FURP.ORG / PUBLIC DATA EXPLORER

CYPRESS COVE AT HEALTHPARK FLORIDA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CYPRESS COVE AT HEALTHPARK FLORIDA INC (EIN 65-0610085)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-04
IRS object ID
201221259349300917
Schema version
2010v3.4
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)
Timestamp2012-05-04T08:17:54-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 B-11AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33907ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN650610085EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CYPRESS COVE AT HEALTHPARK FLORIDA INCBusinessNameLine1
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
TitleCHAIRMAN/PRESIDENTTitle
Phone2394890023Phone
Date Signed2012-05-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGENE R SOLOMON CPAName
Phone2399395303Phone
Date Prepared2012-05-02DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11715 MONROE STAddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25051663GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCYPRESSCOVELIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE OUR RESIDENTS WITH RETIREMENT OR ASSISTED LIVING AND SKILLED NURSING SERVICES THAT MEETS THEIR NEEDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees334TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year28679ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25301387ProgramServiceRevenuePriorYear
Program Service Revenue CY23899402ProgramServiceRevenueCY
Investment Income Prior Year1265321InvestmentIncomePriorYear
Investment Income Current Year413401InvestmentIncomeCurrentYear
Other Revenue Prior Year569173OtherRevenuePriorYear
Other Revenue Current Year710181OtherRevenueCurrentYear
Total Revenue Prior Year27135881TotalRevenuePriorYear
Total Revenue Current Year25051663TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9022744SalariesEtcPriorYear
Salaries Etc Current Year8904743SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year127440TotalFundrsngExpCurrentYear
Other Expense Prior Year19501812OtherExpensePriorYear
Other Expenses Current Year19802359OtherExpensesCurrentYear
Total Expenses Prior Year28524556TotalExpensesPriorYear
Total Expenses Current Year28707102TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1388675RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3655439RevenuesLessExpensesCY
Total Assets BOY98720575TotalAssetsBOY
Total Assets EOY94495403TotalAssetsEOY
Total Liabilities BOY112917186TotalLiabilitiesBOY
Total Liabilities EOY112347453TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-14196611NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-17852050NetAssetsOrFundBalancesEOY
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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16643911Expense
Revenue17595198Revenue
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)
Expense7133105Expense
Revenue7427786Revenue
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 Expense23777016TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109660NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees334NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TERRENCE HIDUKEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2394890023TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTHPARK DR STE 350AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN A NOLAND
CHAIRMAN/PRESIDENT3.00XX000
CARL A BARRACO
VICE CHAIR2.00XX000
E BRUCE STRAYHORN
SECRETARY2.00XX000
GARRETT H REASONER
TREASURER2.00XX000
ALBERT B WINCHELL
DIRECTOR1.00X000
DANIEL F ADAMS
DIRECTOR2.00X000
DAVID G ROBINSON PHD
DIRECTOR1.00X000
JO ELLEN BEAUVOIS
DIRECTOR1.00X000
CHARLES B EDWARDS SR
DIRECTOR1.00X000
JOSEPH CATTI
DIRECTOR1.00X000
CHRIS GAIR
DIRECTOR1.00X000
ROBBIE BRIGGS ROEPSTORFF
DIRECTOR1.00X000
RONALD EUGENE INGE
DIRECTOR1.00X000
DAWSON MCDANIEL
DIRECTOR1.00X000
TIMOTHY D FICKER
EXEC DIR45.00X205427017779XX
JAY A GROESSER
FIN DIR45.00123771017375X
KEVIN MANNIX
DINING DIRECTOR45.00100010012884X
DRUMMOND CAMEL
DIR HR45.0088111014071X
SANDRA D REGAL
DIR OF NURSING45.0088321012466X
FieldValueIRS element (for citing)
Total Reportable Comp From Org429208TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation48038TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LEE FP INC
9800 S HEALTHPARK DRIVE STE 350FORT MYERSFL33908MANAGEMENT FEE876808
SELECT MEDICAL REHABILITATION SVCS
PO BOX 643920PITTSBURGHPA15264THERAPY: PHYSICAL, SPEECH, OCCUPATIONAL520599
DECO TILE & MARBLE INC
3113 21ST ST WLEHIGH ACRESFL33971TILE INSTALLATION264103
MARTINO & BINZER
270 FARMINGTON AVE STE 128FARMINGTONCT06032MARKETING219653
BENTLEY ELECTRIC CO OF NAPLES
4406 ENTERPRISE AVENAPLESFL33104ELCTRICIAN212370
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions28679AllOtherContributions
Total Contributions28679TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MONTHLY SERVICE9000991157913911579139
ASSIST. LVG & NURSING90009974277867427786
MEMBERSHIP90009948924774892477
FieldValueIRS element (for citing)
Total Program Service Revenue23899402TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column413401TotalRevenueColumn
Related Or Exempt Function Income413401RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REALIZED GAIN ON INVES900099568993568993
MISCELLANEOUS900099525477525477
UNREALIZED GAIN ON INV900099-384289-384289
FieldValueIRS element (for citing)
Total Other Revenue710181TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25051663TotalRevenueColumn
Related Or Exempt Function Income25022984RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total207499Total
Management And General207499ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7774602Total
Program Services6962338ProgramServices
Management And General751991ManagementAndGeneral
Fundraising60273Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total189439Total
Management And General189439ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total133873Total
Management And General133873ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total599330Total
Program Services497576ProgramServices
Management And General97384ManagementAndGeneral
Fundraising4370Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total126357Total
Management And General126357ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total66647Total
Management And General66647ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total822283Total
Management And General769731ManagementAndGeneral
Fundraising52552Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total875267Total
Program Services875267ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total91053Total
Program Services37288ProgramServices
Management And General47494ManagementAndGeneral
Fundraising6271Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total164842Total
Program Services2962ProgramServices
Management And General161880ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3572146Total
Program Services3572146ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total59013Total
Program Services20723ProgramServices
Management And General36347ManagementAndGeneral
Fundraising1943Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total4573051Total
Program Services4573051ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3127043Total
Program Services3127043ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1274228Total
Program Services1272943ProgramServices
Management And General1215ManagementAndGeneral
Fundraising70Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServicesFundraisingFundraising
GENERAL & ADMINISTRATIV22127892212789
DINING SERVICES14363941436394
NURSING SERVICES13788531378853
RESIDENT SERVICES2043220432
PHILANTHROPY19611961

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28707102Total
Program Services23777016ProgramServices
Management And General4802646ManagementAndGeneral
Fundraising127440Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4210600BOY
EOY3586102EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY675914BOY
EOY653724EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1376043BOY
EOY579464EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY87121BOY
EOY89276EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY893911BOY
EOY835908EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis97217892LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31114486LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY68176568BOY
EOY66103406EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY16903665BOY
EOY16764022EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY6182329BOY
EOY5669078EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY214424BOY
EOY214423EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY98720575BOY
EOY94495403EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3523732BOY
EOY3715908EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY62935477BOY
EOY62416343EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2571553BOY
EOY1425838EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY43886424BOY
EOY44789364EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY112917186BOY
EOY112347453EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-14196611BOY
EOY-17852050EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-14196611BOY
EOY-17852050EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY98720575BOY
EOY94495403EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-3655439ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7766648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7002220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6548267CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6498860CurrentTaxYearMinus1Year
Current Tax Year11607818CurrentTaxYear
Total39423813Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18301075CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18248819CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18740987CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18802527CurrentTaxYearMinus1Year
Current Tax Year12320263CurrentTaxYear
Total86413671Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26067723CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25251039CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25289254CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25301387CurrentTaxYearMinus1Year
Current Tax Year23928081CurrentTaxYear
Total125837484Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509125837484PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2107131CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1134324CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years734808CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year673508CurrentTaxYearMinus1Year
Current Tax Year413401CurrentTaxYear
Total5063172Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2107131CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1134324CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years734808CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year673508CurrentTaxYearMinus1Year
Current Tax Year413401CurrentTaxYear
Total5063172Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years511453CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years587796CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1507190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1160986CurrentTaxYearMinus1Year
Current Tax Year710181CurrentTaxYear
Total4477606Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28686307CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26973159CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27531252CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27135881CurrentTaxYearMinus1Year
Current Tax Year25051663CurrentTaxYear
Total135378262Total
FieldValueIRS element (for citing)
Public Support Percentage5090.92950PublicSupportPercentage509
Prior Year Support Percentage0.92510PriorYearSupportPercentage
Investment Income Percentage0.03740InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04380PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1313786OtherCostOrOtherBasis
Book Value1313786BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis88223463OtherCostOrOtherBasis
Depreciation24808755Depreciation
Book Value63414708BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7680643OtherCostOrOtherBasis
Depreciation6305731Depreciation
Book Value1374912BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings66103406TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ASSETS WHOSE USE IS LIMITED - BOND INDENTURE10000815F
ASSETS WHOSE USE IS LIMITED - CONTINUING CARE6459401F
ASSETS WHOSE USE IS LIMITED - BOARD DESIGNATED ASSETS303806F
FieldValueIRS element (for citing)
Total Of Book Value Program Related16764022TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
GROUND LEASE PAYABLE$8,494,648
UNEARNED ENTRANCE FEES$36,159,716
PHILANTHROPY NOTE FROM LHR$135,000
FieldValueIRS element (for citing)
Total Of Amounts44789364TotalOfAmounts
Total Revenue25051663TotalRevenue
Total Expenses28707102TotalExpenses
Excess Or Deficit For Year-3655439ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-3655439ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt25051663TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal25051663RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99025051663TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28707102TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal28707102ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028707102TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPART X, LINE 2 - FIN 48 FOOTNOTE DISCLOSURE: CYPRESS COVE HAS ADOPTED ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES AS IT RELATES TO UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED SEPTEMBER 30, 2011 AND 2010. CYPRESS COVE HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE 2008, 2009 AND 2010 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 TAX 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, 2011.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTIMOTHY D FICKERNamePerson
Base Compensation Filing Org190969BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org14251BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org207OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org6172DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org11607NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org223206TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 6ReturnReference
ExplanationNO BONUS PLAN WAS IN PLACE FOR THIS FISCAL YEAR ENDED SEPTEMBER 30, 2011. BONUSES INCLUDED WITHIN THIS 990 WERE FOR THE PRIOR FISCAL YEAR.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DANIEL F ADAMS
OFFICER AND DIRECTORSERVES AS SECRETARY AND DIRECTOR OF LEE FP, INC., A RELATED ORGANIZATION TAXED AS A CORPORATION.0
JOHN A NOLAND
OFFICER AND DIRECTORSERVES AS CHAIRMAN AND DIRECTOR OF LEE FP, INC., A RELATED ORGANIZATION TAXED AS A CORPORATION AND LEE HEALTHCARE RESOURCES, A RELATED NOT-FOR-PROFIT ORGANIZATION.0
JOSEPH CATTI
OFFICER AND DIRECTORSERVES AS VICE CHAIRMAN AND IS TREASURER AND DIRECTOR OF LEE FP, INC., A RELATED ORGANIZATION TAXED AS A CORPORATION. ALSO SERVES AS DIRECTOR FOR LEE HEALTHCARE RESOURCES, A RELATED NOT-FOR-PROFIT ORGANIZATION.0
RONALD EUGENE INGE
DIRECTORSERVES AS DIRECTOR OF LEE FP, INC., A RELATED ORGANIZATION TAXED AS A CORPORATION.0
ROBBIE BRIGGS ROEPSTORFF
DIRECTORSERVES AS DIRECTOR OF LEE FP, INC., A RELATED ORGANIZATION TAXED AS A CORPORATION.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3MEMBERS OF THE MANAGEMENT TEAM ARE EMPLOYEES OF LEE FP, INC. - A FOR PROFIT RELATED CORPORATION.
FORM 990, PART VI, SECTION A, 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 INCREASES IN THE SIZE OF THE BOARD, OR (III) IN THE EVENT THERE IS A VACANCY IN THE MEMBERSHIP OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PREPARED BY OUR OUTSIDE TAX ADVISOR/CPA FROM INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF CYPRESS COVE. MANAGEMENT REVIEWS THE 990 PRIOR TO PRESENTATION IN DRAFT FORM TO THE FINANCE COMMITTEE. UPON COMMITTEE APPROVAL, THE 990 IS SENT TO ALL BOARD MEMBERS AND DISCUSSED AND APPROVED AT A BOARD MEETING PRIOR TO FILING.
ALL 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 HAD NOT BEEN INVOLVED IN ANY CONFLICTS OF INTEREST. CYPRESS COVE ALSO PERFORMS PERIODIC REVIEWS TO ENSURE COMPLIANCE WITH THE POLICY.FORM 990, PART VI, SECTION B, LINE 12C
THE 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.FORM 990, PART VI, SECTION B, LINE 15A
ALL 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.FORM 990, PART VI, SECTION C, LINE 19
AUDIT OVERSIGHT COMMITTEE AND SELECTION OF INDEPENDENT ACCOUNTANT:THE LEE MEMORIAL HOSPITAL, INC. D/B/A LEE HEALTHCARE RESOURCES, INC. (LHR) BOARD ADOPTED AN AUDIT CHARTER AND DELEGATED A COMMITTEE THAT IS APPOINTED ANNUALLY TO BE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND CONTROLLED ENTITIES INCLUDING CYPRESS COVE AT HEALTHPARK FLORIDA, INC. (CC) AND SELECTION OF AN INDEPENDENT AUDITOR. THE COMMITTEE ALSO MEETS WITH THE AUDITOR BEFORE AND AFTER THE AUDITS ARE COMPLETE. THE AUDITS ARE PRESENTED TO THE FULL BOARD OF DIRECTORS OF LHR AND CC BY THE AUDITOR ANNUALLY.FORM 990, PART XII, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LEE MEMORIAL HOSPITAL INC DBA LEE HEALTHCARE RESOURCESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19800 S HEALTH PARK DRAddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33908ZIPCode
FieldValueIRS element (for citing)
EIN237160360EIN
Primary ActivitiesSUPPORT:1)LMHS-PUBLIC HOSPITAL FUNCTIONS 2)CYPRESS COVE-CHARITABLE FUNCTIONSPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(3)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

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 ActivityMANAGEMENT & DEVELOPMENT ACTIVITIESPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LEE MEMORIAL HOSP INC DBA LEE HEALTHCARE RESOURCES (LHR)-GROUND LS PAY
E8494648COST
LEE MEMORIAL HOSP INC DBA LEE HEALTHCARE RESOURCES (LHR)-PHILANTHROPY
E135000COST
LEE HEALTH VENTURE INC (LHV) BOND PURCHASE AGRMT - 3
E295000COST
LHR - RENT (GROUND LEASE)
J914256COST
LEE FP INC - MANAGEMENT FEES
L634771COST
LHR - PLEDGE FEE
L30000COST
LHR - MAINTENANCE FEES ON MEDICAL PLAZE ONE BLDG
P10905COST