GALLOWAY RIDGE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GALLOWAY RIDGE INC (EIN 56-2277623)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-08
- IRS object ID
- 201213139349300601
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-08T07:00:48-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562277623 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GALLOWAY RIDGE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GALL | NameControl |
| Phone | 9195452215 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 GALLOWAY RIDGE | AddressLine1 |
| City | PITTSBORO | City |
| State | NC | State |
| ZIP Code | 27312 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LIDA COLEMAN | Name |
| Title | TREASURER | Title |
| Phone | 9195452215 | Phone |
| Date Signed | 2012-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DALE OLBRICH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 GALLOWAY RIDGE | AddressLine1 |
| City | PITTSBORO | City |
| State | NC | State |
| ZIP Code | 27312 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19571614 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GALLOWAYRIDGE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF CONTINUING CARE RETIREMENT COMMUNITY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 333 | TotalNbrEmployees |
| Total Nbr Volunteers | 104 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 245423 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 156549 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19092296 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 19204552 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 79424 | InvestmentIncomePriorYear |
| Investment Income Current Year | 87931 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 140004 | OtherRevenuePriorYear |
| Other Revenue Current Year | 122582 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19557147 | TotalRevenuePriorYear |
| Total Revenue Current Year | 19571614 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 14417 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 43762 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6573574 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7458263 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12171448 | OtherExpensePriorYear |
| Other Expenses Current Year | 13469218 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18759439 | TotalExpensesPriorYear |
| Total Expenses Current Year | 20971243 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 797708 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1399629 | RevenuesLessExpensesCY |
| Total Assets BOY | 143212712 | TotalAssetsBOY |
| Total Assets EOY | 154301992 | TotalAssetsEOY |
| Total Liabilities BOY | 161385515 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 173874424 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -18172803 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -19572432 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF GALLOWAY RIDGE IS TO PROVIDE EACH RESIDENT WITH A SUPERIOR QUALITY OF LIFE AND CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 17641542 | Expense |
| Grants | 43762 | Grants |
| Revenue | 19204552 | Revenue |
| Description | GALLOWAY RIDGE, INC. PROVIDED HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RESIDENT FACILITY CONTAINING 234 INDEPENDENT LIVING UNITS, 22 ASSISTED LIVING UNITS, AND 16 SKILLED NURSING UNITS. GALLOWAY RIDGE WELCOMED ITS FIRST RESIDENTS IN 2005 WITH A MISSION OF PROVIDING ITS RESIDENTS SUPERIOR SERVICES AT A REASONABLE COST AND STRIVING TO PROVIDE A COMPLEMENT OF SERVICES TO SUPPORT THE RESIDENT'S HEALTH, SOCIAL, SPIRITUAL AND RECREATIONAL NEEDS. SINCE INCEPTION, GALLOWAY RIDGE HAS PAID PROPERTY TAXES TO CHATHAM COUNTY IN A TOTAL AMOUNT EQUAL TO $2,702,621, $437,608 OF WHICH WAS PAID MOST RECENTLY IN 2011. IN ADDITION TO PAYING PROPERTY TAXES, GALLOWAY RIDGE HAS CONSISTENTLY ENGAGED IN A VARIETY OF OTHER CHARITABLE EFFORTS AND CONTRIBUTIONS. IN 2011, GALLOWAY RIDGE ASSISTED RESIDENTS WHO COULD NOT PAY THEIR MONTHLY SERVICE FEE ($38,637), MADE CASH DONATIONS TO LOCAL NONPROFITS AND LOCAL GOVERNMENTS ($43,762), AND PROVIDED FITNESS MEMBERSHIPS TO ITS EMPLOYEES ($121,296).SOON AFTER OPENING, IN 2006, THE GALLOWAY RIDGE CHARITABLE FUND WAS ESTABLISHED AT THE RECOMMENDATION OF THE BOARD OF DIRECTORS' SOCIAL ACCOUNTABILITY COMMITTEE, A STANDING COMMITTEE OF THE BOARD. THE CHARITABLE FUND WAS ORGANIZED AND CONTINUES TO OPERATE FOR THE FOLLOWING PURPOSES:(A) TO CARRY OUT THE MISSION OF GALLOWAY RIDGE AS STATED IN THE GALLOWAY RIDGE BYLAWS.(B) TO PROVIDE OR FUND CHARITY CARE, DEFINED AS THE UNREIMBURSED COSTS TO GALLOWAY RIDGE OF PROVIDING HEALTH CARE, HOUSING OR OTHER SERVICES TO RESIDENTS WHO ARE UNINSURED, UNDERINSURED OR OTHERWISE UNABLE TO PAY FOR ALL OR PART OF THE SERVICES RENDERED.(C) TO PROVIDE OR FUND COMMUNITY BENEFITS, DEFINED AS THE UNREIMBURSED COSTS TO GALLOWAY RIDGE OF PROVIDING THE FOLLOWING:- SERVICES, INCLUDING HEALTH, RECREATION, COMMUNITY RESEARCH, AND EDUCATION ACTIVITIES PROVIDED TO THE COMMUNITY AT LARGE, INCLUDING THE ELDERLY;- CHARITABLE DONATIONS;- DONATED VOLUNTEER SERVICES; AND- DONATIONS AND VOLUNTARY PAYMENTS TO GOVERNMENT AGENCIES.(D) TO SOLICIT, RECEIVE, ADMINISTER, INVEST AND DISTRIBUTE FUNDS FOR THE PURPOSES LISTED ABOVE.CONTRIBUTIONS TO THE GALLOWAY RIDGE CHARITABLE FUND MAY BE DESIGNATED FOR TWO PURPOSES:- SUPPORT FOR GALLOWAY RIDGE RESIDENTS WHO MAY NEED ASSISTANCE WITH FEES IN THE FUTURE BECAUSE OF A DIFFICULT FINANCIAL CIRCUMSTANCE; AND- SUPPORT OF THE CHATHAM COMMUNITY.GALLOWAY RIDGE, ALTHOUGH STILL IN ITS EARLY YEARS, AND ITS RESIDENTS HAVE FOSTERED AND ESTABLISHED RELATIONSHIPS WITH NUMEROUS AGENCIES AND ORGANIZATIONS THROUGHOUT THE COMMUNITY INCLUDING THE FOLLOWING:-BRIAN CHAPEL CONSULTING, MEALS ON WHEELS, EUCHARISTIC MINISTER,-CHAPEL IN THE PINES, NORTH CHATHAM SCHOOL, HABITAT HOME STORE,-CHATHAM COUNTY DEMOCRATICS, READING PROGRAM @ PITTSBORO ELEMENTARY,-CHATHAM COUNTY HUMAN RELATIONS COMMISSION, SECOND BLOOM THRIFT STORE,-CHATHAM HOUSING COALITION, ST. BARTHOLOMEWS, FHA OFFICE,-CHATHAM OUTREACH ALLIANCE FOOD PANTRY, ST. JULIA CHURCH,-COMMUNITY EDUCATION FOUNDATION, ST. THOMAS MOORE CHURCH,-COMMUNITY INDEPENDENT SCHOOL, TUTORING AT SCROGGS SCHOOL,-COMMUNITY KITCHEN CHAPEL HILL, UNC HOSPITAL/HOSPICE VOLUNTEER,-CONTINUING CARE COMMUNITY RESIDENTS, UNC LIBRARY,-CORNUCOPIA HOUSE, UNC TOUR, FEARRINGTON CARES,-DEEP RIVER MEDIATION, UNITED METHODIST RETIREMENT HOME FOUNDATION,-DUKE UNIVERSITY HEART CENTER, UNITED WAY, VILLAGE VOICES,-DUKE UNIVERSITY HOSPITAL VOLUNTEER VISITOR, UNIVERSITY UNITED METHODIST CHURCH,-ENGLISH AS A SECOND LANGUAGE TUTOR, MCDOUGAL ELEMENTARY SCHOOL LIBRARY,-FEARRINGTON HOUSE, FEARRINGTON WOMANS CLUB,IN 2011, GALLOWAY RIDGE NOT ONLY SUPPORTED THE ABOVE MENTIONED ORGANIZATIONS BY FOSTERING AN ENVIRONMENT THAT SUPPORTED AND ENCOURAGED ITS RESIDENTS AND EMPLOYEES TO VOLUNTEER, IT WAS ALSO ABLE TO MAKE THE FOLLOWING CASH COMMITMENTS:-PITTSBORO ELEMENTARY SCHOOL PTA ($962)-BYNUM FRONT PORCH ($1,000)-CHATHAM SOCCER LEAGUE ($2,000)-CHATHAM COUNTY ARTS COUNCIL ($2,000)-SISTERS VOICES ($1,000)-SAGE ACADEMY ($2,000)-FAMILY PROMISE OF CHATHAM COUNTY ($4,000)-CCCC FOUNDATION ($5,000)-CHATHAM COUNTY SCHOOLS ($2,000)-CORA FOOD PANTRY ($2,000)-CHATHAM COUNTY COUNCIL ON AGING ($1,000)-BONLEE ELEMENTARY SCHOOL ($800)-WEST CHATHAM FOOD PANTRY ($4000)-CHATHAM COUNTY PUBLIC SCHOOLS ($5000)-ST. JULIA CATHOLIC CHURCH ($3,000) -NORTH CHATHAM VFD, INC. ($3,600)-PITTSBORO ELEMENTARY SCHOOL PTA ($4,400) | Description |
| Total Program Service Expense | 17641542 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 37 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 333 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form1098 C Filed | 1 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT ZIMMER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9195452608 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 GALLOWAY RIDGE | AddressLine1 |
| City | PITTSBORO | City |
| State | NC | State |
| ZIP Code | 27312 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DALE OLBRICH | |||||||
| PRESIDENT AND CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| BILL BROWDER | |||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| PHIL STOUT | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| LIDA COLEMAN | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| JAMES ANDERSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PEGI BRADY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DICK CRAFTS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RHODES CRAVER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PAM HERNDON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD KAHLER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RUTH KATZ | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JIM MILLER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVIE NYCUM | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES ROUSE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| HEATHER RODIN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| HEATHER BACHMAN | |||||||
| EXECUTIVE DIRECTOR (BEGAN JUNE 2011) | 50.00 | X | 75322 | 0 | 6617 | ||
| ROBERT ZIMMER | |||||||
| CFO (BEGAN 12/6/11) | 50.00 | X | 5115 | 0 | 0 | ||
| VICKI BARRINGER | |||||||
| CFO (THROUGH 10/21/2011) | 50.00 | X | 114858 | 0 | 11394 | ||
| JASON CRONK | |||||||
| EXECUTIVE DIRECTOR (THROUGH 4/1/2011) | 50.00 | X | 91347 | 0 | 6894 | ||
| DOUG OLIVER | |||||||
| ASSOCIATE EXECUTIVE DIRECTOR | 50.00 | 135326 | 0 | 12441 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 421968 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 37346 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BCBSNC | |||||
| PO BOX 580017 | CHARLOTTE | NC | 28258 | EMPLOYEE HEALTH INSURANCE | 812852 |
| CSRALCS MANAGEMENT LLC | |||||
| 400 LOCUST STREET STE 820 | DES MOINES | IA | 50309 | MANAGEMENT COMPANY | 772594 |
| REHAB CARE GROUP INC | |||||
| PO BOX 503534 | ST LOUIS | MO | 63150 | CONTRACT THERAPY SERVICES | 668159 |
| US FOOD SERVICE INC | |||||
| PO BOX 602211 | CHARLOTTE | NC | 28260 | FOOD PURCHASE | 573204 |
| WEAVER COOKE CONSTRUCTION LLC | |||||
| PO BOX 26030 | GREENSBORO | NC | 27420 | CONSTRUCTION | 516582 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| All Other Contributions | 156549 | AllOtherContributions |
| Total Contributions | 156549 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENT SERVICES | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 19204552 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19204552 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 19204552 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87931 | TotalRevenueColumn |
| Exclusion | $87,931 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 18837 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 18837 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18837 | TotalRevenueColumn |
| Exclusion | $18,837 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| DINING INCOME | 900099 | 94882 | $94,882 |
| MISCELLANEOUS INCOME | 900099 | 8863 | $8,863 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 103745 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19571614 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19204552 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $210,513 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43762 | Total |
| Program Services | 43762 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311547 | Total |
| Program Services | 54054 | ProgramServices |
| Management And General | 257493 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5591563 | Total |
| Program Services | 4647916 | ProgramServices |
| Management And General | 943647 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51463 | Total |
| Program Services | 42714 | ProgramServices |
| Management And General | 8749 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 989918 | Total |
| Program Services | 821632 | ProgramServices |
| Management And General | 168286 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 513772 | Total |
| Program Services | 353018 | ProgramServices |
| Management And General | 160754 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 396000 | Total |
| Management And General | 396000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184711 | Total |
| Management And General | 184711 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80977 | Total |
| Management And General | 80977 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1285411 | Total |
| Program Services | 1056166 | ProgramServices |
| Management And General | 229245 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191217 | Total |
| Program Services | 26838 | ProgramServices |
| Management And General | 164379 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2566591 | Total |
| Program Services | 2325450 | ProgramServices |
| Management And General | 241141 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67578 | Total |
| Program Services | 6995 | ProgramServices |
| Management And General | 60583 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1673912 | Total |
| Program Services | 1673912 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54548 | Total |
| Program Services | 8194 | ProgramServices |
| Management And General | 46354 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14879 | Total |
| Program Services | 5399 | ProgramServices |
| Management And General | 9480 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2437119 | Total |
| Program Services | 2437119 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3505813 | Total |
| Program Services | 3505813 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 575465 | Total |
| Program Services | 255739 | ProgramServices |
| Management And General | 319726 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CLINIC EXPENSE | 218400 | 218400 | |
| ROUTINE UNIT TURNOVER | 124582 | 124582 | |
| MISCELLANEOUS | 92015 | 33839 | 58176 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20971243 | Total |
| Program Services | 17641542 | ProgramServices |
| Management And General | 3329701 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16811196 | BOY |
| EOY | 15849421 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 584607 | BOY |
| EOY | 433923 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40532 | BOY |
| EOY | 39967 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156376 | BOY |
| EOY | 322734 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 123810702 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19330021 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79037743 | BOY |
| EOY | 104480681 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31970696 | BOY |
| EOY | 16652830 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14611562 | BOY |
| EOY | 16522436 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143212712 | BOY |
| EOY | 154301992 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1623676 | BOY |
| EOY | 4019876 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73857387 | BOY |
| EOY | 70527542 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80903625 | BOY |
| EOY | 91575136 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2265550 | BOY |
| EOY | 2076630 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2735277 | BOY |
| EOY | 5675240 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161385515 | BOY |
| EOY | 173874424 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -18529804 | BOY |
| EOY | -19970752 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357001 | BOY |
| EOY | 398320 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -18172803 | BOY |
| EOY | -19572432 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143212712 | BOY |
| EOY | 154301992 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1399629 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 194736 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 92059 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 129035 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 245423 | CurrentTaxYearMinus1Year |
| Current Tax Year | 156549 | CurrentTaxYear |
| Total | 817802 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14551678 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17794893 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17944731 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19092296 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19204552 | CurrentTaxYear |
| Total | 88588150 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 85795 | CurrentTaxYearMinus1Year |
| Current Tax Year | 94882 | CurrentTaxYear |
| Total | 180677 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14746414 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17886952 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18073766 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19423514 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19455983 | CurrentTaxYear |
| Total | 89586629 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 187029 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 225349 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 234909 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 166826 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8780 | CurrentTaxYear |
| Total | 822893 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 187029 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 225349 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 234909 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 166826 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8780 | CurrentTaxYear |
| Total | 822893 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 88763736 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 451932 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 107722 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 188974 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 97794 | CurrentTaxYearMinus1Year |
| Current Tax Year | 106768 | CurrentTaxYear |
| Total | 953190 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 451932 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 107722 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 188974 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 97794 | CurrentTaxYearMinus1Year |
| Current Tax Year | 106768 | CurrentTaxYear |
| Total | 953190 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 390631 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 444772 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 53933 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35839 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8863 | CurrentTaxYear |
| Total | 934038 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15588977 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18439446 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18316673 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19557147 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19571614 | CurrentTaxYear |
| Total | 91473857 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97040 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.95800 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01040 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01290 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4934777 | OtherCostOrOtherBasis |
| Book Value | 4934777 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 65703001 | OtherCostOrOtherBasis |
| Depreciation | 10686643 | Depreciation |
| Book Value | 55016358 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3428071 | OtherCostOrOtherBasis |
| Depreciation | 557578 | Depreciation |
| Book Value | 2870493 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5149250 | OtherCostOrOtherBasis |
| Depreciation | 837529 | Depreciation |
| Book Value | 4311721 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44595603 | OtherCostOrOtherBasis |
| Depreciation | 7248271 | Depreciation |
| Book Value | 37347332 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 104480681 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| RESERVE REQUIRED BY STATE STATUTE | 4392316 |
| DEFERRED FINANCING COSTS | 2553692 |
| DEFERRED MARKETING COSTS | 5682537 |
| SALES TAX RECEIVABLE | 1418941 |
| CHARITABLE FUND | 398320 |
| ENTRANCE FEES FOR UNITS TO BE CONSTRUCTED | 2076630 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 16522436 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| REFUNDABLE ENTRANCE FEES | $5,355,240 |
| RESIDENT UPGRADE DEPOSITS | $320,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5675240 | TotalOfAmounts |
| Total Revenue | 19571614 | TotalRevenue |
| Total Expenses | 20971243 | TotalExpenses |
| Excess Or Deficit For Year | -1399629 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -1399629 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 19571614 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 19571614 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 19571614 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 20971243 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 20971243 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 20971243 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | GALLOWAY RIDGE BEGAN CONSTRUCTION OF NEW INDEPENDENT LIVING UNITS, ASSISTED LIVING UNITS, AND SKILLED NURSING BEDS DURING 2010. ENTRANCE FEES FOR THESE UNITS ARE DEPOSITS RECEIVED FROM POTENTIAL RESIDENTS AND ARE HELD IN AN ESCROW ACCOUNT. | |
| PART X: | 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 BENEFIT OR OBLIGATION AS OF DECEMBER 31, 2011. THE COMPANY BELIEVES IT'S NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2008. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| CCCC FOUNDATION | |||||||||
| 1105 KELLY DRIVE | SANFORD | NC | 27330 | 561644218 | 501(C)(3) | 5000 | N/A | N/A | OPERATIONAL SUPPORT |
| CHATHAM COUNTY PUBLIC SCHOOLS | |||||||||
| 369 WEST STREET | PITTSBORO | NC | 27312 | 566001006 | 501(C)(3) | 5000 | N/A | N/A | OPERATIONAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GALLOWAY RIDGE ANNUALLY RECEIVES APPLICATIONS FROM COMMUNITY 501(C)(3) ORGANIZATIONS FOR ASSISTANCE FROM THE CHARITABLE FUND. THE DISTRIBUTION COMMITTEE OF THE CHARITABLE FUND REVIEWS ALL REQUESTS AND MAKES DECISION OF WHICH ORGANIZATIONS WILL RECEIVE ASSISTANCE AND THE AMOUNT TO BE RECEIVED (TOTAL GRANTS ARE LIMITED EACH YEAR BASED UPON POLICIES AND PROCEDURES OF CHARITABLE FUND). | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | |||||||
| 521309402 | 65820YJJ6 | 2010-10-21 | 75989731 | SEE PART VI | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | |||||||
| 521309402 | 2010-10-21 | 19930000 | SEE PART VI | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 76010397 | 5275850 | 453693 | 1519795 | 1157571 | 23432316 | 38755000 | 5416172 | 2012 | 1 | 0 | 0 | 1 |
| 19930000 | 558593 | 398600 | 1258461 | 10489929 | 7224417 | 2012 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 1 | 0 | 0 | 0 | 0 |
| 0 | 1 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| SCHEDULE K, PART I, LINE A, COLUMN F: DESCRIPTION OF PURPOSE: | THE PROCEEDS OF THE 2010A AND 2010B BONDS ARE BEING USED TO CONSTRUCT THE EXPANSION OF 67 INDEPENDENT LIVING UNITS (66 INDEPENDENT LIVING APARTMENTS AND 1 INDEPENDENT LIVING VILLA), 29 ASSISTED LIVING UNITS, OF WHICH 15 ARE DESIGNATED FOR DEMENTIA CARE, AND 24 SKILLED NURSING UNITS, AS WELL AS ADDITIONAL AND RENOVATED SUPPORTIVE COMMON AREAS OF THE PROJECT. ADDITIONALLY, PROCEEDS FROM THE 2010A AND 2010B BONDS WERE USED TO PAY A PORTION OF THE OUTSTANDING LOANS FROM THE BANK OF SCOTLAND AND TO FUND CERTAIN DEBT SERVICE RESERVES AND OTHER COSTS ASSOCIATED WITH ISSUANCE OF THE 2010A AND 2010B BONDS. THE SERIES 2010A BONDS WERE ISSUED AT A DISCOUNT OF $190,269. |
| SCHEDULE K, PART I, LINE B, COLUMN F: DESCRIPTION OF PURPOSE: | IN OCTOBER 2010, THE ORGANIZATION ISSUED $19,930,000 RETIREMENT FACILITIES FIRST MORTGAGE REVENUE BONDS (GALLOWAY RIDGE PROJECT) SERIES 2010C AS A BANK QUALIFIED LOAN THROUGH THE NORTH CAROLINA MEDICAL CARE COMMISSION. THIS LOAN IS DRAWN UPON AS NEEDED BY THE COMPANY. AS OF DECEMBER 31, 2011, TOTAL DRAWS ON THE SERIES 2010C BONDS WERE $12,705,583. THESE PROCEEDS WERE USED TO PAY A PORTION OF THE OUTSTANDING LOANS FROM THE BANK OF SCOTLAND, REIMBURSE THE COMPANY FOR COSTS INCURRED FOR PHASE II CONSTRUCTION AND PAY OTHER COSTS ASSOCIATED WITH ISSUANCE OF THE 2010C BONDS. |
| SCHEDULE K, PART II, LINE 11: OTHER SPENT PROCEEDS: | THE AMOUNT ON PART II, LINE 11 REPRESENTS AMOUNTS USED TO CURRENTLY REFUND A CONSTRUCTION LOAN NOT CLASSIFIED AS A TAX-EXEMPT BOND ISSUE. |
| SCHEDULE K, PART II, LINE 12: OTHER UNSPENT PROCEEDS: | THE AMOUNT ON PART II, LINE 12 FOR BOND [B] REPRESENTS AMOUNTS NOT YET DRAWN DOWN FROM THE ORIGINAL AGREED ISSUANCE PRICE. THESE FUNDS ARE NOT HELD BY THE ORGANIZATION UNTIL SUCH TIME AS IT REQUISITIONS THEM FOR CONSTRUCTION REIMBURSEMENT. |
| SCHEDULE K, PART IV, LINE 6: | AS OF THE COMPLETION OF THIS SCHEDULE K, NOT ENOUGH TIME HAD PASSED TO DETERMINE IF THE ISSUES WOULD QUALIFY FOR A SPENDING EXCEPTION TO REBATE. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION CONTRACTS ITS EXECUTIVE DIRECTOR FROM CRSA/LCS MANAGEMENT, LLC. UNDER THE TERMS OF A MANAGEMENT AGREEMENT, MANAGEMENT SERVICES ARE PROVIDED TO THE ORGANIZATION BY COOPERATIVE RETIREMENT SERVICES OF AMERICA (CRSA). THESE SERVICES INCLUDE THE SUPERVISION OF ALL ASPECTS OF NORMAL OPERATIONS INCLUDING BUDGETING, HIRING OF EMPLOYEES, BILLING, PAYROLL, ACCOUNTS PAYABLE, AND OTHER MANAGEMENT RESPONSIBILITIES. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 WAS PROVIDED TO THE BOARD AUDIT AND FINANCE COMMITTEE FOR A COMPREHENSIVE REVIEW PRIOR TO THE BOARD REVIEW. ON XX/XX/XXXX, WHICH WAS PRIOR TO THE FILING DATE OF THE 990, THE FINANCE COMMITTEE PRESENTED THE 990 TO THE ENTIRE VOTING BOARD, WHERE EACH MEMBER RECEIVED A COPY. AFTER A DISCUSSION PERIOD AND QUESTION & ANSWER PERIOD, THE BOARD VOTED TO APPROVE THE FORM 990 AS PRESENTED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED BY ALL BOARD MEMBERS ANNUALLY. EACH BOARD MEMBER SIGNS A STATEMENT INDICATING THE UNDERSTANDING OF AND COMPLIANCE WITH THE POLICY. THE CONFLICT OF INTEREST POLICY IS BASED UPON THE IRS MODEL CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF EXECUTIVE DIRECTOR IS REVIEWED BY THE MANAGEMENT COMPANY (CRSA) AND THE PRESIDENT (I.E. CHAIRPERSON OF THE BOARD) ANNUALLY USING INDUSTRY DATA FOR COMPARISON. OTHER KEY EMPLOYEES HAVE ANNUAL REVIEWS BY THE EXECUTIVE DIRECTOR AND COMPARABILITY DATA IS REVIEWED ON A REGULAR BASIS. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023, FORM 990 AND FORM 990-T ARE AVAILABLE UPON REQUEST. RECENT FILINGS OF THE FORM 990 CAN BE ACCESSED THROUGH GUIDESTAR.ORG, A NON-PROFIT WEBSITE. |
| FORM 990, PART VI, SECTION C, LINE 19 | BYLAWS, WITH ANY CHANGES OR UPDATES, ARE MAINTAINED IN THE RESIDENT LIBRARY AND ARE ALSO AVAILABLE BY REQUEST. THE CONFLICT OF INTEREST POLICY IS INCLUDED IN THE ANNUAL DISCLOSURE STATEMENT. FINANCIAL STATEMENTS ARE PROVIDED MONTHLY TO THE PRIMARY CREDITOR, BOARD AUDIT & FINANCE COMMITTEE, AND THE RESIDENT FINANCE COMMITTEE AND PROVIDED QUARTERLY TO THE BOARD. THE ANNUAL AUDIT IS PROVIDED ANNUALLY IN THE DISCLOSURE STATEMENT. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |