2021-06-09T12:35:32-05:00 2020-12-31 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2020-01-01 591031820 PLYMOUTH HARBOR INC PLYM 9413652600 700 JOHN RINGLING BLVD SARASOTA FL 34236 HARRY E HOBSON PRESIDENT/CEO 9413652600 2021-06-09 1 HARRY HOBSON 999009999 COURTNEY HOGBEN P01619105 4077405400 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X HARRY E HOBSON 700 JOHN RINGLING BLVD SARASOTA FL 34236 41528008 0 X WWW.PLYMOUTHHARBOR.ORG X 1961 FL OPERATION OF A RETIREMENT COMMUNITY COMMITTED TO PROVIDING A POSITIVE AGING EXPERIENCE. 18 18 451 23 0 0 455207 1198057 32204908 32881019 773815 963706 234885 110633 33668815 35153415 44789 330409 0 0 15900037 17189016 0 0 129134 16580827 16801260 32525653 34320685 1143162 832730 131043992 137038590 99537255 104848481 31506737 32190109 PLYMOUTH HARBOR IS A CHURCH-SPONSORED NOT-FOR-PROFIT COMMUNITY OF DISTINCTION FOR OLDER ADULTS COMMITTED TO PROVIDING THE MOST POSITIVE AGING EXPERIENCE POSSIBLE FOR ITS RESIDENTS. 0 0 30391508 32991652 PLYMOUTH HARBOR, INC. CARES FOR SENIOR ADULTS THROUGH THE OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF 213 INDEPENDENT APARTMENT UNITS, 60 ASSISTED LIVING UNITS, A LICENSED HOME HEALTH AGENCY, AND A 56-BED SKILLED NURSING CENTER. ACROSS ALL PROGRAMS, THERE WERE 107,992 RESIDENT DAYS IN THE CURRENT YEAR. 278209 278209 THE ORGANIZATION PROVIDES SUPPORT FOR OPERATING AND MAINTAINING A LIFE CARE FACILITIY AIDING NEEDY RESIDENTS. THE PROGRAM ADDRESSES THE NEEDS OF THOSE RESIDENTS WHO REQUIRE FINANCIAL ASSISTANCE TO MAINTAIN THEIR RESIDENCY AT PLYMOUTH HARBOR. IN THE CURRENT YEAR, $278,209 OF FINANCIAL ASSISTANCE WAS PROVIDED AS A COMPONENT OF FULFILLING THE ORGANIZATION'S CHARITABLE MISSION. 187872 52200 THE PLYMOUTH HARBOR FOUNDATION ENSURES THE APPROPRIATE STEWARDSHIP OF CONTRIBUTED FUNDS, DEVELOPS FUNDRAISING STRATEGIES THAT SUPPORT THE MOST POSITIVE AGING EXPERIENCE POSSIBLE, AND PROVIDES FUNDING FOR INNOVATIVE PROGRAMS AND SERVICES IN THE REGION. 30857589 1 1 0 0 0 0 0 0 0 1 1 1 0 0 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 1 0 0 0 0 1 64 0 1 451 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X NATALLIA DZIATSEL CPA 9413652600 700 RINGLING BLVD SARASOTA FL 34236 HARRY E HOBSON PRESIDENT/CEO 40.00 0.00 X 413118 0 30655 NATALLIA DZIATSEL VICE PRESIDENT/CFO 40.00 0.00 X 208975 0 15970 JOSEPH J DEVORE SENIOR VP OF HEALTH SERVICES 40.00 0.00 X 179022 0 15203 GEORGE W MCGONAGILL VP OF FACILITIES 40.00 0.00 X 178089 0 14357 TENA WILSON VP OF RESIDENT/EMPLOYEE RELATIONS 40.00 0.00 X 150974 0 27798 BETH WATSON VP OF PHILANTHROPY 40.00 0.00 X 163354 0 12848 KAREN E NOVAK DIRECTOR OF NURSING 40.00 0.00 X 144670 0 12584 GORDON OKAWA VP OF MARKETING 40.00 0.00 X 121703 0 30336 BRUCE BERG CHAIRMAN 1.00 0.00 X X 0 0 0 JEFF CHARLOTTE VICE CHAIRMAN 1.00 0.00 X X 0 0 0 MYRON ROBINSON SECRETARY 1.00 0.00 X X 0 0 0 ERIC BLEDSOE TREASURER 1.00 0.00 X X 0 0 0 JOHN M CRANOR III IMMEDIATE PAST CHAIR 1.00 0.00 X 0 0 0 SARAH PAPPAS TRUSTEE 1.00 0.00 X 0 0 0 KATHRYN ANGELL CARR TRUSTEE 1.00 0.00 X 0 0 0 LEE DELIETO SR TRUSTEE 1.00 0.00 X 0 0 0 LEE DELIETO JR TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM R JOHNSTON TRUSTEE 1.00 0.00 X 0 0 0 GUY PETERSON TRUSTEE 1.00 0.00 X 0 0 0 JAY PRICE TRUSTEE 1.00 0.00 X 0 0 0 CONNIE SANDERS TRUSTEE 1.00 0.00 X 0 0 0 CHRIS SFORZO TRUSTEE 1.00 0.00 X 0 0 0 CADE SIBLEY TRUSTEE 1.00 0.00 X 0 0 0 JENNIFER WALKER TRUSTEE 1.00 0.00 X 0 0 0 LARRY THOMPSON TRUSTEE 1.00 0.00 X 0 0 0 REBECCA SACHS TRUSTEE 1.00 0.00 X 0 0 0 1559905 0 159751 9 0 1 0 COMPLETE GENERAL CONTRACTING GROUP 1910 BARBER RD SARASOTA FL 34240 CONSTRUCTION SERVICES 3525624 WILLIS A SMITH CONSTRUCTION 5001 LAKEWOOD RANCH BLVD N SARASOTA FL 34240 CONSTRUCTION SERVICES 593389 REHABCARE PO BOX 503534 ST LOUIS MO 63150 REHABILITATION AND THERAPY 510508 CEDARS ELECTRO- MECHANICAL INC 211 N FEDERAL HWY LAKE WORTH FL 33460 HVAC SERVICES 380174 MICHAEL J LOONEY INC 150 N INDIANA AVE ENGLEWOOD FL 34223 ELECTRICAL SERVICES 271816 22 611606 586451 1198057 NET RESIDENT SERVICE REVENUE 623000 24912978 24912978 ENTRANCE FEES 623000 7968041 7968041 32881019 749267 749267 6589032 6229664 144929 359368 -144929 214439 214439 CAPITAL REIMBURSEMENTS 623000 110633 110633 110633 35153415 32991652 0 963706 330409 330409 801115 385581 415534 13178152 11480128 1591525 106499 252129 211345 38019 2765 2052783 1910745 137276 4762 904837 783527 113331 7979 57621 57621 43013 43013 122697 122697 1616761 1247581 369180 105054 3759 99115 2180 379435 224473 153063 1899 4882 4882 2794880 2769824 25056 19210 17012 1002 1196 757747 757747 7120762 6969024 151738 276940 268769 8171 SUPPLIES 946791 909924 35444 1423 FOOD 941295 939595 1700 MEDICAL SUPPLIES 893159 893159 LINENS AND UNIFORMS 362027 362027 358986 270263 88292 431 34320685 30857589 3333962 129134 1827603 1589323 145812 84551 426869 214218 1351597 570442 130783 180415 653163 1126873 155712020 63528472 91736946 92183548 34199169 40641504 572050 447716 131043992 137038590 3142772 3543558 45582843 52701656 23950269 22906337 2698360 26861371 22998570 99537255 104848481 X 28167725 28886012 3339012 3304097 31506737 32190109 131043992 137038590 X 832730 1378160 -1527518 X X 0 1 X 1 0 X 2461095 1385852 475204 455207 1198057 5975415 23993495 25305768 29834076 32204908 32881019 144219266 26454590 26691620 30309280 32660115 34079076 150194681 0 0 0 150194681 149637 220485 901153 879477 749267 2900019 149637 220485 901153 879477 749267 2900019 397379 812020 433594 234885 110633 1988511 27001606 27724125 31644027 33774477 34938976 155083211 0.96850 0.97040 0.01870 0.01560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12436041 45488 1481250 278209 13684570 11962931 2293159 1820049 12436041 13906717 55000 -742855 1255931 11962931 12161627 90530 1654560 13906717 11477104 547064 233621 96162 12161627 0.98600 0.00000 0.01400 0 1 1 273228 273228 136132404 57425990 78706414 9346510 4323937 5022573 9959878 1778545 8181333 92183548 CASH AND CASH EQUIVALENTS 11175871 F ACCRUED INTEREST 38555 F CORPORATE BONDS 4044425 F U.S. GOVERNMENT OBLIGATIONS 3283581 F MUTUAL FUNDS 18290903 F CERTIFICATE OF DEPOSITS 1041924 F CORPORATE STOCK 2766245 F 40641504 INTEREST RATE SWAP 2710900 DEFERRED ENTRANCE FEES 20287670 22998570 X 34737169 1378160 -1671709 -293549 35030718 122697 122697 35153415 34053797 0 34053797 122697 144191 266888 34320685 PART V, LINE 4: THE ORGANIZATION HAS A QUASI-ENDOWMENT WHICH CONSISTS OF DONOR RESTRICTED AND BOARD DESIGNATED FUNDS THAT HAVE BEEN LIMITED FOR THE PURPOSE OF PROVIDING SUPPORT TO NEEDY RESIDENTS. PART X, LINE 2: THE ORGANIZATION 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, NO INCOME TAX LIABILITY OR PROVISION FOR INCOME TAXES IS REFLECTED IN THESE CONSOLIDATED FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2020, WITH CERTAIN STATUTORY EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL OR STATE OF FLORIDA TAXING AUTHORITIES FOR ANY TAX YEARS BEFORE JANUARY 1, 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST -57,590. CHANGE IN VALUE OF SWAP INTEREST AGREEMENT -1,469,928. GRANT EXPENSE RECOGNIZED WITH REVENUE ON FINANCIAL STATEMENTS -282,159. PAYROLL TAX CREDIT RECOGNIZED WITH REVENUE ON FINANCIAL STATEMENTS 137,968. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANT EXPENSE RECOGNIZED WITH REVENUE ON FINANCIAL STATEMENTS 282,159. PAYROLL TAX CREDIT RECOGNIZED WITH REVENUE ON FINANCIAL STATEMENTS -137,968. 1 EMPLOYEE SCHOLARSHIPS 21 48250 FINANCIAL ASSISTANCE FOR NEEDY RESIDENTS 5 282159 PART I, LINE 2: THE BOARD OF DIRECTORS OF FILING ORGANIZATION SET UP AN ENDOWMENT FUND TO MEET THE NEEDS OF THE RESIDENTS THROUGH A FELLOWSHIP PROGRAM. ADDITIONALLY, THE FOUNDATION AWARDS TEAM MEMBERS OR THEIR CHILDREN ANNUAL SCHOLARSHIPS BASED ON MERIT AND/OR NEED AS DETERMINED BY AN INDEPENDENT SCHOLARSHIP SELECTION COMMITTEE. THE ASSISTANCE LISTED IN PART III WAS DISBURSED TO APPROVED APPLICANTS IN ACCORDANCE WITH THE ELIGIBLITY REQUIREMENTS OF THE FILING ORGANIZATION AND ITS DONORS. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 HARRY E HOBSON PRESIDENT/CEO 373118 0 40000 0 0 0 8499 0 22156 0 443773 0 0 0 NATALLIA DZIATSEL VICE PRESIDENT/CFO 185000 0 23975 0 0 0 6892 0 9078 0 224945 0 0 0 JOSEPH J DEVORE SENIOR VP OF HEALTH SERVICES 162500 0 16522 0 0 0 6125 0 9078 0 194225 0 0 0 GEORGE W MCGONAGILL VP OF FACILITIES 154500 0 23589 0 0 0 5911 0 8446 0 192446 0 0 0 TENA WILSON VP OF RESIDENT/EMPLOYEE RELATIONS 128750 0 22224 0 0 0 4921 0 22877 0 178772 0 0 0 BETH WATSON VP OF PHILANTHROPY 147000 0 16354 0 0 0 3770 0 9078 0 176202 0 0 0 KAREN E NOVAK DIRECTOR OF NURSING 112000 0 32670 0 0 0 4154 0 8430 0 157254 0 0 0 GORDON OKAWA VP OF MARKETING 91300 0 30403 0 0 0 4146 0 26190 0 152039 0 0 0 PART I, LINE 1A IN THE CURRENT YEAR, THE FILING ORGANIZATION PAID SOCIAL CLUB DUES UTILIZED BY THE CEO AND OTHER TEAM MEMBERS AT THE CEO'S DISCRETION FOR BUSINESS-RELATED FUNCTIONS. THE USAGE OF SUCH SOCIAL CLUB IS MONITORED ON A REGULAR BASIS FOR HOW THE MEMBERSHIP BENEFITS THE ORGANIZATION'S OPERATIONS. A SARASOTA COUNTY HEALTH FACILITIES AUTHORITY 596000848 2015-12-10 26000000 SEE SUPPLEMENTAL INFORMATION BELOW 0 0 0 A 2989442 26000000 203740 25796260 2015 0 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 1 THE NORTHERN TRUST COMPANY 12.000000000000 0 0 0 0 1 A 0 SCHEDULE K, ROW A, PART I(F) THE PROCEEDS OF THE SERIES 2015 NOTES WERE USED TO (A) FINANCE THE CONSTRUCTION COSTS FOR THE EXPANSION OF AN EXISTING CONTINUING CARE RETIREMENT COMMUNITY, (B) REFUND ALL OF THE THEN OUTSTANDING MORTGAGE NOTE PAYABLE, AND (C) PAY THE COST OF ISSUANCE OF THE SERIES 2015 NOTES. FORM 990, PAGE 1, ITEM B THE FILING ORGANIZATION IS AMENDING ITS FORM 990 FOR TAX YEAR ENDING DECEMBER 31, 2020 TO CORRECT RETIREMENT AND OTHER DEFERRED COMPENSATION AND NONTAXABLE BENEFITS FOR THE REPORTABLE INDIVIDUALS LISTED ON PART VII AND SCHEDULE J, PART II IN ACCORDANCE WITH IRS GUIDELINES. FORM 990, PART VI, SECTION A, LINE 2 LEE DELIETO, SR. AND LEE DELIETO, JR. - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS REVIEWED IN ITS ENTIRETY BY THE CHIEF FINANCIAL OFFICER. ANY QUESTIONS ARE RESOLVED WITH THE INDEPENDENT ACCOUNTING FIRM THAT PREPARES THE RETURN. IN ADDITION, A COPY IS PROVIDED TO EACH INDEPENDENT VOTING MEMBER OF THE BOARD FOR REVIEW BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS AND EMPLOYEES. NEW BOARD MEMBERS COMPLETE AND SUBMIT A SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT AT ORIENTATION. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SUBMIT A SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THESE STATEMENTS ARE REVIEWED BY THE BOARD PRESIDENT AND CHIEF EXECUTIVE OFFICER. ANY BOARD MEMBER HAVING A POSSIBLE OR ACTUAL CONFLICT OF INTEREST IS PROHIBITED FROM VOTING OR USING HIS/HER PERSONAL INFLUENCE ON THE MATTER, AND SHOULD NOT BE COUNTED AS PART OF A QUORUM FOR THE MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE, WHICH IS INDEPENDENT WITH RESPECT TO ALL COMPENSATION DECISIONS AND CONSISTS OF SEVERAL INDEPENDENT BOARD MEMBERS, AND AN INDEPENDENT CONSULTANT EVALUATES THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER. THE CEO PERFORMS ANNUAL EVALUATIONS OF OTHER TOP MANAGEMENT OFFICIALS. THE ORGANIZATION UTILIZES COMPARABILITY SURVEYS, CONDUCTED BY THE HUMAN RESOURCES DIRECTOR, TO DETERMINE THE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. THE PRESIDENT OF THE BOARD OF DIRECTORS REVIEWS THE EVALUATIONS AND PROVIDES WRITTEN APPROVAL OF COMPENSATION DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE FACILITY. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -1,469,928. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST -57,590. FORM 990, PART XII, LINE 2C OVERSIGHT OF FINANCIAL STATEMENT AUDIT: THE ORGANIZATION'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE PLYMOUTH HARBOR FOUNDATION LLC 700 JOHN RINGING BLVD SARASOTA FL 34236 000000000 TO SUPPORT THE PLYMOUTH HARBOR RETIREMENT COMMUNITY. FL 919431 5052149 PLYMOUTH HARBOR INC