2014-02-14T15:43:34-06:00 2013-09-30 420714325 MCGLADREY LLP 230 N ELM ST STE 1100 GREENSBORO NC 27401 990 2012-10-01 560562308 BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED BAPT 3367250202 PO BOX 11024 WINSTONSALEM NC 27116 WILLIAM B STILLERMAN 3367250202 2014-02-06 ADRIENNE MCKINNEY P00819656 3362724551 2012 2015-11-30 17:44:51Z WILLIAM B STILLERMAN PO BOX 11024 WINSTONSALEM NC 27116 31922283 0 X WWW.BRH.ORG X 1952 NC TO PROVIDE QUALITY LIVING OPTIONS AND SERVICES TO NORTH CAROLINA'S OLDER ADULT POPULATION. 20 20 688 20 0 0 1580565 1524141 25081445 24045744 418216 719526 505178 377021 27585404 26666432 729463 566440 0 0 12362429 12854656 0 0 322495 11510294 11569944 24602186 24991040 2983218 1675392 85068329 89512438 59117734 62760000 25950595 26752438 X BAPTIST RETIREMENT HOMES OF NORTH CAROLINA, INC. IS A CHURCH RELATED NOT-FOR-PROFIT ORGANIZATION COMMITTED TO PROVIDING QUALITY CARE AND A MEANINGFUL WAY OF LIFE FOR RESIDENTS AND STAFF...A PLACE WHERE RESIDENTS AND STAFF BECOME AN EXTENSION OF FAMILY THAT RECOGNIZES THE DIGNITY AND WORTH OF EACH INDIVIDUAL. 0 0 20494797 566440 24184484 BAPTIST RETIREMENT HOMES OF NORTH CAROLINA, INCORPORATED ("HOMES") IS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF NORTH CAROLINA. IT IS EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND A PUBLIC CHARITY UNDER SECTION 509(A)(2). THE BOARD OF TRUSTEES OF HOMES HAS FIDUCIARY RESPONSIBILITY FOR THE OPERATION OF HOMES ORGANIZATION.THE MISSION OF THE HOMES IS TO PROVIDE QUALITY RESIDENTIAL AND HEALTH CARE LIVING OPTIONS AND SERVICES TO NORTH CAROLINA'S OLDER ADULT POPULATION... THE PROVISION OF THOSE SERVICES BEING OFFERED TO THE POOR ELDERLY OF THE STATE AS WELL AS THOSE OLDER PERSONS WHO DO HAVE THE FINANCIAL RESOURCES AVAILABLE TO PAY FOR THE INSTITUTIONAL SERVICES THEY NEED.IN ADDITION TO ITS PROGRAM OF BENEVOLENT FUNDING TO THE POOR ELDERLY OF THE STATE, HOMES ALSO PROVIDES A SPECIAL PROGRAM DESIGNED TO ENHANCE THE LIFESTYLE OF OLDER ADULTS WITH DEMENTIA RELATED DISORDERS LIKE ALZHEIMER'S DISEASE. THREE SUCH PROGRAMS ARE OPERATED BY BAPTIST RETIREMENT HOMES.HOMES OWNS, MAINTAINS, AND OPERATES COMMUNITIES THROUGHOUT NORTH CAROLINA. ITS CURRENT COMMUNITIES INCLUDE 270 INDEPENDENT LIVING HOMES AND APARTMENTS, 170 ASSISTED LIVING RESIDENCES, AND 209 SKILLED NURSING CARE ROOMS. HOMES RECEIVES SUPPORT FROM INDIVIDUALS, BUSINESSES, FOUNDATIONS, CHURCHES, SPECIAL OFFERINGS, AND BEQUESTS FROM OTHERS TO ASSIST IN THE OPERATION AND ADMINISTRATION OF ITS COMMUNITIES. 20494797 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 36 0 1 688 1 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 1 0 X CHARLES R GASKINS CFO 3367250202 1912 BETHABARA ROAD WINSTONSALEM NC 27106 X WILLIAM B STILLERMAN 36.00 X 318385 0 23633 DEBRA A MEGINNIS 36.00 X 201378 0 20922 CHARLES R GASKINS 36.00 X 135947 0 42952 CLARENCE R LAMBE JR 1.00 X 0 0 0 JEFFREY L COBB 1.00 X 0 0 0 KAREN S BARKSDALE 1.00 X 0 0 0 KENNETH W AMBURN 1.00 X 0 0 0 EDWARD A BEDDINGFIELD JR 1.00 X 0 0 0 MELBA M BRIDGES 1.00 X 0 0 0 DAVID B BROOKS 1.00 X 0 0 0 MARY ANN DAVIS 1.00 X 0 0 0 BRADY W DICKSON 1.00 X 0 0 0 BETSY NEWTON HERMAN 1.00 X 0 0 0 JEFFREY K HOBART 1.00 X 0 0 0 MICHAEL L JOYCE 1.00 X 0 0 0 AL L LYERLY 1.00 X 0 0 0 MARY ALICE MARSHBANKS 1.00 X 0 0 0 CHARLES D MAST 1.00 X 0 0 0 RALPH S MORGAN 1.00 X 0 0 0 RICHARD P MURRAY 1.00 X 0 0 0 HENRY M SKINNER JR 1.00 X 0 0 0 G LUTHER STARKS 1.00 X 0 0 0 MICHAEL R TAYLOR 1.00 X 0 0 0 655710 0 87507 3 0 1 0 RODGERS BUILDERS 5701 NORTH SHARON AMITY ROAD CHARLOTTE NC 28215 CONSTRUCTION 1092642 HERITAGE HEALTHCARE INC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SERVICES 674248 RLPS II LLP 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTUAL 163696 BAY AREA FUNDING P O BOX 881774 SAN FRANCISCO CA 94188 NURSING CARE 147750 CNIT INC 4125-A WALKER AVE GREENSBORO NC 27407 INFORMATION TECHNOLOGY 133962 5 654489 869652 1524141 RESIDENT REVENUE 623000 24045744 24045744 24045744 376482 376482 22881 0 22881 22881 22881 5598895 5253602 2249 345293 -2249 343044 343044 354140 138740 215400 354140 26666432 24184484 0 957807 566440 566440 849042 849042 10475623 8931098 1479894 64631 744570 585793 145851 12926 785421 656421 124155 4845 119267 119267 67168 67168 917605 882791 34814 378157 19586 118478 240093 58923 28832 30091 127047 127047 1279003 1074637 204366 4263 4263 2298 1252 1046 2118673 2118673 2866068 2866068 351266 351266 FOOD 890736 817256 73480 REPAIRS 703012 631668 71344 MEDICAL SUPPLIES 455919 455919 MEDICAL SERVICES 386771 386771 843768 467329 376439 24991040 20494797 4173748 322495 2504729 2910933 9661672 6836963 106126 116749 601822 692876 83136 69570 74093 70649 316021 444847 90727345 37922497 47569078 52804848 14940338 16707789 7678403 5158019 1302481 1027440 230430 2671755 85068329 89512438 3624874 3522446 16681855 15935390 34865160 29206 34750 3916639 43267414 59117734 62760000 X 15940950 19027206 3912960 1179364 6096685 6545868 25950595 26752438 85068329 89512438 X 1675392 443520 -1317069 X X 0 1 X 1 0 X 1050969 866633 3756120 1037417 869652 7580791 22479867 23858631 25261852 25257098 24184484 121041932 23530836 24725264 29017972 26294515 25054136 128622723 6904 24028 19378 31222 36788 118320 2484409 2484409 6904 24028 2503787 31222 36788 2602729 126019994 172092 620714 788119 380965 399363 2361253 172092 620714 788119 380965 399363 2361253 407666 423202 258573 308572 215400 1613413 24110594 25769180 30064664 26984052 25668899 132597389 0.95040 0.94660 0.01780 0.01870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 4236576 85963 184972 3004531 1502980 3829019 112642 685555 390640 4236576 3741263 192288 109666 214198 3829019 2183489 51749 1646383 140358 3741263 2303626 401714 -84101 437750 2183489 0.00000 0.21530 0.78470 0 0 15000 6090491 6105491 75523578 33580841 41942737 5122141 4341656 780485 3976135 3976135 52804848 CHARITABLE REMAINDER TRUST 887933 F BENEFICIAL INTEREST IN PERPETUAL TRUSTS 4225759 F REAL ESTATE INVESTMENT TRUSTS 44327 F 5158019 X 25226442 443520 -1229021 -785501 26011943 654489 654489 26666432 24424600 0 24424600 566440 566440 24991040 PART IV, LINE 2B: RESIDENT TRUST FUNDS DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: RESTRICTED FUNDS ARE INTENDED FOR RESIDENT ASSISTANCE AND OTHER RESTRICTED PURPOSES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: BAPTIST RETIREMENT HOMES OF NORTH CAROLINA, INC. (HOMES) IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HOMES FILES AS A TAX-EXEMPT ORGANIZATION. BECAUSE MANAGEMENT HAS NOT IDENTIFIED UNRELATED BUSINESS INCOME IN PAST YEARS, HOMES HAS NOT FILED FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN. AS A RESULT, ALL YEARS ARE POTENTIALLY OPEN TO REVIEW BY TAXING AUTHORITIES. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF HOMES. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR HOMES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS -79,710. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 424,182. BENEVOLENT ASSISTANCE -566,440. LOSS ON EARLY EXTIGUISHMENT OF DEBT -1,007,053. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANT ASSISTANCE FROM BAPTIST RETIREMENT HOMES FOUNDATION 654,489. PART XII, LINE 4B - OTHER ADJUSTMENTS: BENEVOLENT ASSISTANCE 566,440. FORM 990, SCHEDULE D, PART V, ENDOWMENT FUNDS: LINES 1A - 1G - THE PRIOR YEAR BALANCES IN COLUMNS B - E HAVE BEEN RESTATED IN THE CURRENT YEAR. THE RESTATEMENT IS DUE TO THE ORGANIZATION DISCOVERING THAT ASSETS THAT WERE NOT DESIGNATED ENDOWMENT ASSETS HAD BEEN INCLUDED IN THE ENDOWMENT BALANCES IN SCHEDULE D, PART V IN PRIOR YEARS. THE RESTATED BALANCES FOR PRIOR YEARS CORRECTLY REFLECT THE ORGANIZATION'S DESIGNATED ENDOWMENT ASSETS AS OF THE END OF EACH FISCAL YEAR SHOWN IN SCHEDULE D, PART V. 1 BENEVOLENT ASSISTANCE FOR RESIDENTS 197 566440 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: BENEVOLENCE IS BASED ON PAYOR (MEDICARE, MEDICAID, ETC.) AND ABILITY TO PAY. REQUESTS FOR BENEVOLENT ASSISTANCE ARE REVIEWED AND APPROVED BY THE PRESIDENT. BENEVOLENCE IS RECORDED AS A CONTRA-REVENUE ON A MONTHLY BASIS SCHEDULE I, PART III, COLUMN B: THE ORGANIZATION ESTIMATED THAT 40% OF THE TOTAL RESIDENT POPULATION SERVED UTILIZES SOME TYPE OF ASSISTANCE. X 1 1 X X X 0 1 0 0 0 0 0 1 0 WILLIAM B STILLERMAN 289187 0 17459 0 11739 0 10596 0 13037 0 342018 0 0 0 DEBRA A MEGINNIS 185885 0 15235 0 258 0 8049 0 12873 0 222300 0 0 0 CHARLES R GASKINS 124944 0 10865 0 138 0 5892 0 37060 0 178899 0 0 0 PART I, LINE 4B WILLIAM B. STILLERMAN - $6,564 DEBRA A. MEGINNIS - $4,429 PART I, LINE 7 DISCRETIONARY BONUSES PAID TO WILLIAM STILLERMAN, DEBRA MEGINNIS, AND CHARLES GASKINS. SEE SCHEDULE O OF THE FORM 990 FOR MORE DETAIL ON HOW COMPENSATION FOR THE PRESIDENT, COO AND CFO ARE DETERMINED. WILLIAM B STILLERMAN SEE PT V SEE PT V X 252874 69570 0 1 1 69570 WILLIAM PETER MEGINNIS FAMILY MEMBER OF DEBRA MEGINNIS, OFFICER 27940 COMPENSATION FOR VARIOUS REPAIRS TO ORGANIZATION'S BUILDING-WORK WAS DONE AT A DISCOUNT AND THE BOARD WAS AWARE OF THE ARRANGEMENT. 0 SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: (B) RELATIONSHIP WITH ORGANIZATIONWILLIAM B. STILLERMAN IS PRESIDENT OF THE ORGANIZATION.(C) PURPOSE OF LOANBAPTIST RETIREMENT HOMES AND MR. STILLERMAN HAD A SPLIT INTEREST LIFE INSURANCE POLICY IN THE PAST. WHILE THAT POLICY WAS IN EFFECT, MR. STILLERMAN TOOK OUT A LOAN AGAINST THE CASH SURRENDER VALUE. WHEN THE SPLIT INTEREST ARRANGEMENT WAS TERMINATED DUE TO A CHANGE IN TAX LAWS, A NEW LIFE INSURANCE POLICY WAS PURCHASED AND THE ORGANIZATION PAID OFF THE LOAN. BAPTIST RETIREMENT HOMES IS THE OWNER AND BENEFICIARY OF THE NEW LIFE INSURANCE POLICY. MR. STILLERMAN HAS BEEN VOLUNTARILY REPAYING THE ORGANIZATION WITH INTEREST. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990, EXCEPT FOR THE DETAILS OF THE DONORS ON SCHEDULE B, IS PRESENTED FOR REVIEW AT THE FEBRUARY TRUSTEE MEETING. IF NOT AVAILABLE IN TIME FOR THE MEETING, IT IS MAILED TO THE TRUSTEES FOR REVIEW PRIOR TO SUBMITTING THE 990 TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, TRUSTEES MUST COMPLETE A "NON-CONFLICT OF INTEREST" QUESTIONNAIRE. FORM 990, PART VI, SECTION B, LINE 15 IN COOPERATION WITH THE PERSONNEL COMMITTEE, THE FINANCE COMMITTEE RECOMMENDS THE SALARY OF THE PRESIDENT, COO, AND CFO. EVERY TWO YEARS, THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS. THE MOST RECENT YEAR IN WHICH THE PROCESS WAS REVIEWED AND APPROVED BY INDEPENDENT PERSONS WAS 2012. GENERALLY, INCREASES TO EXECUTIVES ARE AT THE SAME PERCENTAGE AS GRANTED TO ALL EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AND IN ACCORDANCE WITH BOND COVENANTS AND REGULATORY REQUIREMENTS. 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 IS NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: GRANT ASSISTANCE FROM BAPTIST RETIREMENT HOMES FOUNDATION -654,488. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 424,182. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS -79,710. LOSS ON EARLY EXTIGUISHMENT OF DEBT -1,007,053. FORM 990, PART XII, LINE 2C, AUDIT COMMITTEE: THE AUDIT COMMITTEE'S PROCESS OF OVERSIGHT AND SELECTION HAS NOT CHANGED SINCE PRIOR YEAR. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B: HOURS PROVIDED TO RELATED ORGANIZATION, BAPTIST RETIREMENT HOMES FOUNDATION: WILLIAM B. STILLERMAN - 4 HRS PER WEEK DEBRA A. MEGINNIS - 4 HRS PER WEEK CHARLES R. GASKINS - 4 HRS PER WEEK FORM 990, PART XI, RECONCILIATION OF NET ASSETS, LINE 9: IN 2011, THE ORGANIZATION ENTERED INTO A LOAN AND SECURITY AGREEMENT WITH THE NORTH CAROLINA MEDICAL CARE COMMISSION PURSUANT TO A $54,285,000 BOND OFFERING, SERIES 2001, TO REFINANCE ITS EXISTING DEBT AND TO FINANCE THE CONSTRUCTION OF THE GARDENS OF TAYLOR GLEN. IN FISCAL YEAR 2013, EARLY EXTINGUISHMENT OF THE SERIES 2001 TERM BONDS OUTSTANDING RESULTED IN A LOSS. BAPTIST RETIREMENT HOMES FOUNDATION 1912 BETHABARA ROAD WINSTONSALEM NC 27106 562205837 SUPPORT BAPTIST RETIREMENT HOMES OF NORTH CAROLINA, INCORPORATED (BRH, INC.) NC 501(C)(3) LINE 11A, I BRH INC 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 BAPTIST RETIREMENT HOMES FOUNDATION D 2596900 FAIR MARKET VALUE BAPTIST RETIREMENT HOMES FOUNDATION C 654489 FAIR MARKET VALUE BAPTIST RETIREMENT HOMES FOUNDATION R 2364609 FAIR MARKET VALUE