FURP.ORG / PUBLIC DATA EXPLORER

ALDERSGATE UNITED METHODIST RETIREMENT COMMUNITY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALDERSGATE UNITED METHODIST RETIREMENT COMMUNITY INC (EIN 56-0547462)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303189349304895
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)
Timestamp2013-11-14T14:37:50-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560547462EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALDERSGATE UNITED METHODIST RETIREMENTBusinessNameLine1
Business Name Line2COMMUNITY INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlALDENameControl
Phone7045325211Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 SHAMROCK DRIVEAddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENNIE M STILLName
TitleCHIEF FINANCIAL OFFICERTitle
Phone7045325211Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN NORMANName
PTINP01506766PTIN
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUZANNE H PUGHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13800 SHAMROCK DRIVEAddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28497313GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALDERSGATECCRC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1945YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF EXCELLENT CONTINUING CARE SERVICES FOR OLDER ADULTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees466TotalNbrEmployees
Total Nbr Volunteers84TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year535249ContributionsGrantsPriorYear
Contributions Grants Current Year319385ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26356325ProgramServiceRevenuePriorYear
Program Service Revenue CY27194452ProgramServiceRevenueCY
Investment Income Prior Year1609285InvestmentIncomePriorYear
Investment Income Current Year983476InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year28500859TotalRevenuePriorYear
Total Revenue Current Year28497313TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12072950SalariesEtcPriorYear
Salaries Etc Current Year14501642SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year130815TotalFundrsngExpCurrentYear
Other Expense Prior Year15891206OtherExpensePriorYear
Other Expenses Current Year13833675OtherExpensesCurrentYear
Total Expenses Prior Year27964156TotalExpensesPriorYear
Total Expenses Current Year28335317TotalExpensesCurrentYear
Revenues Less Expenses Prior Year536703RevenuesLessExpensesPriorYear
Revenues Less Expenses CY161996RevenuesLessExpensesCY
Total Assets BOY77435410TotalAssetsBOY
Total Assets EOY77654610TotalAssetsEOY
Total Liabilities BOY76418629TotalLiabilitiesBOY
Total Liabilities EOY74464365TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1016781NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3190245NetAssetsOrFundBalancesEOY
Mission DescriptionALDERSGATE IS A MINISTRY OF THE WESTERN NORTH CAROLINA CONFERENCE OF THE UNITED METHODIST CHURCH AND OFFERS EXCEPTIONAL QUALITY OF LIFE OPPORTUNITIES FOR OLDER ADULTS ACROSS A CONTINUUM OF HOUSING AND HEALTH CARE OPTIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense24781207Expense
Revenue27194452Revenue
DescriptionALDERSGATE PROVIDES AFFORDABLE HOUSING, MEALS, SECURITY, ASSISTANCE WITH ESSENTIAL ACTIVITIES OF DAILY LIVING, SKILLED NURSING CARE, AND RELATED SERVICES DESIGNED SPECIFICALLY FOR SENIOR ADULTS WHILE OFFERING RELIGIOUS, CULTURAL, RECREATIONAL AND OTHER ACTIVITIES INCLUDING OPPORTUNITIES FOR COMMUNITY VOLUNTEERING AND TRANSPORTATION TO EVENTS AND APPOINTMENTS. SERVICES ARE PROVIDED 24 HOURS PER DAY. ALDERSGATE MAKES EVERY EFFORT TO CONTINUE PROVIDING SERVICES TO RESIDENTS WHO NEED SUPPLEMENTAL FINANCIAL ASSISTANCE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionIN 2011, ALDERSGATE PROVIDED LAND AND/OR BUILDINGS AT NO COST TO THREE 501(C)(3) CHARITABLE ORGANIZATIONS AND ONE LOCAL GOVERNMENT AGENCY. THE ESTIMATED MARKET VALUE OF THE RENT CONCESSIONS PROVIDED IS $675,749.Description
FieldValueIRS element (for citing)
Total Program Service Expense24781207TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 Individuals0GrantsToIndividuals
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 Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109664NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees466NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Line1LUTHER SHORT CHIEF FINANCIAL OFFICERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7045327000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13800 SHAMROCK DRIVEAddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROY H WIGGINS
CHAIR10.00XX000
WILLAM K SPRINGS
VICE-CHAIR10.00XX000
REVEREND PATIENCE BRUMLEY
BOARD MEMBER5.00X000
RAYMOND CATHEY
BOARD MEMBER1.00X000
MARK B EDWARDS
BOARD MEMBER1.00X000
MARGARET FISHER
BOARD MEMBER1.00X000
BETTY JO HARDY
BOARD MEMBER1.00X000
REVEREND WILLIAM T JEFFRIES
BOARD MEMBER1.00X000
SUSAN S KEEVER
SECRETARY1.00XX000
JOSEPH A LIPE
BOARD MEMBER1.00X000
ROBERT LOWRANCE
BOARD MEMBER1.00X000
PETROLIA G NORMAN
BOARD MEMBER1.00X000
MARIE PEARCE
BOARD MEMBER1.00X000
REVEREND F OSCAR SMITH
BOARD MEMBER1.00X000
T MARK WHITE
BOARD MEMBER1.00X000
BASIL WILLAIMS
BOARD MEMBER1.00X000
F CROWDER FALLS
BOARD MEMBER1.00X000
J CARROLL THOMAS
BOARD MEMBER1.00X000
REVEREND JAMES TROLLINGER
BOARD MEMBER1.00X000
SUZANNE HODGE PUGH
PRESIDENT70.00X17190405201
MICHAEL HOLTZCLAW
DIRECTOR OF MARKETING50.0014048400X
EMILY NUNN
CHIEF OPERATING OFFICER60.0010681600X
YVETTE PORTERFIELD
DIRECTOR OF NURSING50.00102346015031X
FieldValueIRS element (for citing)
Total Reportable Comp From Org521550TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation20232TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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
GENESIS ELDERCARE REHAB SERVICES
PO BOX 7247-6524PHILADELPHIAPA19170PHYSICAL THERAPY2128741
OMNI CARE INC
PO BOX 715218COLUMBUSOH43271PHARMACY SERVICES900008
SODEXHO & AFFILIATES INC
PO BOX 536972ATLANTAGA30355FOOD AND ENVIRONMENTAL439474
PIKE'S PHARMACY
2133 SHAMROCK DRIVECHARLOTTENC28205PHARMACY SERVICES182482
LANKFORD FLOORING & CONTRACTING
2117 NORTH DAVIDSON STREETCHARLOTTENC28205CONSTRUCTION SERVICES140349
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions319385AllOtherContributions
Total Contributions319385TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT REVENUE6233112546335825463358
ENTRANCE FEES EARNED62331115237571523757

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column207337TotalRevenueColumn
Related Or Exempt Function Income207337RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue27194452TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column570676TotalRevenueColumn
Exclusion$570,676ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities412175Securities
Other625Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities412175Securities
Other625Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column412800TotalRevenueColumn
Exclusion$412,800ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28497313TotalRevenueColumn
Related Or Exempt Function Income27194452RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$983,476ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total403811Total
Management And General403811ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12222213Total
Program Services11341751ProgramServices
Management And General811506ManagementAndGeneral
Fundraising68956Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total32669Total
Program Services27467ProgramServices
Management And General5202ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1052632Total
Program Services779731ProgramServices
Management And General272901ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total790317Total
Program Services710612ProgramServices
Management And General74499ManagementAndGeneral
Fundraising5206Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total45830Total
Management And General45830ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total57825Total
Management And General57825ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2828270Total
Program Services2079168ProgramServices
Management And General733285ManagementAndGeneral
Fundraising15817Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total238007Total
Management And General235565ManagementAndGeneral
Fundraising2442Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total102045Total
Program Services22733ProgramServices
Management And General48419ManagementAndGeneral
Fundraising30893Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total111573Total
Management And General111573ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total57202Total
Program Services20663ProgramServices
Management And General36539ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1407437Total
Program Services1371438ProgramServices
Management And General35999ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total30770Total
Program Services7721ProgramServices
Management And General16555ManagementAndGeneral
Fundraising6494Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total46045Total
Program Services8014ProgramServices
Management And General37024ManagementAndGeneral
Fundraising1007Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1644550Total
Program Services1619037ProgramServices
Management And General25513ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3933785Total
Program Services3635081ProgramServices
Management And General298704ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total308367Total
Program Services135822ProgramServices
Management And General172545ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMEDICAL RX, SUPPLIESDescription
Total3021969Total
Program Services3021969ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28335317Total
Program Services24781207ProgramServices
Management And General3423295ManagementAndGeneral
Fundraising130815Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1800BOY
EOY1800EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY479043BOY
EOY970659EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY964275BOY
EOY1366172EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY88395BOY
EOY91553EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY189932BOY
EOY288554EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis97264565LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec45785030LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY54087570BOY
EOY51479535EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY19688144BOY
EOY21663702EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1936251BOY
EOY1792635EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY77435410BOY
EOY77654610EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2124470BOY
EOY1681840EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5232661BOY
EOY5225144EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY34605556BOY
EOY33802065EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY34455942BOY
EOY33755316EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY76418629BOY
EOY74464365EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1783916BOY
EOY516612EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2198033BOY
EOY2067812EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY602664BOY
EOY605821EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1016781BOY
EOY3190245EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77435410BOY
EOY77654610EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses161996ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1706877ReconciliationUnrealizedInvest
Reconcilation Other Changes304591ReconcilationOtherChanges
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 Years741100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years614204CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years550375CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year535249CurrentTaxYearMinus1Year
Current Tax Year319385CurrentTaxYear
Total2760313Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19153973CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23172597CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25058029CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26356325CurrentTaxYearMinus1Year
Current Tax Year27194452CurrentTaxYear
Total120935376Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19895073CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23786801CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25608404CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26891574CurrentTaxYearMinus1Year
Current Tax Year27513837CurrentTaxYear
Total123695689Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6875CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8430CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7242CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3281CurrentTaxYearMinus1Year
Current Tax Year7470CurrentTaxYear
Total33298Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1754809CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years291656CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years241139CurrentTaxYearMinus2Years
Current Tax Year60455CurrentTaxYear
Total2348059Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1761684CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years300086CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years248381CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3281CurrentTaxYearMinus1Year
Current Tax Year67925CurrentTaxYear
Total2381357Total
FieldValueIRS element (for citing)
Public Support Total509121314332PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years165196CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years908045CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1557028CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year703999CurrentTaxYearMinus1Year
Current Tax Year570676CurrentTaxYear
Total3904944Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years165196CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years908045CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1557028CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year703999CurrentTaxYearMinus1Year
Current Tax Year570676CurrentTaxYear
Total3904944Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years-478965CurrentTaxYearMinus3Years
Total-478965Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20060269CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24215881CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27165432CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27595573CurrentTaxYearMinus1Year
Current Tax Year28084513CurrentTaxYear
Total127121668Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95430PublicSupportPercentage509
Prior Year Support Percentage0.93030PriorYearSupportPercentage
Investment Income Percentage0.03070InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03920PriorYrInvestIncomePercentage
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1434667BeginningOfYearBalance
Investment Earnings Or Losses73843InvestmentEarningsOrLosses
End Of Year Balance1508510EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1403264BeginningOfYearBalance
Investment Earnings Or Losses31403InvestmentEarningsOrLosses
End Of Year Balance1434667EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1016977BeginningOfYearBalance
Contributions728285Contributions
Investment Earnings Or Losses109707InvestmentEarningsOrLosses
Other Expenditures451705OtherExpenditures
End Of Year Balance1403264EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance854598BeginningOfYearBalance
Contributions162379Contributions
End Of Year Balance1016977EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance854598BeginningOfYearBalance
End Of Year Balance854598EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.46150BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.40160PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.13690TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis93672OtherCostOrOtherBasis
Book Value93672BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis80325486OtherCostOrOtherBasis
Depreciation35500766Depreciation
Book Value44824720BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9985054OtherCostOrOtherBasis
Depreciation7826837Depreciation
Book Value2158217BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6860353OtherCostOrOtherBasis
Depreciation2457427Depreciation
Book Value4402926BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings51479535TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MUTUAL FUNDS15205615F
ALETNATIVE INVESTMENTS1151795F
EQUITIES5128833F
CASH AND EQUIVALENTS177459F
FieldValueIRS element (for citing)
Total Of Book Value Securities21663702TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ENTRANCE FEE DEPOSITS$4,094
REFUNDABLE ENTRANCE FEES$30,921,545
FAIR VALUE OF SWAP$2,643,023
ARO LIABILITY$156,654
OTHER LT LIABILITIES$30,000
FieldValueIRS element (for citing)
Total Of Amounts33755316TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt28671497TotRevenueEtcAuditedFinclStmt
Other Revenues404021OtherRevenues
Revenue Not Rptd F990404021RevenueNotRptdF990
Revenue Subtotal28267476RevenueSubtotal
Other Revenues Not Included229837OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt229837RevenueNotRptdOnFinStmt
Total Revenue Per Form99028497313TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28335135TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal28335135ExpensesSubtotal
Other Expenses Not Included182OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt182ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028335317TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ORGANIZATION USES ENDOWMENT FUNDS TOWARDS VARIOUS DONOR DESIGNATED PURPOSES INCLUDING FINANCIAL ASSISTANCE TO RESIDENTS UNABLE TO PAY AND EMPLOYEE TRAINING.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:SHOULD THE TAX-EXEMPT STATUS OF THE ORGANIZATION BE CHALLENGED IN THE FUTURE, THE 2009, 2010, AND 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION ADOPTED ACCOUNTING GUIDANCE REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RELEASES OF RESTRICTED NET ASSETS USED FOR SERVICES 404,021.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 163,693. RESTRICTED INVESTMENT INCOME 65,962. OTHER 182.
PART XII, LINE 4B - OTHER ADJUSTMENTS:OTHER 182.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
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

FieldValueIRS element (for citing)
Name PersonSUZANNE HODGE PUGHNamePerson
TitlePRESIDENTTitle
Base Compensation Filing Org171904BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org5201DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org177105TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NORTH CAROLINA MEDICAL CARE COMMISSION
A5213094022009-12-3029995000TO REFUND 2001 BONDS000
NORTH CAROLINA MEDICAL CARE COMMISSION
B5213094022010-04-138605000TO REFUND 2001 BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspent
A299950003200001011
B101186050001048364261768677316

Form990 Schedule K Part III Form990ScheduleKPartIII (2 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
A0000000
B0100000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000010001
B000010001

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS FORM 990 AFTER FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL MEMBERS OF THE BOARD OF DIRECTORS ARE COVERED AND SIGN THE CONFLICT OF INTEREST POLICY. ITEMS THAT REPRESENT MAJOR EXPENDITURES ARE SUBJECT TO A BID PROCESS WHERE THE LOWEST COST PROVIDER OF THE DESIRED SERVICE IS GENERALLY SELECTED.
FORM 990, PART VI, SECTION B, LINE 15ALL POSITIONS INCLUDING KEY EMPLOYEES IN THE COMPANY ARE COMPARED PERIODICALLY (GENERALLY ANNUALLY) TO WAGE DATA THAT IS DEVELOPED INDEPENDENTLY THROUGH A LOCAL EMPLOYERS ASSOCIATION. THE WAGES ARE REVIEWED TO SEE THAT THEY ARE COMPETITIVE IN THE LOCAL MARKET. COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19AUDITED FINANCIAL STATEMENTS ARE FILED ANNUALLY WITH THE NORTH CAROLINA DEPARTMENT OF INSURANCE AND PUBLISHED ON ITS WEBSITE. THEY ARE ALSO PRINTED ANNUALLY IN STATUTORILY REQUIRED DISCLOSURE STATEMENTS WHICH ARE AVAILABLE TO THE PUBLIC. ARTICLES OF INCORPORATION ARE AVAILABLE ONLINE AT THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. THE CONFLICTS OF INTEREST POLICY IS AVAILABLE FOR EXAMINATION UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 304,591.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE BOARD OF DIRECTORS HAS ESTABLISHED ITS AUDIT COMMITTEE TO ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.