2017-02-14T08:41:31-06:00 2016-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2015-10-01 560562308 BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED BAPT 3367250202 PO BOX 11024 WINSTON SALEM NC 27116 WILLIAM B STILLERMAN PRESIDENT 3367250202 2017-02-13 1 JOHN NORMAN P01506766 7049985200 2017-02-13 2015 2021-01-29 14:40:06Z WILLIAM B STILLERMAN PO BOX 11024 WINSTON SALEM NC 27116 32101764 0 X WWW.BRH.ORG X 1952 NC TO PROVIDE QUALITY LIVING OPTIONS AND SERVICES TO NORTH CAROLINA'S OLDER ADULT POPULATION. 20 20 612 25 0 0 2143026 1320974 25041471 23315032 828564 1050854 446147 548919 28459208 26235779 597706 524442 0 0 13251563 13472303 0 0 265195 12224010 11795520 26073279 25792265 2385929 443514 89601161 87351002 60415109 57007763 29186052 30343239 X BAPTIST RETIREMENT HOMES OF NORTH CAROLINA, INCORPORATED IS A CHURCH RELATED NOT-FOR-PROFIT ORGANIZATION COMMITTED TO PROVIDING QUALITY CARE AND A MEANINGFUL WAY OF LIFE FOR RESIDENTS AND STAFF... A PLACE WHERE RESIDENTS AND STAFF BECOME AN EXTENSION OF FAMILY THAT RECOGNIZES THE DIGNITY AND WORTH OF EACH INDIVIDUAL. 0 0 21440335 524442 23315032 BAPTIST RETIREMENT HOMES OF NORTH CAROLINA, INCORPORATED ("HOMES) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF NORTH CAROLINA. IT IS EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501[C][3] AND A PUBLIC CHARITY UNDER SECTION 509[A][2]. THE BOARD OF TRUSTEES OF HOMES HAS FIDUCIARY RESPONSIBILITY FOR THE OPERATION OF HOMES ORGANIZATION. THE MISSION OF THE HOMES IS TO PROVIDE QUALITY RESIDENTIAL AND HEALTH CARE LIVING OPTIONS AND SERVICES TO NORTH CAROLINA'S OLDER ADULT POPULATION. THE PROVISION OF THOSE SERVICES BEING OFFERED TO THE POOR ELDERLY OF THE STATE AS WELL AS THOSE OLDER PERSONS WHO DO HAVE THE FINANCIAL RESOURCES AVAILABLE TO PAY FOR THE INSTITUTIONAL SERVICES THEY NEED. IN ADDITION TO ITS PROGRAM OF BENEVOLENT FUNDING TO THE POOR ELDERLY OF THE STATE, HOMES ALSO PROVIDES A SPECIAL PROGRAM DESIGNED TO ENHANCE THE LIFESTYLE OF OLDER ADULTS WITH DEMENTIA RELATED DISORDERS LIKE ALZHEMER'S DISEASE. THREE SUCH PROGRAMS ARE OPERATED BY BAPTIST RETIREMENT HOMES. HOMES OWNS, MAINTAINS, AND OPERATES COMMUNITIES THROUGHOUT NORTH CAROLINA. ITS CURRENT COMMUNITIES INCLUDE 264 INDEPENDENT LIVING HOMES AND APARTMENTS, 140 ASSISTED LIVING RESIDENCES, AND 201 SKILLED NURSING CARE ROOMS. HOMES RECEIVES SUPPORT FROM INDIVIDUALS, BUSINESS, FOUNDATIONS, CHURCHES, SPECIAL OFFERING, AND BEQUESTS FROM OTHERS TO ASSIST IN THE OPERATION AND ADMINISTRATION OF ITS COMMUNITIES. 21440335 1 1 0 1 0 0 0 0 1 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 22 0 1 612 1 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X CHARLES GASKINS CFO 3367250202 1912 BETHABARA ROAD WINSTON SALEM NC 27106 MR SAMUEL R MOORE CHAIR 1.00 X X 0 0 0 MR HENRY M SKINNER JR VICE CHAIR 1.00 X X 0 0 0 MR CHARLES D MAST CORPORATE SECRETARY 1.00 X X 0 0 0 MR LEE M KIRBY JR FINANCE CHAIR 1.00 X 0 0 0 MR KENNETH W AMBURN TRUSTEE 1.00 X 0 0 0 MR A EDWARD BEDDINGFIELD JR TRUSTEE 1.00 X 0 0 0 MR JEFFREY L COBB TRUSTEE 1.00 X 0 0 0 MR BRADY W DICKSON TRUSTEE 1.00 X 0 0 0 MR PHILLIP R FEAGAN CHAIR (FORMER) 1.00 X X 0 0 0 MRS BETSY NEWTON HERMAN TRUSTEE 1.00 X 0 0 0 MRS BETH TYNER JONES TRUSTEE 1.00 X 0 0 0 MR CLARENCE R LAMBE JR TRUSTEE 1.00 X 0 0 0 MR AL L LYERLY TRUSTEE 1.00 X 0 0 0 MRS MARY MORGAN TRUSTEE 1.00 X 0 0 0 MR RALPH S MORGAN TRUSTEE 1.00 X 0 0 0 MR RICHARD P MURRAY TRUSTEE 1.00 X 0 0 0 MR JOHN S POND JR TRUSTEE 1.00 X 0 0 0 MRS WENDY B ROBERSON TRUSTEE 1.00 X 0 0 0 MR SCOTT B ROGERS TRUSTEE 1.00 X 0 0 0 MRS TANA H HARTSELL TRUSTEE 1.00 X 0 0 0 MRS KAREN S BARKSDALE TRUSTEE 1.00 X 0 0 0 MR DAVID B BROOKS CORPORATE SECRETARY (FORMER) 1.00 X X 0 0 0 MR JEFFREY K HOBART TRUSTEE 1.00 X 0 0 0 MR G LUTHER STARKS TRUSTEE 1.00 X 0 0 0 MR MICHAEL R TAYLOR VICE CHAIR (FORMER) 1.00 X X 0 0 0 MR WILLIAM B STILLERMAN PRESIDENT 36.00 4.00 X 348500 0 18738 MRS DEBRA H MEGINNIS EXECUTIVE VP AND COO 36.00 4.00 X 210967 0 18274 MR CHARLES R GASKINS CFO 36.00 4.00 X 147202 0 20926 706669 0 57938 3 0 1 0 LEGACY HEALTHCARE SERVICES 3001 SPRING FOREST ROAD RALEIGH NC 27616 THERAPY SERVICE 1056217 HICKORY CONSTRUCTION COMPANY P O BOX 1769 HICKORY NC 28603 CONSTRUCTION PROJ - WNC 916578 GWYN ELECTRICAL 3941 WESTPOINT BLVD WINSTON SALEM NC 27103 ELECTRICAL WORK 231329 HAMLIN ROOFING COMPANY 1411 W GARNER ROAD GARNER NC 27529 ROOFING 215782 PM CONSTRUCTION 2230 DARWICK ROAD WINSTON SALEM NC 27127 CONSTRUCTION OVERSIGHT 142292 6 411530 909444 1320974 RESIDENT SERVICES 623000 23315032 23315032 23315032 522207 522207 23146 0 23146 23146 23146 6390758 3874 5865985 0 524773 3874 528647 528647 525773 525773 525773 26235779 23840805 0 1074000 10000 10000 514442 514442 773633 773633 10009211 8772273 1155218 81720 1899346 1450900 438354 10092 790113 663230 120631 6252 29104 29104 96065 96065 6792 6792 1273990 1221718 52272 181064 10524 68218 102322 391874 221857 170017 198269 198269 1534918 1146649 388269 2582 694 1888 8128 4634 3494 1853519 1853519 3254681 3254681 362878 362878 REPAIRS AND MAINTENANCE 936247 829811 106436 FOOD 893570 847866 45704 MEDICAL SUPPLIES 373873 367580 6293 MEDICAL SERVICES 157008 157008 0 240958 112949 63200 64809 25792265 21440335 4086735 265195 4127817 4764818 6667728 150308 138438 961132 802637 24495 77038 77636 709704 485978 99503974 47450818 53742763 52053156 16871275 19296015 5447469 5614333 878723 1845619 2215081 89601161 87351002 1779450 1807124 13772714 13623700 99669 83062 44763276 41493877 60415109 57007763 X 21139533 21591491 1073202 1659405 6973317 7092343 29186052 30343239 89601161 87351002 X 443514 518841 194833 X X 0 1 X 1 0 X 1037417 869652 1919026 1614404 1320974 6761473 25257098 24184484 23713424 25464687 23840805 122460498 26294515 25054136 25632450 27079091 25161779 129221971 31222 36788 285341 27158 37875 418384 0 31222 36788 285341 27158 37875 418384 128803587 380965 399363 851875 1162750 545353 3340306 380965 399363 851875 1162750 545353 3340306 308572 215400 230574 525773 1280319 26984052 25668899 26714899 28241841 26232905 133842596 0.96240 0.94570 0.02500 0.02600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1083 1083 0 PART II-B, LINE 1: THE AMOUNT LISTED ABOVE CONSISTS OF MEMBERSHIP DUES PAID TO TRADE ORGANIZATIONS. 0 1 X 6045491 6045491 54414115 27627180 26786935 5662634 2875037 2787597 33381734 16948601 16433133 52053156 CHARITABLE REMAINDER TRUSTS 1048787 C BENEFICIAL INTEREST IN PERPETUAL TRUST 4565546 C 5614333 X PART IV, LINE 2B: RESIDENT FUNDS HELD IN TRUST. PART X, LINE 2: THE HOMES AND THE FOUNDATION ARE NOT-FOR-PROFIT ORGANIZATIONS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOMES AND THE FOUNDATION FILE AS TAX-EXEMPT ORGANIZATIONS. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF THE HOMES OR THE FOUNDATION. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR ANY OTHER TAXES FOR HOMES OR THE FOUNDATION.3 1 FIRST BAPTIST CHURCH CLEVELAND COUNTY 120 N LAFAYETTE STREET SHELBY NC 28150 501(C)3 7500 CLEVELAND COUNTY POTATO PROJECT FIRST BAPTIST CHURCH EDENTON 200 SOUTH GRANVILLE STREET EDENTON NC 27932 501(C)3 2500 ADULT RESPITE CARE PROGRAM BRH RESIDENTS - BENEVOLENCE 180 514442 PART I, LINE 2: BENEVOLENCE IS BASED ON PAYOR (MEDICARE, MEDICAID, ETC.) AND ABILITY TO PAY. REQUESTS FOR BENEVOLENT ASSISTANCE ARE REVIEWED AND APPROVED BY THE PRESIDENT. BENEVOLENCE IS RECORDED AS A CONTRA-REVENUE ON A MONTHLY BASIS. THE TRUSTEES APPROVE PROJECTS AND GIVE GENERAL GUIDANCE ON BENEVOLENCE. THE BAPTIST RETIREMENT HOMES FOUNDATION AGREED TO REIMBURSE HOMES FOR THESE PROJECTS THAT BENEFIT POOR SENIOR ADULTS IN NORTH CAROLINA. THE ORGANIZATION REQUESTS SUPPORT THROUGH A LETTER TO BAPTIST RETIREMENT HOMES. SCHEDULE I, PART III, COLUMN B THE ORGANIZATION ESTIMATED THAT 40% OF THE TOTAL RESIDENT POPULATION SERVED UTILIZES SOME TYPE OF ASSISTANCE. 1 X X X X X 0 1 0 0 0 0 0 1 0 MR WILLIAM B STILLERMAN PRESIDENT 286462 0 25728 0 36310 0 10600 0 8138 0 367238 0 0 0 MRS DEBRA H MEGINNIS EXECUTIVE VP AND COO 157268 0 11669 0 42030 0 8158 0 10116 0 229241 0 0 0 MR CHARLES R GASKINS CFO 129289 0 7819 0 10094 0 5886 0 15040 0 168128 0 0 0 PART I, LINE 4B WILLIAM B. STILLERMAN AND DEBRA MEGINNIS PARTICIPATED IN 457 BENEFIT PLANS AND CONTRIBUTED $12,000 AND $17,500, RESPECTIVELY, DURING THE YEAR. PART I, LINE 7 DISCRETIONARY BONUSES WERE PAID TO WILLIAM STILLERMAN, DEBRA MEGINNIS, AND CHARLES GASKINS. SEE SCHEDULE O OF FORM 990 FOR MORE DETAIL ON HOW COMPENSATION FOR THE PRESIDENT, COO AND CFO IS DETERMINED. WILLIAM PETER MEGINNIS FAMILY MEMBER OF DEBRA MEGINNIS, OFFICER 142292 COMPENSATION FOR VARIOUS REPAIRS TO ORGANIZATION'S BUILDING -- WORK WAS DONE AT A DISCOUNT AND THE BOARD WAS AWARE OF THE ARRANGEMENT. MR. MEGINNIS IS A PROFESSIONAL BUILDING CONTRACTOR. 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS DISTRIBUTED TO MEMBERS OF THE BOARD PRIOR TO THE FEBRUARY TRUSTEE MEETING, EXCEPT FOR DETAILS OF THE DONORS ON SCHEDULE B. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, TRUSTEES MUST COMPLETE A "NON-CONFLICT OF INTEREST" QUESTIONNAIRE. ADDITIONALLY, EMPLOYEES MUST DISCLOSE ALL PERTINENT FACTS SURROUNDING A POTENTIAL CONFLICT OF INTEREST TO HIS OR HER IMMEDIATE SUPERIOR. FORM 990, PART VI, SECTION B, LINE 15 IN COOPERATION WITH THE PERSONNEL COMMITTEE, THE FINANCE COMMITTEE RECOMMENDS THE SALARY OF THE PRESIDENT,COO, AND CFO EVERY YEAR. THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS EVERY TWO YEARS. THE MOST RECENT YEAR IN WHICH THE PROCESS WAS REVIEWED AND APPROVED BY INDEPENDENT PERSONS WAS 2016. GENERALLY, INCREASES TO EXECUTIVES ARE AT THE SAME PERCENTAGE AS GRANTED TO ALL EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AND IN ACCORDANCE WITH REGULATORY REQUIREMENTS. THE ORGANIZATION'S CONFLICT OF INTEREST STATEMENT OUTLINES THE ACTIVITIES EMPLOYEES SHOULD AVOID WITHOUT PRIOR APPROVAL OF THE BOARD OF TRUSTEES, AND PROVIDES STEPS TO BE TAKEN IF A POSSIBLE CONFLICT OF INTEREST EXISTS. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF TRUSTS 194,833. PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BAPTIST RETIREMENT HOMES FOUNDATION 1912 BETHABARA ROAD WINSTON SALEM NC 27106 562205837 SUPPORT BRH NC 501(C)(3) LINE 11A, I BRHNC INC 1 0 0 1 1 0 0 0 0 1 0 0 0 0 1 1 0 0 1 0 BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED D 2113830 BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED C 411530