2016-08-12T09:31:04-05:00 2015-09-30 420714325 RSM US LLP 230 N ELM ST STE 1100 GREENSBORO NC 27401 990 2014-10-01 560634527 THE UNITED METHODIST RETIREMENT HOMES INC UNIT 9193843010 2600 CROASDAILE FARM PKWY NO A-500 DURHAM NC 277053153 JONATHAN ERICKSON CORPORATE EXECUTIVE DIRECTOR 9193843010 2016-08-12 1 TAMELA L GAINEY P00437957 3362724551 2014 2016-09-27 15:27:22Z JONATHAN ERICKSON 2600 CROASDAILE FARM PKWY NO A-500 DURHAM NC 277053153 90989699 0 X WWW.UMRH.ORG X 1946 NC OWN, OPERATE, AND MANAGE CONTINUING CARE RETIREMENT COMMUNITIES 24 24 1023 637 0 0 1533172 748540 58317877 60425501 1371332 1526009 -1508184 71957 59714197 62772007 678318 553021 0 0 22019871 23200118 0 0 0 32894968 34191925 55593157 57945064 4121040 4826943 233496383 221258835 183850106 169227928 49646277 52030907 TO PROVIDE QUALITY CARE AND SERVICES FOR AN INCLUSIVE AND DIVERSE POPULATION OF SENIOR ADULTS. 0 0 45680279 553021 60440461 OPERATE CONTINUING CARE RETIREMENT COMMUNITIES INCLUDING SKILLED NURSING FACILITIES. 45680279 1 1 0 0 0 0 1 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 113 0 1 1023 1 0 0 0 0 0 0 1 1 0 0 0 X 24 24 1 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NC X STACY DOBSON 9193843002 2600 CROASDAILE FARM PKWY STE A-500 DURHAM NC 27705 DON METZGER CHAIR 1.00 1.00 X X 0 0 0 GARY WHALEY 1ST VICE CHAIR 1.00 1.00 X X 0 0 0 JD ADAMS 2ND VICE CHAIR 1.00 1.00 X X 0 0 0 NANCY MARKS SECRETARY 1.00 1.00 X X 0 0 0 LEE HARRISS TREASURER 1.00 1.00 X X 0 0 0 JERRY GAMBILL TRUSTEE 1.00 X 0 0 0 BRUCE JOBE TRUSTEE 1.00 X 0 0 0 DEBORAH MONTAGUE TRUSTEE 1.00 X 0 0 0 JOHN GRISSOM TRUSTEE 1.00 1.00 X 0 0 0 ROBBY LOWRY TRUSTEE 1.00 X 0 0 0 DEBBY MEYER TRUSTEE 1.00 X 0 0 0 TOM STEELE TRUSTEE 1.00 1.00 X 0 0 0 GREG WALLACE TRUSTEE 1.00 X 0 0 0 PAUL CUNNINGHAM TRUSTEE 1.00 X 0 0 0 ARTIE ROGERS TRUSTEE 1.00 1.00 X 0 0 0 HOPE WARD EX-OFFICIO TRUSTEE 1.00 X 0 0 0 CAROL GOEHRING EX-OFFICIO TRUSTEE 1.00 X 0 0 0 STEVE TAYLOR EX-OFFICIO TRUSTEE 1.00 X 0 0 0 SANDY SCARLETT EX-OFFICIO TRUSTEE 1.00 X 0 0 0 CAROLYN HAMPTON EX-OFFICIO TRUSTEE 1.00 X 0 0 0 VERN VAN BRUGGEN EX-OFFICIO TRUSTEE 1.00 X 0 0 0 JAMES EBERT EX-OFFICIO TRUSTEE 1.00 X 0 0 0 BARBARA ANDREWS EX-OFFICIO TRUSTEE 1.00 X 0 0 0 KENNETH LOCKLEAR EX-OFFICIO TRUSTEE 1.00 X 0 0 0 JONATHAN ERICKSON CORPORATE EXECUTIVE DIRECT 40.00 1.00 X 187686 0 45135 STACY DOBSON CHIEF FINANCIAL OFFICER 40.00 1.00 X 164750 0 20611 HOWARD DEWITT EXECUTIVE DIRECTOR (CV) 40.00 X 152023 0 6957 WADE ROZIER EXECUTIVE DIRECTOR (WP) 40.00 X 135272 0 28364 LAURIE STALLINGS EXECUTIVE DIRECTOR (CG) 40.00 X 161501 0 17920 HEATHER MARCH CAMPUS ADMINISTRATOR (CV) 40.00 X 132808 0 12349 SARAH EVERETTE DIRECTOR OF NURSING (CG) 40.00 X 117977 0 6896 CAROL ROYCROFT DIRECTOR OF MARKETING (CV) 40.00 X 111062 0 7589 LISA SEALY CORPORATE HR/PR MANAGER 40.00 X 106800 0 8809 JAMES SAKELL DIRECTOR OF DINING AND ENVIRONMENTAL SERVICES CG 40.00 X 105268 0 49118 1375147 0 203748 11 0 1 0 BRASFIELD & GORRIE LLC 3700 GLENWOOD AVENUE SUITE 300 RALEIGH NC 27612 GENERAL CONTRACTOR 2660240 MORRISON MANAGEMENT SPECIALISTS 4721 MORRISON DRIVE STE 300 MOBILE AL 36625 DIETARY MANAGEMENT 2477220 LIFE CARE SERVICES LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MANAGEMENT COMPANY 1723965 HERITAGE HEALTHCARE INC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY PROVIDER 1249548 CARRINGTON CONTRACTING INC PO BOX 71048 DURHAM NC 27722 GENERAL CONTRACTOR 822907 27 172328 576212 3658 748540 PATIENT SERVICES 623000 44687384 44687384 MEDICARE/MEDICAID PAYMENTS 623000 8215034 8215034 AMORT. OF ADVANCE FEES 623000 7523083 7523083 60425501 2056946 2056946 13440 0 13440 13440 13440 27674043 12712 27743409 474283 -69366 -461571 -530937 -530937 MISC OPERATING REVENUE 623000 40845 40845 RECOVERY OF BAD DEBT 623000 14960 14960 VENDING 623000 2712 2712 58517 62772007 60440461 0 1583006 16500 16500 536521 536521 1688647 1688647 17584324 16586875 997449 222761 192798 29963 2230743 1934431 296312 1473643 1292380 181263 2091334 298126 1793208 77308 77308 96345 96345 334343 334343 821688 479659 342029 345617 260 345357 159217 54 159163 2139060 1406004 733056 43393 22658 20735 120291 72699 47592 4849791 4724666 125125 8353563 5490797 2862766 714770 714770 SUPPLIES 4259488 4259488 CONTRACTED LABOR 3832043 3426974 405069 ANCILLARY EXPENSES 2922166 2922166 EQUIPMENT RENTAL AND MA 1011335 927088 84247 2020173 1090135 930038 57945064 45680279 12264785 0 3555 3575 30523786 15309415 3508856 3332480 2766888 3342800 133121 142993 771784 859388 210376455 79711273 131634471 130665182 59522871 62827717 31320 31512 4599731 4743773 233496383 221258835 6699595 5484652 60725365 61617337 116087090 101186162 338056 939777 183850106 169227928 X 44487514 47120667 2196320 2007516 2962443 2902724 49646277 52030907 233496383 221258835 X 4826943 -1522753 -919560 X X 0 1 X 1 0 X 600887 922478 475239 1533172 748540 4280316 34773766 41872553 43093483 58317877 60440461 238498140 35374653 42795031 43568722 59851049 61189001 242778456 0 0 0 242778456 1165812 1506339 1263769 1734543 2070386 7740849 1165812 1506339 1263769 1734543 2070386 7740849 5801463 291865 166400 -140990 43557 6162295 42341928 44593235 44998891 61444602 63302944 256681600 0.94580 0.92040 0.03020 0.02870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 1.59 1 0 4329537 540955 -92926 14700 453162 94788 4214916 3760159 1424320 305800 19700 1031539 109503 4329537 2144657 332312 130216 16000 541314 4841 2045030 2055865 577293 251659 26425 713465 270 2144657 2291134 429226 -4112 23200 636898 285 2055865 0.56860 0.43140 0 1 1 6528046 6528046 176797023 64049316 112747707 13222189 8760318 4461871 13829197 6901639 6927558 130665182 FUNDS HELD FOR OTHERS 76523 DUE TO RELATED PARTY 56355 INTEREST RATE SWAP AGREEMENT 806899 939777 X 58953437 -1522753 -2295817 -3818570 62772007 0 62772007 56568807 0 56568807 1376257 1376257 57945064 PART II, LINE 3: IN THE 1990'S, CYPRESS GLEN RETIREMENT COMMUNITY GRANTED AN EASEMENT TO THE CITY OF GREENVILLE FOR THE SOUTH TAR RIVER GREENWAY PROJECT. THE PROJECT CROSSES THE CYPRESS GLEN PROPERTY NEAR THE TAR RIVER. IN 2009, THE CITY BEGAN WORK ON THE PORTION OF THE GREENWAY BEHIND CYPRESS GLEN. THE CITY OF GREENVILLE WAS REQUIRED BY THE NC DIVISION OF WATER QUALITY TO AVOID SOME ENVIRONMENTALLY PROTECTED AREAS NEAR THE TAR RIVER IN THE CONSTRUCTION OF THE GREENWAY PROJECT. TO ACCOMPLISH THE REQUIREMENT, THE CITY ASKED THAT CYPRESS GLEN INCREASE THE EASEMENT IN A SPECIFIC AREA THAT IS 40 FEET WIDE AND 365 FEET LONG. THE EASEMENT WAS GRANTED BY THE BOARD CHAIRMAN IN NOVEMBER OF 2010. PART II, LINE 9: THE ORGANIZATION DOES NOT REPORT CONSERVATION EASEMENTS IN ITS REVENUE AND EXPENSE STATEMENTS AND BALANCE SHEETS. PART V, LINE 4: AS DICTATED BY THE DONOR, EARNINGS ON THE ENDOWMENT FUNDS WILL SUPPORT BENEVOLENT NEEDS AT THE COMMUNITY AND EMPLOYEE SCHOLARSHIPS. PART X, LINE 2: THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2015 AND 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN SPLIT INTEREST AGREEMENT -148,340. CHANGE IN VALUE OF PLEDGES -142,945. SPECIFIC INDIVIDUAL ASSISTANCE -521,821. BEAUTY AND BARBER EXPENSE -176,462. PATIENT SERVICE REVENUE DISCOUNTS -677,974. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT -628,275. PART XII, LINE 4B - OTHER ADJUSTMENTS: SPECIFIC INDIVIDUAL ASSISTANCE 521,821. BEAUTY & BARBER EXPENSE 176,462. PATIENT SERVICE REVENUE DISCOUNTS 677,974. 1 BENEVOLENT ASSISTANCE FOR RESIDENTS 31 521821 NURSING SCHOLARSHIPS 7 4200 STUDENT SCHOLARSHIPS 11 10500 PART I, LINE 2: UPON REVIEW OF EACH RESIDENT'S INDIVIDUAL FINANCIAL SITUATION, THE COMPANY MAY PERMIT THE RESIDENT TO REMAIN AT THE FACILITY FOR A LESSER FEE BASED ON THE RESIDENT'S ABILITY TO PAY BUT ONLY AFTER MEETING ALL OF THE SPEND-DOWN PROVISIONS OF ELIGIBILITY FOR THE MEDICAID PROGRAM AND ANY PUBLIC ASSISTANCE FUNDS. THE UNITED METHODIST RETIREMENT HOMES HAS FOUR POST-SECONDARY EDUCATION SCHOLARSHIP PROGRAMS FOR EMPLOYEES OF UNITED METHODIST RETIREMENT HOMES AND ITS CONTRACTORS. THE SCHOLARSHIPS ARE FUNDED BY DONORS AND ARE AWARDED ANNUALLY. SCHOLARSHIP RECIPIENTS ARE NOMINATED BY THEIR MANAGEMENT AND ARE SELECTED BY A THREE-MEMBER COMMITTEE COMPRISING THE MANAGER OF THE SCHOLARSHIP APPLICANTS, THE DIRECTORS OF HUMAN RESOURCES FOR CROASDAILE VILLAGE AND CYPRESS GLEN, AND THE VICE PRESIDENT OF THE UNITED METHODIST RETIREMENT HOMES FOUNDATION. THE COMMITTEE MAKES SELECTIONS OF SCHOLARSHIP RECIPIENTS BASED ON THE POLICY FOR DONOR-DIRECTED SCHOLARSHIP FUNDS, AND ON THE DONOR'S CRITERIA FOR AWARDING THE SCHOLARSHIP. 1 X X X X 0 0 0 0 0 0 0 0 0 JONATHAN ERICKSON CORPORATE EXECUTIVE DIRECT 141581 0 41613 0 4492 0 16597 0 28538 0 232821 0 0 0 STACY DOBSON CHIEF FINANCIAL OFFICER 149958 0 14666 0 126 0 6775 0 13836 0 185361 0 0 0 HOWARD DEWITT EXECUTIVE DIRECTOR (CV) 141851 0 9443 0 729 0 5944 0 1013 0 158980 0 0 0 WADE ROZIER EXECUTIVE DIRECTOR (WP) 116998 0 17603 0 671 0 5659 0 22705 0 163636 0 0 0 LAURIE STALLINGS EXECUTIVE DIRECTOR (CG) 148524 0 12702 0 275 0 6437 0 11483 0 179421 0 0 0 JAMES SAKELL DIRECTOR OF DINING AND ENVIRONMENTAL 101659 0 2833 0 776 0 4255 0 44863 0 154386 0 0 0 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YDR4 2005-02-01 20790000 BUILD 59 NEW APARTMENTS 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YEW2 2005-09-01 47835000 REFUND SERIES 2000 BOND BALANCES 0 0 0 C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2010-02-04 14300000 REPLACEMENT HEALTHCARE CENTER 0 0 0 D NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2010-02-18 12880000 CONVERT 2005B BONDS TO BQ STATUS 0 0 0 A 20790000 2036537 415800 18337663 2005 0 0 1 1 B 47835000 3011368 956700 43866932 2005 0 1 1 1 C 14300000 10401084 2010 0 0 1 1 D 12880000 12880000 2010 1 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 1 D 0 0 1 1 0 0 0 1 A 1 0 0 0 0 1 B 1 0 0 0 0 1 C 1 1 0 0 0 1 D 1 1 1 BB&T 10.000000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2014-09-01 12025000 REFUND SERIES 2005B, 2004A, AND 2005A BONDS 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YDA1 2004-04-01 15410000 REFUND OUTSTANDING BONDS 0 0 0 C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YDD5 2004-08-01 12960000 BUILD 54 NEW APARTMENTS 0 0 0 D NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2009-10-15 6585000 REFUND 2004B & 2004D SERIES BONDS 0 0 0 A 12025000 1310000 2014 1 0 1 1 B 15410000 1078169 308200 14023634 2004 1 0 1 1 C 12960000 12960000 497819 259200 12202981 2004 0 0 1 1 D 6585000 127489 6572252 2009 1 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 1 D 0 0 1 1 0 0 0 1 A 1 1 0 0 0 1 B 1 0 0 0 0 1 C 1 0 0 0 0 1 D 1 1 1 BB&T 5.000000000000 1 1 0 0 1 A 1 B 1 C 1 D 1 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YKB1 2013-04-11 8370000 REFUND SERIES 2004C BONDS 0 0 0 A 8370000 226863 7971578 171559 2013 0 1 1 1 A 0 0 1 1 0 0 0 1 A 1 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 2 JONATHAN ERICKSON (CORPORATE EXECUTIVE DIRECTOR) AND STACY DOBSON (CHIEF FINANCIAL OFFICER) SERVE AS OFFICERS OF UNITED METHODIST RETIREMENT HOMES AFFORDABLE HOUSING, INC. JONATHAN ERICKSON IS THE PRESIDENT OF UMRH AFFORDABLE HOUSING, INC. THE FOLLOWING MEMBERS OF THE BOARD OF TRUSTEES ARE ALSO MEMBERS OF THE BOARD OF TRUSTEES FOR UNITED METHODIST RETIREMENT HOMES FOUNDATION, INC., A RELATED ENTITY DISCLOSED ON SCHEDULE R: JONATHAN ERICKSON, STACY DOBSON, JD ADAMS, JOHN GRISSOM, TOM STEELE, LEE HARRISS, DON METZGER, GARY WHALEY, ARTIE ROGERS, AND NANCY MARKS. FORM 990, PART VI, SECTION A, LINE 3 THE COMPANY PAYS MANAGEMENT FEES TO LIFE CARE SERVICES LLC ("LCS") PURSUANT TO A CLIENT SERVICES AGREEMENT. UNDER THIS AGREEMENT, LCS IS TO: (I) PROVIDE A QUALIFIED CORPORATE EXECUTIVE DIRECTOR, WHO IS AN EMPLOYEE OF LCS; (II) PERFORM GENERAL, FINANCIAL, PERSONNEL, FACILITY AND OTHER MANAGEMENT SERVICES NECESSARY FOR OPERATION OF UMRH'S CORPORATE OFFICE AND THE OPERATION AND MARKETING OF THE COMMUNITIES; AND (III) PERFORM UMRH'S OBLIGATIONS TO THE MANAGED FACILITIES UNDER THE QUAIL HAVEN MANAGEMENT AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE UMRH, INC. BOARD FILLS OUT THE CONFLICT OF INTEREST POLICY FORM EACH SEPTEMBER NOTING ANY CONTINUED CONFLICTS OF INTEREST. NEW BOARD MEMBERS ARE ORIENTED TO THE POLICY AND SIGN THE FORM UPON BECOMING MEMBERS. EACH BOARD MEMBER IS REQUIRED TO DISCLOSE ANY CONFLICTS TO THE CHAIRMAN PRIOR TO A VOTE BEING TAKEN. THE MEMBER MUST ABSTAIN FROM VOTING. THE CONFLICT OF INTEREST POLICY IS ALSO REVIEWED FOR THE EMPLOYEES AT ORIENTATION AND AT ANNUAL REVIEW. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION ROUTINELY CONSULTS THE SERVICES OF AN OUTSIDE AGENCY TO EVALUATE THE ORGANIZATION'S WAGE SCALES AND PAY GRADES. THE RESULTING WAGE SCALE AND THE EMPLOYEE'S PERFORMANCE AND ACCOMPLISHMENTS ARE CONSIDERED IN THE ANNUAL REVIEW PROCESS. IN SOME INSTANCES, A SOFTWARE PROGRAM CALLED "PERFORMANCE NOW" IS USED TO SIMPLIFY THE COMMUNICATION OF THE REVIEW AND ITS RESULTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN SPLIT INTEREST AGREEMENT -148,340. CHANGE IN VALUE OF PLEDGES -142,945. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT -628,275. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. FORM 990, PART VII, SECTION A HOURS TO RELATED ORGANIZATION: JONATHAN ERICKSON - 1 HOUR PER WEEK TO UNITED METHODIST RETIREMENT HOMES FOUNDATION, INC. AS A MEMBER OF THE BOARD OF TRUSTEES. THE FOLLOWING MEMBERS OF THE BOARD OF TRUSTEES ARE ALSO MEMBERS OF THE BOARD OF TRUSTEES FOR UNITED METHODIST RETIREMENT HOMES FOUNDATION, INC. AND PROVIDE 1 HOUR OF SERVICE PER WEEK: STACY DOBSON, JD ADAMS, JOHN GRISSOM, TOM STEELE, LEE HARRISS, DON METZGER, ARTIE ROGERS, GARY WHALEY, AND NANCY MARKS. FORM 990, PART VII, SECTION A, COLUMN F THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII AND NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. UMRH AFFORDABLE HOUSING DEVELOPMENT LLC 2600 CROASDAILE FARM PKWY STE A-500 DURHAM NC 277053153 043701058 DEVELOP AFFORDABLE HOUSING NC 44 87232 N/A UNITED METHODIST RETIREMENT HOMES FOUNDATION INC 2600 CROASDAILE FARM PARKWAY SUITE DURHAM NC 27705 561870172 CONTRIBUTE FUNDS TO UMRH, INC. NC 501(C)(3) LINE 11A N/A 1 UMRH AFFORDABLE HOUSING INC 2600 CROASDAILE FARM PARKWAY SUITE DURHAM NC 27705 010724816 OPERATE AFFORDABLE HOUSING NC N/A C 5880 42360 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 UNITED METHODIST RETIREMENT HOMES FOUNDATION INC C 172328 CASH