FURP.ORG / PUBLIC DATA EXPLORER

CYPRESS COVE AT HEALTHPARK FLORIDA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CYPRESS COVE AT HEALTHPARK FLORIDA INC (EIN 65-0610085)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-03
IRS object ID
201311239349300026
Schema version
2011v1.5
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)
Timestamp2013-05-03T09:28:53-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN650610085EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CYPRESS COVE AT HEALTHPARK FLORIDABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCYPRNameControl
Phone2394890023Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DRIVE SUITE 350AddressLine1
CityFT MYERSCity
StateFLState
ZIP Code33908ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN A NOLANDName
TitlePRESIDENTTitle
Phone2394890023Phone
Date Signed2013-02-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGENE R SOLOMONName
Phone2399395303Phone
Date Prepared2013-04-25DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 DRIVE SUITE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26130313GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCYPRESSCOVELIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO CREATE AND SUSTAIN A LIFECARE RETIREMENT COMMUNITY AT HEALTHPARK, FL AT A REASONABLE COST; AN ENVIRONMENT OF VITALITY WHILE COMFORTABLE AND SECURE. CYPRESS COVE OFFERS THE SECURITY OF LIFE CARE, WHEREBY RESIDENTS WHO HAVE QUALIFIED BOTH FINANCIALLY AND PHYSICALLY, CAN LIVE WITHIN THE COMMUNITY AND, IF NEEDED, RECEIVE ASSISTED LIVING AND SKILLED CARE FOR THE CONTRACTUAL MONTHLY FEE FOR THE DURATION OF THEIR LIVES. CYPRESS COVE WILL NOT DISMISS OR TERMINATE THE RESIDENT SOLELY BECAUSE OF FINANCIAL INABILITY TO PAY ALL OR A PART OF THE CONTRACTED MONTHLY SERVICE FEE. RESIDENTS CONTINUE THEIR ACTIVE AND INDEPENDENT LIFESTYLES, AGING WITH DIGNITY AND ADDED PEACE OF MIND.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees347TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year28679ContributionsGrantsPriorYear
Contributions Grants Current Year92524ContributionsGrantsCurrentYear
Program Service Revenue Prior Year23899402ProgramServiceRevenuePriorYear
Program Service Revenue CY24812566ProgramServiceRevenueCY
Investment Income Prior Year413401InvestmentIncomePriorYear
Investment Income Current Year-953915InvestmentIncomeCurrentYear
Other Revenue Prior Year710181OtherRevenuePriorYear
Other Revenue Current Year224876OtherRevenueCurrentYear
Total Revenue Prior Year25051663TotalRevenuePriorYear
Total Revenue Current Year24176051TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8904743SalariesEtcPriorYear
Salaries Etc Current Year10134316SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year140013TotalFundrsngExpCurrentYear
Other Expense Prior Year19802359OtherExpensePriorYear
Other Expenses Current Year18904920OtherExpensesCurrentYear
Total Expenses Prior Year28707102TotalExpensesPriorYear
Total Expenses Current Year29039236TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3655439RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4863185RevenuesLessExpensesCY
Total Assets BOY94495403TotalAssetsBOY
Total Assets EOY97109924TotalAssetsEOY
Total Liabilities BOY112347453TotalLiabilitiesBOY
Total Liabilities EOY119825159TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-17852050NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-22715235NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO CREATE AND SUSTAIN A LIFECARE RETIREMENT COMMUNITY AT HEALTHPARK, FL AT A REASONABLE COST; AN ENVIRONMENT OF VITALITY WHILE COMFORTABLE AND SECURE. CYPRESS COVE OFFERS THE SECURITY OF LIFE CARE, WHEREBY RESIDENTS WHO HAVE QUALIFIED BOTH FINANCIALLY AND PHYSICALLY, CAN LIVE WITHIN THE COMMUNITY AND, IF NEEDED, RECEIVE ASSISTED LIVING AND SKILLED CARE FOR THE CONTRACTUAL MONTHLY FEE FOR THE DURATION OF THEIR LIVES. CYPRESS COVE WILL NOT DISMISS OR TERMINATE THE RESIDENT SOLELY BECAUSE OF FINANCIAL INABILITY TO PAY ALL OR A PART OF THE CONTRACTED MONTHLY SERVICE FEE. RESIDENTS CONTINUE THEIR ACTIVE AND INDEPENDENT LIFESTYLES, AGING WITH DIGNITY AND ADDED PEACE OF MIND.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18670614Expense
Revenue17079524Revenue
DescriptionPROVIDING A LIFE CARE COMMUNITY INCLUDING 332 INDEPENDENT LIVING APARTMENTS AND 30 VILLAS, TOGETHER WITH APPROPRIATE COMMON AND AMENITY AREAS SITUATED ON 48 ACRES OF THE HEALTHPARK FLORIDA CAMPUS, LOCATED IN LEE COUNTY, FL. WE OFFER A HOLISTIC APPROACH TO LIFE BY PROVIDING AN ACTIVITIES DEPARTMENT AND WELLNESS CENTER PLACING STRONG EMPHASIS ON PREVENTIVE CARE AND MAINTAINING GOOD HEALTH. A PERSONAL TRAINER AND ACTIVITIES COORDINATOR ARE ALL INCLUDED. WE FULFIL OUR MISSION BY 1) CREATING A LIFE CARE COMMUNITY THAT ENCOURAGES ACTIVITY AND PERSONAL GROWTH. 2) PROVIDING DINING SERVICES OFFERING A BROAD, SATISFYING, AND NUTRITIOUS ARRAY OF CHOICES EVERY DAY. 3) BY PROVIDING HOUSEKEEPING AND TRANSPORTION, FREEING RESIDENT'S TIME AND ENERGY. 4) DEVELOPING A NEIGHBORHOOD WHICH FOSTERS NEW FRIENDSHIPS. 5) PROVIDING GOOD BUSINESS PRACTICES. 6) EXCEEDING RESIDENT EXPECTATIONS WHILE ATTENDING TO THEIR EMOTIONAL AND SPIRITUAL NEEDS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7626025Expense
Revenue7096527Revenue
DescriptionPRESENTING 44 ASSISTED LIVING UNITS AND A FACILITY OFFERING 64 BED NURSING. PROVIDING ON CAMPUS AND ON STAFF A MEDICAL DIRECTOR AND NURSING SERVICES INCLUDING REHABILITATIVE AND SKILLED NURSING TO LIFE CARE RESIDENTS FOR AS LONG AS REQUIRED. WE FULFIL OUR MISSION BY 1) MAINTAINING A HIGH QUALITY LIFECARE PROGRAM WITH PROVISIONS FOR ASSISTED LIVING AND NURSING CARE AS IS APPROPRIATE, CONSIDERING THE NEEDS OF THE INDIVIDUAL RESIDENT. 2) OFFERING AN ENVIRONMENT WHERE RESIDENTS ARE RESPONSIBLE FOR ORGANIZING THEIR OWN LIVES, YET KNOW THAT SHOULD THEY NEED IT, SUPPORT IS AVAILABLE. 3) PROMOTING INNOVATIVE PROGRAMS AND SERVICES, WELLNESS, HEALTHFUL LIVING AND THE OPPORTUNITY FOR RESIDENTS TO LIVE LONGER, HEALTHIER AND MORE FULFILLING LIVES.Description
FieldValueIRS element (for citing)
Total Program Service Expense26296639TotalProgramServiceExpense
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 SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
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 ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees347NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
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 DR STE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN A NOLAND
CHAIRMAN/PREXX000
CARL A BARRACO
VICE CHAIRXX000
E BRUCE STRAYHORN
SECRETARYXX000
GARRETT H REASONER
TREASURERXX000
ALBERT B WINCHELL
DIRECTORX000
DANIEL F ADAMS
DIRECTORX000
DAVID G ROBINSON PHD
DIRECTORX000
JO ELLEN BEAUVOIS
DIRECTORX000
CHARLES B EDWARDS SR
DIRECTORX000
JOSEPH CATTI
DIRECTORX000
CHRIS GAIR
DIRECTORX000
ROBBIE BRIGGS ROEPSTORFF
DIRECTORX000
RONALD EUGENE INGE
DIRECTORX000
DAWSON MCDANIEL
DIRECTORX000
TIMOTHY D FICKER
EXEC DIR190031015713X
JAY A GROESSER
HC ADMINISTR139191021100X
JOEL ANDERSON
ASSC EXEC DI12421007453X
KEVIN MANNIX
DINING DIREC11777606623X
FieldValueIRS element (for citing)
Total Reportable Comp From Org571208TotalReportableCompFromOrg
Total Other Compensation50889TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationBusiness Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
AEGIS THERAPIES
3250 WINKLER AVEFORT MYERSFL33916THERAPY: PHYSI958014
WEGMAN DESIGN GROUP INC
2385 TRADE CENTER WAY 101NAPLESFL34109INTERIOR DESIGN727825
LEE FP INC
9800 S HEALTHPARK DRIVE STE 350FORT MYERSFL33908MANAGEMENT FEE648900
JUNIOR CARPET INSTALLATION INC
3813 12TH ST WLEHIGH ACRESFL33971CARPET INSTALL350086GUSTAVO HERNANDEZ
CLA LANDSCAPING
5685 YOUNGQUIST RDFORT MYERSFL33912LAWN MAINT261131
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events7950FundraisingEvents
All Other Contributions84574AllOtherContributions
Noncash Contributions4035NoncashContributions
Total Contributions92524TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MONTHLY SERVICE1216183912161839
ASSIST. LVG & NURSING70965277096527
MEMBERSHIP55491325549132
MISCELLANEOUS50685068
FieldValueIRS element (for citing)
Total Program Service Revenue24812566TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column430875TotalRevenueColumn
Related Or Exempt Function Income430875RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities569472Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1Securities
Other1954261Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities569471Securities
Other-1954261Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1384790TotalRevenueColumn
Related Or Exempt Function Income-1384790RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events42825GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events7950CntrbtnsRprtdFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column42825TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAIN ON INVESTMENTDescription
Total Revenue Column182051TotalRevenueColumn
Related Or Exempt Function Income182051RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue182051TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24176051TotalRevenueColumn
Related Or Exempt Function Income24040702RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total184703Total
Management And General184703ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8154893Total
Program Services7472141ProgramServices
Management And General599892ManagementAndGeneral
Fundraising82860Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total197672Total
Program Services175407ProgramServices
Management And General20961ManagementAndGeneral
Fundraising1304Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total964208Total
Program Services855600ProgramServices
Management And General102250ManagementAndGeneral
Fundraising6358Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total632840Total
Program Services529045ProgramServices
Management And General97822ManagementAndGeneral
Fundraising5973Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total74479Total
Management And General74479ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total51885Total
Management And General51885ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total294627Total
Management And General294627ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total663389Total
Program Services663389ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total91929Total
Program Services27141ProgramServices
Management And General64044ManagementAndGeneral
Fundraising744Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total201672Total
Program Services93868ProgramServices
Management And General107804ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4435806Total
Program Services4346923ProgramServices
Management And General88883ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total142868Total
Program Services69390ProgramServices
Management And General71651ManagementAndGeneral
Fundraising1827Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total115636Total
Program Services46733ProgramServices
Management And General28050ManagementAndGeneral
Fundraising40853Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total4589792Total
Program Services4589792ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total693935Total
Program Services22535ProgramServices
Management And General671400ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3181383Total
Program Services3181383ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1256797Total
Program Services1255768ProgramServices
Management And General935ManagementAndGeneral
Fundraising94Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DINING SERVICES15124361512436
NURSING SERVICES11817871181787
RESIDENT SERVICES216822216822
GENERAL & ADMINISTRATIVE143198143198

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total56479Total
Program Services56479ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29039236Total
Program Services26296639ProgramServices
Management And General2602584ManagementAndGeneral
Fundraising140013Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3586102BOY
EOY4533610EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY653724BOY
EOY457220EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY579464BOY
EOY1988298EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY89276BOY
EOY104432EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY835908BOY
EOY850735EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis98468194LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec33761318LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY66103406BOY
EOY64706876EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY16764022BOY
EOY18372947EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY5669078BOY
EOY5881383EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY214423BOY
EOY214423EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY94495403BOY
EOY97109924EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3715908BOY
EOY1523112EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY62416343BOY
EOY66650858EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1425838BOY
EOY1231838EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY44789364BOY
EOY50419351EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY112347453BOY
EOY119825159EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-17852050BOY
EOY-22715235EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-17852050BOY
EOY-22715235EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY94495403BOY
EOY97109924EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-4863185ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7002220CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6548267CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6498860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11607818CurrentTaxYearMinus1Year
Current Tax Year5641656CurrentTaxYear
Total37298821Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19054963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19659543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19371700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19148113CurrentTaxYearMinus1Year
Current Tax Year19488310CurrentTaxYear
Total96722629Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26057183CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26207810CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25870560CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30755931CurrentTaxYearMinus1Year
Current Tax Year25129966CurrentTaxYear
Total134021450Total
FieldValueIRS element (for citing)
Public Support Total509134021450PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years929782CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years734808CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years673508CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year413401CurrentTaxYearMinus1Year
Current Tax Year430875CurrentTaxYear
Total3182374Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years929782CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years734808CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years673508CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year413401CurrentTaxYearMinus1Year
Current Tax Year430875CurrentTaxYear
Total3182374Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26986965CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26942618CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26544068CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31169332CurrentTaxYearMinus1Year
Current Tax Year25560841CurrentTaxYear
Total137203824Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97680PublicSupportPercentage509
Investment Income Percentage0.02000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1330010OtherCostOrOtherBasis
Book Value1330010BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis89006965OtherCostOrOtherBasis
Depreciation33761318Depreciation
Book Value55245647BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8131219OtherCostOrOtherBasis
Book Value8131219BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings64706876TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
PROGRAM RELATED INVESTMENTS17486126C
BOARD DESIGNATED ASSETS886821C
FieldValueIRS element (for citing)
Total Of Book Value Program Related18372947TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
UNEARNED ENTRANCE FEES$40,408,257
GROUND LEASE PAYABLE$9,776,094
PHILANTHROPY NOTE FROM LHR$235,000
FieldValueIRS element (for citing)
Total Of Amounts50419351TotalOfAmounts
Total Revenue24176051TotalRevenue
Total Expenses29039236TotalExpenses
Excess Or Deficit For Year-4863185ExcessOrDeficitForYear
Excess Or Deficit Per FS-4863185ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt24176051TotRevenueEtcAuditedFinclStmt
Revenue Subtotal24176051RevenueSubtotal
Total Revenue Per Form99024176051TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29039236TotExpensesEtcAuditedFinclStmt
Expenses Subtotal29039236ExpensesSubtotal
Total Expenses Per Form99029039236TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationCYPRESS COVE HAS ADOPED ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10 INCOME TAXES AS IT RELATES TO UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED SEPTEMBER 30, 2012 AND 2011. CYPRESS COVE HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE 2009, 2010 AND 2011 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. HOWEVER, THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY ANY JURISDICTION. THE ORGANIZATION'S SIGNIFICANT TAX POSITIONS RELATE TO ITS NOT-FOR-PROFIT STATUS AND THE POSITION NONE OF ITS INCOME IS UNRELATED BUSINESS INCOME AND SUBJECT TO TAX. BASED ON AN EVALUATION OF CYPRESS COVE'S 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 YEAR ENDED SEPTEMBER 30, 2012.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALA 2012NameOfEvent1
Gross Receipts Event150775GrossReceiptsEvent1
Charitable Contributions Event17950CharitableContributionsEvent1
Gross Revenue Event142825GrossRevenueEvent1
Gross Receipts Total50775GrossReceiptsTotal
Charitable Contributions Total7950CharitableContributionsTotal
Gross Revenue Total Events42825GrossRevenueTotalEvents
Net Income Summary42825NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
TIMOTHY D FICKER
19003115713205744
JAY A GROESSER
131876211001602917315

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1LEE CNTY INDL DEV AUTHBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2012-09-01DateIssued
Issue Price66650857IssuePrice
Description Of PurposeCAP. EXPEND./BD. RETIRE.DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds66650857TotalProceeds
Amount In Reserve Fund4489013AmountInReserveFund
Refunding Escrow54627395RefundingEscrow
Issuance Costs From Proceeds1333017IssuanceCostsFromProceeds
Capital Expenditures247010CapitalExpenditures
Amount Unspent5954423AmountUnspent
Year Of Subst Completion2015YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOHN A NOLAND
OFCR & DIRECTORSEE BELOWfalse
JOSEPH CATTI
DIRECTORSEE BELOWfalse
DANIEL F ADAMS
DIRECTORSEE BELOWfalse
ROBBIE BRIGGS ROEPSTORFF
DIRECTORSEE BELOWfalse
RONALD EUGENE INGE
DIRECTORSEE BELOWfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationJOHN A NOLAND NOT ONLY SERVES AS CHAIRMAN AND DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS CHAIRMAN AND DIRECTOR OF LEE FP INC LFP A RELATED ORGANIZATION TAXES AS A CORPORATION JOSEPH CATTI NOT ONLY SERVES AS DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS VICE CHAIR TREASURER AND DIRECTOR OF LFP DANIEL F ADAMS NOT ONLY SERVES AS DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS SECRETARY AND DIRECTOR OF LFP ROBBIE BRIGGS ROEPSTORFF NOT ONLY SERVES AS DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS DIRECTOR OF LFP RONALD EUGENE INGE NOT ONLY SERVES AS DIRECTOR OF CYPRESS COVE BUT ALSO SERVES AS DIRECTOR OF LFPExplanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990175NoncashContribsRptdF990

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990
XVARIOUS6984
XVACATION PKGS11990
XBASKETS1510
XDINING1376
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTO CREATE AND SUSTAIN A LIFECARE RETIREMENT COMMUNITY AT HEALTHPARK, FL AT A REASONABLE COST; AN ENVIRONMENT OF VITALITY WHILE COMFORTABLE AND SECURE. CYPRESS COVE OFFERS THE SECURITY OF LIFE CARE, WHEREBY RESIDENTS WHO HAVE QUALIFIED BOTH FINANCIALLY AND PHYSICALLY, CAN LIVE WITHIN THE COMMUNITY AND, IF NEEDED, RECEIVE ASSISTED LIVING AND SKILLED CARE FOR THE CONTRACTUAL MONTHLY FEE FOR THE DURATION OF THEIR LIVES. CYPRESS COVE WILL NOT DISMISS OR TERMINATE THE RESIDENT SOLELY BECAUSE OF FINANCIAL INABILITY TO PAY ALL OR A PART OF THE CONTRACTED MONTHLY SERVICE FEE. RESIDENTS CONTINUE THEIR ACTIVE AND INDEPENDENT LIFESTYLES, AGING WITH DIGNITY AND ADDED PEACE OF MIND.
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4APROVIDING GOOD BUSINESS PRACTICES. 6) EXCEEDING RESIDENT EXPECTATIONS WHILE ATTENDING TO THEIR EMOTIONAL AND SPIRITUAL NEEDS.
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3MEMBERS OF THE MANAGEMENT TEAM ARE EMPLOYEES OF LEE FP, INC. - A PROFIT RELATED CORPORATION.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE BOARD MEMBERS OF LEE MEMORIAL HOSPITAL, INC D/B/A LEE HEALTHCARE RESOURCES (A 501(C)(3) CORPORATION) SELECT THE MEMBERS OF THE BOARD OF DIRECTORS UNDER ALL CIRCUMSTANCES INCLUDING, BUT NOT LIMITED TO: (I) THE ANNUAL ELECTION, (II) IN THE EVENT THERE IS AN INCREASE IN THE SIZE OF THE BOARD, OR (III) IN THE EVENT THERE IS A VACANCY IN THE MEMBERSHIP OF THE BOARD.
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. IN ADDITION, ON AN ANNUAL BASIS, EACH DIRECTOR IS REQUIRED TO SIGN A STATEMENT AFFIRMING THEY HAVE READ AND UNDERSTAND THE POLICY AND HAVE NOT BEEN INVOLVED IN ANY CONFLICTS OF INTEREST. CYPRESS COVE ALSO PERFORMS PERIODIC REVIEWS TO ENSURE COMPLIANCE WITH THIS POLICY.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR'S COMPENSATION REVIEW ENTAILS THE HUMAN RESOURCES DEPARTMENT GATHERING COMPARABILITY DATA FROM LIKE SIZE CONTINUING CARE RETIREMENT COMMUNITIES. THE DATA IS PRESENTED TO THE CEO AND THE OVERSIGHT MANAGEMENT COMPANY (LEE FP, INC) WHO APPROVES THE EXECUTIVE COMPENSATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT THE OFFICE OF THE EXECUTIVE DIRECTOR UPON REQUEST. IN ADDITION, THE AUDITED FINANCIAL STATEMENTS ARE REVIEWED ANNUALLY WITH THE CYPRESS COVE RESIDENT FINANCIAL COMMUNICATIONS COMMITTEE. QUARTERLY FINANCIAL UPDATES ARE ALSO PROVIDED IN PUBLIC FORUM FOR ALL RESIDENTS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LEE MEMORIAL HOSPITAL INCBusinessNameLine1
Business Name Line2D/B/A LEE HEALTHCARE RESOURCESBusinessNameLine2

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTH PARK DRAddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
EIN237160360EIN
Primary ActivitiesSEE SUPLMTPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status11CPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LEE FP INC & 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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
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 MEMORIAL HOSP INC DBA LEE H
E9776094COST
LEE MEMORIAL HOSP INC DBA LEE H
E235000COST
LHR - ACCRUED INTEREST
E367190COST
LHR - RENT (GROUND LEASE)
J914256COST
LHR PAID CC MAINTENANCE SVC CHG
K2000COST
LEE FP INC - MANAGEMENT FEES
L648900COST
LHR - PLEDGE FEE
L22500COST
LEE FP INC - MARKETING SVC FEE
L22535COST
LEE MEMORIAL HOSP INC DBA LEE H
E9776094COST
LEE MEMORIAL HOSP INC DBA LEE H
E235000COST
LHR - ACCRUED INTEREST
E367190COST
LHR - RENT (GROUND LEASE)
J914256COST
LHR PAID CC MAINTENANCE SVC CHG
K2000COST
LEE FP INC - MANAGEMENT FEES
L648900COST
LHR - PLEDGE FEE
L22500COST
LEE FP INC - MARKETING SVC FEE
L22535COST

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE RReturnReference
ExplanationSCHEDULE R PART II LINE 1 COLUMNB SUPPORT 1 LMHSPUBLIC HOSPITAL FUNCTIONS 2 CYPRESS COVECHARITABLEExplanation