2024-09-16T20:54:45-05:00 2023-12-31 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2023-01-01 592555812 LIFE CARE PONTE VEDRA INC LIFE 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 D BRUCE JONES CEO 9042731701 2024-09-16 1 0 KURT A ALTER CPA P00059492 4077405400 2023 2024-08-08 14:25:15Z VICAR'S LANDING D BRUCE JONES 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 47652580 0 X WWW.VICARSLANDING.COM X 1983 FL OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY TO PROVIDE HOUSING AND SERVICES TO RESIDENTS. 7 7 541 22 0 0 18146 3350820 26148472 42548857 878981 1144480 120212 110771 27165811 47154928 125380 97598 0 0 10870185 14231781 0 0 0 18347537 28507253 29343102 42836632 -2177291 4318296 243553471 256493568 281806761 288122784 -38253290 -31629216 X THE MISSION OF LIFE CARE PONTE VEDRA, INC. IS TO PROVIDE FOR THE HOUSING, PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, HEALTH CARE AND FINANCIAL SECURITY NEEDS OF THE ELDERLY THROUGH THE OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY KNOWN AS VICAR'S LANDING. 0 0 38168716 97598 42659628 LIFE CARE PONTE VEDRA, INC. ("LCPV") IS A NOT-FOR-PROFIT CORPORATION, WHICH PROVIDES HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO SENIOR ADULTS THROUGH THE OPERATION OF TWO RETIREMENT COMMUNITIES KNOWN AS VICAR'S LANDING LOCATED PONTE VEDRA BEACH, FLORIDA. THE VICAR'S LANDING AT SAWGRASS RETIREMENT COMMUNITY ("SAWGRASS") OPENED IN 1987 AND CONSISTS OF 227 INDEPENDENT RESIDENTIAL UNITS, 38 ASSISTED LIVING UNITS, AND A 60-BED SKILLED NURSING CENTER. SEE ADDITIONAL INFORMATION ON SCHEDULE O.THE VICAR'S LANDING AT OAK BRIDGE RETIREMENT COMMUNITY ("OAK BRIDGE") OPENED IN AUGUST 2022 AND WHEN PHASE I OF THE EXPANSION IS COMPLETED WILL INCLUDE 109 INDEPENDENT LIVING UNITS. PHASE II OF THE OAK BRIDGE CAMPUS HAS STARTED AND INCLUDES AN ADDITIONAL 33 INDEPENDENT UNITS ANTICIPATED TO BE COMPLETED IN THE SPRING OF 2024, AND REMAINING PHASES WILL INCLUDE INDEPENDENT LIVING UNITS AND ASSISTED LIVING/MEMORY CARE UNITS AND RELATED COMMON AREAS ON AN APPROXIMATELY 42-ACRE PARCEL OF LAND LOCATED LESS THAN ONE MILE FROM THE SAWGRASS CAMPUS.THE SOLE CORPORATE MEMBER OF LCPV IS LIFE CARE PASTORAL SERVICES, INC. (LCPS). LCPS IS ALSO THE SOLE CORPORATE MEMBER OF LCPS MANAGEMENT, INC. LCPS MANAGEMENT PROVIDES MANAGEMENT, OPERATIONAL, AND ADMINISTRATIVE SERVICES FOR THE ORGANIZATION AND OTHER LCPS ENTITIES. 38168716 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 87 0 1 541 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DARREN ROY 9042731701 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 MIKE SHEPHERD CHAIR 1.00 1.00 X X 0 0 0 CHRISTINE NG VICE CHAIR 1.00 1.00 X X 0 0 0 KENT NEW BOARD MEMBER 1.00 1.00 X 0 0 0 MISSY DEKAY BOARD MEMBER 1.00 1.00 X 0 0 0 ROB STURSBERG BOARD MEMBER 1.00 1.00 X 0 0 0 STEVE CROSBY FINANCE CHAIR 1.00 1.00 X 0 0 0 TOM REEDER BOARD MEMBER 1.00 1.00 X 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 20.00 21.00 X 0 346246 36046 DALE PIRKLE CHIEF OPERATING OFFICER 33.10 6.90 X 0 251821 0 DARREN ROY CHIEF FINANCIAL OFFICER 24.00 16.00 X 0 243483 32318 KENDALL BRYAN DIRECTOR OF HEALTH SERVICE 33.00 7.00 X 0 197501 30000 THERESA M CROSBY DIRECTOR OF SALES AND MARK 40.00 X 220787 0 21532 KRISTINA DIAZ DIRECTOR OF NURSING 40.00 X 104507 0 13025 ALEXIS GONZALES DIRECTOR OF THERAPY 40.00 X 122115 0 4885 447409 1039051 137806 3 0 1 0 OBDP LLC 830-13 A1A HWY PONTE VEDRA BEACH FL 32082 PROPERTY LEASE SERVICES 2011559 MARVIN MCKENZIE ROSS 2505 SAINT LEGER DRIVE JACKSONVILLE FL 32208 CONSTRUCTION SERVICES 1502147 SMART SOLUTIONS CONSTRUCTION GROUP 3038 PESCARA DRIVE JACKSONVILLE FL 32246 CONSTRUCTION SERVICES 1169144 UMBRELLA IT SOLUTIONS LLC 880 SAILFISH DRIVE EAST ATLANTIC BEACH FL 32233 IT SUPPORT SERVICES 598671 RLPS LLC 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTURAL SERVICES 462698 5 3350820 3350820 RESIDENTIAL SERVICE FEES 623000 23685169 23685169 EARNED ENTRANCE FEES 623000 11409649 11409649 HEALTHCARE SERVICE FEES 623000 4394240 4394240 ASSISTED LIVING SERVICE FEES 623000 1921521 1921521 HOME HEALTH SERVICE FEES 623000 1138278 1138278 42548857 1507650 1507650 134482 0 497652 134482 -497652 -363170 -363170 OTHER INCOME 623000 110771 110771 110771 47154928 42659628 0 1144480 23975 23975 73623 73623 242319 234747 7572 11276382 10742579 533803 186737 175996 10741 1641282 1547590 93692 885061 812609 72452 1628072 561706 1066366 196093 196093 59256 59256 139625 139625 1559324 1432467 126857 46041 6868 39173 65882 1026 64856 701676 701676 5248893 4476280 772613 36582 1824 34758 40430 40430 4197176 4168926 28250 10458568 10341707 116861 599632 267255 332377 FOOD AND BEVERAGE 2073885 2073885 SUPPLIES AND EQUIPMENT 1128676 1058529 70147 EMPLOYEE RELATIONS 211377 115927 95450 DUES & SUBSCRIPTIONS 55442 10767 44675 60623 60623 42836632 38168716 4667916 0 3911658 3766181 424967 435936 754316 918403 112907 217955 616515 599263 236669193 66045664 143293860 170623529 56343856 43249340 55987 0 38039405 36682961 243553471 256493568 5976246 3551307 86345589 125864558 119027574 109555662 14412771 0 56044581 49151257 281806761 288122784 X -38253290 -31629216 -38253290 -31629216 243553471 256493568 X 4318296 2314873 -9095 X X 0 1 X 1 0 X 19462 1789756 8033 18146 3350820 5186217 22821083 24008003 23600896 26148471 42548857 139127310 22840545 25797759 23608929 26166617 45899677 144313527 0 0 0 144313527 471088 350583 480212 975056 1507650 3784589 471088 350583 480212 975056 1507650 3784589 347909 120212 110771 578892 23311633 26148342 24437050 27261885 47518098 148677008 0.97070 0.97310 0.02550 0.02060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7076238 7076238 128010800 53742107 74268693 41285673 11197309 30088364 60296482 1106248 59190234 170623529 CASH AND CASH EQUIVALENTS 23498541 F COMMON STOCKS 5214286 F MUTUAL FUNDS 9821308 F DEBT SECURITIES 4714755 F ACCRUED INTEREST 450 F 43249340 DUE FROM RELATED PARTY 2707 RIGHT OF USE LEASE ASSET 36680254 36682961 ENTRANCE FEE AND WAIT LIST DEPOSITS 3401370 ENTRANCE FEE REFUND PAYABLE 1906550 CAPTIAL LEASE LIABILITY 42379328 CURRENT PORTION OF RETAINAGE PAYABLE 1464009 49151257 X 49247458 2314873 -82718 2232155 47015303 139625 139625 47154928 42623384 -73623 -73623 42697007 139625 139625 42836632 PART X, LINE 2: LCPV AND THE FOUNDATION HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. VLOB WAS A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES. ACCORDINGLY, INCOME EARNED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES, AND, THEREFORE, THESE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONTRIBUTION EXPENSE -73,623. TRANSFER OF NET ASSETS -9,095. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONTRIBUTION EXPENSE -73,623. 1 VICAR'S LANDING FOUNDATION INC 1000 VICARS LANDING WAY PONTE VEDRA FL 32082 821479221 501(C)(3) 23975 0 GENERAL SUPPORT RESIDENT BENEVOLENCE 2 73623 PART I, LINE 2: GRANTS ARE GENERALY MADE ONLY TO ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) AND RESIDENTS OF THE FILING ORGANIZATION'S CONTINUING CARE RETIREMENT COMMUNITY. ACCORDINGLY, THE FILING ORGANIZATION HAS NOT ESTABLISHED SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES AS THE FILING ORGANIZATION DOES NOT HAVE A GRANT MAKING PROGRAM THAT WOULD NECESSITATE SUCH PROCEDURES. 0 0 0 0 0 0 0 0 0 D BRUCE JONES CHIEF EXECUTIVE OFFICER 0 346246 0 0 0 0 0 21183 0 14863 0 382292 0 0 DARREN ROY CHIEF FINANCIAL OFFICER 0 243483 0 0 0 0 0 21697 0 10621 0 275801 0 0 DALE PIRKLE CHIEF OPERATING OFFICER 0 251821 0 0 0 0 0 0 0 0 0 251821 0 0 THERESA M CROSBY DIRECTOR OF SALES AND MARK 220787 0 0 0 0 0 9246 0 12286 0 242319 0 0 0 KENDALL BRYAN DIRECTOR OF HEALTH SERVICE 0 197501 0 0 0 0 0 30000 0 0 0 227501 0 0 PART I, LINE 3 THE FILING ORGANIZATION'S OFFICERS ARE COMPENSATED BY A RELATED 501(C)(3) ORGANIZATION, LCPS MANAGEMENT, INC. THE FOLLOWING METHODS ARE UTILIZED BY LCPS MANAGEMENT, INC. TO ESTABLISH COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER: - COMPENSATION COMMITTEE; AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. A ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY SERIES 2021A 2021-07-01 84430000 SEE SUPPLEMENTAL INFORMATION 0 0 0 B ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY SERIES 2021B 2021-07-01 31200000 SEE SUPPLEMENTAL INFORMATION 0 0 0 C ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY SERIES 2022A 2022-09-01 29750000 SEE SUPPLEMENTAL INFORMATION 0 0 0 D ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY SERIES 2022B 2022-09-01 250000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 3410000 84430000 5104362 3944563 75381076 2021 0 0 0 1 B 30141478 30141478 30141478 2021 0 0 0 1 C 22999188 719762 3671258 18608168 2023 0 0 0 1 D 11376 11376 2023 0 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 0 0 1 1 0 0 0 0 C 0 0 0 0 1 0 0 0 0 D 0 0 0 0 1 0 0 0 0 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY SERIES 2021A DATE THE REBATE COMPUTATION WAS PERFORMED: 08/26/2022 ISSUER NAME: ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY SERIES 2021B DATE THE REBATE COMPUTATION WAS PERFORMED: 08/26/2022 SCHEDULE K, ROW A ENTITY 1 AND B ENTITY 2, PART I(F) IN JULY 2021, THE ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY ISSUED ON BEHALF OF THE ORGANIZATION $84,430,000 SENIOR LIVING REVENUE BONDS (THE "SERIES 2021A BONDS") AND NOT TO EXCEED $31,200,000 SENIOR LIVING REVENUE BOND (THE "SERIES 2021B BOND"), COLLECTIVELY, THE "SERIES 2021 BONDS," TO REFUND PREVIOUS BOND ISSUANCES, TO FINANCE PART OF THE OAK BRIDGE EXPANSION PROJECT, TO FUND A DEBT SERVICE RESERVE ACCOUNT AND A FUNDED INTEREST ACCOUNT, AND TO PAY CERTAIN COSTS OF ISSUING THE SERIES 2021 BONDS. SCHEDULE K, ROW C ENTITY 3 AND D ENTITY 4, PART I(F) IN SEPTEMBER 2022, THE ST. JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY ISSUED ON BEHALF OF THE ORGANIZATION $29,750,000 SENIOR LIVING REVENUE BOND (THE "SERIES 2022A BOND") AND $250,000 SENIOR LIVING REVENUE BOND (THE "SERIES 2022B BOND"), COLLECTIVELY, THE "SERIES 2022 BONDS," TO FINANCE PART OF THE OAK BRIDGE EXPANSION PROJECT, TO FUND A DEBT SERVICE RESERVE ACCOUNT, AND TO PAY CERTAIN COSTS OF ISSUING THE SERIES 2022 BONDS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS LIFE CARE PASTORAL SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATION'S SOLE MEMBER, LIFE CARE PASTORAL SERVICES, INC., HAS THE POWER TO ELECT ALL BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE APPROVAL OF THE SOLE MEMBER, LIFE CARE PASTORAL SERVICES, INC., SHALL BE REQUIRED FOR A NUMBER OF ACTIONS BY THE BOARD, AS WRITTEN WITHIN THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B COPY OF FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THERE IS A YEARLY REVIEW AT THE BOARD LEVEL WHERE EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST POLICY AND DECLARES ANY CONFLICT. ADDITIONALLY, THERE IS A CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK, AND IT IS REVIEWED WITH THE DEPARTMENT HEADS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS OF LIFE CARE PONTE VEDRA, INC. ARE COMPENSATED BY LCPS MANAGEMENT, INC., A RELATED 501(C)(3) ORGANIZATION. THE COMPENSATION COMMITTEE OF THE LCPS MANAGEMENT, INC. BOARD OF DIRECTORS REVIEWS ACCOMPLISHMENTS AGAINST OBJECTIVES AND DETERMINES THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER -9,095. FORM 990, PART XII, LINE 2C OVERSIGHT OF AUDIT: THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. VICAR'S LANDING AT OAK BRIDGE LLC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 611890513 DEVELOPMENT OF COMMUNITY EXPANSION FL 8947789 164727360 LIFE CARE PONTE VEDRA INC LIFE CARE PASTORAL SERVICES INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 593480191 HOLDING ORGANIZATION FL 501(C)(3) LINE 12A, I N/A 0 LCPS MANAGEMENT INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 593474336 MANAGEMENT SERVICES FL 501(C)(3) LINE 12C, III-FI LIFE CARE PASTORAL SERVICES INC 0 LEND AN EAR OUTREACH INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 474712577 PROVISION OF HEARING DEVICES TO THE NEEDY FL 501(C)(3) LINE 7 LIFE CARE PASTORAL SERVICES INC 0 VICAR'S LANDING FOUNDATION INC 1000 VICARS LANDING WAY PONTE VEDRA BEACH FL 32082 821479221 FUNDRAISING FL 501(C)(3) LINE 7 LIFE CARE PONTE VEDRA INC 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 VICAR'S LANDING FOUNDATION INC R 9095 FMV