2023-05-05T15:11:15-05:00 2022-06-30 721396621 CARR RIGGS & INGRAM LLC 1601 2ND AVENUE EAST ONEONTA AL 35121 990 2021-07-01 630386404 EPISCOPAL FOUNDATION OF JEFFERSON COUNTY EPIS 2059561831 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 CAROL M HOLZMAN CEO 2059561831 2023-05-03 1 CAROL HOLZMAN 999009999 JONATHAN D THOMAS P00833737 2055176914 2023-05-03 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CAROL M HOLZMAN 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 15354717 0 X STMARTINSINTHEPINES.ORG X 1957 AL THE MISSION OF ST MARTIN'S IN THE PINES IS TO SERVE GOD THROUGH A MINISTRY THAT PROVIDES A CONTINUUM OF CARE AND QUALITY OF LIFE TO AGING INDIVIDUALS AND THEIR FAMILIES. WE DO THIS BY PROVIDING LONG TERM CARE SERVICES AND SUPPORTS TO THE ELDERS OF JEFFERSON COUNTY, ALABAMA. REVENUES GENERATED FROM THESE SERVICES AND SUPPORTS ARE PAID BY PRIVATE CARE FUNDS, MEDICAID, MEDICARE, PRIVATE INSURANCE AND THE VETERANS ADMINISTRATION. SERVICES ARE PROVIDED ON A PLEASANT SUBURBAN SITE AND IN A HOME LIKE ENVIRONMENT WHENEVER POSSIBLE. WE PROVIDE HOUSING AND HOME CARE SERVICES TO APPROXIMATELY 400 ELDERS AND CLIENTS DAILY. 12 12 428 12 0 0 2708231 1577012 15745092 13131287 98353 8602 1563676 637816 20115352 15354717 0 0 0 0 12217855 9033188 0 0 0 8312440 8481757 20530295 17514945 -414943 -2160228 34577602 31827458 21750219 21446008 12827383 10381450 SEE SCHEDULE O 0 0 15887185 13777705 THE MISSION OF ST MARTIN'S IN THE PINES IS TO SERVE GOD THROUGH A MINISTRY THAT PROVIDES A CONTINUUM OF CARE AND QUALITY OF LIFE TO AGING INDIVIDUALS AND THEIR FAMILIES. WE DO THIS BY PROVIDING LONG TERM CARE SERVICES AND SUPPORTS TO THE ELDERS OF JEFFERSON COUNTY, ALABAMA. REVENUES GENERATED FROM THESE SERVICES AND SUPPORTS ARE PAID BY PRIVATE CARE FUNDS, MEDICAID, MEDICARE, PRIVATE INSURANCE AND THE VETERANS ADMINISTRATION. SERVICES ARE PROVIDED ON A PLEASANT SUBURBAN SITE AND IN A HOME LIKE ENVIRONMENT WHENEVER POSSIBLE. WE PROVIDE HOUSING AND HOME CARE SERVICES TO APPROXIMATELY 400 ELDERS AND CLIENTS DAILY. 15887185 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 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 1 0 0 0 0 1 53 0 1 428 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CAROL M HOLZMAN 2059561831 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 MARK BELCHER CHAIRMAN 0.00 X 0 0 0 FRED ELLIOTT TREASURER 0.00 X 0 0 0 WILL CLARK DIRECTOR 0.00 X 0 0 0 PATSY DREHER DIRECTOR 0.00 X 0 0 0 PAUL GOLDMAN DIRECTOR 0.00 X 0 0 0 WILLIAM HOWELL DIRECTOR 0.00 X 0 0 0 JIM JOHNSON DIRECTOR 0.00 X 0 0 0 KIMBLE VARDAMAN DIRECTOR 0.00 X 0 0 0 BETSY POSTLEWAITE DIRECTOR 0.00 X 0 0 0 MATT SHEFFIELD DIRECTOR 0.00 X 0 0 0 CAROL HOLZMAN CEO 40.00 X 296830 0 38465 MIKE FAULKNER CFO 40.00 X 220777 0 13600 MAMIE MAHONE HR 40.00 X 110846 0 4320 MICHAEL BRITTON COO 40.00 X 79115 0 0 707568 0 56385 3 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 HOSPITALITY SERVICES 1376168 CARING COMMUNITIES 1850 WEST WINCHESTER RD LIBERTYVILLE IL 60048 INSURANCE 306105 ALL HEART CAREGIVERS 1610 4TH AVE N BESSEMER AL 35020 HOME HEALTH 181792 BEN M HANDLEY BUILDER LLC 40 SENTINEL ROAD CHELSEA AL 35043 CONSTRUCTION 122710 4 1292213 284799 1577012 PROG.SERV.REVENUE-RELATED-990 623000 13131287 13131287 13131287 8602 8602 183588 0 183588 183588 183588 MISC. REVENUE-RELATED-990 623000 454228 454228 454228 15354717 13777705 0 0 517607 517607 7288440 7089378 199062 140574 140574 536842 536842 549725 549725 177207 177207 172713 67272 105441 125167 26064 99103 40504 27436 13068 9164 3894 5270 483286 483286 1615644 1615644 465750 465750 CONTRACT SERVICES 1868076 1619179 248897 UTILITIES 921594 921594 RAW FOOD 758147 758147 SUPPLIES 537516 537516 1306989 1044884 262105 17514945 15887185 1627760 0 185826 862191 77654 309720 293321 128510 132903 87581 56763936 31912104 26622474 24851832 6910360 4735535 138176 924805 71979 72193 34577602 31827458 1139679 1856809 15911353 15250404 2549260 2799074 2149927 1539721 21750219 21446008 X 12105429 9659496 721954 721954 12827383 10381450 34577602 31827458 -2160228 -293419 7714 0 X 0 0 0 X 214774 292862 695971 273935 1540643 3018185 21180696 20885919 20135867 15745092 13560765 91508339 21395470 21178781 20831838 16019027 15101408 94526524 0 0 0 94526524 60119 8872 3810 98353 8602 179756 60119 8872 3810 98353 8602 179756 463615 459323 450743 1563676 241119 3178476 21919204 21646976 21286391 17681056 15351129 97884756 0.96570 0.96520 0.00180 0.00180 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2017 AMOUNT: $ 463,615. 2018 AMOUNT: $ 459,323. 2019 AMOUNT: $ 450,743. 2020 AMOUNT: $ 1,563,676. 2021 AMOUNT: $ 241,119. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 77867 77867 56686069 31912104 24773965 24851832 REFUNDABLE DEPOSITS 1539721 1539721 X X X X X X 0 0 0 0 0 0 0 0 0 CAROL HOLZMAN CEO 271830 0 25000 0 0 0 38465 0 0 0 335295 0 0 0 MIKE FAULKNER CFO 199777 0 21000 0 0 0 13600 0 0 0 234377 0 0 0 A 2015 SERIES BOND 260576198 2015-08-05 19270830 REFI/CONSTRUCTION FACILITY 0 0 0 A 3496259 19270830 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B THE CFO WILL ENSURE THE FORM 990 IS PREPARED ACCURATELY AND TIMELY. THE CEO WILL REVIEW THE FORM 990 AND THE CFO WILL CERTIFY THE INFORMATION IS CORRECT BY SIGNING THE FORM. THE FINANCE COMMITTEE WILL REVIEW THE FORM PRIOR TO FILING. THE FORM 990 WILL BE DISTRIBUTED TO THE FULL BOARD WITHIN 30 DAYS OF FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICIES OF THE FOUNDATION REQUIRE ALL BOARD MEMBERS, OFFICERS AND MANAGEMENT EMPLOYEES PREPARE AND SIGN ANNUAL DOCUMENTS DISCLOSING ANY POTENTIAL CONFLICTS OF INTERESTS. ANY POTENTIAL CONFLICTS ARE REVIEWED AND DISCUSSED BY THE ENTIRE BOARD. ADDITIONALLY THE FOUNDATION POLICY REQUIRES CONTINUAL DISCLOSURE SHOULD CIRCUMSTANCES CHANGE. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION'S POLICIES REQUIRE THE CEO'S COMPENSATION TO BE SET AND MONITORED BY THE BOARD OF DIRECTORS. ADDITIONALLY AN OUTSIDE CONSULTING FIRM PREPARES A PERIODIC STUDY OF COMPENSATION FOR SENIOR MANAGEMENT AND PRESENTS ITS RECOMMENDATIONS TO THE BOARD. FURTHERMORE THE POLICIES REQUIRE THE CEO TO PREPARE COMPENSATION RECOMMENDATIONS FOR SENIOR STAFF FOR THE COMPENSATION COMMITTEE TO REVIEW AND APPROVE. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR KEY EMPLOYEES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION RETURNS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. EAST DALE PROPERTIES LLC 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 REAL ESTATE AL