CAROLINA ADVENTIST RETIREMENT SYSTEMS INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CAROLINA ADVENTIST RETIREMENT SYSTEMS INC (EIN 56-1089384)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-06
- IRS object ID
- 201802189349300600
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-06T05:41:46-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561089384 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROLINA ADVENTIST RETIREMENT SYSTEMS | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARO | BusinessNameControlTxt |
| Phone | 7046679851 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 HOLCOMBE COVE RD | AddressLine1Txt |
| City | CANDLER | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 287159450 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBORAH HAWKINS | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7046679851 | PhoneNum |
| Signature | 2018-08-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amy Bibby | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2018-07-23 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBORAH HAWKINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 HOLCOMBE COVE RD | AddressLine1Txt |
| City | CANDLER | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 287159450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,267,093 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PISGAHVALLEY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | SERVING HEALTHCARE AND RESIDENTIAL NEEDS WHILE UPHOLDING CHRISTIAN PRINCIPLES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 602 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $110,670 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $97,920 | PYContributionsGrantsAmt |
| CY Contributions Grants | $36,951 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,112,330 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,693,834 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,895,234 | PYInvestmentIncomeAmt |
| CY Investment Income | $189,118 | CYInvestmentIncomeAmt |
| PY Other Revenue | $352,076 | PYOtherRevenueAmt |
| CY Other Revenue | $347,190 | CYOtherRevenueAmt |
| PY Total Revenue | $23,457,560 | PYTotalRevenueAmt |
| CY Total Revenue | $13,267,093 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $206,275 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,325 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,999,821 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,192,571 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,510,450 | PYOtherExpensesAmt |
| CY Other Expenses | $5,586,751 | CYOtherExpensesAmt |
| PY Total Expenses | $16,716,546 | PYTotalExpensesAmt |
| CY Total Expenses | $13,791,647 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,741,014 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$524,554 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,884,355 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,720,068 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,155,787 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,147,135 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,728,568 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,572,933 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AS A FAITH-BASED SEVENTH-DAY ADVENTIST ORGANIZATION, WE ARE DEDICATED TO SERVING THE HEALTHCARE AND RESIDENTIAL NEEDS OF OUR COMMUNITY WHILE UPHOLDING CHRISTIAN PRINCIPLES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,473,191 | ExpenseAmt |
| Grant | $12,325 | GrantAmt |
| Revenue | $12,736,854 | RevenueAmt |
| Desc | PISGAH VALLEY RETIREMENT COMMUNITY OWNS AND OPERATES A LICENSED CONTINUING CARE RETIREMENT COMMUNITY WITH 52 INDEPENDENT LIVING DUPLEX CONDOMINIUM UNITS, A 24-UNIT MULTI-UNIT ASSISTED HOUSING WITH SERVICES FACILITY, AND A 118-BED SKILLED NURSING FACILITY IN CANDLER, NORTH CAROLINA. PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE THE PROVIDING OF ROOM AND BOARD (SHELTER, UTILITIES, MEALS, HOUSEKEEPING, LAUNDRY, AND MAINTENANCE), TRANSPORTATION, WELLNESS CENTER/ACTIVITIES, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, AND MEDICAL SERVICES TO OUR COMMUNITY (PRIMARILY AGE 55 AND OLDER). | Desc |
| Total Program Service Expenses | $11,473,191 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 602 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBORAH HAWKINS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8284182334 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 HOLCOMBE COVE ROAD | AddressLine1Txt |
| City | CANDLER | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28715 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LOUIS LESLIE | ||||||||
| DIRECTOR/CHAIRMAN | 1.00 | 40.00 | Yes (X) | $0 | $83,592 | $49,791 | ||
| MOYER GARY | ||||||||
| DIRECTOR/SECRETARY | 1.00 | 40.00 | Yes (X) | $0 | $79,793 | $37,514 | Yes (X) | |
| ARCE MAIKEL | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BUNCH JIMM | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DONALDSON JEFF | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $65,637 | $40,148 | ||
| GRUNDY CHAD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $72,319 | $18,861 | ||
| HENRIQUEZ ANDRES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $75 | $0 | |||
| HUTCHINSON RICK staff rotator | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $73,200 | $16,452 | ||
| HYMBAUGH CHRISTINA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $150 | $0 | |||
| KOCHENOWER BEN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $300 | $0 | |||
| MORRISON LANCE staff rotator | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $69,490 | $18,693 | ||
| RICHARDSON DEXTER | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $68,075 | $51,937 | ||
| RIVERA JOSE | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $67,587 | $37,499 | ||
| ROUSE GARY | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $71,982 | $18,861 | ||
| RUSSELL RICHARD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $78,463 | $18,950 | ||
| SHEPARD RAYMOND KEITH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $150 | $0 | |||
| STAMP LINDA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $375 | $0 | |||
| WETMORE DON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $450 | $0 | |||
| WILLIAMS ANDREW | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $375 | $0 | |||
| WILLIAMS CHARLES DON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $300 | $0 | |||
| WILLIAMS HASKELL | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $72,978 | $55,429 | ||
| WILLIAMS PATRICK | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $69,905 | $49,603 | ||
| WORTH KEVIN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| YASTE CHRISTIAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KIDDER DAVID | ||||||||
| DIRECTOR/PRESIDENT/CEO | 40.00 | 1.00 | Yes (X) | $198,831 | $0 | $37,232 | Yes (X) | |
| RILEA LESTER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $375 | $0 | |||
| HAWKINS DEBORAH | ||||||||
| TREASURER/CFO | 40.00 | 1.00 | $156,567 | $0 | $15,947 | Yes (X) | ||
| GRANDY MICHELLE | ||||||||
| DIRECTOR OF OPERATIONS | 40.00 | $118,991 | $0 | $12,104 | Yes (X) | |||
| HARDY VICKIE | ||||||||
| DIRECTOR OF NURSING | 40.00 | $105,165 | $0 | $30,635 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $579,554 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $875,571 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $509,656 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Kindred Rehab Services Inc dba Peoplefi | |||||
| PO Box 277365 | Atlanta | GA | 303847365 | Physical, Speech, and Occupational Thera | $1,121,532 |
| Love & Company | |||||
| 1209 N East Street | Frederick | MD | 21701 | Marketing Consultants | $591,794 |
| Dixon Hughes Goodman LLP | |||||
| PO Box 602828 | Charlotte | NC | 282602828 | Auditing, Accounting, Tax, and Consultin | $191,688 |
| Rehabcare Group East Inc dba Rehabcare | |||||
| PO Box 503534 | St Louis | MO | 631503534 | Physical, Speech, and Occupational Thera | $109,542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $36,951 | AllOtherContributionsAmt |
| Total Contributions | $36,951 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 623000 | $8,053,286 | $8,053,286 |
| SKILLED NURSING, ASSISTED LIVING, | 623000 | $4,552,167 | $4,552,167 |
| AMORTIZATION OF ENTRANCE FEE | 623000 | $88,381 | $88,381 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,693,834 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $189,118 | TotalRevenueColumnAmt |
| Exclusion | $189,118 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| MANAGEMENT FEES FROM HOA | 531390 | $193,500 | $193,500 | ||
| WELLNESS CENTER REVENUE | 713940 | $116,735 | $6,065 | $110,670 | |
| MISCELLANEOUS INCOME | 623000 | $36,955 | $36,955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $347,190 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,267,093 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,736,854 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $110,670 | UnrelatedBusinessRevenueAmt |
| Exclusion | $382,618 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,325 | TotalAmt |
| Program Services | $12,325 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,393 | TotalAmt |
| Management And General | $382,393 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,103,446 | TotalAmt |
| Program Services | $5,390,578 | ProgramServicesAmt |
| Management And General | $712,868 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,481 | TotalAmt |
| Program Services | $63,025 | ProgramServicesAmt |
| Management And General | $14,456 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,150,396 | TotalAmt |
| Program Services | $942,194 | ProgramServicesAmt |
| Management And General | $208,202 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,855 | TotalAmt |
| Program Services | $394,283 | ProgramServicesAmt |
| Management And General | $84,572 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,513 | TotalAmt |
| Management And General | $6,513 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,195 | TotalAmt |
| Management And General | $79,195 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,240,370 | TotalAmt |
| Program Services | $1,239,464 | ProgramServicesAmt |
| Management And General | $906 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,292 | TotalAmt |
| Management And General | $95,292 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $825,323 | TotalAmt |
| Program Services | $549,815 | ProgramServicesAmt |
| Management And General | $275,508 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,644 | TotalAmt |
| Management And General | $117,644 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $767,346 | TotalAmt |
| Program Services | $767,346 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,694 | TotalAmt |
| Program Services | $33,114 | ProgramServicesAmt |
| Management And General | $22,580 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,111 | TotalAmt |
| Program Services | $4,538 | ProgramServicesAmt |
| Management And General | $14,573 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,606 | TotalAmt |
| Program Services | $5,606 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,316,010 | TotalAmt |
| Program Services | $1,268,296 | ProgramServicesAmt |
| Management And General | $47,714 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,327 | TotalAmt |
| Program Services | $11,337 | ProgramServicesAmt |
| Management And General | $92,990 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Med. Related Supplies | $791,270 | $791,270 | |
| BAD DEBT | $161,128 | $161,128 | |
| MISCELLANEOUS | $1,922 | $1,922 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,791,647 | TotalAmt |
| Program Services | $11,473,191 | ProgramServicesAmt |
| Management And General | $2,318,456 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $499 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,548,425 | BOYAmt |
| EOY | $4,769,535 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $784,073 | BOYAmt |
| EOY | $659,133 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,100 | BOYAmt |
| EOY | $69,100 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,962 | BOYAmt |
| EOY | $45,049 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,354,017 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,321,959 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,022,503 | BOYAmt |
| EOY | $18,032,058 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,155,907 | BOYAmt |
| EOY | $6,092,108 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,885 | BOYAmt |
| EOY | $52,586 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,884,355 | BOYAmt |
| EOY | $29,720,068 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $940,614 | BOYAmt |
| EOY | $1,059,642 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $745,321 | BOYAmt |
| EOY | $789,068 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,381 | BOYAmt |
| EOY | $23,899 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,426,471 | BOYAmt |
| EOY | $9,274,526 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,155,787 | BOYAmt |
| EOY | $11,147,135 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,728,568 | BOYAmt |
| EOY | $18,572,933 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,728,568 | BOYAmt |
| EOY | $18,572,933 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,884,355 | BOYAmt |
| EOY | $29,720,068 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$524,554 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $774,353 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,405,434 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $185,451 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $175,785 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $138,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $97,920 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,951 | CurrentTaxYearAmt |
| Total | $634,282 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,355,989 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,788,657 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,372,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,156,576 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,736,854 | CurrentTaxYearAmt |
| Total | $97,410,223 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $259,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $265,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $261,856 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $199,013 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $193,500 | CurrentTaxYearAmt |
| Total | $1,179,037 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,800,725 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,229,825 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,772,178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,453,509 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,967,305 | CurrentTaxYearAmt |
| Total | $99,223,542 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $99,223,542 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,302 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,959 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $160,614 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $283,137 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $189,118 | CurrentTaxYearAmt |
| Total | $675,130 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,302 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,959 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $160,614 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $283,137 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $189,118 | CurrentTaxYearAmt |
| Total | $675,130 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,823,027 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,249,784 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,932,792 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,736,646 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,156,423 | CurrentTaxYearAmt |
| Total | $99,898,672 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99320 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99520 | PublicSupportPY509Pct |
| Investment Income CY | 0.00680 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00480 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,723 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,723 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE HEALTHCARE FACILITIES ASSOCIATION (HFA) AND THE LEADING AGE ASSOCIATION (LAA). EACH YEAR, A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TOWARDS LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES. FOR FY 2017, AMOUNTS OF MEMBERSHIP DUES ALLOCATED TO THESE EXPENDITURES WERE $829 FOR HFA AND $894 FOR LAA. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $794,500 | OtherCostOrOtherBasisAmt |
| Book Value | $794,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,369,418 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,854,076 | DepreciationAmt |
| Book Value | $15,515,342 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $188,563 | OtherCostOrOtherBasisAmt |
| Depreciation | $166,208 | DepreciationAmt |
| Book Value | $22,355 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,245,310 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,418,340 | DepreciationAmt |
| Book Value | $826,970 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,756,226 | OtherCostOrOtherBasisAmt |
| Depreciation | $883,335 | DepreciationAmt |
| Book Value | $872,891 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,032,058 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Patient Trust Fund Liability | $12,600 |
| resident refunds payable | $8,951,599 |
| RESIDENT DEPOSITS | $86,310 |
| DUE TO CAROLINA CONFERENCE | $200,000 |
| ESTIMATED 3RD PARTY SETTLEMENTS | $24,017 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,274,526 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,737,550 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $774,353 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,255,403 | OtherRevenueAmt |
| Revenue Not Reported | -$1,481,050 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,218,600 | RevenueSubtotalAmt |
| Other Revenues Not Included | $48,493 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $48,493 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,267,093 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,754,447 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,754,447 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $37,200 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $37,200 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,791,647 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | INCOME TAXES - CARS IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC), AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS BY RECORDING A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE ORGANIZATION, INCLUDING ANY RELATED INTEREST AND PENALTIES, WHEN IT IS MORE LIKELY THAN NOT THE POSITION TAKEN BY MANAGEMENT WITH RESPECT TO A TRANSACTION OR CLASS OF TRANSACTIONS WILL BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. MANAGEMENT BELIEVES THERE WERE NO SUCH POSITIONS AS OF SEPTEMBER 30, 2017 AND 2016 AND, ACCORDINGLY, NO LIABILITY WAS ACCRUED. |
| Part XI, Line 2d - Other Adjustments: | TRANSFER TO SPONSOR -200,000. LOSS ON PISGAH PROJECT -1,862,608. LOSS ON DISCONTINUED OPERATION -192,795. |
| Part XI, Line 4b - Other Adjustments: | MANAGEMENT FEES WITH EXPENSES 37,200. INTERCOMPANY TRANSFER 11,293. |
| Part XII, Line 4b - Other Adjustments: | MANAGEMENT FEES REVENUE NET WITH EXPENSES 37,200. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| LeadingAge North Carolina Foundation | ||||||||
| 222 N PERSON STREET | RALEIGH | NC | 27601 | 561541496 | 501(C)(3) | $5,000 | FMV | CAPITAL CAMPAIGN |
| MOUNT PISGAH ACADEMY | ||||||||
| 75 ACADEMY DRIVE | CANDLER | NC | 28715 | 560713794 | 501(C)(3) | $5,825 | FMV | STUDENT SCHOLARSHIPS AND GENERAL OPERATIONS |
| Jessie F Richardson Foundation co Villages of Wilkes | ||||||||
| 15900 SE 82ND DRIVE | CLACKMAS | OR | 97015 | 931316345 | 501(C)(3) | $1,500 | FMV | CARE OF ELDERS IN NICARAGUA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDES ASSISTANCE TO OTHER SEVENTH-DAY ADVENTIST NOT-FOR-PROFIT ORGANIZATIONS FOR SPECIFIC PURPOSES RELATED TO ONE-TIME TRANSACTIONS (STUDENT SCHOLARSHIPS AND OTHER EDUCATIONAL MINISTRIES); THEREFORE, MONITORING OF THE EXPENDITURES IS ACCOMPLISHED THROUGH OBSERVATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIDDER DAVID | ||||||||||||||
| DIRECTOR/PRESIDENT/CEO | $158,033 | $0 | $1,595 | $0 | $39,203 | $0 | $5,965 | $0 | $31,267 | $0 | $236,063 | $0 | $0 | $0 |
| HAWKINS DEBORAH | ||||||||||||||
| TREASURER/CFO | $113,460 | $0 | $1,107 | $0 | $42,000 | $0 | $4,697 | $0 | $11,250 | $0 | $172,514 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a | FormAndLineReferenceDesc |
| Explanation | CARS waives 100% of the standard membership fee for the CEO and CFO for membership at CARS' Pisgah Valley Wellness Center. Any remaining portion of the membership fee due is paid by the employee through payroll deductions. All employees at CARS' Pisgah Valley Retirement Community campus are eligible for waiver of some portion of Pisgah Valley Wellness Center membership fees. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | AS STATED IN CARS' BYLAWS SECTION 3.1 "THE MEMBERS OF THE CORPORATION SHALL BE THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE CAROLINA CONFERENCE." |
| Form 990, Part VI, Section A, line 7a | AS STATED IN CARS' BYLAWS SECTION 4.3 "EACH VOTING MEMBER OF THE EXECUTIVE COMMITTEE OF THE CAROLINA CONFERENCE SHALL SERVE EX OFFICIO AS A VOTING MEMBER OF THE CARS BOARD OF DIRECTORS (I.E., CONSTITUENT BOARD)." |
| Form 990, Part VI, Section A, line 7b | AS STATED IN CARS' BYLAWS SECTION 4.1 "THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY A BOARD OF DIRECTORS, REFERRED TO HEREIN AS THE "CONSTITUENT BOARD AND SECTION 4.13 "EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE ACT OF THE MAJORITY OF THE DIRECTORS PRESENT AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE CONSTITUENT BOARD." |
| Form 990, Part VI, Section B, line 11b | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. |
| Form 990, Part VI, Section B, line 12c | AT THE BOARD OF DIRECTORS ANNUAL MEETING, THE PRESIDENT AND CEO OF CAROLINA ADVENTIST RETIREMENT SYSTEMS, INC. PRESENTS A "STATEMENT OF ACCEPTANCE" OF THE POLICY ON CONFLICT OF INTEREST TO EACH OFFICER, DIRECTOR (I.E., BOARD MEMBER), AND KEY EMPLOYEE (I.E., ADMINISTRATORS). EACH OF THESE INDIVIDUALS ARE ASKED TO REVIEW AND SIGN THE STATEMENT WHICH INCLUDES A REPRESENTATION THAT THEY DO NOT HAVE A CONFLICT OF INTEREST. ADDITIONALLY, EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE RECEIVE AN ORIENTATION AND ANNUAL TRAINING RELATED TO THE ORGANIZATION'S CORPORATE COMPLIANCE POLICY, INCLUDING ITS CORE VALUE OF CARING, DEDICATION, INTEGRITY, PROFESSIONALISM, QUALITY, RESPECT, AND SAFETY. |
| Form 990, Part VI, Section B, line 15 | ANNUALLY MANAGEMENT OBTAINS A LETTER PREPARED BY A 3RD PARTY CONSULTANT COMPARING A RANGE OF CEO AND CFO SALARIES BASED ON HISTORICAL SALARIES OF COMPARABLE ORGANIZATIONS TO THE ORGANIZATION'S CEO AND CFO CURRENT SALARIES. IN THIS LETTER THE CONSULTANT PROVIDES COMMENTS AS TO THE REASONABLENESS OF THE ORGANIZATION'S CEO AND CFO'S SALARIES, WHICH IS REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS. THE BOARD MAKES RECOMMENDATIONS FOR CEO AND CFO ANNUAL SALARY ADJUSTMENTS, WHICH MANAGEMENT INCORPORATES INTO THE ORGANIZATION'S ANNUAL BUDGET. the Board did not review the results in 2016/2017. |
| Form 990, Part VI, Section C, line 18 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE NORTH CAROLINA DEPARTMENT OF INSURANCE'S WEBSITE. THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST. |
| Form 990, Part XI, line 9: | loss on pisgah project -1,862,608. transfer to sponsor -200,000. legal fees for pisgah sale -138,738. Loss on discontinued operation -192,795. Intercompany transfer -11,293. |
| Form 990, Part XII, Line 2c: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROLINA CONFERENCE OF SEVENTH-DAY ADVENTISTS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 44270 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454284485 | EIN |
| Primary Activities | SPIRITUAL DEVELOPMENT | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 1 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PISGAH ESTATES UNIT OWNERS ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 HOLCOMBE COVE ROAD | AddressLine1Txt |
| City | CANDLER | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28715 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561769989 | EIN |
| Primary Activities | HOME OWNERS ASSOCIATION | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PISGAH ESTATES UNIT OWNERS ASSOCIATION | ||
| L | $193,500 | CASH |
| PISGAH ESTATES UNIT OWNERS ASSOCIATION | ||
| M | $174,359 | CASH |
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