2025-04-30T12:40:06-05:00 2024-09-30 560587953 GILLIAM BELL MOSER LLP POST OFFICE BOX 621 BURLINGTON NC 272160621 990 2023-10-01 561270984 LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY NORTH CAROLINA LUTH 3365381500 3701 WADE COBLE DRIVE BURLINGTON NC 27215 BRENT CONKLIN CFO 3365381515 2025-04-25 1 0 JEREMY C HARTLE P00643154 3362276283 2025-04-25 2023 2025-03-06 01:10:19Z X TWIN LAKES COMMUNITY PAMELA S FOX 3701 WADE COBLE DRIVE BURLINGTON NC 27215 65311660 0 X WWW.TWINLAKESCOMM.ORG X 1980 NC TO PROVIDE COMPREHENSIVE RESIDENTIAL, SOCIAL, AND HEALTH RELATED SERVICES TO THE ELDERLY. 20 20 639 153 0 0 5386083 6219216 40516319 43109399 984666 2574215 28215 34120 46915283 51936950 1892072 1945756 0 0 20615570 21927273 0 0 114824 21558131 22388656 44065773 46261685 2849510 5675265 212350553 254332180 146401952 184332172 65948601 70000008 AS A NON-PROFIT BUILT ON CHRISTIAN VALUES, WE CELEBRATE THE PROGRESSION OF LIFE AND DIGNITY OF THE INDIVIDUAL BY EMPOWERING ALL MEMBERS OF OUR COMMUNITY TO LIVE, WORK AND SERVE TO THEIR FULLEST POTENTIAL. 0 0 42560829 1945756 43143519 OPERATION OF CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF 104 NURSING CARE BEDS, 36 ASSISTED LIVING UNITS, 434 APARTMENTS, VILLAS AND GARDEN HOMES, AND 32 MEMORY CARE ASSISTED LIVING BEDS. THE NURSING FACILITY PROVIDES SERVICES TO RESIDENTS THROUGH BOTH MEDICARE AND MEDICAID. THE FACILITY ALSO PROVIDES REHABILITATIVE SERVICES INCLUDING PHYSICAL THERAPY, SPEECH THERAPY AND OCCUPATIONAL THERAPY. THIS CONTINUING CARE RETIREMENT COMMUNITY ALSO PROVIDES ADULT DAY CARE AND HOME CARE SERVICES. PARKINSON'S SUPPORT AND CAREGIVER'S SUPPORT IS AVAILABLE ALONG WITH SERVICES FOR OLDER ADULTS WITH DEVELOPMENTALLY DISABLED ADULT CHILDREN. 42560829 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 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 0 1 0 0 0 1 45 0 639 1 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X BRENT CONKLIN 3365381502 3701 WADE COBLE DRIVE BURLINGTON NC 27215 MATRICE D MEBANE-WILLIAMS BOARD MEMBER 1.00 X 0 0 0 LEANDRA NICHELLE RATLIFF BOARD MEMBER 1.00 X 0 0 0 DOUGLAS A BROOK BOARD MEMBER 1.00 X 0 0 0 JILL M GERRINGER BOARD MEMBER 1.00 X 0 0 0 MICHAEL CORUM BOARD MEMBER 1.00 X 0 0 0 VERNETTA BRIDGES BOARD MEMBER 1.00 X 0 0 0 T BRUCE MOORE BOARD MEMBER 1.00 X 0 0 0 SHERRY HUNT BOARD MEMBER 1.00 X 0 0 0 SAMUEL SINK BOARD MEMBER 1.00 X 0 0 0 REED LAPLANTE BOARD MEMBER 1.00 X 0 0 0 MICHAEL MENZ BOARD MEMBER 1.00 X 0 0 0 MELANIE THOMAS BOARD MEMBER 1.00 X 0 0 0 K ALEXIS MOORE BOARD MEMBER 1.00 X 0 0 0 JERRY R TOLLEY JR BOARD MEMBER 1.00 X 0 0 0 DAVID KOESTER BOARD MEMBER 1.00 X 0 0 0 ALISON UPTON BOARD MEMBER 1.00 X 0 0 0 JOY ISLEY SECRETARY 2.00 X X 0 0 0 DANNY CRAIG VAN FLEET TREASURER 2.00 X X 0 0 0 ANTHONY E FORIEST VICE CHAIR 2.00 X X 0 0 0 JACKIE S COLE BOARD CHAIR 2.00 X X 0 0 0 PAMELA S FOX PRESIDENT/CEO 40.00 X 295403 0 54208 KIMBERLY THOMAS HRO 40.00 X 108956 0 15906 BRENT CONKLIN CFO 40.00 X 181443 0 26356 SVIATLANA BARBER WEEKEND SUPERVISOR RN 40.00 X 102635 0 14351 LAURA MCDANIEL DIRECTOR OF RESIDENT & COM 40.00 X 112913 0 15911 LAUREN COOK HC ADMINISTRATOR 40.00 X 123294 0 24007 AMY FRANKLIN DIRECTOR OF NURSING (MS) 40.00 X 118507 0 24228 TARA PATTON MC ADMINISTRATOR 40.00 X 101057 0 14772 1144208 0 189739 8 0 1 0 RAY A WHITESELL CONTRACTING LLC 1662 ST MARKS CHURCH ROAD BURLINGTON NC 27215 BUILDING RENOVATIONS 903868 LATOUR ELECTRIC INC 1206B SPRINGWOOD CHURCH ROAD GIBSONVILLE NC 27249 ELECTRONIC EQUIPMENT/MAINTENANCE 302708 AMPLIFIED ELECTRONIC DESIGNS INC 7617 BOEING DRIVE GREENSBORO NC 27408 ELECTRONIC EQUIPMENT/MAINTENANCE 257965 SOUTHERN PINE NEEDLES OF NC LLC 503 BANNER AVENUE GREENSBORO NC 27401 LANDSCAPING 147565 TK ELEVATOR 22 OAK BRANCH DRIVE GREENSBORO NC 27407 ELEVATOR REPAIR/MAINTENANCE 109323 5 6219216 6219216 INDEPENDENT LIVING FACILITIES 623000 15782832 15782832 NURSING CARE 623000 13658092 13658092 ADMISSION FEES EARNED 623000 5096773 5096773 MEMORY CARE 623000 3305608 3305608 ASSISTED LIVING 623000 2517151 2517151 2748943 2748943 43109399 1259704 1259704 34120 0 34120 34120 34120 14684526 4695 13341726 32984 1342800 -28289 1314511 1314511 51936950 43143519 0 2574215 161560 161560 1784196 1784196 706676 706676 17316220 16135638 1127063 53519 464956 447807 9790 7359 2094878 2223642 -160234 31470 1344543 1213819 114292 16432 8563 8563 112538 112538 127816 127816 1337467 1228940 108527 130326 130326 2680978 2167809 512733 436 541665 71336 470329 1908358 1870191 38167 36424 21147 12570 2707 2441958 2393119 48839 8961636 8782403 179233 1424396 1395908 28488 PATIENT DRUGS AND FOOD 1532574 1532574 REPAIRS AND MAINTENANCE 1009575 1009575 BAD DEBTS 70606 70606 EDUCATION 63776 50559 10316 2901 46261685 42560829 3586032 114824 21772168 23668589 6880724 13142694 369027 447929 41719 265862 285742062 94027175 158729938 191714887 20266496 23628692 4290481 1463527 212350553 254332180 7236082 7602440 64418522 64090468 74747348 112639264 146401952 184332172 X 61153967 64466911 4794634 5533097 65948601 70000008 212350553 254332180 X 5675265 1203096 -2826954 X 0 1 X 1 0 X 239897 3374534 254776 5386083 6219216 15474506 33790720 35859005 38673832 40516319 43109399 191949275 34030617 39233539 38928608 45902402 49328615 207423781 22018 221718 37130 60479 47927 389272 0 22018 221718 37130 60479 47927 389272 207034509 645699 315467 385683 652059 1293824 3292732 645699 315467 385683 652059 1293824 3292732 34676316 39549006 39314291 46554461 50622439 210716513 0.98250 0.98470 0.01560 0.01330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3499002 28215 807495 60004 32357 4242351 3052340 72073 449984 46747 28648 3499002 3690867 27051 -593141 41315 31122 3052340 3098737 17177 653875 49405 29517 3690867 2971938 3393 187723 38474 25843 3098737 0.07560 0.92440 0 0 8661846 8661846 178262097 68884226 109377871 18444150 10645937 7798213 80373969 14497012 65876957 191714887 48401080 1203096 -2826954 -1623858 50024938 127816 1784196 1912012 51936950 44349673 0 44349673 127816 1784196 1912012 46261685 PART V, LINE 4: THE INCOME OF THE ENDOWMENT FUNDS IS USED TO SUPPORT THE OPERATIONS OF LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MARKET VALUE OF RATE SWAP AGREEMENT RELATED TO TAX-EXEMPT BONDS -2,826,954. PART XI, LINE 4B - OTHER ADJUSTMENTS: UNREIMBURSED COSTS UNDER MEDICAID 1,243,055. FORGIVEN MONTHLY AND DAILY FEES 541,141. PART XII, LINE 4B - OTHER ADJUSTMENTS: UNREIMBURSED COSTS UNDER MEDICAID 1,243,055. FORGIVEN MONTHLY AND DAILY FEES 541,141. 1 TOWN OF ELON PO BOX 595 ELON NC 27244 561174600 501(C)(3) 56000 0 CONTRIBUTION TO COST OF PROVIDING FIRE AND EMERGENCY RESPONSE. ALAMANCE COMMUNITY COLLEGE FOUNDATION 1247 JIMMIE KERR RD GRAHAM NC 27253 581511004 501(C)(3) 15000 0 ANNUAL GIFT MEALS ON WHEELS OF ALAMANCE COUNTY 508 W DAVIS STREET BURLINGTON NC 27215 561061980 501(C)(3) 20835 0 LANES OF LIGHT PROCEEDS/CAMPAIGN GIFT SALVATION ARMY 812 ANTHONY STREET BURLINGTON NC 27217 501(C)(3) 6790 0 LANES OF LIGHT PROCEEDS 4 FINANCIAL AID 32 1243055 FMV UNREIMBURSED COSTS UNDER MEDICAID FINANCIAL AID 10 541141 FMV FORGIVEN MONTHLY AND DAILY FEES PART I, LINE 2: THE BOARD RECOGNIZES LRM/TLC'S RESPONSIBILITY TO COMMUNITY OUTREACH AND SUPPORT AND AGREES WITH THE FOLLOWING STATEMENTS. I.FINANCIAL CONTRIBUTIONS ARE SUBJECT TO THE REQUIREMENTS IN THE CHARITABLE CARE AND COMMUNITY BENEFIT POLICY. II.CHARITABLE GIFTS WILL BE GRANTED TO QUALIFYING TAX-EXEMPT ORGANIZATIONS THAT COMPLEMENT OR ADVANCE OUR MISSION OR AT THE DISCRETION OF PRESIDENT/CEO, OUTREACH COMMITTEE OR THE BOARD. ORGANIZATIONS MEETING THE OBJECTIVES OF OUR PRIMARY MISSION WILL BE GIVEN PRIORITY. HOWEVER, ALL GIVING OPPORTUNITIES WILL BE CONSIDERED CAREFULLY AND MAY BE APPROVED FOR ORGANIZATIONS FALLING OUTSIDE OF OUR ESTABLISHED FOCUS AREA. III.OUTREACH COMMITTEE WILL RECOMMEND A GIFT AND SPONSORSHIP EXPENDITURE ANNUALLY TO BE APPROVED BY THE BOARD OF DIRECTORS. THIS TOTAL, THAT WILL INCLUDE ANTICIPATED PLEDGE PAYMENTS, WILL BE DETERMINED BASED ON PRIOR YEAR'S GIVING, CURRENT FINANCIAL STATUS OF TWIN LAKES AND AGREED OBJECTIVES OF THE COMMITTEE. CHARITABLE GIFTS AND GRANTS WILL BE DISBURSED FROM THE ANNUAL OPERATING BUDGET AND FROM SPECIAL RESERVE ACCOUNTS DESIGNATED FOR THIS PURPOSE. THE APPROVED GIFT AMOUNT CAN BE CHANGED AT ANY TIME WITH COMMITTEE AND BOARD APPROVAL. X X X X 0 1 0 0 0 0 0 0 0 PAMELA S FOX PRESIDENT/CEO 295403 0 0 0 0 0 35105 0 19103 0 349611 0 0 0 BRENT CONKLIN CFO 181443 0 0 0 0 0 7938 0 18418 0 207799 0 0 0 PART I, LINE 4B PAMELA S. FOX, PRESIDENT/CEO - 457(B) DEFERRED COMPENSATION PLAN CONTRIBUTION FOR THE YEAR WAS $23,000. THIS CONTRIBUTION IS ACCRUED BY THE ORGANIZATION AND IS NOT INCLUDED IN TAXABLE COMPENSATION UNTIL RECEIVED. A NC MEDICAL CARE COMMISSION 521309402 2019-10-01 42860000 SEE DESCRIPTION ON SCHEDULE O 0 0 0 B NC MEDICAL CARE COMMISSION 521309402 2019-10-01 23025000 SEE DESCRIPTION ON SCHEDULE O 0 0 0 C NC MEDICAL CARE COMMISSION 521309402 2022-12-13 58100000 SEE DESCRIPTION ON SCHEDULE O 0 0 0 A 49221157 3702624 1088599 44429934 2021 0 0 1 1 B 23025000 92100 6232900 16700000 2022 1 0 1 1 C 58100000 1270043 693477 46647778 1000 9487702 0 0 0 1 A 0 0 0 1 0 0 0 1 0 B 0 0 0 1 1 0 0 1 0 C 0 0 0 1 0 0 0 1 0 A 0 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NC MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2021 ISSUER NAME: NC MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2021 FORM 990, PART VI, SECTION A, LINE 7B ANY AMENDMENT TO THE BYLAWS MUST BE APPROVED BY THE MACEDONIA LUTHERAN CHURCH GOVERNING COUNCIL. THE MACEDONIA LUTHERAN CHURCH GOVERNING COUNCIL MUST ALSO APPROVE THE SLATE OF NEW MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS REVIEWED IN DETAIL WITH THE AUDIT COMMITTEE OF OUR BOARD OF DIRECTORS PRIOR TO FILING. AFTER A DISCUSSION PERIOD AND A QUESTION AND ANSWER PERIOD, THE AUDIT COMMITTEE VOTED TO RECOMMEND TO THE FULL BOARD OF DIRECTORS THAT THE FORM 990 BE ACCEPTED AND FILED. A COPY OF THE ENTIRE FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ENTIRE BOARD OF DIRECTORS WHO THEN VOTED TO ACCEPT THE RECOMMENDATION OF THE AUDIT COMMITTEE. FORM 990 WAS FILED AFTER A COPY WAS PROVIDED TO EACH BOARD MEMBER AND THE BOARD HAD APPROVED THE RECOMMENDATION OF THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL DISCLOSE AND THEN EXCUSE THEMSELVES FROM ANY DISCUSSION AND VOTE FOR ANY MATTER FOR WHICH A CONFLICT EXISTS FOR THEMSELVES OR ANY FAMILY MEMBER. ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD WITHOUT THE PRESENCE OF THE INTERESTED PARTY. OUR CONFLICT OF INTEREST POLICY IS REVIEWED WITH THE BOARD OF DIRECTORS AND MANAGEMENT ON AN ANNUAL BASIS. BOARD MEMBERS AND MANAGEMENT COMPLETE A LISTING OF POSSIBLE CONFLICTS DURING THE ANNUAL REVIEW AND ARE INSTRUCTED TO REPORT ANY NEW CONFLICTS THAT ARISE DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 4958(6)(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF OFFICER, KEY MANAGEMENT, AND DIRECTOR COMPENSATION. ON AN ANNUAL BASIS THE ENTIRE GOVERNING BOARD REVIEWS AND APPROVES THE ENTIRE COMPENSATION PACKAGE OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER BASED ON COMPARABILITY FACTORS INCLUDING BUT NOT LIMITED TO THE SIZE OF THE ORGANIZATION, THE GEOGRAPHIC LOCATION OF THE ORGANIZATION, AND THE EMPLOYEE'S LENGTH OF SERVICE. THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL PERFORMANCE REVIEW OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, REVIEWS THE COMPARABILITY DATA, AND MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS WHO THEN APPROVE THE ENTIRE COMPENSATION PACKAGE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE AT THE NC DEPARTMENT OF INSURANCE WEBSITE AND THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE GUIDESTAR WEBSITE. FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE OF RATE SWAP AGREEMENT RELATED TO TAX-EXEMPT BONDS -2,826,954. FORM 990, PART 1, LINE 1 LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY THROUGH ITS CONTINUING CARE RETIREMENT COMMUNITY, TWIN LAKES COMMUNITY (LRM/TLC) PROVIDES COMPREHENSIVE SERVICES TO THE ELDERLY. PROGRAMS AND SERVICES PROVIDED INCLUDE (1) A SKILLED NURSING FACILITY; (2) A RESIDENTIAL MODEL ASSISTED LIVING FACILITY; (3) A MEMORY CARE FACILITY; (4) INDEPENDENT LIVING UNITS; (5) HOME CARE AGENCY; (6) REHABILITATIVE/THERAPY SERVICES; (7) AN ADULT DAY CARE CENTER; (8) A PARKINSON'S SUPPORT GROUP; (9) CARE GIVER SUPPORT AND EDUCATION CLASSES; (10) PROGRAMS/ACTIVITIES WITHIN THE SPECTRUM OF WELLNESS AND HEALTHY AGING; (11) COMMUNITY OUTREACH PROGRAMS; (12) STUDENT INTERNSHIPS AND EDUCATIONAL PRACTICUMS; (13) GRIEF SUPPORT SERVICES; AND (14) RELIGIOUS/SPIRITUAL SERVICES. LRM/TLC SERVES A DIVERSE POPULATION OF APPROXIMATELY 1,000 INDIVIDUALS A YEAR. LRM/TLC IS AN ACCREDITED FACILITY THROUGH THE COMMISSION FOR ACCREDITATION OF REHABILITATIVE FACILITIES (CARF-CCRC). DURING THE YEAR, ITS SKILLED NURSING FACILITY OBTAINED A "4 STAR" RATING THROUGH THE CMS SURVEY SYSTEM. LRM/TLC ACCEPTS MEDICAID PATIENTS AND PROVIDES FINANCIAL ASSISTANCE FOR PERSONS WHO WOULD NOT OTHERWISE QUALIFY FOR GOVERNMENTAL ASSISTANCE PROGRAMS. ITS COMMUNITY OUTREACH PROGRAMS SUPPORTED OVER 50 GOVERNMENTAL, EDUCATIONAL, RELIGIOUS, AND NON-PROFIT CHARITABLE ORGANIZATIONS DURING THE YEAR. LRM/TLC PROVIDES WITHOUT CHARGE THE ONLY PARKINSON'S SUPPORT GROUP IN ALAMANCE COUNTY AND CONSISTENTLY SERVES 60 INDIVIDUALS AND FAMILIES. SCHEDULE K, PART I, ROW A, COLUMN (F) TO PAY OR REIMBURSE THE CORPORATION FOR PAYING A PORTION OF THE COSTS OF THE PROJECT AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE 2019A BONDS. SCHEDULE K, PART I, ROW B, COLUMN (F) TO REFUND A PORTION OF THE COMMISSION'S OUTSTANDING HEALTH CARE FACILITIES REVENUE AND REVENUE REFUNDING BONDS SERIES 2009 AND PAYING A PORTION OF THE COSTS OF THE PROJECT. SCHEDULE K, PART I, ROW C, COLUMN (F) TO PAY OR REIMBURSE THE CORPORATION FOR PAYING A PORTION OF THE COSTS OF THE PROJECT AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE 2022A BONDS. FORM 990, AMENDED RETURN RETURN IS BEING AMENDED TO INCLUDE FORM 5471, INFORMATION RETURN OF US PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, WHICH WAS RECEIVED AFTER ORIGINAL FILING OF FORM 990. AMENDED RETURN ALSO INCLUDES FORM 8938, STATEMENT OF SPECIFIED FOREIGN FINANCIAL ASSETS. MACEDONIA EVANGELICAL LUTHERAN CHURCH 421 WEST FRONT STREET BURLINGTON NC 27215 560594586 CHURCH NC 501(C)(3) 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0