2013-11-13T14:32:10-06:00 2013-06-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2012-07-01 560994323 RALPH SCOTT LIFESERVICES INC RALP 3362271011 408 WEST TRADE STREET BURLINGTON NC 27217 JENNIFER HELTON 3362271011 2013-11-13 1 SUSAN M BALKE P01056462 8283222070 2012 2016-03-07 17:11:31Z JENNIFER HELTON 408 WEST TRADE STREET BURLINGTON NC 27217 8661121 0 X RSLI.ORG X 1971 NC RALPH SCOTT LIFESERVICES, INC. PROVIDES INDIVIDUALIZED COMMUNITY LIVING SERVICES AND SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. THESE SERVICES ARE DESIGNED TO PROMOTE SOUND HEALTH, DIGNITY, GROWTH, STABILITY AND COMMUNITY INVOLVEMENT. 20 20 330 6 0 0 35164 84783 8634041 8564952 -19907 11386 0 0 8649298 8661121 0 0 0 0 6675954 6543690 0 0 0 2591485 2651215 9267439 9194905 -618141 -533784 2850584 2250119 627323 561122 2223261 1688997 X RALPH SCOTT LIFESERVICES, INC. PROVIDES INDIVIDUALIZED COMMUNITY LIVING SERVICES AND SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. THESE SERVICES ARE DESIGNED TO PROMOTE SOUND HEALTH, DIGNITY, GROWTH, STABILITY AND COMMUNITY INVOLVEMENT. 0 0 7079857 7633490 RSL PROVIDES INDIVIDUALIZED SERVICES AND RESIDENTIAL LIVING SUPPORTS FOR APPROXIMATELY 115 PEOPLE WITH INTELLECTUAL AND OTHER DEVELOPMENTAL DISABILITIES IN ALAMANCE AND CASWELL COUNTIES. SERVICES INCLUDE SUPERVISION, TRANSPORTATION, COORDINATING MEDICAL APPOINTMENTS, DIRECT SUPPORT IN ACTIVITIES OF DAILY LIVING (BATHING, DRESSING, MEDICATIONS, MEALS, AND HYGIENE). INDIVIDUALS RECEIVE SUPPORTS TO HELP MAINTAIN RELATIONSHIPS AND CONNECTIONS WITH THE COMMUNITY; DEVELOP INTERESTS; BUILD NATURAL SUPPORTS; AND TO BE ACTIVE CITIZENS. LOCATIONS INCLUDE: 12 DDA HOMES, 5 ICF/MR HOMES, 2 HOMES SUPPORTING INDIVIDUALS WITH DUAL DIAGNOSIS OF MENTAL ILLNESS AND MENTAL RETARDATION, 4 SUPPORTED LIVING APARTMENTS THAT SUPPORT UP TO 15 ADULTS. SUPPORTS ALSO INCLUDE IN HOME SERVICES AND RESPITE TO INDIVIDUALS WHO LIVE IN THEIR OWN APARTMENTS OR HOMES. 988167 939447 OFFERS AN ADULT DAY PROGRAM TO PROVIDE SUPPORTS TO APPROXIMATELY 70 INDIVIDUALS WITH INTELLECTUAL OR OTHER DEVELOPMENTAL DISABILITIES AND SERVES BOTH INDIVIDUALS FROM THE COMMUNITY AND OUR RESIDENTIAL PROGRAMS. OPPORTUNITIES ARE OFFERED TO SOCIALIZE, EXERCISE, COMMUNICATION, EXPAND LEISURE INTERESTS, ARTS AND MUSIC, AND TO TEACH DAILY LIVING AND WORK SKILLS. PROGRAM PARTICIPANTS ARE ENCOURAGED TO BE AN ACTIVE PART OF THEIR COMMUNITY AND EVEN VOLUNTEER IN SPECIAL PROGRAMS AND MEALS ON WHEELS. 8068024 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 330 1 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 NC X JENNIFER HELTON 3362271011 408 W TRADE STREET BURLINGTON NC 27217 AMY CHANDLER 1.00 X X 0 0 0 CHARLES MAYE 1.00 X 0 0 0 CONNIE POOVEY 1.00 X X 0 0 0 EMILY MCDONALD 1.00 X 0 0 0 FAIRFAX REYNOLDS 1.00 X 0 0 0 JAMES JOHNSON 1.00 X 0 0 0 JEFFREY ANDREWS 1.00 X 0 0 0 CHAN CHANDLER III 1.00 X X 0 0 0 LIZ BAILEY 1.00 X 0 0 0 MAMIE BELTON-EVANS 1.00 X 0 0 0 MARGARET LIVENGOOD 1.00 X 0 0 0 PAULA REARDON 1.00 X 0 0 0 RUSSELL GILL 1.00 X 0 0 0 STEVE BLACK 1.00 X 0 0 0 CINDY BRADY 1.00 X 0 0 0 ETHEL GWYNN 1.00 X 0 0 0 DR JAMES HEDRICK 1.00 X 0 0 0 KELLY MAYE 1.00 X 0 0 0 CHAD SLAUGHTER 1.00 X 0 0 0 JOANNA FOUST-WARREN 1.00 X 0 0 0 JENNIFER HELTON 40.00 X 84417 0 0 84417 0 0 0 0 0 0 0 17760 67023 84783 MEDICAID/MEDICARE PAYM 623000 6250854 6250854 STATE/COUNTY CONTRACTS 623000 1243299 1243299 RESIDENT FEES - DDA,IC 623000 1053007 1053007 ANCILLARY 623000 17792 17792 8564952 3401 3401 7985 0 7985 7985 7985 0 17760 0 0 8661121 8572937 0 3401 84417 84417 5738317 5205003 533314 297174 260394 36780 423782 378672 45110 182935 116038 66897 39716 4767 34949 304947 304545 402 17444 12598 4846 3798 3798 69013 43833 25180 598040 556940 41100 FOOD AND PROVISIONS 313157 311613 1544 ICF ASSESSMENT 220865 220865 0 SUPPLIES 142929 141381 1548 BUILDING & GENERAL REPA 132105 105394 26711 626266 402183 224083 9194905 8068024 1126881 0 58875 13247 1380071 828080 508697 527560 136953 119538 3438176 2755154 727870 683022 42132 38118 36540 2850584 2250119 449332 401804 177991 159318 627323 561122 X 2220261 1688634 3000 363 2223261 1688997 2850584 2250119 -533784 -480 0 X X 0 1 X 1 0 X 42467 48079 55024 35164 84783 265517 8614653 8349632 8588220 8634041 8564953 42751499 8657120 8397711 8643244 8669205 8649736 43017016 0 0 0 43017016 43275 27557 16886 4978 3277 95973 43275 27557 16886 4978 3277 95973 2506 -24885 7628 -14751 8702901 8425268 8660130 8649298 8660641 43098238 0.99810 0.99680 0.00220 0.00370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35672 35672 1252336 726514 525822 111511 89710 21801 2038657 1938930 99727 683022 X 8660641 -480 -480 8661121 0 8661121 9194905 0 9194905 0 9194905 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF JUNE 30, 2012, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. MAIL SOLICITATION 17760 17760 17760 17760 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED AND APPROVED BY THE FULL BOARD OF DIRECTORS IF IT IS COMPLETED IN TIME FOR THE OCTOBER BOARD MEETING (3RD TUESDAY). IF NOT COMPLETED BY THEN, THE EXECUTIVE COMMITTEE REVIEWS THE 990 DURING THEIR NOVEMBER MEETING, AND THE FULL BOARD OF DIRECTORS SUBSEQUENTLY APPROVES THE 990 DURING THE JANUARY MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES ARE COVERED UNDER THE WHISTLEBLOWER POLICY. ALL EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT. DETERMINATIONS ARE MADE BY THE CEO/BOD/HR. FORM 990, PART VI, SECTION B, LINE 15 BOD DETERMINES COMPENSATION FOR CEO ANNUALLY BY INDUSTRY COMPARISON OF SALARIES GATHERED BY HR MANAGER. COMPENSATION FOR OTHER OFFICERS & KEY EMPLOYEES IS BASED ON ESTABLISHED PAY PLAN DETERMINED BY THE BOARD OF DIRECTORS. AN ANNUAL REVIEW OF THE BUDGET AND APPROVAL OF ADJUSTMENTS IS MADE BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 RALPH SCOTT LIFESERVICES, INC. DISCLOSES IN THE ANNUAL REPORT THAT THESE DOCUMENTS ARE AVAILABLE AT THE CORPORATE OFFICE. THIS INFORMATION IS ALSO AVAILABLE ON RSL'S WEBSITE. FORM 990, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM PRIOR YEAR