2024-11-15T16:13:52-06:00 2023-12-31 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2023-01-01 592317607 SANTAFE HEALTHCARE INC SANT 3523895510 PO BOX 749 GAINESVILLE FL 326270749 STEVEN M ZIEGLER PRESIDENT AND CHIEF LEGAL OFFICER 3523895510 2024-11-15 1 1 KURT A ALTER CPA P00059492 4077405400 2023 2024-10-15 13:58:12Z STEVEN M ZIEGLER PO BOX 749 GAINESVILLE FL 326270749 20159309 0 X WWW.SANTAFEHEALTHCAREFL.ORG X 1982 FL TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE. 5 4 37 4 0 0 0 0 23340720 19285144 22736165 449359 0 424806 46076885 20159309 0 0 0 0 35270319 18922448 0 0 0 1781797 8071685 37052116 26994133 9024769 -6834824 51256002 36697618 49322818 30970072 1933184 5727546 X THE MISSION OF SANTAFE HEALTHCARE, INC. IS TO SERVE AS THE NOT-FOR-PROFIT SYSTEM PARENT FOR ITS FAMILY OF NOT-FOR-PROFIT, MISSION-DRIVEN, AFFILIATE ORGANIZATIONS. SEE SCHEDULE O FOR CONTINUATION OF THE ORGANIZATION'S MISSION.(CONTINUED FROM PAGE 2, PART III) SANTAFE HEALTHCARE, INC. DELIVERS ITS MISSION BY PROVIDING FINANCIAL MANAGEMENT AND OVERSIGHT, AND STRATEGIC MANAGEMENT AND EXPERTISE TO ITS AFFILIATES, WHILE PROMOTING THE EFFECTIVE PROVISION OF HEALTHCARE, HOSPICE AND PALLIATIVE CARE, AND SENIOR HOUSING AND RELATED SERVICES THROUGH ITS AFFILATES. THIS MISSION IS GOVERNED THROUGH A LOCAL, COMMUNITY-BASED BOARD WHICH PROVIDES STRATEGIC DIRECTION AND VALUES-BASED OVERSIGHT AND SUPPORT. 0 0 16290122 19285144 SANTAFE HEALTHCARE, INC. PROVIDED GOVERNANCE AND OVERSIGHT TO THE FOLLOWING AFFILIATED CHARITABLE, TAX-EXEMPT AND NOT-FOR-PROFIT ORGANIZATIONS: NORTH CENTRAL FLORIDA HOSPICE, INC.; SANTAFE SENIOR LIVING, INC.; NORTH FLORIDA RETIREMENT VILLAGE, INC.; BVG ACQUISITION, INC.; BONITA SPRINGS RETIREMENT VILLAGE, INC.; EAST RIDGE RETIREMENT VILLAGE, INC.; SANTAFE SENIOR LIVING FOUNDATION, INC.; AVMED, INC.; SF HOLDING CORP., INC.; HAVEN FOUNDATION, INC.; AND HFK CARE CORPORATION. 16290122 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 1 1 1 1 0 0 1 87 0 1 37 1 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X RANDALL L STUART INTERIM CFO 3523895510 4300 NW 89TH BLVD GAINESVILLE FL 326065688 X LAWRENCE G SCHREIBER DIRECTOR AND CEO 40.00 7.00 X X 6073583 0 30000 STEVEN ZIEGLER PRESIDENT AND CLO 40.00 7.00 X 1314158 0 29004 PAULINE E TAYLOR PRES - HOSPICE - NCF 1.00 40.00 X 591334 0 22500 RONALD E JENNETTE PRESIDENT - SFSL 1.00 40.00 X 458849 0 16251 RANDALL L STUART CFO 40.00 X 265008 0 18720 JACKIE H PRICE CHIEF COMPLIANCE OFFICER 40.00 X 265778 0 23060 PHILIP BOWLING FORMER SVP CFO 0.00 40.00 X 1861564 0 22500 THOMAS M FRANKLIN VP CFO - HAVEN 1.00 40.00 X 342028 0 20794 SHARON A JONES VP DEVELOPMENT HAVEN 1.00 40.00 X 284126 0 29750 CHRISTOPHER RUSSELL VP OPS - HAVEN 1.00 40.00 X 286773 0 1410 JENNIFER MALKO VP BUS DEV - HCFH 40.00 X 269757 0 10100 JENNIFER H BLADES VP HR - HAVEN 1.00 40.00 X 262712 0 22500 GLYNDA HAILEY SFHC VP - HR 40.00 X 254613 0 30000 RICHARD A HENDRIX JR CORP VP - ADMIN - SFSL 1.00 40.00 X 246934 0 9711 DANA M DAVENPORT FORMER CHIEF AUDIT EXECUTIVE 40.00 X 198258 0 5627 REBECCA J CATALANOTTO ED - NFRV 1.00 40.00 X 300751 0 16200 SHIRLEY N CODADA MD FORMER CMO - HAVEN 40.00 X 271835 0 27864 MICHELE S WASSERLAUF ED - BSRV 1.00 40.00 X 246503 0 30000 LYNN E MONACO ASSISTANT GENERAL COUNSEL 40.00 X 240432 0 17774 DAVID A KREMER FORMER ED - ERRV 40.00 X 241423 0 13676 GLENDA EVANS HOOD CHAIR 1.00 7.00 X X 0 0 0 JACKSON NORMAN SASSER PHD VICE CHAIR 1.00 7.00 X X 0 0 0 BENJAMIN IRVING DOERR JR TREASURER 1.00 7.00 X X 0 0 0 KEVIN R MADDRON DIRECTOR 1.00 7.00 X 0 0 0 14276419 0 397441 20 1 1 0 AVMED INC PO BOX 749 GAINESVILLE FL 326270749 ADMINISTRATIVE SERVICES 11397327 WILLIS TOWERS WATSON SOUTHEAST INC 4211 W BOY SCOUT BLVD TAMPA FL 33607 CONSULTING SERVICES 7440488 THE ULTIMATE SOFTWARE GROUP INC 2000 ULTIMATE WAY WESTON FL 33326 SOFTWARE SERVICES 320006 WW GAY MECHANICAL CONTRACTOR OF GAINES 515 SE 11TH PL GAINESVILLE FL 32601 RESIDENTIAL SERVICES 187342 GREENBERG TRAURIG LLP 8400 NW 36TH ST DORAL FL 33166 LEGAL SERVICES 162014 9 MANAGEMENT FEES 561000 11799107 11799107 OTHER REVENUE 900099 7486037 7486037 19285144 448363 448363 424806 0 424806 424806 424806 996 0 996 996 996 20159309 19285144 0 874165 13063520 6505552 6557968 3122870 2536262 586608 305204 25406 279798 808397 451648 356749 1622457 1477212 145245 4960212 4351437 608775 439927 295651 144276 21307 21307 969359 605818 363541 419087 16629 402458 5414 5414 630262 630262 16726 14507 2219 530451 530451 67083 67083 COMMUNITY SPONSORSHIPS 10000 10000 MINOR EQUIPMENT/RENTALS 1857 1857 26994133 16290122 10704011 0 1216750 1022709 504004 10711571 61550 24373 5110497 661104 4817555 4449393 2414089 2620319 42242054 17869253 51256002 36697618 18079557 9448268 31243261 21521804 49322818 30970072 X 1933184 5727546 1933184 5727546 51256002 36697618 X -6834824 109524 10519662 X X 0 0 0 X X 7 NORTH CENTRAL FLORIDA HOSPICE INC 592490893 10 1 0 0 NORTH FLORIDA RETIREMENT VILLAGE INC 591912330 10 1 0 0 SANTAFE SENIOR LIVING FOUNDATION INC 264464727 7 1 0 0 BVG ACQUISITION INC 203701186 10 1 0 0 EAST RIDGE RETIREMENT VILLAGE INC 590903331 10 1 0 0 BONITA SPRINGS RETIREMENT VILLAGE INC 262386152 10 1 0 0 HFK CARE CORPORATION 592386289 7 1 0 0 7 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2703775 2703775 1926268 499383 1426885 475301 158874 316427 5153 2847 2306 4449393 DUE FROM AFFILIATES 17042975 DEFERRED COMPENSATION ASSETS 513730 ACCRUED INTEREST RECEIVABLE 8548 PENSION CONTRIBUTION RECEIVABLE 304000 17869253 ACCRUED PENSION LIABILITY 18832219 BENEFITS PAYABLE 2118897 OTHER LIABILITIES 570688 21521804 X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 LAWRENCE G SCHREIBER DIRECTOR AND CEO 1045673 0 0 0 5027910 0 30000 0 0 0 6103583 0 0 0 STEVEN ZIEGLER PRESIDENT AND CLO 472501 0 0 0 841657 0 29004 0 0 0 1343162 0 0 0 PAULINE E TAYLOR PRES - HOSPICE - NCF 448637 0 130217 0 12480 0 22500 0 0 0 613834 0 0 0 RONALD E JENNETTE PRESIDENT - SFSL 414498 0 31871 0 12480 0 16251 0 0 0 475100 0 0 0 RANDALL L STUART CFO 265008 0 0 0 0 0 18720 0 0 0 283728 0 0 0 JACKIE H PRICE CHIEF COMPLIANCE OFFICER 211312 0 47986 0 6480 0 23060 0 0 0 288838 0 0 0 PHILIP BOWLING FORMER SVP CFO 1448980 0 409754 0 2830 0 22500 0 0 0 1884064 0 0 0 THOMAS M FRANKLIN VP CFO - HAVEN 258057 0 77491 0 6480 0 20794 0 0 0 362822 0 0 0 SHARON A JONES VP DEVELOPMENT HAVEN 219788 0 57858 0 6480 0 29750 0 0 0 313876 0 0 0 CHRISTOPHER RUSSELL VP OPS - HAVEN 229516 0 50777 0 6480 0 1410 0 0 0 288183 0 0 0 JENNIFER MALKO VP BUS DEV - HCFH 201284 0 61993 0 6480 0 10100 0 0 0 279857 0 0 0 JENNIFER H BLADES VP HR - HAVEN 207614 0 48618 0 6480 0 22500 0 0 0 285212 0 0 0 GLYNDA HAILEY SFHC VP - HR 217147 0 36962 0 504 0 30000 0 0 0 284613 0 0 0 RICHARD A HENDRIX JR CORP VP - ADMIN - SFSL 229183 0 17271 0 480 0 9711 0 0 0 256645 0 0 0 DANA M DAVENPORT FORMER CHIEF AUDIT EXECUTIVE 180292 0 17327 0 639 0 5627 0 0 0 203885 0 0 0 REBECCA J CATALANOTTO ED - NFRV 250280 0 49991 0 480 0 16200 0 0 0 316951 0 0 0 SHIRLEY N CODADA MD FORMER CMO - HAVEN 207443 0 61285 0 3107 0 27864 0 0 0 299699 0 0 0 MICHELE S WASSERLAUF ED - BSRV 246023 0 0 0 480 0 30000 0 0 0 276503 0 0 0 LYNN E MONACO ASSISTANT GENERAL COUNSEL 215194 0 24315 0 923 0 17774 0 0 0 258206 0 0 0 DAVID A KREMER FORMER ED - ERRV 226728 0 14215 0 480 0 13676 0 0 0 255099 0 0 0 PART I, LINE 1A TAX GROSS-UP PAYMENTS OCCUR FOR GROUP VARIABLE LIFE INSURANCE PREMIUMS PAID ON BEHALF OF THE LISTED AND OTHER EMPLOYEES. EMPLOYER PAID PREMIUMS ARE DEEMED TO BE TAXABLE COMPENSATION AND ARE GROSSED-UP FOR THE TAX IMPACT PRIOR TO BEING ADDED AS IMPUTED INCOME TO AN EMPLOYEE'S YEAR-END FORM W-2. TAX GROSS-UP PAYMENTS ARE PROVIDED FOR VESTED DISTRIBUTIONS FROM THE DEFINED CONTRIBUTION AND (NOW FROZEN) DEFINED BENEFIT PENSION RESTORATION PLANS. PART I, LINE 3 LAWRENCE G SCHREIBER IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF SANTAFE HEALTHCARE, INC. MR. SCHREIBER IS COMPENSATED BY SANTAFE HEALTHCARE, INC. SANTAFE HEALTHCARE, INC. UTILIZES THE FOLLOWING PROCESS TO ESTABLISH THE CEO'S COMPENSATION AND BENEFITS: THE BOARD OF DIRECTORS ANNUALLY RETAINS AN INDEPENDENT THIRD PARTY COMPENSATION AND BENEFITS CONSULTING FIRM (FIRM) TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE CEO'S TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES AND LONG TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISON TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. THE FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ESTABLISHES THE FINAL COMPENSATION AND BENEFIT PACKAGE FOR THE CEO TAKING INTO CONSIDERATION THE MARKET COMPETITIVENESS REVIEW AND FINAL RECOMMENDATION OF THE FIRM. THE FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE FINAL COMPENSATION AND BENEFITS PACKAGE. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. PART I, LINE 4B (RELATES TO PART I, LINE 4A): LISTED PERSONS ARE EMPLOYEES OF SANTAFE HEALTHCARE, INC. AND ARE COVERED UNDER A SEVERANCE POLICY. THE SEVERANCE POLICY INCLUDES MONTHLY PAYMENTS UP TO A MAXIMUM OF 12 - 36 MONTHS UNDER QUALIFYING CIRCUMSTANCES DEPENDING ON POSITION. NO ONE LISTED RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS DURING 2023. PART I, LINE 4B: SANTAFE HEALTHCARE, INC. MAINTAINS TWO ACTIVE NONQUALIFIED RETIREMENT PLANS FOR A CERTAIN GROUP OF EXECUTIVES. ONE PLAN RESTORES RETIREMENT BENEFITS EQUIVALENT TO QUALIFIED 401(K) BENEFITS ON INCOME EARNED IN EXCESS OF THE INTERNAL REVENUE SERVICE CODE SECTION 401(A)(17) RECOGNIZABLE PAY LIMITS (A DEFINED CONTRIBUTION RESTORATION PLAN). VESTING FOR THIS PLAN IS ACHIEVED AT AGE 55 AND 10 YEARS OF SERVICE OR AT AGE 65 AND 5 YEARS OF SERVICE. THE SECOND SUPPLEMENTAL DEFINED CONTRIBUTION PLAN PROVIDES ADDITIONAL RETIREMENT INCOME BASED ON A PERCENTAGE OF BASE SALARY AND VESTS AT THREE AND FIVE YEARS OF SERVICE. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE ORGANIZATION'S FORM 990, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH CURRENT MEMBER OF THE BOARD OF DIRECTORS BEFORE SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C SANTAFE HEALTHCARE, INC. HAS A PROCEDURE FOR MONITORING AND ENFORCING COMPLIANCE WITH ITS CORPORATE CONFLICT OF INTEREST POLICY (POLICY). EACH COVERED PERSON SHALL RECEIVE A COPY OF THE POLICY FOR REVIEW AND SUBMIT AN AFFIRMATION WHICH IS ATTACHED TO THE CODE OF ETHICAL BUSINESS CONDUCT. ADDITIONALLY, EACH COVERED PERSON ENGAGED IN MAKING OR INFLUENCING DECISIONS ON BEHALF OF SANTAFE HEALTHCARE, INC. OR ITS AFFILIATES SHALL COMPLETE A QUESTIONNAIRE CONCERNING CONFLICTS OF INTEREST ANNUALLY. THE PROCEDURE DETAILS THAT THE CORPORATE SECRETARY HAS RESPONSIBILITY FOR DELIVERY OF THE POLICY TO DIRECTORS AND OFFICERS AND RECEIPT OF THEIR AFFIRMATIONS AND QUESTIONNAIRES. THE HUMAN RESOURCES DEPARTMENT SHALL OBTAIN THE AFFIRMATION AND QUESTIONNAIRE FROM EVERY NEW EMPLOYEE AT ORIENTATION. THE HUMAN RESOURCES DEPARTMENT SHALL ALSO OBTAIN THE AFFIRMATION FROM ALL EMPLOYEES AND THE CONFLICT OF INTEREST QUESTIONNAIRE FROM APPLICABLE EMPLOYEES ANNUALLY. MEMBERS OF CORPORATE ADVISORY BOARDS SUBMIT THE AFFIRMATION AND QUESTIONNAIRE TO THE CHIEF COMPLIANCE OFFICER. ANNUAL CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY INTERNAL STAFF TO ENSURE RECORDS ARE COMPLETE. AS PART OF THE CORPORATE CONTRACT REVIEW PROCESS, CONSIDERATION IS GIVEN TO ANY POTENTIAL CONFLICTS OF INTEREST INVOLVING OPERATIONAL OR FINANCIAL TRANSACTIONS. ALL EMPLOYEES ARE EXPECTED TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS. INITIAL REVIEW OF EMPLOYEE QUESTIONNAIRES WILL BE PERFORMED BY THE HUMAN RESOURCES DEPARTMENT AND AFFILIATE COMPLIANCE OFFICER, WITH REVIEW OF ANY DISCLOSURES BY THE CHIEF COMPLIANCE OFFICER WHO WILL EVALUATE, MAKE NECESSARY INQUIRIES, AND INVESTIGATE ALTERNATIVES. BOARD MEMBERS SHALL DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS TO THE CHAIRPERSON OF THE SANTAFE HEALTHCARE, INC. BOARD, AND THE CHAIRPERSON OR CHIEF COMPLIANCE OFFICER SHALL EVALUATE CONFLICT DISCLOSURES AND, IF APPROPRIATE, INVESTIGATE ALTERNATIVES AND REPORT TO DISINTERESTED BOARD MEMBERS FOR RESOLUTION. THE MINUTES OF THE BOARD OR ANY COMMITTEE MEETING AT WHICH A POTENTIAL OR ACTUAL CONFLICT OF INTEREST IS DISCLOSED OR DISCUSSED SHALL REFLECT THE NAME OF THE INTERESTED PARTY, THE NATURE OF THE CONFLICT, THE DELIBERATIONS AND THE RESOLUTION OF THE CONFLICT. IF IT IS DETERMINED THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE CHIEF COMPLIANCE OFFICER OR THE CHAIRPERSON SHALL TAKE APPROPRIATE ACTION, WHICH MAY INCLUDE REMOVAL FROM OFFICE OR TERMINATION OF EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 LAWRENCE G SCHREIBER IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF SANTAFE HEALTHCARE, INC. MR. SCHREIBER IS COMPENSATED BY SANTAFE HEALTHCARE, INC. SANTAFE HEALTHCARE, INC. UTILIZES THE FOLLOWING PROCESS TO ESTABLISH THE CEO'S COMPENSATION AND BENEFITS: THE BOARD OF DIRECTORS ANNUALLY RETAINS AN INDEPENDENT THIRD PARTY COMPENSATION AND BENEFITS CONSULTING FIRM (FIRM) TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE CEO'S TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES AND LONG TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISON TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. THE FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ESTABLISHES THE FINAL COMPENSATION AND BENEFIT PACKAGE FOR THE CEO TAKING INTO CONSIDERATION THE MARKET COMPETITIVENESS REVIEW AND FINAL RECOMMENDATION OF THE FIRM. THE FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE FINAL COMPENSATION AND BENEFITS PACKAGE. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15B: THE PROCESS FOR DETERMINING COMPENSATION FOR OTHER LISTED PERSONS OF SANTAFE HEALTHCARE, INC. IS AS FOLLOWS: THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS ANNUALLY RETAINS AN INDEPENDENT THIRD PARTY COMPENSATION AND BENEFITS FIRM (FIRM) TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF ALL EXECUTIVES' TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES, AND LONG-TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISONS TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. AFTER COMPLETION OF ITS REVIEW, THE FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE BOARD OF DIRECTORS. THE FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF TOTAL DIRECT COMPENSATION AND EXECUTIVE BENEFITS. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS REGULARLY RETAINS AN INDEPENDENT THIRD PARTY CONSULTANT TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE BOARD OF DIRECTORS' (INCLUDING OFFICER POSITIONS) COMPENSATION. THE COMPETITIVENESS ANALYSIS INCLUDES COMPARISONS TO BOTH NOT-FOR-PROFIT AND PUBLIC COMPANY (EXCLUDING EQUITY COMPONENT) DATA FOR COMPANIES WITHIN THE SAME OR SIMILAR INDUSTRY. ANY COMPENSATION CHANGES ARE APPROVED BY THE BOARD OF DIRECTORS BASED ON THE MARKET COMPETITIVENESS STUDY. FORM 990, PART VI, SECTION C, LINE 19 SANTAFE HEALTHCARE, INC.'S PROCEDURE FOR MAKING VARIOUS DOCUMENTS AVAILABLE TO THE PUBLIC IS AS FOLLOWS: THE ARTICLES OF INCORPORATION CAN BE ACCESSED DIRECTLY THROUGH THE FLORIDA DEPARTMENT OF STATE, DIVISION OF CORPORATIONS WEBSITE AT WWW.SUNBIZ.ORG. THE CONFLICT OF INTEREST POLICY CAN BE OBTAINED DIRECTLY FROM THE ORGANIZATION UPON WRITTEN REQUEST. SANTAFE HEALTHCARE, INC. DID NOT OTHERWISE MAKE ITS GOVERNING DOCUMENTS, INCLUDING BYLAWS, AVAILABLE TO THE PUBLIC. IN ADDITION, DURING THE TAX YEAR, SANTAFE HEALTHCARE, INC. DID NOT MAKE ITS AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, LINE 1A: CERTAIN SENIOR EXECUTIVES ARE ACCOUNTABLE FOR AND PERFORM SERVICES FOR SANTAFE HEALTHCARE, INC. AND EACH OF ITS AFFILIATES. SANTAFE HEALTHCARE, INC. AND AFFILIATES REPRESENT A DIVERSIFIED FAMILY OF NOT-FOR-PROFIT ORGANIZATIONS. THESE SENIOR EXECUTIVES ARE PAID DIRECTLY BY SANTAFE HEALTHCARE, INC. AND THEIR COMPENSATION AND BENEFITS ARE APPORTIONED AND CHARGED TO THE RESPECTIVE AFFILIATES BASED ON THE ESTIMATED AMOUNT OF TIME SPENT ON EACH AFFILIATE'S ACTIVITIES. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM LIABILITY FOR QUALIFIED PENSION PLAN 10,519,662. FORM 990, PART XII, LINE 2C: AUDIT OVERSIGHT PROCESS: THE COMPANY'S AUDIT COMMITTEE HAS NOT CHANGED ITS PROCESS FOR SELECTION OF THE INDEPENDENT ACCOUNTANT OR ITS PROCESS FOR MANAGING THE AUDIT. FORM 990, PART VII, SECTION B, INDEPENDENT CONTRACTORS: COMPENSATION TO INDEPENDENT CONTRACTORS IN THIS SECTION INCLUDES BOTH PAYMENTS MADE BY SANTAFE HEALTHCARE, INC. FOR ITS SOLE BENEFIT AND ALSO PAYMENTS MADE FOR THE BENEFIT OF RELATED ENTITIES. SANTAFE MANAGEMENT SERVICES LLC PO BOX 749 GAINESVILLE FL 326270749 592317607 MANAGEMENT SERVICES FL 11511439 2762759 SANTAFE HEALTHCARE INC NORTH FLORIDA RETIREMENT VILLAGE INC PO BOX 749 GAINESVILLE FL 326270749 591912330 RETIREMENT COMMUNITY FL 501(C)(3) 10 SANTAFE HEALTHCARE INC 1 NORTH CENTRAL FLORIDA HOSPICE INC PO BOX 749 GAINESVILLE FL 326270749 592490893 HOSPICE CARE FL 501(C)(3) 10 SANTAFE HEALTHCARE INC 1 SANTAFE SENIOR LIVING INC PO BOX 749 GAINESVILLE FL 326270749 203700526 MANAGEMENT AND FINANCIAL SUPPORT FOR NOT-FOR-PROFIT AFFILIATES FL 501(C)(3) 12B TYPE II SANTAFE HEALTHCARE INC 1 BVG ACQUISITION INC PO BOX 749 GAINESVILLE FL 326270749 203701186 RETIREMENT COMMUNITY FL 501(C)(3) 10 SANTAFE HEALTHCARE INC 1 EAST RIDGE RETIREMENT VILLAGE INC PO BOX 749 GAINESVILLE FL 326270749 590903331 RETIREMENT COMMUNITY FL 501(C)(3) 10 SANTAFE HEALTHCARE INC 1 BONITA SPRINGS RETIREMENT VILLAGE INC PO BOX 749 GAINESVILLE FL 326270749 262386152 RETIREMENT COMMUNITY FL 501(C)(3) 10 SANTAFE HEALTHCARE INC 1 SANTAFE SENIOR LIVING FOUNDATION INC PO BOX 749 GAINESVILLE FL 326270749 264464727 CHARITABLE & EDUCATIONAL PURPOSES FL 501(C)(3) 7 SANTAFE HEALTHCARE INC 1 HFK CARE CORPORATION PO BOX 749 GAINESVILLE FL 326270749 592386289 HOSPICE CARE & HOME HEALTH CARE FL 501(C)(3) 7 SANTAFE HEALTHCARE INC 1 HAVEN FOUNDATION INC 4200 NW 90TH BLVD GAINESVILLE FL 326069945 850863879 CHARITABLE & EDUCATIONAL PURPOSES FL 501(C)(3) 12A TYPE I NORTH CENTRAL FLORIDA HOSPICE INC 0 SF HOLDING CORP INC PO BOX 749 GAINESVILLE FL 326270749 592903901 HOLDING COMPANY FL SANTAFE HEALTHCARE INC C 1.00000 1 CHARITABLE REMAINDER UNITRUSTS (2) CHARITABLE REMAINDER UNITRUST FL N/A 0 0 0 0 1 0 0 0 1 0 0 1 1 1 1 0 1 1 0 0 EAST RIDGE RETIREMENT VILLAGE INC D 946228 REMAINING BALANCE OF LOAN SANTAFE SENIOR LIVING INC L 1786822 COST OF SERVICES EAST RIDGE RETIREMENT VILLAGE INC L 880316 COST OF SERVICES BONITA SPRINGS RETIREMENT VILLAGE INC L 999509 COST OF SERVICES BONITA SPRINGS RETIREMENT VILLAGE INC Q 863049 ACTUAL INVOICES EAST RIDGE RETIREMENT VILLAGE INC Q 1158290 ACTUAL INVOICES NORTH CENTRAL FLORIDA HOSPICE INC Q 48468 ACTUAL INVOICES NORTH FLORIDA RETIREMENT VILLAGE INC Q 1898648 ACTUAL INVOICES