2019-06-13T15:35:15-05:00 2018-07-31 650437100 BOBBITT PITTENGER & COMPANY PA 3277 FRUITVILLE RD BLDG E SARASOTA FL 34237 990 2017-08-01 475272934 PINES OF SARASOTA HEALTHCARE LLC PINE 9413650250 1501 N ORANGE AVE SARASOTA FL 34236 MICHAEL WARD PRESIDENT & CEO 9413650250 2019-06-13 1 KIMBALL R BOBBITT P00366902 9413664450 2019-06-13 96.85.240.181 2019-06-13 16:35:08 ED P 0750560301FF4C0BEBCAABA89041DC8A6E827400 F92F2642DD3BC64337529FB2A91CD9D7B785C726 2017 2019-02-21 02:37:17Z MICHAEL WARD 1501 N ORANGE AVE SARASOTA FL 34236 28948393 0 X PINESOFSARASOTA.ORG X LLC 2015 FL THE PRIMARY PURPOSE OF THE ORGANIZATION IS TO OPERATE AND MAINTAIN A 204 BED SKILLED NURSING FACILITY AND 72 BED ASSISTED LIVING FACILITY, PRIMARILY FOR AGED AND FINANCIALLY NEEDY RESIDENTS OF SARASOTA AND MANATEE COUNTIES, FLORIDA. IN ADDITION, THE ORGANIZATION OPERATES A DAY CARE PROGRAM FOR CHILDREN AND OPERATES 2 THRIFT SHOPS THAT SUPPORT THE ORGANIZATION. 13 13 406 192 0 0 2508308 3095470 22492165 25754221 0 98702 0 0 25000473 28948393 0 0 0 0 14536682 16792224 0 0 397200 10774094 11011730 25310776 27803954 -310303 1144439 0 22690047 995220 2733536 -995220 19956511 X THE PRIMARY PURPOSE OF THE ORGANIZATION IS TO OPERATE AND MAINTAIN A 204 BED SKILLED NURSING FACILITY AND 72 BED ASSISTED LIVING FACILITY, PRIMARILY FOR AGED AND FINANCIALLY NEEDY RESIDENTS OF SARASOTA AND MANATEE COUNTIES, FLORIDA. IN ADDITION, THE ORGANIZATION OPERATES A DAY CARE PROGRAM FOR CHILDREN AND OPERATES 2 THRIFT SHOPS THAT SUPPORT THE ORGANIZATION. 0 0 24824584 25754221 OPERATE AND MAINTAIN A 204 BED SKILLED NURSING FACILITY AND A 72 BED ASSISTED LIVING FACILITY, PRIMARILY FOR AGED AND FINANCIALLY NEEDY RESIDENTS. IN ADDITION, THE ORGANIZATION PROVIDES A DAY CARE PROGRAM FOR CHILDREN AND OPERATES 2 THRIFT SHOPS THAT SUPPORT THE ORGANIZATION 24824584 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 60 0 1 406 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X THE ORGANIZATION 9413650250 1501 N ORANGE AVE SARASOTA FL 34236 PETER ABBOTT CHAIR 1.00 X X 0 0 0 JANE HUNDER VICE CHAIR 1.00 X X 0 0 0 HOWARD CROWELL 2ND VICE CHAIR 1.00 X X 0 0 0 CARL SMITH TREASURER 1.00 X X 0 0 0 JOYCE JOHNSON SECREATRY 1.00 X X 0 0 0 KYLE BOOTH ASST SECRETARY 1.00 X X 0 0 0 KRAIG KOACH IMMED PAST CHAIR 1.00 X X 0 0 0 DAVID BOYETTE DIRECTOR 1.00 X 0 0 0 G PAUL GROEN MD DIRECTOR 1.00 X 0 0 0 SHERRY KOSKI DIRECTOR 1.00 X 0 0 0 CATHERINE RUSTIN DIRECTOR 1.00 X 0 0 0 JEFFREY SCHMIDT DIRECTOR 1.00 X 0 0 0 DR JOHN WALKER JR DIRECTOR 1.00 X 0 0 0 LORIS DIXON CHIEF FINANCIAL OFFICER 40.00 X 128982 0 0 DAWN CRABLE DIRECTOR 40.00 X 121345 0 0 PAUL HARTMAN DIRECTOR OF MAINTENANCE 40.00 X 126224 0 0 JOEL AMISTOSO DIRECTOR PHYSICAL THERAPY 40.00 X 134258 0 0 JAMES MCCLURE DIRECTOR 40.00 X 105324 0 0 JOHN OVERTON FORMER CEO 40.00 X 193648 0 0 809781 0 0 6 1 1 0 AHCA AGENCY FOR HEALTHCARE ADMINISTRATIO PO BOX 13749 MAIL STOP 14 TALLAHASSEE FL 32317 PROVIDER TAX PAYMENTS 725395 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE STE 300 BENSALEM PA 19020 HOUSEKEEPING & LAUNDRY SERVICES 613484 US FOODS INC PO BOX 281841 ATLANTA GA 30384 FOOD SUPPLIES 534113 GUARDIAN PHARMACY OF ORLANDO 2815 DIRECTORS ROW STE 700 ORLANDO FL 32809 PHARMACY SERVICES & SUPPLIES 244690 MCKESSON MEDICAL-SURGICAL 8121 10TH AVENUE N GOLDEN VALLEY MN 55427 MEDICAL SUPPLIES 225168 5 2510619 584851 474851 3095470 SKILLED NURSING 623000 23546320 23546320 ASSISTED LIVING 623000 1222106 1222106 CHILD CARE 624410 396244 396244 OUTPATIENT THERAPY 621400 312288 312288 EDUCATION INSTITUTE 511190 275598 275598 1665 1665 25754221 98702 98702 28948393 25754221 0 98702 X 13619579 11652400 1720451 246728 157217 128631 24895 3691 1587570 1381851 170135 35584 1427858 1261898 135084 30876 4280 690 3590 46158 14520 26880 4758 4146941 3969294 177647 152133 35259 115530 1344 28408 15213 9434 3761 1981901 1876479 7976 97446 9889 2204 7598 87 55733 28096 27499 138 2922 2922 173354 173354 SUPPLIES 2103943 2103943 LICENSES & FEES 1429869 1429869 BAD DEBT 258000 258000 FUNDED UNBUDGETED EXPEN 111825 111825 506374 378136 155451 -27213 27803954 24824584 2582170 397200 -527060 22225 3582822 140451 310646 0 19160963 0 22690047 2738564 -5028 995220 0 995220 2733536 X -995220 19956511 -995220 19956511 0 22690047 X 1144439 1525 19805767 X X 0 1 X 1 0 X 1547140 2508308 3095470 7150918 21765201 22492165 25754221 70011587 23312341 25000473 28849691 77162505 0 0 0 77162505 23312341 25000473 28849691 77162505 X PART IV, SECTION C, LINE 1: THE ORGANIZATION WAS FORMED 10/7/15 0 INTERCOMPANY RECEIVABLE 19015208 CIP WALKWAYS 145755 19160963 X PART X, LINE 2: PINES OF SARASOTA HEALTHCARE, LLC WAS ORGANIZED AS A NOT-FOR-PROFIT LIMITED LIABILITY COMPANY UNDER THE LAWS OF THE STATE OF FLORIDA AND WAS GRANTED TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO INCOME TAX LIABILITY OR PROVISION FOR INCOME TAXES IS REFLECTED IN THESE FINANCIAL STATEMENTS. PINES' INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. PINES' INFORMATION RETURNS FOR 2015 AND LATER YEARS REMAIN OPEN TO INSPECTION. X X X X X 0 0 0 0 0 0 0 0 0 JOHN OVERTON FORMER CEO 193648 0 0 0 0 0 0 0 0 0 193648 0 0 0 X 474851 RESALE VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WILL BE PRESENTED TO FINANCE & EXECUTIVE COMMITTEE OF BOARD AND WILL BE AVAILABLE TO ANY BOARD MEMBER REQUESTING A COPY. FORM 990, PART VI, SECTION B, LINE 12C WRITTEN QUESTIONNAIRE FORM 990, PART VI, SECTION B, LINE 15A CEO SALARY AND BENEFITS ARE DETERMINED BY THE BOARD. ALL EMPLOYEES ARE EVALUATED ANNUALLY ON THEIR ANNIVERSARY. DEPARTMENT HEADS APPROVE INCREASES (MAXIMUM PERCENT INCREASE DETERMINED BY SENIOR MANAGEMENT) THAT ARE FINALIZED AND APPROVED BY APPROPRIATE SENIOR MANAGEMENT. OVERALL WAGES APPROVED BY BOARD WITH BUDGET APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHARMACY CONSULTING : PROGRAM SERVICE EXPENSES 21,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,200. CONSULTING : PROGRAM SERVICE EXPENSES 61,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,800. AMBULANCE SERVICES : PROGRAM SERVICE EXPENSES 46,966. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,966. LABORATORY SERVICES : PROGRAM SERVICE EXPENSES 91,158. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,158. CONTRACT PROFESSIONAL SERVICES : PROGRAM SERVICE EXPENSES 3,693,203. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,693,203. MEDICAL DIRECTOR FEES : PROGRAM SERVICE EXPENSES 54,967. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,967. CONSULTING : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,457. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,457. CONTRACT PROFESSIONAL SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 170,190. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,190. FORM 990, PART XI, LINE 9: TRANSFER OF OPERATING ACCOUNTS FROM PINES OF SARASOTA, INC. 19,805,767. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR PINES OF SARASOTA FOUNDATION INC 1501 N ORANGE AVE SARASOTA FL 34236 592988752 PROVIDE FINANCIAL SUPPORT TO PINES OF SARASOTA, INC. FL 501(C)(3) LINE 11 0 1100 CENTRAL AVENUE CORPORATION 1501 N ORANGE AVE SARASOTA FL 34236 461562505 TITLE HOLDING COMPANY FL 501(C)(2) 0 PINES OF SARASOTA HOLDING CORPORATION 1501 N ORANGE AVE SARASOTA FL 34236 475260713 FL 501(C)(3) LINE 12C, III-FI 0 PINES OF SARASOTA MANGEMENT CORP 1501 N ORANGE AVE SARASOTA FL 34236 475261041 FL 501(C)(3) LINE 12C, III-FI 0 PINES HOME HEALTH SERVICES INC 1501 N ORANGE AVE SARASOTA FL 34236 474719003 FL 501(C)(3) LINE 11 0 PINES OF SARASOTA INC 1501 N ORANGE AVE SARASOTA FL 34236 590700567 HEALTH SERVICES AND TITLE HOLDING COMPANY FL 501(C)(2) 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0