2012-07-19T15:03:08-05:00 2011-09-30 MOORE STEPHENS LOVELACE PA 1201 S ORLANDO AVENUE SUITE 400 WINTER PARK FL 327897192 990 2010-10-01 592867652 WATERMAN COMMUNITIES INC D/B/A WATERMAN VILLAGE OF MT DORA WATE 3523830051 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 ANDREW DUJON 3523830051 2012-07-19 1 KURT A ALTER CPA 4077405400 2010 2016-02-24 21:20:13Z DALE LIND 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 28177708 0 X WWW.WATERMANVILLAGE.COM X 1987 FL THE ORGANIZATION'S MISSION IS TO PROVIDE HOUSING, HEALTHCARE AND OTHER SERVICES TO THE ELDERLY. 6 5 571 75 0 0 2218922 57780 26235721 27485076 55943 85709 524350 527664 29034936 28156229 0 0 0 0 13865296 14505197 0 0 0 14119629 14361008 27984925 28866205 1050011 -709976 38582098 37046885 41080931 40315564 -2498833 -3268679 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 12204617 13752795 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. 7589294 8552009 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. 4597119 5180272 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. 468264 527664 GENERAL REVENUE AND EXPENSES 468264 527664 24859294 1 0 0 0 0 0 0 1 0 1 1 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 0 0 0 0 0 1 0 0 0 0 1 39 0 1 571 1 0 0 0 0 0 0 0 0 0 0 X 6 5 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 JEANNE DE PRADA 40.00 X 156210 0 0 ANDREW DUJON 40.00 X 154290 0 2536 DALE LIND 40.00 X 237087 0 5800 HEARDLEY R MURDOCK 40.00 X 107356 0 0 JACK C WILBURN 40.00 X 123115 0 0 778058 0 8336 5 0 1 0 SODEXHO INC & AFFILIATES P O BOX 905374 CHARLOTEE NC 282905374 CULINARY MANAGEMENT 1800736 RXPERTS PHARMACY SERVICES INC 4032 N 29TH AVENUE HOLLYWOOD FL 33020 PHARMACY SERVICES 525542 QCR INC 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY MANAGEMENT 518766 3 57780 57780 SKILLED NURSING 623000 13752795 13752795 INDEPENDENT LIVING 623990 8552009 8552009 ASSISTED LIVING 623000 5180272 5180272 27485076 107188 107188 21479 -21479 -21479 -21479 OTHER REVENUE 623000 527664 527664 527664 28156229 28012740 0 85709 500782 500782 12722561 10915656 1806905 324326 211970 112356 957528 807359 150169 48000 48000 1706608 1161499 545109 263419 15344 248075 330213 209663 120550 1134185 961815 172370 105337 47818 57519 1888625 1888625 2668101 2650299 17802 2303818 2303818 FOOD AND DIETARY USAGE 1628331 1566513 61818 SUPPLIES 1480471 1466690 13781 REPAIRS AND MAINTENANCE 409222 337297 71925 TAXES AND LICENSES 318452 299734 18718 DUES AND SUBSCRIPTIONS 40218 9935 30283 36008 5259 30749 28866205 24859294 4006911 0 334861 870921 1961646 2442831 67064 102463 67437 66023 352393 289666 63923721 34891097 28408772 29032624 2877201 337581 4512724 3904776 38582098 37046885 3960255 3833755 10164197 10329606 23169372 22332505 2982053 3379352 805054 440346 41080931 40315564 X -2498833 -3268679 -2498833 -3268679 38582098 37046885 X -709976 -59870 X X 0 1 1 X 0 X 120 1130 155753 53547 57780 268330 23489955 25099967 25237581 26235721 27485076 127548300 23490075 25101097 25393334 26289268 27542856 127816630 0 0 0 127816630 263952 174853 152649 55941 107188 754583 263952 174853 152649 55941 107188 754583 796700 919791 763655 644350 527664 3652160 24550727 26195741 26309638 26989559 28177708 132223373 0.96670 0.96380 0.00570 0.00700 X 1 13192 1234 14426 0 2486651 2851303 5337954 37554715 20686001 16868714 423048 423048 0 11854765 9627977 2226788 8753239 4154071 4599168 29032624 DEFERRED FINANCING COSTS, NET 581386 DEPOSITS 149185 DEPOSITS FOR PURCHASE OF WATERMAN COVE 98705 ADVANCES TO RELATED PARTY 209568 ASSETS LIMITED IN USE 2759651 LIFE LEASE ACQUISITION COST, NET 106281 3904776 OTHER CURRENT LIABILITIES 93505 LONG-TERM LIABILITIES 346841 440346 28156229 28866205 -709976 130 -60000 -59870 -769846 28096359 130 130 28096229 60000 60000 28156229 28866205 0 28866205 0 28866205 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 AND, ACCORDINGLY, THESE FUNDS ARE EXCLUDED FROM THESE FINANCIAL STATEMENTS. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. PART XI, LINE 8 - OTHER ADJUSTMENTS: IMPAIRMENT CHARGE ON PROPERTY HELD FOR SALE -60,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: IMPAIRMENT CHARGE ON PROPERTY HELD FOR SALE 60,000. X X 0 0 0 0 0 0 0 0 0 JEANNE DE PRADA 156210 0 0 0 0 0 0 0 0 0 156210 0 0 0 ANDREW DUJON 154290 0 0 0 0 0 0 0 2536 0 156826 0 0 0 DALE LIND 237087 0 0 0 0 0 0 0 5800 0 242887 0 0 0 MOUNT DORA HEALTH FACILITIES AUTHORITY 621233DD4 2004-09-15 14015000 SEE SUPPLEMENTAL INFORMATION 1 0 0 14218479 28240 13696794 493445 2005 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 SCHEDULE K, PART I(F) PURPOSE OF SERIES 2004 BONDS IN SEPTEMBER 2004, THE VILLAGE ISSUED MOUNT DORA HEALTH FACILITIES AUTHORITY REFUNDING REVENUE BONDS, SERIES 2004, IN THE AMOUNT OF $14,015,000, TO FINANCE THE REDEMPTION OF THE SERIES B PORTION OF THE SERIES 1996 BOND ISSUE AND TO PAY A PORTION OF THE COST OF ISSUING THE SERIES 2004 BONDS. THE 2004 BONDS INCLUDE SERIES A AND SERIES B BONDS ISSUED IN THE PRINCIPAL AMOUNTS OF $10,515,000 AND $3,500,000, RESPECTIVELY. SCHEDULE K, PART I(C) INFORMATION PERTAINING TO CUSIP OF 2004 SERIES BOND ISSUE: THE SERIES 2004A BOND ISSUE CONSISTS OF THE FOLLOWING: CUSIP NO. 621233CW3, $20,000 3.75% TERM BONDS DUE AUGUST 15, 2006 CUSIP NO. 621233CX1, $670,000 3.75% TERM BONDS DUE AUGUST 15, 2007 CUSIP NO. 621233CY9, $690,000 4.25% TERM BONDS DUE AUGUST 15, 2008 CUSIP NO. 621233CZ6, $720,000 4.50% TERM BONDS DUE AUGUST 15, 2009 CUSIP NO. 621233DA0, $755,000 4.75% TERM BONDS DUE AUGUST 15, 2010 CUSIP NO. 621233DB8, $2,500,000 5.25% TERM BONDS DUE AUGUST 15, 2013 CUSIP NO. 621233DC6, $5,160,000 5.75% TERM BONDS DUE AUGUST 15, 2018 THE SERIES 2004B BOND ISSUE CONSISTS OF THE FOLLOWING: CUSIP NO. 621233DD4, $3,500,000 5.00% TERM BONDS DUE AUGUST 15, 2021 SCHEDULE K, PART II, LINE 1 ADDITIONAL INFORMATION RELATED TO BOND ISSUANCE: THE TOTAL PROCEEDS FOR SERIES 2004 BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E). THE DIFFERENCES ARE AS FOLLOWS; AN UNDERWRITERS DISCOUNT OF $157,475, A $116,410 TRANSFER FROM DEBT SERVICE FUND FOR THE REFUNDED BONDS AND ACCRUED INTEREST OF $28,249. IN ADDITION, THE DIFFERENCE INCLUDES A COMPANY CONTRIBUTION OF $216,295. DUJON ELDERCARE SERVICES ENTITY'S PRINCIPALS ARE RELATIVES OF THE CFO, ANDREW DUJON. 50344 CONSTRUCTION SERVICES 0 HILLCREST INSURANCE ENTITY IS OWNED BY BOARD MEMBER, KEVIN MCEWEN. 1059214 INSURANCE 0 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: NET UNREALIZED GAINS ON INVESTMENTS: 130. IMPAIRMENT CHARGE ON PROPERTY HELD FOR SALE -60,000. TOTAL TO FORM 990, PART XI, LINE 5: -59,870. 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) 11(A) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1