2022-11-02T08:36:50-05:00 2022-06-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2021-07-01 560994323 RALPH SCOTT LIFESERVICES INC RALP 3362271011 408 WEST TRADE STREET BURLINGTON NC 27217 KEVIN DULL BOARD CHAIR 3362271011 2022-11-02 1 KEVIN DULL 999009999 MATTHEW MCKINNEY P01707028 8283222070 2022-11-02 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JENNIFER HELTON 408 WEST TRADE STREET BURLINGTON NC 27217 12848542 0 X RSLI.ORG X 1971 NC RALPH SCOTT LIFESERVICES, INC. PROVIDES INDIVIDUALIZED COMMUNITY LIVING SERVICES AND SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. THESE SERVICES ARE DESIGNED TO PROMOTE SOUND HEALTH, DIGNITY, GROWTH, STABILITY AND COMMUNITY INVOLVEMENT. 17 17 201 0 0 0 2719402 2877840 9829535 9734232 4351 211115 66110 9351 12619398 12832538 0 0 0 0 7613161 7729239 0 0 0 2024882 2360807 9638043 10090046 2981355 2742492 7345282 9602091 1477938 1025568 5867344 8576523 X RALPH SCOTT LIFESERVICES, INC. PROVIDES INDIVIDUALIZED COMMUNITY LIVING SERVICES AND SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. THESE SERVICES ARE DESIGNED TO PROMOTE SOUND HEALTH, DIGNITY, GROWTH, STABILITY AND COMMUNITY INVOLVEMENT. 0 0 7364585 8527938 RSL PROVIDES INDIVIDUALIZED SERVICES AND RESIDENTIAL LIVING SUPPORTS FOR APPROXIMATELY 115 PEOPLE WITH INTELLECTUAL AND OTHER DEVELOPMENTAL DISABILITIES IN ALAMANCE AND CASWELL COUNTIES. SERVICES INCLUDE SUPERVISION, TRANSPORTATION, COORDINATING MEDICAL APPOINTMENTS, AND DIRECT SUPPORT IN ACTIVITIES OF DAILY LIVING (BATHING, DRESSING, MEDICATIONS, MEALS, AND HYGIENE). INDIVIDUALS RECEIVE SUPPORTS TO HELP MAINTAIN RELATIONSHIPS AND CONNECTIONS WITH THE COMMUNITY; DEVELOP INTERESTS; BUILD NATURAL SUPPORTS; AND TO BE ACTIVE CITIZENS. LOCATIONS INCLUDE: 12 DDA HOMES, 5 ICF/MR HOMES, 2 HOMES SUPPORTING INDIVIDUALS WITH DUAL DIAGNOSIS OF MENTAL ILLNESS AND MENTAL RETARDATION,AND 4 SUPPORTED LIVING APARTMENTS THAT SUPPORT UP TO 15 ADULTS. SUPPORT ALSO INCLUDE IN-HOME SERVICES TO INDIVIDUALS WHO LIVE IN THEIR OWN APARTMENTS OR HOMES. 896355 1206294 OFFERS AN ADULT DAY PROGRAM TO PROVIDE SUPPORTS TO APPROXIMATELY 70 INDIVIDUALS WITH INTELLECTUAL OR OTHER DEVELOPMENTAL DISABILITIES AND SERVES BOTH INDIVIDUALS FROM THE COMMUNITY AND OUR RESIDENTIAL PROGRAMS. OPPORTUNITIES ARE OFFERED TO SOCIALIZE, EXERCISE, COMMUNICATION, EXPAND LEISURE INTERESTS, ARTS AND MUSIC, AND TO TEACH DAILY LIVING AND WORK SKILLS. PROGRAM PARTICIPANTS ARE ENCOURAGED TO BE AN ACTIVE PART OF THEIR COMMUNITY AND EVEN VOLUNTEER IN SPECIAL PROGRAMS AND MEALS ON WHEELS. 8260940 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 201 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 NC X JENNIFER HELTON 3362271011 408 W TRADE STREET BURLINGTON NC 27217 JAIME JOYNER DIRECTOR 1.00 X 0 0 0 MAMIE BELTON-EVANS DIRECTOR 1.00 X 0 0 0 CHRIS GADDIS DIRECTOR 1.00 X 0 0 0 ODDETE CAMBRANI-DOVE DIRECTOR 1.00 X 0 0 0 JENNINGS I CHANDLER III DIRECTOR 1.00 X 0 0 0 AMI HILL DIRECTOR 1.00 X 0 0 0 MIKE GEE DIRECTOR 1.00 X 0 0 0 LIZ HILL DIRECTOR 1.00 X 0 0 0 PAULA REARDON DIRECTOR 1.00 X 0 0 0 CHAD SLAUGHTER DIRECTOR 1.00 X 0 0 0 DR CYNTHIA TOULOUPAS DIRECTOR 1.00 X 0 0 0 JOHN NICHOLSON DIRECTOR 1.00 X 0 0 0 RUSSELL GILL SECRETARY 1.00 X X 0 0 0 PATRICK MILLS ASSISTANT TREASURER 1.00 X X 0 0 0 JERRY SPARROW TREASURER 1.00 X X 0 0 0 AMY GATLIN CHANDLER VICE CHAIRMAN 1.00 X X 0 0 0 KEVIN DULL CHAIRMAN 1.00 X X 0 0 0 JENNIFER HELTON CEO 40.00 X 99465 0 0 99465 0 0 0 0 0 0 0 7318 2775360 95162 2877840 MEDICAID/MEDICARE PAYMENTS 623000 7861364 7861364 STATE/COUNTY CONTRACTS 623000 991912 991912 RESIDENT FEES - DDA,ICF 623000 880956 880956 9734232 7225 7225 211827 7937 203890 203890 203890 5258 7318 8067 -2809 -2809 MISCELLANEOUS 623000 12160 12160 12160 12832538 9734232 0 220466 X 99465 99465 6182279 5319146 863133 976841 698051 278790 470654 396324 74330 2262 2262 23049 631 22418 372177 371937 240 26328 24492 1836 8017 8017 195995 171773 24222 89001 67100 21901 FOOD AND PROVISIONS 263798 255115 8683 ICF ASSESSMENT 235847 235847 REPAIRS AND MAINTENANCE 223954 132140 91814 PROFESSIONAL SERVICES 216993 150705 66288 703386 429662 273724 10090046 8260940 1829106 0 20575 21092 4306088 3800706 413159 3237353 80531 85743 4880908 3309456 1591245 1571452 191297 205836 742387 679909 7345282 9602091 670836 627184 462883 151233 344219 247151 1477938 1025568 X 5617344 8364833 250000 211690 5867344 8576523 7345282 9602091 2742492 -33313 0 X X 0 1 X 1 0 X 71585 78476 68885 2719402 2877840 5816188 8984856 9032814 9444364 9829535 9734232 47025801 9056441 9111290 9513249 12548937 12612072 52841989 0 0 0 52841989 2449 7081 6359 4351 211115 231355 2449 7081 6359 4351 211115 231355 9058890 9118371 9519608 12553288 12823187 53073344 0.99560 0.99950 0.00440 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 191297 43730 -26929 2262 205836 144673 1000 47602 1978 191297 150696 1530 5802 1751 144673 152834 4858 5204 1792 150696 142351 12475 1992 152834 0 0 35672 35672 1708127 973246 734881 828323 271533 556790 2308786 2064677 244109 1571452 GROUP HOME DEVELOPMENT 432758 CONSUMERS' PERSONAL FUNDS 247151 679909 CONSUMERS' PERSONAL FUNDS 247151 247151 X 12805030 -33313 8067 -25246 12830276 2262 2262 12832538 10095851 8067 8067 10087784 2262 2262 10090046 PART X, LINE 2: THE ORGANIZATION IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF THE CURRENT & PRIOR YEAR, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ALLOCATED TO FUNDRAISING EVENT 8,067. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSE ALLOCATED TO FUNDRAISING EVENTS 8,067. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED AND APPROVED BY THE FULL BOARD OF DIRECTORS IF IT IS COMPLETED IN TIME FOR THE OCTOBER BOARD MEETING (3RD TUESDAY). IF NOT COMPLETED BY THEN, THE EXECUTIVE COMMITTEE REVIEWS THE 990 DURING THEIR NOVEMBER MEETING, AND THE FULL BOARD OF DIRECTORS SUBSEQUENTLY APPROVES THE 990 DURING THE JANUARY MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES ARE COVERED UNDER THE WHISTLEBLOWER POLICY. ALL EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT. DETERMINATIONS ARE MADE BY THE CEO/BOD/HR. FORM 990, PART VI, SECTION B, LINE 15 BOD DETERMINES COMPENSATION FOR CEO ANNUALLY BY INDUSTRY COMPARISON OF SALARIES GATHERED BY HR MANAGER. COMPENSATION FOR OTHER OFFICERS & KEY EMPLOYEES IS BASED ON ESTABLISHED PAY PLAN DETERMINED BY THE BOARD OF DIRECTORS. AN ANNUAL REVIEW OF THE BUDGET AND APPROVAL OF ADJUSTMENTS IS MADE BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 RALPH SCOTT LIFESERVICES, INC. DISCLOSES IN THE ANNUAL REPORT THAT THESE DOCUMENTS ARE AVAILABLE AT THE CORPORATE OFFICE. THIS INFORMATION IS ALSO AVAILABLE ON RSL'S WEBSITE. FORM 990, PART IX, LINE 24E SUPPLIES : PROGRAM SERVICE EXPENSES 110,673. MANAGEMENT AND GENERAL EXPENSES 1,555. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,228. JANITORIAL SUPPLIES : PROGRAM SERVICE EXPENSES 95,805. MANAGEMENT AND GENERAL EXPENSES 6,877. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,682. COMMUNICATIONS : PROGRAM SERVICE EXPENSES 60,480. MANAGEMENT AND GENERAL EXPENSES 20,188. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,668. CLIENT HEALTH AND HYGIENE : PROGRAM SERVICE EXPENSES 70,029. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,029. UTILITIES : PROGRAM SERVICE EXPENSES 45,675. MANAGEMENT AND GENERAL EXPENSES 23,765. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,440. MISCELLANEOUS : PROGRAM SERVICE EXPENSES 186. MANAGEMENT AND GENERAL EXPENSES 64,986. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,172. DUES AND SUBSCRIPTIONS : PROGRAM SERVICE EXPENSES 10,215. MANAGEMENT AND GENERAL EXPENSES 41,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,981. SERVICE AND MAINTENANCE AGREEMENTS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 39,524. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,524. EMPLOYEE TRAINING : PROGRAM SERVICE EXPENSES 4,598. MANAGEMENT AND GENERAL EXPENSES 24,590. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,188. BAD DEBT EXPENSE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,722. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,722. CLEANING SERVICES : PROGRAM SERVICE EXPENSES 16,200. MANAGEMENT AND GENERAL EXPENSES 10,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,400. DRUGS : PROGRAM SERVICE EXPENSES 12,045. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,045. VEHICLE LEASE EXPENSE : PROGRAM SERVICE EXPENSES 3,756. MANAGEMENT AND GENERAL EXPENSES 6,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,275. BOARD MEMBERS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,032. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,032. FORM 990, PART XII, LINE 2C,AUDIT OVERSIGHT/SELECTION OF INDEPENDENT ACCT NO CHANGE FROM PRIOR YEAR.