2018-01-09T08:20:10-06:00 2017-06-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2016-07-01 560994323 RALPH SCOTT LIFESERVICES INC RALP 3362271011 408 WEST TRADE STREET BURLINGTON NC 27217 FAIRFAX REYNOLDS BOARD CHAIR 3362271011 2018-01-08 1 VIRGINIA LOWDER P01609579 8283222070 192.80.76.153 2018-01-08 11:08:51 ES P 62B6F9D89139577DF3E924E6295A67728740EE54 62B6F9D89139577DF3E924E6295A67728740EE54 2016 2021-01-29 14:40:06Z JENNIFER HELTON 408 WEST TRADE STREET BURLINGTON NC 27217 8935267 0 X RSLI.ORG X 1971 NC RALPH SCOTT LIFESERVICES, INC. PROVIDES INDIVIDUALIZED COMMUNITY LIVING SERVICES AND SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. THESE SERVICES ARE DESIGNED TO PROMOTE SOUND HEALTH, DIGNITY, GROWTH, STABILITY AND COMMUNITY INVOLVEMENT. 18 18 279 0 0 0 93774 88888 9026974 8824501 2219 2125 4026 7982 9126993 8923496 0 0 0 0 6940049 6949444 0 0 0 2030237 2079459 8970286 9028903 156707 -105407 3067887 2994684 585827 602560 2482060 2392124 X RALPH SCOTT LIFESERVICES, INC. PROVIDES INDIVIDUALIZED COMMUNITY LIVING SERVICES AND SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. THESE SERVICES ARE DESIGNED TO PROMOTE SOUND HEALTH, DIGNITY, GROWTH, STABILITY AND COMMUNITY INVOLVEMENT. 0 0 6838870 7465616 RSL PROVIDES INDIVIDUALIZED SERVICES AND RESIDENTIAL LIVING SUPPORTS FOR APPROXIMATELY 115 PEOPLE WITH INTELLECTUAL AND OTHER DEVELOPMENTAL DISABILITIES IN ALAMANCE AND CASWELL COUNTIES. SERVICES INCLUDE SUPERVISION, TRANSPORTATION, COORDINATING MEDICAL APPOINTMENTS, AND DIRECT SUPPORT IN ACTIVITIES OF DAILY LIVING (BATHING, DRESSING, MEDICATIONS, MEALS, AND HYGIENE). INDIVIDUALS RECEIVE SUPPORTS TO HELP MAINTAIN RELATIONSHIPS AND CONNECTIONS WITH THE COMMUNITY; DEVELOP INTERESTS; BUILD NATURAL SUPPORTS; AND TO BE ACTIVE CITIZENS. LOCATIONS INCLUDE: 12 DDA HOMES, 5 ICF/MR HOMES, 2 HOMES SUPPORTING INDIVIDUALS WITH DUAL DIAGNOSIS OF MENTAL ILLNESS AND MENTAL RETARDATION,AND 4 SUPPORTED LIVING APARTMENTS THAT SUPPORT UP TO 15 ADULTS. SUPPORT ALSO INCLUDE IN-HOME SERVICES TO INDIVIDUALS WHO LIVE IN THEIR OWN APARTMENTS OR HOMES. 982887 1358885 OFFERS AN ADULT DAY PROGRAM TO PROVIDE SUPPORTS TO APPROXIMATELY 70 INDIVIDUALS WITH INTELLECTUAL OR OTHER DEVELOPMENTAL DISABILITIES AND SERVES BOTH INDIVIDUALS FROM THE COMMUNITY AND OUR RESIDENTIAL PROGRAMS. OPPORTUNITIES ARE OFFERED TO SOCIALIZE, EXERCISE, COMMUNICATION, EXPAND LEISURE INTERESTS, ARTS AND MUSIC, AND TO TEACH DAILY LIVING AND WORK SKILLS. PROGRAM PARTICIPANTS ARE ENCOURAGED TO BE AN ACTIVE PART OF THEIR COMMUNITY AND EVEN VOLUNTEER IN SPECIAL PROGRAMS AND MEALS ON WHEELS. 7821757 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 279 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 NC X JENNIFER HELTON 3362271011 408 W TRADE STREET BURLINGTON NC 27217 FAIRFAX REYNOLDS CHAIRPERSON 1.00 X X 0 0 0 JOHN NICHOLSON VICE CHAIR 1.00 X X 0 0 0 RUSSELL GILL SECRETARY 1.00 X X 0 0 0 KELLY MAY ASST SECRETARY 1.00 X X 0 0 0 AMI HILL TREASURER 1.00 X X 0 0 0 AMY CHANDLER ASST TREASURER 1.00 X X 0 0 0 JEFFREY ANDREWS DIRECTOR 1.00 X 0 0 0 GLORIA FAUCETTE DIRECTOR 1.00 X 0 0 0 MAMIE BELTON-EVANS DIRECTOR 1.00 X 0 0 0 STEVE BLACK DIRECTOR 1.00 X 0 0 0 ODDETE CAMBRANI-DOVE DIRECTOR 1.00 X 0 0 0 JENNINGS CHANDLER DIRECTOR 1.00 X 0 0 0 DR JAMES HEDRICK DIRECTOR 1.00 X 0 0 0 LIZ HILL DIRECTOR 1.00 X 0 0 0 CHARLES MAYE DIRECTOR 1.00 X 0 0 0 PAULA REARDON DIRECTOR 1.00 X 0 0 0 CHAD SLAUGHTER DIRECTOR 1.00 X 0 0 0 DR CYNTHIA TOULOUPAS DIRECTOR 1.00 X 0 0 0 JENNIFER HELTON CEO 40.00 X 91988 0 0 91988 0 0 0 0 0 0 0 16648 72240 88888 MEDICAID/MEDICARE PAYM 623000 6764306 6764306 RESIDENT FEES - DDA,IC 623000 1043588 1043588 STATE/COUNTY CONTRACTS 623000 1016607 1016607 8824501 2045 2045 80 0 80 80 80 8775 16648 11771 -2996 -2996 MISCELLANEOUS 623000 10978 10978 10978 8923496 8824501 0 10107 X 91988 91988 5425902 4802350 623552 1028453 831088 197365 403101 349768 53333 200 200 25729 434 25295 333523 333070 453 22666 18224 4442 3213 3213 91732 68792 22940 56735 50992 5743 FOOD AND PROVISIONS 312276 307588 4688 PROFESSIONAL SERVICES 223694 175278 48416 ICF ASSESSMENT 217337 217337 REPAIRS AND MAINTENANCE 191005 154647 36358 601349 508976 92373 9028903 7821757 1207146 0 14823 15793 1202867 1162019 312287 348958 87188 11530 4253782 2969977 1293321 1283805 125595 142351 31806 30228 3067887 2994684 420674 431214 165153 171346 585827 602560 X 2482060 2392124 2482060 2392124 3067887 2994684 -105407 15471 0 X X 0 1 X 1 0 X 84783 53891 678624 54624 88888 960810 8564953 8459586 8874023 9026974 8824501 43750037 27830 80635 58980 167445 8649736 8541307 9633282 9140578 8913389 44878292 0 0 0 44878292 3277 2530 1727 2219 2045 11798 3277 2530 1727 2219 2045 11798 7628 3330 10958 8660641 8543837 9635009 9146127 8915434 44901048 0.99950 1.00000 0.00030 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 125595 500 18045 1789 142351 84689 40669 1548 1311 125595 84529 1750 961 1435 1116 84689 42613 32406 1601 910 84529 42489 260 136 42132 0 0 35672 35672 1883138 902839 980299 261492 97181 164311 2073480 1969957 103523 1283805 X 8950738 15471 11771 27242 8923496 0 8923496 9040674 11771 11771 9028903 0 9028903 PART X, LINE 2: THE ORGANIZATION IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF THE CURRENT & PRIOR YEAR, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ALLOCATED TO FUNDRAISING EVENT 11,771. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSE ALLOCATED TO FUNDRAISING EVENTS 11,771. GOLF TOURNAMENT 18958 16648 2310 4601 ORNAMENT SALES 5029 5029 6965 23987 16648 7339 11566 11566 -4227 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED AND APPROVED BY THE FULL BOARD OF DIRECTORS IF IT IS COMPLETED IN TIME FOR THE OCTOBER BOARD MEETING (3RD TUESDAY). IF NOT COMPLETED BY THEN, THE EXECUTIVE COMMITTEE REVIEWS THE 990 DURING THEIR NOVEMBER MEETING, AND THE FULL BOARD OF DIRECTORS SUBSEQUENTLY APPROVES THE 990 DURING THE JANUARY MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES ARE COVERED UNDER THE WHISTLEBLOWER POLICY. ALL EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT. DETERMINATIONS ARE MADE BY THE CEO/BOD/HR. FORM 990, PART VI, SECTION B, LINE 15 BOD DETERMINES COMPENSATION FOR CEO ANNUALLY BY INDUSTRY COMPARISON OF SALARIES GATHERED BY HR MANAGER. COMPENSATION FOR OTHER OFFICERS & KEY EMPLOYEES IS BASED ON ESTABLISHED PAY PLAN DETERMINED BY THE BOARD OF DIRECTORS. AN ANNUAL REVIEW OF THE BUDGET AND APPROVAL OF ADJUSTMENTS IS MADE BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 RALPH SCOTT LIFESERVICES, INC. DISCLOSES IN THE ANNUAL REPORT THAT THESE DOCUMENTS ARE AVAILABLE AT THE CORPORATE OFFICE. THIS INFORMATION IS ALSO AVAILABLE ON RSL'S WEBSITE. FORM 990, PART IX, LINE 24E JANITORIAL SUPPLIES : PROGRAM SERVICE EXPENSES 118,885. MANAGEMENT AND GENERAL EXPENSES 8,674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,559. SUPPLIES : PROGRAM SERVICE EXPENSES 101,692. MANAGEMENT AND GENERAL EXPENSES 1,237. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,929. UTILITIES : PROGRAM SERVICE EXPENSES 60,954. MANAGEMENT AND GENERAL EXPENSES 16,789. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,743. COMMUNICATIONS : PROGRAM SERVICE EXPENSES 52,238. MANAGEMENT AND GENERAL EXPENSES 19,623. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,861. MISCELLANEOUS : PROGRAM SERVICE EXPENSES 60,121. MANAGEMENT AND GENERAL EXPENSES 2,251. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,372. CLIENT HEALTH AND HYGIENE : PROGRAM SERVICE EXPENSES 57,973. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,973. CLEANING SERVICES : PROGRAM SERVICE EXPENSES 18,800. MANAGEMENT AND GENERAL EXPENSES 10,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,000. DUES AND SUBSCRIPTIONS : PROGRAM SERVICE EXPENSES 9,751. MANAGEMENT AND GENERAL EXPENSES 8,957. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,708. DRUGS : PROGRAM SERVICE EXPENSES 15,896. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,896. EMPLOYEE TRAINING : PROGRAM SERVICE EXPENSES 10,865. MANAGEMENT AND GENERAL EXPENSES 3,530. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,395. SERVICE AND MAINTENANCE AGREEMENTS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,099. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,099. VEHICLE LEASE EXPENSE : PROGRAM SERVICE EXPENSES 1,801. MANAGEMENT AND GENERAL EXPENSES 5,814. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,615. BOARD MEMBERS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,199. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,199. FORM 990, PART XII, LINE 2C,AUDIT OVERSIGHT/SELECTION OF INDEPENDENT ACCT NO CHANGE FROM PRIOR YEAR.