2016-07-14T08:19:55-05:00 2015-12-31 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2015-01-01 593474627 LIFE CARE ST JOHNS INC LIFE 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 D BRUCE JONES CHIEF EXECUTIVE OFFICER 9042731701 2016-07-14 1 HARRY E HARP CPA P00176471 4077405400 2015 2016-09-27 15:27:22Z D BRUCE JONES 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 13164411 0 X WWW.GLENMOOR.COM X 1997 FL TO PROVIDE FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE AND FINANCIAL SECURITY NEEDS OF THE RESIDENTS OF GLENMOOR - A LIFE CARE RESORT COMMUNITY. 6 6 293 93 0 0 1133961 662121 12231082 12384160 162442 118130 -5000 0 13522485 13164411 0 0 0 0 4896346 5009390 0 0 0 9429365 9674401 14325711 14683791 -803226 -1519380 58797256 57044943 123023330 122876614 -64226074 -65831671 TO PROVIDE FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE AND FINANCIAL SECURITY NEEDS OF THE RESIDENTS OF GLENMOOR - A LIFE CARE RESORT COMMUNITY. 0 0 11980475 12384160 CONTINUING CARE PROVIDED TO OCCUPANTS OF A 223 UNIT LIFECARE COMMUNITY CONSISTING OF 157 INDEPENDENT LIVING UNITS, 30 SKILLED NURSING UNITS AND 36 ASSISTED LIVING UNITS. 11980475 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 1 0 0 0 0 1 0 0 0 1 26 0 1 293 1 0 0 0 0 0 0 0 0 0 0 X 6 6 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 GEORGE FETHERSTON BOARD CHAIR 6.00 2.00 X X 0 0 0 RODNEY BRACE BOARD MEMBER 4.00 2.00 X 0 0 0 RICHARD KOHLER BOARD MEMBER 4.00 0.00 X 0 0 0 WILLIAM MURDOCK BOARD MEMBER 6.00 2.00 X 0 0 0 BUCK FOWLER BOARD MEMBER 1.00 0.00 X 0 0 0 BOB BALDWIN BOARD MEMBER 1.00 0.00 X 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 15.00 25.00 X 0 200756 25185 CANDACE BOWLING DIRECTOR OF FINANCE 18.00 22.00 X 0 112673 10145 DALE PIRKLE CHIEF OPERATING OFFICER 20.00 20.00 X 0 137513 8358 WILLIAM SCHOLZE DIRECTOR OF MARKETING 40.00 0.00 X 107981 0 4881 107981 450942 48569 1 0 1 0 ABACUS CONTRACTING LLC 1008 LORING AVENUE SUITE 29 ORANGE PARK FL 32073 CONSTRUCTION SERVICES 1068200 JAX HOME HEALTH INC 9191 RG SKINNER PARKWAY SUITE 803 JACKSOVNILLE FL 32256 MEMBER PAYMENT PASS-THROUGH 982513 VALLEY CREST PO BOX 404083 ATLANTA FL 30384 LANDSCAPING SERVICES 280301 SIMPLEX GRINNELL 10255 FORTUNE PARKWAY JACKSOVNILLE FL 32256 FIRE ALARM MONITORING 256713 THAMES MARKEY AND HEEKIN 50 N LAURA ST SUITE 1600 JACKSOVNILLE FL 32202 LEGAL COUNSEL 211804 7 418034 244087 71683 662121 MONTHLY SERVICE FEE 623000 7299793 7299793 HEALTHCARE CENTER 623000 3060733 3060733 EARNED ENTRANCE FEE 623000 2023634 2023634 12384160 99515 99515 18615 0 18615 18615 18615 13164411 12384160 0 118130 3942289 3760944 181345 59397 53457 5940 689079 616037 73042 318625 227498 91127 48058 48058 42485 42485 10860 10860 819981 50000 769981 182214 182214 166506 122049 44457 63365 63365 1198347 1198347 31259 15558 15701 15740 15690 50 1502216 1351093 151123 2652390 2387151 265239 136758 123082 13676 DIETARY COSTS 786089 786089 REPAIRS & MAINTENANCE 753375 753375 REORGANIZATION EXPENSES 696992 696992 SUPPLIES 245354 216241 29113 322412 303864 18548 14683791 11980475 2703316 0 642593 439142 1151299 1910805 113317 115440 332686 295054 74305730 24435893 50842235 49869837 5715126 4414665 58797256 57044943 2568675 1769228 47354490 45467491 64244864 64635164 8793053 8793053 62248 2211678 123023330 122876614 X -64226074 -65831671 -64226074 -65831671 58797256 57044943 -1519380 -86217 0 X X 0 1 X 1 0 X 757814 97755 160795 1133961 662121 2812446 13432078 13019496 12422712 12226082 12384160 63484528 14189892 13117251 12583507 13360043 13046281 66296974 0 0 0 66296974 256263 210256 142295 113604 99515 821933 256263 210256 142295 113604 99515 821933 14446155 13327507 12725802 13473647 13145796 67118907 0.98780 0.98480 0.01220 0.01520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8990926 8990926 55174451 19114023 36060428 1923126 1304213 618913 8217227 4017657 4199570 49869837 ASSETS WHOSE USE IS LIMITED 4024160 PROMOTIONAL COSTS, NET 68135 FINANCING COSTS, NET 322370 4414665 REFUNDABLE ENTRANCE FEES 2191446 RELATED PARTY PAYABLE 20232 2211678 13067336 -86216 -86216 13153552 10860 10860 13164412 14672932 0 14672932 10860 10860 14683792 0 0 0 0 0 0 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 0 200756 0 0 0 0 0 0 0 25185 0 225941 0 0 A ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 79039NBA5 2014-04-07 41711250 SEE SUPPLEMENTAL INFORMATION 0 0 0 B ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 79039NBB3 2014-04-16 15434644 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 41711250 41711250 2014 1 0 1 1 B 15434644 1774323 13660321 2014 1 0 1 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 1 1 0 0 0 0 A 1 B 1 SCHEDULE K, ROW A, PART I(F) PURPOSE OF SERIES 2014 BONDS: IN APRIL 2014, THE ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY ISSUED, ON BEHALF OF THE ORGANIZATION, $41,711,250 HEALTH CARE REFUNDING REVENUE BONDS (GLENMOOR PROJECT), SERIES 2014A (SERIES 2014A BONDS), AND ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY SUBORDINATE HEALTH CARE REFUNDING BONDS (GLENMOOR PROJECT), SERIES 2014B, IN THE AMOUNT OF $15,434,644 (SERIES 2014B SUBORDINATE BONDS) (COLLECTIVELY THE "SERIES 2014 BONDS"). THE SERIES 2014 BONDS WERE ISSUED PURSUANT TO THE PLAN OF REORGANIZATION AS AN EXCHANGE FOR THE SERIES 2006 BONDS, INCLUDING ACCRUED INTEREST OF $1,530,894. X 4 71683 COST 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 11 A 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. ADDITIONALY, THERE IS A CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK, AND IT IS REVIEWED WITH THE DEPARTMENT HEADS YEARLY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS ACCOMPLISHMENTS AGAINST OBJECTIVES AND DETERMINES THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIALS AND 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 PONTE VEDRA INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 592555812 CONTINUING CARE RETIREMENT COMMUNITY FL 501(C)(3) LINE 9 LIFE CARE PASTORAL SERVICES INC 1 LIFE CARE PASTORAL SERVICES INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 593480191 HOLDING COMPANY FL 501(C)(3) LINE 11A, I N/A 0 LCPS MANAGEMENT INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 593474336 MANAGEMENT COMPANY FL 501(C)(3) LINE 11C, III-FI LIFE CARE PASTORAL SERVICES INC 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0