2018-07-16T12:23:49-05:00 2017-12-31 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2017-01-01 592555812 LIFE CARE PONTE VEDRA INC LIFE 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 D BRUCE JONES CEO 9042731701 2018-07-16 1 KURT A ALTER CPA P00059492 4077405400 2017 2022-09-23 18:48:47Z VICAR'S LANDING D BRUCE JONES 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 24638677 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 8 453 135 0 0 422637 1399546 20644045 22101437 -59291 843148 -298731 285246 20708660 24629377 10956 6971 53825 0 9267559 9632436 0 0 0 13003777 13566602 22336117 23206009 -1627457 1423368 68848657 73959897 105861651 108331870 -37012994 -34371973 TO PROVIDE FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE AND FINANCIAL SECURITY NEEDS OF THE RESIDENTS OF VICAR'S LANDING. 0 0 20064884 6971 22101437 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. 20064884 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 40 0 1 453 1 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 1 1 0 X D BRUCE JONES 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 MARK BONNER CHAIR 4.00 2.00 X X 0 0 0 JOHN STROM VICE CHAIR 1.00 3.00 X X 0 0 0 BRUCE VORSANGER BOARD MEMBER 2.00 6.00 X X 0 0 0 JUDITH HAM BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL HARVICK BOARD MEMBER 1.00 2.00 X 0 0 0 BRUCE BARBER BOARD MEMBER 1.00 0.00 X 0 0 0 TOM REEDER BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT K OHNO BOARD MEMBER 1.00 0.00 X 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 12.00 28.00 X 0 207504 16236 DALE PIRKLE CHIEF OPERATING OFFICER 20.00 20.00 X 0 154138 8438 CANDACE BOWLING CHIEF FINANCIAL OFFICER 15.00 25.00 X 0 130853 13050 DEBRA NEITZEL HR DIRECTOR 18.00 22.00 X 0 100771 4494 THERESA CROSBY DIRECTOR OF MARKETING 40.00 0.00 X 137939 0 0 KENDALL BRYAN JR DIRECTOR OF HEALTH SERVICE 40.00 0.00 X 127579 0 0 265518 593266 42218 2 0 1 0 MARVIN MC KENZIE ROSS 2505 SAINT LEGER DRIVE JACKSONVILLE FL 32208 CONSTRUCTION SERVICES 873080 SCOTT MORRIS BUILDERS INC PO BOX 2441 PONTE VEDRA BEACH FL 32004 CONSTRUCTION SERVICES 511490 NEW CENTURY CONSTRUCTION 2111 CORPORATE SQUARE BLVD JACKSONVILLE FL 32216 CONSTRUCTION SERVICES 438250 BRIGHTVIEW LANDSCAPE SERVICES INC PO BOX 404083 ATLANTA GA 30384 LANDSCAPING SERVICES 213064 ABACUS CONTRACTING LLC 1008 LORING AVENUE SUITE 29 ORANGE PARK FL 32073 CONSTRUCTION SERVICES 195413 12 1399546 1399546 MONTHLY SERVICE FEES 623000 12817591 12817591 EARNED ENTRANCE FEEES 623000 3532260 3532260 SKILLED NURSING CENTER 623000 2877061 2877061 ASSISTED LIVING FACILI 623000 1690802 1690802 HOME HEALTH 623000 1183723 1183723 22101437 290060 290060 545388 17000 0 9300 545388 7700 553088 553088 GAIN FROM INSURANCE PR 900000 246010 246010 INTEREST RATE SWAP 900000 39236 39236 285246 24629377 22101437 0 1128394 6971 6971 7939145 6695021 1244124 127132 107771 19361 1012147 858005 154142 554012 531835 22177 73953 73953 46641 46641 188630 137210 51420 88594 88594 304354 102048 202306 316148 316148 2179338 2179338 54552 1524 53028 33506 14897 18609 982346 849322 133024 6032611 5215706 816905 457865 395863 62002 DIETARY COSTS 1272679 1272679 MAINTENANCE & REPAIRS 1133335 1124829 8506 SUPPLIES 405275 364425 40850 TRANSPORTATION 54467 54467 -57692 64379 -122071 23206009 20064884 3141125 0 271499 276037 4207963 3966770 367495 391095 84943 87910 585519 602390 90898658 43690152 48379661 47208506 7002019 12002613 7949558 9424576 68848657 73959897 1110650 1399664 73455068 76466963 29671470 28373830 1624463 2091413 105861651 108331870 X -37012994 -34371973 -37012994 -34371973 68848657 73959897 X 1423368 1242800 -25147 X X 0 1 X 1 0 X 208425 410666 359184 422637 1517673 2918585 18821989 18805200 19970508 20644045 22101437 100343179 19030414 19215866 20329692 21066682 23619110 103261764 0 0 0 103261764 380107 361774 262521 254666 290114 1549182 380107 361774 262521 254666 290114 1549182 285246 285246 19410521 19577640 20592213 21321348 24194470 105096192 0.98250 0.98300 0.01470 0.01700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3191859 3191859 66729890 33286089 33443801 19530503 9742172 9788331 1446406 661891 784515 47208506 CASH AND CASH EQUIVALENTS 1767432 F COMMON STOCKS 3578191 F FIXED INCOME - NONGOVERNMENT OBLIGATIONS 3950177 F FIXED INCOME - EQUITIES 2706034 F ACCRUED INTEREST 779 F 12002613 ASSETS WHOSE USE IS LIMITED 8879976 ENTRANCE FEES RECEIVABLE 544600 9424576 ENTRANCE FEE AND WAIT LIST DEPOSITS 891816 RELATED PARTY PAYABLE 54169 ENTRANCE FEE REFUND PAYABLE 1127025 INTEREST RATE SWAP 18403 2091413 1 ST JOHNS COUNTY COUNCIL ON AGING 180 MARINE STREET ST AUGUSTINE FL 32084 591525829 6971 TO DEVELOP DAY PROGRAM IN PONTE VEDRA BEACH 0 0 0 0 0 0 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 0 179904 0 18000 0 9600 0 8512 0 7724 0 223740 0 0 DALE PIRKLE CHIEF OPERATING OFFICER 0 133938 0 20200 0 0 0 0 0 8438 0 162576 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 612800 15725000 1016428 361875 1200026 13146672 2016 1 0 1 1 B 1092500 8000000 642851 365550 6991599 2014 0 0 1 1 C 1092500 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 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 XI, LINE 9: VICAR'S FOUNDATION - NET ASSETS -25,147. 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 ST JOHNS INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 593474627 CCRC FL 501(C)(3) LINE 10 N/A 0 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 N/A 0 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 PONTE VEDRA INC 0 VICAR'S LANDING FOUNDATION INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 821479221 FUNDRAISING FL 501(C)(3) 11 TYPE I 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0