2020-08-17T13:12:19-05:00 2019-09-30 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2018-10-01 590737904 ST JOHNS COUNTY WELFARE FEDERATION STJO 9048293475 161 MARINE STREET ST AUGUSTINE FL 32084 DR LARRY LAKE EXECUTIVE DIRECTOR 9048293475 2020-08-17 1 NORMAN B NEAL CPA P00071411 4077405400 68.95.178.125 2020-08-17 13:03:45 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 ED790DDA320950C8CA808C751220ABE6F56A1A3D 2018 2020-09-23 17:36:50Z BAYVIEW HEALTHCARE DR LARRY LAKE 161 MARINE STREET ST AUGUSTINE FL 32084 14696040 0 X WWW.BAYVIEWHEALTHCARE.ORG X 1976 FL THE ORGANIZATION'S EXEMPT PURPOSE IS TO CONDUCT CHARITABLE AND GENERAL WELFARE SERVICES THROUGHOUT ST. JOHNS COUNTY, FLORIDA. IT OPERATES A 120-BED SKILLED NURSING FACILITY AND ONE ASSISTED LIVING FACILITY. 6 6 291 982 0 0 485499 400918 14868529 14231804 206 24960 57700 38358 15411934 14696040 0 0 0 0 9922463 9818902 0 0 0 6284736 6051750 16207199 15870652 -795265 -1174612 11366570 10467963 14837767 15135899 -3471197 -4667936 X THE ORGANIZATION'S EXEMPT PURPOSE IS TO CONDUCT CHARITABLE AND GENERAL WELFARE SERVICES THROUGHOUT ST. JOHNS COUNTY, FLORIDA. IT OPERATES A 120-BED SKILLED NURSING FACILITY AND ONE ASSISTED LIVING FACILITY. 0 0 13864383 14270162 THE ORGANIZATION CONDUCTS CHARITABLE AND GENERAL WELFARE SERVICES THROUGHOUT ST. JOHNS COUNTY, FLORIDA. IT OPERATES A 120-BED SKILLED NURSING FACILITY AND ONE ASSISTED LIVING FACILITIES. 13864383 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 41 0 1 291 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JIM NORMAN 9045841562 161 MARINE STREET ST AUGUSTINE FL 32084 MARK F BAILEY PRESIDENT 2.00 1.00 X X 0 0 0 JOSEPH L BOLES JR VICE PRESIDENT 2.00 1.00 X X 0 0 0 DR WILLIAM T ABARE SECRETARY/TREASURER 2.00 1.00 X X 0 0 0 JEROD MEEKS DIRECTOR 1.00 1.00 X 0 0 0 JOE GORDY DIRECTOR 1.00 1.00 X 0 0 0 DR JOHN PRIOLEAU DIRECTOR 1.00 1.00 X 0 0 0 DR TODD BATENHORST DIRECTOR 1.00 1.00 X 0 0 0 OTIS MASON DIRECTOR 1.00 1.00 X 0 0 0 JASON BARNETT DIRECTOR 1.00 1.00 X 0 0 0 MRS NANGELA PULSFUS DIRECTOR 1.00 1.00 X 0 0 0 DR LARRY LAKE CHIEF EXECUTIVE OFFICER 40.00 X 148450 0 79267 JAMES NORMAN CHIEF FINANCIAL OFFICER 40.00 X 110373 0 9477 SHELLYE NUTTER DIRECTOR OF NURSING 40.00 X 125450 0 1350 384273 0 90094 3 0 1 0 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 PHYSICAL THERAPY SERVICE 1289000 BLUE CROSS BLUE SHIELD O BOX 2458 JACKSONVILLE FL 32231 HEALTH INSURANCE 882356 PREMIUM ASSIGMENT CORP 3522 THOMASVILLE RD TALLAHASSEE FL 32314 INSURANCE 365353 ONE SOURCE COMMUNICATIONS PO BOX 8385 GREENVILLE NC 27835 PHONE/ INTERNET SERVICE 120831 TRU TECHNOLOGY 841 PRUDENTIAL DR JACKSONVILLE FL 32207 IT SUPPORT 111587 5 73266 327652 400918 NET RESIDENT SERVICE REVENUE 623000 14231804 14231804 14231804 24960 24960 MISCELLANEOUS INCOME 623000 38358 38358 38358 14696040 14270162 0 24960 426488 426488 6358484 5969751 388733 33014 29047 3967 2470839 2173997 296842 530077 466390 63687 99976 99976 18316 18316 286786 208851 77935 28989 28989 29002 12465 16537 952124 706641 245483 39508 39508 726911 714400 12511 449919 442175 7744 491630 450444 41186 MEDICAL SUPPLIES AND DR 1330113 1199745 130368 QUALITY ASSESSMENT FEE 714561 714561 DIETARY SERVICES 599639 599639 FINANCE CHARGES 147507 147507 136769 136769 15870652 13864383 2006269 0 328083 283323 77797 77359 380678 1363216 1390178 44232 42921 58947 40969 16716868 10116497 6789058 6600371 1733625 1744679 590934 288163 11366570 10467963 2041810 2755285 12401437 11905479 7222 72 376450 463215 10848 11848 14837767 15135899 X -3471197 -4667936 -3471197 -4667936 11366570 10467963 X -1174612 -22127 X X 0 1 X 1 0 X 342667 312757 876693 485499 400918 2418534 16590584 16549163 16742286 14868529 14231804 78982366 16933251 16861920 17618979 15354028 14632722 81400900 0 0 0 81400900 1875 833 2168 14025 24960 43861 1875 833 2168 14025 24960 43861 22037 123945 37565 57700 38358 279605 16957163 16986698 17658712 15425753 14696040 81724366 0.99600 0.99660 0.00050 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 53023 11662 64685 0 75391 75391 12461255 7577276 4883979 740000 449969 290031 3435892 2089252 1346640 4330 4330 6600371 CASH AND MONEY MARKET FUNDS 1744679 F 1744679 SECURITY DEPOSITS 2455 UNCLAIMED PROPERTY 8393 DUE TO OTHERS 1000 11848 14696040 0 14696040 0 14696040 15892779 22127 22127 15870652 0 15870652 PART IV, LINE 1B: BAYVIEW HEALTHCARE OFFERS A CASH MANAGEMENT SERVICE TO ITS HEALTHCARE RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESPECTIVE RESIDENT, TO BE DISBURSED ONLY AS REQUESTED AND, ACCORDINGLY, THE FUNDS ARE EXCLUDED FROM BAYVIEW HEALTHCARE'S FINANCIAL STATEMENTS. BAYVIEW HEALTHCARE HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. AT SEPTEMBER 30, 2019 AND 2018, THE BALANCES OF THESE FUNDS WERE APPROXIMATELY $65,000 AND $53,000, RESPECTIVELY. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN NET ASSETS OF RELATED ORGANIZATION 22,127. X 1 1 X X 0 0 0 0 0 0 0 0 0 DR LARRY LAKE CHIEF EXECUTIVE OFFICER 148450 0 0 0 0 0 0 0 79267 0 227717 0 0 0 PART I, LINE 1A A HOUSING ALLOWANCE IS PROVIDED TO THE EXECUTIVE DIRECTOR AND TREATED AS A NONTAXABLE BENEFIT. THIS BENEFIT WAS APPROVED BY THE BOARD OF DIRECTORS. A ST JOHN'S COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 70939NAY4 2007-02-22 14335000 SEE SUPPLEMENTAL INFORMATION 1 0 0 A 2115000 11570000 14029592 907738 425657 1000000 476895 9924302 2007 0 1 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ST. JOHN'S COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/29/2013 SCHEDULE K, PART I, COLUMN F PROCEEDS FROM THE SERIES 2007 BONDS WERE USED TO PAY ISSUANCE COSTS, REFUND AND DEFEASE THE SERIES 1997 BONDS, PROVIDE WORKING CAPITAL, AND TO PAY THE COSTS OF CAPITAL IMPROVEMENTS. SCHEDULE K, PART I(C) CUSIP NO. 79039NAW8, $1,865,000 5.00% TERM BONDS DUE OCTOBER 1, 2017 CUSIP NO. 79039NAX6, $3,205,000 5.20% TERM BONDS DUE OCTOBER 1, 2027 CUSIP NO. 79039NAY4, $9,265,000 5.25% TERM BONDS DUE OCTOBER 1, 2041 SCHEDULE K, PART II, LINE 1 THE TOTAL PROCEEDS FOR SERIES 2007 BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E), THE DIFFERENCES ARE AS FOLLOWS: ORIGINAL ISSUE DISCOUNT OF $73,657. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT. THE EXECUTIVE DIRECTOR CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 AND A COPY OF THE RETURN IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ITS ANNUAL DISCLOSURE PROCESS. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE, COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER AND OTHER TOP MANAGEMENT OFFICIALS. THE COMPENSATION COMMITTEE IS INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING CONSIDERED. THE COMMITTEE UTILIZES COMPARABILITY SURVEYS TO DETERMINE COMPENSATION. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF RELATED ORGANIZATION -22,127. FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. CARING HANDS CARING COMMUNITY INC PO BOX 1379 ST AUGUSTINE FL 32085 201281263 TO SUPPORT ST. JOHNS COUNTY WELFARE'S PROGRAMS AND PURPOSE FL 501(C)(3) LINE 12B, II ST JOHNS COUNTY WELFARE FEDERATION 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0