2019-08-14T09:48:57-05:00 2018-12-31 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2018-01-01 593474336 LCPS MANAGEMENT INC LCPS 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 D BRUCE JONES CHIEF EXECUTIVE OFFICER 9042731701 2019-08-14 1 NORMAN B NEAL CPA P00071411 4077405400 68.95.178.125 2019-08-14 10:43:17 ED P AA06F16595B971911646E1ABD4EF9FD1205D715B AA06F16595B971911646E1ABD4EF9FD1205D715B 2018 2020-03-31 21:24:44Z D BRUCE JONES 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 1112131 0 X N/A X 1997 FL TO PROVIDE A FULL RANGE OF OPERATIONAL MANAGEMENT SERVICES TO ORGANIZATIONS OPERATING CONTINUING CARE RETIREMENT COMMUNITIES AND OTHER ORGANIZATIONS PROVIDING LONG-TERM CARE. 14 14 6 14 0 0 0 0 1387120 1106084 709 -41832 0 0 1387829 1064252 168971 3000 0 0 805761 958298 0 0 26839 -5336 -111042 969396 850256 418433 213996 991354 1670333 81825 546808 909529 1123525 TO PROVIDE A FULL RANGE OF OPERATIONAL MANAGEMENT SERVICES TO ORGANIZATIONS OPERATING CONTINUING CARE RETIREMENT COMMUNITIES AND OTHER ORGANIZATIONS PROVIDING LONG-TERM CARE. 0 0 182026 3000 1058205 MANAGEMENT SUPPORT SERVICES PROVIDED TO AFFILIATED ORGANIZATIONS: LIFE CARE PONTE VEDRA, INC., VICAR'S LANDING HOME HEALTH AGENCY, INC. AND LEND AN EAR OUTREACH, INC. 182026 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 6 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X D BRUCE JONES 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 BRUCE VORSANGER BOARD CHAIR 2.00 6.00 X X 0 0 0 GEORGE FETHERSTON VICE CHAIR 1.00 5.00 X X 0 0 0 WILLIAM J MURDOCK III BOARD MEMBER 1.00 1.00 X 0 0 0 GERALD REYNOLDS BOARD MEMBER 1.00 1.00 X 0 0 0 TOM REEDER BOARD MEMBER 0.00 1.00 X 0 0 0 JOHN STROM BOARD MEMBER 1.00 2.00 X 0 0 0 MARK BONNER BOARD MEMBER 1.00 2.00 X 0 0 0 RODNEY BRACE BOARD MEMBER 1.00 2.00 X 0 0 0 ROBERT OHNO BOARD MEMBER 0.00 1.00 X 0 0 0 RICHARD KOHLER BOARD MEMBER 1.00 3.00 X 0 0 0 KENT NEW BOARD MEMBER 0.00 1.00 X 0 0 0 SHARON HENDERSON BOARD MEMBER 1.00 2.00 X 0 0 0 STEVE CROSBY BOARD MEMBER 1.00 2.00 X 0 0 0 JIM CLARK BOARD MEMBER 0.00 2.00 X 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 30.00 10.00 X 223662 0 16943 DALE PIRKLE CHIEF OPERATING OFFICER 2.00 38.00 X 164607 0 595 CANDACE BOWLING CHIEF FINANCIAL OFFICER 10.00 30.00 X 128880 0 13363 KENDALL BRYAN DIRECTOR OF HEALTH SERVICES 1.00 39.00 X 118774 0 12228 KIMBERLY BROWN PROGRAMS MANAGER 1.00 44.70 X 109852 0 3565 745775 0 46694 5 0 1 0 0 MANAGEMENT CONTRACT 623000 965943 965943 SHARED SERVICES 623000 117741 117741 APPLICATION FEES 623000 22400 22400 1106084 6047 6047 47879 -47879 -47879 -47879 1064252 1058205 0 6047 3000 3000 548050 181037 351679 15334 343476 114269 219715 9492 10101 2592 7193 316 56671 17319 37655 1697 19192 19192 -190724 -190724 8551 2594 5957 21291 21291 6084 6084 EMPLOYEE RELATIONS 10040 10040 MISCELLANEOUS 9524 9524 COMMUNITY EVENTS 5000 5000 850256 182026 641391 26839 981481 473078 754824 913 8960 442431 991354 1670333 81825 107956 0 438852 81825 546808 X 909529 1123525 909529 1123525 991354 1670333 213996 0 X 0 0 0 X X X 3 LIFE CARE PONTE VEDRA INC 592555812 10 0 0 0 VICAR'S LANDING HOME HEALTH AGENCY INC 823990076 10 0 0 0 LEND AN EAR OUTREACH INC 454712577 10 0 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 PART IV, SECTION E, LINE 2A: LCPS MANAGEMENT, INC. PROVIDED A FULL RANGE OF MANAGEMENT SERVICES TO LIFE CARE PONTE VEDRA, INC. D/B/A VICAR'S LANDING (EIN: 59-2555812). THIS ASSISTED THE ORGANIZATION IN PROVIDING FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE, AND FINANCIAL SECURITY NEEDS OF THE RESIDENTS OF VICAR'S LANDING. PART IV, SECTION E, LINE 2B: LIFE CARE PONTE VEDRA, INC. D/B/A VICAR'S LANDING (EIN: 59-2555812) WOULD BE ENGAGED IN THE ACITIVITES OF PROVIDING FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE, AND FINANCIAL SECUIRTY NEEDS OF IT'S RESIDENTS. THE INVOLVEMENT OF LCPS MANAGEMENT, INC. IS PROVIDING MANAGEMENT SERVICES THAT COULD BE PROVIDED INTERNALLY BY LIFE CARE PONTE VEDRA, INC. D/B/A VICAR'S LANDING OR FROM A THIRD PARTY THAT IS UNRELATED TO VICAR'S LANDING. 0 DUE DILIGENCE 442431 442431 DUE TO/FROM VICAR'S LANDING AND RRI 438852 438852 0 LEND AN EAR OUTREACH 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 454712577 501(C)(3) 12878 FREE/DISCOUNTED HEARING AIDS FOR FINANCIALLY DISTRESSED VICAR'S LANDING 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 592555812 501(C)(3) 6439 EMERGENCY ASSISTANCE FOR EMPLOYEES MEMBERS TRUST OF VICAR'S LANDING 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 733159809 501(C)(3) 6439 SCHOLARSHIPS FOR EMPLOYEES X 0 0 0 0 0 0 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 214062 0 0 0 9600 0 8829 0 8114 0 240605 0 0 0 DALE PIRKLE CHIEF OPERATING OFFICER 156807 0 0 0 7800 0 0 0 595 0 165202 0 0 0 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 A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY VIA EMAIL FOR REVIEW PRIOR TO BEING 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 DEPATRTMENT HEADS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS ACCOMPLISHMENTS AGAINST OBJECTIVES AND DETERMINES THE COMPENSATION OF EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIALS & KEY EMPLOYEES. 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. LIFE CARE PONTE VEDRA INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 592555812 CONTINUING CARE RETIREMENT COMMUNITY FL 501(C)(3) LINE 11 LIFE CARE PASTORAL SERVICES 1 LIFE CARE PASTORAL SERVICES INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 593480191 HOLDING COMPANY FL 501(C)(3) LINE 12B, II LIFE CARE PASTORAL SERVICES 1 LEND AN EAR OUTREACH INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 454712577 CONTINUING CARE RETIREMENT COMMUNITY FL 501(C)(3) LINE 10 LIFE CARE PASTORAL SERVICES 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 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0