2021-08-11T14:20:38-05:00 2020-09-30 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2019-10-01 590737904 ST JOHNS COUNTY WELFARE FEDERATION STJO 9048293475 161 MARINE STREET ST AUGUSTINE FL 32084 DR LARRY LAKE EXECUTIVE DIRECTOR 9048293475 2021-08-11 1 COURTNEY HOGBEN P01619105 4077405400 2019 2022-09-23 18:48:47Z BAYVIEW HEALTHCARE DR LARRY LAKE 161 MARINE STREET ST AUGUSTINE FL 32084 14359696 0 X WWW.BAYVIEWHEALTHCARE.ORG X 1976 FL OPERATION OF A 120-BED SKILLED NURSING FACILITY AND AN ASSISTED LIVING FACILITY. 10 10 257 10 0 0 400918 214216 14231804 14079983 24960 9094 38358 56403 14696040 14359696 0 0 0 0 9818902 9480149 0 0 0 6051750 6279896 15870652 15760045 -1174612 -1400349 10467963 11336304 15135899 17404589 -4667936 -6068285 THE ORGANIZATION'S EXEMPT PURPOSE IS TO CONDUCT CHARITABLE AND GENERAL WELFARE SERVICES THROUGHOUT ST. JOHNS COUNTY, FLORIDA. IT OPERATES A 120-BED SKILLED NURSING FACILITY AND ONE ASSISTED LIVING FACILITY. 0 0 13989343 14136386 THE ORGANIZATION OPERATES A 120-BED SKILLED NURSING FACILITY AND AN ASSISTED LIVING FACILITY THAT PROVIDES HOUSING AND MEDICAL CARE TO ELDERLY RESIDENTS. THERE WERE 36,520 RESIDENT DAYS DURING THE CURRENT YEAR. 13989343 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 43 0 1 257 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JIM NORMAN 9045841562 161 MARINE STREET ST AUGUSTINE FL 32084 DR LARRY LAKE EXECUTIVE DIRECTOR 40.00 1.00 X 148450 0 87078 SHELLYE NUTTER DIRECTOR OF NURSING 40.00 0.00 X 125450 0 8426 JAMES NORMAN VP FINANCE 40.00 1.00 X 110373 0 8467 MARK F BAILEY PRESIDENT 2.00 1.00 X X 0 0 0 JOSEPH L BOLES JR VICE PRESIDENT 2.00 1.00 X X 0 0 0 DR WILLIAM T ABARE SECRETARY/TREASURER 2.00 1.00 X X 0 0 0 JEROD MEEKS MEMBER 1.00 1.00 X 0 0 0 OTIS MASON MEMBER 1.00 1.00 X 0 0 0 JOE GORDY MEMBER 1.00 1.00 X 0 0 0 JASON BARRETT MEMBER 1.00 1.00 X 0 0 0 DR TODD BATTENHORST MEMBER 1.00 1.00 X 0 0 0 DR JOHN PRIOLEAU MEMBER 1.00 1.00 X 0 0 0 MRS NANGELA PULSFUS MEMBER 1.00 1.00 X 0 0 0 384273 0 103971 3 0 1 0 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 PHYSICAL THERAPY SERVICE 1990962 PHARMERICA 735 W STATE RD 434 LONGWOOD FL 32750 PHARMACEUTICAL SERVICES 581405 2 94558 119658 214216 NET RESIDENT SERVICE REVENUE 623000 14048127 14048127 OTHER RESIDENT REVENUE 623000 31856 31856 14079983 9094 9094 EQUITY EARNINGS IN JOINT VENTURE 623000 56403 56403 56403 14359696 14136386 0 9094 392618 392618 6525399 6170754 354645 22213 19798 2415 2036629 1815171 221458 503290 448564 54726 46103 46103 42500 42500 180846 180846 20612 20612 150679 7785 142894 355780 153016 202764 959723 919159 40564 46491 46491 726049 713553 12496 400715 393818 6897 682349 641409 40940 MEDICAL SUPPLIES 1032503 1032503 DIETARY SERVICES 667223 667223 QUALITY ASSESSMENT FEE 633992 633992 SUPPLIES AND EQUIPMENT 241827 116346 125481 92504 28915 63589 15760045 13989343 1770702 0 283323 105763 77359 1704923 1390178 1242646 42921 48819 40969 108802 16773352 10517212 6600371 6256140 1744679 1524645 288163 344566 10467963 11336304 2755285 2816346 2463776 11905479 11655732 72 34564 463215 392438 11848 41733 15135899 17404589 X -4667936 -6068285 -4667936 -6068285 10467963 11336304 -1400349 0 X X 0 1 X 1 0 X 312757 876693 485499 400918 214216 2290083 16549163 16742286 14868529 14231804 14136386 76528168 16861920 17618979 15354028 14632722 14350602 78818251 0 0 0 78818251 833 2168 14025 24960 9094 51080 833 2168 14025 24960 9094 51080 123945 37565 57700 38358 257568 16986698 17658712 15425753 14696040 14359696 79126899 0.99610 0.99600 0.00060 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 64685 58891 123576 0 75391 75391 12476795 7702835 4773960 740000 142550 597450 3476336 2671827 804509 4830 4830 6256140 CASH AND MONEY MARKET FUNDS 1524645 F 1524645 SECURITY DEPOSITS 2455 UNCLAIMED PROPERTY 8393 DUE TO OTHERS 30885 41733 X 14359696 0 14359696 0 14359696 15760045 0 15760045 0 15760045 PART IV, LINE 1B: BAYVIEW HEALTHCARE OFFERS A CASH MANAGEMENT SERVICE TO ITS HEALTHCARE RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESPECTIVE RESIDENT, TO BE DISBURSED ONLY AS REQUESTED AND, ACCORDINGLY, THE FUNDS ARE EXCLUDED FROM BAYVIEW HEALTHCARE'S FINANCIAL STATEMENTS. BAYVIEW HEALTHCARE HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. AT SEPTEMBER 30, 2020 AND 2019, THE BALANCES OF THESE FUNDS WERE APPROXIMATELY $124,000 AND $65,000, RESPECTIVELY. PART X, LINE 2: ST. JOHN'S COUNTY WELFARE FEDERATION, D/B/A BAYVIEW HEALTHCARE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, BAYVIEW HEALTHCARE QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). ACCORDINGLY, THESE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION OR LIABILITY FOR INCOME TAXES. X 1 1 X X 0 0 0 0 0 0 0 0 0 DR LARRY LAKE EXECUTIVE DIRECTOR 148450 0 0 0 0 0 0 0 87078 0 235528 0 0 0 PART I, LINE 1A A HOUSING ALLOWANCE IS PROVIDED TO THE EXECUTIVE DIRECTOR AND TREATED AS A NONTAXABLE BENEFIT. THIS BENEFIT WAS APPROVED BY THE BOARD OF DIRECTORS. A ST JOHN'S COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 70939NAY4 2007-02-22 14335000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 2380000 14033417 907572 11168543 57300 1000000 900000 2007 0 1 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ST. JOHN'S COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/29/2013 SCHEDULE K, PART I, COLUMN F PROCEEDS FROM THE SERIES 2007 BONDS WERE USED TO PAY ISSUANCE COSTS, REFUND AND DEFEASE THE SERIES 1997 BONDS, PROVIDE WORKING CAPITAL, AND TO PAY THE COSTS OF CAPITAL IMPROVEMENTS. SCHEDULE K, PART I(C) CUSIP NO. 79039NAW8, $1,865,000 5.00% TERM BONDS DUE OCTOBER 1, 2017 CUSIP NO. 79039NAX6, $3,205,000 5.20% TERM BONDS DUE OCTOBER 1, 2027 CUSIP NO. 79039NAY4, $9,265,000 5.25% TERM BONDS DUE OCTOBER 1, 2041 SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS FOR SERIES 2007 BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E), THE DIFFERENCES ARE AS FOLLOWS: ORIGINAL ISSUE DISCOUNT OF $73,657 AND UNDERWRITER'S DISCOUNT OF $227,926. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT. THE EXECUTIVE DIRECTOR CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 AND A COPY OF THE RETURN IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ITS ANNUAL DISCLOSURE PROCESS. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE, COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER AND OTHER TOP MANAGEMENT OFFICIALS. THE COMPENSATION COMMITTEE IS INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING CONSIDERED. THE COMMITTEE UTILIZES COMPARABILITY SURVEYS TO DETERMINE COMPENSATION. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. CARING HANDS CARING COMMUNITY INC PO BOX 1379 ST AUGUSTINE FL 32085 201281263 TO SUPPORT ST. JOHNS COUNTY WELFARE'S PROGRAMS AND PURPOSE FL 501(C)(3) LINE 12B, II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0