2023-11-06T06:00:44-06:00 2022-12-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 311644805 SAMARITAN HOUSING FOUNDATION INC SAMA 8662611814 17001 SEARSTONE DRIVE CARY NC 27513 KEN BULLOCK CFO 8662611814 2023-11-06 1 KEN BULLOCK 999009999 1 AMY BIBBY P00445891 8282542254 2023-11-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STANLEY BRADING 17001 SEARSTONE DRIVE CARY NC 27513 15949826 0 X WWW.SEARSTONE.COM X 2005 NC THE COMMUNITY IS ESTABLISHED TO PROVIDE AN ENHANCED RETIREMENT ENVIRONMENT FEATURING FULL- SERVICE LIFE CARE FOR RESIDENTS OF SIXTY-TWO PLUS (62+) YEARS OF AGE, WHILE EMPHASIZING AN ACTIVE LIFESTYLE, INDIVIDUAL INDEPENDENCE, PERSONAL DIGNITY, AND FAMILY ESTATE PRESERVATION. 10 9 263 0 0 0 934323 74004 14226437 14723456 -416142 -304823 0 0 14744618 14492637 710000 742029 0 0 4871750 5573215 0 0 0 13388136 14010067 18969886 20325311 -4225268 -5832674 309375809 316589034 389208617 403094478 -79832808 -86505444 X SEE SCHEDULE O. 0 0 17762700 742029 14723456 SEARSTONE RETIREMENT COMMUNITY IS MADE UP OF 169 LIVING UNITS FOR 245 PEOPLE AND 39 BEDS OF NURSING CARE, 14 FOR ASSISTED LIVING AND 25 FOR NURSING CARE. SERVICES SUCH AS MEALS, HOUSEKEEPING, MAINTENANCE, ACTIVITIES, TRANSPORTATION, AND NURSING SERVICES ARE AVAILABLE. WE OFFER PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY FOR THOSE RESIDENTS WHO CAN BENEFIT FROM THESE PROGRAMS.WE HAVE A FOOD SERVICE PROGRAM WHICH PROVIDES MEALS TO RESIDENTS, THEIR GUESTS AND OUR STAFF. ACTIVITIES ARE OFFERED IN EACH LEVEL OF CARE DEPENDING ON THE LEVEL OF ACTIVITIES SUITABLE FOR THAT LEVEL OF CARE, FROM GOING OUT TO PUBLIC PROGRAMS SUCH AS THEATER PRODUCTIONS TO SYMPHONIES, OR HAVING IN-HOUSE EVENTS COMPRISED OF THEME PARTIES AND GAMES. OUR NURSING SERVICES COVER THE ENTIRE CAMPUS AND RANGE FROM EMERGENCY NURSING SERVICES TO 24-HOUR NURSING SERVICES. 17762700 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 63 0 1 263 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA NC X KEN BULLOCK 9192340408 17001 SEARSTONE DR CARY NC 27513 STANLEY G BRADING PRESIDENT 30.00 X X 361022 0 55307 CHARLES NORMAN DIRECTOR 2.00 X 8250 0 0 JAMES PIERCE DIRECTOR 4.00 X 8850 0 0 TOM BEEBE DIRECTOR 2.00 X 8850 0 0 MARC HEWITT DIRECTOR 2.00 X 6000 0 0 MACK LEATH DIRECTOR 2.00 X 8350 0 0 CHARLES HENDERSON DIRECTOR 2.00 X 5750 0 0 LINDA COLEMAN DIRECTOR 2.00 X 6850 0 0 DARRYL MILLS SPECIAL ADVISOR 2.00 X 8000 0 0 EARL A MEAD DIRECTOR 2.00 X 0 0 0 W DERRICK MOORE EXECUTIVE DIRECTOR 40.00 X 178180 0 8604 KENNETH L BULLOCK CFO 40.00 X 153378 0 8721 ALLIE LIGAY DIRECTOR OF MARKETING 40.00 X 146425 0 9059 SIVA PARNAM ADMINISTRATOR 40.00 X 112770 0 8050 SUSAN COTTON SALES MANAGER 40.00 X 100996 0 8469 1113671 0 98210 5 0 1 0 CLANCY & THEYS CONSTRUCTION COMPANY 516 W CARBARRUS ST RALEIGH NC 27603 CONSTRUCTION CONTRACTOR 41183685 GREENBRIER DEVELOPMENT LLC 3232 MCKINNEY AVE STE 1160 DALLAS TX 75204 PROJECT MANAGEMENT 1242961 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE 1047202 STEWART & CONNERS ARCHITECTS PLLC 3731 LATROBE DR STE 100 CHARLOTTE NC 28211 ARCHITECTURAL SERVICES 910966 LEVLANE PO BOX 2130 UPPER DARBY PA 19082 ADVERTISING 547993 21 74004 74004 RESIDENT FEES 623990 12208131 12208131 AMORTIZATION OF ENTRANCE FEE 623990 1230998 1230998 RESIDENT MEALS 623990 1032057 1032057 RESIDENT SERVICES 623990 252270 252270 14723456 1152366 1152366 1457189 -1457189 -1457189 -1457189 14492637 14723456 0 -304823 742029 742029 692580 692580 3979679 3979679 17419 13935 3484 505216 404173 101043 378321 302657 75664 462571 462571 130745 130745 90896 90896 1254882 1003906 250976 326439 326439 861623 689298 172325 250041 200033 50008 725798 580638 145160 43195 34556 8639 18009 14407 3602 5095163 5095163 3584931 3584931 296513 296513 FOOD AND BEVERAGE 626864 626864 OTHER COSTS 242397 193918 48479 20325311 17762700 2562611 0 1476998 3067145 115481 34950 378917 284994 281472 199753918 28007022 117452381 171746896 184326850 135408062 5684155 5706542 309375809 316589034 2969002 10217116 11503281 12228673 260634083 260217496 114102251 120431193 389208617 403094478 X -80165845 -86912485 333037 407041 -79832808 -86505444 309375809 316589034 -5832674 -839962 0 X X 0 1 X 1 0 X 43792 59304 39955 934323 74004 1151378 11082077 11625887 12449134 13248385 13691399 62096882 846751 925221 966575 978052 1032057 4748656 11972620 12610412 13455664 15160760 14797460 67996916 0 0 0 67996916 273004 352677 200248 150289 1152366 2128584 273004 352677 200248 150289 1152366 2128584 12245624 12963089 13655912 15311049 15949826 70125500 0.96960 0.98410 0.03040 0.01590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21257868 21257868 136680467 21445925 115234542 37969244 5957585 32011659 2633987 413287 2220700 1212352 190225 1022127 171746896 RESIDENT DEPOSITS 12455318 SUBORDINATE OBLIGATIONS 15002675 REFUNDABLE ADVANCE FEES 92973200 120431193 X 13651018 -839962 -839962 14490980 1657 1657 14492637 20323654 -1657 -1657 20325311 0 20325311 PART X, LINE 2: THE CORPORATION 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 CORPORATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF 2021 OR 2020. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED ON FS 1,657. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES NETTED ON FS -1,657. 1 LUTHERAN SERVICES CAROLINAS PO BOX 947 SALISBURY NC 28145 201457236 501(C)(3) 741529 0 ASSISTANCE TO OTHER NOT FOR PROFITS THAT MEET OUR CHARITABLE PURPOSE 1 0 PART I, LINE 2: THE ORGANIZATION MAINTAINS A RELATIONSHIP WITH THE RECIPIENT ORGANIZATION TO ENSURE FUNDS ARE SPENT FOR INTENDED PURPOSES. X X X 0 0 0 0 0 0 0 0 0 STANLEY G BRADING PRESIDENT 361022 0 0 0 0 0 0 0 55307 0 416329 0 0 0 W DERRICK MOORE EXECUTIVE DIRECTOR 178180 0 0 0 0 0 2194 0 6410 0 186784 0 0 0 KENNETH L BULLOCK CFO 153378 0 0 0 0 0 1723 0 6998 0 162099 0 0 0 ALLIE LIGAY DIRECTOR OF MARKETING 146425 0 0 0 0 0 2369 0 6690 0 155484 0 0 0 A PUBLIC FINANCE AUTHORITY 273866124 74442PFP5 2017-12-27 77745000 REVENUE BONDS (SEARSTONE CCRC PROJECT) SERIES 2017 0 0 0 B PUBLIC FINANCE AUTHORITY 273866124 74442PTL9 2021-11-10 172635237 REVENUE BONDS (SEARSTONE CCRC PROJECT) SERIES 2021 A-B AND REFUNDING 0 0 0 C PUBLIC FINANCE AUTHORITY 273866124 74442PTM7 2022-03-03 8499510 REVENUE BONDS (SEARSTONE CCRC PROJECT) SERIES 2022A 0 0 0 A 2347576 77745000 1017660 1487853 5610579 69628908 0 1 0 1 B 172635237 7598714 5037944 144378285 15620294 0 0 0 1 C 8499510 8499510 1 1 1 0 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 0 B 1 C 1 FORM 990, PART VI, SECTION A, LINE 3 SAMARITAN HOUSING FOUNDATION DELEGATED ITS USUAL MANAGEMENT DUTIES TO SEARSTONE-RLA THE TAX YEAR. THE TOTAL AMOUNT OF THE TRANSACTION IS $396,000. FORM 990, PART VI, SECTION B, LINE 11B THE 990-PREPARATION FILE IS COMPLETED BY THE CFO. THE CFO REVIEWS IT AND PROVIDES IT TO THE BOARD, SSRLA, MANAGEMENT AND THE CORPORATE ATTORNEY FOR COMMENT. THE FINAL 990 IS DISTRIBUTED TO THE BOARD AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C YEARLY, THE POLICY IS ISSUED TO THE BOARD AT A REGULAR BOARD MEETING. THE MEMBERS ARE ASKED TO REVIEW AND THEN COMPLETE THE YEARLY STATEMENT. THE STATEMENTS ARE KEPT BY THE ADMINISTRATIVE ASSISTANT. FORM 990, PART VI, SECTION B, LINE 15 THE HR MANAGER OBTAINS PAY INFORMATION FOR ALL POSITIONS INCLUDING TOP PERSONNEL. SHE REVIEWS OUR SALARIES AND MAKES RECOMMENDATIONS TO SEARSTONE-RLA AND SENIOR MANAGEMENT FOR ADJUSTMENTS TO THE PAY BAND. SEARSTONE-RLA AND MANAGEMENT REVIEWS THE RECOMMENDATIONS AND MAKE APPROPRIATE CHANGES. THE CHANGES ARE MADE IN THE NEXT FISCAL YEAR BUDGET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES COPIES OF ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS UPON REQUEST AT ITS OFFICES. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.