2020-01-15T13:47:24-06:00 2019-06-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2018-07-01 560994323 RALPH SCOTT LIFESERVICES INC RALP 3362271011 408 WEST TRADE STREET BURLINGTON NC 27217 JOHN NICHOLSON BOARD CHAIR 3362271011 2020-01-15 1 VIRGINIA LOWDER P01609579 8283222070 2020-01-15 192.80.76.153 2020-01-15 12:00:42 ES P D2DA3174E48D7BC19323995480D862EBA3CCBA99 D2DA3174E48D7BC19323995480D862EBA3CCBA99 2018 2020-09-23 17:36:50Z JENNIFER HELTON 408 WEST TRADE STREET BURLINGTON NC 27217 9163963 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. 21 21 265 0 0 0 71585 78476 8984856 9032814 2449 7081 19614 40027 9078504 9158398 0 0 0 0 6855473 6955204 0 0 0 2187497 2161386 9042970 9116590 35534 41808 3479825 3681248 1042612 1194967 2437213 2486281 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 6795244 7890517 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. 937448 1142297 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. 7732692 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15 0 1 265 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 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 JEFFREY ANDREWS DIRECTOR 1.00 X 0 0 0 GLORIA FAUCETTE 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 CHAN CHANDLER DIRECTOR 1.00 X 0 0 0 JAMES HEDRICK 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 CHUCK MAYE DIRECTOR 1.00 X 0 0 0 LIZ HILL DIRECTOR 1.00 X 0 0 0 PATRICK MILLS DIRECTOR 1.00 X 0 0 0 KEVIN DULL DIRECTOR 1.00 X 0 0 0 CYNTHIA TOULOUPAS DIRECTOR 1.00 X 0 0 0 ADAM RUDD DIRECTOR 1.00 X 0 0 0 JERRY SPARROW DIRECTOR 1.00 X 0 0 0 RUSSELL GILL SECRETARY 1.00 X X 0 0 0 AMY CHANDLER ASSISTANT TREASURER 1.00 X X 0 0 0 PAULA REARDON TREASURER 1.00 X X 0 0 0 CHAD SLAUGHTER VICE-CHAIRMAN 1.00 X X 0 0 0 JOHN NICHOLSON CHAIRMAN 1.00 X X 0 0 0 JENNIFER HELTON CEO 40.00 X 98063 0 0 98063 0 0 0 0 0 0 0 7961 70515 78476 MEDICAID/MEDICARE PAYM 623000 6924051 6924051 RESIDENT FEES - DDA,IC 623000 1069963 1069963 STATE/COUNTY CONTRACTS 623000 1038800 1038800 9032814 -2215 -2215 9296 0 9296 9296 9296 14860 7961 5565 9295 9295 MISCELLANEOUS 623000 30732 30732 30732 9158398 9032814 0 47108 X 98063 98063 5520335 4819286 701049 926815 722787 204028 409991 353457 56534 21606 971 20635 353173 352737 436 17579 13863 3716 21317 21317 144426 121275 23151 62944 55425 7519 FOOD AND PROVISIONS 290960 283081 7879 PROFESSIONAL SERVICES 216126 177096 39030 ICF ASSESSMENT 212701 212701 REPAIRS AND MAINTENANCE 192107 129958 62149 628447 468738 159709 9116590 7732692 1383898 0 21416 39135 1330425 1269175 346790 429002 88174 80374 4884549 3198755 1511536 1685794 152834 150696 28650 27072 3479825 3681248 470592 623461 572020 571506 1042612 1194967 X 2434313 2486281 2900 0 2437213 2486281 3479825 3681248 41808 7260 0 X X 0 1 X 1 0 X 678624 54624 88888 71585 78476 972197 8874023 9026974 8824501 8984856 9032814 44743168 80635 58980 139615 9633282 9140578 8913389 9056441 9111290 45854980 0 0 0 45854980 1727 2219 2045 2449 7081 15521 1727 2219 2045 2449 7081 15521 3330 3330 9635009 9146127 8915434 9058890 9118371 45873831 0.99960 0.99970 0.00030 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 152834 4858 5204 1792 150696 142351 12475 1992 152834 125595 500 18045 1789 142351 84689 40669 1548 1311 125595 84529 1750 961 1435 1116 84689 0 0 35672 35672 1883137 1000669 882468 713990 137590 576400 2251750 2060496 191254 1685794 X 9171223 7260 5565 12825 9158398 0 9158398 9122155 5565 5565 9116590 0 9116590 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 5,565. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSE ALLOCATED TO FUNDRAISING EVENTS 5,565. GOLF TOURNAMENT 16961 7961 9000 2461 16961 7961 9000 2461 2461 6539 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 108,235. MANAGEMENT AND GENERAL EXPENSES 1,984. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,219. JANITORIAL SUPPLIES : PROGRAM SERVICE EXPENSES 90,582. MANAGEMENT AND GENERAL EXPENSES 4,422. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,004. COMMUNICATIONS : PROGRAM SERVICE EXPENSES 60,523. MANAGEMENT AND GENERAL EXPENSES 18,992. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,515. UTILITIES : PROGRAM SERVICE EXPENSES 51,207. MANAGEMENT AND GENERAL EXPENSES 16,018. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,225. MISCELLANEOUS : PROGRAM SERVICE EXPENSES 54,221. MANAGEMENT AND GENERAL EXPENSES 12,141. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,362. CLIENT HEALTH AND HYGIENE : PROGRAM SERVICE EXPENSES 48,339. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,339. DUES AND SUBSCRIPTIONS : PROGRAM SERVICE EXPENSES 20,035. MANAGEMENT AND GENERAL EXPENSES 28,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,068. SERVICE AND MAINTENANCE AGREEMENTS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 32,244. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,244. CLEANING SERVICES : PROGRAM SERVICE EXPENSES 16,200. MANAGEMENT AND GENERAL EXPENSES 10,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,400. BAD DEBT EXPENSE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,556. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,556. EMPLOYEE TRAINING : PROGRAM SERVICE EXPENSES 3,115. MANAGEMENT AND GENERAL EXPENSES 7,810. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,925. DRUGS : PROGRAM SERVICE EXPENSES 10,817. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,817. EQUIPMENT LEASE EXPENSE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,685. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,685. BOARD MEMBERS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,624. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,624. VEHICLE LEASE EXPENSE : PROGRAM SERVICE EXPENSES 5,464. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,464. FORM 990, PART XII, LINE 2C,AUDIT OVERSIGHT/SELECTION OF INDEPENDENT ACCT NO CHANGE FROM PRIOR YEAR.