2023-11-08T13:49:49-06:00 2022-12-31 990 2022-01-01 591912330 NORTH FLORIDA RETIREMENT VILLAGE INC NORT 3525548575 SANTAFE HEALTHCARE INC PO BOX 749 GAINESVILLE FL 326270749 LAWRENCE G SCHREIBER CEO 3056717343 2023-11-08 LAWRENCE SCHREIBER 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z THE VILLAGE LAWRENCE G SCHREIBER SANTAFE HEALTHCARE INC PO BOX 749 GAINESVILLE FL 326270749 34281974 0 X WWW.THEVILLAGEONLINE.COM X 1979 FL TO PROVIDE SENIOR CITIZENS WITH AFFORDABLE HOUSING, MEALS, ASSISTED LIVING AND RELATED SERVICES.THE MISSION OF NORTH FLORIDA RETIREMENT VILLAGE, INC. IS TO PROVIDE AFFORDABLE HOUSING, MEALS, ASSISTED LIVING, CONGREGATE CARE AND RELATED SERVICES TO SENIOR CITIZENS. SEE PART III, LINE 1 FOR MORE INFORMATION. 10 9 508 0 0 0 391630 261299 30424237 32746777 885149 207154 352 1218 31701368 33216448 1500000 0 0 0 11377395 12157060 0 0 0 23939352 19844604 36816747 32001664 -5115379 1214784 88376306 86009520 94894265 93242028 -6517959 -7232508 X THE MISSION OF NORTH FLORIDA RETIREMENT VILLAGE, INC. IS TO PROVIDE AFFORDABLE HOUSING, MEALS, ASSISTED LIVING, CONGREGATE CARE AND RELATED SERVICES TO SENIOR CITIZENS. SERVICES ARE PROVIDED 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR TO AN AVERAGE OF APPROXIMATELY 602 SENIOR CITIZEN RESIDENTS PER DAY. TO THE EXTENT OF ITS FINANCIAL ABILITY, NORTH FLORIDA RETIREMENT VILLAGE, INC. MAKES EVERY EFFORT TO CONTINUE PROVIDING SERVICES TO RESIDENTS WHO BECOME UNABLE TO PAY. 0 0 7431629 6372584 NORTH FLORIDA RETIREMENT VILLAGE, INC. PROVIDED THREE MEALS DAILY TO SENIORS AND TRAY SERVICE TO INDIVIDUALS LOCATED IN THE ASSISTED LIVING AREAS OR THOSE UNABLE TO LEAVE THEIR APARTMENTS. TOTAL MEALS SERVED IN 2022 WERE 391,466. 7095077 16313404 NORTH FLORIDA RETIREMENT VILLAGE, INC. PROVIDED ASSISTED LIVING SERVICES FOR INDIVIDUALS WHO ARE UNABLE TO PERFORM ONE OR MORE BASIC ACTIVITIES OF DAILY LIVING (ADL) FOR THEMSELVES. TOTAL RESIDENT-DAYS SERVED IN 2022 WERE 41,346. 9352354 8014098 NORTH FLORIDA RETIREMENT VILLAGE, INC. PROVIDED CLEANING, LAUNDRY, MAINTENANCE, SECURITY AND UTILITIES TO SENIOR CITIZENS IN RESIDENTIAL UNITS. THE AVERAGE NUMBER OF UNITS SERVED PER DAY IN 2022 WERE 529. 2128936 2046691 NORTH FLORIDA RETIREMENT VILLAGE PROVIDED RESIDENTS WITH OTHERMISCELLANEOUS PROGRAM SERVICES INCLUDING RECREATIONAL, CULTURAL, ANDHOBBY ACTIVITIES, IN ADDITION TO TRANSPORTATION TO LOCAL EVENTS. THETOTAL AVERAGE RESIDENTS SERVED PER DAY IN 2022 WERE 602. 2128936 2046691 26007996 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 135 0 1 508 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X KARL F GOEDERT CONTROLLER 3525548575 4300 NW 89TH BLVD GAINESVILLE FL 326065688 X LAWRENCE G SCHREIBER CHIEF EXECUTIVE OFFICER/DIRECTOR 1.50 58.50 X X 0 2028776 5352045 STEVEN M ZIEGLER ASSISTANT SECRETARY 0.50 59.50 X 0 650123 881793 RANDALL L STUART ASSISTANT TREASURER (THRU 3/31/22) 0.50 59.50 X 0 904878 44161 PHILIP G BOWLING ASSISTANT TREASURER 0.50 59.50 X 0 511203 97315 RONALD E JENNETTE PRESIDENT 15.00 45.00 X 0 353438 42895 TROY R HART PRESIDENT (THRU 1/15/22) 15.00 45.00 X 0 187103 4218 THOMAS E HAMMOND SR DIRECTOR OF OPERATIONS 40.00 0.00 X 127506 0 14471 KIMBERLY GIBERTI SR DIRECTOR OF HEALTH SERVICES 40.00 0.00 X 121065 0 20758 JERRY W VINSON DIRECTOR SALES - MARKETING 40.00 0.00 X 118550 0 2682 JESUS A NEIRA DIRECTOR OF DINING SERVICES 40.00 0.00 X 107601 0 7637 RUTH A GUSKIEWICZ CHARGE NURSE 40.00 0.00 X 101341 0 4239 GLENDA E HOOD CHAIR/DIRECTOR 0.10 2.90 X X 0 55158 0 BENJAMIN I DOERR JR TREASURER/DIRECTOR 0.10 1.40 X X 0 45596 0 JACKSON N SASSER PHD VICE CHAIR/DIRECTOR 0.10 1.40 X X 0 45269 0 JAMES D LEE DIRECTOR 0.10 1.40 X 0 43469 0 PAMELA J MOONEY PHD DIRECTOR 0.10 1.40 X 0 43142 0 KATHERINE L FERNANDEZ SECRETARY/DIRECTOR 0.10 1.40 X X 0 41996 0 KEVIN R MADDRON DIRECTOR 0.10 1.40 X 0 27779 0 GREGORY A HAILE DIRECTOR 0.10 1.40 X 0 27779 0 RITA M BARRETO DIRECTOR 0.10 1.40 X 0 27779 0 GEORGE E FLETCHER DIRECTOR (THRU 3/31/22) 0.10 1.40 X 0 13890 0 ROBERT L EPLING TREASURER/DIRECTOR (THRU 1/31/22) 0.10 1.40 X X 0 0 0 576063 5007378 6472214 5 0 1 0 SANTAFE SENIOR LIVING INC PO BOX 749 GAINESVILLE FL 326270749 MANAGEMENT 1919338 PARRISH MCCALL CONSTRUCTORS INC 3455 SW 42 AVENUE GAINESVILLE FL 32608 IMPROVEMENTS 1282988 SHERWIN WILLIAMS 3040 NE 20 WAY GAINESVILLE FL 32609 IMPROVEMENTS 427671 BRIDGET BOHACZ & ASSOCIATES INC 1743 DORSEY ROAD HANOVER MD 21076 IMPROVEMENTS 421467 BRIGHTVIEW LANDSCAPE SERVICES INC PO BOX 740655 ATLANTA GA 30374 LAWN CARE 413923 11 261299 261299 MONTHLY SERVICE FEES 531110 31554648 31554648 RESIDENT SERVICES 900099 1192129 1192129 32746777 270097 270097 1001000 800 1025503 39240 -24503 -38440 -62943 -62943 2001 783 1218 1218 33216448 32746777 0 208372 9963055 8597849 1365206 199178 168648 30530 1262852 961927 300925 731975 629801 102174 2319433 2319433 21185 21185 41207 41207 464700 55967 408733 613873 613873 416025 308487 107538 293390 293390 4608868 4391362 217506 60287 51194 9093 40371 1085 39286 2965055 2910580 54475 4343758 3909382 434376 1455333 1309800 145533 FOOD COSTS 1656325 1656325 SUPPLIES 373153 372649 504 LICENSES AND FEES 95985 60609 35376 CASUALTY LOSSES 67198 67198 8458 8458 32001664 26007996 5993668 0 8017 4724 1570174 2478032 147554 205214 84566 124273 498964 502656 131004619 69184718 62921658 61819901 12176170 9962974 10969203 10911746 88376306 86009520 1794569 1615632 88909 184574 92760098 91095733 250689 346089 94894265 93242028 X -7905097 -8345269 1387138 1112761 -6517959 -7232508 88376306 86009520 X 1214784 -1457680 -471653 X X 0 1 X 1 1 1 X 155295 187703 994640 391630 261299 1990567 30867009 31330308 31326723 30424237 32746777 156695054 31022304 31518011 32321363 30815867 33008076 158685621 0 0 0 158685621 310574 427227 324646 358346 270097 1690890 310574 427227 324646 358346 270097 1690890 17023 11333 896 352 1218 30822 31349901 31956571 32646905 31174565 33279391 160407333 0.98930 0.98810 0.01050 0.01160 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME SALES OF INVENTORY, PROFIT 2018 AMOUNT: $ 17,023 2019 AMOUNT: $ 11,333 2020 AMOUNT: $ 896 2021 AMOUNT: $ 352 2022 AMOUNT: $ 1,218 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1267803 1267803 112800944 58733476 54067468 9578820 7426327 2152493 7357052 3024915 4332137 61819901 ESCROW FUNDS 5291498 RESERVE FOR REPLACEMENT 4045103 BENEFICIAL INTEREST IN NET ASSETS OF SANTAFE SENIOR LIVING FOUNDATION, INC. 1112761 RESIDENT CONTRACT ACQUISITION COSTS 374237 RIGHT OF USE ASSETS 63001 DUE FROM AFFILIATES 14725 INTEREST RECEIVABLE 10421 10911746 DUE TO AFFILIATES 288111 LEASE LIABILITY 57978 346089 X 32955932 0 32955932 260516 260516 33216448 32002447 783 783 32001664 0 32001664 PART X, LINE 2: THE VILLAGE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE VILLAGE IS SUBJECT TO INCOME TAXES ON INCOME UNRELATED TO ITS TAX-EXEMPT PURPOSE AS IT MAY BECOME APPLICABLE. THE VILLAGE HAD NO UNRELATED BUSINESS INCOME DURING 2022 AND 2021 AND HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31,2022 OR 2021. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION FROM SANTAFE SENIOR LIVING FOUNDATION, INC. 261,299. DEDUCT COST OF GOODS SOLD ON FORM 990, PART VIII, LINE 10B -783. PART XII, LINE 2D - OTHER ADJUSTMENTS: ADD BACK COST OF GOODS SOLD ON FORM 990, PART VIII, LINE 10B 783. 0 1 0 0 0 0 0 0 0 LAWRENCE G SCHREIBER CHIEF EXECUTIVE OFFICER/DIRECTOR 0 1034262 0 723436 0 271078 0 5330295 0 21750 0 7380821 0 92007 STEVEN M ZIEGLER ASSISTANT SECRETARY 0 412509 0 117256 0 120358 0 853377 0 28416 0 1531916 0 0 RANDALL L STUART ASSISTANT TREASURER (THRU 3/31/22) 0 172863 0 145772 0 586243 0 36811 0 7350 0 949039 0 391051 PHILIP G BOWLING ASSISTANT TREASURER 0 376923 0 0 0 134280 0 77531 0 19784 0 608518 0 0 RONALD E JENNETTE PRESIDENT 0 306816 0 0 0 46622 0 31079 0 11816 0 396333 0 0 TROY R HART PRESIDENT (THRU 1/15/22) 0 106331 0 0 0 80772 0 676 0 3542 0 191321 0 36865 PART I, LINE 3 LAWRENCE G SCHREIBER IS THE CHIEF EXECUTIVE OFFICER (CEO) OF NORTH FLORIDA RETIREMENT VILLAGE, INC. MR. SCHREIBER IS COMPENSATED BY SANTAFE HEALTHCARE, INC., A RELATED SUPPORTING ORGANIZATION. SANTAFE HEALTHCARE, INC. UTILIZES THE FOLLOWING PROCESS TO ESTABLISH THE CEO'S COMPENSATION AND BENEFITS: THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS ANNUALLY RETAINS AN INDEPENDENT THIRD PARTY COMPENSATION AND BENEFITS CONSULTING FIRM (FIRM) TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE CEO'S TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES, AND LONG TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISON TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. THE FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ESTABLISHES THE FINAL COMPENSATION AND BENEFIT PACKAGE FOR THE CEO TAKING INTO CONSIDERATION THE MARKET COMPETITIVENESS REVIEW AND FINAL RECOMMENDATION OF THE FIRM. THE FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE FINAL COMPENSATION AND BENEFITS PACKAGE. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. PART I, LINE 4B (RELATES TO PART I, LINE 4A): LISTED PERSONS, EXCLUDING OUTSIDE DIRECTORS, ARE EMPLOYEES OF NORTH FLORIDA RETIREMENT VILLAGE, INC. OR RELATED ORGANIZATIONS AND ARE COVERED BY A SEVERANCE POLICY FOR THEIR RESPECTIVE ORGANIZATION. THE SEVERANCE POLICY INCLUDES MONTHLY PAYMENTS UP TO A MAXIMUM OF 3 - 36 MONTHS UNDER QUALIFYING CIRCUMSTANCES AND DEPENDING ON POSITION. NO ONE LISTED RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS DURING 2022. PART I, LINE 4B: LISTED PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE YEAR: LAWRENCE G SCHREIBER, RANDALL L STUART (THROUGH 3/31/2022), PHILIP G BOWLING, STEVEN M ZIEGLER, TROY R HART (THROUGH 1/15/2022) AND RONALD E JENNETTE 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. STUART VESTED AND RECEIVED $526,840 FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS IN 2022. MR. SCHREIBER VESTED AND RECEIVED $117,037 FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2022. MR. ZIEGLER VESTED AND RECEIVED $98,272 FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS IN 2022. MR. HART VESTED AND RECEIVED $52,951 FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2022. 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. THESE SENIOR EXECUTIVES ARE PAID DIRECTLY BY SANTAFE HEALTHCARE, INC., AND THEIR COMPENSATION AND BENEFITS ARE APPORTIONED AND CHARGED TO THE RESPECTIVE AFFILIATES BASED ON THE ESTIMATED AMOUNT OF TIME SPENT ON EACH AFFILIATE'S ACTIVITIES. SCHEDULE J, PART II, COLUMN C: LAWRENCE G SCHREIBER AND STEVEN M ZIEGLER ARE EMPLOYEES OF SANTAFE HEALTHCARE, INC. AS A RESULT OF THE SALE OF AVMED, INC. AS DESCRIBED IN SCHEDULE R, MR. SCHREIBER AND MR. ZIEGLER EARNED ADDITIONAL COMPENSATION PAYABLE IN 2023 AND 2024, WHICH IS CONTINGENT UPON THEIR EMPLOYMENT BY SANTAFE HEALTHCARE, INC. THE ADDITIONAL COMPENSATION WILL BE PAID ENTIRELY BY SANTAFE HEALTHCARE, INC. AND WILL NOT BE ALLOCATED OR CHARGED TO ITS AFFILIATES. THE ADDITIONAL COMPENSATION IS REPORTED AS DEFERRED IN SCHEDULE J, PART II, COLUMN C FOR MR. SCHREIBER AND MR. ZIEGLER AND TOTALS $5,000,000 AND $841,177, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 7A NORTH FLORIDA RETIREMENT VILLAGE, INC.'S ARTICLES OF INCORPORATION AND BYLAWS STATE THAT THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS SHALL CONSTITUTE THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE 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 11B THE ORGANIZATION USED INHOUSE TAX DEPARTMENT PERSONNEL, WHO ARE LICENSED CERTIFIED PUBLIC ACCOUNTANTS, TO PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH OTHER DEPARTMENTS, SUCH AS LEGAL, HUMAN RESOURCES, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED. A COPY OF THE ORGANIZATION'S FORM 990, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH CURRENT MEMBER OF THE BOARD OF DIRECTORS BEFORE SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C NORTH FLORIDA RETIREMENT VILLAGE, INC. HAS A PROCEDURE FOR MONITORING AND ENFORCING COMPLIANCE WITH ITS CORPORATE CONFLICT OF INTEREST POLICY (POLICY). EACH COVERED PERSON SHALL RECEIVE A COPY OF THE POLICY FOR REVIEW AND SUBMIT AN AFFIRMATION WHICH IS ATTACHED TO THE CODE OF ETHICAL BUSINESS CONDUCT. ADDITIONALLY, EACH COVERED PERSON ENGAGED IN MAKING OR INFLUENCING DECISIONS ON BEHALF OF SANTAFE HEALTHCARE, INC. OR ITS AFFILIATES SHALL COMPLETE A QUESTIONNAIRE CONCERNING CONFLICTS OF INTEREST ANNUALLY. THE PROCEDURE DETAILS THAT THE CORPORATE SECRETARY HAS RESPONSIBILITY FOR DELIVERY OF THE POLICY TO DIRECTORS AND OFFICERS AND RECEIPT OF THEIR AFFIRMATIONS AND QUESTIONNAIRES. THE HUMAN RESOURCES DEPARTMENT SHALL OBTAIN THE AFFIRMATION AND QUESTIONNAIRE FROM EVERY NEW EMPLOYEE AT ORIENTATION. THE HUMAN RESOURCES DEPARTMENT SHALL ALSO OBTAIN THE AFFIRMATION FROM ALL EMPLOYEES AND THE CONFLICT OF INTEREST QUESTIONNAIRE FROM APPLICABLE EMPLOYEES ANNUALLY. MEMBERS OF CORPORATE ADVISORY BOARDS SUBMIT THE AFFIRMATION AND QUESTIONNAIRE TO THE CHIEF COMPLIANCE OFFICER. ANNUAL CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY INTERNAL STAFF TO ENSURE RECORDS ARE COMPLETE. AS PART OF THE CORPORATE CONTRACT REVIEW PROCESS, CONSIDERATION IS GIVEN TO ANY POTENTIAL CONFLICTS OF INTEREST INVOLVING OPERATIONAL OR FINANCIAL TRANSACTIONS. ALL EMPLOYEES ARE EXPECTED TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS. INITIAL REVIEW OF EMPLOYEE QUESTIONNAIRES WILL BE PERFORMED BY THE HUMAN RESOURCES DEPARTMENT AND AFFILIATE COMPLIANCE OFFICER, WITH REVIEW OF ANY DISCLOSURES BY THE CHIEF COMPLIANCE OFFICER WHO WILL EVALUATE, MAKE NECESSARY INQUIRIES, AND INVESTIGATE ALTERNATIVES. BOARD MEMBERS SHALL DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS TO THE CHAIRPERSON OF THE SANTAFE HEALTHCARE, INC. BOARD, AND THE CHAIRPERSON OR CHIEF COMPLIANCE OFFICER SHALL EVALUATE CONFLICT DISCLOSURES AND, IF APPROPRIATE, INVESTIGATE ALTERNATIVES AND REPORT TO DISINTERESTED BOARD MEMBERS FOR RESOLUTION. THE MINUTES OF THE BOARD OR ANY COMMITTEE MEETING AT WHICH A POTENTIAL OR ACTUAL CONFLICT OF INTEREST IS DISCLOSED OR DISCUSSED SHALL REFLECT THE NAME OF THE INTERESTED PARTY, THE NATURE OF THE CONFLICT, THE DELIBERATIONS AND THE RESOLUTION OF THE CONFLICT. IF IT IS DETERMINED THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE CHIEF COMPLIANCE OFFICER OR THE CHAIRPERSON SHALL TAKE APPROPRIATE ACTION, WHICH MAY INCLUDE REMOVAL FROM OFFICE OR TERMINATION OF EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 LAWRENCE G SCHREIBER IS THE CHIEF EXECUTIVE OFFICER (CEO) OF NORTH FLORIDA RETIREMENT VILLAGE, INC. MR. SCHREIBER IS COMPENSATED BY SANTAFE HEALTHCARE, INC., A RELATED SUPPORTING ORGANIZATION. SANTAFE HEALTHCARE, INC. UTILIZES THE FOLLOWING PROCESS TO ESTABLISH THE CEO'S COMPENSATION AND BENEFITS: THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS ANNUALLY RETAINS AN INDEPENDENT THIRD PARTY COMPENSATION AND BENEFITS CONSULTING FIRM (FIRM) TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE CEO'S TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES, AND LONG TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISON TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. THE FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ESTABLISHES THE FINAL COMPENSATION AND BENEFIT PACKAGE FOR THE CEO TAKING INTO CONSIDERATION THE MARKET COMPETITIVENESS REVIEW AND FINAL RECOMMENDATION OF THE FIRM. THE FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE FINAL COMPENSATION AND BENEFITS PACKAGE. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. FORM 990, PART VI, LINE 15B: THE PROCESS FOR DETERMINING COMPENSATION FOR ALL OTHER OFFICERS OR KEY EMPLOYEES OF NORTH FLORIDA RETIREMENT VILLAGE, INC. IS AS FOLLOWS: 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 ALL NORTH FLORIDA RETIREMENT VILLAGE, INC. NON-DIRECTOR OFFICERS AND EXECUTIVE DIRECTOR'S 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 REGULARLY RETAINS AN INDEPENDENT THIRD PARTY CONSULTANT TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE BOARD OF DIRECTORS' (INCLUDING OFFICER POSITIONS) COMPENSATION. THE COMPETITIVENESS ANALYSIS INCLUDES COMPARISONS TO BOTH NOT-FOR-PROFIT AND PUBLIC COMPANY (EXCLUDING EQUITY COMPONENT) DATA FOR COMPANIES WITHIN THE SAME OR SIMILAR INDUSTRY. ANY COMPENSATION CHANGES ARE APPROVED BY THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS BASED ON THE MARKET COMPETITIVENESS STUDY. FORM 990, PART VI, SECTION C, LINE 19 NORTH FLORIDA RETIREMENT VILLAGE, INC.'S PROCEDURE FOR MAKING VARIOUS DOCUMENTS AVAILABLE TO THE PUBLIC IS AS FOLLOWS: THE ARTICLES OF INCORPORATION CAN BE ACCESSED DIRECTLY THROUGH THE FLORIDA DEPARTMENT OF STATE, DIVISION OF CORPORATIONS WEBSITE AT WWW.SUNBIZ.ORG. THE CONFLICT OF INTEREST POLICY CAN BE OBTAINED DIRECTLY FROM THE ORGANIZATION UPON WRITTEN REQUEST. NORTH FLORIDA RETIREMENT VILLAGE, INC. DID NOT OTHERWISE MAKE ITS GOVERNING DOCUMENTS, INCLUDING BYLAWS, AVAILABLE TO THE PUBLIC. IN ADDITION, DURING THE TAX YEAR, NORTH FLORIDA RETIREMENT VILLAGE, INC. DID NOT MAKE ITS AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. 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. THESE SENIOR EXECUTIVES ARE PAID DIRECTLY BY SANTAFE HEALTHCARE, INC., AND THEIR COMPENSATION AND BENEFITS ARE APPORTIONED AND CHARGED TO THE RESPECTIVE AFFILIATES BASED ON THE ESTIMATED AMOUNT OF TIME SPENT ON EACH AFFILIATE'S ACTIVITIES. FORM 990, PART VII, SECTION A, COLUMN F: LAWRENCE G SCHREIBER AND STEVEN M ZIEGLER ARE EMPLOYEES OF SANTAFE HEALTHCARE, INC. AS A RESULT OF THE SALE OF AVMED, INC. AS DESCRIBED IN SCHEDULE R, MR. SCHREIBER AND MR. ZIEGLER EARNED ADDITIONAL COMPENSATION PAYABLE IN 2023 AND 2024, WHICH IS CONTINGENT UPON THEIR EMPLOYMENT BY SANTAFE HEALTHCARE, INC. THE ADDITIONAL COMPENSATION WILL BE PAID ENTIRELY BY SANTAFE HEALTHCARE, INC. AND WILL NOT BE ALLOCATED OR CHARGED TO ITS AFFILIATES. THE ADDITIONAL COMPENSATION IS REPORTED AS OTHER COMPENSATION IN FORM 990, PART VII, SECTION A, COLUMN F FOR MR. SCHREIBER AND MR. ZIEGLER AND TOTALS $5,000,000 AND $841,177, RESPECTIVELY. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF SANTAFE SENIOR LIVING FOUNDATION, INC. -274,377. EQUITY TRANSFER FROM AFFILIATE 64,023. CONTRIBUTION FROM SANTAFE SENIOR LIVING FOUNDATION, INC. -261,299. FORM 990, PART XII, LINE 2C: AUDIT COMMITTEE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT: THE COMPANY'S AUDIT COMMITTEE HAS NOT CHANGED ITS PROCESS FOR SELECTION OF THE INDEPENDENT ACCOUNTANT OR ITS PROCESS FOR MANAGING THE AUDIT. SANTAFE HEALTHCARE INC PO BOX 749 GAINESVILLE FL 326270749 592317607 MANAGEMENT AND FINANCIAL SUPPORT FOR NOT-FOR-PROFIT AFFILIATES FL 501(C)(3) 12B TYPE II N/A 0 AVMED INC PO BOX 749 GAINESVILLE FL 326270749 592742907 HEALTH CARE FL 501(C)(4) N/A SENTARA HEALTHCARE 0 NORTH CENTRAL FLORIDA HOSPICE INC PO BOX 749 GAINESVILLE FL 326270749 592490893 HOSPICE CARE FL 501(C)(3) 10 SANTAFE HEALTHCARE INC 0 SANTAFE SENIOR LIVING INC PO BOX 749 GAINESVILLE FL 326270749 203700526 MANAGEMENT AND FINANCIAL SUPPORT FOR NOT-FOR-PROFIT AFFILIATES FL 501(C)(3) 12B TYPE II SANTAFE HEALTHCARE INC 0 BVG ACQUISITION INC PO BOX 749 GAINESVILLE FL 326270749 203701186 RETIREMENT COMMUNITY FL 501(C)(3) 10 SANTAFE HEALTHCARE INC 0 EAST RIDGE RETIREMENT VILLAGE INC PO BOX 749 GAINESVILLE FL 326270749 590903331 RETIREMENT COMMUNITY FL 501(C)(3) 10 SANTAFE HEALTHCARE INC 0 BONITA SPRINGS RETIREMENT VILLAGE INC PO BOX 749 GAINESVILLE FL 326270749 262386152 RETIREMENT COMMUNITY FL 501(C)(3) 10 SANTAFE HEALTHCARE INC 0 SANTAFE SENIOR LIVING FOUNDATION INC PO BOX 749 GAINESVILLE FL 326270749 264464727 CHARITABLE & EDUCATIONAL PURPOSES FL 501(C)(3) 7 SANTAFE HEALTHCARE INC 0 HFK CARE CORPORATION PO BOX 749 GAINESVILLE FL 326270749 592386289 HOSPICE CARE & HOME HEALTH CARE FL 501(C)(3) 7 SANTAFE HEALTHCARE INC 0 HAVEN FOUNDATION INC 4200 NW 90TH BLVD GAINESVILLE FL 326069945 850863879 CHARITABLE & EDUCATIONAL PURPOSES FL 501(C)(3) 12A TYPE 1 NORTH CENTRAL FLORIDA HOSPICE INC 0 SF HOLDING CORP INC PO BOX 749 GAINESVILLE FL 326270749 592903901 HOLDING COMPANY FL N/A C 0 AVMED ADMINISTRATORS INC PO BOX 749 GAINESVILLE FL 326270749 842931956 THIRD PARTY ADMINISTRATIVE SERVICES FL N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 AVMED INC P 50354 ACTUAL INVOICES SCHEDULE R, PART II: ON DECEMBER 31, 2022, SENTARA HEALTHCARE, A VIRGINIA TAX-EXEMPT CORPORATION, ACQUIRED CONTROL OF AVMED, INC. FROM SANTAFE HEALTHCARE, INC. AVMED, INC. IS LISTED ON SCHEDULE R, PART II AS A RELATED TAX-EXEMPT ORGANIZATION FOR 2022, BUT WILL NOT BE LISTED GOING FORWARD.