2017-02-13T14:41:09-06:00 2016-06-30 721396621 CARR RIGGS & INGRAM LLC 1601 2ND AVENUE E ONEONTA AL 35121 990 2015-07-01 630386404 EPISCOPAL FOUNDATION OF JEFFERSON COUNTY EPIS 2059561831 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 MICHAEL FAULKNER CFO 2059561831 2017-02-08 1 JOSEPH B MCCURLEY P00611915 2056253472 2017-02-08 2015 2021-01-29 14:40:06Z MICHAEL FAULKNER 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 21152454 0 X STMARTINSINTHEPINES.ORG X 1957 AL SEE SCHEDULE O 14 14 570 50 0 0 228236 216320 20389368 20457582 60829 -17407 374056 385202 21052489 21041697 0 0 0 0 11442315 11320515 0 0 0 9725256 9739155 21167571 21059670 -115082 -17973 32898245 35357867 20344174 22729730 12554071 12628137 X SEE SCHEDULE O 0 0 19974684 20825377 THE MISSION OF ST MARTIN'S IN THE PINES IS TO SERVE GOD THROUGH A MINISTRY THAT PROVIDES A CONTINUUM OF CARE AND QUALITY OF LIFE TO AGING INDIVIDUALS AND THEIR FAMILIES. WE DO THIS BY PROVIDING LONG TERM CARE SERVICES AND SUPPORTS TO THE ELDERS OF JEFFERSON COUNTY, ALABAMA. REVENUES GENERATED FROM THESE SERVICES AND SUPPORTS ARE PAID BY PRIVATE CARE FUNDS, MEDICAID, MEDICARE, PRIVATE INSURANCE AND THE VETERANS ADMINISTRATION. SERVICES ARE PROVIDED ON A PLEASANT SUBURBAN SITE AND IN A HOME LIKE ENVIRONMENT WHENEVER POSSIBLE. WE PROVIDE HOUSING AND HOME CARE SERVICES TO APPROXIMATELY 400 ELDERS AND CLIENTS DAILY. 19974684 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 59 0 1 570 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL FAULKNER 2059561831 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 DAVID C SMITHERMAN CHAIRMAN 0.00 X 0 0 0 JAMES C THOMPSON CHAIR ELECT 0.00 X 0 0 0 JAMES M POOL SECRETARY 0.00 X 0 0 0 FRANKLIN BRADFORD TREASURER 0.00 X 0 0 0 MEMILY COLVIN DIRECTOR 0.00 X 0 0 0 PATSY DREHER DIRECTOR 0.00 X 0 0 0 CURTIS O LILES III DIRECTOR 0.00 X 0 0 0 TRAVIS MCGOWIN DIRECTOR 0.00 X 0 0 0 REA OLIVER DIRECTOR 0.00 X 0 0 0 BECKY SMITH DIRECTOR 0.00 X 0 0 0 MARCELLUS L SMITH JR DIRECTOR 0.00 X 0 0 0 YANCEY TRUCKS DIRECTOR 0.00 X 0 0 0 ANNE WARREN DIRECTOR 0.00 X 0 0 0 REV CHARLES YOUNGSON DIRECTOR 0.00 X 0 0 0 TERRY ROGERS CEO 40.00 X 271554 0 30377 MIKE FAULKNER CFO 40.00 X 150188 0 23329 DON CRIGER EXECUTIVE DIRECTOR 40.00 X 131760 0 1063 NANCY COBB OPS DIRECTOR SENIOR LIVING 40.00 X 110491 0 10591 663993 0 65360 4 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 HOSPITALITY SERVICES 2986335 ST VINCENTS HOME HEALTH 1400 URBAN CENTER DRIVE STE 240 BIRMINGHAM AL 35242 THERAPY SERVICES 1000361 HALLMARK BUILDERS PO BOX 43406 BIRMINGHAM AL 35243 GENERAL CONTRACTOR 882993 TURENNE PHARMEDCO 355 INDUSTRIAL PARK BLVD MONTGOMERY AL 36117 MEDICAL SUPPLIES AND PHARMACY SERVICES 501271 BARGANIER CONSTRUCTION CO 4100 AUTUMN LANE SUITE 112 BIRMINGHAM AL 35243 GENERAL CONTRACTOR 257380 9 216320 216320 PROG.SERV.REVENUE-RELATED-990 623000 20457582 20457582 20457582 10849 10849 431402 54246 377156 377156 377156 28255 56511 -28256 -28256 -28256 MISC. REVENUE-RELATED-990 900099 8046 8046 8046 21041697 20825377 0 0 421742 421742 9144626 8927846 216780 79986 74589 5397 989464 954597 34867 684697 645700 38997 132705 132705 72767 72645 122 106886 49920 56966 53940 39026 14914 34473 23794 10679 550719 550719 1406348 1406348 277629 277629 CONTRACT SERVICES 3351803 3315624 36179 UTILITIES 928801 928801 RAW FOOD 918482 918482 SUPPLIES 880784 878140 2644 1023818 910824 112994 21059670 19974684 1084986 0 4349 116844 1215537 1568830 5700 5700 1559083 1858313 22418 21717 197731 104389 49519432 22927029 25489482 26592403 3633584 4005907 141190 127244 508591 832945 120580 123575 32898245 35357867 1142090 751864 16435000 17810806 307005 1600600 2460079 2566460 20344174 22729730 X 12110619 12141241 5733 5700 437719 481196 12554071 12628137 32898245 35357867 X -17973 92040 -1 X 0 1 X 1 0 X 188233 101100 137522 228236 216320 871411 19824916 20040070 20208347 20389368 20457582 100920283 20013149 20141170 20345869 20617604 20673902 101791694 0 0 0 101791694 64535 60829 -17407 107957 64535 60829 -17407 107957 238386 374056 385202 997644 20013149 20141170 20648790 21052489 21041697 102897295 0.98930 0.99280 0.00100 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2013 AMOUNT: $ 238,386. 2014 AMOUNT: $ 374,056. 2015 AMOUNT: $ 385,202. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 235236 235236 39110845 16828845 22282000 1443725 925457 518268 8729626 5172727 3556899 26592403 REFUNDABLE DEPOSITS 2566460 2566460 X X X X X X 0 1 0 0 0 0 0 0 0 TERRY ROGERS CEO 227946 0 35108 0 8500 0 9178 0 21199 0 301931 0 0 0 MIKE FAULKNER CFO 124280 0 18108 0 7800 0 6124 0 17205 0 173517 0 0 0 PART I, LINE 4 AND PART II, (C) CONTRIBUTIONS TO A NON-QUALIFIED DEFERRED COMPENSATION PLAN ARE MADE ANNUALLY AND REMAIN THE PROPERTY OF THE FOUNDATION VESTING TO THE PARTICIPANT OCCURS INCREMENTALLY OVER TWENTY (20) YEARS, WITH THE REQUIRED PAYMENTS TO THE PARTICIPANT MADE ANNUALLY. THE PLAN IS REVIEWED ANNUALLY AND APPROVED BY THE COMPENSATION COMMITTEE, A SUBSET OF THE BOARD OF DIRECTORS. A 2007 SERIES BONDS 260576198 091245AA8 2009-11-18 17810000 REFI/CONSTRUCTION FACILITY 0 0 0 B 2015 SERIES BOND 260576198 2015-08-05 18250694 REFI/CONSTRUCTION FACILITY 0 0 0 A 16435000 0 0 0 1 B 439888 18250694 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 1 0 0 0 0 FORM 990, PART III, LINE 1 THE MISSION OF ST MARTIN'S IN THE PINES IS TO SERVE GOD THROUGH A MINISTRY THAT PROVIDES A CONTINUUM OF CARE AND QUALITY OF LIFE TO AGING INDIVIDUALS AND THEIR FAMILIES. WE DO THIS BY PROVIDING HOUSING, LONG-TERM CARE SERVICES AND SUPPORT INCLUDING NURSING CARE, ASSISTED LIVING AND PERSONAL CARE TO THE ELDERS OF JEFFERSON COUNTY, ALABAMA. FORM 990, PART VI, SECTION B, LINE 11 THE CFO WILL ENSURE THE FORM 990 IS PREPARED ACCURATELY AND TIMELY. THE CEO WILL REVIEW THE FORM 990 AND THE CFO WILL CERTIFY THE INFORMATION IS CORRECT BY SIGNING THE FORM. THE FINANCE COMMITTEE WILL REVIEW THE FORM PRIOR TO FILING. THE FORM 990 WILL BE DISTRIBUTED TO THE FULL BOARD WITHIN 30 DAYS OF FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICIES OF THE FOUNDATION REQUIRE ALL BOARD MEMBERS, OFFICERS AND MANAGEMENT EMPLOYEES PREPARE AND SIGN ANNUAL DOCUMENTS DISCLOSING ANY POTENTIAL CONFLICTS OF INTERESTS. ANY POTENTIAL CONFLICTS ARE REVIEWED AND DISCUSSED BY THE ENTIRE BOARD. ADDITIONALLY THE FOUNDATION POLICY REQUIRES CONTINUAL DISCLOSURE SHOULD CIRCUMSTANCES CHANGE. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION'S POLICIES REQUIRE THE CEO'S COMPENSATION TO BE SET AND MONITORED BY THE BOARD OF DIRECTORS. ADDITIONALLY AN OUTSIDE CONSULTING FIRM PREPARES A PERIODIC STUDY OF COMPENSATION FOR SENIOR MANAGEMENT AND PRESENTS ITS RECOMMENDATIONS TO THE BOARD. FURTHERMORE THE POLICIES REQUIRE THE CEO TO PREPARE COMPENSATION RECOMMENDATIONS FOR SENIOR STAFF FOR THE COMPENSATION COMMITTEE TO REVIEW AND APPROVE. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR KEY EMPLOYEES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION RETURNS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING -1. EAST DALE PROPERTIES 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 REAL ESTATE AL 8190 912128