASSOCIATION SC N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0