2019-11-11T15:05:06-06:00 2018-12-31 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVE 600 ORLANDO FL 32801 990 2018-01-01 592617174 MAYFLOWER RETIREMENT CENTER INC MAYF 4076721620 1620 MAYFLOWER COURT WINTER PARK FL 327922500 CHERYL LANE CHIEF FINANCIAL OFFICER 4076721620 2019-11-11 1 NORMAN B NEAL CPA P00071411 4077405400 104.178.77.115 2019-11-11 15:01:05 ES P AA06F16595B971911646E1ABD4EF9FD1205D715B 7FC0E18F63597829422D687723989F114BEB8769 2018 2020-03-31 21:24:44Z STEVE KRAMER 1620 MAYFLOWER COURT WINTER PARK FL 327922500 24966199 0 X WWW.THEMAYFLOWER.COM X 1973 FL TO PROVIDE HOUSING, HEALTHCARE AND PERSONAL SERVICES FOR THE ELDERLY. 9 8 319 231 0 0 76656 425039 23290827 23673309 836157 -198152 334071 352886 24537711 24253082 75420 58306 0 0 11175155 11621784 0 0 0 12082473 12496042 23333048 24176132 1204663 76950 87584592 89250522 64417551 67653632 23167041 21596890 X TO PROVIDE A QUALITY RETIREMENT COMMUNITY WHICH INCLUDES CONTINUING LIFE CARE CONSISTING OF BASIC SERVICES, AMENITIES, SECURITY, NUTRITION AND HEALTH CARE, ALL NECESSARY TO MEET THE NEEDS OF ITS RESIDENTS. 0 0 14315472 58306 16112140 INDEPENDENT LIVING - THE ORGANIZATION OFFERS 240 RESIDENTIAL APARTMENT UNITS RANGING FROM ONE BEDROOM (541 SQ. FT.) TO TWO BEDROOM "GRANDES" (1,659 SQ. FT.), AS WELL AS, 28 SINGLE-FAMILY, COURTYARD AND PATIO HOMES, RANGING FROM 1,460 SQ. FT. TO 1,596 SQ. FT. THE MAYFLOWER OPERATES UNDER THE "CONTINUING CARE" CONCEPT IN WHICH RESIDENTS ENTER INTO AN OCCUPANCY AGREEMENT, WHICH REQUIRES PAYMENT OF A ONE-TIME ENTRANCE FEE AND A MONTHLY SERVICE FEE. GENERALLY, THESE PAYMENTS ENTITLE RESIDENTS TO THE USE AND PRIVILEGES OF THE MAYFLOWER FOR LIFE, INCLUDING CERTAIN NURSING SERVICES IN THE MAYFLOWER'S SKILLED NURSING FACILITY. THE OCCUPANCY AGREEMENT DOES NOT ENTITLE THE RESIDENTS TO AN INTEREST IN THE REAL ESTATE OR ANY PROPERTY OWNED BY THE MAYFLOWER. 5903464 6644380 SKILLED NURSING - THE ORGANIZATION OFFERS AN ON-SITE, 60-BED, STATE LICENSED, MEDICARE-APPROVED HEALTH CENTER THAT HAS RECEIVED THE PRESTIGIOUS GOVERNOR'S GOLD SEAL AWARD. THE HEALTH CENTER EMPLOYS A BOARD CERTIFIED GERIATRIC PHYSICIAN. IN ADDITION, RESIDENT PHYSICIANS FROM FLORIDA HOSPITAL COMPLETE THEIR FELLOWSHIP PROGRAMS IN THE HEALTH CENTER UNDER THE GUIDANCE OF THE CENTER'S MEDICAL DIRECTOR. 1234834 ASSISTED LIVING - THE ORGANIZATION OFFERS 31 ASSISTED LIVING RESIDENCES (357 SQ. FT. STUDIO APARTMENTS). 1097137 34841 THE MAYFLOWER OFFERS HOME HEALTH SERVICES UNDER MEDICARE A TO INDEPENDENT LIVING RESIDENTS. 1097137 34841 21316073 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 121 0 1 319 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHERYL J LANE 4076721620 1620 MAYFLOWER COURT WINTER PARK FL 32792 DR ROBIN ROBERTS EDD CHAIRMAN 4.00 1.50 X X 0 0 0 MICHAEL MARLOWE SECRETARY 1.00 0.50 X X 0 0 0 DREW MADSEN TREASURER 1.50 0.50 X X 0 0 0 DEBBIE KOMANSKI BOARD MEMBER 2.00 0.50 X 0 0 0 REVEREND SHAWN GARVEY BOARD MEMBER 1.00 0.50 X 0 0 0 BRIAN ROTENBERGER BOARD MEMBER 1.00 0.50 X 0 0 0 DEAN SHAHEEN BOARD MEMBER 2.50 0.50 X 0 0 0 KEN BRADLEY BOARD MEMBER 1.00 0.50 X 0 0 0 JENNIFER WANDERSLEBEN BOARD MEMBER 1.00 0.50 X 214749 0 34223 ED KANIA BOARD MEMBER 1.00 0.50 X 0 0 0 MYRNA BIZER BOARD MEMBER 1.00 0.50 X 0 0 0 STEVE KRAMER PRESIDENT/CEO 40.00 0.50 X X 0 0 0 CHERYL LANE CFO/ASSISTANT TREASURER 40.00 0.50 X 146227 0 33121 JESUS LOPEZ MD CLINIC PHYSICIAN 40.00 0.00 X 149999 0 22447 RON BRANOM PROJECT MANAGER 40.00 0.00 X 141183 0 19305 ROBERT DUFF DIRECTOR/MAINTENANCE 40.00 0.00 X 133219 0 32896 PAUL LANDSBERG DIRECTOR/DINING SERVICES 40.00 0.00 X 127995 0 26424 JANA RICCI DIRECTOR/MARKETING 40.00 0.00 X 119622 0 32483 1032994 0 200899 8 0 1 0 ENCORE REHAB SERVICES 33533 W 12 MILE RD STE 290 FARMINGTON HILLS MI 48331 THERAPY SERVICES 1203002 SFCS INC 2830 MARINA MILE BLVD SUITE 116 FORT LAUDERDALE FL 33312 ENGINEERING SERVICES 1188068 ANDREW GENERAL CONTRACTORS INC 2301 MERCATOR DR ORLANDO FL 32807 CONSTRUCTION 560834 WORDWISE 7719 FOX KNOLL PLACE WINTER PARK FL 32789 ADVERTISING 377017 CREATIVE ENVIRONMENT INC 384 CLARK STR OVIEDO FL 32765 LANDSCAPING 270102 14 425039 425039 INDEPENDENT LIVING FEE 623000 10133733 10133733 HEALTHCARE SERVICE FEE 621400 6644380 6644380 EARNED ENTRANCE FEES 623000 5625521 5625521 ASSISTED LIVING REVENU 623000 1234834 1234834 HOME HEALTH AGENCY PAS 621610 34841 34841 23673309 444865 444865 70100 713117 -643017 -643017 -643017 GUEST/OTHER MEALS 623000 112139 112139 PARKING 623000 39573 39573 MISCELLANEOUS INCOME 623000 28726 28726 172448 172448 352886 24253082 24026195 0 -198152 58306 58306 428322 428322 8797528 8168887 628641 141399 120146 21253 1569864 1413758 156106 684671 618262 66409 50869 50869 114498 114498 37336 37336 155223 94773 60450 361852 1799 360053 23478 10257 13221 2282671 1962465 320206 42579 20226 22353 26634 11345 15289 885978 823874 62104 3639552 3384432 255120 247505 230156 17349 SUPPLIES AND EQUIPMENT 2559437 2505023 54414 FOOD AND BEVERAGE SUPPL 1776797 1776797 EMPLOYEE RELATED EXPENS 100455 40914 59541 MOVING EXPENSE 68781 68781 122397 74653 47744 24176132 21316073 2860059 0 1385423 963395 600345 601848 709723 710232 30838 187160 470059 279881 105938591 48928370 54784080 57010221 28929480 26997348 674644 2500437 87584592 89250522 1585697 1921849 30547140 31630651 16754691 16418825 15530023 17682307 64417551 67653632 X 22971552 21437116 195489 159774 23167041 21596890 87584592 89250522 X 76950 -1609948 -37153 X X 0 1 X 1 0 X 408253 305086 159246 76656 425039 1374280 19935074 21080411 22180890 23290827 23673309 110160511 20343327 21385497 22340136 23367483 24098348 111534791 0 0 0 111534791 333068 326493 507763 470774 444865 2082963 333068 326493 507763 470774 444865 2082963 338964 312466 355933 334071 352886 1694320 21015359 22024456 23203832 24172328 24896099 115312074 0.96720 0.96590 0.01810 0.01840 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RELATED RESIDENT SERVICES - 2014 AMOUNT: $ 338,964. 2015 AMOUNT: $ 312,466. 2016 AMOUNT: $ 355,933. 2017 AMOUNT: $ 334,071. 2018 AMOUNT: $ 352,886. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 582736 -21752 20643 7420 532921 525347 84869 20186 7294 582736 531176 21258 20062 7025 525347 553104 6285 20796 7417 531176 567871 13235 19941 8061 553104 1.00000 1 0 8724102 8724102 64421938 39349648 25072290 10263228 6268896 3994332 22529323 3309826 19219497 57010221 US TREASURY NOTES 4413301 F MONEY MARKET FUNDS 10233317 F MUTUAL FUNDS 12350730 F 26997348 ENTRANCE FEE DEPOSITS 1456863 ENTRANCE FEE REFUNDS PAYABLE 1717974 REFUNDABLE FEES 14507470 17682307 23284074 -1609948 713117 -896831 24180905 37336 34841 72177 24253082 24851913 713117 713117 24138796 37336 37336 24176132 PART V, LINE 4: THE ENDOWMENT'S INVESTMENT POLICY IS DESIGNED TO ALLOW THE FUNDS TO BE INVESTED ON A TOTAL RETURN BASIS TO MAINTAIN AND, IF POSSIBLE, INCREASE THE REAL VALUE OF THE FUNDS, WHILE AT THE SAME TIME PROVIDING A RELATIVELY STEADY LEVEL OF DISTRIBUTIONS TO THE ORGANIZATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSET 713,117. PART XI, LINE 4B - OTHER ADJUSTMENTS: HOME HEALTH AGENCY PASSTHROUGH REVENUE 34,841. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 713,117. 1 SCHOLARSHIPS 31 58306 PART I, LINE 2: THE RESIDENTS AT THE MAYFLOWER STARTED A SCHOLARSHIP FUND AND COMMITTEE TO RAISE MONEY FOR EMPLOYEES WHO ARE GOING TO SCHOOL TO HELP OFFSET THEIR EXPENSES. THE COMMITTEE MAKES THE RULES AND DECIDES ON HOW TO GIVE OUT THE SCHOLARSHIPS, THE REQUIREMENTS AND THE AMOUNTS TO GIVE OUT. X X 0 0 0 0 0 0 0 0 0 JENNIFER WANDERSLEBEN BOARD MEMBER 202071 0 12678 0 0 0 5368 0 28855 0 248972 0 0 0 CHERYL LANE CFO/ASSISTANT TREASURER 146227 0 0 0 0 0 4266 0 28855 0 179348 0 0 0 JESUS LOPEZ MD CLINIC PHYSICIAN 149999 0 0 0 0 0 4500 0 17947 0 172446 0 0 0 RON BRANOM PROJECT MANAGER 138183 0 3000 0 0 0 1358 0 17947 0 160488 0 0 0 ROBERT DUFF DIRECTOR/MAINTENANCE 133219 0 0 0 0 0 4041 0 28855 0 166115 0 0 0 PAUL LANDSBERG DIRECTOR/DINING SERVICES 127995 0 0 0 0 0 0 0 26424 0 154419 0 0 0 JANA RICCI DIRECTOR/MARKETING 119622 0 0 0 0 0 3628 0 28855 0 152105 0 0 0 A ORANGE COUNTY HEALTH FACILITIES AUTHORITY 68450LCB9 2012-05-15 19255000 SEE SUPPLEMENTAL INFORMATION 1 0 0 A 2145000 18894078 1379203 16964815 378710 1202316 2012 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 A 1 SCHEDULE K, ROW A, PART I(F) IN MAY 2012, THE ORANGE COUNTY HEALTH FACILITIES AUTHORITY ISSUED ON BEHALF OF THE ORGANIZATION $19,255,000 HEALTH CARE FACILITIES REVENUE REFUNDING BONDS (THE "SERIES 2012 BONDS") TO REFUND A PRIOR BOND ISSUE, FUND A DEBT SERVICE RESERVE ACCOUNT AND PAY CERTAIN COSTS OF ISSUANCE. THE SERIES 2012 BONDS ARE COLLATERALIZED BY ASSETS IN TRUST, A MORTGAGE ON THE PROPERTY AND EQUIPMENT, AND GROSS REVENUES OF THE ORGANIZATION. SCHEDULE K, ROW A, PART I(C) THE SERIES 2012 BOND ISSUE CONSISTS OF THE FOLLOWING: CUSIP NO. 68450LBC8, $330,000, 3.000% TERM BONDS DUE JUNE 1, 2013 CUSIP NO. 68450LBD6, $340,000, 3.000% TERM BONDS DUE JUNE 1, 2014 CUSIP NO. 68450LBE4, $350,000, 3.000% TERM BONDS DUE JUNE 1, 2015 CUSIP NO. 68450LBF1, $365,000, 3.000% TERM BONDS DUE JUNE 1, 2016 CUSIP NO. 68450LBG9, $375,000, 3.000% TERM BONDS DUE JUNE 1, 2017 CUSIP NO. 68450LBH7, $385,000, 3.250% TERM BONDS DUE JUNE 1, 2018 CUSIP NO. 68450LBJ3, $400,000, 3.500% TERM BONDS DUE JUNE 1, 2019 CUSIP NO. 68450LBX2, $1,295,000, 4.000% TERM BONDS DUE JUNE 1, 2022 CUSIP NO. 68450LBY0, $2,565,000, 4.500% TERM BONDS DUE JUNE 1, 2027 CUSIP NO. 68450LBZ7, $3,265,000, 5.000% TERM BONDS DUE JUNE 1, 2032 CUSIP NO. 68450LCA1, $3,260,000, 5.000% TERM BONDS DUE JUNE 1, 2036 CUSIP NO. 68450LCB9, $6,325,000, 5.125% TERM BONDS DUE JUNE 1, 2042 SCHEDULE K, ROW A, PART II, LINE 3 THE TOTAL PROCEEDS FOR SERIES 2012 BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E). THE DIFFERENCE IS AN UNDERWRITER'S DISCOUNT OF $360,922. FORM 990, PART VI, SECTION B, LINE 11B AT THE DIRECTION OF THE BOARD OF DIRECTORS, THE FORM 990 IS REVIEWED VIA EMAIL IN ITS ENTIRETY, AND QUESTIONS AND ANSWERS RELATED TO THE RETURN ARE COMMUNICATED VIA EMAIL BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY. THE COMPLETED FORMS ARE REVIEWED AND MAINTAINED ON FILE AT THE DIRECTION OF THE BOARD. WHERE A CONFLICT OF INTEREST IS IDENTIFIED, A CONFLICTED BOARD MEMBER WILL BE EXCLUDED FROM DISCUSSIONS AND VOTES ON THE CONFLICTED ISSUE. CONFLICT OF INTEREST ISSUES ARE REVIEWED BY THE BOARD'S COUNSEL. FORM 990, PART VI, SECTION B, LINE 15 REVIEW AND APPROVAL OF THE COMPENSATION PACKAGE OF THE EXECUTIVE DIRECTOR HAS BEEN ASSIGNED BY THE BOARD OF DIRECTORS TO THE BOARD'S EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, SECRETARY, TREASURER, AND ONE ADDITIONAL MEMBER OF THE BOARD, ALL OF WHICH ARE INDEPENDENT REGARDING THE COMPENSATION ISSUES. COMPENSATION IS BASED ON COMPARABILITY SURVEYS AND PERFORMANCE EVALUATIONS. ALL DECISIONS REGARDING COMPENSATION ARE DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATION -50,678. HOME HEALTH AGENCY PASSTHROUGH REVENUE -34,841. MEMBERSHIP INTEREST CONTRIBUTION - MAYFLOWER HOME HEALTH AGENCY, LLC 48,363. ROUNDING 3. FORM 990, PART XII, LINE 2C OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: OVERSIGHT OF THE AUDIT PROCESS HAS BEEN DELEGATED BY THE BOARD OF DIRECTORS TO THE FINANCE COMMITTEE. THE COMMITTEE ADDRESSES THE SELECTION OF THE AUDIT FIRM, APPROVES THE FEES AND REVIEWS THE AUDIT RESULTS WITH THE AUDIT FIRM. THIS PROCESS IS CONSISTENT WITH PRIOR YEARS. MAYFLOWER HOME HEALTH AGENCY LLC 1620 MAYFLOWER COURT WINTER PARK FL 32792 275219456 HOME HEALTH CARE FL MAYFLOWER RETIREMENT CENTER INC RELATED 34841 60350 0 1 0.96000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0