LAKE PRINCE CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
LAKE PRINCE CENTER INC (EIN 56-2151716)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-02-15
IRS object ID
201820469349300832
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-02-15T09:31:46-06:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560571159PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERNARD ROBINSON & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 19608AddressLine1Txt
CityGREENSBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP274199608ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562151716EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAKE PRINCE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone8284658006PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 LEONARD AVENUEAddressLine1Txt
CityNEWTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28658ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLEE SYRIAPersonNm
Person TitlePRESIDENT/CEO OF RELATED ORG.PersonTitleTxt
Phone8284658006PhoneNum
Signature2018-02-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonOLGA OGANESOVPreparerPersonNm
PTINP01279668PTIN
Phone3362944494PhoneNum
Preparation2018-02-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.198.32.162IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-02-15IPDt
IP Tm10:30:05IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB9BDBDBAA4D026810CC12E26D69875329E9207CBAtSubmissionCreationDeviceId
At Submission Filing Device Id9E569309DA125CB66FFB704BB08D0823AE232AFBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJUDY RAYMONDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 ANNA GOODE WAYAddressLine1Txt
CitySUFFOLKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23434ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,901,382GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LAKEPRINCEWOODS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionCONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee190TotalEmployeeCnt
Total Volunteers72TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$34,539PYContributionsGrantsAmt
CY Contributions Grants$11,487CYContributionsGrantsAmt
PY Program Service Revenue$11,125,733PYProgramServiceRevenueAmt
CY Program Service Revenue$11,710,035CYProgramServiceRevenueAmt
PY Investment Income$7,559PYInvestmentIncomeAmt
CY Investment Income$5,037CYInvestmentIncomeAmt
PY Other Revenue$135,627PYOtherRevenueAmt
CY Other Revenue$174,823CYOtherRevenueAmt
PY Total Revenue$11,303,458PYTotalRevenueAmt
CY Total Revenue$11,901,382CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,079,415PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,182,476CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,051,892PYOtherExpensesAmt
CY Other Expenses$7,723,035CYOtherExpensesAmt
PY Total Expenses$12,131,307PYTotalExpensesAmt
CY Total Expenses$11,905,511CYTotalExpensesAmt
PY Revenues Less Expenses-$827,849PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,129CYRevenuesLessExpensesAmt
Total Assets BOY$25,279,376TotalAssetsBOYAmt
Total Assets EOY$23,569,054TotalAssetsEOYAmt
Total Liabilities BOY$41,621,509TotalLiabilitiesBOYAmt
Total Liabilities EOY$39,915,316TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$16,342,133NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$16,346,262NetAssetsOrFundBalancesEOYAmt
MissionCONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,038,674ExpenseAmt
Revenue$11,804,540RevenueAmt
DescLONG TERM CARE FOR THE ELDERLY CONSISTING OF NURSING, MEALS, LAUNDRY, RECREATION, AND OTHER SERVICES FOR RESIDENTS.Desc
Total Program Service Expenses$11,038,674TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee190EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GARY SHULLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8284658006PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 LEONARD AVENUEAddressLine1Txt
CityNEWTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28658ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
J RAY DEAL
CHAIR1.00Yes (X)Yes (X)$0$0$0
LINDA J MORRIS
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
BRENDA C ECKARD
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ANTHONY J BRANCH
TREASURER1.00Yes (X)Yes (X)$0$0$0
MARK W SIGMON
MEMBER-AT-LARGE1.00Yes (X)Yes (X)$0$0$0
JEFFREY S GILLIAM
PAST BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
GREGORY M ALCORN
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES W BUCHANAN SR
BOARD MEMBER1.00Yes (X)$0$0$0
BETH L DEAL
BOARD MEMBER1.00Yes (X)$0$0$0
NAOMI Y EAST
BOARD MEMBER1.00Yes (X)$0$0$0
WALTER HOFFMAN
BOARD MEMBER1.00Yes (X)$0$0$0
PARKER D HOWELL III
BOARD MEMBER1.00Yes (X)$0$0$0
JOAN K MARSH
BOARD MEMBER1.00Yes (X)$0$0$0
KELSEY MCCLEAVE
BOARD MEMBER1.00Yes (X)$0$0$0
RANDALL L ORWIG
BOARD MEMBER1.00Yes (X)$0$0$0
BRAD THIE
BOARD MEMBER1.00Yes (X)$0$0$0
RAY H WALKER
BOARD MEMBER1.00Yes (X)$0$0$0
RICK MATTHEWS
ADVISORY COUNCIL1.00Yes (X)$0$0$0
HEATHER PAUL
ADVISORY COUNCIL1.00Yes (X)$0$0$0
A DARRELL SLUDER JR
ADVISORY COUNCIL1.00Yes (X)$0$0$0
JUDY RAYMOND
EXECUTIVE DIRECTOR40.00Yes (X)$148,956$0$21,604
LEE B SYRIA
PRESIDENT/CEO OF RELATED ORGANIZATION1.00Yes (X)$0$240,842$32,39540.00
GARY W SHULL
VP-FINANCE OF RELATED ORGANIZATION1.00Yes (X)$0$203,515$30,29140.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$148,956TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$444,357TotReportableCompRltdOrgAmt
Total Other Compensation$84,290TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SELECT REHABILITATION INC
PO BOX 71985CHICAGOIL60694THERAPIES$381,087
EPPS BULDING INC
803 BURTON DRIVESMITHFILEDVA23430BUILDING MAINTENANCE$195,069
BRIGHTVIEW LANDSCAPE SERVICES INC
PO BOX 740655ATLANTAGA30374LANDSCAPING SERVICES$143,964
OMNICARE
PO BOX 78000DETROITMI48278PHARMACY$117,588
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$11,487RelatedOrganizationsAmt
Total Contributions$11,487TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$11,710,035TotalRevenueColumnAmt
Related Or Exempt Func Income$11,710,035RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,710,035TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,037TotalRevenueColumnAmt
Exclusion$5,037ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,800RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,800RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,800TotalRevenueColumnAmt
Exclusion$4,800ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCATERING/MEAL SERVICESDesc
Business722210BusinessCd
Total Revenue Column$75,518TotalRevenueColumnAmt
Exclusion$75,518ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,505TotalRevenueColumnAmt
Related Or Exempt Func Income$94,505RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$170,023OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,901,382TotalRevenueColumnAmt
Related Or Exempt Func Income$11,804,540RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$85,355ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$150,284TotalAmt
Management And General$150,284ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,154,825TotalAmt
Program Services$2,961,954ProgramServicesAmt
Management And General$192,871ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$64,550TotalAmt
Program Services$58,095ProgramServicesAmt
Management And General$6,455ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$543,277TotalAmt
Program Services$488,949ProgramServicesAmt
Management And General$54,328ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$269,540TotalAmt
Program Services$242,586ProgramServicesAmt
Management And General$26,954ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$743,358TotalAmt
Program Services$743,358ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$114,510TotalAmt
Program Services$114,510ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$127,056TotalAmt
Program Services$78,850ProgramServicesAmt
Management And General$48,206ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$122,789TotalAmt
Management And General$122,789ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,400,779TotalAmt
Program Services$1,400,779ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,680TotalAmt
Program Services$2,769ProgramServicesAmt
Management And General$4,911ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$734,687TotalAmt
Program Services$734,687ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,934,159TotalAmt
Program Services$1,934,159ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$89,869TotalAmt
Management And General$89,869ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTED SERVICES$1,017,998$971,925$46,073
SUPPLIES$846,507$842,366$4,141
EQUIPMENT/RENTAL MAINTE$122,977$121,241$1,736
BOND AMORTIZATION$114,286$114,286

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$346,380TotalAmt
Program Services$228,160ProgramServicesAmt
Management And General$118,220ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,905,511TotalAmt
Program Services$11,038,674ProgramServicesAmt
Management And General$866,837ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$40,441BOYAmt
EOY$40,090EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$222,599BOYAmt
EOY$376,357EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,423BOYAmt
EOY$13,684EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$67,976BOYAmt
EOY$29,247EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$50,779,649LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,724,432LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,403,943BOYAmt
EOY$18,055,217EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,392,867BOYAmt
EOY$1,448,513EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,136,127BOYAmt
EOY$3,604,946EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,279,376BOYAmt
EOY$23,569,054EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,386,422BOYAmt
EOY$1,351,479EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$14,516,403BOYAmt
EOY$14,278,150EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,221,648BOYAmt
EOY$20,251,940EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,497,036BOYAmt
EOY$4,033,747EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,621,509BOYAmt
EOY$39,915,316EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$16,342,133BOYAmt
EOY-$16,346,262EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$16,342,133BOYAmt
EOY-$16,346,262EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,279,376BOYAmt
EOY$23,569,054EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,129ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,861CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74,608CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,554CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,539CurrentTaxYearMinus1YearAmt
Current Tax Year$11,487CurrentTaxYearAmt
Total$211,049TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,527,382CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,866,084CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,053,541CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,125,733CurrentTaxYearMinus1YearAmt
Current Tax Year$11,710,035CurrentTaxYearAmt
Total$55,282,775TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,581,243CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,940,692CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,090,095CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,160,272CurrentTaxYearMinus1YearAmt
Current Tax Year$11,721,522CurrentTaxYearAmt
Total$55,493,824TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$55,493,824PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,414CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,298CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,009CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,099CurrentTaxYearMinus1YearAmt
Current Tax Year$9,837CurrentTaxYearAmt
Total$29,657TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,414CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,298CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,009CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,099CurrentTaxYearMinus1YearAmt
Current Tax Year$9,837CurrentTaxYearAmt
Total$29,657TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$134,554CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$87,537CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$97,872CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,827CurrentTaxYearMinus1YearAmt
Current Tax Year$170,023CurrentTaxYearAmt
Total$620,813TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,720,211CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,033,527CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,192,976CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,296,198CurrentTaxYearMinus1YearAmt
Current Tax Year$11,901,382CurrentTaxYearAmt
Total$56,144,294TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98840PublicSupportCY509Pct
Public Support PY5090.98930PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,723,629OtherCostOrOtherBasisAmt
Book Value$1,723,629BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,934,550OtherCostOrOtherBasisAmt
Depreciation$28,002,980DepreciationAmt
Book Value$14,931,570BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,544,767OtherCostOrOtherBasisAmt
Depreciation$3,538,833DepreciationAmt
Book Value$1,005,934BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,576,703OtherCostOrOtherBasisAmt
Depreciation$1,182,619DepreciationAmt
Book Value$394,084BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,055,217TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DEFERRED COSTS, NET$1,369,854
DUE FROM AFFILIATES$2,235,092
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,604,946TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LONG-TERM REFUNDS PAYABLE$3,512,892
ADVANCE DEPOSITS$427,324
RESIDENT ESCROWS$90,193
RESIDENTS PERSONAL FUNDS LIABILITY$3,338
FieldValueIRS element (for citing)
Total Liability$4,033,747TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationIT 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 2017 AND 2016.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JUDY RAYMOND
EXECUTIVE DIRECTOR$148,956$0$0$0$0$0$21,604$0$0$0$170,560$0$0$0
LEE B SYRIA
PRESIDENT/CEO OF RELATED ORGANIZATIO$0$240,842$0$0$0$0$0$32,395$0$0$0$273,237$0$0
GARY W SHULL
VP-FINANCE OF RELATED ORGANIZATION$0$203,515$0$0$0$0$0$30,291$0$0$0$233,806$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF SUFFOLKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN541131047BondIssuerEIN
CUSIP86482NAJ4CUSIPNum
Bond Issued2016-11-15BondIssuedDt
Issue Price$20,914,931IssuePriceAmt
PurposeTO REFUND 2006 BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$245,000RetiredAmt
Total Proceeds$20,914,931TotalProceedsAmt
Capitalized Interest$2,151CapitalizedInterestAmt
Refunding Escrow$20,494,481RefundingEscrowAmt
Issuance Costs From Proceeds$418,299IssuanceCostsFromProceedsAmt
Substantial Completion2007SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2RAY WALKER AND BRENDA ECKARD ARE HUSBAND AND WIFE.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE ORGANIZATION'S BOARD MEMBERS BEFORE BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, 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 15COMPENSATION 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 19THE 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UNITED CHURCH HOMES AND SERVICES
100 LEONARD AVENUENEWTONNC28658566056582CONTINUING CARE RETIREMENT COMMUNITYNC501(C)(3)LINE 10N/A0
UNITED CHURCH HOMES AND SERVICES FOUNDATION
100 LEONARD AVENUENEWTONNC28658562243082FUND AND SUPPORT THE OPERATIONS AND PROGRAMS OF UCHSNC501(C)(3)LINE 12A, IYes (1)UNITED CHURCH HOMES AND SERVICES
CAROLINA SENIORCARE
100 LEONARD AVENUENEWTONNC28658274450562PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLYNC501(C)(3)LINE 3N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
UNITED CHURCH HOMES AND SERVICES
D$2,234,974
UNITED CHURCH HOMES AND SERVICES
M$743,358
UNITED CHURCH HOMES AND SERVICES
O$4,182,476
UNITED CHURCH HOMES AND SERVICES FOUNDATION
C$11,487

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