2022-08-30T06:52:48-05:00 2021-12-31 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVE 600 ORLANDO FL 32801 990 2021-01-01 592617174 MAYFLOWER RETIREMENT CENTER INC MAYF 4076721620 1620 MAYFLOWER COURT WINTER PARK FL 327922500 STEVE KRAMER CHIEF EXECUTIVE OFFICER 4076721620 2022-08-30 1 STEVE KRAMER 999009999 VICKI L HINZ CPA P00356696 4077405400 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z STEVE KRAMER 1620 MAYFLOWER COURT WINTER PARK FL 327922500 33747714 0 X WWW.THEMAYFLOWER.COM X 1973 FL TO PROVIDE HOUSING, HEALTHCARE AND PERSONAL SERVICES FOR THE ELDERLY. 12 11 361 111 0 0 2702735 1062913 24276641 25376414 175742 1059380 0 0 27155118 27498707 11069 6204 0 0 11534956 11089277 0 0 0 11964102 14431928 23510127 25527409 3644991 1971298 150395456 223794807 124843378 194957831 25552078 28836976 X TO PROVIDE A QUALITY RETIREMENT COMMUNITY WHICH INCLUDES CONTINUING LIFE CARE CONSISTING OF BASIC SERVICES, AMENITIES, SECURITY, NUTRITION AND HEALTH CARE, ALL NECESSARY TO MEET THE NEEDS OF ITS RESIDENTS. 0 0 13824441 6204 15991110 INDEPENDENT LIVING - THE ORGANIZATION OFFERS 220 RESIDENTIAL APARTMENT UNITS RANGING FROM ONE BEDROOM TO TWO BEDROOM "GRANDES" AS WELL AS 28 SINGLE-FAMILY VILLAS. THE MAYFLOWER OPERATES UNDER THE "CONTINUING CARE" CONCEPT IN WHICH RESIDENTS ENTER INTO AN OCCUPANCY AGREEMENT, WHICH REQUIRES PAYMENT OF A ONE-TIME ENTRANCE FEE AND A MONTHLY SERVICE FEE. GENERALLY, THESE PAYMENTS ENTITLE RESIDENTS TO THE USE AND PRIVILEGES OF THE MAYFLOWER FOR LIFE, INCLUDING CERTAIN NURSING SERVICES IN THE MAYFLOWER'S SKILLED NURSING FACILITY. THE OCCUPANCY AGREEMENT DOES NOT ENTITLE THE RESIDENTS TO AN INTEREST IN THE REAL ESTATE OR ANY PROPERTY OWNED BY THE MAYFLOWER. DURING THE CURENT YEAR, THERE WERE 86,609 RESIDENT DAYS. 6749751 7807621 SKILLED NURSING - THE ORGANIZATION OFFERS AN ON-SITE, 60-BED, STATE LICENSED, MEDICARE-APPROVED HEALTH CENTER THAT HAS RECEIVED A 5-STAR RATING FROM CMS AND THE STATE OF FLORIDA. THE HEALTH CENTER CONTRACTS WITH A BOARD CERTIFIED GERIATRIC PHYSICIAN. IN ADDITION, RESIDENT PHYSICIANS FROM ADVENTHEALTH GROUP COMPLETE THEIR FELLOWSHIP PROGRAMS IN THE HEALTH CENTER UNDER THE GUIDANCE OF THE CENTER'S MEDICAL DIRECTOR. DURING THE CURRENT YEAR, THERE WERE 18,041 RESIDENT DAYS. 1159916 1341706 ASSISTED LIVING - THE ORGANIZATION OFFERS 31 ASSISTED LIVING RESIDENCES. DURING THE CURRENT YEAR, THERE WERE 9,608 RESIDENT DAYS. 204004 235977 INCLUDES MISCELLANEOUS PROGRAM SERVICE REVENUE AND REVENUE FROM MAYFLOWER HOME HEALTH AGENCY. THE HOME HEALTH AGENCY PROVIDES PROVIDES REHABILITATION THERAPY AND OTHER HOME HEALTH SERVICES TO THE RESIDENTS OF MAYFLOWER. 204004 235977 21938112 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 79 0 1 361 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X CANDACE BOWLING 4076721620 1620 MAYFLOWER COURT WINTER PARK FL 32792 STEVEN KRAMER PRESIDENT/CEO 40.00 0.50 X X 263549 0 29905 CANDACE BOWLING CFO/ASSISTANT TREASURER 40.00 0.50 X 172710 0 10295 RON BRANOM PROJECT MANAGER 40.00 0.00 X 151490 0 20106 BEN ANDERSON DIRECT OF HEALTH SERVICES 40.00 0.00 X 140191 0 26372 BRIANE DEVINE DIRECTOR OF NURSING 40.00 0.00 X 122741 0 27037 ERWIN GERON MDS/UTIL REVIEW 40.00 0.00 X 120013 0 3644 TAYLOR WOMACK DIRECTOR OF MARKETING 40.00 0.00 X 110093 0 24624 DEBBIE KOMANSKI BOARD CHAIR 5.00 0.50 X X 0 0 0 AUBREY DUCKER BOARD VICE-CHAIR 1.00 0.50 X X 0 0 0 ED KANIA TREASURER 1.00 0.50 X X 0 0 0 MYRNA BIZER SECRETARY 1.00 0.50 X X 0 0 0 DR LUIS ALLEN BOARD MEMBER 1.00 0.50 X 0 0 0 KEN BRADLEY BOARD MEMBER 1.00 0.50 X 0 0 0 BARRY BLOOM BOARD MEMBER 1.00 0.50 X 0 0 0 SHAWN GARVEY BOARD MEMBER 1.00 0.50 X 0 0 0 DREW MADSEN BOARD MEMBER 1.00 0.50 X 0 0 0 DR TRACY RHODES BOARD MEMBER 1.00 0.50 X 0 0 0 DEAN SHAHEEN BOARD MEMBER 1.00 0.50 X 0 0 0 1080787 0 141983 9 0 1 0 SAWGRASS PARTNERS LLC 1721 DEL OGIER DRIVE GLENVIEW IL 60025 DEVELOPMENT SERVICES 1020000 SFCS INC 305 SOUTH JEFFERSON ST ROANOKE VA 24011 ARCHITECTURAL SERVICES 529903 BRASFIELD & GORRIE LLC 941 W MORSE BLVD SUITE 200 WINTER PARK FL 32789 CONTRACTOR SERVICES 466002 JS HEALTHCARE INC 201 N LAKEMONT AVE STE 2100 WINTER PARK FL 32792 PHYSICIAN SERVICES 321599 KEITH WILHELM DBA BELLA HANDYMAN SERVI 7580 FINCASTLE WAY ORLANDO FL 32822 RENOVATION SERVICES 147699 47 1003515 59398 1062913 INDEPENDENT LIVING FEES 623000 10096709 10096709 HEALTHCARE SERVICE FEES 621400 7807621 7807621 EARNED ENTRANCE FEES 623000 5894401 5894401 ASSISTED LIVING REVENUE 623000 1341706 1341706 OTHER RESIDENT REVENUE 621610 235977 235977 25376414 678454 678454 514181 6115752 0 6249007 514181 -133255 380926 380926 27498707 25376414 0 1059380 6204 6204 476460 476460 8534668 7881464 653204 128777 111589 17188 1263804 1117751 146053 685568 611712 73856 7185 7185 117867 117867 66603 66603 572578 506578 66000 458903 24524 434379 295737 101673 194064 132911 80709 52202 1896498 1792084 104414 17762 11100 6662 98925 93160 5765 1572365 1462148 110217 4081460 3795364 286096 604434 577156 27278 FOOD SUPPLIES 1649516 1649516 MEDICAL SUPPLIES 1387705 1387705 SUPPLIES AND EQUIPMENT 677587 672859 4728 LOSS ON REFUNDING OF DE 566095 566095 227797 54816 172981 25527409 21938112 3589297 0 7263672 2325444 604868 605828 692843 1004410 27996 27716 318177 440681 89943073 52844011 38234195 37099062 76688479 125068238 26565226 57223428 150395456 223794807 2431669 4482328 31392880 29816302 75284566 144666886 15734263 15992315 124843378 194957831 X 25364073 28637186 188005 199790 25552078 28836976 150395456 223794807 X 1971298 1246730 66870 X X 0 1 X 1 0 X 76656 425039 43211 2702735 1062913 4310554 23290827 23673309 24152355 24276641 25376414 120769546 23367483 24098348 24195566 26979376 26439327 125080100 0 0 0 125080100 470774 444865 561381 405734 678454 2561208 470774 444865 561381 405734 678454 2561208 334071 352886 394357 1081314 24172328 24896099 25151304 27385110 27117781 128722622 0.97170 0.96930 0.01990 0.01920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 652668 96702 21172 9591 718607 603710 77279 20812 7509 652668 532921 77944 7155 603710 582736 -21752 20643 7420 532921 525347 84869 20186 7294 582736 1.00000 1 0 8452796 8452796 62259008 41547265 20711743 16928292 11296746 5631546 2302977 2302977 37099062 US TREASURY NOTES 12652019 F MONEY MARKET FUNDS 97582229 F MUTUAL FUNDS 14833990 F 125068238 BENEFICIAL INTEREST IN COMMUNITY FOUNDATION 830258 PRE-FINANCING AND EXPANSION COSTS 56296965 INVESTMENT IN MAYFLOWER HOME HEALTH AGENCY, LLC 96205 57223428 ENTRANCE FEE DEPOSITS 3862217 ENTRANCE FEE REFUNDS PAYABLE 70947 REFUNDABLE ENTRANCE FEES 12059151 15992315 X 28908866 1246730 66870 1313600 27595266 66603 -163162 -96559 27498707 25623968 163162 163162 25460806 66603 66603 25527409 PART V, LINE 4: THE ENDOWMENT'S INVESTMENT POLICY IS DESIGNED TO ALLOW THE FUNDS TO BE INVESTED ON A TOTAL RETURN BASIS TO MAINTAIN AND, IF POSSIBLE, INCREASE THE REAL VALUE OF THE FUNDS, WHILE AT THE SAME TIME PROVIDING A RELATIVELY STEADY LEVEL OF DISTRIBUTIONS TO THE ORGANIZATION. PART X, LINE 2: MAYFLOWER IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF FLORIDA AND HAS BEEN GRANTED RECOGNITION OF ITS TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, INCOME EARNED IN FURTHERANCE OF MAYFLOWER'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. MAYFLOWER HOME HEALTH IS CLASSIFIED AS A PARTNERSHIP FOR FEDERAL INCOME TAX PURPOSES AND PROVIDES SERVICES IN COLLABORATION WITH MAYFLOWER'S TAX-EXEMPT PURPOSE. AS SUCH, INCOME ATTRIBUTED TO MAYFLOWER FROM THE HOME HEALTH OPERATIONS IS TAX-EXEMPT. ACCORDINGLY, THESE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN COMMUNITY FOUNDATION 66,870. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSE RECLASS -163,162. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSE RECLASS 163,162. 1 EMPLOYEE SCHOLARSHIPS 3 6204 PART I, LINE 2: THE RESIDENTS AT THE MAYFLOWER STARTED A SCHOLARSHIP FUND AND COMMITTEE TO RAISE MONEY FOR EMPLOYEES WHO ARE GOING TO SCHOOL TO HELP OFFSET THEIR EXPENSES. THE COMMITTEE MAKES THE RULES AND DECIDES HOW TO GIVE OUT THE SCHOLARSHIPS, THE REQUIREMENTS AND THE AMOUNTS TO GIVE. X X 0 0 0 0 0 0 0 0 0 STEVEN KRAMER PRESIDENT/CEO 226549 0 37000 0 0 0 6528 0 23377 0 293454 0 0 0 CANDACE BOWLING CFO/ASSISTANT TREASURER 163510 0 9200 0 0 0 2504 0 7791 0 183005 0 0 0 RON BRANOM PROJECT MANAGER 150290 0 1200 0 0 0 4523 0 15583 0 171596 0 0 0 BEN ANDERSON DIRECT OF HEALTH SERVICES 132991 0 7200 0 0 0 2225 0 24147 0 166563 0 0 0 A FLORIDA DEVELOPMENT FINANCE CORPORATION 593270584 34061WAQ7 2020-11-10 60135000 SEE SUPPLEMENTAL INFORMATION 0 0 0 B FLORIDA DEVELOPMENT FINANCE CORPORATION 593270584 34061WBN3 2021-08-01 80000000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 61286543 3615259 1225731 56445553 0 0 0 1 B 176000 87264203 2824047 15829253 1745284 3285766 63579853 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: FLORIDA DEVELOPMENT FINANCE CORPORATION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/04/2021 SCHEDULE K, PART II, ROW B, LINE 3 THE TOTAL PROCEEDS FOR SERIES 2021 BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E), THE DIFFERENCE IS AN ORIGINAL ISSUE PREMIUM OF $7,264,203. SCHEDULE K, ROW A, PART I(F) IN NOVEMBER 2020, THE FLORIDA DEPARTMENT FINANCE CORPORATION ISSUED, ON BEHALF OF THE ORGANIZATION, $60,135,000 SENIOR LIVING REVENUE BONDS (THE "SERIES 2020A BONDS") TO FUND CAPITAL ADDITIONS RELATED TO A CAMPUS EXPANSION PROJECT, FUND A DEBT SERVICE RESERVE ACCOUNT AND FUNDED INTEREST ACCOUNT, AND PAY CERTAIN COSTS OF ISSUANCE. THE SERIES 2020A BONDS ARE COLLATERALIZED BY ASSETS IN TRUST, AND A MORTGAGE ON THE LAND AND BUILDING CONSTRUCTION. SCHEDULE K, ROW B, PART I(C) IN AUGUST 2021, THE FLORIDA DEVELOPMENT FINANCE CORPORATION ISSUED, ON BEHALF OF THE ORGANIZATION, $53,650,000 SENIOR LIVING REVENUE BONDS (THE "SERIES 2021A BONDS") AND $26,350,000 SENIOR LIVING REVENUE BONDS (THE "SERIES 2021B BONDS"), COLLECTIVELY, THE "SERIES 2021 BONDS," TO REFUND THE SERIES 2012 BONDS, FUND CAPITAL ADDITIONS RELATED TO THE CAMPUS EXPANSION PROJECT, FUND A DEBT SERVICE RESERVE ACCOUNT AND FUNDED INTEREST ACCOUNT, AND PAY CERTAIN COSTS OF ISSUANCE. FORM 990, PART VI, SECTION B, LINE 11B AT THE DIRECTION OF THE BOARD OF DIRECTORS, THE FORM 990 IS REVIEWED VIA EMAIL IN ITS ENTIRETY, AND QUESTIONS AND ANSWERS RELATED TO THE RETURN ARE COMMUNICATED VIA EMAIL BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY. THE COMPLETED FORMS ARE REVIEWED AND MAINTAINED ON FILE AT THE DIRECTION OF THE BOARD. WHERE A CONFLICT OF INTEREST IS IDENTIFIED, A CONFLICTED BOARD MEMBER WILL BE EXCLUDED FROM DISCUSSIONS AND VOTES ON THE CONFLICTED ISSUE. CONFLICT OF INTEREST ISSUES ARE REVIEWED BY THE BOARD'S COUNSEL. FORM 990, PART VI, SECTION B, LINE 15 REVIEW AND APPROVAL OF THE COMPENSATION PACKAGE OF THE EXECUTIVE DIRECTOR HAS BEEN ASSIGNED BY THE BOARD OF DIRECTORS TO THE BOARD'S EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, SECRETARY, TREASURER, AND ONE ADDITIONAL MEMBER OF THE BOARD, ALL OF WHICH ARE INDEPENDENT REGARDING THE COMPENSATION ISSUES. COMPENSATION IS BASED ON COMPARABILITY SURVEYS AND PERFORMANCE EVALUATIONS. ALL DECISIONS REGARDING COMPENSATION ARE DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATION 66,870. FORM 990, PART XII, LINE 2C OVERSIGHT OF THE AUDIT PROCESS HAS BEEN DELEGATED BY THE BOARD OF DIRECTORS TO THE FINANCE COMMITTEE. THE COMMITTEE ADDRESSES THE SELECTION OF THE AUDIT FIRM, APPROVES THE FEES AND REVIEWS THE AUDIT RESULTS WITH THE AUDIT FIRM. THIS PROCESS IS CONSISTENT WITH PRIOR YEARS. MAYFLOWER HOME HEALTH AGENCY LLC 1620 MAYFLOWER COURT WINTER PARK FL 32792 275219456 HOME HEALTH CARE FL MAYFLOWER RETIREMENT CENTER INC RELATED 16969 116434 0 1 0.96000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0