CYPRESS GLEN RETIREMENT COMMUNITY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CYPRESS GLEN RETIREMENT COMMUNITY (EIN 56-1961935)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-05-14
IRS object ID
201401349349305735
Schema version
2012v2.1
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)
Timestamp2014-05-14T14:31:35-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1230 NORTH ELM STREET STE 1100AddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561961935EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CYPRESS GLEN RETIREMENT COMMUNITYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCYPRNameControl
Phone9193843000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 CROASDAILE FARM PKWYAddressLine1
CityDURHAMCity
StateNCState
ZIP Code277053153ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJONATHAN ERICKSONName
TitleCORPORATE EXECUTIVE DIRECTORTitle
Phone9193843000Phone
Date Signed2014-05-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameTAMELA L GAINEYName
PTINP00437957PTIN
Phone3362724551Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Terminated ReturnXTerminatedReturn
Name Of Principal Officer PersonLAURIE STALLINGSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 HICKORY STREETAddressLine1
CityGREENVILLECity
StateNCState
ZIP Code27858ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17151132GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UMRH.ORG/CYPRESSGLENWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionCONTINUING CARE RETIREMENT COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members27NbrIndependentVotingMembers
Total Nbr Employees304TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year312158ContributionsGrantsPriorYear
Contributions Grants Current Year644219ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11496262ProgramServiceRevenuePriorYear
Program Service Revenue CY13819450ProgramServiceRevenueCY
Investment Income Prior Year604309InvestmentIncomePriorYear
Investment Income Current Year516778InvestmentIncomeCurrentYear
Other Revenue Prior Year2384055OtherRevenuePriorYear
Other Revenue Current Year262602OtherRevenueCurrentYear
Total Revenue Prior Year14796784TotalRevenuePriorYear
Total Revenue Current Year15243049TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year279823GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY214978GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5122273SalariesEtcPriorYear
Salaries Etc Current Year5395817SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7477722OtherExpensePriorYear
Other Expenses Current Year7608903OtherExpensesCurrentYear
Total Expenses Prior Year12879818TotalExpensesPriorYear
Total Expenses Current Year13219698TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1916966RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2023351RevenuesLessExpensesCY
Total Assets BOY56804471TotalAssetsBOY
Total Assets EOY0TotalAssetsEOY
Total Liabilities BOY45028057TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11776414NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Mission DescriptionCYPRESS GLEN'S MISSION IS TO PROVIDE QUALITY CARE AND SERVICES FOR AN INCLUSIVE AND DIVERSE POPULATION OF SENIOR ADULTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11181940Expense
Grants214978Grants
Revenue13819450Revenue
DescriptionOPERATED CONTINUING CARE RETIREMENT COMMUNITY INCLUDING SKILLED NURSING FACILITYDescription
Total Program Service Expense11181940TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements1ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated1Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees304NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members27NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STACY DOBSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9193843002TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12600 CROASDAILE FARM PKWY STE A-500AddressLine1
CityDURHAMCity
StateNCState
ZIP Code27705ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelated
DONALD E METZGER
CHAIR1.00XX000
GARY WHALEY
1ST VICE CHAIR1.00XX000
JULIUS ADAMS
2ND VICE CHAIR1.00XX000
NANCY SMITH MARKS
SECRETARY1.00XX000
LEE HARRISS
TREASURER1.00XX000
DONNA BANKS
TRUSTEE1.00X000
JACK CARROLL
TRUSTEE1.00X000
PAUL CUNNINGHAM
TRUSTEE1.00X000
JAMES EBERT
TRUSTEE1.00X000
JERRY GAMBILL
TRUSTEE1.00X000
CAROL GOEHRING
TRUSTEE1.00X000
JOHN GRISSOM
TRUSTEE1.00X000
CARL HAMILL
TRUSTEE1.00X000
JERRY HOPFENGARDNER
TRUSTEE1.00X000
JAYNE HUGGINS
TRUSTEE1.00X000
BRUCE JOBE
TRUSTEE1.00X000
ROBBY LOWRY
TRUSTEE1.00X000
DEBBY MEYER
TRUSTEE1.00X000
CONNIE MOSELEY
TRUSTEE1.00X000
WALTER PORIES
TRUSTEE1.00X000
DORIS REED
TRUSTEE1.00X000
ARTIE ROGERS
TRUSTEE1.00X000
LINDA TAYLOR
TRUSTEE1.00X000
GREG WALLACE
TRUSTEE1.00X000
HOPE WARD
TRUSTEE1.00X000
JERRY WOODARD
TRUSTEE1.00X000
SAM WYNN
TRUSTEE1.00X000
JONATHAN ERICKSON
CORPORATE EXECUTIVE DIRECT5.00X01661333390235.00
STACY DOBSON
CHIEF FINANCIAL OFFICER5.00X01430632227035.00
LAURIE STALLINGS
EXECUTIVE DIRECTOR40.00X140634012550
FieldValueIRS element (for citing)
Total Reportable Comp From Org140634TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs309196TotalReportableCompFrmRltdOrgs
Total Other Compensation68722TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE UNITED METHODIST RETIREMENT HOMES I
2600 CROASDAILE FARM PKWY STE A-500DURHAMNC27705MANAGEMENT COMPANY597964
HERITAGE HEALTH CARE
536 OLD HOWELL ROADGREENVILLESC29615THERAPY PROVIDER323778
RUG SHOPPE CORPORATION
2010-B ALLEN ROADGREENVILLENC27834FLOORING CONTRACTOR223321
WAC CORPORATION OF GREENVILLE
PO BOX 2312GREENVILLENC27834LANDSCAPE CONTRACTOR173369
SFCS INC
305 SOUTH JEFFERSON STREETROANOKEVA24011ARCHITECT148856
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions644219AllOtherContributions
Noncash Contributions52448NoncashContributions
Total Contributions644219TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6230001102771711027717
ADMORT OF ADVANCE FEE62300020234512023451
MEDICARE PAYMENTS623000755432755432
APPLICATION FEES6230001285012850
FieldValueIRS element (for citing)
Total Program Service Revenue13819450TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column595916TotalRevenueColumn
Exclusion$595,916ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1828945Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1845646Securities
Other62437Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-16701Securities
Other-62437Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-79138TotalRevenueColumn
Exclusion-$79,138ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFE REVENUE623000183193$183,193
BEAUTY & BARBER REVENUE623000103043$103,043
MISC REVENUE623000-23634-$23,634
FieldValueIRS element (for citing)
Total Other Revenue262602TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15243049TotalRevenueColumn
Related Or Exempt Function Income13819450RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$779,380ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total214978Total
Program Services214978ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total147324Total
Management And General147324ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4013309Total
Program Services3620322ProgramServices
Management And General392987ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total68746Total
Program Services52689ProgramServices
Management And General16057ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total775123Total
Program Services656853ProgramServices
Management And General118270ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total391315Total
Program Services340366ProgramServices
Management And General50949ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total620619Total
Management And General620619ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17355Total
Management And General17355ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29913Total
Management And General29913ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total60155Total
Management And General60155ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total342790Total
Program Services191673ProgramServices
Management And General151117ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total108436Total
Management And General108436ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1040610Total
Program Services1011889ProgramServices
Management And General28721ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total717202Total
Program Services710030ProgramServices
Management And General7172ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total14383Total
Program Services7711ProgramServices
Management And General6672ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18110Total
Program Services15351ProgramServices
Management And General2759ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1116645Total
Program Services1105479ProgramServices
Management And General11166ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1982972Total
Program Services1963142ProgramServices
Management And General19830ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total186983Total
Management And General186983ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ANCILLARY EXPENSES792653792653
EQUIPMENT RENTAL3042092957178492
CONTRACTED LABOR25586820308752781

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13219698Total
Program Services11181940ProgramServices
Management And General2037758ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3140BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6893181BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY679934BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY553272BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY25331BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY237838BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30818509BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16608967BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY984299BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY56804471BOY
EOY0EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY813399BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY18981662BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY24291115BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY941881BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY45028057BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10370059BOY
EOY0EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY972970BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY433385BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11776414BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56804471BOY
EOY0EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2023351ReconcilationRevenueExpenses
Reconciliation Unrealized Invest576444ReconciliationUnrealizedInvest
Reconcilation Other Changes-14376209ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years297346CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years990578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year312158CurrentTaxYearMinus1Year
Current Tax Year644219CurrentTaxYear
Total2326752Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11002398CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11357689CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11687108CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11496262CurrentTaxYearMinus1Year
Current Tax Year13819450CurrentTaxYear
Total59362907Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11084849CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11655035CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12677686CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11808420CurrentTaxYearMinus1Year
Current Tax Year14463669CurrentTaxYear
Total61689659Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50961689659PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years488532CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years384375CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years400782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year537783CurrentTaxYearMinus1Year
Current Tax Year595916CurrentTaxYear
Total2407388Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years488532CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years384375CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years400782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year537783CurrentTaxYearMinus1Year
Current Tax Year595916CurrentTaxYear
Total2407388Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2049585CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2091450CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2661612CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2384055CurrentTaxYearMinus1Year
Current Tax Year262602CurrentTaxYear
Total9449304Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13622966CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14130860CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15740080CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14730258CurrentTaxYearMinus1Year
Current Tax Year15322187CurrentTaxYear
Total73546351Total
FieldValueIRS element (for citing)
Public Support Percentage5090.83880PublicSupportPercentage509
Prior Year Support Percentage0.81160PriorYearSupportPercentage
Investment Income Percentage0.03270InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03370PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Preservation For Public UseXPreservationForPublicUse
Total Number Of Easements1TotalNumberOfEasements
Total Acreage1.59TotalAcreage
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy Monitoring0WrittenPolicyMonitoring

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1058552BeginningOfYearBalance
Contributions595881Contributions
Investment Earnings Or Losses537080InvestmentEarningsOrLosses
Grants Or Scholarships456668GrantsOrScholarships
Administrative Expenses1734845AdministrativeExpenses

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1009503BeginningOfYearBalance
Contributions285884Contributions
Investment Earnings Or Losses-131926InvestmentEarningsOrLosses
Grants Or Scholarships104909GrantsOrScholarships
End Of Year Balance1058552EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance913843BeginningOfYearBalance
Contributions142255Contributions
Investment Earnings Or Losses57572InvestmentEarningsOrLosses
Grants Or Scholarships104167GrantsOrScholarships
End Of Year Balance1009503EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance581890BeginningOfYearBalance
Contributions291001Contributions
Investment Earnings Or Losses94151InvestmentEarningsOrLosses
Grants Or Scholarships44700GrantsOrScholarships
Other Expenditures8499OtherExpenditures
End Of Year Balance913843EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance532870BeginningOfYearBalance
Contributions78443Contributions
Investment Earnings Or Losses17366InvestmentEarningsOrLosses
Grants Or Scholarships42400GrantsOrScholarships
Other Expenditures-510OtherExpenditures
Administrative Expenses4899AdministrativeExpenses
End Of Year Balance581890EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.22230PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.77770TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14977609TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments576444NetUnrealizedGainsInvestments
Other Revenues-815200OtherRevenues
Revenue Not Rptd F990-238756RevenueNotRptdF990
Revenue Subtotal15216365RevenueSubtotal
Other Revenues Not Included26684OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt26684RevenueNotRptdOnFinStmt
Total Revenue Per Form99015243049TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12932535TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12932535ExpensesSubtotal
Other Expenses Not Included287163OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt287163ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013219698TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION OF CHANGES TO CONSERVATION EASEMENTS:PART II, LINE 3:IN THE 1990'S, CYPRESS GLEN 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.
DESCRIPTION OF HOW ORGANIZATION REPORTS CONSERVATION EASEMENTS:PART II, LINE 9:THE ORGANIZATION DOES NOT REPORT CONSERVATION EASEMENTS IN ITS REVENUE AND EXPENSE STATEMENTS AND BALANCE SHEETS.
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:AS DICTATED BY THE DONOR, EARNINGS ON THE ENDOWMENT FUNDS WILL SUPPORT BENEVOLENT NEEDS AT THE COMMUNITY,EMPLOYEE SCHOLARSHIPS, AND CHARITABLE PURPOSES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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, 2013. THE COMPANY BELIEVES THAT THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2010.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF INTEREST SWAP AGREEMENT 97,670. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 136,523. SPECIFIC ASSISTANCE TO INDIVIDUALS RECLASSED TO EXPENSES -214,978. LOSS ON EARLY EXTINGUISHMENT OF DEBT -981,461. CHANGE IN VALUE OF UNCONDITIONAL PROMISES 219,231. BEAUTY / BARBER EXPENSES -72,185.
PART XI, LINE 4B - OTHER ADJUSTMENTS:NONCASH CONTRIBUTIONS NOT BOOKED AS REVENUE 26,684.
PART XII, LINE 4B - OTHER ADJUSTMENTS:SPECIFIC INDIVIDUAL ASSISTANCE 214,978. BEAUTY / BARBER EXPENSES 72,185.
SCHEDULE D PART V LINE 1F(A) THE ENDOWMENT FUNDS BALANCE OF 1,734,845 WAS MERGED INTO THE ASSETS OF UMRH

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantBENEVOLENT ASSISTANCE FOR RESIDENTSTypeOfGrant
Number Of Recipients9NumberOfRecipients
Amount Of Cash Grant214978AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION WRITES OFF FORGONE CHARGES RESULTING FROM BENEVOLENT MONTHLY ASSISTANCE AND MONITORS THE RELATED ACCOUNTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JONATHAN ERICKSON
CORPORATE EXECUTIVE DIRECT0134132031449055207536026366020003500
STACY DOBSON
CHIEF FINANCIAL OFFICER0129943013000012001007021263016533300
LAURIE STALLINGS
EXECUTIVE DIRECTOR13145809005017105601069490153184000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NORTH CAROLINA MEDICAL CARE COMMISSION
A52130940265820YDA12004-04-0115410000REFUND OUTSTANDING BONDS & N/P000
NORTH CAROLINA MEDICAL CARE COMMISSION
B52130940265820YDD52004-08-0112960000BUILD 54 NEW APARTMENTS000
NORTH CAROLINA MEDICAL CARE COMMISSION
C521309402NONEAVAIL2009-10-156585000REFUND 2004B & 2004D SERIES BONDS000
NORTH CAROLINA MEDICAL CARE COMMISSION
D52130940265820YKB12013-04-118370000REFUND 2004C SERIES BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpendituresAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedRefunding EscrowRefundingEscrow
A1541000010781693082001402363120041011
B129600004978192592002004001112202981
C6585000127489657225220091011
D857794322686317155920130111796000079600008654317

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000001
B0000001
C0000001
D0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
(no name)
A100001
(no name)
B100001
BB&T
C1110015.00000000000000
(no name)
D100001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99026684NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F99025764NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail

FieldValueIRS element (for citing)
Description Of AssetCASH, RECEIVABLES, PROPERTY AND EQUIPMENT, INVESTMENTS, ENDOWMENT FUNDS AND OTHER ASSETS.DescriptionOfAsset
Date Of Distribution2013-09-30DateOfDistribution
FMV Of Asset58765181FMVOfAsset
Method Of FMV DeterminationBOOK VALUE IS CONSIDERED FMVMethodOfFMVDetermination
EIN560634527EIN

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE UNITED METHODIST RETIREMENT HOMES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12600 CROASDAILE FARM PKWYAddressLine1
CityDURHAMCity
StateNCState
ZIP Code27705ZIPCode
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSection
FieldValueIRS element (for citing)
Director Of Successor1DirectorOfSuccessor
Employee Of Successor1EmployeeOfSuccessor
Owner Of Successor0OwnerOfSuccessor
Receive Compensation0ReceiveCompensation
Assets Distributed1AssetsDistributed
Required To Notify AG1RequiredToNotifyAG
AG Notified1AGNotified
Liabilities Paid1LiabilitiesPaid
Bonds Outstanding1BondsOutstanding
Bond Liabilities Discharged0BondLiabilitiesDischarged

Form990 Schedule N Part III Form990ScheduleNPartIII (4 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 2E: BOARD OF TRUSTEES WILL CONTINUE TO BE PART OF THE BOARD FOR THE SURVIVING MERGED ENTITY UMRH.LAURIE STALLINGS WILL CONTINUE AS AN EMPLOYEE OF UMRH.
PART I, LINE 2E: BOARD OF TRUSTEES OF THE SURVIVING ENTITY, THE UNITED METHODIST RETIREMENT HOMES, INC (UMRH) WILL BE COMPRISED OF THE FORMER TRUSTEES OF CYPRESS GLEN RETIREMENT COMMUNITY AND UMRH.
PART I, LINE 7C: THE OUTSTANDING TAX-EXEMPT BOND LIABILITES WERE ASSUMED BY THE SURVIVING MERGED ENTITY UMRH
AT YEAR END CYPRESS GLEN RETIREMENT COMMUNITY(CYPRESS GLEN) MERGED WITH THE UNITED METHODIST RETIREMENT HOMES, INC (UMRH), EIN 56-0634527, IRC CODE SEC 501(C)(3) . THE SURVIVING ENTITY IS UMRH. THE MERGED ENTITY, THE UNITED METHODIST RETIREMENT HOMES, INC WILL CONTINUE WITH THE ARTICLES OF INCORPORATION AND BY-LAWS OF UMRH. THE NEW BOARD OF TRUSTEES WILL BE COMPRISED OF THE FORMER TRUSTEES OF CYPRESS GLEN AND UMRH.FORM 990, SCHEDULE N, PART I, COMPANY MERGER:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART IV, LINE 31, COMPANY MERGER:AT YEAR END CYPRESS GLEN RETIREMENT COMMUNITY(CYPRESS GLEN) MERGED WITH THE UNITED METHODIST RETIREMENT HOMES, INC (UMRH), EIN 56-0634527, IRC CODE SEC 501(C)(3) . THE SURVIVING ENTITY IS UMRH. THE MERGED ENTITY, THE UNITED METHODIST RETIREMENT HOMES, INC WILL CONTINUE WITH THE ARTICLES OF INCORPORATION AND BY-LAWS OF UMRH. THE NEW BOARD OF TRUSTEES WILL BE COMPRISED OF THE FORMER TRUSTEES OF CYPRESS GLEN AND UMRH.
FORM 990, PART VI, SECTION A, LINE 2STACY DOBSON IS EMPLOYED BY UNITED METHODIST RETIREMENT HOMES, INC (UMRH). JONATHAN ERICKSON AND STACY DOBSON ARE OFFICERS IN CYPRESS GLEN RETIREMENT COMMUNITY AND UNITED METHODIST RETIREMENT HOMES,INC. UMRH IS A RELATED ENTITY DISCLOSED ON SCHEDULE R.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S CORPORATE EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER, AND A BOARD MEMBER REVIEW THE 990 RETURN.
FORM 990, PART VI, SECTION B, LINE 12CTHE CYPRESS GLEN 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 15THE 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, COLUMN FTHE 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.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF INTEREST SWAP AGREEMENT 97,670. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 136,523. CHANGE IN VALUE OF UNCONDITIONAL PROMISES 219,231. LOSS ON EARLY EXTINGUISHMENT OF DEBT -981,461. COMPANY MERGER ADJUSTMENT -13,848,172.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE 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 AHOURS TO RELATED ORGANIZATION: JONATHAN ERICKSON - 40 HRS PER WEEK TO UNITED METHODIST RETIREMENT HOMES, INC. AS CORPORATE EXECUTIVE DIRECTOR. THE FOLLOWING MEMBERS OF THE BOARD OF TRUSTEES ARE ALSO MEMBERS OF THE BOARD OF TRUSTEES FOR UNITED METHODIST RETIREMENT HOMES, INC. AND PROVIDE 1 HR OF SERVICE PER WEEK: NANCY SMITH MARKS, JULIUS ADAMS, JONATHAN BIGGS, ROBBY LOWRY, WALTER PORIES, GREG WALLACE, CAROL GOEHRING, MARY LAMM, GARY WHALEY, CONNIE MOSELEY, CARL HAMILL, JOHN GRISSOM, PAUL CUNNINGHAM, JERRY WOODARD, LINDA TAYLOR, DONNA BANKS, JERRY HOPFENGARDNER, SAM WYNN, HOPE WARD, JAYNE HUGGINS, DON METZGER, AND LEE HARRISS. 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 HR OF SERVICE PER WEEK: JULIUS ADAMS, NANCY SMITH MARKS, CARL HAMILL, JOHN GRISSOM, ARTIE ROGERS, DON METZGER, AND LEE HARRISS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UNITED METHODIST RETIREMENT HOMES INC
2600 CROASDAILE FARM PARKWAY A-500DURHAMNC277053153560634527OPERATE CONTINUING CARE RETIREMENT COMMUNITY AND SKILLED NURSING FACILITYNC501(C)(3)LINE 9N/A0
UNITED METHODIST RETIREMENT HOMES FOUNDATION INC
2600 CROASDAILE FARM PARKWAY A-500DURHAMNC277053153561870172CONTRIBUTE FUNDS TO UMRH, INC. AND CYPRESS GLEN RETIREMENT COMMUNITYNC501(C)(3)LINE 11AN/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1UMRH AFFORDABLE HOUSING INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12600 CROASDAILE FARM PARKWAY SUITEAddressLine1
CityDURHAMCity
StateNCState
ZIP Code27705ZIPCode
FieldValueIRS element (for citing)
EIN010724816EIN
Primary ActivityOPERATE AFFORDABLE RENTAL HOUSINGPrimaryActivity
Legal Domicile StateNCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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