CAROLINA ADVENTIST RETIREMENT SYSTEMS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CAROLINA ADVENTIST RETIREMENT SYSTEMS INC (EIN 56-1089384)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-05-10
IRS object ID
201731309349301628
Schema version
2015v3.0
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)
Return2017-05-10T10:48:02-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561089384EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROLINA ADVENTIST RETIREMENT SYSTEMSBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCAROBusinessNameControlTxt
Phone7046679851PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 HOLCOMBE COVE RDAddressLine1Txt
CityCANDLERCityNm
State AbbreviationNCStateAbbreviationCd
ZIP287159450ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBORAH HAWKINSPersonNm
Person TitleTREASURER / CFOPersonTitleTxt
Phone7046679851PhoneNum
Signature2017-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2017-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEBORAH HAWKINSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 HOLCOMBE COVE RDAddressLine1Txt
CityCANDLERCityNm
State AbbreviationNCStateAbbreviationCd
ZIP287159450ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$30,848,263GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PISGAHVALLEY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionSERVING HEALTHCARE AND RESIDENTIAL NEEDS WHILE UPHOLDING CHRISTIAN PRINCIPLES.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee689TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$108,817TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$138,175PYContributionsGrantsAmt
CY Contributions Grants$97,920CYContributionsGrantsAmt
PY Program Service Revenue$23,372,147PYProgramServiceRevenueAmt
CY Program Service Revenue$15,112,330CYProgramServiceRevenueAmt
PY Investment Income-$105,106PYInvestmentIncomeAmt
CY Investment Income$7,895,234CYInvestmentIncomeAmt
PY Other Revenue$346,545PYOtherRevenueAmt
CY Other Revenue$352,076CYOtherRevenueAmt
PY Total Revenue$23,751,761PYTotalRevenueAmt
CY Total Revenue$23,457,560CYTotalRevenueAmt
PY Grants And Similar Paid$195,003PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$206,275CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,090,170PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,999,821CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,245,984PYOtherExpensesAmt
CY Other Expenses$7,510,450CYOtherExpensesAmt
PY Total Expenses$24,531,157PYTotalExpensesAmt
CY Total Expenses$16,716,546CYTotalExpensesAmt
PY Revenues Less Expenses-$779,396PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,741,014CYRevenuesLessExpensesAmt
Total Assets BOY$37,542,097TotalAssetsBOYAmt
Total Assets EOY$30,884,355TotalAssetsEOYAmt
Total Liabilities BOY$23,838,147TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,155,787TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,703,950NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,728,568NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS 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 Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$11,386,364ExpenseAmt
Grant$206,275GrantAmt
Revenue$12,218,753RevenueAmt
DescPISGAH VALLEY RETIREMENT COMMUNITY OWNS AND OPERATES A LICENSED CONTINUING CARE RETIREMENT COMMUNITY WITH 49 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

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,275,448ExpenseAmt
Revenue$2,949,336RevenueAmt
DescPRIOR TO DECEMBER 31, 2015, WINSLOW OPERATED A RETIREMENT COMMUNITY WITH A 146-BED SKILLED NURSING FACILITY IN ELIZABETH CITY, NORTH CAROLINA. PROGRAM SERVICE ACCOMPLISHMENTS INCLUDED PROVIDING OF ROOM AND BOARD (SHELTER, UTILITIES, MEALS, HOUSEKEEPING, LAUNDRY, AND MAINTENANCE), TRANSPORTATION, ACTIVITIES, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, AND MEDICAL SERVICES TO OUR COMMUNITY (PRIMARILY AGE 55 AND OLDER). ON DECEMBER 31, 2015 THE WINSLOW OPERATION WAS SOLD.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$13,661,812TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 Assets0ReportOtherAssetsInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document70IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee689EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members25GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
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 Line1DEBORAH HAWKINSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8284182334PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 HOLCOMBE COVE ROADAddressLine1Txt
CityCANDLERCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28715ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ERNEST BOUGHMAN SR
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$375$0
BRENNA BOULANGER
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$375$0
JIMM BUNCH
DIRECTOR1.00Yes (X)$0$0$0
DEWAYNE BUTCHER MD
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$300$0
MAIKEL ARCE
DIRECTOR1.00Yes (X)$0$0$040.00
BRAD CAULEY
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$71,020$38,65640.00
DONOVAN DAVIS
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$70,472$27,82140.00
JEFF DONALDSON
DIRECTOR1.00Yes (X)$0$65,119$34,59040.00
JOHN EARNHARDT
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$66,014$52,26540.00
SAMUEL GARCIA
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$225$0
MAURY GILMORE
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$150$0
CHAD GRUNDY
DIRECTOR1.00Yes (X)$0$71,402$15,25540.00
JERRY LAFAVE
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$66,477$56,05440.00
WON LEE
DIRECTOR (ROTATED OFF)1.00Yes (X)$0$300$0
LESLIE LOUIS
DIRECTOR/CHAIRMAN1.00Yes (X)$0$79,003$43,52140.00
GARY MOYER
DIRECTOR/SECRETARY1.00Yes (X)$0$80,396$41,73740.00Yes (X)
DEXTER RICHARDSON
DIRECTOR1.00Yes (X)$0$66,890$50,47040.00
LESTER RILEA
DIRECTOR1.00Yes (X)$0$450$0
JOSE RIVERA
DIRECTOR1.00Yes (X)$0$65,863$35,37340.00
RICHARD RUSSELL
DIRECTOR1.00Yes (X)$0$78,234$29,75940.00
ANDRES HENRIQUEZ
DIRECTOR1.00Yes (X)$0$0$040.00
LINDA STAMP
DIRECTOR1.00Yes (X)$0$450$0
DON WETMORE
DIRECTOR1.00Yes (X)$0$300$0
ANDREW WILLIAMS
DIRECTOR1.00Yes (X)$0$300$0
CHARLES WILLIAMS
DIRECTOR1.00Yes (X)$0$225$0
KEVIN WORTH
DIRECTOR1.00Yes (X)$0$52,739$10,74140.00
CHRISTIAN YASTE
DIRECTOR1.00Yes (X)$0$0$0
CHRISTINA HYMBAUGH
DIRECTOR1.00Yes (X)$0$0$0
BEN KOCHENOWER
DIRECTOR1.00Yes (X)$0$0$0
LANCE MORRISON
DIRECTOR1.00Yes (X)$0$69,191$12,210
RAYMOND SHEPARD
DIRECTOR1.00Yes (X)$0$0$0
HASKELL WILLIAMS
DIRECTOR1.00Yes (X)$0$72,074$56,830
PATRICK WILLIAMS
DIRECTOR1.00Yes (X)$0$68,892$45,098
GARY ROUSE
DIRECTOR1.00Yes (X)$0$70,710$15,495
DEBORAH HAWKINS
TREASURER/CFO40.00$154,205$0$13,5341.00Yes (X)
DAVID KIDDER
PRESIDENT/CEO40.00$222,415$0$35,2111.00Yes (X)
MICHELLE GRANDY
ADMINISTRATOR40.00$108,275$0$12,182Yes (X)
VICKIE HARDY
DIRECTOR OF NURSING40.00$101,832$0$26,942Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$586,727TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,117,946TotReportableCompRltdOrgAmt
Total Other Compensation$653,744TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHABCARE GROUP EAST INC (DBA REHABCARE
PO BOX 503534ST LOUISMO63150PHYSICAL, SPEECH AND OCCUPATIONAL THERAP$1,219,737
KINDRED REHAB SERVICES INC (DBA PEOPLEF
PO BOX 277365ALTANTAGA30384PHYSICAL, SPEECH AND OCCUPATIONAL THERAP$1,119,329
DIXON HUGHES GOODMAN LLP
PO BOX 3049ASHEVILLENC28802AUDITING, ACCOUNTING, TAX, AND CONSULTIN$305,135
SFCS INC
305 S JEFFERSON STREETROANOKEVA240112003ARCHITECT$243,781
WALKER MARKETING INC
805 TRADE STREET NW SUITE 101CONCORDNC28027MARKETING$235,800
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$97,920AllOtherContributionsAmt
Total Contributions$97,920TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS623000$10,668,339$10,668,339
SKILLED NURSING, ASSISTED LIVING,623000$4,251,291$4,251,291
AMORTIZATION OF ENTRANCE FEE623000$192,700$192,700
FieldValueIRS element (for citing)
Total Program Service Revenue$15,112,330TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,137TotalRevenueColumnAmt
Exclusion$283,137ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$15,002,800OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$7,390,703OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$7,612,097OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,612,097TotalRevenueColumnAmt
Exclusion$7,612,097ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT FEES FROM HOA531390$187,500$187,500
WELLNESS CENTER REVENUE713940$115,638$6,821$108,817
MISCELLANEOUS INCOME623000$48,938$48,938
FieldValueIRS element (for citing)
Other Revenue Total$352,076OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,457,560TotalRevenueColumnAmt
Related Or Exempt Func Income$15,168,089RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$108,817UnrelatedBusinessRevenueAmt
Exclusion$8,082,734ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$206,275TotalAmt
Program Services$206,275ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$420,428TotalAmt
Management And General$420,428ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$14,487TotalAmt
Management And General$14,487ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,948,861TotalAmt
Program Services$6,232,978ProgramServicesAmt
Management And General$715,883ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$64,976TotalAmt
Program Services$62,004ProgramServicesAmt
Management And General$2,972ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,007,618TotalAmt
Program Services$857,705ProgramServicesAmt
Management And General$149,913ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$543,451TotalAmt
Program Services$455,981ProgramServicesAmt
Management And General$87,470ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,147TotalAmt
Management And General$25,147ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$101,350TotalAmt
Management And General$101,350ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,631,162TotalAmt
Program Services$1,625,191ProgramServicesAmt
Management And General$5,971ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$249,238TotalAmt
Management And General$249,238ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,070,924TotalAmt
Program Services$729,645ProgramServicesAmt
Management And General$341,279ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$152,629TotalAmt
Management And General$152,629ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,028,031TotalAmt
Program Services$926,455ProgramServicesAmt
Management And General$101,576ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$68,916TotalAmt
Program Services$41,239ProgramServicesAmt
Management And General$27,677ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$23,546TotalAmt
Program Services$5,431ProgramServicesAmt
Management And General$18,115ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,139TotalAmt
Program Services$5,139ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,464,308TotalAmt
Program Services$1,431,680ProgramServicesAmt
Management And General$32,628ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$106,762TotalAmt
Program Services$12,834ProgramServicesAmt
Management And General$93,928ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MED. RELATED SUPPLIES$1,069,255$1,069,255
BAD DEBT$266,557$266,557
WRITE OFF TO FINANCING$180,061$180,061
PROVIDER TAX$63,349$63,349

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,076TotalAmt
Management And General$4,076ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,716,546TotalAmt
Program Services$13,661,812ProgramServicesAmt
Management And General$3,054,734ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$900BOYAmt
EOY$500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,049,090BOYAmt
EOY$4,548,425EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$94,500BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,625,999BOYAmt
EOY$784,073EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$121,900BOYAmt
EOY$75,100EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$440,427BOYAmt
EOY$65,962EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,028,454LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,005,951LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,121,060BOYAmt
EOY$20,022,503EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$5,155,907EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$88,221BOYAmt
EOY$231,885EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$37,542,097BOYAmt
EOY$30,884,355EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,803,271BOYAmt
EOY$940,614EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$659,417BOYAmt
EOY$745,321EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,797,527BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$388,926BOYAmt
EOY$43,381EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,189,006BOYAmt
EOY$8,426,471EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,838,147BOYAmt
EOY$10,155,787EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,703,950BOYAmt
EOY$20,728,568EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,703,950BOYAmt
EOY$20,728,568EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,542,097BOYAmt
EOY$30,884,355EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,741,014ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$152,366NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$131,238OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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$146,934CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$185,451CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$175,785CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$138,175CurrentTaxYearMinus1YearAmt
Current Tax Year$97,920CurrentTaxYearAmt
Total$744,265TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,085,506CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,355,989CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,788,657CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,372,147CurrentTaxYearMinus1YearAmt
Current Tax Year$15,156,576CurrentTaxYearAmt
Total$105,758,875TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$220,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$259,285CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$265,383CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$261,856CurrentTaxYearMinus1YearAmt
Current Tax Year$199,013CurrentTaxYearAmt
Total$1,206,142TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,453,045CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,800,725CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,229,825CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,772,178CurrentTaxYearMinus1YearAmt
Current Tax Year$15,453,509CurrentTaxYearAmt
Total$107,709,282TotalAmt

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$107,709,282PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,238CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$160,614CurrentTaxYearMinus1YearAmt
Current Tax Year$283,137CurrentTaxYearAmt
Total$519,250TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,238CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$160,614CurrentTaxYearMinus1YearAmt
Current Tax Year$283,137CurrentTaxYearAmt
Total$519,250TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,486,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,823,027CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,249,784CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,932,792CurrentTaxYearMinus1YearAmt
Current Tax Year$15,736,646CurrentTaxYearAmt
Total$108,228,532TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99520PublicSupportCY509Pct
Public Support PY5090.99740PublicSupportPY509Pct
Investment Income CY0.00480InvestmentIncomeCYPct
Investment Income PY0.00260InvestmentIncomePYPct
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,697OtherActivitiesAmt
Total Lobbying Expenditures$1,697TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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 2016, AMOUNTS OF MEMBERSHIP DUES ALLOCATED TO THESE EXPENDITURES WERE $819 FOR HFA AND $878 FOR LAA.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$770,000OtherCostOrOtherBasisAmt
Book Value$770,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,663,375OtherCostOrOtherBasisAmt
Depreciation$4,857,477DepreciationAmt
Book Value$15,805,898BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,563OtherCostOrOtherBasisAmt
Depreciation$147,960DepreciationAmt
Book Value$40,603BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,242,712OtherCostOrOtherBasisAmt
Depreciation$1,258,965DepreciationAmt
Book Value$983,747BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,163,804OtherCostOrOtherBasisAmt
Depreciation$741,549DepreciationAmt
Book Value$2,422,255BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,022,503TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PATIENT TRUST FUND LIABILITY$12,797
RESIDENT REFUNDS PAYABLE$8,360,674
RESIDENT DEPOSITS$53,000
FieldValueIRS element (for citing)
Total Liability$8,426,471TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,712,459TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$152,366NetUnrealizedGainsInvstAmt
Other Revenue$136,133OtherRevenueAmt
Revenue Not Reported$288,499RevenueNotReportedAmt
Revenue Subtotal$23,423,960RevenueSubtotalAmt
Other Revenues Not Included$33,600OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$33,600RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,457,560TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,687,841TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$4,895OtherExpensesIncludedAmt
Expenses Not Reported$4,895ExpensesNotReportedAmt
Expenses Subtotal$16,682,946ExpensesSubtotalAmt
Other Expenses Not Included$33,600OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$33,600ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,716,546TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2016 AND 2015 AND, ACCORDINGLY, NO LIABILITY WAS ACCRUED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN INTEREST RATE SWAP 131,238. LOSS ON DISPOSAL OF ASSETS IN EXPENSES 4,895.
PART XI, LINE 4B - OTHER ADJUSTMENTS:MANAGEMENT FEES REVENUE NET WITH EXPENSES 33,600.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS IN EXPENSES 4,895.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MANAGEMENT FEES REVENUE NET WITH EXPENSES 33,600.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
CAROLINA CONFERENCE OF SEVENTH-DAY ADVENTISTS
2701 WT HARRIS BLVDCHARLOTTENC28256454284485501(C)(3)$148,560FMVTO ASSIST WITH EDUCATIONAL MINISTRY
MOUNT PISGAH ACADEMY
75 ACADEMY DRIVECANDLERNC28715560713794501(C)(3)$47,760FMVSTUDENT SCHOLARSHIPS AND GENERAL OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
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 (2 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
DEBORAH HAWKINS
TREASURER/CFO$111,098$0$1,107$0$42,000$0$3,298$0$10,236$0$167,739$0$0$0
DAVID KIDDER
PRESIDENT/CEO$179,370$0$1,605$0$41,440$0$6,226$0$28,985$0$257,626$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationCARS WAIVES 100% AND 50% OF THE STANDARD MEMBERSHIP FEE FOR THE CEO AND CFO, RESPECTIVELY, 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonELLA KIDDERPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY RELATIONSHIP WITH DAVID KIDDER, CEORelationshipDescriptionTxt
Transaction$14,487TransactionAmt
TransactionELLA KIDDER IS AN EMPLOYEE OF THE ORGANIZATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule N IRS990ScheduleN

FieldValueIRS element (for citing)
Director Of Successor0DirectorOfSuccessorInd
Employee Of Successor0EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AG0RequiredToNotifyAGInd
Attorney General Notified0AttorneyGeneralNotifiedInd
Liabilities Paid0LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidWINSLOW FACILITY - LAND, BUILDING, AND EQUIPMENTAssetsDistriOrExpnssPaidDesc
Distribution2015-12-31DistributionDt
Fair Market Value Of Asset$15,000,000FairMarketValueOfAssetAmt
Method Of FMV DeterminationFMVMethodOfFMVDeterminationTxt
EIN561089384EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH CITY HEALTH AND REHABILITIATION LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11075 US HIGHWAY 17 SOUTHAddressLine1Txt
CityELIZABETH CITYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27909ZIPCd
FieldValueIRS element (for citing)
IRC SectionLIMITED LIABILITY CORPORATIONIRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3PRIOR TO DECEMBER 31, 2015, CARS OPERATED A RETIREMENT COMMUNITY WITH A 146-BED SKILLED NURSING FACILITY IN ELIZABETH CITY, NORTH CAROLINA. PROGRAM SERVICE ACCOMPLISHMENTS INCLUDED PROVIDING OF ROOM AND BOARD (SHELTER, UTILITIES, MEALS, HOUSEKEEPING, LAUNDRY, AND MAINTENANCE), TRANSPORTATION, ACTIVITIES, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, AND MEDICAL SERVICES TO OUR COMMUNITY (PRIMARILY AGE 55 AND OLDER). ON DECEMBER 31, 2015 THE WINSLOW OPERATION WAS SOLD.
FORM 990, PART VI, SECTION A, LINE 6AS 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 7AAS 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 7BAS 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 11THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. A COPY OF THE RETURN WAS PROVIDED TO EACH BOARD OF DIRECTORS MEMBER PRIOR TO ITS FILING. THE RETURN WAS REVIEWED AND DISCUSSED BY THE BOARD OF DIRECTORS AT THEIR REGULARY SCHEDULED MEETING.
FORM 990, PART VI, SECTION B, LINE 12CAT 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 15ANNUALLY 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. T
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE 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:CHANGE IN INTEREST RATE SWAP 131,238.
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

FieldValueIRS element (for citing)
Business Name Line1CAROLINA CONFERENCE OF SEVENTH-DAY ADVENTISTS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 44270AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28215ZIPCd
FieldValueIRS element (for citing)
EIN454284485EIN
Primary ActivitiesSPIRITUAL DEVELOPMENTPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status1PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PISGAH ESTATES UNIT OWNERS ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 HOLCOMBE COVE ROADAddressLine1Txt
CityCANDLERCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28715ZIPCd
FieldValueIRS element (for citing)
EIN561769989EIN
Primary ActivitiesHOME OWNERS ASSOCIATIONPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PISGAH ESTATES UNIT OWNERS ASSOCIATION
L$187,500CASH
PISGAH ESTATES UNIT OWNERS ASSOCIATION
M$160,310CASH

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