2019-08-29T09:32:10-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2018-01-01 570647976 ROLLING GREEN VILLAGE ROLL 8649879800 1 HOKE SMITH BLVD GREENVILLE SC 29615 LYNNE LENTZ FINANCIAL SERVICES DIRECTOR 8649879800 2019-08-22 1 JOHN NORMAN P01506766 7049985200 2019-08-22 67.137.57.251 2019-08-22 09:26:02 ED P 356E76376044E692544D6A37DDF1E0572DA6BBCB 4EAC3325365F25675F6B08C6D5A85CAA466C46DD 2018 2019-02-21 02:37:17Z ROBERT J BENSON 1 HOKE SMITH BLVD GREENVILLE SC 29615 16810309 0 X WWW.ROLLINGGREENVILLAGE.COM X 1977 SC TO OPERATE A NON-PROFIT RESIDENTIAL RETIREMENT COMMUNITY IN A SECURE, CARING ENVIRONMENT. 13 13 375 30 0 0 35373 434054 16594841 16367101 41203 -42309 0 0 16671417 16758846 112092 57600 0 0 7173197 7507557 0 0 0 9092531 9375668 16377820 16940825 293597 -181979 31453333 35725627 31282454 36600510 170879 -874883 X THE MISSION OF ROLLING GREEN VILLAGE IS TO SERVE SENIOR ADULTS BY PROVIDING AN ENVIRONMENT THAT ENRICHES QUALITY OF LIFE AND FOSTERS THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE IN A SETTING NURTURED BY AND ESTABLISHED ON CHRISTIAN IDEALS. 0 0 12127292 57600 16367101 THE LICENSED AREAS INCLUDE 24 HOUR CARE INCLUDING ASSISTANCE WITH BATHING, DRESSING, MEDICATION ADMINISTRATION, THREE WELL BALANCED MEALS EACH DAY WITH ACCOMODATIONS FOR SPECIAL DIETS WHEN PRESCRIBED BY A PHYSICIAN. THERE IS ALSO WEEKLY HOUSEKEEPING WITH DAILY TIDYING OF ROOM, LAUNDRY AND PERSONAL LAUNDRY SERVICES, EMERGENCY CALL SYSTEM TO LICENSED NURSE AVAILABLE 24-HOURS, A 7 DAY/WEEK FULL ACTIVITIES PROGRAM, UTILITIES INCLUDING ELECTRICITY, GAS, WATER, SEWER, AND EXTENDED BASIC CABLE TELEVISION. MANY OTHER SERVICES ARE ALSO AVAILABLE AT AN ADDITIONAL CHARGE SUCH AS BEAUTY AND BARBER, ESCORTS TO PHYSICIAN APPOINTMENTS, PERSONAL AND MEDICAL SUPPLIES, (1) DAY AND EXTENDED OFF CAMPUS TRIPS, AND GUEST MEALS. MANY ADDITIONAL NON CHARGEABLE ACTIVITIES EXIST FOR ALL RESIDENTS SUCH AS WATER AEROBICS, EXERCISE CLASSES, BOARD GAMES, AND ENTERTAINMENT FROM OUTSIDE VENDORS. 12127292 1 1 0 0 0 1 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 50 0 1 375 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X LYNNE LENTZ 8649879800 1 HOKE SMITH BLVD GREENVILLE SC 29615 X X ASKEW CURTIS CHAIRMAN OF STRATEGIC COMM 7.00 X X 0 0 0 HARPER DOUGLAS TRUSTEE 5.00 X 0 0 0 COLSON RONNIE CHAIRMAN OF FINANCE COMM 7.00 X X 0 0 0 FAULKNER REBECCA CHAIRMAN OF THE BOARD 7.00 X X 0 0 0 MCMEEKIN STEVE TRUSTEE 5.00 X 0 0 0 GREEN LINDA SECRETARY OF THE BOARD 5.00 X X 0 0 0 LEDBETTER DAVID VICE CHAIRMAN OF THE BOARD 5.00 X X 0 0 0 MCCALL DUKE TRUSTEE 5.00 X 0 0 0 RITZLER CATHERINE TRUSTEE 5.00 X 0 0 0 BROOKS-MADDEN VALERIE TRUSTEE 5.00 X 0 0 0 GARVIN DANIEL TRUSTEE 5.00 X 0 0 0 SHORE JERRY TRUSTEE 5.00 X 0 0 0 SCHOVIAK DAVID TRUSTEE 5.00 X 0 0 0 TOERNER RYAN ADMINISTRATOR 40.00 X 0 0 0 LENTZ LYNNE FINANCIAL SERVICES DIRECTOR 40.00 X 0 0 0 BENSON BOB EXECUTIVE DIRECTOR 40.00 X 0 0 0 0 0 0 0 0 0 0 LIFE CARE COMPANIES LLC 400 LOCUST STREET SUITE 820 DESMOINES IA 50309 SEE SCHEDULE O 1979826 HEALTHPRO-HERITAGE LLC PO BOX 823424 PHILADELPHIA PA 191823424 THERAPY SERVICES 640541 PHARMERICA PO BOX 409251 ATLANTA GA 303849251 PHARMACY SERVICES 320605 ALLISON DONALD E PO BOX 176 PIEDMONT SC 29673 REFURBISHMENTS 306313 4 434054 51763 434054 FACILITY FEES 623000 9172947 9172947 RESIDENT FEES 623000 4612012 4612012 HOME FEES 623000 1575386 1575386 ENTRANCE FEES 623000 512102 512102 ANCILLARY SERVICES 623000 494441 494441 213 213 16367101 9154 9154 30059 21404 -30059 -21404 -51463 -51463 16758846 16367101 0 -42309 57600 57600 512495 275452 237043 5931033 5490479 440554 19659 10035 9624 520796 453613 67183 523574 463607 59967 1185823 1185823 61636 61636 40600 40600 2703 2703 1146655 1146655 244674 244674 104126 8260 95866 612424 566968 45456 182394 169724 12670 36442 24091 12351 631427 168595 462832 1720581 459406 1261175 473539 190149 283390 MEALS 1056499 1056499 MAINTENANCE AND REPAIRS 651736 558423 93313 SUPPLIES 514305 510039 4266 DEPARTMENTAL SUPPLIES 430008 404746 25262 280096 112951 167145 16940825 12127292 4813533 0 10155996 11173353 759124 936111 48769 32534 232090 387797 46318323 24442188 19824983 21876135 181559 572912 250812 746785 31453333 35725627 1248626 1505182 14501599 15844866 18284058 15235174 297055 966404 31282454 36600510 X 141581 -909169 29298 34286 170879 -874883 31453333 35725627 X -181979 27951 -891734 X X 0 1 X 1 0 X 4948 16638 19010 35373 434054 510023 15654725 15631981 16097402 16594841 16367101 80346050 15659673 15648619 16116412 16630214 16801155 80856073 0 0 0 80856073 6578 11768 8284 6772 9154 42556 6578 11768 8284 6772 9154 42556 15666251 15660387 16124696 16636986 16810309 80898629 0.99950 0.99950 0.00050 0.00050 X 13 4 5912 399571 799 57600 90443 625228 1 1 1103534 399571 -24062 1479043 1094725 8809 1103534 1089258 14050 -8583 1094725 1200409 13816 -14483 110484 1089258 1208023 1441 9055 1200409 1.00000 0 0 846417 846417 41132839 21550205 19582634 4339067 2891983 1447084 21876135 ACCRUED REFUNDABLE DEPOSITS 31000 INTEREST RATE SWAP INSTRUMENTS 866741 CAPITAL LEASE OBLIGATIONS 68663 966404 X 15915068 27951 -865942 -837991 16753059 5787 5787 16758846 16940825 0 16940825 0 16940825 PART V, LINE 4: TO BE HELD IN PERPETUITY WITH 4.25% OF THE AVERAGE FAIR MARKET VALUE OF THE ACCOUNTS FOR THE PAST 16 QUARTERS BEING RELEASED TO A SELF-RESTRICTED ACCOUNT FOR THE BENEFIT OF FINANCIALLY DISTRESSED RESIDENTS. PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 799. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP INSTRUMENT -866,741. PART XI, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS 5,787. 1 FINANCIAL HARDSHIP ASSISTANCE 3 57600 PART I, LINE 2: ROLLING GREEN VILLAGE WILL GIVE FINANCIAL ASSISTANCE TO RESIDENTS WHO QUALIFY AND HAVE IDENTIFIED A NEED. THERE IS A HARDSHIP APPLICATION THAT MUST BE FILLED OUT BY THE RESIDENT (OR POA). THE APPLICATION REQUIRES SEVERAL YEARS' TAX RETURNS AMONG OTHER DETAILED FINANICAL INFORMATION ABOUT THE RESIDENT. WHEN THE NEED IS CALCULATED (INCOME LESS OUTGOING EXPENSES) AND A DOLLAR VALUE IS OBTAINED, THE REQUEST IS THEN BROUGHT TO THE TRUSTEE FINANCE COMMITTEE TO DETERMINE IF THE HARDSHIP REQUEST IS APPROVED. A SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2018-12-27 67574000 PAYOFF EXISTING BANK LOANS AND FUND FUTURE CAPITAL PROJECTS 0 0 0 A 67574000 732889 17551169 49289942 0 0 0 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 1 1 SUNTRUST BANK 10.000000000000 0 0 0 0 1 A 1 X 1 51763 TRADING PRICE 0 0 1 PART I, LINE 32B: THE ORGANIZATION USES A BROKER TO RECEIVE AND SELL ANY GIFTS OF STOCK THAT IT RECIEVES DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES PERFORMS MANAGEMENT DUTIES OF THE EXECUTIVE DIRECTOR AND THE ADMINISTRATOR. FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS AND MANAGEMENT REVIEW AND APPROVE THE 990 VIA AN E-MAILED FILE AND VOTE AT THE SOONEST BOARD MEETING THEREAFTER. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS REVIEWED AND SIGNED OFF ANNUALLY AT ORIENTATION (FOR EMPLOYEES) AND REVIEWED AND SIGNED OFF DURING THE FIRST BOARD MEETING (BOARD MEMBERS) OF EACH NEW YEAR. POTENTIAL CONFLICTS ARE DISCUSSED AT BOARD MEETINGS. IF A CONFLICT EXISTS OR IS PERCEIVED, THE MEMBER WOULD BE DISALLOWED FROM THE DISCUSSION AND FROM VOTING ON THE TOPIC. FORM 990, PART VI, SECTION B, LINE 15 LIFE CARE SERVICES DETERMINES THE SALARIES AND BENEFITS FOR THE EXECUTIVE DIRECTOR AND THE ADMINISTRATOR. THE EXECUTIVE DIRECTOR AND THE HUMAN RESOURCES DIRECTOR DETERMINE THE SALARIES FOR OTHER OFFICERS BASED ON WAGE STUDIES AND MARKET ANALYSIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE AT RESIDENT MEETINGS AND A COPY OF THE ANNUAL AUDIT IS KEPT IN THE RESIDENT LIBRARY. PART VII SECTION B INDEPENDENT CONTRACTORS MANAGEMENT SERVICES AND REIMBURSABLE EXPENSES, INCLUDING SALARIES AND BENEFITS OF THE EXECUTIVE DIRECTOR AND ADMINISTRATOR. ALSO INCLUDED ARE DEVELOPMENT FEES. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP INSTRUMENT -866,741. LOSS ON EXTINGUISHMENT OF DEBT -24,993. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE VILLAGE FOUNDATION 1140 WOODRUFF ROAD-SUITE 106-163 GREENVILLE SC 29607 205896271 FUNDRAISING SC 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0