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NORTH CENTRAL FLORIDA HOSPICE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NORTH CENTRAL FLORIDA HOSPICE INC (EIN 59-2490893)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-25
IRS object ID
201742989349300334
Schema version
2016v3.0
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)
Return2017-10-25T10:46:10-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592490893EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH CENTRAL FLORIDA HOSPICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone3523728400PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRANDALL L STUARTPersonNm
Person TitleASSISTANT TREASURERPersonTitleTxt
Phone3523378730PhoneNum
Signature2017-10-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J MULDOONPreparerPersonNm
PTINP00889797PTIN
Phone9043540671PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.8.190.134IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-10-24IPDt
IP Tm17:22:28IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id54BF1586AE195AFAEC0F4B0B882D6F2A8E325AE6AtSubmissionCreationDeviceId
At Submission Filing Device Id9B8A486F8959EB47C448F2BA708CE67AF1BE41EDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HAVEN HOSPICEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMICHAEL P GALLAGHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1SANTAFE HEALTHCAREINC PO BOX 749AddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP326270749ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$66,870,292GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HAVENHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionHONORING LIFE BY PROVIDING COMFORT, CARE AND COMPASSION TO THOSE WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee755TotalEmployeeCnt
Total Volunteers734TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,482,463PYContributionsGrantsAmt
CY Contributions Grants$4,538,012CYContributionsGrantsAmt
PY Program Service Revenue$61,430,163PYProgramServiceRevenueAmt
CY Program Service Revenue$60,540,505CYProgramServiceRevenueAmt
PY Investment Income$1,319,537PYInvestmentIncomeAmt
CY Investment Income$569,481CYInvestmentIncomeAmt
PY Other Revenue-$42,894PYOtherRevenueAmt
CY Other Revenue$109,730CYOtherRevenueAmt
PY Total Revenue$66,189,269PYTotalRevenueAmt
CY Total Revenue$65,757,728CYTotalRevenueAmt
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$33,284,280PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,884,097CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$457,371CYTotalFundraisingExpenseAmt
PY Other Expenses$34,222,936PYOtherExpensesAmt
CY Other Expenses$31,809,453CYOtherExpensesAmt
PY Total Expenses$67,507,216PYTotalExpensesAmt
CY Total Expenses$66,693,550CYTotalExpensesAmt
PY Revenues Less Expenses-$1,317,947PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$935,822CYRevenuesLessExpensesAmt
Total Assets BOY$64,410,582TotalAssetsBOYAmt
Total Assets EOY$72,001,515TotalAssetsEOYAmt
Total Liabilities BOY$17,463,002TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,327,883TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$46,947,580NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,673,632NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF NORTH CENTRAL FLORIDA HOSPICE, INC. (HAVEN HOSPICE) IS TO HONOR LIFE BY PROVIDING COMFORT, CARE AND COMPASSION TO THOSE WE SERVE.NORTH CENTRAL FLORIDA HOSPICE, INC. (HAVEN HOSPICE) HELPS PATIENTS BE AS COMFORTABLE AS POSSIBLE AND PROVIDES THEIR CAREGIVERS WITH NEEDED RESOURCES AND ASSISTANCE. HAVEN HOSPICE PROVIDES THE MOST CURRENT THERAPIES AND METHODS TO MAXIMIZE COMFORT AND CARE TO PATIENTS INCLUDING ACCESS TO PROFESSIONAL STAFF AROUND THE CLOCK. HAVEN HOSPICE PROVIDES CLINICAL EDUCATION ABOUT END-OF-LIFE AND PALLIATIVE CARE, GRIEF SUPPORT TO CHILDREN AND FAMILIES AND BEREAVEMENT PROGRAMS FOR BOTH GROUPS AND INDIVIDUALS IN ITS SERVICE AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$39,648,955ExpenseAmt
Revenue$48,984,975RevenueAmt
DescHAVEN OFFERS COMPASSIONATE HOSPICE CARE AND SUPPORT TO INDIVIDUALS WITH LIFE-LIMITING ILLNESS AND THEIR FAMILIES, WHICH ADDRESS THE PHYSICAL, PSYCHOSOCIAL, EMOTIONAL AND SPIRITUAL NEEDS ASSOCIATED WITH ADVANCED ILLNESS WHILE RESPECTING EACH INDIVIDUAL'S GOALS, BELIEFS AND WISHES. HAVEN'S TEAM OF MEDICAL PROVIDERS AND STAFF EXPERTLY MANAGE PAIN AND SYMPTOMS AT HOME OR IN A VARIETY OF SETTINGS INCLUDING HOSPITALS, NURSING HOMES OR ASSISTED LIVING FACILITIES.HAVEN HOSPICE PROVIDED SERVICES TO 3,386 HOSPICE PATIENTS INCLUDING 176,555 DAYS OF SERVICE AND 208,702 VISITS BY NURSES, HOME HEALTH AIDES, SOCIAL WORKERS, CHAPLAINS AND PHYSICIANS TOTALING 185,723 HOURS OF CARE. INCLUDED IN THE EXPENSES IS $421,051 OF UNREIMBURSED CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,614,945ExpenseAmt
Revenue$11,410,585RevenueAmt
DescHAVEN OFFERS HOSPICE CARE CENTERS IN GAINESVILLE, PALATKA, CHIEFLAND, LAKE CITY AND ORANGE PARK WHEN THERE IS A NEED FOR SHORT-TERM INPATIENT CARE. IN THESE WELCOMING AND HOME-LIKE SETTINGS, HAVEN PHYSICIANS, ADVANCED REGISTERED NURSE PRACTITIONERS AND OTHER CLINICIANS PROVIDE AROUND-THE-CLOCK CARE TO PATIENTS NEEDING INTENSE PAIN AND SYMPTOM MANAGEMENT AS WELL AS PROVIDE EDUCATION AND SUPPORT TO FAMILY AND LOVED ONES. FAMILY MEMBERS ARE WELCOME 24 HOURS A DAY AND ARE ENCOURAGED TO STAY. HAVEN ALSO WELCOMES VISITS FROM CHILDREN AND FAMILY PETS. THE CARE CENTERS OFFER OVERNIGHT RESPITE CARE TO PROVIDE A BREAK TO PRIMARY CAREGIVERS FOR UP TO FIVE DAYS. EACH CARE CENTER OFFERS THE LOCAL COMMUNITY A PLACE TO HOLD MEETINGS AND EDUCATIONAL EVENTS.HAVEN HOSPICE PROVIDED SERVICES TO 2,446 PATIENTS IN INPATIENT CARE CENTERS, INCLUDING 18,753 DAYS OF SERVICE AND 100,644 VISITS BY NURSES, HOME HEALTH AIDES, SOCIAL WORKERS, CHAPLAINS AND PHYSICIANS. INCLUDED IN THE EXPENSES IS $216,116 OF UNREIMBURSED CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$330,152ExpenseAmt
Revenue$0RevenueAmt
DescHAVEN HOSPICE PROVIDES BEREAVEMENT SERVICES TO FAMILY MEMBERS OF PATIENTS WHO HAVE DIED IN OUR CARE AND TO THE COMMUNITIES IN WHICH WE SERVE. WORKPLACE COUNSELING AND SUPPORT: HAVEN PROVIDES COUNSELLING AND SUPPORT TO AREA BUSINESSES WHOSE STAFF ARE DEALING WITH GRIEF, LOSS, LIFE-LIMITING ILLNESS, OR SERVING AS CAREGIVERS. HAVEN IS A RESOURCE FOR COUNSELING SERVICES AND EDUCATIONAL PROGRAMS. HELPING EMPLOYEES WITH FAMILY CONCERNS HAS PROVEN TO LOWER UNSCHEDULED ABSENCES, REDUCE THE NUMBER OF BENEFIT CLAIMS AND INCREASE PRODUCTIVITY. HAVEN OFFERS SEVERAL COUNSELING AND SUPPORT PROGRAMS AND SERVICES AT COMMUNITY WORKSITES: COPING WITH GRIEF AND LOSS IN THE WORKPLACE; WORKING CAREGIVERS: BALANCING TWO FULL-TIME JOBS; LIFE PLANNING: DOCUMENTS YOU SHOULD NOT LIVE WITHOUT; PREVENTING COMPASSION FATIGUE IN THE CAREGIVING PROFESSION.CAMP SAFE HAVEN: CAMP SAFE HAVEN PROVIDES CHILDREN, TEENS AND FAMILIES WITH FUN AND THERAPEUTIC ACTIVITIES TO HELP THEM WORK THROUGH THEIR FEELINGS OF GRIEF. THE CAMP IS SUPPORTED BY HAVEN'S STAFF OF PROFESSIONALS AND VOLUNTEERS.HEALING HEARTS GRIEF SUPPORT: HAVEN'S HEALING HEARTS GRIEF SUPPORT PROGRAM OFFERS INDIVIDUAL, FAMILY AND GROUP COUNSELING TO ANYONE COPING WITH LOSS, REGARDLESS OF HOW THE LOSS WAS OCCURRED.COUNSELING AND EDUCATION: HAVEN OFFERS SHORT-TERM INDIVIDUAL, FAMILY AND GROUP BEREAVEMENT COUNSELING WITH SPECIALLY TRAINED HAVEN PROFESSIONALS FOR ANYONE IN THE COMMUNITY WHO HAS EXPERIENCED A LOSS.MEMORIAL SERVICES: HAVEN HOSTS LOVE AND REMEMBRANCE (MEMORIAL) SERVICES IN SPRING AND FALL TO HONOR THE LIVES OF FAMILY, FRIENDS AND LOVED ONES.THE BEREAVEMENT DEPARTMENT CONDUCTED COMMUNITY EDUCATION EVENTS WITH 757 ATTENDING. IN ADDITION, 20,482 SUPPORT MAILERS WERE DISTRIBUTED, 10,241 BEREAVEMENT SUPPORT PHONE CALLS WERE PLACED AND 10,766 INDIVIDUALS WERE PROVIDED EITHER GROUP, INDIVIDUAL, OR FAMILY GRIEF SUPPORT COUNSELING. 20 MEMORIAL SERVICES WERE HELD WITH AN AVERAGE ATTENDANCE OF 75 PARTICIPANTS PER SERVICE. 4 TEEN/KID AND 3 ADULT GRIEF CAMPS WERE HELD FOR 212 PARTICIPANTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$352,555ExpenseAmt
Revenue$144,945RevenueAmt
DescPALLIATIVE CARE CONSULTATIONS: HAVEN'S PALLIATIVE CARE CONSULTATIONS ARE PROVIDED BY A TEAM OF PHYSICIANS AND NURSE PRACTITIONERS. THE PROGRAM INCLUDES A PALLIATIVE CARE MEDICAL EXAMINATION TO ADDRESS PAIN AND SYMPTOMS AS WELL AS DISCUSSIONS WITH INDIVIDUALS AND THEIR HEALTHCARE PROVIDERS ABOUT TREATMENT GOALS, OPTIONS AND RECOMMENDATIONS.TRANSITIONS: HAVEN'S TRANSITIONS PROGRAM OFFERS EMOTIONALLY SUPPORTIVE PHONE CALLS, VOLUNTEER COMPANIONS AND REFERRALS TO COMMUNITY SERVICES FOR INDIVIDUALS AND FAMILIES WHO ARE DEALING WITH ADVANCED ILLNESS AND WHO ARE NEEDING ADDITIONAL SUPPORT.MEDICARE CARE CHOICES MODEL (MCCM): THE CENTERS FOR MEDICARE AND MEDICAID SELECTED HAVEN AS ONE OF SEVERAL HOSPICES TO BE INCLUDED IN A TEST MARKET TO INCREASE ACCESS TO HOSPICE SERVICES, IMPROVE QUALITY OF LIFE AND PATIENT AND FAMILY SATISFACTION AND INFORM NEW PAYMENT SYSTEMS FOR THE MEDICARE AND MEDICAID SYSTEM. MCCM PROVIDES MEDICARE BENEFICIARIES WHO QUALIFY FOR COVERAGE UNDER THE MEDICARE HOSPICE BENEFIT AND THE MEDICAID HOSPICE BENEFIT THE OPTION TO ELECT TO RECEIVE HOSPICE SERVICES WHILE CONTINUING TO RECEIVE CURATIVE TREATMENT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$352,555TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$144,945TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$54,946,607TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 ActivitiesYes (1)FundraisingActivitiesInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
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 Document357IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee755EmployeeCnt
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 ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 Line1ANNE HOCHSPRUNG CHIEF FINANCIAL OFFICERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3522714679PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14200 NW 90TH BLVDAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP326065688ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SCOTTIE J BUTLER
CHAIRMAN/DIRECTOR0.102.90Yes (X)Yes (X)$0$71,123$0
JOE G DUNLAP
VICE CHAIRMAN/DIRECTOR0.101.40Yes (X)Yes (X)$0$55,010$0
ROBERT L EPLING
TREASURER/DIRECTOR0.101.40Yes (X)Yes (X)$0$55,663$0
ALBERT E DOTSON PHD
SECRETARY/DIRECTOR0.101.40Yes (X)Yes (X)$0$53,459$0
RICHARD M ANDERSON MD
DIRECTOR0.101.40Yes (X)$0$48,582$0
JOSEPH W DAVIS
DIRECTOR0.101.40Yes (X)$0$50,564$0
BENJAMIN I DOERR JR
DIRECTOR0.102.90Yes (X)$0$57,405$0
GEORGE E FLETCHER
DIRECTOR0.101.40Yes (X)$0$51,959$0
GLENDA E HOOD
DIRECTOR0.101.40Yes (X)$0$56,509$0
ROBERT C HUDSON
DIRECTOR0.101.40Yes (X)$0$48,909$0
PAMELA J MOONEY PHD
DIRECTOR0.101.40Yes (X)$0$51,805$0
THOMAS A NATIELLO PHD
DIRECTOR0.101.40Yes (X)$0$55,009$0
PAUL R PHILIP
DIRECTOR0.101.40Yes (X)$0$52,959$0
JACKSON N SASSER PHD
DIRECTOR0.101.40Yes (X)$0$53,484$0
JAMES L STRINGFELLOW SR
DIRECTOR - THROUGH 2/25/20160.101.40Yes (X)$0$0$0
MICHAEL P GALLAGHER
CHIEF EXECUTIVE OFFICER/DIRECTOR3.0057.00Yes (X)Yes (X)$0$2,987,304$43,719
RANDALL L STUART
ASSISTANT TREASURER4.0056.00Yes (X)$0$799,210$141,683
CATHERINE E AYERS
ASSISTANT SECRETARY1.5058.50Yes (X)$0$683,536$53,998
STEVEN M ZIEGLER
ASSISTANT SECRETARY6.0056.00Yes (X)$0$643,202$130,811
JAMES L POOLE JR
PRESIDENT (INTERIM)45.005.00Yes (X)$306,599$0$17,610
GAYLE MATTSON
PRESIDENT50.0010.00Yes (X)$0$196,369$16,542
ARTHUR L CLARK JR
SVP OPERATIONS & CIO40.000.00$242,691$0$38,138Yes (X)
NEEL G KARNANI MD
ASSOCIATE MEDICAL DIRECTOR40.000.00$250,433$0$20,612Yes (X)
GERALDINE S BICHIER MD
ASSOCIATE MEDICAL DIRECTOR40.000.00$203,231$0$37,273Yes (X)
ELLEN L TALOS MD
EXECUTIVE MEDICAL DIRECTOR40.000.00$185,279$0$11,275Yes (X)
PATRICK F WOLOSZYN MD
ASSOCIATE MEDICAL DIRECTOR40.000.00$181,217$0$37,483Yes (X)
STEFANIE B LORD MD
EXECUTIVE MEDICAL DIRECTOR40.000.00$181,183$0$6,499Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,550,633TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,072,061TotReportableCompRltdOrgAmt
Total Other Compensation$555,643TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
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
PARRISH MCCALL CONSTRUCTORS INC
PO BOX 142002GAINESVILLEFL326142002CONSTRUCTION SERVICES$5,687,498
TERRACE OF JACKSONVILLE LLC
10680 OLD ST AUGUSTINE ROADJACKSONVILLEFL32257NURSING HOME SERVICES$1,092,432
SANTAFE HEALTHCARE INC
PO BOX 749GAINESVILLEFL326270749ADMINISTRATIVE SUPPORT SERVICES$899,283
PALM GARDEN OF GAINESVILLE LLC
227 SW 62ND BLVDGAINESVILLEFL32607NURSING HOME SERVICES$704,555
AYERS HEALTH & REHABILITATION CENTER LL
606 NE 7 STREETTRENTONFL32693NURSING HOME SERVICES$695,538
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K49CntrctRcvdGreaterThan100KCnt
Federated Campaigns$55,063FederatedCampaignsAmt
Fundraising$365,058FundraisingAmt
All Other Contributions$4,117,891AllOtherContributionsAmt
Noncash Contributions$3,133,537NoncashContributionsAmt
Total Contributions$4,538,012TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE REVENUE623990$44,571,729$44,571,729
MEDICAID REVENUE623990$12,693,565$12,693,565
PATIENT SERVICE REVENUE623990$3,275,211$3,275,211
FieldValueIRS element (for citing)
Total Program Service Revenue$60,540,505TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$583,064TotalRevenueColumnAmt
Exclusion$583,064ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$726,200SecuritiesAmt
Other$10,655OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$738,582SecuritiesAmt
Other$11,856OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$12,382SecuritiesAmt
Other-$1,201OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$13,583TotalRevenueColumnAmt
Exclusion-$13,583ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$35,085FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$365,058ContriRptFundraisingEventAmt
Fundraising Direct Expenses$362,126FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$327,041TotalRevenueColumnAmt
Exclusion-$327,041ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescADMINISTRATIVE INCOMEDesc
Business900099BusinessCd
Total Revenue Column$436,771TotalRevenueColumnAmt
Exclusion$436,771ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$436,771OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,757,728TotalRevenueColumnAmt
Related Or Exempt Func Income$60,540,505RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$679,211ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$549,290TotalAmt
Management And General$549,290ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,644,032TotalAmt
Program Services$23,074,117ProgramServicesAmt
Management And General$4,417,622ManagementAndGeneralAmt
Fundraising$152,293FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$778,369TotalAmt
Program Services$641,765ProgramServicesAmt
Management And General$131,859ManagementAndGeneralAmt
Fundraising$4,745FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,916,001TotalAmt
Program Services$3,047,380ProgramServicesAmt
Management And General$852,234ManagementAndGeneralAmt
Fundraising$16,387FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,996,405TotalAmt
Program Services$1,633,406ProgramServicesAmt
Management And General$351,687ManagementAndGeneralAmt
Fundraising$11,312FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$899,283TotalAmt
Management And General$899,283ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$424,509TotalAmt
Program Services$350,414ProgramServicesAmt
Management And General$74,095ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$67,475TotalAmt
Management And General$67,475ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,217,227TotalAmt
Program Services$13,464,591ProgramServicesAmt
Management And General$704,680ManagementAndGeneralAmt
Fundraising$47,956FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$559,454TotalAmt
Program Services$511,976ProgramServicesAmt
Management And General$47,478ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,227,330TotalAmt
Program Services$624,748ProgramServicesAmt
Management And General$571,828ManagementAndGeneralAmt
Fundraising$30,754FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$642,090TotalAmt
Program Services$501,212ProgramServicesAmt
Management And General$140,878ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,042,465TotalAmt
Program Services$1,422,393ProgramServicesAmt
Management And General$620,072ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,475,577TotalAmt
Program Services$1,087,090ProgramServicesAmt
Management And General$378,068ManagementAndGeneralAmt
Fundraising$10,419FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$70,997TotalAmt
Program Services$16,022ProgramServicesAmt
Management And General$54,925ManagementAndGeneralAmt
Fundraising$50FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$357,942TotalAmt
Program Services$342,704ProgramServicesAmt
Management And General$15,238ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,655,078TotalAmt
Program Services$1,573,023ProgramServicesAmt
Management And General$82,055ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$408,427TotalAmt
Program Services$294,779ProgramServicesAmt
Management And General$113,648ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PHARMACY SUPPLIES$2,312,357$2,312,357
BAD DEBT$1,828,240$1,827,797$443
COMMUNITY SUPPORT$888,375$650,541$79,302$158,532
MEDICAL SUPPLIES$598,149$597,948$201

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,134,478TotalAmt
Program Services$972,344ProgramServicesAmt
Management And General$1,137,211ManagementAndGeneralAmt
Fundraising$24,923FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$66,693,550TotalAmt
Program Services$54,946,607ProgramServicesAmt
Management And General$11,289,572ManagementAndGeneralAmt
Fundraising$457,371FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,225,997BOYAmt
EOY$824,188EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,115,214BOYAmt
EOY$3,982,917EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$130,961BOYAmt
EOY$23,138EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,006,612BOYAmt
EOY$4,751,296EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$417,481BOYAmt
EOY$337,768EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$54,549,910LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,819,145LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,730,846BOYAmt
EOY$40,730,765EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,792,981BOYAmt
EOY$16,588,503EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,494,390BOYAmt
EOY$2,679,477EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,496,100BOYAmt
EOY$2,083,463EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$64,410,582BOYAmt
EOY$72,001,515EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,336,587BOYAmt
EOY$8,824,918EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,490,078BOYAmt
EOY$14,935,197EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,636,337BOYAmt
EOY$1,567,768EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,463,002BOYAmt
EOY$25,327,883EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,325,214BOYAmt
EOY$44,229,643EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,622,366BOYAmt
EOY$2,443,989EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,947,580BOYAmt
EOY$46,673,632EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,410,582BOYAmt
EOY$72,001,515EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$935,822ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$429,726NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$232,148OtherChangesInNetAssetsAmt
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$2,775,032CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,386,291CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,570,471CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,482,463CurrentTaxYearMinus1YearAmt
Current Tax Year$4,538,012CurrentTaxYearAmt
Total$18,752,269TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$59,236,900CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,585,078CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,670,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,430,163CurrentTaxYearMinus1YearAmt
Current Tax Year$60,540,505CurrentTaxYearAmt
Total$294,463,046TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,011,932CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,971,369CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,240,871CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,912,626CurrentTaxYearMinus1YearAmt
Current Tax Year$65,078,517CurrentTaxYearAmt
Total$313,215,315TotalAmt

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$313,215,315PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$504,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$578,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$767,929CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$606,376CurrentTaxYearMinus1YearAmt
Current Tax Year$583,064CurrentTaxYearAmt
Total$3,039,740TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$504,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$578,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$767,929CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$606,376CurrentTaxYearMinus1YearAmt
Current Tax Year$583,064CurrentTaxYearAmt
Total$3,039,740TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$189,792CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$81,215CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$42,894CurrentTaxYearMinus1YearAmt
Current Tax Year$109,730CurrentTaxYearAmt
Total-$73,869TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,326,307CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,679,875CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,927,585CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,476,108CurrentTaxYearMinus1YearAmt
Current Tax Year$65,771,311CurrentTaxYearAmt
Total$316,181,186TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99060PublicSupportCY509Pct
Public Support PY5090.99200PublicSupportPY509Pct
Investment Income CY0.00960InvestmentIncomeCYPct
Investment Income PY0.00910InvestmentIncomePYPct
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
ExplanationADMINISTRATIVE INCOME - 2012 AMOUNT: $ 7,188. 2013 AMOUNT: $ 310,563. 2014 AMOUNT: $ 76,847. 2015 AMOUNT: $ 137,798. 2016 AMOUNT: $ 436,771. SPECIAL EVENT INCOME NET - 2012 AMOUNT: $ -196,980. 2013 AMOUNT: $ -180,261. 2014 AMOUNT: $ -158,062. 2015 AMOUNT: $ -180,692. 2016 AMOUNT: $ -327,041.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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$86,724OtherActivitiesAmt
Total Lobbying Expenditures$86,724TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationHAVEN HOSPICE IS A MEMBER OF THE FLORIDA HOSPICE AND PALLIATIVE CARE, INC., ALLIANCE FOR CARE, AND THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. MEMBERSHIP DUES TO THE ASSOCIATIONS INCLUDE A SMALL PERCENTAGE FOR LOBBYING EFFORTS. HAVEN HOSPICE ALSO ENGAGED THE SERVICES OF A REGISTERED LOBBYIST TO MONITOR DEVELOPMENTS AT THE ANNUAL GENERAL SESSION OF THE FLORIDA LEGISLATURE.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,248,125BeginningYearBalanceAmt
Investment Earnings Or Losses$181,538InvestmentEarningsOrLossesAmt
End Year Balance$2,429,663EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,249,856BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,731InvestmentEarningsOrLossesAmt
End Year Balance$2,248,125EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,099,668BeginningYearBalanceAmt
Investment Earnings Or Losses$150,188InvestmentEarningsOrLossesAmt
End Year Balance$2,249,856EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,822,987BeginningYearBalanceAmt
Investment Earnings Or Losses$276,681InvestmentEarningsOrLossesAmt
End Year Balance$2,099,668EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,534,886BeginningYearBalanceAmt
Investment Earnings Or Losses$288,101InvestmentEarningsOrLossesAmt
End Year Balance$1,822,987EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,522,844OtherCostOrOtherBasisAmt
Book Value$4,522,844BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,942,173OtherCostOrOtherBasisAmt
Depreciation$8,638,672DepreciationAmt
Book Value$34,303,501BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$535,057OtherCostOrOtherBasisAmt
Depreciation$419,534DepreciationAmt
Book Value$115,523BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,549,836OtherCostOrOtherBasisAmt
Depreciation$4,760,939DepreciationAmt
Book Value$1,788,897BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$40,730,765TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
GIFT ANNUITIES$175,464
DUE TO AFFILIATES$137,918
CHARITABLE REMAINDER UNITRUST$805,000
INTEREST RATE SWAP$300,480
CAPITAL LEASE OBLIGATION$148,906
FieldValueIRS element (for citing)
Total Liability$1,567,768TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$64,319,802TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$637,167OtherRevenueAmt
Revenue Not Reported-$637,167RevenueNotReportedAmt
Revenue Subtotal$64,956,969RevenueSubtotalAmt
Other Revenues Not Included$800,759OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$800,759RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$65,757,728TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$66,006,092TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$50,295OtherExpensesIncludedAmt
Expenses Not Reported-$50,295ExpensesNotReportedAmt
Expenses Subtotal$66,056,387ExpensesSubtotalAmt
Other Expenses Not Included$637,163OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$637,163ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$66,693,550TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE HAVEN HOSPICE ENDOWMENT IS A SEPARATE ACCOUNT OF FUNDS THAT ARE HELD TO PROVIDE CURRENT AND FUTURE INCOME TO HAVEN HOSPICE IN ORDER TO OFFSET THE BURDEN OF UNCOMPENSATED CARE PROVIDED BY HAVEN HOSPICE. THE OBJECTIVE OF THE ENDOWMENT IS TO PROVIDE TIMELY FINANCIAL ASSISTANCE WHEN NEEDED AND LONG-TERM STABILITY TO HAVEN HOSPICE.
PART X, LINE 2:ASC 740 FOOTNOTE: DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF FLORIDA FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2016 AND DECEMBER 31, 2015.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREIMBURSED CARE -637,167.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS AND PLEDGES 752,585. LOSS ON ASSET DISPOSAL -1,201. SPECIAL EVENT EXPENSES WERE MOVED FROM EXPENSE TO REVENUE -362,126. MANAGEMENT FEE INCOME 411,501.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES WERE MOVED FROM EXPENSE TO REVENUE 362,126. MANAGEMENT FEE INCOME -411,501. LOSSES ON UNCOLLECTIBLE PLEDGES -920.
PART XII, LINE 4B - OTHER ADJUSTMENTS:UNREIMBURSED CARE 637,167. ROUNDING -4.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1VIVAEvent1Nm
Gross Receipts Event1$163,529GrossReceiptsEvent1Amt
Charitable Contri Event1$158,769CharitableContriEvent1Amt
Gross Revenue Event1$4,760GrossRevenueEvent1Amt
Non Cash Prizes Event1$3,030NonCashPrizesEvent1Amt
Rent Facility Costs Event1$51,520RentFacilityCostsEvent1Amt
Food And Beverage Event1$42,159FoodAndBeverageEvent1Amt
Entertainment Event1$1,150EntertainmentEvent1Amt
Other Direct Expenses Event1$31,952OtherDirectExpensesEvent1Amt
Event2EQUUSEvent2Nm
Gross Receipts Event2$70,793GrossReceiptsEvent2Amt
Charitable Contri Event2$64,213CharitableContriEvent2Amt
Gross Revenue Event2$6,580GrossRevenueEvent2Amt
Non Cash Prizes Event2$4,009NonCashPrizesEvent2Amt
Rent Facility Costs Event2$32,211RentFacilityCostsEvent2Amt
Food And Beverage Event2$26,350FoodAndBeverageEvent2Amt
Entertainment Event2$10,428EntertainmentEvent2Amt
Other Direct Expenses Event2$13,371OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$165,821GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$142,076CharitableContriOtherEventsAmt
Gross Revenue Other Events$23,745GrossRevenueOtherEventsAmt
Cash Prizes Other Events$1,305CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$18,016NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$46,341RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$41,335FoodAndBeverageOtherEventsAmt
Entertainment Other Events$5,995EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$32,954OthDirectExpnssOtherEventsAmt
Gross Receipts Total$400,143GrossReceiptsTotalAmt
Charitable Contributions Tot$365,058CharitableContributionsTotAmt
Gross Revenue Total Events$35,085GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,305CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$25,055NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$130,072RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$109,844FoodAndBeverageTotalEventsAmt
Entertainment Total Events$17,573EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$78,277OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$362,126DirectExpenseSummaryEventsAmt
Net Income Summary-$327,041NetIncomeSummaryAmt

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 (12 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
MICHAEL P GALLAGHER
CHIEF EXECUTIVE OFFICER/DIRECTOR$0$954,319$0$1,504,255$0$528,730$0$15,900$0$27,819$0$3,031,023$0$0
RANDALL L STUART
ASSISTANT TREASURER$0$397,774$0$266,297$0$135,139$0$115,901$0$25,782$0$940,893$0$39,716
CATHERINE E AYERS
ASSISTANT SECRETARY$0$333,839$0$225,744$0$123,953$0$23,850$0$30,148$0$737,534$0$0
STEVEN M ZIEGLER
ASSISTANT SECRETARY$0$334,595$0$227,147$0$81,460$0$98,458$0$32,353$0$774,013$0$66,094
JAMES L POOLE JR
PRESIDENT (INTERIM)$224,115$0$73,221$0$9,263$0$10,270$0$7,340$0$324,209$0$0$0
GAYLE MATTSON
PRESIDENT$0$145,530$0$0$0$50,839$0$14,553$0$1,989$0$212,911$0$0
ARTHUR L CLARK JR
SVP OPERATIONS & CIO$186,731$0$49,683$0$6,277$0$9,948$0$28,190$0$280,829$0$0$0
NEEL G KARNANI MD
ASSOCIATE MEDICAL DIRECTOR$247,792$0$1,741$0$900$0$10,133$0$10,479$0$271,045$0$0$0
GERALDINE S BICHIER MD
ASSOCIATE MEDICAL DIRECTOR$200,561$0$1,770$0$900$0$8,583$0$28,690$0$240,504$0$0$0
ELLEN L TALOS MD
EXECUTIVE MEDICAL DIRECTOR$183,171$0$1,510$0$598$0$7,360$0$3,915$0$196,554$0$0$0
PATRICK F WOLOSZYN MD
ASSOCIATE MEDICAL DIRECTOR$178,899$0$1,418$0$900$0$7,748$0$29,735$0$218,700$0$0$0
STEFANIE B LORD MD
EXECUTIVE MEDICAL DIRECTOR$178,876$0$1,407$0$900$0$5,897$0$602$0$187,682$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3MICHAEL P GALLAGHER IS THE CHIEF EXECUTIVE OFFICER (CEO) OF NORTH CENTRAL FLORIDA HOSPICE, INC. (HAVEN HOSPICE). MR. GALLAGHER 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 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 WHO ARE EMPLOYEES OF HAVEN HOSPICE ARE NOT COVERED BY A SEVERANCE POLICY; SEVERANCE IS HANDLED ON A CASE BY CASE BASIS. CERTAIN LISTED PERSONS, EXCLUDING OUTSIDE DIRECTORS OR EMPLOYEES OF HAVEN HOSPICE, ARE EMPLOYEES OF RELATED ORGANIZATIONS AND ARE COVERED UNDER A SEVERANCE POLICY FOR THEIR RESPECTIVE RELATED ORGANIZATION. THE SEVERANCE POLICY 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 2016. PART I, LINE 4B: LISTED PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE YEAR: MICHAEL P GALLAGHER, RANDALL L STUART, AND GAYLE MATTSON 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. GALLAGHER VESTED AND RECEIVED $412,933 FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS IN 2016. MR. STUART VESTED AND RECEIVED $99,418 FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2016. CATHERINE E AYERS AND STEVEN M ZIEGLER ARE EMPLOYEES OF AVMED, INC., A RELATED TAX-EXEMPT ORGANIZATION. THEY PARTICIPATE IN TWO NONQUALIFIED DEFERRED COMPENSATION RETIREMENT PLANS SPONSORED BY AVMED, 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 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. MS. AYERS VESTED AND RECEIVED $99,898 FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS IN 2016. MR. ZIEGLER VESTED AND RECEIVED $72,945 FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2016.
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 $2 BILLION IN GROSS RECEIPTS AND APPROXIMATELY 2,200 EMPLOYEES. THESE SENIOR EXECUTIVES ARE PAID DIRECTLY BY EITHER SANTAFE HEALTHCARE, INC., AVMED, INC. OR NORTH CENTRAL FLORIDA HOSPICE, INC. AND THEIR COMPENSATION AND BENEFITS ARE APPORTIONED AND CHARGED TO THE RESPECTIVE AFFILIATE BASED ON THE ESTIMATED AMOUNT OF TIME SPENT ON EACH AFFILIATE'S ACTIVITIES. FOR 2016, THE FOLLOWING PERCENTAGES OF EACH EXECUTIVE'S COMPENSATION AND BENEFITS (FOR THOSE SENIOR EXECUTIVES PAID BY A RELATED ORGANIZATION) ARE APPORTIONED AND CHARGED TO NORTH CENTRAL FLORIDA HOSPICE, INC. AS FOLLOWS: 5% - MICHAEL P GALLAGHER, CHIEF EXECUTIVE OFFICER 83% - GAYLE MATTSON, PRESIDENT 90% - JAMES L POOLE JR, PRESIDENT (INTERIM) 7% - RANDALL L STUART, ASSISTANT TREASURER 3% - CATHERINE E AYERS, ASSISTANT SECRETARY 10% - STEVEN M ZIEGLER, ASSISTANT SECRETARY

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CLAY COUNTY DEVELOPMENT AUTHORITY
A5965830872011-12-21$10,000,000CONSTRUCT HOSPICE CARE FACILITY000
ALACHUA COUNTY HEALTH FACILITIES AUTHORITY
B5924423982015-12-15$8,600,000HOSPICE CARE FACILITY EXPANSION000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$2,096,069$10,000,000$103,585$9,896,415201200Yes (1)Yes (1)
B$8,600,000$62,130$6,969,1362016000Yes (1)$1,568,734

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
PNC BANK
A00Yes (1)0Yes (1)Yes (1)18.5000000000000000Yes (1)
BBVA COMPASS
B0Yes (1)00Yes (1)Yes (1)11.5000000000000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PARTS I AND IIFormAndLineReferenceDesc
ExplanationADDITIONAL INFORMATION REGARDING THE BONDS ISSUE: THE CLAY COUNTY DEVELOPMENT AUTHORITY BONDS WERE ISSUED AS A DRAW-DOWN LOAN FOR THE ACQUISITION OF REAL PROPERTY AND CONSTRUCTION OF A HOSPICE FACILITY. THE FACILITY WAS COMPLETED AND PLACED IN SERVICE DURING 2012, AND THE ENTIRE BALANCE OF THE LOAN WAS DRAWN DOWN. THE ALACHUA COUNTY HEALTH FACILITIES AUTHORITY BONDS WERE ISSUED AS A DRAW-DOWN LOAN FOR EXPANSION OF THE E.T. YORK CARE CENTER. THE ISSUE PRICE AND PROCEEDS AMOUNTS SHOWN ON PARTS I AND II ARE THE MAXIMUM AMOUNT OF THE LOAN. AS OF THE END OF THE REPORTING YEAR, LESS THAN THE ENTIRE BALANCE OF THE LOAN HAD BEEN DRAWN DOWN. SCHEDULE K, PART II, LINE 17, COLUMN B: ALTHOUGH A FINAL ALLOCATION OF THE ALACHUA COUNTY HEALTH FACILITIES AUTHORITY BOND PROCEEDS WAS NOT COMPLETE AS OF 12/31/2016, THE ORGANIZATION MAINTAINED ADEQUATE BOOKS AND RECORDS TO SUPPORT THE ALLOCATIONS MADE THROUGH 12/31/2016. ONCE THE ALLOCATION OF PROCEEDS IS COMPLETE, THE BOOKS AND RECORDS WILL SUPPORT THE FINAL ALLOCATION.ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$2,577,461NoncashContributionsRptF990Amt
Method Of Determining RevenuesRESALE VALUEMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$513,576NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMV & PLEDGED AMOUNTMethodOfDeterminingRevenuesTxt

Real Estate Residential RealEstateResidentialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$42,500NoncashContributionsRptF990Amt
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationLINE 9 - THIS FIGURE REPRESENTS THE NUMBER OF ITEMS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7AHAVEN HOSPICE'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 2016 FORM 990 BEGAN WITH PROFESSIONAL DEVELOPMENT OF STAFF (SEVERAL OF WHICH ARE CPAS) WHICH WERE INVOLVED IN THE PREPARATION OF THE 2016 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 PREVIOUSLY 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 2016 FORM 990, PRICEWATERHOUSECOOPERS LLP REVIEWED THE 2016 FORM 990. A COPY OF THE 2016 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 2016 FORM 990 AND ATTACHMENTS WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CHAVEN HOSPICE 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, SUBMIT AN AFFIRMATION, AND COMPLETE A QUESTIONNAIRE WHICH IS ATTACHED TO THE CODE OF ETHICAL BUSINESS CONDUCT. 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 AND FROM ALL 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 CONFLICT. INITIAL REVIEW OF EMPLOYEE QUESTIONNAIRES WILL BE PERFORMED BY THE HUMAN RESOURCES DEPARTMENT 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 CONFLICT TO THE CHAIRMAN OF THE SANTAFE HEALTHCARE, INC. BOARD, AND THE CHAIRMAN 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 CHAIRMAN SHALL TAKE APPROPRIATE ACTION, WHICH MAY INCLUDE REMOVAL FROM OFFICE OR TERMINATION OF EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15MICHAEL P GALLAGHER IS THE CHIEF EXECUTIVE OFFICER (CEO) OF HAVEN HOSPICE. MR. GALLAGHER 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 THE NON-DIRECTOR OFFICERS, PRESIDENT, CHIEF MEDICAL OFFICER, AND DIRECTORS OF HAVEN HOSPICE 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 THE AFOREMENTIONED 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 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 MEETINGS. THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS ANNUALLY 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. A MARKET COMPETITIVENESS STUDY WAS CONDUCTED IN NOVEMBER 2016 FOR CHANGES MADE EFFECTIVE JANUARY 1, 2017. NO DIRECTOR FEES WERE ALLOCATED TO HAVEN HOSPICE DURING 2016.
FORM 990, PART VI, SECTION C, LINE 19HAVEN HOSPICE'S PROCEDURE FOR MAKING VARIOUS DOCUMENTS AVAILABLE TO THE PUBLIC: HAVEN HOSPICE MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ON A CASE BY CASE BASIS IF REQUESTED DIRECTLY FROM THE ORGANIZATION. THE ARTICLES OF INCORPORATION CAN BE ACCESSED DIRECTLY THROUGH THE FLORIDA DEPARTMENT OF STATE, DIVISION OF CORPORATIONS WEBSITE AT WWW.SUNBIZ.ORG. THE CORPORATE BYLAWS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS CAN BE OBTAINED DIRECTLY FROM THE ORGANIZATION UPON WRITTEN REQUEST.
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 $2 BILLION IN GROSS RECEIPTS AND APPROXIMATELY 2,200 EMPLOYEES. THESE SENIOR EXECUTIVES ARE PAID DIRECTLY BY EITHER SANTAFE HEALTHCARE, INC., AVMED, INC. OR NORTH CENTRAL FLORIDA HOSPICE, INC. AND THEIR COMPENSATION AND BENEFITS ARE APPORTIONED AND CHARGED TO THE RESPECTIVE AFFILIATE BASED ON THE ESTIMATED AMOUNT OF TIME SPENT ON EACH AFFILIATE'S ACTIVITIES. FOR 2016, THE FOLLOWING PERCENTAGES OF EACH EXECUTIVE'S COMPENSATION AND BENEFITS (FOR THOSE SENIOR EXECUTIVES PAID BY A RELATED ORGANIZATION) ARE APPORTIONED AND CHARGED TO NORTH CENTRAL FLORIDA HOSPICE, INC. AS FOLLOWS: 5% - MICHAEL P GALLAGHER, CHIEF EXECUTIVE OFFICER 83% - GAYLE MATTSON, PRESIDENT 90% - JAMES L POOLE JR, PRESIDENT (INTERIM) 7% - RANDALL L STUART, ASSISTANT TREASURER 3% - CATHERINE E AYERS, ASSISTANT SECRETARY 10% - STEVEN M ZIEGLER, ASSISTANT SECRETARY
FORM 990, PART IX, LINE 11GMEDICAL : PROGRAM SERVICE EXPENSES 12,435,631. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,435,631. CONTRACT LABOR : PROGRAM SERVICE EXPENSES 828,554. MANAGEMENT AND GENERAL EXPENSES 86,684. FUNDRAISING EXPENSES 47,956. TOTAL EXPENSES 963,194. CONSULTING : PROGRAM SERVICE EXPENSES 77,140. MANAGEMENT AND GENERAL EXPENSES 614,885. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 692,025. SECURITY : PROGRAM SERVICE EXPENSES 6,273. MANAGEMENT AND GENERAL EXPENSES 3,111. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,384. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 116,993. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,993.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF CHARITABLE REMAINDER UNITRUST (CRUT) 70,379. CHANGE IN NET UNREALIZED GAINS/LOSSES ON CRUT 33,816. NET ASSETS RELEASED FOR OPERATIONS (RECOGNIZED FOR TAX IN PRIOR YEARS) -5,080. CHANGE IN NET UNREALIZED GAINS/LOSSES ON INTEREST RATE SWAP 132,116. GAINS/LOSSES ON UNCOLLECTIBLE PLEDGES 920. ROUNDING -3.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HAVEN MEDICAL GROUP LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 749AddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP326270749ZIPCd
FieldValueIRS element (for citing)
EIN592490893EIN
Primary ActivitiesCONDUCT A MEDICAL PRACTICE SPECIALIZING IN PALLIATIVE CAREPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Total Income$101,030TotalIncomeAmt
End Of Year Assets$430,406EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTH CENTRAL FLORIDA HOSPICE INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SANTAFE HEALTHCARE INC
PO BOX 749GAINESVILLEFL326270749592317607MANAGEMENT AND FINANCIAL SUPPORT FOR NOT-FOR-PROFIT AFFILIATESFL501(C)(3)12B TYPE IIN/A0
AVMED INC
PO BOX 749GAINESVILLEFL326270749592742907HEALTH CAREFL501(C)(4)N/A0SANTAFE HEALTHCARE INC
NORTH FLORIDA RETIREMENT VILLAGE INC
PO BOX 749GAINESVILLEFL326270749591912330RETIREMENT COMMUNITYFL501(C)(3)100SANTAFE HEALTHCARE INC
SANTAFE SENIOR LIVING INC
PO BOX 749GAINESVILLEFL326270749203700526MANAGEMENT AND FINANCIAL SUPPORT FOR NOT-FOR-PROFIT AFFILIATESFL501(C)(3)12B TYPE II0SANTAFE HEALTHCARE INC
BVG ACQUISITION INC
PO BOX 749GAINESVILLEFL326270749203701186RETIREMENT COMMUNITYFL501(C)(3)100SANTAFE HEALTHCARE INC
EAST RIDGE RETIREMENT VILLAGE INC
PO BOX 749GAINESVILLEFL326270749590903331RETIREMENT COMMUNITYFL501(C)(3)100SANTAFE HEALTHCARE INC
BONITA SPRINGS RETIREMENT VILLAGE INC
PO BOX 749GAINESVILLEFL326270749262386152RETIREMENT COMMUNITYFL501(C)(3)100SANTAFE HEALTHCARE INC
SANTAFE SENIOR LIVING FOUNDATION INC
PO BOX 749GAINESVILLEFL326270749264464727CHARITABLE & EDUCATIONAL PURPOSESFL501(C)(3)70SANTAFE HEALTHCARE INC
HOSPICE OF THE FLORIDA KEYS INC
PO BOX 749GAINESVILLEFL326270749592386289HOSPICE CARE & HOME HEALTH CAREFL501(C)(3)70SANTAFE HEALTHCARE INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SF HOLDING CORPINC
PO BOX 749GAINESVILLEFL326270749592903901HOLDING COMPANYFLSANTAFE HEALTHCARE INCC0
CHARITABLE REMAINDER UNITRUST
CHARITABLE REMAINDER UNITRUSTFL0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
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 OrgYes (1)PerformOfServicesForOthOrgInd
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 Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AVMED INC
M$125,846FAIR MARKET VALUE
AVMED INC
L$76,487FAIR MARKET VALUE
AVMED INC
P$73,198ACTUAL INVOICES