2022-02-17T14:39:37-06:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2020-07-01 742070670 CARILLON INC CARI 8062816500 1717 NORFOLK AVE LUBBOCK TX 79416 PAMELA RODDY EXECUTIVE DIRECTOR 8062816000 2022-02-16 1 PAMELA RODDY 999009999 MICHAEL SIEGEL P01587323 9723835700 2022-02-16 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CARILLON LIFECARE COMMUNITY PAMELA RODDY 1717 NORFOLK AVE LUBBOCK TX 79416 26765068 0 X HTTPS://WWW.CARILLONLUBBOCK.COM/ X 1975 TX TO PROVIDE OUR RESIDENTS WITH QUALITY, AFFORDABLE LIFECARE WHILE PROMOTING SECURITY, COMFORT, DIGNITY, INDEPENDENCE AND A STRONG FAMILY ATMOSPHERE. 9 9 405 9 15600 9047 137482 3023708 25009487 22260266 248115 152324 1176233 1328770 26571317 26765068 0 0 0 0 13447385 13241365 0 0 118187 13465312 12835681 26912697 26077046 -341380 688022 55937338 55508221 94131482 91697759 -38194144 -36189538 PROVIDE OUR RESIDENTS WITH QUALITY AFFORDABLE LIFECARE WHILE PROMOTING SECURITY, COMFORT, DIGNITY, INDEPENDENCE AND A STRONG FAMILY ATMOSPHERE. 0 0 24368829 0 22271138 PROVIDING HEALTH CARE FACILITIES WITH SERVICES AVAILABLE SUCH AS HOSPITAL, NURSING CARE, AND OTHER LIVING CARE SERVICES TO SENIOR CITIZENS. ALL SERVICES PROVIDED IN A SECURE LIVING AREA. PROVIDING OUR EMPLOYEES WITH A SATISFYING WORK ENVIRONMENT AND THE TRAINING NECESSARY TO DELIVER EXCEPTIONAL SERVICES AND QUALITY CARE. BUILDING STRONG RELATIONSHIPS BETWEEN CARILLON AND THE LUBBOCK COMMUNITY. BROADENING OUR KNOWLEDGE IN THE FIELD OF GERONTOLOGY THROUGH RESEARCH AND EDUCATION TO ENHANCE THE QUALITY OF LIFE FOR SENIORS. 24368829 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 60 0 405 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X LARRY NUSBAUM 8062816000 1717 NORFOLK AVE BUILDING B LUBBOCK TX 79416 X X JACK MCCLENDON CHAIRMAN 2.00 0.00 X X 0 0 0 BILLY BREEDLOVE DIRECTOR 1.00 0.00 X 0 0 0 LANE TURNER DIRECTOR 2.00 0.00 X 0 0 0 LES HATCH DIRECTOR 2.00 0.00 X 0 0 0 HENRY HUENKE DIRECTOR 1.00 1.00 X 0 0 0 BEVERLY BYERS DIRECTOR (THRU AUG-20) 1.00 0.00 X 0 0 0 BURLE PETTIT DIRECTOR (THRU DEC-20) 2.00 0.00 X 0 0 0 NITA KIESLING DIRECTOR (THRU OCT-20) 2.00 0.00 X 0 0 0 ELIZABETH HALEY VICE CHAIRMAN 2.00 0.00 X X 0 0 0 LEE MAZUREK DIRECTOR 2.00 0.00 X 0 0 0 VANESSA REASONER DIRECTOR 2.00 0.00 X 0 0 0 BRUCE WILSON DIRECTOR 2.00 0.00 X 0 0 0 PAMELA RODDY EXECUTIVE DIRECTOR 39.00 1.00 X 0 0 0 0 0 0 0 0 0 0 WATSONSYSCO 714 2ND PLACE LUBBOCK TX 79401 FOOD SERVICES 815911 REHABCARE GROUP THERAPY SERVICES PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 765619 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 60694 THERAPY SERVICES 598696 BEN E KEITH PO BOX 503534 FT WORTH TX 76101 FOOD SERVICES 444036 OMNICARE DEPT 781668 PO BOX 78000 DETROIT MI 48278 PHARMACY SUPPLIES 389600 10 604470 2419200 38 3023708 NET SERVICE REVENUE 623000 18478352 18478352 ENTRANCE FEE AMORTIZATION 623990 3781914 3781914 22260266 152324 152324 58758 0 58758 58758 10872 15600 32286 OTHER REVENUE 812900 737477 737477 RESIDENT MEAL REVENUE 812900 489874 489874 GIFT STORE REVENUE 812900 42661 42661 1270012 26765068 22271138 15600 1454622 10850198 9490710 1260005 99483 50940 43632 6985 323 1519350 1419154 93807 6389 820877 745703 67903 7271 462897 462897 3712 3712 15558 15558 1528585 1519797 8788 346087 341366 4721 98949 66608 32341 111630 76962 34668 1088933 1088933 7674 7335 339 32329 19131 13198 2595757 2595757 2443038 2443038 609417 609417 FOOD 1166966 1166966 MEDICAL SUPPLIES 865372 865372 SUPPLIES 626829 626829 BAD DEBT 313504 313504 518444 450160 68284 26077046 24368829 1590030 118187 3629619 3703499 11433915 12165816 863382 821082 287687 258268 90885162 55176847 37682209 35708315 2040526 2851241 55937338 55508221 2899880 3124666 23325548 23399530 55824006 54689814 2419200 9662848 10483749 94131482 91697759 X -39957978 -38533943 1763834 2344405 -38194144 -36189538 55937338 55508221 X 688022 736013 580571 X X 0 1 X 1 0 X 144727 289061 309548 137482 3023708 3904526 25679990 24541513 24742238 25009487 22260266 122233494 25824717 24830574 25051786 25146969 25283974 126138020 0 0 0 126138020 248355 319811 391621 323673 200395 1483855 248355 319811 391621 323673 200395 1483855 13584 10688 24272 497158 592565 742457 1087255 1270011 4189446 26570230 25742950 26185864 26571481 26765068 131835593 0.95680 0.96590 0.01130 0.01140 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GIFT/CONVENIENCE STORE INCOME - 2016 AMOUNT: $ 6,238. 2017 AMOUNT: $ 28,425. 2019 AMOUNT: $ 45,516. 2020 AMOUNT: $ 42,661. RESIDENT MEALS INCOME - 2016 AMOUNT: $ 461,744. 2017 AMOUNT: $ 508,771. 2018 AMOUNT: $ 646,404. 2019 AMOUNT: $ 574,144. 2020 AMOUNT: $ 489,874. MISCELLANEOUS INCOME - 2016 AMOUNT: $ 29,176. 2017 AMOUNT: $ 55,369. 2018 AMOUNT: $ 96,053. 2019 AMOUNT: $ 467,595. 2020 AMOUNT: $ 737,476. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2661877 2661877 78187924 46365125 31822799 3038956 2411932 627024 6996405 6399790 596615 35708315 CONSTRUCTION IN PROGRESS 274991 INVESTMENTS IN SUBSIDIARY 2344405 ENTRANCE FEE RECEIVABLE 231845 2851241 DEPOSITS & ADVANCE PAYMENTS 61082 REFUNDABLE ENTRANCE FEES 7309050 ASSET RETIREMENT OBLIGATION 622857 REFUNDS IN PROCESS 2490760 10483749 X 27501081 736013 736013 26765068 0 26765068 26077046 0 26077046 0 26077046 PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. A NEW HOPE CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 261604618 64542UBC7 2016-07-22 60397469 REFINANCING OF SERIES 2005 BONDS AND CAPITAL EXPENDITURES 0 0 0 A 4285000 60397469 3769752 1207939 5072781 50346997 2019 1 0 0 1 A 0 0 0 0 0.00730 0.00020 0.00750 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, SUPPLEMENTAL INFORMATION THE SERIES 2016 BONDS WERE USED TO REFUND THE SERIES 2005 BONDS, WHICH WERE LEGALLY DEFEASED AT THE TIME OF REFUNDING. PROCEEDS OF THE SERIES 2005 BONDS, TOGETHER WITH FUNDS PROVIDED FROM ENTRANCE FEES AND EARNINGS ON SUCH PROCEEDINGS, WERE USED FOR (I) REFINANCING CERTAIN PRE-CONSTRUCTION DEBT OF THE CORPORATION RELATING TO A CONTINUING CARE RETIREMENT CENTER PROJECT (THE "PROJECT") TO BE OWNED AND OPERATED BY THE CORPORATION, (II) THE ACQUISITION, CONSTRUCTION, EQUIPPING AND FURNISHING OF THE PROJECT, (III) FUNDING A DEBT SERVICE RESERVE FUND UNDER THE BOND INDENTURE, (IV) FUNDING WORKING CAPITAL, MARKETING COSTS AND CAPITALIZED INTEREST FOR APPROXIMATELY TWO YEARS, AND (V) PAYING COSTS OF ISSUANCE OF THE SERIES 2005 BONDS AND OTHER FINANCING CHARGES. NON-REFUNDING PROCEEDS OF THE ISSUE USED FOR CAPITAL EXPENDITURES WAS $5,072,781. SCHEDULE K, SUPPLEMENTAL INFORMATION THE PROCEEDS REPORTED ON PAGE 1, PART II, LINE 11 REPRESENT THOSE USED TO REFUND THE PRIOR ISSUE. FORM 990, PART VI, SECTION A, LINE 3 CARILLON, INC. PAYS MANAGEMENT FEES TO AN UNRELATED ORGANIZATION, LIFE CARE SERVICES, A MANAGEMENT COMPANY, TO PROVIDE THE ORGANIZATION WITH DIRECTORS AS WELL AS OTHER SERVICES. THE DIRECTORS ARE COMPENSATED BY THE MANAGEMENT COMPANY, AND CARILLON, INC. REIMBURSES LIFE CARE SERVICES WITH MONTHLY MANAGEMENT FEES FOR THE COMPENSATION PAID AND OTHER SERVICES PROVIDED. PAM RODDY IS ON-SITE EMPLOYEES/ADMIN MANAGERS OF MANAGEMENT COMPANY, LIFE CARE SERVICES. FORM 990, PART VI, SECTION B, LINE 11B CLIFTONLARSONALLEN WILL BE ABLE TO PROVIDE THE FORM 990 TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE OFFICER IS PAM RODDY, ADMINISTRATOR OF HEALTH CENTER. THE ORGANIZATION INTERNALLY REVIEWS TRANSACTIONS FOR POSSIBLE CONFLICTS ON A ROUTINE BASIS THROUGHT THE YEAR AND INCLUDES DISCUSSIONS AT BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR AND HEALTH CENTER ADMINISTRATOR ARE EMPLOYED BY LCS, CARILLON INC.'S MANAGEMENT COMPANY. THE BOARD OF DIRECTORS CONSULTS WITH AND NEGOTIATES PAY STANDARDS. DETERMINING COMPENSATION FOR OTHER OFFICERS AND/OR KEY EMPLOYEES IS DONE IN CONSULTATION WITH THE BOARD OF DIRECTORS AND LCS REGIONAL MANAGERS. THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE MANAGEMENT COMPANY USING A PROCESS FOR COMPENSATION THAT INVOLVES INDEPENDENT & CONTEMPORANEOUSLY WRITTEN DETERMINATIONS BASED ON COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. AS REQUIRED BY FINANCING, FINANCIAL STATEMENTS AND DEBT-RELATED ITEMS ARE DISCLOSED ON THE EMMA WEBSITE. ALL ITEMS REGARDING THE ORGANIZATION ARE AVAILABLE UPON REQUEST. FORM 990, PAGE 12, PART XII, LINE 2C: CARILLON HAS A MANAGEMENT AGREEMENT WITH LCS. PURSUANT TO THE AGREEMENT, LCS PROVIDES CARILLON'S EXECUTIVE DIRECTOR AND CERTAIN MANAGEMENT FINANCIAL SERVICES. DURING FISCAL YEAR 2021 AND 2020, TOTAL FEES PAID TO LCS WERE APPROXIMATELY $466,000 AND $450,000, RESPECTIVELY. PAM RODDY WAS AN EMPLOYEE OF LCS, AND SERVED AS THE ADMINISTRATOR AND EXECUTIVE DIRECTOR FOR CARILLON HOUSE. LCS PAID COMPENSATION TO PAM RODDY IN THE AMOUNT OF $120,044 FOR CALENDAR YEAR 2020. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF CARILLON FOUNDATION 580,571. CARILLON FOUNDATION 1717 B NORFOLK AVE LUBBOCK TX 79416 750123537 FUNDRAISING TX 501(C)(3) LINE 7 N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0