2011-07-26T11:06:05-05:00 2010-12-31 BAKER NEWMAN & NOYES LLC BOX 507 PORTLAND ME 04112 990 2010-01-01 010496258 MAINE LIFE CARE RETIREMENT COMMUNITY INC MAIN 2078838700 15 PIPER ROAD SCARBOROUGH ME 04074 RICHARD RODERICK 2078838700 2011-07-05 2078792100 2010 2016-02-24 21:20:13Z PIPER SHORES RICHARD RODERICK 15 PIPER ROAD SCARBOROUGH ME 04074 21961855 0 X WWW.PIPERSHORES.ORG X 1995 ME CONTINUING CARE RETIREMENT COMMUNITY 16 16 233 25 0 0 36774 21724 14997082 15338213 568509 794505 109114 111309 15711479 16265751 0 0 0 0 5914937 6170560 0 0 0 9069617 8715172 14984554 14885732 726925 1380019 80375431 83937545 87305224 87963843 -6929793 -4026298 CONTINUING CARE RETIREMENT COMMUNITY 0 0 12289084 15449522 MAINE LIFE CARE PROVIDES RESIDENTS WITH A SAFE AND SECURE HOME COMMUNITY, PROVIDING FOR INDEPENDENT LIVING NEEDS AND CONTINUED HEALTH CARE SERVICES FOR THE REMAINDER OF THEIR LIVES. IT CONSISTS OF 160 INDEPENDENT LIVING UNITS, 40 INDEPENDENT LIVING COTTAGES, 20 ASSISTED LIVING UNITS, 40 SKILLED NURSING BEDS, AND COMMON AREAS. 12289084 1 1 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 43 0 1 233 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X RICHARD ASHLEY 2078838700 15 PIPER RD SCARBOROUGH ME 04074 X NEWELL AUGUR MD 2.00 X 0 0 0 SUZANNE AUSTIN 4.00 X X 0 0 0 JAMES HARNDEN 2.00 X 0 0 0 MARY KEYSOR 2.00 X 0 0 0 RICHARD ROY 4.00 X X 0 0 0 PATRICK COSTIN 2.00 X 0 0 0 SUZANNE MCCORMICK 2.00 X 0 0 0 DENNIS O'DONOVAN 2.00 X 0 0 0 CATHERINE CLOUDMAN 2.00 X 0 0 0 RICHARD RODERICK 4.00 X X 0 0 0 VICTORIA KUHN 2.00 X 0 0 0 PATRICK O'REILLY 4.00 X X 0 0 0 KATHY BARBER 2.00 X 0 0 0 SYLVIA MOST 2.00 X 0 0 0 MARY BERTOLET 2.00 X 0 0 0 STEPHEN LARNED MD 2.00 X 0 0 0 STEPHEN DECASTRO 2.00 X 0 0 0 MICHAEL BIERLEY 40.00 X 0 0 0 ANDREA KILLIARD 40.00 X 119064 0 10924 RICHARD ASHLEY 40.00 X 120577 0 6577 MARCIE ELLIS 40.00 X 119529 0 12862 359170 0 30363 3 0 0 0 LIFE CARE SERVICES LLC 400 LOCUST ST SUITE 420 DES MOINES IA 50309 MANAGEMENT 655247 REHAB WORKS 11350 MCCORMICK RD HUNT VALLEY MD 21031 PHYSICAL THERAPY 310451 GAWRON TURGEON 29 BLACK POINT RD SCARBOROUGH ME 04074 ARCHITECTS 258571 BENCHMARK CONSTRUCTION 34 THOMAS DR WESTBROOK ME 04092 CONSTRUCTION 157747 ETHOS MARKETING & DESIGN 907 MAIN ST WESTBROOK ME 04092 MARKETING 128103 5 21724 21724 RESIDENT SERVICES 623000 15338213 15338213 15338213 470109 470109 6020500 5696104 324396 324396 324396 OTHER 900099 111309 111309 111309 16265751 15449522 0 794505 5061469 4161160 900309 97308 79999 17309 606693 539132 67561 405090 338207 66883 655247 655247 40772 40772 27000 27000 62842 24031 38811 157908 157908 528503 93592 434911 2117361 2117361 1150820 1093279 57541 2188714 2079278 109436 258858 235898 22960 DINING SERVICES 786640 786640 HEALTH SERVICES 685199 685199 HOUSEKEEPING & LAUNDRY 55308 55308 14885732 12289084 2596648 0 9620380 10961117 266990 291594 270167 330798 29841 26700 181639 234866 63147077 17036218 47040161 46110859 21701624 24843962 1264629 1137649 80375431 83937545 1885470 1476847 56614722 58424146 26794932 25919615 2010100 2143235 87305224 87963843 X -7415452 -4578405 485659 552107 -6929793 -4026298 80375431 83937545 X 1380019 1523476 X X 0 1 1 X 0 X 427809 36774 21724 486307 13597547 14204025 14497101 15106196 15449522 72854391 13597547 14204025 14924910 15142970 15471246 73340698 0 0 0 73340698 834237 894892 589020 518476 470109 3306734 834237 894892 589020 518476 470109 3306734 14431784 15098917 15513930 15661446 15941355 76647432 0.95690 0.95390 0.04310 0.04610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14216 14216 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: LEGAL COST INCURRED FOR LOBBYING EXPENSES RELATED TO MAINE STATE SALES TAX ON INDEPENDENT LIVING MEALS. 515140 39254 29799 584193 445059 20957 49124 515140 0 463738 -18679 445059 0.00000 1.00000 0.00000 0 0 2837480 2837480 49241278 11188214 38053064 4572658 3242792 1329866 6495661 2605212 3890449 46110859 DEPOSITS 2143235 2143235 16265751 14885732 1380019 1523476 1523476 2903495 17789227 1523476 1523476 16265751 0 16265751 14885732 0 14885732 0 14885732 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUND WILL BE USED TO HELP THE COMMUNITY WITH THE LOSS OF REVENUE FROM RESIDENTS WHOSE FINANCIAL RESOURCES HAVE ERODED AND TO HELP STABILIZE RESIDENT MONTHLY FEES. GIFTS TO THE ENDOWMENT FUND MAY ALSO SUPPORT PROJECTS AND PROGRAMS THAT MIGHT OTHERWISE NOT BE AFFORDABLE. MHHEFA SERIES 2004B 010314384 2004-12-09 42265000 CONSTRUCTION & REFUND $24.9M REV. BONDS, PIPER SHORES ISSUE, SERIES 1999A 0 0 0 30146249 2298751 192594 3171508 2005 0 0 0 0 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 SCHEDULE K SUPPLENTAL INFORMATION MAINE HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY ISSUED ITS $42,265,000 REVENUE BONDS, SERIES 2004B ON DECEMBER 9, 2004 AND LOANED $30,146,249.32 OF THAT AMOUNT TO MAINE LIFE CARE RETIREMENT COMMUNITY, INC. MAINE LIFE CARE ISSUED ITS $30,146,249.32 SERIES 2004B NOTE TO EVIDENCE ITS OBLIGATION TO REPAY THAT LOAN. (THE LOAN WAS PART OF A MHHEFA POOL THAT ALSO FINANCED OTHER FACILITIES OF OTHER BORROWERS). FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES LLC (LCS) MANAGES THE ORGANIZATION. THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LCS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE REVIEWS AND ACCEPTS THE FORM 990 AND THE BOARD AFFAIRS COMMITTEE REVIEWS THE GOVERNANCE SECTION. COPIES ARE DISTRIBUTED TO THE ENTIRE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE EXEC. DIR. REVIEWS THE DISCLOSURES & INFORMATION IS SUBMITTED TO THE BUREAU OF INSURANCE ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 MANAGEMENT COMPANY SETS COMPENSATION FOR EXECUTIVE DIRECTOR BASED ON NUMEROUS FACTORS INCLUDING COMPARABILITY DATA AND INDUSTRY INFORMATION. THE EXECUTIVE DIRECTOR SETS COMPENSATION FOR TOP MANAGEMENT BASED ON INDUSTRY DATA. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 AND OTHER DOCUMENTS ARE PROVIDED UPON REQUEST. FORM 990 MAY ALSO BE VIEWED ON GUIDESTAR. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,523,476. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTING AN INDEPENDENT AUDITOR.