2021-10-04T12:09:31-05:00 2020-12-31 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2020-01-01 592555812 LIFE CARE PONTE VEDRA INC LIFE 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 D BRUCE JONES CEO 9042731701 2021-10-04 1 D BRUCE JONES 999009999 COURTNEY HOGBEN P01619105 4077405400 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z VICAR'S LANDING D BRUCE JONES 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 26399318 0 X WWW.VICARSLANDING.COM X 1983 FL OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY TO PROVIDE HOUSING AND SERVICES TO RESIDENTS. 8 8 441 8 0 0 19950 1789756 22821083 24008003 1047040 601559 0 0 23888073 26399318 30329 47836 0 0 8470720 9111579 0 0 0 14881894 16249472 23382943 25408887 505130 990431 71347884 123942658 105654944 155907542 -34307060 -31964884 THE MISSION OF LIFE CARE PONTE VEDRA, INC. IS TO PROVIDE FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE AND FINANCIAL SECURITY NEEDS OF THE ELDERLY THROUGH THE OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY KNOWN AS VICAR'S LANDING. 0 0 22411234 47836 24008003 THE RETIREMENT COMMUNITY CONSISTS OF 227 INDEPENDENT RESIDENTIAL UNITS, 38 ASSISTED LIVING UNITS, AND A 60-BED SKILLED NURSING CENTER. THE ORGANIZATION 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 PRIVILEGE OF VICAR'S LANDING FOR LIFE, INCLUDING CERTAIN NURSING SERVICES IN THE ORGANIZATION'S SKILLED NURSING FACILITY. 22411234 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 41 0 1 441 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DARREN ROY 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 D BRUCE JONES CHIEF EXECUTIVE OFFICER 37.00 3.00 X 0 266978 19362 DALE PIRKLE CHIEF OPERATING OFFICER 39.00 1.00 X 0 203161 440 THERESA M CROSBY DIRECTOR OF SALES AND MARKETING 40.00 0.00 X 149725 0 8071 CANDACE BOWLING CHIEF FINANCIAL OFFICER (END 5/2020) 39.00 1.00 X 0 71250 6549 DARREN ROY CHIEF FINANCIAL OFFICER (BEG 8/2020) 39.00 1.00 X 0 58490 1009 ROB STURSBERG CHAIR 2.00 1.00 X X 0 0 0 MARK BONNER BOARD MEMBER 1.00 1.00 X 0 0 0 TOM REEDER BOARD MEMBER 1.00 1.00 X 0 0 0 ROB OHNO BOARD MEMBER 1.00 1.00 X 0 0 0 KENT NEW BOARD MEMBER 1.00 1.00 X 0 0 0 JIM CLARK BOARD MEMBER 1.00 1.00 X 0 0 0 TOM FRANKLAND BOARD MEMBER 1.00 1.00 X 0 0 0 CHRISTINE NG BOARD MEMBER 1.00 1.00 X 0 0 0 149725 599879 35431 1 0 1 0 RLPS LLC 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTURAL SERVICES 2605456 MARVIN MCKENZIE ROSS 2505 SAINT LEGER DRIVE JACKSONVILLE FL 32208 CONSTRUCTION SERVICES 1404444 SMART SOLUTIONS CONSTRUCTION GROUP 3038 PESCARA DRIVE JACKSONVILLE FL 32246 CONSTRUCTION SERVICES 1045656 LCPS MANAGEMENT INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 MANAGEMENT SERVICES 950558 UMBRELLA IT SOLUTIONS LLC 880 SAILFISH DRIVE EAST ATLANTIC BEACH FL 32233 IT SUPPORT SERVICES 349989 5 1739756 50000 1789756 RESIDENTIAL SERVICE FEES 623000 14270397 14270397 EARNED ENTRANCE FEES 623000 5153488 5153488 HEALTHCARE SERVICE FEES 623000 2239345 2239345 ASSISTED LIVING SERVICE FEES 623000 1732931 1732931 HOME HEALTH SERVICE FEES 623000 611842 611842 24008003 350583 350583 250976 0 250976 250976 250976 26399318 24008003 0 601559 18150 18150 29686 29686 7292518 6882077 410441 145908 137696 8212 1125666 1062551 63115 547487 507132 40355 950558 364006 586552 103509 103509 65965 65965 130814 130814 502857 406482 96375 55224 2285 52939 29203 29203 502687 502687 2700433 2403410 297023 8293 352 7941 31450 13314 18136 777414 771590 5824 7947090 7743225 203865 332338 132325 200013 FOOD AND BEVERAGE 1258761 1258761 SUPPLIES AND EQUIPMENT 690308 654139 36169 EMPLOYEE RELATIONS 82411 19255 63156 OTHER TAXES AND FEES 59908 59908 20249 4798 15451 25408887 22411234 2997653 0 2601737 2983652 791889 876652 460254 417321 99420 117868 519615 363047 104287520 53425094 42682933 50862426 13877295 27329309 329905 174832 9984836 40817551 71347884 123942658 1329895 1209604 74220341 70635365 26085800 24288213 1600000 10683896 2418908 49090464 105654944 155907542 X -34307060 -31964884 -34307060 -31964884 71347884 123942658 X 990431 1810637 -458892 X X 0 1 X 1 0 X 422637 1517673 138190 19462 1789756 3887718 20644045 22101437 21780370 22821083 24008003 111354938 21066682 23619110 21918560 22840545 25797759 115242656 0 0 0 115242656 254666 290114 264692 471088 350583 1631143 254666 290114 264692 471088 350583 1631143 285246 315160 600406 21321348 24194470 22498412 23311633 26148342 117474205 0.98100 0.98080 0.01390 0.01380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7076238 7076238 68615574 41362034 27253540 19613795 11422074 8191721 8981913 640986 8340927 50862426 CASH AND CASH EQUIVALENTS 7559363 F COMMON STOCKS 6400261 F MUTUAL FUNDS 13369685 F 27329309 ENTRANCE FEES RECEIVABLE 120150 DUE FROM RELATED PARTY 3697 RIGHT OF USE LEASE ASSET 40693704 40817551 ENTRANCE FEE AND WAIT LIST DEPOSITS 4206898 INTEREST RATE SWAP LIABILITY 769788 ENTRANCE FEE REFUND PAYABLE 1915200 CAPTIAL LEASE LIABILITY 42198578 49090464 X 27656627 1810637 -422514 1388123 26268504 130814 130814 26399318 25296223 18150 18150 25278073 130814 130814 25408887 PART X, LINE 2: LCPV AND THE FOUNDATION HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. OAK BRIDGE IS A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES. ACCORDINGLY, INCOME EARNED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES, AND, THEREFORE, THESE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -458,892. REVENUE OF SUBSIDIARY INCLUDED IN AUDITED FINANCIAL STATEMENTS 36,378. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF SUBSIDIARY INCLUDED IN AUDITED FINANCIAL STATEMENTS 18,150. 1 VICAR'S LANDING FOUNDATION INC 1000 VICARS LANDING WAY PONTE VEDRA FL 32082 821479221 501(C)(3) 18150 GENERAL SUPPORT 1 0 RESIDENT BENEVOLENCE 2 29686 PART I, LINE 2: GRANTS ARE GENERALY MADE ONLY TO ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) AND RESIDENTS OF THE FILING ORGANIZATION'S CONTINUING CARE RETIREMENT COMMUNITY. ACCORDINGLY, THE FILING ORGANIZATION HAS NOT ESTABLISHED SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES AS THE FILING ORGANIZATION DOES NOT HAVE A GRANT MAKING PROGRAM THAT WOULD NECESSITATE SUCH PROCEDURES. 0 0 0 0 0 0 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 0 262178 0 0 0 4800 0 11291 0 8071 0 286340 0 0 DALE PIRKLE CHIEF OPERATING OFFICER 0 195361 0 0 0 7800 0 0 0 440 0 203601 0 0 THERESA M CROSBY DIRECTOR OF SALES AND MARKETING 149725 0 0 0 0 0 0 0 8071 0 157796 0 0 0 PART I, LINE 3 THE FILING ORGANIZATION'S OFFICERS ARE COMPENSATED BY A RELATED 501(C)(3) ORGANIZATION, LCPS MANAGEMENT, INC. THE FOLLOWING METHODS ARE UTILIZED BY LCPS MANAGEMENT, INC. TO ESTABLISH COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER: - COMPENSATION COMMITTEE; AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. A ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 2016-11-17 15725000 SEE SUPPLEMENTAL INFORMATION 0 0 0 B ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 2014-01-01 8000000 SEE SUPPLEMENTAL INFORMATION 0 0 0 C ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 2014-01-01 8000000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 2439800 15725000 1016428 361875 1200026 13146672 2016 1 0 1 1 B 2348750 8000000 642851 365550 6991599 2014 0 0 1 1 C 2348750 8000000 507747 7492253 2014 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 0 1 1 1 COMPASS BANK 10.200000000000 0 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 0 0 1 1 1 COMPASS BANK 10.000000000000 0 0 0 0 0 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2020 ISSUER NAME: ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/12/2014 ISSUER NAME: ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/12/2014 SCHEDULE K, ROW A, PART I(F) PURPOSE OF SERIES 2016 BONDS: IN NOVEMBER 2016, THE ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY ISSUED ON BEHALF OF THE ORGANIZATION $15,725,000 HEALTH CARE REVENUE AND REVENUE REFUNDING BONDS (THE "SERIES 2016 BONDS") TO REFUND THE SERIES 2007 BONDS, PAY FOR CERTAIN CAPITAL IMPROVEMENTS, AND PAY CERTAIN COSTS OF ISSUING THE SERIES 2016 BONDS. THE SERIES 2016 BONDS ARE COLLATERALIZED BY ASSETS IN TRUST, A MORTGAGE ON THE PROPERTY AND EQUIPMENT, AND GROSS REVENUES OF THE ORGANIZATION. SCHEDULE K, ROW A ADDITIONAL INFORMATION RELATED TO BOND ISSUANCE: ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY REVENUE REFUNDING BONDS, SERIES 2016, PRINCIPAL AND INTEREST PAYMENTS ON THE SERIES 2016 BONDS ARE PAYABLE MONTHLY THROUGH MATURITY IN FEBRUARY 2037. THE SERIES 2016 BONDS HAVE AN ANNUAL VARIABLE INTEREST RATE EQUAL TO THE SUM OF 65% OF LIBOR PLUS 1.23% (1.6875% AT DECEMBER 31, 2016), WITH A TENDER OF OUTSTANDING PRINCIPAL AND ACCRUED INTEREST EXERCISABLE BY THE REGISTERED OWNER IN FEBRUARY 2027. THE ORGANIZATION ENTERED INTO A VARIABLE-TO-FIXED INTEREST RATE SWAP AGREEMENT TO EFFECTIVELY FIX THE ANNUAL INTEREST RATE ON THE SERIES 2016 BONDS AT 2.76%. SCHEDULE K, ROW B AND C, PART I(F) PURPOSE OF SERIES 2014A AND 2014B BONDS: IN JANUARY 2014, THE ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY ISSUED ON BEHALF OF THE ORGANIZATION $8,000,000 HEALTH CARE REVENUE BONDS (THE "SERIES 2014A BONDS") AND NOT TO EXCEED $8,000,000 HEALTH CARE REVENUE BONDS (THE "SERIES 2014B BONDS"), COLLECTIVELY, THE "SERIES 2014 BONDS," FOR RENOVATIONS AND CAPITAL IMPROVEMENTS TO THE VICAR'S LANDING CAMPUS, TO FUND A DEBT SERVICE RESERVE ACCOUNT, AND TO PAY CERTAIN COSTS OF ISSUING THE SERIES 2014 BONDS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS LIFE CARE PASTORAL SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATION'S SOLE MEMBER, LIFE CARE PASTORAL SERVICES, INC., HAS THE POWER TO ELECT ALL BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE APPROVAL OF THE SOLE MEMBER, LIFE CARE PASTORAL SERVICES, INC., SHALL BE REQUIRED FOR A NUMBER OF ACTIONS BY THE BOARD, AS WRITTEN WITHIN THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B COPY OF FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THERE IS A YEARLY REVIEW AT THE BOARD LEVEL WHERE EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST POLICY AND DECLARES ANY CONFLICT. ADDITIONALLY, THERE IS A CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK, AND IT IS REVIEWED WITH THE DEPARTMENT HEADS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS OF LIFE CARE PONTE VEDRA, INC. ARE COMPENSATED BY LCPS MANAGEMENT, INC., A RELATED 501(C)(3) ORGANIZATION. THE COMPENSATION COMMITTEE OF THE LCPS MANAGEMENT, INC. BOARD OF DIRECTORS REVIEWS ACCOMPLISHMENTS AGAINST OBJECTIVES AND DETERMINES THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -458,892. FORM 990, PART XII, LINE 2C OVERSIGHT OF AUDIT: THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. VICAR'S LANDING AT OAK BRIDGE LLC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 611890513 DEVELOPMENT OF COMMUNITY EXPANSION FL 0 51247065 LIFE CARE PONTE VEDRA INC LIFE CARE PASTORAL SERVICES INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 593480191 HOLDING ORGANIZATION FL 501(C)(3) LINE 12A, I N/A 0 LCPS MANAGEMENT INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 593474336 MANAGEMENT SERVICES FL 501(C)(3) LINE 12C, III-FI LIFE CARE PASTORAL SERVICES INC 0 LEND AN EAR OUTREACH INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 474712577 PROVISION OF HEARING DEVICES TO THE NEEDY FL 501(C)(3) LINE 7 LIFE CARE PASTORAL SERVICES INC 0 VICAR'S LANDING FOUNDATION INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 821479221 FUNDRAISING FL 501(C)(3) LINE 7 LIFE CARE PONTE VEDRA INC 1 VICAR'S LANDING HOME HEALTH AGENCY INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 823990076 HOME HEALTH AGENCY FL 501(C)(3) LINE 10 LIFE CARE PASTORAL SERVICES INC 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0