2014-11-10T10:48:09-06:00 2013-12-31 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2013-01-01 591031820 PLYMOUTH HARBOR INC PLYM 9413652600 700 JOHN RINGLING BLVD SARASOTA FL 34236 GARRY H JACKSON SR VICE PRESIDENT - CFO 9413652600 2014-11-10 1 MELANIE A MCPEAK P01346034 7275314477 2013 2015-11-30 17:44:51Z HARRY E HOBSON 700 JOHN RINGLING BLVD SARASOTA FL 34236 21270507 0 X WWW.PLYMOUTHHARBOR.ORG X 1961 FL PLYMOUTH HARBOR IS A CHURCH-SPONSORED, NOT-FOR-PROFIT COMMUNITY OF DISTINCTION FOR OLDER ADULTS COMMITTED TO PROVIDING THE MOST POSITIVE AGING EXPERIENCE POSSIBLE FOR ITS RESIDENTS. 15 15 297 30 0 0 262059 111706 18350807 20770335 270642 143152 56210 245314 18939718 21270507 0 0 0 0 8823980 9902744 0 0 0 10915640 11089502 19739620 20992246 -799902 278261 56538100 60653637 49621299 52545432 6916801 8108205 X PLYMOUTH HARBOR IS A CHURCH-SPONSORED NOT-FOR-PROFIT COMMUNITY OF DISTINCTION FOR OLDER ADULTS COMMITTED TO PROVIDING THE MOST POSITIVE AGING EXPERIENCE POSSIBLE FOR ITS RESIDENTS. 0 0 8600282 13571763 SENIOR ADULT LIVING SERVICE - CARING FOR SENIOR ADULTS THROUGH THE OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF APPROXIMATELY 208 INDEPENDENT APARTMENT UNITS AND 10 ASSISTED LIVING APARTMENT UNITS. 4579443 4972509 SENIOR ADULT HEALTH CARE CENTER SERVICE - PROVIDES SKILLED NURSING SERVICES TO THE ELDERLY IN ITS 60 BED SKILLED NURSING CENTER. 2973645 2419992 SENIOR ADULT DIETARY SERVICE - SERVICING THE DIETARY NEEDS OF SENIOR ADULTS AT THE CONTINUING CARE RETIREMENT COMMUNITY. 875672 51385 HOME HEALTH AGENCY - A LICENSED HOME HEALTH AGENCY THAT SERVICES SENIOR ADULTS IN THEIR OWN HOME. 875672 51385 17029042 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 34 0 1 297 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X GARRY JACKSON 9413652600 700 RINGLING BLVD SARASOTA FL 34236 F THOMAS HOPKINS CHAIRMAN OF THE BOARD 1.00 2.00 X X 0 0 0 JOSEPH HUDGINS VICE CHAIRMAN 1.00 2.00 X X 0 0 0 WILLIAM R JOHNSTON SECRETARY 1.00 2.00 X X 0 0 0 JOHN M STRICKLAND TREASURER 1.00 2.00 X X 0 0 0 LEE BYRON BOARD MEMBER 1.00 2.00 X 0 0 0 DUNCAN FINLAY BOARD MEMBER 1.00 2.00 X 0 0 0 LARRY COFFEY BOARD MEMBER 1.00 2.00 X 0 0 0 WILLIAM KENNEDY MD BOARD MEMBER 1.00 2.00 X 0 0 0 ELLEN HARRISON BOARD MEMBER 1.00 2.00 X 0 0 0 ROBERT T MITCHELL BOARD MEMBER 1.00 2.00 X 0 0 0 RANDALL NATHERSON BOARD MEMBER 1.00 2.00 X 0 0 0 WILLIAM YOUNG BOARD MEMBER 1.00 2.00 X 0 0 0 SARAH PAPPAS BOARD MEMBER 1.00 2.00 X 0 0 0 GEORGE PETERS BOARD MEMBER 1.00 2.00 X 0 0 0 MARY ALLYN BOARD MEMBER 1.00 2.00 X 0 0 0 TERRY ALDRICH BOARD MEMBER 1.00 2.00 X 0 0 0 CINDY MALKIN BOARD MEMBER 1.00 2.00 X 0 0 0 DALE WOODLING BOARD MEMBER 1.00 2.00 X 0 0 0 BRIAN HALL BOARD MEMBER 1.00 2.00 X 0 0 0 JON SWIFT BOARD MEMBER 1.00 2.00 X 0 0 0 HARRY E HOBSON PRESIDENT - CEO 38.00 2.00 X 224904 0 80903 GARRY H JACKSON SR. VICE PRESIDENT - CFO 38.00 2.00 X 148513 0 7514 GORDON OKAWA VP OF MARKETING/COMMON AFFAIRS 40.00 0.00 X 146326 0 7290 JOSEPH DEVORE VP OF HEALTH SERVICES 40.00 0.00 X 123291 0 7514 REBECCA S PAZKOWSKI VP OF PHILANTHROPY 40.00 0.00 X 110727 0 7514 753761 0 110735 5 0 1 0 WILLIS A SMITH CONSTRUCTION INC 5001 LAKEWOOD RANCH BLVD N SARASOTA FL 34240 CONSTRUCTION 2891062 TAMPA BAY TRANE SERVICES 8926 NORTH ARMENIA AVENUE TAMPA FL 33604 REPAIRS 474464 FUNCTIONAL PATHWAYS OF TENNESSEE PO BOX 102426 ATLANTA GA 30368 THERAPY SERVICE 396788 3 111706 111706 MONTHLY SERVICE FEES 623000 15573782 15573782 ENTRANCE FEES 623000 5196553 5196553 20770335 130173 130173 11089 1890 0 0 11089 1890 12979 12979 CAPITAL REIMBURSEMENTS 623000 245314 245314 245314 21270507 21015649 0 143152 461834 461834 6854091 5689390 1164701 135117 91290 43827 1897458 1649423 248035 554244 447980 106264 13274 13274 65144 65144 15410 15410 1030960 599233 431727 190408 86819 103589 313622 184459 129163 32315 32315 1436290 1436290 19759 4992 14767 247265 247265 4492014 3610469 881545 724448 582277 142171 FOOD & FOOD PRODUCTS 899358 899358 MEDICAL, OXYGEN & DRUGS 631479 631479 SUPPLIES 418637 389610 29027 LINENS & UNIFORMS 199001 198539 462 360118 280169 79949 20992246 17029042 3963204 0 1790105 1415755 28335 29488 3645725 1556742 63448 55625 381539 477018 85583192 41067129 42191747 44516063 8384059 12556926 53142 46020 56538100 60653637 1341613 1371266 42915400 46200397 4312247 4135626 1052039 838143 49621299 52545432 X 6714859 7977776 201942 130429 6916801 8108205 56538100 60653637 X 278261 373170 539973 X X 0 1 X 1 0 X 693695 565881 114106 262059 111706 1747447 16999433 19010775 20364700 18407017 21015649 95797574 17693128 19576656 20478806 18669076 21127355 97545021 0 0 0 97545021 259155 449252 81689 166158 130173 1086427 259155 449252 81689 166158 130173 1086427 17952283 20025908 20560495 18835234 21257528 98631448 0.98900 0.98600 0.01100 0.01400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1172 449 723 0 10472006 228067 1048525 563003 49076 11136519 9459414 419981 995208 350000 52597 10472006 8705989 209791 580017 36383 9459414 8569657 428376 129249 350000 71293 8705989 8024973 73014 1146043 600000 74373 8569657 1.00000 0 1 1 273228 273228 79208769 38280423 40928346 1128570 543280 585290 4972625 2243426 2729199 44516063 CASH AND CASH EQUIVALENTS 6821286 F ACCRUED INTEREST 24662 F CORPORATE BONDS 1028350 F FOREIGN CORPORATE BONDS 1309037 F U.S. GOVERNMENT OBLIGATIONS 2958533 F FOREIGN GOVERNMENT OBLIGATIONS 127275 F MUTUAL FUNDS 287783 F 12556926 DEPOSITS 181500 INTEREST RATE SWAP 368860 EMPLOYEE BENEFIT LIABILITY 287783 838143 21900026 373170 256349 629519 21270507 0 21270507 20992246 0 20992246 0 20992246 PART IV, LINE 1B: PLYMOUTH HARBOR, INC. OFFERS A CASH MANAGEMENT SERVICE TO ITS HEALTHCARE RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESPECTIVE RESIDENT. PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUND IS HELD BY THE RELATED ORGANIZATION PLYMOUTH HARBOR ENDOWMENT FUND. THE BOARD OF TRUSTEES, WHICH SERVE BOTH THE FILING ORGANIZATION AND THE ENDOWMENT FUND, MAY DISTRIBUTE CORPUS OF THESE FUNDS AT ITS SOLE DISCRETION. THE INTENDED USE OF THE ENDOWMENT FUND MONIES IS EXCLUSIVELY FOR CHARITABLE ACTIVITIES CONDUCTED BY THE FILING ORGANIZATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF SWAP AGREEMENT X 1 1 X X X X 0 1 0 0 0 0 0 0 0 HARRY E HOBSON PRESIDENT - CEO 224904 0 0 0 0 0 65953 0 14950 0 305807 0 0 0 GARRY H JACKSON SR. VICE PRESIDENT - CFO 148513 0 0 0 0 0 0 0 7514 0 156027 0 0 0 GORDON OKAWA VP OF MARKETING/COMMON AFFAIRS 146326 0 0 0 0 0 0 0 7290 0 153616 0 0 0 PART I, LINE 4B PLYMOUTH HARBOR, INC. HAS AN EMPLOYEE DEFERRED COMPENSATION PLAN OPEN TO CERTAIN KEY EMPLOYEES UNDER INTERNAL SECTION 457(F) THAT IS A NON-TAX QUALIFIED RETIREMENT PLAN. THESE FUNDS REMAIN THE PROPERTY OF PLYMOUTH HARBOR, INC. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. KEY EXECUTIVE (HARRY HOBSON, CEO) PARTICIPATES IN THE DEFERRED COMPENSATION PLAN UNDER IRC SEC. 457(F); HOWEVER, HE DID NOT RECEIVE ANY CURRENT YEAR PAYMENTS FROM THE PLAN. THE TERMS AND CONDITIONS OF THE PLAN ARE AS FOLLOWS: THE VESTED DATE SHALL BE JANUARY 1, 2018 AT WHICH TIME THE CEO CAN RECEIVE THE BENEFIT IN FULL. IF THE CEO RESIGNS OR OTHERWISE TERMINATES EMPLOYMENT PRIOR TO THE VESTING DATE, OR EMPLOYMENT IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE VESTING DATE, THE CEO SHALL NOT BE ENTITLED TO ANY OF THE BENEFIT. IF EMPLOYMENT IS TERMINATED BY THE EMPLOYER OTHER THAN FOR CAUSE OR REASON OF DEATH OR PERMANENT DISABILITY OF THE CEO, THE CEO (OR HIS ESTATE, IN THE CASE OF DEATH) SHALL BE ENTITLED TO RECEIVE THE ENTIRE BENEFIT ACCRUED TO THE DATE OF TERMINATION. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS REVIEWED IN ITS ENTIRETY BY THE CHIEF FINANCIAL OFFICER. ANY QUESTIONS ARE RESOLVED WITH THE INDEPENDENT ACCOUNTING FIRM THAT PREPARES THE RETURN. IN ADDITION, A COPY IS PROVIDED TO EACH INDEPENDENT VOTING MEMBER OF THE BOARD FOR REVIEW BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS AND EMPLOYEES. NEW BOARD MEMBERS COMPLETE AND SUBMIT A SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT AT ORIENTATION. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SUBMIT A SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THESE STATEMENTS ARE REVIEWED BY THE BOARD PRESIDENT AND CHIEF EXECUTIVE OFFICER. ANY BOARD MEMBER HAVING A POSSIBLE OR ACTUAL CONFLICT OF INTEREST IS PROHIBITED FROM VOTING OR USING HIS/HER PERSONAL INFLUENCE ON THE MATTER, AND SHOULD NOT BE COUNTED AS PART OF A QUORUM FOR THE MEETING. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE, WHICH IS INDEPENDENT WITH RESPECT TO ALL COMPENSATION DECISIONS AND CONSISTS OF SEVERAL INDEPENDENT BOARD MEMBERS, AND AN INDEPENDENT CONSULTANT EVALUATE THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER. THE CEO PERFORMS ANNUAL EVALUATIONS OF OTHER TOP MANAGEMENT OFFICIALS. THE ORGANIZATION UTILIZES COMPARABILITY SURVEYS, CONDUCTED BY THE HUMAN RESOURCES DIRECTOR, TO DETERMINE THE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. THE PRESIDENT OF THE BOARD OF DIRECTORS REVIEWS THE EVALUATIONS AND PROVIDES WRITTEN APPROVAL OF COMPENSATION DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE FACILITY. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP AGREEMENT 256,349. NET ASSET TRANSFERRED TO/FROM RELATED PARTIES 283,624. FORM 990, PART XII, LINE 2C OVERSIGHT OF FINANCIAL STATEMENT AUDIT: THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE PLYMOUTH HARBOR FOUNDATION LLC 700 JOHN RINGING BLVD SARASOTA FL 34236 000000000 TO SUPPORT THE PLYMOUTH HARBOR FACILITY. FL 0 1541965 PLYMOUTH HARBOR INC PLYMOUTH HARBOR ENDOWMENT FUND 700 JOHN RINGING BLVD SARASOTA FL 34236 596231811 SUPPORT FOR PLYMOUTH HARBOR FACILITY FL 501(C)(3) LINE 11B, II PLYMOUTH HARBOR INC 1 PLYMOUTH HARBOR RESIDENTS 2003 ENDOWMENT FUND 700 JOHN RINGING BLVD SARASOTA FL 34236 306059708 SUPPORT FOR PLYMOUTH HARBOR FACILITY FL 501(C)(3) LINE 11B, II PLYMOUTH HARBOR INC 1 PLYMOUTH HARBOR POOLED INCOME FUND 700 JOHN RINGLING BLVD SARASOTA FL 34236 596749492 SUPPORT PLYMOUTH HARBOR FACILITY FL PLYMOUTH HARBOR INC T 9 3990 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PLYMOUTH HARBOR ENDOWMENT FUND C 2000000 FAIR MARKET VALUE