2018-02-12T16:08:03-06:00 2017-09-30 420714325 RSM US LLP 230 N ELM ST STE 1100 GREENSBORO NC 27401 990 2016-10-01 560634527 THE UNITED METHODIST RETIREMENT HOMES INC UNIT 9199567016 2600 CROASDAILE FARM PKWY NO A-500 DURHAM NC 277053153 JONATHAN ERICKSON CORPORATE EXECUTIVE DIRECTOR 9199567016 2018-02-12 1 GARRICK L MARTIN P00239389 3362724551 108.171.131.171 2018-02-12 17:07:34 ES P 68E3BE8F27530CB92DCBE14CB09CA2C152DDBB4C 68E3BE8F27530CB92DCBE14CB09CA2C152DDBB4C 2016 2021-01-29 14:40:06Z JONATHAN ERICKSON 2600 CROASDAILE FARM PKWY NO A-500 DURHAM NC 277053153 74169746 0 X WWW.UMRH.ORG X 1946 NC OWN, OPERATE, AND MANAGE CONTINUING CARE RETIREMENT COMMUNITIES 17 17 1039 425 0 0 1544052 566115 61171464 62373278 4717210 3223606 -117955 20975 67314771 66183974 537681 525979 0 0 24132042 25219310 0 0 0 32957576 32684376 57627299 58429665 9687472 7754309 220775861 236220932 162386838 165652078 58389023 70568854 TO PROVIDE QUALITY CARE AND SERVICES FOR AN INCLUSIVE AND DIVERSE POPULATION OF SENIOR ADULTS. 0 0 45218613 525979 62373278 OPERATE CONTINUING CARE RETIREMENT COMMUNITIES INCLUDING SKILLED NURSING FACILITIES. 45218613 1 1 0 0 0 0 1 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 136 0 1 1039 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NC X STACY DOBSON 9193843000 2600 CROASDAILE FARM PKWY STE A-500 DURHAM NC 27705 GARY WHALEY CHAIR 1.00 1.00 X X 0 0 0 ARTIE ROGERS 1ST VICE CHAIR 1.00 1.00 X X 0 0 0 JERRY GAMBILL SECRETARY 1.00 1.00 X X 0 0 0 LEE HARRISS TREASURER 1.00 1.00 X X 0 0 0 JOHN LINK TRUSTEE 1.00 1.00 X 0 0 0 BRUCE JOBE TRUSTEE 1.00 X 0 0 0 DEBORAH MONTAGUE TRUSTEE 1.00 X 0 0 0 JOHN GRISSOM TRUSTEE 1.00 1.00 X 0 0 0 ROBBY LOWRY TRUSTEE 1.00 X 0 0 0 TOM STEELE TRUSTEE 1.00 1.00 X 0 0 0 GREG WALLACE TRUSTEE 1.00 X 0 0 0 KATHRYN BRADLEY TRUSTEE 1.00 X 0 0 0 DON METZER EX-OFFICIO TRUSTEE 1.00 X 0 0 0 BARBARA PRAY EX-OFFICIO TRUSTEE 1.00 X 0 0 0 WILLIAM SHERMAN EX-OFFICIO TRUSTEE 1.00 X 0 0 0 JAMES EBERT EX-OFFICIO TRUSTEE 1.00 X 0 0 0 SANDY SCARLETT EX-OFFICIO TRUSTEE 1.00 X 0 0 0 JONATHAN ERICKSON CORPORATE EXECUTIVE DIRECTOR 40.00 1.00 X 196267 0 50666 STACY DOBSON CHIEF FINANCIAL OFFICER 40.00 1.00 X 187189 0 34135 HOWARD DEWITT EXECUTIVE DIRECTOR CV 40.00 X 175502 0 7814 WADE ROZIER EXECUTIVE DIRECTOR WP 40.00 X 151160 0 28667 LAURIE STALLINGS EXECUTIVE DIRECTOR CG 40.00 X 194047 0 39397 HEATHER MARCH CAMPUS ADMINISTRATOR CV 40.00 X 153776 0 45046 SARAH EVERETTE DIRECTOR OF NURSING CV 40.00 X 125218 0 7324 JAMES SAKELL DIRECTOR OF DINING/ENVIRONMENT 40.00 X 108926 0 72812 LISA SEALY CORPORATE HR/PR MANAGER 40.00 X 121943 0 13865 CAROL ROYCROFT MARKETING DIRECTOR 40.00 X 115393 0 7331 1529421 0 307057 10 0 1 0 MORRISON MANAGEMENT SPECIALISTS 4721 MORRISON DRIVE STE 300 MOBILE AL 36625 DIETARY MANAGEMENT 2657619 LIFE CARE SERVICES LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MANAGEMENT COMPANY 1910926 FRANK BLUM CONSTRUCTION PO BOX 4153 WINSTONSALEM NC 27115 GENERAL CONTRACTOR 1244014 HERITAGE HEALTHCARE INC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY PROVIDER 1244014 SFCS 305 SOUTH JEFFERSON ST ROANOKE VA 24011 ARCHITECT 1031593 28 63197 502918 27503 566115 PATIENT SERVICES 623000 46412871 46412871 MEDICARE/MEDICAID PAYMENTS 623000 8292178 8292178 AMORT. OF ADVANCE FEES 623000 7668229 7668229 62373278 2114799 2114799 12612 0 12612 12612 12612 9088999 5580 7804308 181464 1284691 -175884 1108807 1108807 MISC OPERATING REVENUE 623000 6476 6476 VENDING 623000 1887 1887 8363 66183974 62373278 0 3244581 525979 525979 1836478 1836478 18639761 16932313 1707448 224503 185388 39115 3000256 2576809 423447 1518312 1310956 207356 1972163 110322 1861841 63312 63312 94740 94740 161964 161964 946715 527430 419285 286559 3299 283260 111715 111715 21315 12014 9301 1873859 1231688 642171 74492 33983 40509 96672 42796 53876 3084154 3004583 79571 8734879 5741436 2993443 705225 705225 SUPPLIES 4289579 4289579 LABOR--OUTSIDE CONTRACT 4159861 3743853 416008 ANCILLARY EXPENSES 3195924 3195924 EQUIPMENT RENTAL AND MA 1142642 1049706 92936 1668606 700555 968051 58429665 45218613 13211052 0 2825 3575 14328114 14049906 4367782 5022867 2617815 2762091 140498 126684 1037267 689724 233077180 95229671 132095525 137847509 63463779 73842382 50669 209484 2671587 1666710 220775861 236220932 5377382 7033025 62434275 64171105 93546395 89166251 4886273 1028786 395424 162386838 165652078 X 52232359 63644223 2949939 3664342 3206725 3260289 58389023 70568854 220775861 236220932 X 7754309 3630498 795024 X X 0 1 X 1 0 X 475239 1533172 748540 1544052 566115 4867118 43093483 58317877 60440461 61171464 62373278 285396563 43568722 59851049 61189001 62715516 62939393 290263681 0 0 0 290263681 1263769 1734543 2070386 1785488 2127411 8981597 1263769 1734543 2070386 1785488 2127411 8981597 166400 -140990 43557 -131345 8363 -54015 44998891 61444602 63302944 64369659 65075167 299191263 0.97020 0.96920 0.03000 0.03000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: VENDING CHARGES - 2012 AMOUNT: $ 3,564. 2013 AMOUNT: $ 3,158. 2014 AMOUNT: $ 2,712. 2015 AMOUNT: $ 2,705. 2016 AMOUNT: $ 1,887. MISCELLANEOUS - 2012 AMOUNT: $ 162,836. 2013 AMOUNT: $ -144,148. 2014 AMOUNT: $ 40,845. 2015 AMOUNT: $ -134,050. 2016 AMOUNT: $ 6,476. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 2 2.09 0 0 0 1 1 0.00 0 5430033 403336 605249 129657 130267 16870 6161824 4214916 1333726 433794 170921 358273 23209 5430033 4329537 540955 -92926 14700 453162 94788 4214916 3760159 1424320 305800 19700 1031539 109503 4329537 2144657 332312 130216 16000 541314 4841 2045030 0.44150 0.55850 0 1 1 6528046 6528046 185222096 76521489 108700607 15435604 10591457 4844147 25891434 8116725 17774709 137847509 FUNDS HELD FOR OTHERS 106384 DUE TO RELATED PARTY 63853 INTEREST RATE SWAP AGREEMENT 225187 395424 X 69640098 3630498 -174374 3456124 66183974 0 66183974 57460267 0 57460267 969398 969398 58429665 PART II, LINE 3: IN THE 1990'S, CYPRESS GLEN RETIREMENT COMMUNITY GRANTED AN EASEMENT TO THE CITY OF GREENVILLE FOR THE SOUTH TAR RIVER GREENWAY PROJECT. THE PROJECT CROSSES THE CYPRESS GLEN PROPERTY NEAR THE TAR RIVER. IN 2009, THE CITY BEGAN WORK ON THE PORTION OF THE GREENWAY BEHIND CYPRESS GLEN. THE CITY OF GREENVILLE WAS REQUIRED BY THE NC DIVISION OF WATER QUALITY TO AVOID SOME ENVIRONMENTALLY PROTECTED AREAS NEAR THE TAR RIVER IN THE CONSTRUCTION OF THE GREENWAY PROJECT. TO ACCOMPLISH THE REQUIREMENT, THE CITY ASKED THAT CYPRESS GLEN INCREASE THE EASEMENT IN A SPECIFIC AREA THAT IS 40 FEET WIDE AND 365 FEET LONG. THE EASEMENT WAS GRANTED BY THE BOARD CHAIRMAN IN NOVEMBER OF 2010. THE NC DEPARTMENT OF TRANSPORTATION WIDENED HILLANDALE ROAD ADJACENT TO CROASDAILE VILLAGE IN 2012. IN LATE 2009, PREPARATORY TO THE PROJECT, THE DOT INFORMED UMRH THAT A "RIGHT OF WAY" ACQUISITION WAS REQUIRED TO DEVELOP A DRAINAGE FEATURE FOR THE WIDENING PROJECT. THE ACQUISITION ENTAILED THE PURCHASE OF A 0.876-ACRE EASEMENT ADJACENT TO HILLANDALE ROAD AND THE PURCHASE OF 0.12 ACRES AS A PERMANENT RIGHT-OF-WAY. THE SUMMARY STATEMENT WAS FINALIZED ON JANUARY 11, 2010. PART II, LINE 9: THE ORGANIZATION DOES NOT REPORT CONSERVATION EASEMENTS IN ITS REVENUE AND EXPENSE STATEMENTS AND BALANCE SHEETS. PART V, LINE 4: AS DICTATED BY THE DONOR, EARNINGS ON THE ENDOWMENT FUNDS WILL SUPPORT BENEVOLENT NEEDS AT THE COMMUNITY AND EMPLOYEE SCHOLARSHIPS. PART X, LINE 2: 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 BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN SPLIT INTEREST AGREEMENT 58,490. CHANGE IN VALUE OF PLEDGES 56,238. SPECIFIC INDIVIDUAL ASSISTANCE -507,334. BEAUTY AND BARBER EXPENSE -186,544. PATIENT SERVICE REVENUE DISCOUNTS -269,247. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 680,296. BAD DEBT EXPENSE -6,273. PART XII, LINE 4B - OTHER ADJUSTMENTS: SPECIFIC INDIVIDUAL ASSISTANCE 507,334. BEAUTY & BARBER EXPENSE 186,544. PATIENT SERVICE REVENUE DISCOUNTS 269,247. BAD DEBT EXPENSE 6,273. 1 BENEVOLENT ASSISTANCE FOR RESIDENTS 33 507334 0 NURSING SCHOLARSHIPS 3 1800 0 STUDENT SCHOLARSHIPS 13 16845 0 PART I, LINE 2: UPON REVIEW OF EACH RESIDENT'S INDIVIDUAL FINANCIAL SITUATION, THE COMPANY MAY PERMIT THE RESIDENT TO REMAIN AT THE FACILITY FOR A LESSER FEE BASED ON THE RESIDENT'S ABILITY TO PAY BUT ONLY AFTER MEETING ALL OF THE SPEND-DOWN PROVISIONS OF ELIGIBILITY FOR THE MEDICAID PROGRAM AND ANY PUBLIC ASSISTANCE FUNDS. THE UNITED METHODIST RETIREMENT HOMES HAS FOUR POST-SECONDARY EDUCATION SCHOLARSHIP PROGRAMS FOR EMPLOYEES OF UNITED METHODIST RETIREMENT HOMES AND ITS CONTRACTORS. THE SCHOLARSHIPS ARE FUNDED BY DONORS AND ARE AWARDED ANNUALLY. SCHOLARSHIP RECIPIENTS ARE NOMINATED BY THEIR MANAGEMENT AND ARE SELECTED BY A THREE-MEMBER COMMITTEE COMPRISING THE MANAGER OF THE SCHOLARSHIP APPLICANTS, THE DIRECTORS OF HUMAN RESOURCES FOR CROASDAILE VILLAGE AND CYPRESS GLEN, AND THE VICE PRESIDENT OF THE UNITED METHODIST RETIREMENT HOMES FOUNDATION. THE COMMITTEE MAKES SELECTIONS OF SCHOLARSHIP RECIPIENTS BASED ON THE POLICY FOR DONOR-DIRECTED SCHOLARSHIP FUNDS, AND ON THE DONOR'S CRITERIA FOR AWARDING THE SCHOLARSHIP. X X X X 0 0 0 1 0 1 0 0 0 JONATHAN ERICKSON CORPORATE EXECUTIVE DIRECTOR 152767 0 40537 0 2963 0 23278 0 27388 0 246933 0 0 0 STACY DOBSON CHIEF FINANCIAL OFFICER 169716 0 17264 0 209 0 6415 0 27720 0 221324 0 0 0 HOWARD DEWITT EXECUTIVE DIRECTOR CV 159133 0 15569 0 800 0 6817 0 997 0 183316 0 0 0 WADE ROZIER EXECUTIVE DIRECTOR WP 127385 0 22444 0 1331 0 6305 0 22362 0 179827 0 0 0 LAURIE STALLINGS EXECUTIVE DIRECTOR CG 167497 0 26252 0 298 0 7312 0 32085 0 233444 0 0 0 HEATHER MARCH CAMPUS ADMINISTRATOR CV 139363 0 14310 0 103 0 6181 0 38865 0 198822 0 0 0 JAMES SAKELL DIRECTOR OF DINING/ENVIRONMENT 104301 0 3833 0 792 0 4536 0 68276 0 181738 0 0 0 PART I, LINE 5 EXECUTIVE DIRECTORS ARE PAID A BONUS IF THEIR COMMUNITY MEETS OR EXEEDS THEIR BUDGETED REVENUES. PART I, LINE 6 EXECUTIVE DIRECTORS ARE PAID A BONUS IF THEIR COMMUNITY MEETS OR EXEEDS THEIR BUDGETED NET OPERATING INCOME. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YDR4 2005-02-01 20790000 BUILD 59 NEW APARTMENTS 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YEW2 2005-09-01 47835000 REFUND SERIES 2000 BOND BALANCES 0 0 0 C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2010-02-04 14300000 REPLACEMENT HEALTHCARE CENTER 0 0 0 D NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2010-02-18 12880000 CONVERT 2005B BONDS TO BQ STATUS 0 0 0 A 20790000 2036537 415800 18337663 2005 0 0 1 1 B 47835000 3011368 956700 43866932 2005 0 1 1 1 C 14300000 10401084 2010 0 0 1 1 D 12880000 12880000 2010 1 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 1 D 0 0 1 1 0 0 0 1 A 1 0 0 0 0 1 B 1 0 0 0 0 1 C 1 1 0 0 0 1 D 1 1 0 0 0 1 A 1 B 1 C 1 D 1 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2014-09-01 12025000 REFUND SERIES 2005B, 2004A, AND 2005A BONDS 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2009-10-15 6585000 REFUND 2004B & 2004D SERIES BONDS 0 0 0 C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YKB1 2013-04-11 8370000 REFUND SERIES 2004C BONDS 0 0 0 D NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2015-10-01 16630000 REFUNDING 2005 BONDS 0 0 0 A 12025000 1310000 2014 1 0 1 1 B 6585000 127489 6572252 2009 1 0 1 1 C 8370000 226863 7971578 171559 2013 0 1 1 1 D 16630000 200000 16430000 2015 1 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 1 D 0 0 1 1 0 0 0 1 A 1 1 1 BB&T 10.000000000000 0 0 0 0 1 B 1 1 0 0 0 1 C 1 0 0 0 0 1 D 1 0 1 BB&T 9.000000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YLQ7 2016-05-11 38610558 REFUND 2005A AND 2005C SERIES BONDS 0 0 0 A 38610558 710224 37900333 2016 1 0 1 1 A 0 0 1 1 0 0 0 1 A 1 0 0 0 0 1 A 0 X 4 27503 HI-LO AVERAGE 0 1 0 PART I, COLUMN (B): THE NUMBER IN COLUMN B REFLECTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 3 THE COMPANY PAYS MANAGEMENT FEES TO LIFE CARE SERVICES LLC ("LCS") PURSUANT TO A CLIENT SERVICES AGREEMENT. UNDER THIS AGREEMENT, LCS IS TO: (I) PROVIDE A QUALIFIED CORPORATE EXECUTIVE DIRECTOR, WHO IS AN EMPLOYEE OF LCS; AND (II) PERFORM GENERAL, FINANCIAL, PERSONNEL, FACILITY AND OTHER MANAGEMENT SERVICES NECESSARY FOR OPERATION OF UMRH'S CORPORATE OFFICE AND THE OPERATION AND MARKETING OF THE COMMUNITIES. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE UMRH, INC. BOARD FILLS OUT THE CONFLICT OF INTEREST POLICY FORM EACH SEPTEMBER NOTING ANY CONTINUED CONFLICTS OF INTEREST. NEW BOARD MEMBERS ARE ORIENTED TO THE POLICY AND SIGN THE FORM UPON BECOMING MEMBERS. EACH BOARD MEMBER IS REQUIRED TO DISCLOSE ANY CONFLICTS TO THE CHAIRMAN PRIOR TO A VOTE BEING TAKEN. THE MEMBER MUST ABSTAIN FROM VOTING. THE CONFLICT OF INTEREST POLICY IS ALSO REVIEWED FOR THE EMPLOYEES AT ORIENTATION AND AT ANNUAL REVIEW. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION ROUTINELY CONSULTS THE SERVICES OF AN OUTSIDE AGENCY TO EVALUATE THE ORGANIZATION'S WAGE SCALES AND PAY GRADES. THE RESULTING WAGE SCALE AND THE EMPLOYEE'S PERFORMANCE AND ACCOMPLISHMENTS ARE CONSIDERED IN THE ANNUAL REVIEW PROCESS. IN SOME INSTANCES, A SOFTWARE PROGRAM CALLED "PERFORMANCE NOW" IS USED TO SIMPLIFY THE COMMUNICATION OF THE REVIEW AND ITS RESULTS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: CHANGE IN SPLIT INTEREST AGREEMENT 58,490. CHANGE IN VALUE OF PLEDGES 56,238. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 680,296. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. FORM 990, PART VII, SECTION A: HOURS TO RELATED ORGANIZATION: JONATHAN ERICKSON - 1 HOUR PER WEEK TO UNITED METHODIST RETIREMENT HOMES FOUNDATION, INC. AS A MEMBER OF THE BOARD OF TRUSTEES. THE FOLLOWING MEMBERS OF THE BOARD OF TRUSTEES ARE ALSO MEMBERS OF THE BOARD OF TRUSTEES FOR UNITED METHODIST RETIREMENT HOMES FOUNDATION, INC. AND PROVIDE 1 HOUR OF SERVICE PER WEEK: STACY DOBSON, GARY WHALEY, ARTIE ROGERS, JERRY GAMBILL, LEE HARRISS, JOHN LINK, JOHN GRISSOM, AND TOM STEELE. FORM 990, PART VII, SECTION A, COLUMN F THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII AND NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. UMRH AFFORDABLE HOUSING DEVELOPMENT LLC 2600 CROASDAILE FARM PKWY STE A-500 DURHAM NC 277053153 043701058 DEVELOP AFFORDABLE HOUSING NC -166 86908 N/A UNITED METHODIST RETIREMENT HOMES FOUNDATION INC 2600 CROASDAILE FARM PARKWAY SUITE DURHAM NC 27705 561870172 CONTRIBUTE FUNDS TO UMRH, INC. NC 501(C)(3) LINE 12A, I UMRH INC 1 UMRH AFFORDABLE HOUSING INC 2600 CROASDAILE FARM PARKWAY SUITE DURHAM NC 27705 010724816 OPERATE AFFORDABLE HOUSING NC N/A C 4532 49794 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 UNITED METHODIST RETIREMENT HOMES FOUNDATION INC C 63197 CASH