2013-11-19T14:47:55-06:00 2013-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2012-07-01 742070670 CARILLON INC % CHRIS DIANA CARI 8062816500 1717 NORFOLK AVE Suite LUBBOCK TX 79416 GILBERT CARRASCO 8062816500 2013-11-15 true Amanda Maya 7134994600 2012 2015-11-30 17:44:51Z CARILLON SENIOR LIFECARE COMMUNITY JACK MCCLENDON 1306 BROADWAY LUBBOCK TX 79401 28339741 false X WWW.CARILLONWEB.COM X 1975 TX TO PROVIDE OUR RESIDENTS WITH QUALITY, AFFORDABLE LIFECARE WHILE PROMOTING SECURITY, COMFORT, DIGNITY, INDEPENDENCE AND A STRONG FAMILY ATMOSPHERE. 9 9 460 9 0 0 25335 23505 21686827 21446756 384871 307769 138200 145210 22235233 21923240 7687 6701 0 0 9242020 9795836 0 0 0 13461319 13715238 22711026 23517775 -475793 -1594535 58725509 57502676 88100645 88622031 -29375136 -31119355 X PROVIDE OUR RESIDENTS WITH QUALITY, AFFORDABLE LIFECARE WHILE PROMOTING SECURITY, COMFORT, DIGNITY, INDEPENDENCE AND A STRONG FAMILY ATMOSPHERE. PROVIDE OUR EMPLOYEES WITH A SATISFYING WORK ENVIRONMENT AND THE TRAINING NECESSARY TO DELIVER EXCEPTIONAL SERVICES AND QUALITY CARE. BUILD STRONG RELATIONSHIPS BETWEEN CARILLON AND THE LUBBOCK COMMUNITY. BROADEN OUR KNOWLEDGE IN THE FIELD OF GENRONTOLOGY THROUGH RESEARCH & EDUCATION TO ENHANCE THE QUALITY OF LIFE FOR SENIORS. false false 17856542 6701 21575743 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. 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0 0 0 0 0 false false false REHABWORKS LLC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1414235 LIFE CARE SERVICES LLC 400 LOCUST ST SUITE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 816718 ADC INC 4417 71ST ST SUITE 41 LUBBOCK TX 79424 CONSTRUCTION SERVICE 1152269 DESIGN ENVY PO BOX 3156 LUBBOCK TX 79412 ADVERTISING SERVICES 116252 BKD 2800 POST OAK BLVD HOUSTON TX 77056 AUDIT/TAX SERVICES 114892 5 19938 3567 23505 NET PATIENT SERVICE REVENUE 900099 21446756 21446756 21446756 288157 288157 0 0 0 0 0 6436113 6392124 24377 43989 -24377 19612 19612 0 0 0 GIFT/CONVENIENCE STORE INCOME 453220 23331 23331 CATERING AND VENDING INCOME 722320 16223 16223 MISCELLANEOUS INCOME 900099 69961 69961 35695 35695 145210 21923240 21575743 323992 6701 6701 0 0 0 0 0 8129190 4813696 3315494 0 25186 14970 10216 0 949823 564548 385275 0 691637 411090 280547 0 525811 312527 213284 0 126929 0 126929 0 60825 0 60825 0 0 0 0 0 0 0 0 0 0 0 134415 29476 104939 0 442738 0 442738 0 686173 398920 287253 0 53213 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25035 19938 180605 103829913 335311 356090 233488 251059 288157 1464105 0 335311 356090 233488 251059 288157 1464105 0 33666 -46819 -60328 138386 145210 210115 19404414 20796869 21478220 22101607 21903628 105684738 0.98245 0.98045 0.01385 0.01685 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2661877 2661877 63572081 28925203 34646878 2627108 1574403 1052705 6025587 4722311 1303276 1028025 295779 732246 40396982 0 CURRENT PORTION OF ASSET RETIREMENT 20727 20727 21753062 -149683 -9177 -158860 21911922 11318 11318 21923240 23497280 -11318 -11318 23508598 9177 9177 23517775 RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 SCHEDULE D, PART XII, LINE 2D REVENUE ON BOOKS, NOT ON RETURN: EXPENSE IN AUDIT REVENUE $ 9,177 ------------------------------------------------- TOTAL REVENUE ON BOOKS, NOT ON RETURN: $ 9,177 RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 SCHEDULE D, PART XII, LINE 4B REVENUE ON RETURN, NOT ON BOOKS: LOSS ON DISPOSAL IN AUDIT EXPENSE $ (24,127) ASSET RETIREMENT OBLIGATION $ 35,695 CASUALTY LOSS IN AUDIT EXPENSE $ (250) ------------------------------------------------- TOTAL REVENUE ON RETURN, NOT ON BOOKS: $ 11,318 RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 SCHEDULE D, PART XIII, LINE 2D EXPENSES ON BOOKS, NOT ON RETURN: ASSET RETIREMENT OBLIGATION $ (35,695) CASUALTY LOSS IN AUDIT EXPENSE $ 250 LOSS ON DISPOSAL IN AUDIT EXPENSE $ 24,127 ---------------------------------------------------- TOTAL EXPENSES ON BOOKS, NOT ON RETURN: $ (11,318) RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 SCHEDULE D, PART XIII, LINE 4B EXPENSES ON RETURN, NOT ON BOOKS: EXPENSE IN AUDIT REVENUE $ 9,177 ------------------------------------------------- TOTAL EXPENSES ON RETURN, NOT ON BOOKS: $ 9,177 true PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. PART I, LINE 2 THE ORGANIZATION MAKES CHARITABLE EXPENDITURES TO QUALIFIED CHARITIES IN THE COMMUNITY. THE ORGANIZATION CONFIRMS THE CHARITABLE STATUS OF THE RECIPIENT BEFORE DISBURSEMENT. BASED ON THE AMOUNT OF THE GRANT, NO FOLLOW UP IS REQUIRED. A LUBBOCK HEALTH FACILITIES DEVELOPMENT CORPORATION 521313557 549208DS2 2005-12-15 6755000 REFINANCING/CONSTRUCTION false false false B LUBBOCK HEALTH FACILITIES DEVELOPMENT CORPORATION 521313557 549208DW3 2005-12-15 4010000 REFINANCING/CONSTRUCTION false false false C LUBBOCK HEALTH FACILITIES DEVELOPMENT CORPORATION 521313557 549208DT0 2005-12-15 12845000 REFINANCING/CONSTRUCTION false false false D LUBBOCK HEALTH FACILITIES DEVELOPMENT CORPORATION 521313557 549208DU7 2005-12-15 37635000 REFINANCING/CONSTRUCTION false false false A 0 0 6755000 634825 0 4454608 38662 0 0 7669919 0 0 2008 false true true true B 0 0 4010000 376854 0 291468 22951 0 0 4553127 0 0 2008 false true true true C 0 0 12845000 1207154 0 8464974 73518 0 0 14584768 0 0 2008 false true true true D 0 0 37635000 3536880 0 27152971 -135131 0 0 42732405 0 0 2008 false true true true A false false false false 0.00000 0.00000 0.00000 true false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 true false 0.00000 false true C false false false false 0.00000 0.00000 0.00000 true false 0.00000 false true D false false false false 0.00000 0.00000 0.00000 true false 0.00000 false true A false false false true false false 0 false 0 false false B false false false true false false 0 false 0 false false C false false false true false false 0 false 0 false false D false false false true false false 0 false 0 false false A false B false C false D false REBATE CALCULATION PART IV, LINE 2C THE REBATE CALCULATION WAS PERFORMED IN SEPTEMBER 2010. A LUBBOCK HEALTH FACILITIES DEVELOPMENT CORPORATION 521313557 549208DV5 2005-12-15 965000 REFINANCING/CONSTRUCTION false false false A 0 0 965000 86500 0 0 261127 0 0 601451 0 0 2008 false false true true A false false false false 0.00000 0.00000 0.00000 true false 0.00000 false true A false false false true false false 0 false 0 false false A false DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON FORM 990, PART VI, QUESTION 3 CARILLON HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH LCS. PURSUANT TO THE AGREEMENT, LCS PROVIDES CARILLON'S EXECUTIVE DIRECTOR AND CERTAIN MANAGEMENT FINANCIAL SERVICES. DURING 2013 AND 2012, TOTAL FEES PAID TO LCS WERE APPROXIMATELY $478,000 AND $457,000, RESPECTIVELY. GILBERT CARRASCO IS AN EMPLOYEE OF LCS, AN UNRELATED ORGANIZATION, AND, UNDER HIS EMPLOYMENT FOR LCS, HE SERVES AS THE EXECUTIVE DIRECTOR FOR CARILLON BEGINNING IN OCTOBER 2011. LCS PAID COMPENSATION TO GILBERT CARRASCO IN THE AMOUNT OF $134,474 FOR 2012. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR GILBERT CARRASCO. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, QUESTION 11B THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS, AND A COPY OF THE FORM IS PROVIDED TO THE BOARD PRIOR TO FILING. PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, QUESTION 12C THE ORGANIZATION INTERNALLY REVIEWS TRANSACTIONS FOR POSSIBLE CONFLICTS ON A ROUTINE BASIS THROUGH OUT THE YEAR. GOVERNING DOCUMENTS MADE AVAILABLE TO THE PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC ONLY UPON REQUEST. CARILLON FOUNDATION 1717 NORFOLK LUBBOCK TX 79416 750123537 CHARITABLE TX 501(c)(3) 7 NA false false false true false false false false false false false false false true true true false true false false