LIFE CARE PONTE VEDRA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFE CARE PONTE VEDRA INC (EIN 59-2555812)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-29
IRS object ID
201301499349300430
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-29T15:47:18-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HARBESON FLETCHER & BATEH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1637 PARK STAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592555812EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFE CARE PONTE VEDRA INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% D BRUCE JONESInCareOfName
Name ControlLIFENameControl
Phone9042731700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 VICARS LANDING WAYAddressLine1
Address Line2SuiteAddressLine2
CityPONTE VEDRA BEACHCity
StateFLState
ZIP Code32082ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameD BRUCE JONESName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone9042731701Phone
Date Signed2013-05-29DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRAYMOND Z BATEHName
Phone9043566023Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonD BRUCE JONESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 VICARS LANDING WAYAddressLine1
CityPONTE VEDRACity
StateFLState
ZIP Code32082ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22473210GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://www.vicarslanding.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE AND FINANCIAL SECURITY NEEDS OF THE RESIDENTS OF VICARS LANDING.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees449TotalNbrEmployees
Total Nbr Volunteers168TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year976483ContributionsGrantsPriorYear
Contributions Grants Current Year401096ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19419536ProgramServiceRevenuePriorYear
Program Service Revenue CY20904634ProgramServiceRevenueCY
Investment Income Prior Year924845InvestmentIncomePriorYear
Investment Income Current Year666544InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year21320864TotalRevenuePriorYear
Total Revenue Current Year21972274TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8055911SalariesEtcPriorYear
Salaries Etc Current Year8863294SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15129583OtherExpensePriorYear
Other Expenses Current Year14379121OtherExpensesCurrentYear
Total Expenses Prior Year23185494TotalExpensesPriorYear
Total Expenses Current Year23242415TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1864630RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1270141RevenuesLessExpensesCY
Total Assets BOY61274741TotalAssetsBOY
Total Assets EOY59322419TotalAssetsEOY
Total Liabilities BOY74008290TotalLiabilitiesBOY
Total Liabilities EOY72057485TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-12733549NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-12735066NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE AND FINANCIAL SECURITY NEEDS OF THE RESIDENTS OF VICARS LANDING.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16716280Expense
Revenue20904634Revenue
DescriptionCONTINUING CARE PROVIDED TO OCCUPANTS OF A 227 UNIT LIFECARE COMMUNITY. THIS COMMUNITY ALSO CONTAINS 60 SKILLED NURSING UNITS AND 36 ASSISTED LIVING UNITSDescription
Total Program Service Expense16716280TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees449NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonD BRUCE JONESNamePerson
Telephone Number9042731700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 VICARS LANDING WAYAddressLine1
CityPONTE VEDRA BEACHCity
StateFLState
ZIP Code32082ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RAYMOND M JOHNSON
PRESIDENT&CEO/ASST. SECRETARY40.0XX019876016035
JOHN STROM
BOARD MEMBER1.0X
CHARLIE HOSKINS
VICE CHAIR1.0X
MAGRARET W ARROWSMITH
CHAIR1.0X
BILL MURDOCK
TREASURER1.0X
BRUCE BARBER
BOARD MEMBER1.0X
STEVE BUSKIRK
BOARD MEMBER1.0X
RICK WESTBURY
BOARD MEMBER1.0X
MIKE HARVICK
SECRETARY1.0X
KRISTI M QUICK
CFO40.0X014362713954
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs342387TotalReportableCompFrmRltdOrgs
Total Other Compensation29989TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

CompensationCompensation
ABACUS CONTRACTING LLC
2739601
LIFE CARE MANAGEMENTINC
810239
SIMPLEX GRINNELL
390726
VALLEY CREST LANDSCAPING
327655
JAX HOME HEALTH INC
234378
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
All Other Contributions401096AllOtherContributions
Noncash Contributions273291NoncashContributions
Total Contributions401096TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MONTHLY SERVICE FE6230001136835311368353
HEALTHCARE CENTER62300026409992640999
ASST LIVING FACILI62300017988511798851
EARNED ENTRANCE FE62300050964315096431
FieldValueIRS element (for citing)
Total Program Service Revenue20904634TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column489639TotalRevenueColumn
Exclusion$489,639ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities677841Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities500936Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities176905Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column176905TotalRevenueColumn
Exclusion$176,905ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21972274TotalRevenueColumn
Related Or Exempt Function Income20904634RelatedOrExemptFunctionIncome
Exclusion$666,544ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7401724Total
Program Services6649720ProgramServices
Management And General752004ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total99775Total
Program Services89797ProgramServices
Management And General9978ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total813345Total
Program Services733105ProgramServices
Management And General80240ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total548450Total
Program Services532763ProgramServices
Management And General15687ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total141949Total
Program Services141949ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31750Total
Management And General31750ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total96536Total
Management And General96536ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19233Total
Program Services1471ProgramServices
Management And General17762ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total53745Total
Program Services53745ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total701237Total
Program Services287926ProgramServices
Management And General413311ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total122934Total
Management And General122934ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total897086Total
Program Services897086ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total28593Total
Program Services2765ProgramServices
Management And General25828ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total38076Total
Program Services21432ProgramServices
Management And General16644ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total991368Total
Program Services853119ProgramServices
Management And General138249ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3358441Total
Program Services3022597ProgramServices
Management And General335844ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total531974Total
Program Services478777ProgramServices
Management And General53197ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE & REPAIRS9543019495954706
TAXES & LICENSES44282340041142412
DIETARY COSTS13355371335537
THERAPY COSTS264485264485

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4369053Total
Management And General4369053ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23242415Total
Program Services16716280ProgramServices
Management And General6526135ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY791360BOY
EOY1279183EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY597502BOY
EOY324913EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY4369053BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY541353BOY
EOY530590EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis63745607LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28482361LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34511065BOY
EOY35263246EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7853320BOY
EOY11091136EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12611088BOY
EOY10833351EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY61274741BOY
EOY59322419EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1159411BOY
EOY1235216EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY49443911BOY
EOY48247582EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20834968BOY
EOY19929972EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2570000BOY
EOY2644715EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY74008290BOY
EOY72057485EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-14349923BOY
EOY-14285906EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1616374BOY
EOY1550840EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-12733549BOY
EOY-12735066EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61274741BOY
EOY59322419EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1270141ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1268624ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years283958CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years307272CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years372854CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year976483CurrentTaxYearMinus1Year
Current Tax Year401096CurrentTaxYear
Total2341663Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17370505CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18046619CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18783913CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19419536CurrentTaxYearMinus1Year
Current Tax Year20904634CurrentTaxYear
Total94525207Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17654463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18353891CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19156767CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20396019CurrentTaxYearMinus1Year
Current Tax Year21305730CurrentTaxYear
Total96866870Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50996866870PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years795145CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years540959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years531828CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year549862CurrentTaxYearMinus1Year
Current Tax Year489639CurrentTaxYear
Total2907433Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years795145CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years540959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years531828CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year549862CurrentTaxYearMinus1Year
Current Tax Year489639CurrentTaxYear
Total2907433Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18449608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18894850CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19688595CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20945881CurrentTaxYearMinus1Year
Current Tax Year21795369CurrentTaxYear
Total99774303Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97086PublicSupportPercentage509
Prior Year Support Percentage0.96278PriorYearSupportPercentage
Investment Income Percentage0.02914InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03722PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3191859OtherCostOrOtherBasis
Book Value3191859BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis46937606OtherCostOrOtherBasis
Depreciation22888581Depreciation
Book Value24049025BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3400117OtherCostOrOtherBasis
Depreciation1232883Depreciation
Book Value2167234BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10216025OtherCostOrOtherBasis
Depreciation4360897Depreciation
Book Value5855128BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35263246TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BOND TRUSTEE SECURITIES10495289
UNAMORTIZED FINANCING COSTS338062
FieldValueIRS element (for citing)
Total Book Value Other Assets10833351TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED INTEREST$368,438
REFUNDABLE FEES$2,109,838
DUE TO LCPS MANAGEMENT INC$131,693
DUE TO LIFE CARE ST. JOHNS, INC$34,746
FieldValueIRS element (for citing)
Total Of Amounts2644715TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt23144362TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1268624NetUnrealizedGainsInvestments
Revenue Not Rptd F9901268624RevenueNotRptdF990
Revenue Subtotal21875738RevenueSubtotal
Investment Expenses Not Included96536InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt96536RevenueNotRptdOnFinStmt
Total Revenue Per Form99021972274TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23145879TotExpensesEtcAuditedFinclStmt
Expenses Subtotal23145879ExpensesSubtotal
Investment Expenses Not Included296536InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt96536ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023242415TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
KRISTI M QUICK
CFO01436270000038540101000157581
RAYMOND M JOHNSON
PRESIDENT&CEO/ASST. SECRETARY0198760000008012080230214795

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSEVERANCE PAYMENT RECEIVEDIdentifier
Return ReferencePART I, LINE 4AReturnReference
ExplanationKRISTI QUICK, CFO, RECEIVED A SEVERANCE PAYMENT OF $36,923 FROM LCPS MANAGEMENT, INC (RELATED ORGANIZATION) IN 2012.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ST JOHN COUNTY INDUSTRIAL DEVELOPMENT AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2007-02-15DateIssued
Issue Price23590000IssuePrice
Description Of PurposeSERIES 2007 REFUNDING BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds24104950TotalProceeds
Amount In Reserve Fund1895750AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds508585IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures58085WorkingCapitalExpenditures
Capital Expenditures3454650CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuetrueNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPART IV LINE 2CIdentifier
Return Reference0ReturnReference
Explanation2/15/2007-2/15/2013Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther

Real Estate Residential RealEstateResidential

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990273291NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Review Process of Form 990Part VI Section B Question 11BCopy of form 990 is provided to the governing body for review before it is filed.
Compensation ReviewPart VI Section B Question 15a and 15bCompensation Committee of the Board reviews accomplishments against objectives and determines the compensation of CEO,Executive Director,top management and key employees.
Disclosure available to publicPart VI Section C Question 19Governing documents: Upon Request Conflict of interest policy: Upon Request Financial Statements: Disclosure USA (NRMSIR website)
Compliance of Conflict of Interest PolicyPART VI SECTION B QUESTION 12cTHERE IS A YEARLY REVIEW AT THE BOARD LEVEL WHERE EACH BOARD MEMBER SIGNS A CONFLICT ON INTEREST POLICY AND DELCARES ANY CONFLICT. ADDITIONALLY THERE IS A CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK AND IT IS REVIEWED WITH THE DEPARTMENT HEADS ANNUALLY.
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:VALUATION ADJUSTMENT TOTAL EXPENSES:4369053 MANAGEMENT AND GENERAL:4369053

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Primary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStatePublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
LIFE CARE ST JOHNS INC
CCRCFL9false
LIFE CARE PASTORAL SERVICES INC
Holding OrgFL11false
LCPS MANAGEMENT INC
MGMT SERVICESFL11false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LCSJInc
1q810000FMV
LCPS MANAGEMENT Inc
1p60000FMV
LCPS MANAGEMENT Inc
1q35000FMV
LCSJ INC
1d4369053FMV

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