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 592555812 LIFE CARE PONTE VEDRA INC LIFE 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 D BRUCE JONES CEO 9042731701 2019-08-14 1 NORMAN B NEAL CPA P00071411 4077405400 68.95.178.125 2019-08-14 10:41:33 ED P AA06F16595B971911646E1ABD4EF9FD1205D715B AA06F16595B971911646E1ABD4EF9FD1205D715B 2018 2019-02-21 02:37:17Z VICAR'S LANDING D BRUCE JONES 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 23196215 0 X WWW.VICARSLANDING.COM X 1983 FL TO PROVIDE FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE AND FINANCIAL SECURITY NEEDS OF THE RESIDENTS OF VICAR'S LANDING. 8 8 462 132 0 0 1399546 138190 22101437 21780370 843148 307237 285246 315160 24629377 22540957 6971 229127 0 0 9632436 8424599 0 0 0 13566602 14512963 23206009 23166689 1423368 -625732 73959897 70568009 108331870 107508271 -34371973 -36940262 X TO PROVIDE FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE AND FINANCIAL SECURITY NEEDS OF THE RESIDENTS OF VICAR'S LANDING. 0 1 20659877 229127 21780370 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. THE OCCUPANCY AGREEMENT DOES NOT ENTITLE THE RESIDENTS TO AN INTEREST IN THE REAL ESTATE OR ANY PROPERTY OWNED BY THE ORGANIZATION. 20659877 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 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 0 1 1 0 0 0 1 48 0 1 462 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 1 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 JUDITH HAM CHAIR 4.00 0.00 X X 0 0 0 GEORGE FETHERSTON VICE CHAIR 4.00 2.00 X X 0 0 0 THOMAS REEDER BOARD MEMBER 1.00 0.00 X 0 0 0 BRUCE BARBER BOARD MEMBER 0.50 2.00 X 0 0 0 MARK BONNER BOARD MEMBER 1.00 2.00 X 0 0 0 ROBERT K OHNO BOARD MEMBER 1.00 0.00 X 0 0 0 DICK KOHLER BOARD MEMBER 2.00 2.00 X 0 0 0 KENT NEW BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES CLARK BOARD MEMBER 1.00 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 BRUCE VORSANGER BOARD MEMBER 2.00 6.00 X 0 0 0 JOHN STROM BOARD MEMBER 1.00 2.00 X 0 0 0 RODNEY BRACE BOARD MEMBER 1.00 2.00 X 0 0 0 GERRY REYNOLDS BOARD MEMBER 0.00 2.00 X 0 0 0 WILLIAM MURDOCK BOARD MEMBER 0.00 2.00 X 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 20.00 20.00 X 0 223662 16943 DALE PIRKLE CHIEF OPERATING OFFICER 33.10 6.90 X 0 164607 595 CANDACE BOWLING CHIEF FINANCIAL OFFICER 23.50 16.50 X 0 128880 13363 KENDALL BRYAN DIRECTOR OF HEALTH SERVICES 32.00 8.00 X 0 118774 12228 KIMBERLY BROWN PROGRAMS MANAGER 13.10 32.60 X 0 109852 3565 0 745775 46694 3 0 1 0 MARVIN MC KENZIE ROSS 2505 SAINT LEGER DRIVE JACKSONVILLE FL 32208 CONSTRUCTION SERVICES 1482883 GUSTAVO A MAZUERA 8959 BRIDGE CREEK DRIVE JACKSONVILLE FL 32244 CONSTRUCTION SERVICES 574965 BRIGHTVIEW LANDSCAPE SERVICES INC PO BOX 404083 ATLANTA GA 30384 LANDSCAPING SERVICES 311141 A ALEXIS VARELA INC 1865 EVERLEE ROAD JACKSONVILLE FL 32216 CONSTRUCTION SERVICES 250457 UMBRELLA IT SOLUTIONS LLC 880 SAILFISH DRIVE EAST ATLANTIC BEACH FL 32233 IT SERVICES 216076 15 138190 138190 RESIDENTIAL SERVICE FE 623000 13591806 13591806 EARNED ENTRANCE FEES 623000 3762608 3762608 HEALTHCARE SERVICE FEE 623000 2665221 2665221 ASSISTED LIVING SERVIC 623000 1760735 1760735 21780370 264692 264692 685303 12500 0 655258 685303 -642758 42545 42545 INTEREST RATE SWAP 900000 205160 205160 GAIN FROM INSURANCE PR 900000 110000 110000 315160 22540957 21780370 0 622397 172463 172463 56664 56664 6748274 6362367 385907 1175574 1108691 66883 500751 463274 37477 900971 326659 574312 89373 89373 80984 80984 625450 199331 426119 69353 1076 68277 93364 51607 41757 2414569 2388073 26496 37659 1876 35783 39505 17654 21851 951486 944572 6914 6509312 6460550 48762 702920 290088 412832 FOOD AND BEVERAGE 1212417 1212417 SUPPLIES 484948 484948 EMPLOYEE RELATIONS 79349 16713 62636 ELECTRICAL/PLUMBING 78053 78053 143250 22801 120449 23166689 20659877 2506812 0 276037 258936 3966770 2600451 391095 314486 87910 94023 602390 496861 91234446 46704070 47208506 44530376 12002613 12241235 9424576 10031641 73959897 70568009 1399664 1534083 76466963 77655446 28373830 27532300 2091413 786442 108331870 107508271 X -34371973 -36940262 -34371973 -36940262 73959897 70568009 -625732 -1938914 -3643 0 X X 0 1 X 1 0 X 410666 359184 422637 1517673 138190 2848350 18805200 19970508 20644045 22101437 21780370 103301560 19215866 20329692 21066682 23619110 21918560 106149910 0 0 0 106149910 361774 262521 254666 290114 264692 1433767 361774 262521 254666 290114 264692 1433767 285246 315160 600406 19577640 20592213 21321348 24194470 22498412 108184083 0.98120 0.98250 0.01330 0.01470 X 4602692 4602692 67573001 36429300 31143701 18411064 9925594 8485470 647689 349176 298513 44530376 CASH AND CASH EQUIVALENTS 1060678 F COMMON STOCKS 3717660 F FIXED INCOME - NONGOVERNMENT OBLIGATIONS 4415295 F FIXED INCOME - EQUITIES 3047078 F ACCRUED INTEREST 524 F 12241235 ASSETS WHOSE USE IS LIMITED 8842731 ENTRANCE FEES RECEIVABLE 269607 DUE TO/FROM 268621 INTEREST RATE SWAP 186757 FINANCING COSTS 463925 10031641 ENTRANCE FEE AND WAIT LIST DEPOSITS 786442 786442 21038661 -1938914 -96140 -2035054 23073715 -532758 -532758 22540957 23699447 532758 532758 23166689 0 23166689 PART XI, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION - CONTRIBUTIONS -96,140. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN/LOSS ON DISPOSAL OF FIXED ASSETS -642,758. GAIN FROM INSURANCE 110,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES - FOUNDATION GAIN/LOSS ON DISPOSAL OF FIXED ASSETS 642,758. GAIN FROM INSURANCE -110,000. 1 VICAR'S LANDING HOME HEALTH AGENCY 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 823990076 501(C)3 159588 TO CONTRIBUTE WHEN THE ORGANIZATION BROKE OUT AS A SEPARATE ENTITY ST JOHNS COUNTY COUNCIL ON AGING 180 MARINE STREET ST AUGUSTINE FL 32084 591525829 12500 FMV 2013 TOYOTA VENZA TO ASSIST WITH THE MEALS ON WHEELS PROGRAM MEMBER BENEVOLENCE 2 56664 BOOK X 0 0 0 0 0 0 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 0 214062 0 0 0 9600 0 8829 0 8114 0 240605 0 0 DALE PIRKLE CHIEF OPERATING OFFICER 0 156807 0 0 0 7800 0 0 0 595 0 165202 0 0 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 1200200 15725000 1016428 361875 1200026 13146672 2016 1 0 1 1 B 1496250 8000000 642851 365550 6991599 2014 0 0 1 1 C 1496250 8000000 507747 7492253 2014 0 0 1 1 A 0 1 0 0 1 1 COMPASS BANK 10.200000000000 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 1 1 COMPASS BANK 10.000000000000 0 0 0 0 0 A 1 B 0 C 0 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, PART I(C) INFORMATION PERTAINING TO CUSIP OF 2016 SERIES BOND ISSUE: THE SERIES 2016 BOND ISSUE CONSISTS OF THE FOLLOWING: CUSIP NO. CUSIP NO. FORM 990, PART III, LINE 3 VICAR'S LANDING HOME HEALTH AGENCY, INC. IS NO LONGER A PROGRAM SERVICE OF LIFE CARE PONTE VEDRA, INC.; IT IS NOW ITS OWN SEPARATE ENTITY. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED THEIR BYLAWS TO GIVE THE BOARD THE AUTHORITY TO ESTABLISH AN "ADVISORY BOARD" THAT DOES NOT COMPRISE OF ANY OFFICERS OR MEMBERS OF THE BOARD OF DIRECTORS OF ANY ENTITY OF WHICH LIFE CARE PASTORAL SERVICES, INC. IS A MEMBER. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED THEIR BYLAWS TO ESTABLISH THE ROLES OF CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND CHIEF OPERATING OFFICER. 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 COMPENSATION COMMITTEE OF THE BOARD REVIEWS ACCOMPLISHMENTS AGAINST OBJECTIVES AND DETERMINES THE COMPENSATION OF CEO, 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. 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. 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 1 LEND AN EAR OUTREACH INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 474712577 PROVIDES HEARING AIDS TO THOSE IN NEED FL 501(C)(3) LINE 10 LIFE CARE PASTORAL SERVICES 1 VICAR'S LANDING FOUNDATION INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 821479221 FUNDRAISING FL 501(C)(3) 11 TYPE I LIFE CARE PONTE VEDRA 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 1 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 VICAR'S LANDING FOUNDATION C 138190 BOOK