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ST MARK VILLAGE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST MARK VILLAGE INC (EIN 59-1953357)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-29
IRS object ID
201313029349300956
Schema version
2012v2.1
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)
Timestamp2013-10-29T11:02:26-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN593070669EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOORE STEPHENS LOVELACE PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1311 PARK PLACE BLVD SUITE 100AddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code33759ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591953357EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MARK VILLAGE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone7277852577Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12655 NEBRASKA AVENUEAddressLine1
CityPALM HARBORCity
StateFLState
ZIP Code34684ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE BLAKEName
TitleCHIEF FINANCIAL OFFICERTitle
Phone7277852577Phone
Date Signed2013-10-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMELANIE A MCPEAKName
PTINP01346034PTIN
Phone7275314477Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRUCE BLAKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12655 NEBRASKA AVENUEAddressLine1
CityPALM HARBORCity
StateFLState
ZIP Code34684ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17650126GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STMARKVILLAGE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF 289 APARTMENTS, A 131-BED ASSISTED LIVING FACILITY AND AN 80-BED SKILLED NURSING FACILITY LOCATED IN PALM HARBOR, FLORIDA.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees371TotalNbrEmployees
Total Nbr Volunteers185TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year200761ContributionsGrantsPriorYear
Contributions Grants Current Year260997ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16601103ProgramServiceRevenuePriorYear
Program Service Revenue CY17218013ProgramServiceRevenueCY
Investment Income Prior Year14122InvestmentIncomePriorYear
Investment Income Current Year11279InvestmentIncomeCurrentYear
Other Revenue Prior Year180019OtherRevenuePriorYear
Other Revenue Current Year159837OtherRevenueCurrentYear
Total Revenue Prior Year16996005TotalRevenuePriorYear
Total Revenue Current Year17650126TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10588826SalariesEtcPriorYear
Salaries Etc Current Year11340334SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7571222OtherExpensePriorYear
Other Expenses Current Year6872441OtherExpensesCurrentYear
Total Expenses Prior Year18160048TotalExpensesPriorYear
Total Expenses Current Year18212775TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1164043RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-562649RevenuesLessExpensesCY
Total Assets BOY20880994TotalAssetsBOY
Total Assets EOY20852494TotalAssetsEOY
Total Liabilities BOY27046404TotalLiabilitiesBOY
Total Liabilities EOY27580553TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-6165410NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-6728059NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE THE HIGHEST QUALITY OF LIFE POSSIBLE TO THE RESIDENTS IT SERVES BY MAINTAINING A LIVING ENVIRONMENT, MEETING THE NEEDS OF THE BODY, MIND, AND SPIRIT. THIS IS ACCOMPLISHED THROUGH EXCELLENCE IN LEADERSHIP, MANAGEMENT, INNOVATION AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16445486Expense
Revenue17377850Revenue
DescriptionTHE ORGANIZATION PROVIDES HOUSING, HEALTHCARE AND RELATED SERVICES TO SENIOR ADULTS THROUGH THE OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF APPROXIMATELY 289 INDEPENDENT APARTMENT UNITS, 131 ASSISTED LIVING APARTMENT UNITS, AND AN 80-BED SKILLED NURSING CENTER. THE TOTAL PATIENT DAYS FOR THE YEAR EQUALED 174,889.Description
Total Program Service Expense16445486TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees371NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRUCE BLAKEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7277852577TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12655 NEBRASKA AVEAddressLine1
CityPALM HARBORCity
StateFLState
ZIP Code34684ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID FRESH
CHAIRMAN1.00XX000
ED HUTFILZ II
PRESIDENT/EXEC DIRECTOR40.00XX146545029602
WILLIAM STAFFORD
VICE CHAIRMAN/TREASURER1.00XX000
ALAN WOLKENHAUER
SECRETARY1.00XX000
JOSEPH LEHMAN
DIRECTOR1.00X000
DEBORAH WOODARD
DIRECTOR1.00X000
HELEN HENWOOD
DIRECTOR1.00X000
KELLY A LANGLEY
FINANCE DIRECTOR40.00X82051016574
WAYNE MORI
CHIEF FINANCIAL OFFICER40.00X1128602280
JAMES D FRESH
MARKETING DIRECTOR40.00128567025971X
KAREN MARIE FERRONE
DIRECTOR OF HC SERVICES40.00102087020622X
FieldValueIRS element (for citing)
Total Reportable Comp From Org470536TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation95049TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PFG FLORIDA
3140 N GALLAGHER ROAD PO BOX 73DOVERFL33527FOOD1066796
BAYCARE HOME CARE
8452 118TH AVENUE NORTHLARGOFL33733THERAPY423279
MCKESSON MEDICAL SURGICAL
1501 WEST COPANS ROADPOMPANO BEACHFL33064MEDICAL EQUIPMENT135586
TOTAL FLOOR SOLUTIONS
PO BOX 12WOODSTOCKMD21163CONSTRUCTION121594
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions260997AllOtherContributions
Total Contributions260997TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICE FEES6230001418992114189921
MEDICARE/MEDICAID PAYMENTS62300030280923028092
FieldValueIRS element (for citing)
Total Program Service Revenue17218013TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11279TotalRevenueColumn
Exclusion$11,279ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER REVENUE9000999204692046
CREAMERY9000994959249592
BEAUTY SHOP9000991819918199
FieldValueIRS element (for citing)
Total Other Revenue159837TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17650126TotalRevenueColumn
Related Or Exempt Function Income17377850RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$11,279ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total288338Total
Management And General288338ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8392507Total
Program Services7980788ProgramServices
Management And General411719ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35858Total
Program Services32966ProgramServices
Management And General2892ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1948630Total
Program Services1790249ProgramServices
Management And General158381ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total675001Total
Program Services620566ProgramServices
Management And General54435ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48437Total
Management And General48437ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total72960Total
Management And General72960ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total282766Total
Program Services73217ProgramServices
Management And General209549ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total243147Total
Program Services230859ProgramServices
Management And General12288ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total776271Total
Program Services602643ProgramServices
Management And General173628ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total59680Total
Management And General59680ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1743766Total
Program Services1600475ProgramServices
Management And General143291ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total32483Total
Program Services28188ProgramServices
Management And General4295ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total719678Total
Program Services660540ProgramServices
Management And General59138ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total783187Total
Program Services718830ProgramServices
Management And General64357ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total47476Total
Program Services43575ProgramServices
Management And General3901ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DIETARY12872561287256
MEDICAL SUPPLIES, SERVI486262486262
BAD DEBT240000240000
RESIDENT ASSISTANCE4256842568

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6504Total
Program Services6504ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18212775Total
Program Services16445486ProgramServices
Management And General1767289ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2875187BOY
EOY2202922EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1402312BOY
EOY1833428EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY652673BOY
EOY1356634EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY560900BOY
EOY377900EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY66991BOY
EOY40093EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY230743BOY
EOY269207EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31842633LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22789288LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9466731BOY
EOY9053345EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5472465BOY
EOY5584477EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY98692BOY
EOY80188EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY54300BOY
EOY54300EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20880994BOY
EOY20852494EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1877151BOY
EOY2112255EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12376257BOY
EOY12805278EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11932488BOY
EOY11825660EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY333508BOY
EOY301860EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY527000BOY
EOY535500EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27046404BOY
EOY27580553EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-6213510BOY
EOY-6776159EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY48100BOY
EOY48100EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-6165410BOY
EOY-6728059EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20880994BOY
EOY20852494EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-562649ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1565788CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years280544CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years330297CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year200761CurrentTaxYearMinus1Year
Current Tax Year260997CurrentTaxYear
Total2638387Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17075448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16788121CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17048021CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16601103CurrentTaxYearMinus1Year
Current Tax Year17218013CurrentTaxYear
Total84730706Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18641236CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17068665CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17378318CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16801864CurrentTaxYearMinus1Year
Current Tax Year17479010CurrentTaxYear
Total87369093Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50987369093PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years141356CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years82014CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29788CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14122CurrentTaxYearMinus1Year
Current Tax Year11279CurrentTaxYear
Total278559Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years141356CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years82014CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29788CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14122CurrentTaxYearMinus1Year
Current Tax Year11279CurrentTaxYear
Total278559Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years216047CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years360515CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years445888CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year180019CurrentTaxYearMinus1Year
Current Tax Year159837CurrentTaxYear
Total1362306Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18998639CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17511194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17853994CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16996005CurrentTaxYearMinus1Year
Current Tax Year17650126CurrentTaxYear
Total89009958Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98160PublicSupportPercentage509
Prior Year Support Percentage0.97720PriorYearSupportPercentage
Investment Income Percentage0.00310InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00640PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: RESIDENT SERVICESGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance15001BeginningBalance
Additions During Year125AdditionsDuringYear
Ending Balance15126EndingBalance
Included On FS0IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis529927OtherCostOrOtherBasis
Book Value529927BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23662178OtherCostOrOtherBasis
Depreciation15803476Depreciation
Book Value7858702BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7650528OtherCostOrOtherBasis
Depreciation6985812Depreciation
Book Value664716BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9053345TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMONEY MARKET FUNDSDescription
Book Value5584477BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities5584477TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ENTRANCE FEES$490,000
WAIT LIST DEPOSITS PAYABLE$45,500
FieldValueIRS element (for citing)
Total Of Amounts535500TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt17650126TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal17650126RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99017650126TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18212775TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18212775ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018212775TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
Return ReferencePART IV, LINE 1B:ReturnReference
ExplanationTHE VILLAGE OFFERS A SERVICE TO ITS RESIDENTS WHEREBY RESIDENT FUNDS, THE SOLE PROPERTY OF EACH RESPECTIVE RESIDENT, ARE HELD BY THE VILLAGE AND DISBURSED ONLY AS REQUESTED BY THE RESIDENT. THE VILLAGE HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ED HUTFILZ II
PRESIDENT/EXEC DIRECTOR1465450000000296020176147000
JAMES D FRESH
MARKETING DIRECTOR1285670000000259710154538000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1PINELLAS COUNTY HEALTH FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN596000800IssuerEIN
CUSIP Number72316MET2CUSIPNumber
Date Issued2007-05-01DateIssued
Issue Price12250000IssuePrice
Description Of PurposeSEE SUPPLEMENTAL INFORMATION.DescriptionOfPurpose
Defeased1Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired330000AmountRetired
Total Proceeds12005000TotalProceeds
Amount In Reserve Fund1192797AmountInReserveFund
Other Spent Proceeds295000OtherSpentProceeds
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K, PART I(F)PURPOSE OF SERIES 2007 BONDS(1) PROVIDE REFINANCING FOR THE 1987 BONDS RELATING TO THE PROJECT, (2) FUND THE DEBT SERVICE RESERVE FUND, (3) MAKE CERTAIN CAPITAL IMPROVEMENTS, AND (4) PAY A PORTION OF THE COSTS OF ISSUANCE OF THE SERIES 2007 BONDS.
SCHEDULE K, PART II, COLUMN A, LINE 3ADDITIONAL INFORMATION RELATED TO BOND ISSUANCETHE TOTAL PROCEEDS FOR SERIES 2007 BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E). THE DIFFERENCE IS AN UNDERWRITER'S DISCOUNT OF $245,000.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JAMES D FRESH
FAMILY MEMBER OF DAVID FRESH, BOARD CHAIRMAN128567EMPLOYMENT0
JAMES D FRESH
FAMILY MEMBER OF DAVID FRESH, BOARD CHAIRMAN32900CONTRACTED SERVICES0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER REPORTED ON FORM 1096FORM 990, PART V, LINE 1ATHE NUMBER REPORTED FOR THE CURRENT REPORTING YEAR IS AN ESTIMATE AS THE FILED FORM 1096 WAS NOT AVAILABLE TO CONFIRM THE NUMBER WITHIN BOX 3 AT TIME OF FILING.
FORM 990, PART VI, SECTION A, LINE 2JAMES D. FRESH AND DAVID FRESH - FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S PRESIDENT, FINANCE DIRECTOR AND BOARD OF DIRECTORS CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 PRIOR TO ITS FILING. A COPY OF THE FINAL FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND CORPORATE OFFICERS, AGENTS, AND EMPLOYEES OF THE ORGANIZATION, INCLUDING INDEPENDENT CONTRACTOR PROVIDERS OF SERVICES AND MATERIALS. THE BOARD OF DIRECTORS DETERMINES WHETHER OR NOT A CONFLICT EXISTS. THE BOARD OF DIRECTORS REVIEWS ACTUAL CONFLICTS. RESTRICTIONS IMPOSED ON PERSONS WITH CONFLICTS INCLUDE ABSTAINING FROM MAKING MOTIONS, VOTING, EXECUTING AGREEMENTS, OR TAKING ANY OTHER SIMILAR DIRECT ACTION ON BEHALF OF THE ORGANIZATION WHERE THE CONFLICT MIGHT PERTAIN BY LAW, AGREEMENT, OR OTHERWISE.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS REVIEW AND APPROVE THE COMPENSATION AND BENEFITS OF OFFICERS AND KEY EMPLOYEES. THE BOARD IS INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING REVIEWED AND APPROVED. THE BOARD UTILIZES COMPARABILITY DATA TO DETERMINE IF OFFICER/KEY EMPLOYEE COMPENSATION IS SIMILAR TO THAT OF SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
OTHER COMPENSATION FROM ORGANIZATIONFORM 990, PART VII, LINE 1A, COL(F)THE BENEFITS REPORTED ARE ESTIMATED USING A REASONABLE METHOD OF CALCULATION. THE CONCISE INFORMATION WAS NOT AVAILABLE AT TIME OF REPORTING.
OVERSIGHT OF AUDITFORM 990, PART XII, LINE 2CTHE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.