LEE MEMORIAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LEE MEMORIAL HOSPITAL INC (EIN 23-7160360)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-05-08
IRS object ID
201421289349300232
Schema version
2012v2.3
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)
Timestamp2014-05-08T08:42:50-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GENE R SOLOMON CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11342 COLONIAL BLVD STE B11AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33907ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237160360EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LEE MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLEEMNameControl
Phone2394890023Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DRIVEAddressLine1
Address Line2ROOM/SUITE 350AddressLine2
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN NOLANDName
TitleCHAIRMAN/CEOTitle
Phone2394890023Phone
Date Signed2014-05-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGENE R SOLOMONName
Phone2399395303Phone
Date Prepared2014-05-08DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN NOLANDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DRIVEAddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5118399GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1916YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO COOPERATE WITH LEE MEMORIAL HEALTH SYSTEM (LMHS) IN ITS MISSION TO PROVIDE HEALTHCARE SERVICES TO RESIDENTS OF SOUTHWEST FLORIDA AND TO COOPERATE CYPRESS COVE AT HEALTHPARK FLORIDA, INC (CC) IN ITS MISSION TO PROMOTE THE WELL-BEING OF SENIOR CITIZENS RESIDING IN LEE COUNTY FLORIDA AND THE SURROUNDING AREA THROUGH SOUND BUSINESS STEWARDSHIP OF OUR RESOURCES AND BUSINESS ENTERPRISES.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3798241ProgramServiceRevenuePriorYear
Program Service Revenue CY3864946ProgramServiceRevenueCY
Investment Income Prior Year599967InvestmentIncomePriorYear
Investment Income Current Year601570InvestmentIncomeCurrentYear
Other Revenue Prior Year1010693OtherRevenuePriorYear
Other Revenue Current Year651883OtherRevenueCurrentYear
Total Revenue Prior Year5408901TotalRevenuePriorYear
Total Revenue Current Year5118399TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year112088GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1504583GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2755215OtherExpensePriorYear
Other Expenses Current Year2586915OtherExpensesCurrentYear
Total Expenses Prior Year2867303TotalExpensesPriorYear
Total Expenses Current Year4091498TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2541598RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1026901RevenuesLessExpensesCY
Total Assets BOY25817116TotalAssetsBOY
Total Assets EOY20540656TotalAssetsEOY
Total Liabilities BOY11940977TotalLiabilitiesBOY
Total Liabilities EOY11249373TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13876139NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9291283NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO COOPERATE WITH LEE MEMORIAL HEALTH SYSTEM (LMHS) IN ITS MISSION TO PROVIDE HEALTHCARE SERVICES TO RESIDENTS OF SOUTHWEST FLORIDA AND TO COOPERATE CYPRESS COVE AT HEALTHPARK FLORIDA, INC (CC) IN ITS MISSION TO PROMOTE THE WELL-BEING OF SENIOR CITIZENS RESIDING IN LEE COUNTY FLORIDA AND THE SURROUNDING AREA THROUGH SOUND BUSINESS STEWARDSHIP OF OUR RESOURCES AND BUSINESS ENTERPRISES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1068120Expense
Revenue1676410Revenue
DescriptionTHE FOLLOWING LEASES SUPPORT LMHS, A SPECIAL DISTRICT CREATED BY SPECIAL ACT OF THE FLORIDA LEGISLATURE THAT OWNS AND OPERATES FOUR ACUTE HOSPITALS AND HAS ALSO BEEN RECOGNIZED TO BE AN ORGANIZATION DESCRIBED BY SECTION 501(C)(3): A DAYCARE CENTER LEASED RENT FREE TO LHMS PRIMARILY FOR USE BY LMHS STAFF. THE LEASED PROPERTY WAS USED ENTIRELY IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES. 213,678 WAS THE VALUE OF THE RENT. A 100 LAND LEASE TO RONALD MCDONALD HOUSE, A TAX EXEMPT ENTITY, PROVIDING CHARITABLE SERVICES TO LMHS. 41,631 WAS THE VALUE OF THE RENT. OPERATION OF THE BASS ROAD BUILDING WHICH LEASES OFFICE SPACE TO A PHYSICIAN GROUP WHICH IS A PART OF LMHS. THE LEASED PROPERTY WAS ENTIRELY USED IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES. RENTAL REVENUES WERE 410,702. OPERATION OF THE PINE ISLAND ROAD BUILDING WHICH LEASES OFFICE SPACE TO A PHYSICIAN GROUP WHICH IS A PART OF LMHS. THE LEASED PROPERTY IS ENTIRELY USED IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES. RENTAL REVENUES WERE 836,650. RENTAL REVENUES FOR METRO AND THE PAVILLION AT HP WERE 191,788 AND 199,000, RESPECTIVELY, WHERE THE PROPERTY RENTED WAS USED IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES. PLEDGE FEE REVENUE IS RELATED TO LHR'S CHARITABLE PURPOSES. PLEDGE FEES WERE 38,169.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1000000Expense
Grants1000000Grants
DescriptionTHIS GRANT SUPPORTED THE CONSTRUCTION OF A NEW CHILDREN'S HOSPITAL AT LMHS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense669893Expense
Grants504583Grants
Revenue1051392Revenue
DescriptionTHIS LEASE SUPPORTS CYPRESS COVE AT HEALTHPARK FLORIDA, INC., AN ORGANIZATION RECOGNIZED TO BE DESCRIBED BY SECTION 501(C)(3) AND A PUBLIC CHARITY DESCRIBED BY SECTION 509(A)(2). THE LEASED PROPERTY IS ENTIRELY USED IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense751127Expense
Revenue1789027Revenue
DescriptionTHIS LEASE SUPPORTS LMHS, A SPECIAL DISTRICT CREATED BY SPECIAL ACT OF THE FLORIDA LEGISLATURE THAT OWNS AND OPERATES FOUR ACUTE CARE HOSPITALS AND HAS ALSO BEEN RECOGNIZED TO BE AN ORGANIZATION DESCRIBED BY SECTION 501(C) (3): OPERATION OF HEALTHPARK MEDICAL PLAZA ONE OFFICE BUILDING. THIS OPERATION SUPPORTS VARIOUS RELATED AGENCIES AND SERVICE PROVIDERS TO LMHS. THE LEASE PROPERTY IS ENTIRELY USED IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES. ALL TAX EXEMPT LEASES ARE AT FAVORABLE RATES. RENTAL REVENUES FOR THE HOSPITALS LEASES WERE 918,412. PORTFOLIO INCOME IS USED ENTIRELY IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp751127TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1789027TotalOfOtherProgramServiceRev
Total Program Service Expense3489140TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJACK EISENGANamePerson
Telephone Number2394890023TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DRIVE SUITE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOHN NOLAND
CHAIRMAN/CEO5.00XX000
CARL BARRACO
VICE CHAIR1.00XX000
E BRUCE STRAYHORN
SECRETARY1.00XX000
GARRETT H REASONER
TREASURER2.00XX000
JO ELLEN BEAUVOIS
DIRECTOR0.50X000
JOSEPH CATTI
DIRECTOR0.50X000
CHARLES EDWARDS SR
DIRECTOR0.50X000
CHRIS GAIR
DIRECTOR0.50X000
DAWSON MCDANIEL
DIRECTOR0.50X000
ALBERT B WINCHELL
DIRECTOR0.50X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LEE FP INC
9800 S HEALTHPARK DRIVE 350FORT MYERSFL33908PROF, SVC, FEE568229
SFCS INC
305 S JEFFERSON STROANOKEVA24011CONSULTING150530
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LEASES/RENTALS27753852775385
GROUND LEASE - CCHPF10513921051392
PLEDGE FEES3816938169
FieldValueIRS element (for citing)
Total Program Service Revenue3864946TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column601570TotalRevenueColumn
Exclusion$601,570ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
UNREALIZED GAIN ON SECURITIES573028573028
OTHER7885578855
FieldValueIRS element (for citing)
Total Other Revenue651883TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5118399TotalRevenueColumn
Related Or Exempt Function Income4516829RelatedOrExemptFunctionIncome
Exclusion$601,570ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1504583Total
Program Services1504583ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total568229Total
Management And General568229ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16209Total
Management And General16209ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17920Total
Management And General17920ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total878Total
Program Services878ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total540335Total
Program Services540335ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3926Total
Program Services3926ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total627924Total
Program Services627924ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total527754Total
Program Services527754ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total159325Total
Program Services159325ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
GENL & ADMIN9494494944
LICENSES & TAXES1784717847
PUBLIC RELATIONS92759275
TELEPHONE23472347

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2Total
Program Services2ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4091498Total
Program Services3489140ProgramServices
Management And General602358ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1100857BOY
EOY1956803EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY416073BOY
EOY4268EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY276455BOY
EOY1503456EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY139922BOY
EOY46627EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31535899LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5193259LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26480912BOY
EOY26342640EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7559214BOY
EOY8418169EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2573893BOY
EOY2538786EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY-12939141BOY
EOY-20456345EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY208931BOY
EOY186252EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25817116BOY
EOY20540656EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY107009BOY
EOY176601EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8738159BOY
EOY8286212EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3078157BOY
EOY2768908EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17652BOY
EOY17652EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11940977BOY
EOY11249373EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13876139BOY
EOY9291283EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13876139BOY
EOY9291283EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25817116BOY
EOY20540656EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1026901ReconcilationRevenueExpenses
Reconcilation Other Changes-5611757ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
LEE MEMORIAL HEALTH SYSTEM
590714812/truetruetrue$1,504,583
CYPRESS COVE AT HEALTHPARK FL
650610085()()truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts1504583SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis9225686InvestmentCostOrOtherBasis
Other Cost Or Other Basis3804058OtherCostOrOtherBasis
Book Value13029744BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18392390OtherCostOrOtherBasis
Depreciation5079494Depreciation
Book Value13312896BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis113765OtherCostOrOtherBasis
Depreciation113765Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26342640TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value2538786BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2538786TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSECURITY DEPOSITSDescription
Amount$17,652Amount
FieldValueIRS element (for citing)
Total Of Amounts17652TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationBASED ON AN EVALUATION OF THE ORGANIZATIONS TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEARS ENDED SEPTEMBER 30, 2013.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuation
LEE MEMORIAL HEALTH SYSTEM
2776 CLEVELAND AVEFORT MYERSFL3390159071481289701BASS ROAD
LEE MEMORIAL HEALTH SYSTEM
2776 CLEVELAND AVEFORT MYERSFL33901590714812DEVELOPMENT COSTS414882COST
LEE MEMORIAL HEALTH SYSTEM
2776 CLEVELAND AVEFORT MYERSFL339011000000CHILDRENS HOSPITALCOST

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationTHERE IS NO SET PROCEDURE FOR MONITORING USE OF CONTRIBUTIONS ISSUED TO LEE MEMORIAL HEALTH SYSTEM (LMHS) BECAUSE PART OF OUR PURPOSE IS TO SUPPORT LMHS IN ITS MISSION TO PROVIDE HEALTHCARE SERVICES TO RESIDENTS OF SOUTHWEST FLORIDA. HOWEVER, A BOARD LIAISON OF LMHS REGULARY ATTENDS OUR BOARD MEETINGS AND GIVES INSIGHT INTO HOW WE MAY FURTHER ASSIST AND SHARES HOW OUR PAST ASSISTANCE HAS IMPACTED THE COMMUNITY. THE LMHS CEO ALSO REGULARLY COMMUNICATES WITH THE BOARD CHAIR ON AREAS WHERE THE ORGANIZATION MAY BE OF ASSISTANCE.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1LEE CNTY INDL DEV AUTHBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN591793462IssuerEIN
Date Issued2007-04-01DateIssued
Issue Price10000000IssuePrice
Description Of PurposeREFINANCE & CONSTRUCTIONDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds10000000TotalProceeds
Issuance Costs From Proceeds196310IssuanceCostsFromProceeds
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOHN NOLAND
OFCR & DIRECTORSEE BELOWfalse
JOSEPH CATTI
DIRECTORSEE BELOWfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationPART IV D JOHN NOLAND NOT ONLY SERVES AS CHAIRMAN AND DIRECTOR OF LHR BUT ALSO SERVES AS CHAIRMAN AND DIRECTOR OF LEE FP INC LFP A RELATED ORGANIZATION TAXED AS A CORPORATION JOSEPH CATTI NOT ONLY SERVES AS DIRECTOR OF LHR BUT ALSO SERVES AS VICE CHAIR TREASURER AND DIRECTOR OF LFPExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTO COOPERATE WITH LEE MEMORIAL HEALTH SYSTEM (LMHS) IN ITS MISSION TO PROVIDE HEALTHCARE SERVICES TO RESIDENTS OF SOUTHWEST FLORIDA AND TO COOPERATE CYPRESS COVE AT HEALTHPARK FLORIDA, INC (CC) IN ITS MISSION TO PROMOTE THE WELL-BEING OF SENIOR CITIZENS RESIDING IN LEE COUNTY FLORIDA AND THE SURROUNDING AREA THROUGH SOUND BUSINESS STEWARDSHIP OF OUR RESOURCES AND BUSINESS ENTERPRISES.
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4AUSED IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES. RENTAL REVENUES WERE 410,702. OPERATION OF THE PINE ISLAND ROAD BUILDING WHICH LEASES OFFICE SPACE TO A PHYSICIAN GROUP WHICH IS A PART OF LMHS. THE LEASED PROPERTY IS ENTIRELY USED IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES. RENTAL REVENUES WERE 836,650. RENTAL REVENUES FOR METRO AND THE PAVILLION AT HP WERE 191,788 AND 199,000, RESPECTIVELY, WHERE THE PROPERTY RENTED WAS USED IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES. PLEDGE FEE REVENUE IS RELATED TO LHR'S CHARITABLE PURPOSES. PLEDGE FEES WERE 38,169.
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DTHIS LEASE SUPPORTS LMHS, A SPECIAL DISTRICT CREATED BY SPECIAL ACT OF THE FLORIDA LEGISLATURE THAT OWNS AND OPERATES FOUR ACUTE CARE HOSPITALS AND HAS ALSO BEEN RECOGNIZED TO BE AN ORGANIZATION DESCRIBED BY SECTION 501(C) (3): OPERATION OF HEALTHPARK MEDICAL PLAZA ONE OFFICE BUILDING. THIS OPERATION SUPPORTS VARIOUS RELATED AGENCIES AND SERVICE PROVIDERS TO LMHS. THE LEASE PROPERTY IS ENTIRELY USED IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES. ALL TAX EXEMPT LEASES ARE AT FAVORABLE RATES. RENTAL REVENUES FOR THE HOSPITALS LEASES WERE 918,412. PORTFOLIO INCOME IS USED ENTIRELY IN A MANNER SUBSTANTIALLY RELATED TO LHR'S CHARITABLE PURPOSES.
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3MANAGEMENT SERVICES ARE PERFORMED BY LEE FP, INC. WHICH IS A RELATED "FOR PROFIT" CORPORATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS PREPARED BY OUR OUTSIDE TAX ADVISOR/CPA FROM INFORMATION PROVIDED. THE 990 IS PRESENTED IN DRAFT FORM TO THE FINANCE COMMITTEE. UPON COMMITTEE APPROVAL THE 990 IS SENT TO ALL BOARD MEMBERS, DISCUSSED AND APPROVED AT A BOARD MEETING PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CALL DIRECTORS, OFFICERS AND COMMITTEE MEMBERS WITH BOARD-DELEGATED POWERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AT THE TIME THE BOARD MAY BE CONSIDERING A RELATED TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL WITH THE CONFLICT IS PRECLUDED FROM VOTING ON MATTERS TO WHICH THE CONFLICT PERTAINS AND MUST LEAVE THE ROOM WHILE THE MATTER IS DISCUSSED AND VOTED ON. IN ADDITION, ON AN ANNUAL BASIS EACH DIRECTOR IS REQUIRED TO SIGN A STATEMENT AFFIRMING THEY HAVE READ AND UNDERSTAND THE POLICY AND HAD NOT BEEN INVOLVED IN ANY CONFLICTS OF INTEREST. THE ORGANIZATION ALSO PERFORMS PERIODIC REVIEWS TO ENSURE COMPLIANCE WITH THE POLICY.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ANEITHER LHR'S CEO NOR ITS OTHER OFFICERS ARE COMPENSATED AND LHR HAS NO KEY EMPLOYEES
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19REQUIRED GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT THE CORPORATE OFFICE UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 9SUBSIDIARY - CCHPF 4,899,549 SUBSIDIARY - LEE FP 335,106 RESTATEMENT - CCHPF 377,102

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CYPRESS COVE AT HEALTHPARK FL INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DR STE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
EIN650610085EIN
Primary ActivitiesSEE BELOWPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LEE FP & SUBSIDIARIESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DR STE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
EIN650184989EIN
Primary ActivityMANAGEMENTPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CORPTypeOfEntity
Share Of Total Income1616974ShareOfTotalIncome
Share Of EOY Assets4494867ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LEE FP INC - RENT
A73761COST
CCHPF - GROUND LS
A1051392COST
CCHPF - GROUND LS RECEIVABLE
D7200541COST
CCHPF - PHILANTHROPY RECEIVABLE
D335000COST
LEE FP INC - MANAGEMENT FEES
M568229COST
CCHPF - PLEDGE FEE
L30000COST
LHV - PLEDGE FEE
L8169COST
LEE FP INC - CAPITAL CONTRIBUTION
B300000COST
LEE FP INC - RENT
A73761COST
CCHPF - GROUND LS
A1051392COST
CCHPF - GROUND LS RECEIVABLE
D7200541COST
CCHPF - PHILANTHROPY RECEIVABLE
D335000COST
LEE FP INC - MANAGEMENT FEES
M568229COST
CCHPF - PLEDGE FEE
L30000COST
LHV - PLEDGE FEE
L8169COST
LEE FP INC - CAPITAL CONTRIBUTION
B300000COST

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE RReturnReference
ExplanationSCHEDULE R PART II LINE 1 COLUMN B PRIMARY ACTIVITY A CONTINUING CARE RETIREMENT COMMUNITY AT HEALTHPARK FLORIDAExplanation

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