LIFE CARE PONTE VEDRA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LIFE CARE PONTE VEDRA INC (EIN 59-2555812)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-20
IRS object ID
201141719349300404
Schema version
2010v3.2
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)
Timestamp2011-06-20T08:55:13-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592555812EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFE CARE PONTE VEDRA INCBusinessNameLine1
FieldValueIRS element (for citing)
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
TitlePRESIDENTTitle
Phone9042731701Phone
Date Signed2011-05-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameE COBB HARBESONName
Phone9043566023Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts23498312GrossReceipts
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 Employees439TotalNbrEmployees
Total Nbr Volunteers226TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year307272ContributionsGrantsPriorYear
Contributions Grants Current Year372854ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18046619ProgramServiceRevenuePriorYear
Program Service Revenue CY18783913ProgramServiceRevenueCY
Investment Income Prior Year785907InvestmentIncomePriorYear
Investment Income Current Year511127InvestmentIncomeCurrentYear
Other Revenue Prior Year1350OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year19141148TotalRevenuePriorYear
Total Revenue Current Year19667894TotalRevenueCurrentYear
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 Year8042407SalariesEtcPriorYear
Salaries Etc Current Year8217854SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9273075OtherExpensePriorYear
Other Expenses Current Year9463487OtherExpensesCurrentYear
Total Expenses Prior Year17315482TotalExpensesPriorYear
Total Expenses Current Year17681341TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1825666RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1986553RevenuesLessExpensesCY
Total Assets BOY61611244TotalAssetsBOY
Total Assets EOY63194003TotalAssetsEOY
Total Liabilities BOY74739267TotalLiabilitiesBOY
Total Liabilities EOY73393770TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13128023NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-10199767NetAssetsOrFundBalancesEOY
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
Expense15379173Expense
Revenue18783913Revenue
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 Expense15379173TotalProgramServiceExpense
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 Employees439NumberOfEmployees
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. SECRETARY40.0XX018853014228
GEORGE C FETHERSTON
SECRETARY1.0X000
CHARLIE HOSKINS
VICE CHAIR1.0X000
MAGRARET W ARROWSMITH
CHAIR1.0X000
BILL MURDOCK
TREASURER1.0X000
VIC MELIN
BOARD MEMBER1.0X000
STEVE BUSKIRK
BOARD MEMBER1.0X000
RICK WESTBURY
BOARD MEMBER1.0X000
MIKE HARVICK
BOARD MEMBER1.0X000
KRISTI M QUICK
CFO40.0X012563922801
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs314169TotalReportableCompFrmRltdOrgs
Total Other Compensation37029TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

CompensationCompensation
ABACUS CARPENTRY LLC
1183052
BEACHES ENERGY SERVICES
577199
SYSCO-SFS JACKSONVILLE INC
499762
LUMBERMEN'S UNDERWRITING ALLIANCE
412026
SIMPLEXGRINNELL
278543
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions372854AllOtherContributions
Noncash Contributions182561NoncashContributions
Total Contributions372854TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MONTHLY SERVICE FE6230001065785710657857
HEALTHCARE CENTER62300024209572420957
ASST LIVING FACILI62300017306901730690
EARNED ENTRANCE FE62300039744093974409
FieldValueIRS element (for citing)
Total Program Service Revenue18783913TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column531828TotalRevenueColumn
Exclusion$531,828ExclusionAmount

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)
Securities3809217Securities
Other500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3830418Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-21201Securities
Other500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-20701TotalRevenueColumn
Exclusion-$20,701ExclusionAmount

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 Column19667894TotalRevenueColumn
Related Or Exempt Function Income18783913RelatedOrExemptFunctionIncome
Exclusion$511,127ExclusionAmount

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)
Total6807422Total
Program Services6044820ProgramServices
Management And General762602ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total111895Total
Program Services100706ProgramServices
Management And General11189ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total826057Total
Program Services744176ProgramServices
Management And General81881ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total472480Total
Program Services447502ProgramServices
Management And General24978ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61706Total
Program Services61706ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25000Total
Management And General25000ManagementAndGeneral

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)
Total77351Total
Management And General77351ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total174260Total
Management And General174260ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total50971Total
Program Services50971ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total693139Total
Program Services296109ProgramServices
Management And General397030ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total105299Total
Management And General105299ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1031399Total
Program Services1031399ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36568Total
Program Services9636ProgramServices
Management And General26932ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1075367Total
Program Services928719ProgramServices
Management And General146648ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3075318Total
Program Services2767786ProgramServices
Management And General307532ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total508417Total
Program Services457575ProgramServices
Management And General50842ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE & REPAIRS65838959255065839
TAXES & LICENSES46534842056344785
DIETARY COSTS11657201165720
THERAPY COSTS259235259235

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17681341Total
Program Services15379173ProgramServices
Management And General2302168ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1665225BOY
EOY1966743EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1921911BOY
EOY1331551EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY8433489BOY
EOY8613271EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY487074BOY
EOY633721EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis59049326LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24978692LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33989614BOY
EOY34070634EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3343794BOY
EOY4158538EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11770137BOY
EOY12419545EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY61611244BOY
EOY63194003EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1103326BOY
EOY918229EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY47280493BOY
EOY47248844EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY22374960BOY
EOY21699964EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3980488BOY
EOY3526733EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY74739267BOY
EOY73393770EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-14298781BOY
EOY-11397302EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1170758BOY
EOY1197535EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13128023BOY
EOY-10199767EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61611244BOY
EOY63194003EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1986553ReconcilationRevenueExpenses
Reconcilation Other Changes941703ReconcilationOtherChanges
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
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years133221CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years308624CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years283958CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year307272CurrentTaxYearMinus1Year
Current Tax Year372854CurrentTaxYear
Total1405929Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15012745CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17482884CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17370505CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18046619CurrentTaxYearMinus1Year
Current Tax Year18783913CurrentTaxYear
Total86696666Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15145966CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17791508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17654463CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18353891CurrentTaxYearMinus1Year
Current Tax Year19156767CurrentTaxYear
Total88102595Total
FieldValueIRS element (for citing)
Public Support Total50988102595PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1030325CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1190984CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years795145CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year540959CurrentTaxYearMinus1Year
Current Tax Year531828CurrentTaxYear
Total4089241Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1030325CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1190984CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years795145CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year540959CurrentTaxYearMinus1Year
Current Tax Year531828CurrentTaxYear
Total4089241Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16176291CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18982492CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18449608CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18894850CurrentTaxYearMinus1Year
Current Tax Year19688595CurrentTaxYear
Total92191836Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95564PublicSupportPercentage509
Prior Year Support Percentage0.95009PriorYearSupportPercentage
Investment Income Percentage0.04436InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04991PriorYrInvestIncomePercentage
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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis45145938OtherCostOrOtherBasis
Depreciation20156258Depreciation
Book Value24989680BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3034416OtherCostOrOtherBasis
Depreciation1427150Depreciation
Book Value1607266BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7677113OtherCostOrOtherBasis
Depreciation3395284Depreciation
Book Value4281829BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34070634TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BOND TRUSTEE SECURITIES12003005
UNAMORTIZED FINANCING COSTS416540
FieldValueIRS element (for citing)
Total Book Value Other Assets12419545TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED INTEREST$400,125
REFUNDABLE FEES$3,126,608
FieldValueIRS element (for citing)
Total Of Amounts3526733TotalOfAmounts
Total Revenue19667894TotalRevenue
Total Expenses17681341TotalExpenses
Excess Or Deficit For Year1986553ExcessOrDeficitForYear
Net Unrealized GL On Investments941703NetUnrealizedGLOnInvestments
Total Adjustments941703TotalAdjustments
Excess Or Deficit Per FS2928256ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt20532246TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments941703NetUnrealizedGainsInvestments
Revenue Not Rptd F990941703RevenueNotRptdF990
Revenue Subtotal19590543RevenueSubtotal
Investment Expenses Not Included77351InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt77351RevenueNotRptdOnFinStmt
Total Revenue Per Form99019667894TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17603990TotExpensesEtcAuditedFinclStmt
Expenses Subtotal17603990ExpensesSubtotal
Investment Expenses Not Included277351InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt77351ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017681341TotalExpensesPerForm990

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

FieldValueIRS element (for citing)
Name PersonRAYMOND M JOHNSONNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs168530CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs20000BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs7600DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs6628NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs202758TotalCompensationRelatedOrgs

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 PurposeSERIES 2007 REFUNDING BONDSDescriptionOfPurpose
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

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 Contributions37NumberOfContributions
Noncash Contribs Rptd F990182561NoncashContribsRptdF990
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 11ACopy of form 990 is provided to governing body via email 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 CHANGE INCLUDED IN NET ASSETS WHILE NOT INCLUDED IN TAX RETURN IS RELATED TO UNREALIZED GAIN/LOSS.

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 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 InvolvedAmountInvolved
LCSJInc
1p730912
LCSJInc
1o70418
LCPS MANAGEMENT Inc
1o163966
LCSJInc
1d8613271

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