2016-08-15T10:38:45-05:00 2015-09-30 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2014-10-01 590737904 ST JOHNS COUNTY WELFARE FEDERATION STJO 9048293475 161 MARINE STREET ST AUGUSTINE FL 32084 DR LARRY LAKE EXECUTIVE DIRECTOR 9048293475 2016-08-15 1 MICHAEL D MEADE JD LLM P01079860 4077405400 2014 2016-09-27 15:27:22Z BAYVIEW HEALTHCARE DR LARRY LAKE 161 MARINE STREET ST AUGUSTINE FL 32084 16957163 0 X WWW.BAYVIEWHEALTHCARE.ORG X 1976 FL THE ORGANIZATION'S EXEMPT PURPOSE IS TO CONDUCT CHARITABLE AND GENERAL WELFARE SERVICES THROUGHOUT ST. JOHN'S COUNTY, PRIMARILY THROUGH THE OPERATION OF A 120-BED SKILLED NURSING FACILITY, TWO ASSISTED LIVING FACILITIES AND A HOME HEALTH AGENCY. 6 5 386 550 0 0 344649 342667 16170123 16590584 863 1875 22415 22037 16538050 16957163 63858 38465 0 0 10006319 10424780 0 0 23846 6680629 7295853 16750806 17759098 -212756 -801935 13624593 12669517 15073305 14927952 -1448712 -2258435 X THE ORGANIZATION'S EXEMPT PURPOSE IS TO CONDUCT CHARITABLE AND GENERAL WELFARE SERVICES THROUGHOUT ST. JOHN'S COUNTY, PRIMARILY THROUGH THE OPERATION OF A 120-BED SKILLED NURSING FACILITY, TWO ASSISTED LIVING FACILITIES AND A HOME HEALTH AGENCY. 0 0 14073255 16612621 THE ORGANIZATION CONDUCTS CHARITABLE AND GENERAL WELFARE SERVICES THROUGHOUT ST. JOHNS COUNTY, FL. IT OPERATES A 120-BED SKILLED NURSING FACILITY, TWO ASSISTED LIVING FACILITIES AND A HOME HEALTH AGENCY. IN ADDITION, THE ORGANIZATION ADMINISTERS BAYVIEW NEIGHBORS, A PROGRAM WHICH PROVIDES EDUCATION AND SUPPORT SERVICES TO ASSIST ELDERS TO STAY IN THEIR OWN HOMES AND MAINTAIN THE HIGHEST LEVELS OF FUNCTIONALITY. 38465 38465 THE ORGANIZATION OPERATES AN EMERGENCY ASSISTANCE CHARITABLE PROGRAM, WHICH PROVIDES FINANCIAL ASSISTANCE TO FAMILIES AND HOUSEHOLDS SEEKING EMERGENCY FOOD, CLOTHING, ASSISTANCE WITH UTILITY BILLS, RENT, MEDICATION, AND OTHER SUPPORT IN EMERGENCY SITUATIONS. 14111720 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 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 38 0 1 386 1 0 0 0 0 0 0 0 0 0 0 X 6 5 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 DR LARRY LAKE EXECUTIVE DIRECTOR 40.00 5.00 X X 142108 0 105953 OTIS MASON DIRECTOR 1.00 1.00 X 0 0 0 JIM NORMAN CONTROLLER 44.00 1.00 X 129016 0 1904 271124 0 107857 2 0 1 0 JANI-KING OF JACKSONVILLE 5700 ST AUGUSTINE ROAD JACKSONVILLE FL 32207 HOUSEKEEPING SERVICES 403686 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING SERVICES 153635 2 31950 117047 105064 88606 342667 RESIDENT SERVICE REVENUE 623000 15361661 15361661 HOME HEALTH AGENCY 621610 1228923 1228923 16590584 1875 1875 MISCELLANEOUS INCOME 623000 22037 22037 22037 16957163 16612621 0 1875 38465 38465 392687 392687 8079768 7534572 545196 166514 115160 51354 1155092 1063403 91689 630719 567511 63208 33743 33743 55510 55510 675100 570901 104199 86238 78050 7598 590 556009 343076 211942 991 138139 3990 134149 574242 548437 25805 151512 101944 49568 27716 10009 16549 1158 733879 733879 520319 520319 219138 219138 BAD DEBT EXPENSE 851981 851981 QUALITY ASSESSMENT FEE 756044 756044 RAW FOOD AND NOURISHMEN 618804 618804 PHARMACY 550523 550523 746956 690512 35337 21107 17759098 14111720 3623532 23846 96500 260240 304768 216722 2432878 1811689 24070 28381 124226 79338 16602573 8444011 8294759 8158562 2007881 1795381 339511 319204 13624593 12669517 1694422 1746914 13307771 13104938 58345 63470 12767 12630 15073305 14927952 X -1448712 -2258435 -1448712 -2258435 13624593 12669517 X -801935 -7788 X X 0 1 X 1 0 X 326526 339128 336714 341099 342667 1686134 15583033 14982690 15597625 16173673 16590584 78927605 15909559 15321818 15934339 16514772 16933251 80613739 0 0 0 80613739 3402 2001 2056 863 1875 10197 3402 2001 2056 863 1875 10197 27549 27473 18724 22415 22037 118198 15940510 15351292 15955119 16538050 16957163 80742134 0.99840 0.99840 0.00010 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 40756 13244 54000 0 75391 75391 12604479 6439837 6164642 740000 378078 361922 3182703 1626096 1556607 8158562 CASH AND MONEY MARKET FUNDS 1795381 F 1795381 SECURITY DEPOSITS 12630 12630 16110956 -846207 -846207 16957163 0 16957163 16920677 -838421 -838421 17759098 0 17759098 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, 2015 AND 2014, THESE FUND BALANCES WERE APPROXIMATELY $54,000 AND $38,000, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN NET ASSETS OF SUBSIDIARY -7,788. FUNDRAISING EXPENSES REPORTED ON FORM 990 PART IX (D) -82,375. PROVIDER ASSESSMENT FEE -756,044. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES REPORTED ON FORM 990 PART IX (D) -82,375. PROVIDER ASSESSMENT FEE -756,044. ROUNDING -2. 1 EMERGENCY ASSISTANCE CHARITABLE PROGRAM 645 38465 FAIR MARKET VALUE EMERGENCY FOOD, CLOTHING, ASSISTANCE WITH UTILITY BILLS, RENT, MEDICATION, AND OTHER SUPPORT IN EMERGENCY SITUATIONS. PART I, LINE 2: THE USE OF GRANTS AND OTHER ASSISTANCE ARE WITHIN THE ANNUAL FINANCIAL BUDGET AND INTERNAL CONTROLS APPROVED BY THE BOARD OF DIRECTORS AND MONITORED BY THE EXECUTIVE DIRECTOR. THE DIRECTOR OF COMMUNITY SERVICES RECOMMENDS AN APPLICANT THAT HAS SUBMITTED AN APPLICATION FOR DESPERATION OF NEED TO QUALIFY FOR A DISBURSEMENT OF CHARITABLE FUNDS. X 1 1 X X 0 0 0 0 0 0 0 0 0 DR LARRY LAKE EXECUTIVE DIRECTOR 142108 0 0 0 0 0 11915 0 94038 0 248061 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 1175000 11570000 14029592 907738 425657 1000000 476895 10044302 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 11 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 NET ASSETS OF SUBSIDIARY -7,788. 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 11B, 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 CARING HANDS CARING COMMUNITY INC C 117047 CASH