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BONITA SPRINGS RETIREMENT VILLAGE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BONITA SPRINGS RETIREMENT VILLAGE INC (EIN 26-2386152)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-31
IRS object ID
202203049349302180
Schema version
2021v4.2
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)
Return2022-10-31T15:02:10-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN134008324PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line176 S LAURA STREET SUITE 2100AddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN262386152EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BONITA SPRINGS RETIREMENT VILLAGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBONIBusinessNameControlTxt
Phone3523728400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1SANTAFE HEALTHCARE INC PO BOX 749AddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP326270749ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPHILIP G BOWLINGPersonNm
Person TitleASSISTANT TREASURERPersonTitleTxt
Phone3523728400PhoneNum
Signature2022-10-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPHILIPPersonFirstNm
Person LastBOWLINGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNADER FARHATPreparerPersonNm
PTINP01004599PTIN
Phone9043540671PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1THE TERRACES AT BONITA SPRINGSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerLAWRENCE G SCHREIBERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1SANTAFE HEALTHCARE INC PO BOX 749AddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP326270749ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,006,932GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THETERRACESATBONITASPRINGS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY CONTINUING CARE RETIREMENT SERVICES TO SENIOR CITIZENS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee286TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$611,593PYContributionsGrantsAmt
CY Contributions Grants$607,979CYContributionsGrantsAmt
PY Program Service Revenue$18,648,560PYProgramServiceRevenueAmt
CY Program Service Revenue$18,189,621CYProgramServiceRevenueAmt
PY Investment Income$734,161PYInvestmentIncomeAmt
CY Investment Income$140,790CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$19,994,314PYTotalRevenueAmt
CY Total Revenue$18,938,390CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,288,532PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,241,009CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,945,611PYOtherExpensesAmt
CY Other Expenses$19,841,860CYOtherExpensesAmt
PY Total Expenses$26,234,143PYTotalExpensesAmt
CY Total Expenses$28,082,869CYTotalExpensesAmt
PY Revenues Less Expenses-$6,239,829PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,144,479CYRevenuesLessExpensesAmt
Total Assets BOY$107,065,105TotalAssetsBOYAmt
Total Assets EOY$109,847,615TotalAssetsEOYAmt
Total Liabilities BOY$198,152,744TotalLiabilitiesBOYAmt
Total Liabilities EOY$178,421,050TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$91,087,639NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$68,573,435NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH QUALITY CONTINUING CARE RETIREMENT SERVICES AND FACILITIES TO BENEFIT THE LARGEST POSSIBLE SEGMENT OF THE SENIOR POPULATION LIVING IN BONITA SPRINGS, FLORIDA AND THE SURROUNDING AREAS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,377,127ExpenseAmt
Revenue$9,097,707RevenueAmt
DescBONITA SPRINGS RETIREMENT VILLAGE, INC. PROVIDED CLEANING, LAUNDRY, MAINTENANCE, MEALS, SECURITY AND UTILITIES TO SENIORS IN RESIDENTIAL UNITS. THE AVERAGE NUMBER OF INDIVIDUALS SERVED PER DAY IN 2021 WERE APPROXIMATELY 164.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,702,856ExpenseAmt
Revenue$3,879,150RevenueAmt
DescBONITA SPRINGS RETIREMENT VILLAGE, INC. PROVIDED CLEANING, LAUNDRY, MAINTENANCE, MEALS, SECURITY AND UTILITIES TO ASSISTED LIVING AND MEMORY SUPPORT SENIORS IN RESIDENTIAL UNITS. THE TOTAL RESIDENT DAYS SERVED IN 2021 WERE 17,636.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,876,479ExpenseAmt
Revenue$5,212,764RevenueAmt
DescBONITA SPRINGS RETIREMENT VILLAGE, INC. PROVIDED SKILLED NURSING AND RELATED HEALTH CARE SERVICES, INCLUDING THERAPY FOR INDIVIDUALS WHO ARE UNABLE TO CARE FOR THEMSELVES. THE TOTAL PATIENT DAYS SERVED IN 2021 WERE 10,862.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$23,956,462TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document124IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee286EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHILIP G BOWLING ASST TREASURERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3523728400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14300 NW 89TH BLVDAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP326065688ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
LAWRENCE G SCHREIBER
CHIEF EXECUTIVE OFFICER/DIRECTOR1.5058.50Yes (X)Yes (X)$0$2,065,713$368,929
STEVEN M ZIEGLER
ASSISTANT SECRETARY0.5059.50Yes (X)$0$1,382,460$41,751
RANDALL L STUART
ASSISTANT TREASURER0.5059.50Yes (X)$0$951,678$141,554
TROY R HART
PRESIDENT15.0045.00Yes (X)$0$590,403$75,966
DAVID GRAY
HEALTH CARE ADMINISTRATOR40.000.00$137,344$0$20,067Yes (X)
LISA COX
NURSING DIRECTOR40.000.00$114,061$0$8,235Yes (X)
RACHEL L HENDERSON
DIRECTOR OF COMMISSION REL AND SALES40.000.00$103,824$0$8,493Yes (X)
PHYLLIS M LAM-FLACK
DIRECTOR OF OPERATIONS40.000.00$102,738$0$7,644Yes (X)
GLENDA E HOOD
CHAIR/DIRECTOR0.102.90Yes (X)Yes (X)$0$71,800$0
JACKSON N SASSER PHD
VICE CHAIR/DIRECTOR0.101.40Yes (X)Yes (X)$0$59,050$0
BENJAMIN I DOERR JR
DIRECTOR0.101.40Yes (X)$0$59,050$0
ROBERT L EPLING
TREASURER/DIRECTOR0.101.40Yes (X)Yes (X)$0$56,650$0
KATHERINE L FERNANDEZ
DIRECTOR0.101.40Yes (X)$0$56,650$0
JAMES D LEE
DIRECTOR0.101.40Yes (X)$0$56,650$0
PAMELA J MOONEY PHD
DIRECTOR0.101.40Yes (X)$0$56,650$0
JOSEPH W DAVIS
DIRECTOR0.101.40Yes (X)$0$54,250$0
GEORGE E FLETCHER
DIRECTOR0.101.40Yes (X)$0$54,250$0
ALBERT E DOTSON PHD
SECRETARY/DIRECTOR (THRU 5/29/21)0.101.40Yes (X)Yes (X)$0$27,125$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$457,967TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,542,379TotReportableCompRltdOrgAmt
Total Other Compensation$672,639TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SANTAFE SENIOR LIVING INC
PO BOX 749GAINESVILLEFL326270749MANAGEMENT$1,234,457
REHABCARE GROUP EAST LLC
PO BOX 503534SAINT LOUISMO63150OCCUPATIONAL/PHYSICAL THERAPY$589,938
CAREMASTERS HEALTHCARE SERVICES LLC
PO BOX 2599SARASOTAFL34230HEALTHCARE SERVICES$435,147
SANTAFE MANAGEMENT SERVICES LLC
PO BOX 749GAINESVILLEFL326270749MANAGEMENT$358,186
ALLIED UNIVERSAL
161 WASHINGTON STREET SUITE 6CONSHOHOCKENPA19428SECURITY SERVICES$208,026
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$63,072RelatedOrganizationsAmt
Government Grants$544,907GovernmentGrantsAmt
Total Contributions$607,979TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MONTHLY SERVICE FEES531110$13,384,065$13,384,065
RESIDENT SERVICES900099$4,805,556$4,805,556
FieldValueIRS element (for citing)
Total Program Service Revenue$18,189,621TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$220,697TotalRevenueColumnAmt
Exclusion$220,697ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$26,365TotalRevenueColumnAmt
Exclusion-$26,365ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$15,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$68,542OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$53,542OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$53,542TotalRevenueColumnAmt
Exclusion-$53,542ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,938,390TotalRevenueColumnAmt
Related Or Exempt Func Income$18,189,621RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$140,790ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,146,013TotalAmt
Program Services$6,641,886ProgramServicesAmt
Management And General$504,127ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,967TotalAmt
Program Services$23,693ProgramServicesAmt
Management And General$2,274ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$577,517TotalAmt
Program Services$538,990ProgramServicesAmt
Management And General$38,527ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$491,512TotalAmt
Program Services$452,186ProgramServicesAmt
Management And General$39,326ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,600,459TotalAmt
Management And General$1,600,459ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$149,649TotalAmt
Management And General$149,649ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$40,394TotalAmt
Management And General$40,394ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$21,143TotalAmt
Management And General$21,143ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,060,126TotalAmt
Program Services$590,755ProgramServicesAmt
Management And General$469,371ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$713,125TotalAmt
Program Services$713,125ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$504,702TotalAmt
Program Services$302,295ProgramServicesAmt
Management And General$202,407ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$103,731TotalAmt
Management And General$103,731ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,750,765TotalAmt
Program Services$1,637,076ProgramServicesAmt
Management And General$113,689ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,091TotalAmt
Program Services$4,489ProgramServicesAmt
Management And General$3,602ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$33,869TotalAmt
Program Services$21,115ProgramServicesAmt
Management And General$12,754ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,201,782TotalAmt
Program Services$6,841,693ProgramServicesAmt
Management And General$360,089ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,289,838TotalAmt
Program Services$2,960,854ProgramServicesAmt
Management And General$328,984ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$925,941TotalAmt
Program Services$833,347ProgramServicesAmt
Management And General$92,594ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD & FOOD SERVICES$826,338$826,338
THERAPY SERVICES$664,722$664,722
MEDICAL SUPPLIES$342,597$342,597
EQUIP RENTAL AND MAINT$250,676$238,939$11,737

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$353,912TotalAmt
Program Services$322,362ProgramServicesAmt
Management And General$31,550ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,082,869TotalAmt
Program Services$23,956,462ProgramServicesAmt
Management And General$4,126,407ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$961,435BOYAmt
EOY$2,324,085EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$544,680BOYAmt
EOY$888,430EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$78,999BOYAmt
EOY$78,791EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$126,632BOYAmt
EOY$165,211EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$114,588,348LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$29,431,588LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$87,515,195BOYAmt
EOY$85,156,760EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,134,805BOYAmt
EOY$5,236,304EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,702,859BOYAmt
EOY$15,997,534EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$107,065,105BOYAmt
EOY$109,847,615EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$918,445BOYAmt
EOY$1,425,589EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$68,098BOYAmt
EOY$72,059EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$79,951,546BOYAmt
EOY$79,034,558EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$117,214,655BOYAmt
EOY$97,888,844EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$198,152,744BOYAmt
EOY$178,421,050EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$91,557,091BOYAmt
EOY-$69,128,785EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$469,452BOYAmt
EOY$555,350EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$91,087,639BOYAmt
EOY-$68,573,435EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,065,105BOYAmt
EOY$109,847,615EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,144,479ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$387,417NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$32,046,100OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$71,582CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$611,593CurrentTaxYearMinus1YearAmt
Current Tax Year$607,979CurrentTaxYearAmt
Total$1,383,469TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,975,784CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,826,459CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,060,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,648,560CurrentTaxYearMinus1YearAmt
Current Tax Year$18,189,621CurrentTaxYearAmt
Total$91,701,178TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,047,366CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,882,737CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,096,791CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,260,153CurrentTaxYearMinus1YearAmt
Current Tax Year$18,797,600CurrentTaxYearAmt
Total$93,084,647TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$93,084,647PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$565,726CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$378,270CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$506,467CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$756,718CurrentTaxYearMinus1YearAmt
Current Tax Year$194,332CurrentTaxYearAmt
Total$2,401,513TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$565,726CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$378,270CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$506,467CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$756,718CurrentTaxYearMinus1YearAmt
Current Tax Year$194,332CurrentTaxYearAmt
Total$2,401,513TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,499CurrentTaxYearMinus4YearsAmt
Total$2,499TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,615,591CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,261,007CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,603,258CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,016,871CurrentTaxYearMinus1YearAmt
Current Tax Year$18,991,932CurrentTaxYearAmt
Total$95,488,659TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97480PublicSupportCY509Pct
Public Support PY5090.97020PublicSupportPY509Pct
Investment Income CY0.02510InvestmentIncomeCYPct
Investment Income PY0.02980InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS OTHER INCOME - 2017 AMOUNT: $ 2,499. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,509,563OtherCostOrOtherBasisAmt
Book Value$7,509,563BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$100,114,008OtherCostOrOtherBasisAmt
Depreciation$24,080,857DepreciationAmt
Book Value$76,033,151BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,559,603OtherCostOrOtherBasisAmt
Depreciation$5,350,731DepreciationAmt
Book Value$1,208,872BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$405,174OtherCostOrOtherBasisAmt
Book Value$405,174BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$85,156,760TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
CASH & INVESTMENTS HELD BY TRUSTEE$10,631,728
ESCROW ACCOUNTS REQUIRED BY FLORIDA$2,009,862
RESIDENT RESERVATION DEPOSITS$1,307,761
DEFERRED CONTRACT ACQUISTION COSTS$1,201,191
BENEFICIAL INTEREST IN NET ASSETS OF SANTAFE SENIOR LIVING FOUNDATION, INC.$555,350
DEFERRED FINANCING COSTS - NET$224,833
RIGHT OF USE ASSETS$34,809
ASSISTED LIVING DEPOSITS$32,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,997,534TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
REFUNDABLE ENTRANCE FEES$66,772,620
DEFERRED INCOME - ENTRANCE FEES$19,642,932
FUTURE SERVICE OBLIGATION$9,349,000
DUE TO AFFILIATES$1,200,343
BOND INTEREST PAYABLE$817,484
RESERVATION DEPOSITS$72,212
LEASE LIABILITY$34,253
FieldValueIRS element (for citing)
Total Liability$97,888,844TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$18,875,318TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$18,875,318RevenueSubtotalAmt
Other Revenues Not Included$63,072OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$63,072RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$18,938,390TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,082,869TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$28,082,869ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,082,869TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:EXPLANATION FOR UNCERTAIN TAX POSITIONS UNDER ASC 740: BONITA SPRINGS RETIERMENT VILLAGE, INC. IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. BONITA SPRINGS RETIREMENT VILLAGE, INC. IS SUBJECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. BONITA SPRINGS RETIREMENT VILLAGE, INC. INCURRED NO INCOME TAX EXPENSE IN 2021 AND 2020 AND HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021 OR 2020.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTION FROM RELATED ORGANIZATIONS RECOGNIZED FOR TAX 63,072.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LAWRENCE G SCHREIBER
CHIEF EXECUTIVE OFFICER/DIRECTOR$0$1,031,801$0$983,856$0$50,056$0$341,826$0$27,103$0$2,434,642$0$0
STEVEN M ZIEGLER
ASSISTANT SECRETARY$0$409,764$0$210,927$0$761,769$0$11,641$0$30,110$0$1,424,211$0$443,834
RANDALL L STUART
ASSISTANT TREASURER$0$514,448$0$262,007$0$175,223$0$116,730$0$24,824$0$1,093,232$0$88,421
TROY R HART
PRESIDENT$0$388,935$0$114,984$0$86,484$0$51,657$0$24,309$0$666,369$0$35,776
DAVID GRAY
HEALTH CARE ADMINISTRATOR$136,554$0$0$0$790$0$0$0$20,067$0$157,411$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3LAWRENCE G SCHREIBER IS THE CHIEF EXECUTIVE OFFICER (CEO) OF BONITA SPRINGS RETIREMENT VILLAGE, INC. MR. SCHREIBER IS COMPENSATED BY SANTAFE HEALTHCARE, INC., A RELATED SUPPORTING ORGANIZATION. SANTAFE HEALTHCARE, INC. UTILIZES THE FOLLOWING PROCESS TO ESTABLISH THE CEO'S COMPENSATION AND BENEFITS: ANNUALLY, THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS 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 CEO'S 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 BONITA SPRINGS RETIREMENT VILLAGE, INC. OR RELATED ORGANIZATIONS. BONITA SPRINGS RETIREMENT VILLAGE, INC. EMPLOYEES ARE NOT COVERED BY A FORMAL SEVERANCE POLICY; SEVERANCE IS HANDLED ON A CASE BY CASE BASIS. EMPLOYEES OF RELATED ORGANIZATIONS ARE COVERED BY A SEVERANCE POLICY WHICH INCLUDES MONTHLY PAYMENTS UP TO A MAXIMUM OF 12 - 36 MONTHS UNDER QUALIFYING CIRCUMSTANCES AND DEPENDING ON POSITION. NO ONE LISTED RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS DURING 2021. PART I, LINE 4B: LISTED PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE YEAR: LAWRENCE G SCHREIBER, RANDALL L STUART, STEVEN M ZIEGLER AND TROY R HART ARE EMPLOYEES OF SANTAFE HEALTHCARE, INC., A RELATED SUPPORTING ORGANIZATION. THEY PARTICIPATE IN TWO NONQUALIFIED DEFERRED COMPENSATION RETIREMENT PLANS SPONSORED BY SANTAFE HEALTHCARE, INC. 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. MR. ZIEGLER VESTED AND RECEIVED $741,092 FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS IN 2021. MR. STUART VESTED AND RECEIVED $165,974 FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS IN 2021. MR. HART VESTED AND RECEIVED $65,677 FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS IN 2021.
SCHEDULE J, PART II: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 WITH APPROXIMATELY $2 BILLION IN GROSS RECEIPTS AND MORE THAN 1,500 EMPLOYEES. 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. EXECUTIVE COMPENSATION AND BENEFITS FOR THOSE SENIOR EXECUTIVES PAID BY RELATED ORGANIZATIONS WERE NOT APPORTIONED AND CHARGED TO BONITA SPRINGS RETIREMENT VILLAGE, INC. HOWEVER, MANAGEMENT FEES PAID BY BONITA SPRINGS RETIREMENT VILLAGE, INC. TO RELATED ORGANIZATIONS COVERED AN ALLOCABLE PORTION OF THE EXECUTIVE SALARIES AND BENEFITS PAID BY THE RELATED ORGANIZATIONS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ALACHUA COUNTY HEALTH FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN592442398BondIssuerEIN
CUSIP010685JN6CUSIPNum
Bond Issued2011-11-03BondIssuedDt
Issue Price$142,316,817IssuePriceAmt
PurposeCONSTRUCT FACILITYPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$62,385,000RetiredAmt
Total Proceeds$146,377,007TotalProceedsAmt
In Reserve Fund$8,500,407InReserveFundAmt
Capitalized Interest$28,658,682CapitalizedInterestAmt
Issuance Costs From Proceeds$2,846,336IssuanceCostsFromProceedsAmt
Working Capital Expenditures$295,802WorkingCapitalExpendituresAmt
Capital Expenditures$101,805,584CapitalExpendituresAmt
Other Spent Proceeds$4,270,196OtherSpentProceedsAmt
Substantial Completion2013SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: ALACHUA COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/03/2021
SCHEDULE K, PART II, LINE 3THE AMOUNT REPORTED AS TOTAL PROCEEDS ON LINE 3 IS GREATER THAN THE ISSUE PRICE REPORTED ON SCHEDULE K, PART I, LINE A, COLUMN E DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART II, LINE 11PROCEEDS REPORTED ON THIS LINE WERE USED TO RETIRE BOND PRINCIPAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ABONITA SPRINGS RETIREMENT VILLAGE, INC.'S ARTICLES OF INCORPORATION AND BYLAWS STATE THAT THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS SHALL CONSTITUTE THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS CONSTITUTES THE ORGANIZATION'S BOARD OF DIRECTORS, WHICH MAKES ALL GOVERNANCE DECISIONS OF THE ORGANIZATION. THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS HAS THE POWER AND AUTHORITY TO ESTABLISH COMMITTEES, TO ELECT AND REMOVE OFFICERS, TO APPROVE AMENDMENTS OF THE ORGANIZATION'S GOVERNING DOCUMENTS, AND TO MODIFY, AMEND, RESCIND, OR REPEAL ANY ACTION TAKEN BY THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S PROCESS FOR ENSURING THE ACCURATE PREPARATION, REVIEW AND APPROVAL OF THE 2021 FORM 990 BEGAN WITH PROFESSIONAL DEVELOPMENT OF STAFF (SEVERAL OF WHICH ARE CPAS) WHICH WERE INVOLVED IN THE PREPARATION OF THE 2021 FORM 990. IN ADDITION TO STAFF DEVELOPMENT, WHICH INCLUDED ATTENDING TAX SEMINARS AND CLASSES, MANAGEMENT ALSO CONSULTED WITH INDEPENDENT ACCOUNTING FIRMS AND TAX LEGAL COUNSEL REGARDING THE IRS FORM 990 CODE AND FILING REQUIREMENTS. THE ORGANIZATION ALSO EDUCATED ITS MANAGEMENT TEAM, OFFICERS AND DIRECTORS, WITH THE ASSISTANCE OF PRICEWATERHOUSECOOPERS LLP, REGARDING THE FORM 990 AND THEIR INVOLVEMENT IN REVIEWING THE RETURN. FOLLOWING MANAGEMENT'S PREPARATION OF THE 2021 FORM 990, PRICEWATERHOUSECOOPERS LLP REVIEWED THE 2021 FORM 990. A COPY OF THE 2021 FORM 990 AND ATTACHMENTS WERE PROVIDED TO THE ORGANIZATION'S CURRENT BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENT. EXECUTIVE MANAGEMENT ADDRESSED ANY QUESTIONS RAISED BY THE BOARD MEMBERS PRIOR TO FILING THE 2021 FORM 990 AND ATTACHMENTS WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CBONITA SPRINGS RETIREMENT VILLAGE, 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 15LAWRENCE G SCHREIBER IS THE CHIEF EXECUTIVE OFFICER (CEO) OF BONITA SPRINGS RETIREMENT VILLAGE, INC. MR. SCHREIBER IS COMPENSATED BY SANTAFE HEALTHCARE, INC., A RELATED SUPPORTING ORGANIZATION. SANTAFE HEALTHCARE, INC. UTILIZES THE FOLLOWING PROCESS TO ESTABLISH THE CEO'S COMPENSATION AND BENEFITS: THE SANTAFE HEALTHCARE, INC. 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: PROCESS FOR DETERMINING COMPENSATION FOR ALL NON-DIRECTOR OFFICERS AND DIRECTORS OF BONITA SPRINGS RETIREMENT VILLAGE, 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 NON-DIRECTOR OFFICERS' 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 SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS. THE FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF CASH COMPENSATION AND EXECUTIVE BENEFITS. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETINGS. 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 SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS BASED ON THE MARKET COMPETITIVENESS STUDY.
FORM 990, PART VI, SECTION C, LINE 19BONITA SPRINGS RETIREMENT VILLAGE, 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. BONITA SPRINGS RETIREMENT VILLAGE, INC. DID NOT OTHERWISE MAKE ITS GOVERNING DOCUMENTS, INCLUDING BYLAWS, AVAILABLE TO THE PUBLIC. DURING THE TAX YEAR, BONITA SPRINGS RETIREMENT VILLAGE, INC. MADE ITS FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED BY SECTION 641.091(2), FLORIDA STATUTES.
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 WITH APPROXIMATELY $2 BILLION IN GROSS RECEIPTS AND MORE THAN 1,500 EMPLOYEES. 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. EXECUTIVE COMPENSATION AND BENEFITS FOR THOSE SENIOR EXECUTIVES PAID BY A RELATED ORGANIZATION WERE NOT APPORTIONED AND CHARGED TO BONITA SPRINGS RETIREMENT VILLAGE, INC. HOWEVER, MANAGEMENT FEES PAID BY BONITA SPRINGS RETIREMENT VILLAGE, INC. TO RELATED ORGANIZATIONS COVERED AN ALLOCABLE PORTION OF THE EXECUTIVE SALARIES AND BENEFITS PAID BY THE RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 9:CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF SANTAFE SENIOR LIVING FOUNDATION, INC. 85,898. CONTRIBUTION FROM SANTAFE SENIOR LIVING FOUNDATION, INC. -63,072. CHANGE IN FUTURE SERVICE OBLIGATION 8,897,000. EQUITY TRANSFER FROM AFFILIATES 23,126,274.
FORM 990, PART XII, LINE 2CAUDIT 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

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SANTAFE HEALTHCARE INC
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NORTH FLORIDA RETIREMENT VILLAGE INC
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SANTAFE SENIOR LIVING INC
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BVG ACQUISITION INC
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EAST RIDGE RETIREMENT VILLAGE INC
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SANTAFE SENIOR LIVING FOUNDATION INC
PO BOX 749GAINESVILLEFL326270749264464727CHARITABLE AND EDUCATIONAL PURPOSESFL501(C)(3)70SANTAFE HEALTHCARE INC
AVMED INC
PO BOX 749GAINESVILLEFL326270749592742907HEALTH CAREFL501(C)(4)N/A0SANTAFE HEALTHCARE INC
HFK CARE CORPORATION
PO BOX 749GAINESVILLEFL326270749592386289HOSPICE CARE & HOME HEALTH CAREFL501(C)(3)70SANTAFE HEALTHCARE INC
HAVEN FOUNDATION INC
4200 NW 90TH BLVDGAINESVILLEFL326069945850863879CHARITABLE AND EDUCATIONAL PURPOSESFL501(C)(3)12A TYPE I0NORTH CENTRAL FLORIDA HOSPICE INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SF HOLDING CORP INC
PO BOX 749GAINESVILLEFL326270749592903901HOLDING COMPANYFLN/AC0
AVMED ADMINISTRATORS INC
PO BOX 749GAINESVILLEFL326270749842931956THIRD PARTY ADMINISTRATIVE SERVICESFLN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AVMED INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$640,356InvolvedAmt
Method Of Amount DeterminationACTUAL INVOICESMethodOfAmountDeterminationTxt