2020-04-13T16:12:58-05:00 2019-06-30 721396621 CARR RIGGS & INGRAM LLC 1601 2ND AVENUE EAST ONEONTA AL 35121 990 2018-07-01 630386404 EPISCOPAL FOUNDATION OF JEFFERSON COUNTY EPIS 2059561831 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 MICHAEL FAULKNER CFO 2059561831 2020-04-10 1 JOSEPH B MCCURLEY P00611915 2056253472 2020-04-10 72.243.182.2 2020-04-10 08:09:36 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B7039D0D793964AE691BECBAE0AF2D3913D350F4 2018 2020-09-23 17:36:50Z MICHAEL FAULKNER 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 21646976 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. 13 13 683 50 0 0 214774 292862 21180696 20885919 60119 8872 463615 459323 21919204 21646976 0 0 0 0 13037943 12893482 0 0 0 9358308 8718061 22396251 21611543 -477047 35433 35588872 35516955 23479702 23202814 12109170 12314141 SEE SCHEDULE O 0 0 19967210 21354114 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. 19967210 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 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 54 0 1 683 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL FAULKNER 2059561831 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 FRANKLIN BRADFORD CHAIRMAN 0.00 X 0 0 0 CURTIS O LILES III SECRETARY 0.00 X 0 0 0 TRAVIS MCGOWIN TREASURER 0.00 X 0 0 0 MEMILY COLVIN DIRECTOR 0.00 X 0 0 0 FRED ELLIOTT DIRECTOR 0.00 X 0 0 0 PAUL GOLDMAN DIRECTOR 0.00 X 0 0 0 PRICE HIGHTOWER DIRECTOR 0.00 X 0 0 0 LAURA MURPHY DIRECTOR 0.00 X 0 0 0 BECKY SMITH DIRECTOR 0.00 X 0 0 0 REV CHARLES YOUNGSON DIRECTOR 0.00 X 0 0 0 STEPHANIE YATES DIRECTOR 0.00 X 0 0 0 JIM JOHNSON DIRECTOR 0.00 X 0 0 0 MARK BELCHER DIRECTOR 0.00 X 0 0 0 ZACHARY JACOBSEN CEO 40.00 X 268231 0 18802 MIKE FAULKNER CFO 40.00 X 165897 0 25355 JOSEPH DUNAVANT OPERATIONS 40.00 X 129599 0 4260 NANCY COBB OPS DIRECTOR SENIOR LIVING 40.00 X 109568 0 9260 673295 0 57677 4 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 HOSPITALITY SERVICES 1798619 TURENNE PHARMEDCO 355 INDUSTRIAL PARK BLVD MONTGOMERY AL 36117 MEDICAL SUPPLIES AND PHARMACY SERVICES 639771 ST VINCENTS HOME HEALTH 1400 URBAN CENTER DRIVE STE 240 BIRMINGHAM AL 35242 THERAPY SERVICES 574787 INDUSTRIAL LIGHTING GROUP INC 58 VINE STREET MOUNTAIN BROOK AL 35213 GENERAL CONTRACTOR 381886 BEN M HANDLEY BUILDER 40 SENTINEL ROAD CHELSEA AL 35043 GENERAL CONTRACTOR 199028 5 292862 292862 PROG.SERV.REVENUE-RELATED-990 623000 20885919 20885919 20885919 8872 8872 454775 0 454775 454775 454775 MISC. REVENUE-RELATED-990 900099 4548 4548 4548 21646976 21354114 0 0 434128 434128 10439345 10169639 269706 119113 112789 6324 1117653 1047028 70625 783243 737584 45659 77078 77078 56290 56290 87751 87751 114758 28327 86431 62268 25482 36786 44428 14469 29959 603970 603970 1544859 1544859 309188 309188 CONTRACT SERVICES 1894116 1652893 241223 RAW FOOD 1058781 1058781 UTILITIES 995471 995471 SUPPLIES 905023 905023 964080 673956 290124 21611543 19967210 1644333 0 104809 -46056 984519 731876 1249481 652996 112215 123545 94417 159829 55522866 27413355 28191987 28109511 4598541 5581397 138176 138176 114727 65681 35588872 35516955 902252 1081185 17795670 17182968 2219195 2042109 2562585 2896552 23479702 23202814 X 11561205 11717090 547965 597051 12109170 12314141 35588872 35516955 X 35433 169540 -2 X 0 1 X 1 0 X 228236 216320 170920 214774 292862 1123112 20389368 20457582 20081750 21180696 20885919 102995315 20617604 20673902 20252670 21395470 21178781 104118427 0 0 0 104118427 60829 -17407 15491 60119 8872 127904 60829 -17407 15491 60119 8872 127904 374056 385202 472824 463615 459323 2155020 21052489 21041697 20740985 21919204 21646976 106401351 0.97850 0.97990 0.00120 0.00170 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2014 AMOUNT: $ 374,056. 2015 AMOUNT: $ 385,202. 2016 AMOUNT: $ 472,824. 2017 AMOUNT: $ 463,615. 2018 AMOUNT: $ 459,323. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 235236 235236 42779021 19495991 23283030 1639943 1058941 581002 10602084 6858423 3743661 266582 266582 28109511 REFUNDABLE DEPOSITS 2896552 2896552 X X X X X X 0 0 0 0 0 0 0 0 0 ZACHARY JACOBSEN CEO 220431 0 40000 0 7800 0 0 0 18802 0 287033 0 0 0 MIKE FAULKNER CFO 133097 0 25000 0 7800 0 6324 0 19031 0 191252 0 0 0 A 2015 SERIES BOND 260576198 2015-08-05 19270830 REFI/CONSTRUCTION FACILITY 0 0 0 A 1412879 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. FORM 990, PART XI, LINE 9: ROUNDING -2. EAST DALE PROPERTIES LLC 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 REAL ESTATE AL -5214 852543