2021-02-16T06:48:02-06:00 2020-09-30 560571159 BERNARD ROBINSON & COMPANY LLP PO BOX 19608 GREENSBORO NC 274199608 990 2019-10-01 566056582 UNITED CHURCH HOMES AND SERVICES UNIT 8284658006 100 LEONARD AVENUE NEWTON NC 28658 LEE SYRIA CFO 8284658006 2021-02-16 1 OLGA OGANESOV P01279668 3362944494 2021-02-12 2019 2022-09-23 18:48:47Z JOHN WHITE 100 LEONARD AVENUE NEWTON NC 28658 48876087 0 X WWW.UCHAS.ORG X 1961 NC A CHRISTIAN MINISTRY COMMITTED TO PROVIDING VIBRANT SENIOR LIVING OPPORTUNITIES, DIVERSE PROGRAMS OF OUTREACH, AND COMPASSIONATE HEALTHCARE SERVICES. 19 19 987 16 9889 -87694 1995145 590168 40784788 42482516 2426645 2236472 2936920 3561746 48143498 48870902 574664 226276 0 0 24881940 25778654 0 0 0 21751814 20545406 47208418 46550336 935080 2320566 146437088 147957912 114416507 111939695 32020581 36018217 A CHRISTIAN MINISTRY COMMITTED TO PROVIDING VIBRANT SENIOR LIVING OPPORTUNITIES, DIVERSE PROGRAMS OF OUTREACH, AND COMPASSIONATE HEALTHCARE SERVICES. 0 0 39332870 226276 45545813 UNITED CHURCH HOMES AND SERVICES OWNS AND OPERATES CONTINUING CARE RETIREMENT COMMUNITIES IN NEWTON ("ABERNETHY LAURELS") AND THOMASVILLE ("PIEDMONT CROSSING"), NORTH CAROLINA, CONSISTING OF RESIDENTIAL LIVING UNITS, ASSISTED LIVING UNITS, AND NURSING FACILITIES PROVIDING ADULT CARE AND INTERMEDIATE AND SKILLED NURSING CARE. 39332870 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 0 0 0 1 55 0 1 987 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 19 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X JOHN WHITE 8284658006 100 LEONARD AVENUE NEWTON NC 28658 LINDA J MORRIS CHAIR 1.00 X X 0 0 0 PARKER D HOWELL III VICE CHAIR 1.00 X X 0 0 0 BRENDA C ECKARD SECRETARY 1.00 X X 0 0 0 WALTER HOFFMAN FINANCE COMMITTEE CHAIR 1.00 X X 0 0 0 NAOMI Y EAST MEMBER-AT-LARGE 1.00 X X 0 0 0 J RAY DEAL PAST BOARD CHAIR 1.00 X X 0 0 0 GREGORY M ALCORN BOARD MEMBER 1.00 X 0 0 0 ANTHONY J BRANCH BOARD MEMBER 1.00 X 0 0 0 JAMES W BUCHANAN SR BOARD MEMBER 1.00 X 0 0 0 GENE HAMILTON BOARD MEMBER 1.00 X 0 0 0 KELSEY MCCLEAVE BOARD MEMBER 1.00 X 0 0 0 RANDALL L ORWIG BOARD MEMBER 1.00 X 0 0 0 BRAD THIE BOARD MEMBER 1.00 X 0 0 0 HUNTER MARCH BOARD MEMBER 1.00 X 0 0 0 EDDIE BEARD BOARD MEMBER 1.00 X 0 0 0 KATHY H WOOD BOARD MEMBER 1.00 X 0 0 0 JULIUS W ABERNETHY IV ADVISORY COUNCIL 1.00 X 0 0 0 MARGIE WILEY ADVISORY COUNCIL 1.00 X 0 0 0 CORY TOBIN ADVISORY COUNCIL 1.00 X 0 0 0 LEE B SYRIA PRESIDENT/CEO 40.00 X 303673 0 36595 GARY W SHULL OUTGOING VP-FINANCE 40.00 X 241773 0 33596 JOHN WHITE INCOMING VP-FINANCE 40.00 X 0 0 0 AIMEE N REIMANN PACE/VP OF OPERATIONS 40.00 X 213379 0 30987 STEPHEN T PATERSON VP OF COMPLIANCE & EDUCATION 40.00 X 180608 0 28594 JOYCE B CLINE DIRECTOR OF DEVELOPMENT & PR 40.00 X 228083 0 24399 AMBER T MCINTOSH EXECUTIVE DIRECTOR 40.00 X 169957 0 27761 CATHY R COOPER CHIEF HR OFFICER 40.00 X 158719 0 20617 1496192 0 202549 20 0 1 0 TRUSTMARK HEALTH BENEFITS INC 62707 COLLECTION CENTER DRIVE CHICAGO IL 60693 HEALTH CARE ADMINISTRATOR 5089001 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 60694 THERAPIES 2163026 DIVERSIFIED INVESTMENT ADVISORS PO BOX 13029 NEWARK NJ 07188 RETIREMENT SERVICES 1882070 RODGERS BUILDERS INC PO BOX 18446 CHARLOTTE NC 28218 CONSTRUCTION 1773524 OMNICARE PHARMACY PO BOX 78000 DETROIT MI 48278 PHARMACY 509739 20 546348 43820 590168 RESIDENT REVENUE 623000 39860753 39860753 HOME CARE 621610 2621763 2621763 42482516 2185259 2185259 39066 0 39066 39066 39066 50613 600 0 0 50613 600 51213 51213 50 0 50 50 3815 5185 -1370 -1370 MANAGEMENT FEE INCOME 541200 1949613 1949613 CARES ACT RELIEF FUNDS 900099 626550 626550 CHILD DAY CARE 624410 329451 329451 618386 487134 9889 121363 3524000 48870902 45545813 9889 2725032 226276 226276 683708 683708 18804126 16060266 2743860 734187 435689 298498 4006127 3322081 684046 1550506 1284633 265873 169051 169051 69400 69400 209074 209074 3822562 3426469 396093 138713 88888 49825 489578 315547 174031 468591 468591 2310611 2310611 57326 16735 40591 2925702 2925702 4819832 4569722 250110 435553 435553 FOOD 1519545 1519545 SUPPLIES 1321590 1308607 12983 WORKMENS COMPENSATION 481050 475370 5680 BAD DEBT EXPENSE 448054 448054 859174 598675 260499 46550336 39332870 7217466 0 5764939 6554501 2419922 1959225 70634 61567 320284 642045 140297150 70963500 69430908 69333650 65291448 66150760 157592 214872 2981361 3041292 146437088 147957912 5762060 3891278 20446170 19467480 75916877 73614220 12291400 14966717 114416507 111939695 X 32010974 36012456 9607 5761 32020581 36018217 146437088 147957912 2320566 1677070 0 X 0 1 X 1 0 X 63293 143575 1357653 1995145 590168 4149834 34722705 36910909 37817697 40792054 42486331 192729696 34785998 37054484 39175350 42787199 43076499 196879530 0 0 0 196879530 2034375 1735015 2279191 2394732 2224325 10667638 2034375 1735015 2279191 2394732 2224325 10667638 2609974 2811414 2838810 2878478 3514111 14652787 39430347 41600913 44293351 48060409 48814935 222199955 0.88600 0.88640 0.04800 0.04950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 0 0 0 0 PART II-B, LINE 1: UNITED CHURCH HOMES AND SERVICES JOINED TOGETHER WITH NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION, LEADING AGE NATIONAL, AND LEADING AGE NORTH CAROLINA, TO PERSUADE THE GENERAL PUBLIC TO VOTE FOR ISSUES AFFECTING UCHS AND OUR INDUSTRY. NO EXPENSES WERE INCURRED FOR FISCAL YEAR ENDING 9/30/2020. 2311214 2311214 101496803 60014095 41482708 9794321 6533252 3261069 26694812 4416153 22278659 69333650 LONG-TERM REFUNDS PAYABLE 7828648 DUE TO AFFILIATES/RELATED PARTY 4550243 CARES ACT DEFERRED REVENUE 925847 REFUNDS PAYABLE 622641 ADVANCE DEPOSITS 441389 OTHER PAYABLES 342700 CHECKS IN EXCESS OF CASH 197233 RESIDENT PERSONAL FUNDS LIABILITY 47916 RESIDENT ESCROWS 10100 14966717 X PART X, LINE 2: IT IS THE ORGANIZATION'S POLICY TO EVALUATE ALL TAX POSITIONS TO IDENTIFY ANY THAT MAY BE CONSIDERED UNCERTAIN. ALL IDENTIFIED MATERIAL TAX POSITIONS ARE ASSESSED AND MEASURED BY A "MORE-LIKELY-THAN-NOT" THRESHOLD TO DETERMINE IF THE TAX POSITION IS UNCERTAIN AND WHAT, IF ANY, THE EFFECT OF THE UNCERTAIN TAX POSITION MAY HAVE ON THE FINANCIAL STATEMENTS. NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED FOR 2020. 1 BENEVOLENT ASSISTANCE FOR RESIDENTS WHO ARE UNABLE TO PAY FOR CONTINUING CARE AT THE RESIDENTIAL FACILITIES OPERATED BY UNITED CHURCH HOMES AND SERVICES. SEVEN PRIMARY RESIDENTS RECEIVED BENEVOLENT FUNDS, AND MANY RESIDENTS RECEIVED BLOCK GRANTS. BLOCK GRANTS ARE ASSISTANCE PROVIDED TO MULTIPLE RESIDENTS IN NEED. 7 226276 PART I, LINE 2: THE BENEVOLENT ASSISTANCE FUNDS ARE MANAGED BY THE ORGANIZATION'S FINANCE PERSONNEL TO COVER THE EXPENSES OF INDIGENT RESIDENTS. THE ASSISTANCE IS DISBURSED ON AN AS NEEDED CASE BY CASE BASIS. X X X X X 0 0 0 0 0 0 0 0 0 LEE B SYRIA PRESIDENT/CEO 303673 0 0 0 0 0 36595 0 0 0 340268 0 0 0 GARY W SHULL OUTGOING VP-FINANCE 241773 0 0 0 0 0 33596 0 0 0 275369 0 0 0 AIMEE N REIMANN PACE/VP OF OPERATIONS 213379 0 0 0 0 0 30987 0 0 0 244366 0 0 0 STEPHEN T PATERSON VP OF COMPLIANCE & EDUCATION 180608 0 0 0 0 0 28594 0 0 0 209202 0 0 0 JOYCE B CLINE DIRECTOR OF DEVELOPMENT & PR 228083 0 0 0 0 0 24399 0 0 0 252482 0 0 0 AMBER T MCINTOSH EXECUTIVE DIRECTOR 169957 0 0 0 0 0 27761 0 0 0 197718 0 0 0 CATHY R COOPER CHIEF HR OFFICER 158719 0 0 0 0 0 20617 0 0 0 179336 0 0 0 A NC MEDICAL CARE COMMISSION 521309402 65820YLD6 2015-04-08 23293353 TO REFUND THE 2010 BOND ISSUE. 0 0 0 B NC MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2015-12-10 31570000 TO REFUND PRIOR ISSUE OF BONDS AND TO FINANCE EXPANSION PROJECTS. 0 0 0 C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2017-12-28 31940936 TO REFUND 2005B AND A CONSIDERABLE PORTION OF 2015B BONDS. 0 0 0 D NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2017-11-30 20655000 TO FINANCE THE COST OF CONSTRUCTING AND EQUIPPING A NEW FACILITY. 0 0 0 A 1650000 23293353 1261826 21565660 465867 2012 1 0 1 1 B 30555000 31570000 5124198 460438 25985364 1 0 1 1 C 31940936 1295000 30007117 638819 2007 1 0 1 1 D 865000 20655000 325163 20329837 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 1 0 0 0 1 C 0 0 0 0 0 0 0 0 1 D 0 0 0 0 1 0 0 0 1 A 0 B 0 C 0 D 0 FORM 990, PART VI, SECTION A, LINE 2 KATHY WOOD AND WALTER HOFFMAN - FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE BOARD'S FINANCE COMMITTEE BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND EMPLOYEES OF THE ORGANIZATION HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO EVALUATE COMPLIANCE WITH CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS DETERMINED BY THE BOARD'S EXECUTIVE COMMITTEE. THE PROCESS FOR DETERMINING COMPENSATION INCLUDES THE USE OF AN INDEPENDENT CONSULTANT, SALARY SURVEYS OF SIMILAR ORGANIZATIONS ACROSS THE COUNTRY AS WELL AS THE USE OF COMPARABILITY DATA. COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS SUGGESTED BY THE CEO AND APPROVED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE KEPT ON FILE AT THE ADMINISTRATION OFFICE AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. ALBEMARLE OLDER ADULT HOUSING INC 411 SOUTH FOURTH STREET ALBEMARLE NC 28001 800030872 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 CAROLINA SENIOR LIVING 100 LEONARD AVENUE NEWTON NC 28658 454956541 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 CAROLINA SENIORCARE 100 LEONARD AVENUE NEWTON NC 28658 274450562 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY NC 501(C)(3) LINE 3 N/A 0 LAKE PRINCE CENTER 100 LEONARD AVENUE NEWTON NC 28658 562151716 CONTINUING CARE RETIREMENT COMMUNITY NC 501(C)(3) LINE 11 N/A 0 NEW BERN OLDER ADULT HOUSING INCORPORATE 3800 LOFLAND WAY NEW BERN NC 28562 562133316 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 STATESVILLE ELDERLY HOUSING INC 700 WILS WAY STATESVILLE NC 28677 562192096 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 UCC LIVING CENTERS INCORPORATED 103 CULBREATH ROAD CHAPEL HILL NC 27516 561964906 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 UNITED CHURCH HOMES AND SERVICES FOUNDATION 100 LEONARD AVENUE NEWTON NC 28658 562243082 FUND AND SUPPORT THE OPERATIONS & PROGRAMS OF UCHS NC 501(C)(3) LINE 12B, II UNITED CHURCH HOMES AND SERVICES 1 UNITED RESIDENTIAL SERVICES INC 513 WEST FRONT STREET BURLINGTON NC 27215 581482333 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) N/A 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 ALBEMARLE OLDER ADULT HOUSING INC O 58368 CAROLINA SENIOR LIVING O 77297 CAROLINA SENIORCARE E 4319262 CAROLINA SENIORCARE O 3740263 LAKE PRINCE CENTER E 3444394 LAKE PRINCE CENTER L 786552 LAKE PRINCE CENTER O 5593349 NEW BERN OLDER ADULT HOUSING INCORPORATED O 190581 NEW BERN OLDER ADULT HOUSING INCORPORATED D 116100 STATESVILLE ELDERLY HOUSING INC O 83954 UCC LIVING CENTERS INCORPORATED O 99447 UNITED CHURCH HOMES AND SERVICES FOUNDATION C 546348 UNITED CHURCH HOMES AND SERVICES FOUNDATION D 3213413 UNITED CHURCH HOMES AND SERVICES FOUNDATION O 267135