2013-08-08T08:31:04-05:00 2012-09-30 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2011-10-01 592867652 WATERMAN COMMUNITIES INC WATE 3523830051 2250 BROOKFIELD AVENUE MOUNT DORA FL 32757 ANDREW DUJON 3523830051 2013-08-08 1 MELANIE A MCPEAK P01346034 7275314477 2011 2016-02-24 21:20:13Z WATERMAN VILLAGE OF MT DORA DALE LIND 2250 BROOKFIELD AVENUE MOUNT DORA FL 32757 28423599 0 X WWW.WATERMANVILLAGE.COM X 1987 FL TO PROVIDE HOUSING, HEALTHCARE AND OTHER SERVICES TO THE ELDERLY. 8 7 558 3 0 0 57780 126543 27485076 27544110 85709 16233 527664 585089 28156229 28271975 0 0 0 0 14505197 14109031 0 0 0 14361008 15889702 28866205 29998733 -709976 -1726758 37046885 34194194 40315564 39611282 -3268679 -5417088 X AS A COMMUNITY CENTERED ORGANIZATION, WATERMAN COMMUNITIES, INC. MAKES IT POSSIBLE FOR ALL RESIDENTS TO AGE SUCCESSFULLY, LIVING THEIR BEST LIFE WITH MAXIMUM WELLNESS AND INDEPENDENCE THROUGH A BROAD RANGE OF SERVICES DELIVERED IN A SPIRIT OF CARING, INTEGRITY AND PROFESSIONALISM. 0 0 11899526 13165764 EDGEWATER HEALTH CARE AND REHABILITATION CENTER: THIS SKILLED NURSING FACILITY SERVES APPROXIMATELY 120 RESIDENTS IN ITS REHABILITATION THERAPY SUB-ACUTE AND SECURED DEMENTIA UNITS, AND LONG-TERM CARE NURSING FACILITY BEDS. 8321865 9207402 INDEPENDENT LIVING RETIREMENT UNITS: THE INDEPENDENT LIVING UNITS SERVE APPROXIMATELY 305 ELDERLY RESIDENTS BY PROVIDING ONE MEAL PER DAY, TRANSPORTATION TO MEDICAL APPOINTMENTS, SHOPPING, ACTIVITIES, WEEKLY HOUSEKEEPING, MAINTENANCE, BASIC CABLE TELEVISION AND SOME UTILITIES. 4673620 5170944 BRIDGEWATER ASSISTED LIVING FACILITY AND SUMMIT ASSISTED LIVING FACILITY: THE ASSISTED LIVING FACILITIES SERVE APPROXIMATELY 150 ELDERLY RESIDENTS WITH ASSISTANCE IN CERTAIN ACTIVITIES OF DAILY LIVING, INCLUDING A 24-HOUR NURSING STAFF; THREE MEALS DAILY; HOUSEKEEPING AND MAINTENANCE; TRANSPORTATION TO MEDICAL APPOINTMENTS AND SHOPPING ACTIVITIES; BASIC CABLE TELEVISION AND ALL UTILITIES. 528817 585089 GENERAL REVENUE AND EXPENSES 528817 585089 25423828 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 0 1 34 0 1 558 1 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 X ANDREW DUJON 3523830051 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 X KEVIN W MCEWEN 2.00 X X 0 0 0 THOMAS POPIESKI 2.00 X X 0 0 0 JOHN J COFFEY 2.00 X 0 0 0 RICHARD A LEIGH 2.00 X 0 0 0 GUSTAV SCHEUNEMAN 2.00 X 0 0 0 THOMAS E SUTTON 2.00 X 0 0 0 RANDY BROWN 2.00 X 0 0 0 ED BENNETT 2.00 X 0 0 0 JEANNE DE PRADA 40.00 X 154997 0 11006 ANDREW DUJON 40.00 X 161025 0 15776 DALE LIND 40.00 X 239290 0 19630 HEARDLEY R MURDOCK 40.00 X 105583 0 12858 JACK C WILBURN 40.00 X 112614 0 13522 773509 0 72792 5 0 1 0 SODEXHO INC & AFFILIATES P O BOX 905374 CHARLOTEE NC 282905374 CULINARY MANAGEMENT 2086027 QCR INC 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY MANAGEMENT 1758716 OMNICARE INC P O BOX 715268 COLUMBUS OH 432715268 PHARMACY SERVICES 553160 COMPASS BUILDING SERVICES LLC 303 N WOODLAND BLVD SUITE B DELAND FL 32720 CONSTRUCTION 150521 4 126543 79455 126543 SKILLED NURSING 623000 13165764 13165764 INDEPENDENT LIVING 623990 9207402 9207402 ASSISTED LIVING 623000 5170944 5170944 27544110 105904 105904 61953 151624 -89671 -89671 -89671 OTHER REVENUE 623000 585089 585089 585089 28271975 28129199 0 16233 461606 461606 12366235 10529957 1836278 346037 260020 86017 935153 779773 155380 2241492 2241492 47330 47330 48000 48000 502745 272807 229938 246925 13099 233826 395637 165574 230063 1425202 1207854 217348 131655 67465 64190 1724056 1724056 2582162 2188374 393788 2388703 2024418 364285 FOOD AND DIETARY USAGE 1661482 1602270 59212 MEDICAL SUPPLIES 966613 966613 REPAIR AND MAINTENANCE 925275 828571 96704 SUPPLIES 338115 338115 264310 213370 50940 29998733 25423828 4574905 0 870921 923584 4575 2442831 1889425 102463 226463 66023 73293 289666 291234 63285889 36402171 29032624 26883718 337581 344625 3904776 3557277 37046885 34194194 3833755 4424375 10676447 10380374 22332505 21450639 3379352 3018778 93505 337116 40315564 39611282 X -3268679 -5417088 -3268679 -5417088 37046885 34194194 X -1726758 -421651 X X 0 1 1 X 0 X 1130 155753 53547 57780 126543 394753 25099967 25237581 26235721 27485076 27544110 131602455 25101097 25393334 26289268 27542856 27670653 131997208 0 0 0 131997208 174853 152649 55941 107188 105904 596535 174853 152649 55941 107188 105904 596535 919791 763655 644350 527664 585089 3440549 26195741 26309638 26989559 28177708 28361646 136034292 0.97030 0.96670 0.00440 0.00570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 14426 5948 8478 0 4831303 4831303 41205914 22810150 18395764 11525521 9253961 2271560 5723151 4338060 1385091 26883718 DEFERRED FINANCING COSTS, NET 486278 DEPOSITS 97185 DEPOSITS FOR PURCHASE OF WATERMAN COVE 99600 ADVANCES TO RELATED PARTY 139984 ASSETS LIMITED IN USE 2654449 LIFE LEASE ACQUISITION COST, NET 79781 3557277 OTHER LIABILITIES 72116 DEPOSITS 265000 337116 28271975 29998733 -1726758 -421651 -421651 -2148409 27850324 -421651 -421651 28271975 0 28271975 29998733 0 29998733 0 29998733 PART IV, LINE 1B: THE ORGANIZATION PROVIDES A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESIDENT, TO BE DISBURSED ONLY AS REQUESTED. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. PART XI, LINE 8 - OTHER ADJUSTMENTS: IMPAIRMENT CHARGE ON PROPERTY HELD FOR SALE -421,651. PART XII, LINE 2D - OTHER ADJUSTMENTS: IMPAIRMENT CHARGE ON PROPERTY HELD FOR SALE -421,651. X X 0 1 0 0 0 0 0 0 0 JEANNE DE PRADA 154997 0 0 0 0 0 8925 0 2081 0 166003 0 0 0 ANDREW DUJON 161025 0 0 0 0 0 9485 0 6291 0 176801 0 0 0 DALE LIND 239290 0 0 0 0 0 14078 0 5552 0 258920 0 0 0 PART I, LINE 4B ALL MANAGING DIRECTORS ARE ELIGIBLE TO PARTICIPATE IN THE NON-QUALIFED DEFERRED COMPENSATION PLAN ESTABLISHED BY THE ORGANIZATION. ALL COMPENSATED INDIVIDUALS LISTED ON PART VII PARTICIPATE IN THE PLAN, AND NONE OF THESE INDIVIDUALS WITHDREW MONIES FROM THE PLAN DURING THE REPORTING YEAR. NO WITHDRAWALS CAN BE MADE FROM THE PLAN EXCEPT UNDER THE FOLLOWING CIRCUMSTANCES, (1) RETIREMENT - AGE 65, (2) TERMINATION OF EMPLOYMENT, (3) DEATH, (4) UNFORESEEABLE EMERGENCY, (5) DE MINIMIS EXCEPTION, OR (6) AGE 70 1/2 REQUIRED MINIMUM DISTRIBUTION. AFTER FIVE YEARS OF SERVICE, THE EARNED OWNERSHIP INTEREST (VESTING) OF THE EMPLOYER CONTRIBUTIONS BECOMES 100%. MOUNT DORA HEALTH FACILITIES AUTHORITY 621233DD4 2004-09-15 14015000 SEE SUPPLEMENTAL INFORMATION 1 0 0 14218479 28240 13696794 280300 213145 2005 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 X DUJON ELDERCARE SERVICES ENTITY'S PRINCIPALS ARE RELATIVES OF THE CFO, ANDREW DUJON. 64364 CONSTRUCTION SERVICES 0 HILLCREST INSURANCE ENTITY IS OWNED BY BOARD MEMBER, KEVIN MCEWEN. 870915 INSURANCE 0 COMPASS BUILDING SERVICES ENTITY IS OWNED BY V.P. OF INFORMATION TECHNOLOGY, JACK WILBURN. 145276 CONSTRUCTION SERVICES 0 X LEASEHOLD IMPROVEMENT CONTRIBUTIONS 34 79455 COST 0 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE LEASEHOLD IMPROVEMENTS REPRESENTS AMOUNTS PAID BY RESIDENTS WHO REQUEST UPGRADES TO THEIR UNITS WHEN FINALIZING THEIR LIFE-LEASE CONTRACT AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S CHIEF FINANCIAL OFFICER CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER. THE CEO DETERMINES THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES. THE BOARD AND CEO ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING CONSIDERED. THE BOARD UTILIZES COMPARABILITY SURVEYS PROVIDED BY THE ORGANIZATION'S CPA FIRM. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. ALLOCATION OF HOURS WORKED FORM 990, PART VII, SECTION A, #1A, COLUMN (B) HOURS WORKED PER WEEK ARE ALLOCATED BETWEEN THE FILING ORGANIZATION AND RELATED ORGANIZATIONS AS FOLLOWS FOR THE INDIVIDUAL LISTED WITHIN PART VII: ANDREW DUJON - WATERMAN COMMUNITIES, INC. - 40 HRS WATERMAN COMMUNITIES FOUNDATION - 1 HR DALE LIND - WATERMAN COMMUNITIES, INC. - 40 HRS WATERMAN COMMUNITIES FOUNDATION - 1 HR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: IMPAIRMENT CHARGE ON PROPERTY HELD FOR SALE -421,651. TOTAL TO FORM 990, PART XI, LINE 5: -421,651. OVERSIGHT OF AUDIT FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WATERMAN COMMUNITIES FOUNDATION INC 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 030386001 RAISES FUNDS FOR THE BENEFIT OF WATERMAN COMMUNITIES, INC. FL 501(C)(3) LINE 11A, I N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1