FURP.ORG / PUBLIC DATA EXPLORER

GALLOWAY RIDGE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GALLOWAY RIDGE INC (EIN 56-2277623)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-02
IRS object ID
201102149349300900
Schema version
2010v3.4
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)
Timestamp2011-08-02T14:22:58-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562277623EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GALLOWAY RIDGE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGALLNameControl
Phone9195452215Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 GALLOWAY RIDGEAddressLine1
CityPITTSBOROCity
StateNCState
ZIP Code27312ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDALE OLBRICHName
TitleTREASURERTitle
Phone9195452215Phone
Date Signed2011-08-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDALE OLBRICHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13000 GALLOWAY RIDGEAddressLine1
CityPITTSBOROCity
StateNCState
ZIP Code27312ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19557147GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GALLOWAYRIDGE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF CONTINUING CARE RETIREMENT COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees327TotalNbrEmployees
Total Nbr Volunteers151TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year129035ContributionsGrantsPriorYear
Contributions Grants Current Year245423ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17944731ProgramServiceRevenuePriorYear
Program Service Revenue CY19092296ProgramServiceRevenueCY
Investment Income Prior Year177198InvestmentIncomePriorYear
Investment Income Current Year79424InvestmentIncomeCurrentYear
Other Revenue Prior Year71689OtherRevenuePriorYear
Other Revenue Current Year140004OtherRevenueCurrentYear
Total Revenue Prior Year18322653TotalRevenuePriorYear
Total Revenue Current Year19557147TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year55529GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY14417GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6098612SalariesEtcPriorYear
Salaries Etc Current Year6573574SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12352626OtherExpensePriorYear
Other Expenses Current Year12171448OtherExpensesCurrentYear
Total Expenses Prior Year18506767TotalExpensesPriorYear
Total Expenses Current Year18759439TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-184114RevenuesLessExpensesPriorYear
Revenues Less Expenses CY797708RevenuesLessExpensesCY
Total Assets BOY101411399TotalAssetsBOY
Total Assets EOY143212712TotalAssetsEOY
Total Liabilities BOY119582701TotalLiabilitiesBOY
Total Liabilities EOY161385515TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-18171302NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-18172803NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF GALLOWAY RIDGE IS TO PROVIDE A RETIREMENT COMMUNITY OF SUPERIOR QUALITY TO THOSE INDIVIDUALS WHO ENTRUST GALLOWAY RIDGE WITH THEIR FUTURE HEALTH, SOCIAL, SPIRITUAL AND RECREATIONAL NEEDS AND WHO WISH TO CONTINUE THE STANDARD OF LIVING THEY PREVIOUSLY ENJOYED. GALLOWAY RIDGE SHALL STRIVE TO PROVIDE A COMPLEMENT OF SERVICES IN A CARING, SUPPORTIVE AND ATTRACTIVE ATMOSPHERE THROUGH DEDICATED PROFESSIONALS. THE RESPECT AND EMPATHY FOR THE INDIVIDUALITY, PRIVACY, AND INDEPENDENCE OF THE RESIDENTS ARE PARAMOUNT IMPORTANCE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense14389327Expense
Grants14417Grants
Revenue19092296Revenue
DescriptionGALLOWAY RIDGE, INC. PROVIDED HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RESIDENT FACILITY CONTAINING 233 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 $2,264,993, $436,778 OF WHICH WAS PAID MOST RECENTLY IN 2010. IN ADDITION TO PAYING PROPERTY TAXES, GALLOWAY RIDGE HAS CONSISTENTLY ENGAGED IN A VARIETY OF OTHER CHARITABLE EFFORTS AND CONTRIBUTIONS. IN 2010, GALLOWAY RIDGE ASSISTED RESIDENTS WHO COULD NOT PAY THEIR MONTHLY SERVICE FEE ($21,734), ALLOWED EMPLOYEES TO DONATE TIME TO LOCAL NON PROFITS ($3,580), COMPLETED ITS PLEDGE TO THE PITTSBORO LIBRARY ($6,667), SUPPORTED ITS EMPLOYEES WITH ACADEMIC SCHOLARSHIPS ($7,750), PROVIDED FITNESS MEMBERSHIPS TO ITS EMPLOYEES ($168,672) AND NON CASH DONATIONS TO LOCAL NON PROFITS ($10,125). GALLOWAY RIDGE WAS ABLE TO MAKE THE FOLLOWING CASH COMMITMENTS TO LOCAL NON PROFITS ($55,000). 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 ANY OF THREE PURPOSES:- SUPPORT FOR GALLOWAY RIDGE RESIDENTS WHO MAY NEED ASSISTANCE WITH FEES IN THE FUTURE BECAUSE OF A DIFFICULT FINANCIAL CIRCUMSTANCE;- SUPPORT OF THE CHATHAM COMMUNITY; AND- PROVISION OF SCHOLARSHIPS FOR EMPLOYEES OF GALLOWAY RIDGE.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- CCAHT TASK FORCE MEETING, NORTH CHATHAM SCHOOL- CHAPEL IN THE PINES, PITTSBORO FRIENDS- CHATHAM COUNTY DEMOCRATIC WOMEN, PITTSBORO PUBLIC LIBRARY- CHATHAM COUNTY DEMOCRATS, READING PROGRAM @ PITTSBORO ELEM.- CHATHAM COUNTY HUMAN RELATIONS COMMISSION, SECOND BLOOM THRIFT STORE- CHATHAM HOUSING COALITION, ST. BARTHOLOMEW'S- CHATHAM OUTREACH ALLIANCE FOOD PANTRY, ST. JULIA CHURCH, SILER CITY- 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- DEEP RIVER MEDIATION, UNITED METH. RET. HOME FOUNDATION- DUKE UNIVERSITY HEART CENTER, UNITED WAY- DUKE UNIVERSITY HOSPITAL VOLUNTEER VISITOR, UNIVERSITY UNITED METHODIST CHURCH- EMPOWERMENT HOUSING CONSULTANT, VILLAGE VOICES- ENGLISH AS A SECOND LANGUAGE TUTOR, MCDOUGAL ELEMENTARY SCHOOL LIBRARY- EUCHARISTIC MINISTER, HABITAT HOME STORE- FEARRINGTON CARES, FHA OFFICE- FEARRINGTON HOUSE, FEARRINGTON WOMAN'S CLUB- WOODS CHARTER SCHOOL, SENIOR CENTER OF CHATHAM COUNTY- LINDBERGER CENTER FOR CANCER RESEARCH, CHATHAM CO. SOCIAL SVCS DEPT.IN 2010, 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 SPECIFIC DONATIONS:- FRIENDS OF PITTSBORO MEMORIAL LIBRARY ($6,667)GALLOWAY RIDGE WAS ALSO ABLE TO MAKE THE FOLLOWING CASH COMMITMENTS:- ST. JULIA CATHOLIC CHURCH BROWN BAG MINISTRIES ($10,000)- VIRGINIA CROSS ELEMENTARY SCHOOL ($8,000)- PITTSBORO ELEMENTARY SCHOOL PTA ($5,400)- CHATHAM HABITAT FOR HUMANITY ($5,000)- NORTHWOOD HIGH SCHOOL ($5,000)- BOYS AND GIRLS CLUBS OF EASTERN PIEDMONT ($5,000)- CHATHAM LITERACY COUNCIL ($4,000)- INTERFAITH MINISTRIES OF CHATHAM COUNTY ($3,000)- BYNUM FRONT PORCH ($3,000)- MONCURE FUEL UP ($2,000)- THE OSMAN FOUNDATION ($1,700)- CHATHAM SOCCER LEAGUE ($1,600)- CHATHAM COUNTY MIDDLE SCHOOL ($850)- HORTON MIDDLE SCHOOL ($450)ADDITIONALLY, GALLOWAY RIDGE CONTINUES TO SUPPORT ITS EMPLOYEES IN A VARIETY OF WAYS, INCLUDING BUT NOT LIMITED TO PROVIDING:- FITNESS MEMBERSHIPS FOR GALLOWAY RIDGE EMPLOYEES ($168,672)- EDUCATIONAL SCHOLARSHIPS TO GALLOWAY RIDGE EMPLOYEES ($7,750)Description
Total Program Service Expense14389327TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees327NumberOfEmployees
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
Form1098 C Filed1Form1098CFiled
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 Duties1DelegationOfManagementDuties
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 Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1VICKI P BARRINGERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9195452608TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13000 GALLOWAY RIDGEAddressLine1
CityPITTSBOROCity
StateNCState
ZIP Code27312ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
SYLVANUS NYE
PRESIDENT1.00XX000
DAVID MCGRAIN
VICE PRESIDENT1.00XX000
DAVID KIMBALL
TREASURER1.00XX000
LAWRENCE GROSSBERG
BOARD MEMBER1.00X000
LIDA COLEMAN
BOARD MEMBER1.00X000
LUTHER HODGES JR
BOARD MEMBER1.00X000
RHODES CRAVER
BOARD MEMBER1.00X000
DALE OLBRICH
BOARD MEMBER1.00X000
DIANE TAYLOR
SECRETARY1.00XX000
RHODA BERKOWITZ
BOARD MEMBER1.00X000
BILL BROWDER
BOARD MEMBER1.00X000
RICHARD CRAFTS
BOARD MEMBER1.00X000
MARY HAMMOND
BOARD MEMBER1.00X000
HEATHER RODIN
BOARD MEMBER1.00X000
PHILIP STOUT
BOARD MEMBER1.00X000
CLAUDE YOUNG JR
BOARD MEMBER1.00X000
JASON CRONK
ASST. SECRETARY/EXECUTIVE50.00X227138022640
VICKI BARRINGER
CHIEF FINANCIAL OFFICER50.00X10235906894
DOUG OLIVER
ASSOC. EX DIRECTOR/ADMINISTRATION50.0011822507325X
FieldValueIRS element (for citing)
Total Reportable Comp From Org447722TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation36859TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
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
BB&T CAPITAL MARKETS
901 E BYRD STREETRICHMONDVA23219UNDERWRITER1726751
CSRALCS MANAGEMENT LLC
400 LOCUST STREET STE 820DES MOINESIA50309MANAGEMENT COMPANY1685357
REHAB CARE GROUP INC
PO BOX 503534ST LOUISMO63150CONTRACT THERAPY SERVICES709457
CALLOWAY JOHNSON MOORE WEST
119 BROOKSTOWN AVENUE SUITE 100WINSTONSALEMNC27101ARCHITECT656724
WEAVER COOKE
PO BOX 26030GREENSBORONC27420CONSTRUCTION650901
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
All Other Contributions245423AllOtherContributions
Total Contributions245423TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column19092296TotalRevenueColumn
Related Or Exempt Function Income19092296RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19092296TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column79424TotalRevenueColumn
Exclusion$79,424ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real18370Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real18370Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column18370TotalRevenueColumn
Exclusion$18,370ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
DINING INCOME90009985795$85,795
MISCELLANEOUS INCOME90009935839$35,839
FieldValueIRS element (for citing)
Total Other Revenue121634TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19557147TotalRevenueColumn
Related Or Exempt Function Income19092296RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$219,428ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6667Total
Program Services6667ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total7750Total
Program Services7750ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total364196Total
Program Services76483ProgramServices
Management And General287713ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5048385Total
Program Services4535873ProgramServices
Management And General512512ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total32813Total
Program Services27962ProgramServices
Management And General4851ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total623183Total
Program Services531048ProgramServices
Management And General92135ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total504997Total
Program Services430336ProgramServices
Management And General74661ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total386665Total
Management And General386665ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total150743Total
Management And General150743ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total53460Total
Management And General53460ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total885462Total
Program Services705241ProgramServices
Management And General180221ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total286684Total
Program Services37713ProgramServices
Management And General248971ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2469759Total
Program Services2234791ProgramServices
Management And General234968ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total70534Total
Program Services481ProgramServices
Management And General70053ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1546500Total
Program Services1546500ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total70511Total
Program Services33739ProgramServices
Management And General36772ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12839Total
Program Services7688ProgramServices
Management And General5151ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1852388Total
Management And General1852388ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3587773Total
Program Services3587773ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total416070Total
Program Services237287ProgramServices
Management And General178783ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CLINIC EXPENSE210000210000
ROUTINE UNIT TURNOVER131492131492
MISCELLANEOUS271562709165
EMPLOYEE RELATED EXPENS1341213412

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18759439Total
Program Services14389327ProgramServices
Management And General4370112ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9949633BOY
EOY16811196EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1003089BOY
EOY584607EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY37990BOY
EOY40532EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY239390BOY
EOY156376EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis95356635LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16318892LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY77711119BOY
EOY79037743EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY31970696EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12470178BOY
EOY14611562EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY101411399BOY
EOY143212712EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1406417BOY
EOY1623676EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY73469071BOY
EOY73857387EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
EOY80903625EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
EOY2265550EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY41150000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3557213BOY
EOY2735277EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY119582701BOY
EOY161385515EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-18467950BOY
EOY-18529804EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY296648BOY
EOY357001EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-18171302BOY
EOY-18172803EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY101411399BOY
EOY143212712EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses797708ReconcilationRevenueExpenses
Reconcilation Other Changes-799209ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years13700CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years194736CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129035CurrentTaxYearMinus1Year
Current Tax Year245423CurrentTaxYear
Total674953Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11511093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14551678CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17794893CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17944731CurrentTaxYearMinus1Year
Current Tax Year19092296CurrentTaxYear
Total80894691Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year85795CurrentTaxYear
Total85795Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11524793CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14746414CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17886952CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18073766CurrentTaxYearMinus1Year
Current Tax Year19423514CurrentTaxYear
Total81655439Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years225349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year234909CurrentTaxYearMinus1Year
Current Tax Year166826CurrentTaxYear
Total998528Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years225349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year234909CurrentTaxYearMinus1Year
Current Tax Year166826CurrentTaxYear
Total998528Total
FieldValueIRS element (for citing)
Public Support Total50980656911PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years243111CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years451932CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107722CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year188974CurrentTaxYearMinus1Year
Current Tax Year97794CurrentTaxYear
Total1089533Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years243111CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years451932CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107722CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year188974CurrentTaxYearMinus1Year
Current Tax Year97794CurrentTaxYear
Total1089533Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years525984CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years390631CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years444772CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53933CurrentTaxYearMinus1Year
Current Tax Year35839CurrentTaxYear
Total1451159Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12293888CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15588977CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18439446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18316673CurrentTaxYearMinus1Year
Current Tax Year19557147CurrentTaxYear
Total84196131Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95800PublicSupportPercentage509
Prior Year Support Percentage0.94920PriorYearSupportPercentage
Investment Income Percentage0.01290InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01630PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4934777OtherCostOrOtherBasis
Book Value4934777BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65623603OtherCostOrOtherBasis
Depreciation11843920Depreciation
Book Value53779683BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis950197OtherCostOrOtherBasis
Depreciation171494Depreciation
Book Value778703BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4858692OtherCostOrOtherBasis
Depreciation876909Depreciation
Book Value3981783BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18989366OtherCostOrOtherBasis
Depreciation3426569Depreciation
Book Value15562797BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings79037743TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
RESERVE REQUIRED BY STATE STATUTE3816670
DEFERRED FINANCING COSTS2503540
DEFERRED MARKETING COSTS5554692
SALES TAX RECEIVABLE112762
CHARITABLE FUND357001
ENTRANCE FEES FOR UNITS TO BE CONSTRUCTED2266897
FieldValueIRS element (for citing)
Total Book Value Other Assets14611562TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ENTRANCE FEES$2,417,277
RESIDENT UPGRADE DEPOSITS$318,000
FieldValueIRS element (for citing)
Total Of Amounts2735277TotalOfAmounts
Total Revenue19557147TotalRevenue
Total Expenses18759439TotalExpenses
Excess Or Deficit For Year797708ExcessOrDeficitForYear
Prior Period Adjustments823127PriorPeriodAdjustments
Other-$1,622,336OtherAmount
Total Adjustments-799209TotalAdjustments
Excess Or Deficit Per FS-1501ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18633062TotRevenueEtcAuditedFinclStmt
Other Revenues-924085OtherRevenues
Revenue Not Rptd F990-924085RevenueNotRptdF990
Revenue Subtotal19557147RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99019557147TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19457690TotExpensesEtcAuditedFinclStmt
Other Expenses Included698251OtherExpensesIncluded
Expenses Not Rptd F990698251ExpensesNotRptdF990
Expenses Subtotal18759439ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018759439TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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, 2010.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
LOSS ON EARLY EXTINGUISHMENT OF LONG-TERM DEBT -924,085. IMPAIRMENT OF GOODWILL -698,251.PART XI, LINE 8 - OTHER ADJUSTMENTS:
LOSS ON EXTINGUISHMENT OF LONG-TERM DEBT -924,085.PART XII, LINE 2D - OTHER ADJUSTMENTS:
IMPAIRMENT OF GOODWILL 698,251.PART XIII, LINE 2D - OTHER ADJUSTMENTS:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1FRIENDS OF PITTSBORO MEMORIAL LIBRARY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1108AddressLine1
CityPITTSBOROCity
StateNCState
ZIP Code27312ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient561674431EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant6667AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantASSISTANCE IN BUILDING NEW FACILITYPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEDUCATIONAL SCHOLARSHIPSTypeOfGrant
Number Of Recipients9NumberOfRecipients
Amount Of Cash Grant7750AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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 Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJASON CRONKNamePerson
Base Compensation Filing Org165091BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org57293BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org4754OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org22640NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org249778TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 6JASON CRONK, EXECUTIVE DIRECTOR, RECEIVES BONUS FUNDS FOR MEETING THE BUDGETED NET OPERATING INCOME. FOR THE YEAR ENDING DECEMBER 31, 2010, JASON CRONK RECEIVED A $5,459 BONUS BASED ON NET EARNINGS OF GALLOWAY RIDGE. SEE PART II, COLUMN (B)(II).
PART I, LINE 7BONUS ARRANGEMENTS FOR THE EXECUTIVE DIRECTOR ARE BASED ON SEVERAL OBJECTIVES SET ANNUALLY BY THE MANAGEMENT COMPANY. THOSE OBJECTIVES ARE REVIEWED AND APPROVED BY THE PRESIDENT (I.E. CHAIRPERSON OF THE BOARD). FOR 2010, CRSA, INC. PAID JASON CRONK $51,834 FOR THE ACHIEVEMENT OF AGREED-UPON OBJECTIVES FOR THE YEAR. GALLOWAY RIDGE DID NOT REIMBURSE CRSA, INC. FOR $30,000 OF THAT PAYMENT. SEE PART II, COLUMN (B)(II).
PART IIICOMPENSATION FROM UNRELATED ORGANIZATIONS: COMPENSATION TO JASON CRONK IN PART II, LINE (I) WAS PAID BY CRSA, INC., AN UNRELATED ORGANIZATION, ON BEHALF OF GALLOWAY RIDGE FOR MANAGEMENT SERVICES. NOTE THAT GALLOWAY RIDGE DID NOT REIMBURSE CRSA, INC. FOR THE ENTIRETY OF THE AMOUNT. PLEASE SEE ABOVE FOR DETAILS.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NORTH CAROLINA MEDICAL CARE COMMISSION
52130940265820YJJ62010-10-2175989731SEE PART V000
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402NONEAVAIL2010-10-2119930000SEE PART V000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
75989731527585045369319014274289534387550002669263820121001
1993000015487331009596191865160720120001

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000001
000000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010000
010000

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K, PART I, LINE A, COLUMN F:DESCRIPTION OF PURPOSESERIES 2010A & 2010B - EXPANSION OF FACILITY AND REFINANCING
SCHEDULE K, PART I, LINE B, COLUMN F:DESCRIPTION OF PURPOSESERIES 2010C - EXPANSION OF FACILITY, REFINANCING, AND REIMBURSEMENT FOR PHASE II CONSTRUCTION OF PHASE 1. THE SERIES 2010C BOND IS A DRAW-DOWN LOAN WITHIN THE MEANING OF TREASURY REGULATION SECTION 1.150-1(C)(4)(I). PART II, LINE 12, COLUMN B REPRESENTS THE MAXIMUM PRINCIPAL AMOUNT THAT WILL BE DRAWN DOWN.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE 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 11A COPY OF THE 990 WAS PROVIDED TO THE BOARD AUDIT AND FINANCE COMMITTEE FOR A COMPREHENSIVE REVIEW PRIOR TO THE BOARD REVIEW. ON JULY 27TH, 2011, 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.
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 12C
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 B, LINE 15A
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 18
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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:PRIOR PERIOD ADJUSTMENTS: 823,127. LOSS ON EARLY EXTINGUISHMENT OF LONG-TERM DEBT -924,085. IMPAIRMENT OF GOODWILL -698,251. TOTAL TO FORM 990, PART XI, LINE 5: -799,209.FORM 990, PART XI, LINE 5:
THE EXECUTIVE COMMITTEE IS A SUB-COMMITTEE OF THE BOARD THAT CONSISTS OF SIX VOTING BOARD MEMBERS AND THE EXECUTIVE DIRECTOR, A NON-VOTING BOARD MEMBER. THE EXECUTIVE COMMITTEE HAS AND EXERCISES ALL OF THE POWERS OF THE BOARD THAT MAY BE LAWFULLY DELEGATED IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION.FORM 990, PART VI, SECTION A, LINE 1A