LIFE CARE PONTE VEDRA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIFE CARE PONTE VEDRA INC (EIN 59-2555812)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-27
IRS object ID
201201799349300435
Schema version
2011v1.2
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)
Timestamp2012-06-27T14:42:41-04:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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% RAYMOND M JOHNSONInCareOfName
Name ControlLIFENameControl
Phone9042731700Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameRAYMOND M JOHNSONName
TitleEXECUTIVE DIRECTORTitle
Phone9042731701Phone
Date Signed2012-05-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRAYMOND Z BATEHName
Phone9043566023Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAYMOND M JOHNSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 VICARS LANDING WAYAddressLine1
CityPONTE VEDRACity
StateFLState
ZIP Code32082ZIPCode
FieldValueIRS element (for citing)
Gross Receipts59226121GrossReceipts
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 Employees445TotalNbrEmployees
Total Nbr Volunteers225TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year372854ContributionsGrantsPriorYear
Contributions Grants Current Year976483ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18783913ProgramServiceRevenuePriorYear
Program Service Revenue CY19419536ProgramServiceRevenueCY
Investment Income Prior Year511127InvestmentIncomePriorYear
Investment Income Current Year924845InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year19667894TotalRevenuePriorYear
Total Revenue Current Year21320864TotalRevenueCurrentYear
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 Year8217854SalariesEtcPriorYear
Salaries Etc Current Year8055911SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9463487OtherExpensePriorYear
Other Expenses Current Year15129583OtherExpensesCurrentYear
Total Expenses Prior Year17681341TotalExpensesPriorYear
Total Expenses Current Year23185494TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1986553RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1864630RevenuesLessExpensesCY
Total Assets BOY63194003TotalAssetsBOY
Total Assets EOY61274741TotalAssetsEOY
Total Liabilities BOY73393770TotalLiabilitiesBOY
Total Liabilities EOY74008290TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-10199767NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-12733549NetAssetsOrFundBalancesEOY
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
Expense16019955Expense
Revenue19419536Revenue
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 Expense16019955TotalProgramServiceExpense
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees445NumberOfEmployees
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 PersonRAYMOND M JOHNSONNamePerson
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. SECRETARY40.0XX020083914421
JOHN STROM
BOARD MEMBER1.0X000
CHARLIE HOSKINS
VICE CHAIR1.0X000
MAGRARET W ARROWSMITH
CHAIR1.0X00
BILL MURDOCK
TREASURER1.0X000
BRUCE BARBER
BOARD MEMBER1.0X000
STEVE BUSKIRK
BOARD MEMBER1.0X000
RICK WESTBURY
BOARD MEMBER1.0X000
MIKE HARVICK
SECRETARY1.0X000
KRISTI M QUICK
CFO40.0X012980722450
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs330646TotalReportableCompFrmRltdOrgs
Total Other Compensation36871TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

CompensationCompensation
ABACUS CONTRACTING LLC
2037038
LIFE CARE MANAGEMENT INC
809164
SIMPLEX GRINNELL
469694
JAX HOME HEALTH
229129
VALLEY CREST LANDSCAPING
214118
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions976483AllOtherContributions
Noncash Contributions208576NoncashContributions
Total Contributions976483TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MONTHLY SERVICE FE6230001109914411099144
HEALTHCARE CENTER62300026296212629621
ASST LIVING FACILI62300017680011768001
EARNED ENTRANCE FE62300039227703922770
FieldValueIRS element (for citing)
Total Program Service Revenue19419536TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column549862TotalRevenueColumn
Exclusion$549,862ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities38278240Securities
Other2000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities37900307Securities
Other4950Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities377933Securities
Other-2950Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column374983TotalRevenueColumn
Exclusion$374,983ExclusionAmount

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 Column21320864TotalRevenueColumn
Related Or Exempt Function Income19419536RelatedOrExemptFunctionIncome
Exclusion$924,845ExclusionAmount

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)
Total6639012Total
Program Services6256995ProgramServices
Management And General382017ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total108959Total
Program Services98063ProgramServices
Management And General10896ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total776300Total
Program Services699508ProgramServices
Management And General76792ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total531640Total
Program Services514150ProgramServices
Management And General17490ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total47590Total
Program Services47590ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29875Total
Management And General29875ManagementAndGeneral

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)
Total88824Total
Management And General88824ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total754852Total
Program Services347593ProgramServices
Management And General407259ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total38697Total
Program Services38697ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total643812Total
Program Services253345ProgramServices
Management And General390467ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total85707Total
Management And General85707ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total932016Total
Program Services932016ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total76917Total
Program Services13326ProgramServices
Management And General63591ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1034368Total
Program Services891819ProgramServices
Management And General142549ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3072909Total
Program Services2765618ProgramServices
Management And General307291ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total446323Total
Program Services401691ProgramServices
Management And General44632ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE & REPAIRS787679787423256
TAXES & LICENSES46707442318143893
DIETARY COSTS12785651278565
THERAPY COSTS270375270375

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5074000Total
Management And General5074000ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23185494Total
Program Services16019955ProgramServices
Management And General7165539ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1966743BOY
EOY791360EOY

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)
BOY1331551BOY
EOY597502EOY

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)
BOY8613271BOY
EOY4369053EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY633721BOY
EOY541353EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis62523427LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28012362LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34070634BOY
EOY34511065EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4158538BOY
EOY7853320EOY

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)
BOY12419545BOY
EOY12611088EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY63194003BOY
EOY61274741EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY918229BOY
EOY1159411EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY47248844BOY
EOY49443911EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY21699964BOY
EOY20834968EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3526733BOY
EOY2570000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY73393770BOY
EOY74008290EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-11397302BOY
EOY-14349923EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1197535BOY
EOY1616374EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-10199767BOY
EOY-12733549EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63194003BOY
EOY61274741EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1864630ReconcilationRevenueExpenses
Reconcilation Other Changes-669152ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years308624CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years283958CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years307272CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year372854CurrentTaxYearMinus1Year
Current Tax Year976483CurrentTaxYear
Total2249191Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17482884CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17370505CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18046619CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18783913CurrentTaxYearMinus1Year
Current Tax Year19419536CurrentTaxYear
Total91103457Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17791508CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17654463CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18353891CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19156767CurrentTaxYearMinus1Year
Current Tax Year20396019CurrentTaxYear
Total93352648Total
FieldValueIRS element (for citing)
Public Support Total50993352648PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1190984CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years795145CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years540959CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year531828CurrentTaxYearMinus1Year
Current Tax Year549862CurrentTaxYear
Total3608778Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1190984CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years795145CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years540959CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year531828CurrentTaxYearMinus1Year
Current Tax Year549862CurrentTaxYear
Total3608778Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18982492CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18449608CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18894850CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19688595CurrentTaxYearMinus1Year
Current Tax Year20945881CurrentTaxYear
Total96961426Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96278PublicSupportPercentage509
Prior Year Support Percentage0.95564PriorYearSupportPercentage
Investment Income Percentage0.03722InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04436PriorYrInvestIncomePercentage
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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis45950772OtherCostOrOtherBasis
Depreciation21790420Depreciation
Book Value24160352BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3681947OtherCostOrOtherBasis
Depreciation1740358Depreciation
Book Value1941589BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9698849OtherCostOrOtherBasis
Depreciation4481584Depreciation
Book Value5217265BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34511065TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BOND TRUSTEE SECURITIES12233787
UNAMORTIZED FINANCING COSTS377301
FieldValueIRS element (for citing)
Total Book Value Other Assets12611088TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED INTEREST$384,656
REFUNDABLE FEES$2,177,278
DUE TO LCPS MANAGEMENT INC$8,066
FieldValueIRS element (for citing)
Total Of Amounts2570000TotalOfAmounts
Total Revenue21320864TotalRevenue
Total Expenses23185494TotalExpenses
Excess Or Deficit For Year-1864630ExcessOrDeficitForYear
Excess Or Deficit Per FS-1864630ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt20562888TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-669152NetUnrealizedGainsInvestments
Revenue Not Rptd F990-669152RevenueNotRptdF990
Revenue Subtotal21232040RevenueSubtotal
Investment Expenses Not Included88824InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt88824RevenueNotRptdOnFinStmt
Total Revenue Per Form99021320864TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23096670TotExpensesEtcAuditedFinclStmt
Expenses Subtotal23096670ExpensesSubtotal
Investment Expenses Not Included288824InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt88824ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023185494TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Severance PaymentfalseSeverancePayment
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)

Base 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
011480701500000045380179120152257
RAYMOND M JOHNSON
01808390200000008092063290215260

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2007-02-15DateIssued
Issue Price23590000IssuePrice
Description Of PurposeST. JOHN COUNTY INDUSTRIAL DEVELOPDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

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

Form990 Schedule K Part IV Form990ScheduleKPartIV

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1

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
Number Of Contributions47NumberOfContributions
Noncash Contribs Rptd F990208576NoncashContribsRptdF990
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 (7 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 15bCompensation Committee of the Board reviews accomplishments against objectives and determines the compensation of Executive Director,top management and key employees.
Disclosure available to publicPart VI Sectin 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 CHANGES IN NET ASSETS990 PART XI LINE 5OTHER CHANGES IN NET ASSETS REPRESENTS UNREALIZED GAIN/LOSS ON INVESTMENTS.
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:VALUATION ADJUSTMENT TOTAL EXPENSES:4424000 MANAGEMENT AND GENERAL:4424000
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:CHARITABLE CONTRIBUTION TOTAL EXPENSES:650000 MANAGEMENT AND GENERAL:650000

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Primary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
LIFE CARE ST JOHNS INC
CCRCFL501(c)(3)9false
LIFE CARE PASTORAL SERVICES INC
Holding OrgFL501(c)(3)11false
LCPS MANAGEMENT INC
MGMT SERVICESFL501(c)(3)11false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
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 OrgfalseReimbursementPaidToOtherOrg
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
1p590000FMV
LCPS MANAGEMENT Inc
1p121038FMV
LCSJ INC
1b650000FMV
LCSJ INC
1d4369053FMV

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