2016-02-12T16:10:30-06:00 2015-09-30 420714325 RSM US LLP 230 N ELM ST STE 1100 GREENSBORO NC 27401 990 2014-10-01 560562308 BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED BAPT 3367250202 PO BOX 11024 WINSTONSALEM NC 27116 WILLIAM B STILLERMAN PRESIDENT 3367250202 2016-02-11 1 ADRIENNE MCKINNEY P00819656 3362724551 2014 2016-08-17 19:52:53Z WILLIAM B STILLERMAN PO BOX 11024 WINSTONSALEM NC 27116 59369857 0 X WWW.BRH.ORG X 1952 NC TO PROVIDE QUALITY LIVING OPTIONS AND SERVICES TO NORTH CAROLINA'S OLDER ADULT POPULATION. 20 20 637 20 0 0 1919026 2143026 23488051 25041471 661541 828564 483968 446147 26552586 28459208 579244 597706 0 0 13114306 13251563 0 0 236828 11462024 12224010 25155574 26073279 1397012 2385929 92634542 89601161 63967024 60415109 28667518 29186052 X BAPTIST RETIREMENT HOMES OF NORTH CAROLINA, INC. 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 (CONTINUED IN SCH.O) THAT RECOGNIZES THE DIGNITY AND WORTH OF EACH INDIVIDUAL. 0 0 21867822 597706 25464688 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 (CONTINUED IN SCH.O) 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 ALZHEIMER'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, BUSINESSES, FOUNDATIONS, CHURCHES, SPECIAL OFFERINGS, AND BEQUESTS FROM OTHERS TO ASSIST IN THE OPERATION AND ADMINISTRATION OF ITS COMMUNITIES. 21867822 1 1 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 24 0 1 637 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 0 1 1 1 0 X CHARLES R GASKINS CFO 3367250202 1912 BETHABARA ROAD WINSTONSALEM NC 27106 X PHILLIP R FEAGAN CHAIR 1.00 X 0 0 0 MICHAEL R TAYLOR VICE CHAIR 1.00 X 0 0 0 DAVID B BROOKS CORPORATE SECRETARY 1.00 X 0 0 0 KENNETH W AMBURN TRUSTEE 1.00 X 0 0 0 KAREN S BARKSDALE TRUSTEE 1.00 X 0 0 0 A EDWARD BEDDINGFIELD JR TRUSTEE 1.00 X 0 0 0 JEFFREY L COBB TRUSTEE 1.00 X 0 0 0 BRADY W DICKSON TRUSTEE 1.00 X 0 0 0 BETSY NEWTON HERMAN TRUSTEE 1.00 X 0 0 0 JEFFREY K HOBART TRUSTEE 1.00 X 0 0 0 LEE M KIRBY JR TRUSTEE 1.00 X 0 0 0 AL L LYERLY TRUSTEE 1.00 X 0 0 0 CHARLES D MAST TRUSTEE 1.00 X 0 0 0 SAMUEL R MOORE TRUSTEE 1.00 X 0 0 0 MARY MORGAN TRUSTEE 1.00 X 0 0 0 RICHARD P MURRAY TRUSTEE 1.00 X 0 0 0 WENDY B ROBERSON TRUSTEE 1.00 X 0 0 0 SCOTT B ROGERS TRUSTEE 1.00 X 0 0 0 HENRY M SKINNER JR TRUSTEE 1.00 X 0 0 0 G LUTHER STARKS TRUSTEE 1.00 X 0 0 0 WILLIAM B STILLERMAN PRESIDENT 36.00 X 338022 0 50370 DEBRA A MEGINNIS EVP - COO 36.00 X 203831 0 21687 CHARLES R GASKINS CFO 36.00 X 140102 0 36064 681955 0 108121 3 0 1 0 HERITAGE HEALTHCARE LLC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SERVICES 390659 LEGACY HEALTHCARE SERVICES INC 3001 SPRING FOREST RD RALEIGH NC 27616 THERAPY SERVICES 318905 YADKIN VALLEY PAVING INC 121 COVERLEAF DRIVE WINSTON SALEM NC 27103 PAVING SERVICES 199511 SERVICE ROOFING & SHEET METAL COMPANY PO BOX 1864 GREENVILLE NC 27835 ROOFING SERVICES 185249 RLPS II LLP 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECT SERVICES 155075 7 657090 1485936 2143026 RESIDENT REVENUE 623000 25041471 25041471 25041471 611198 611198 22930 0 22930 22930 22930 31124778 3237 30908512 2137 216266 1100 217366 217366 423217 423217 423217 28459208 25464688 0 851494 7600 7600 590106 590106 795487 795487 10590180 9180234 1351039 58907 1073143 928502 132860 11781 792753 673346 114968 4439 67082 67082 91315 91315 1253721 1233646 20075 247928 14994 71233 161701 50058 24428 25630 181449 181449 1324081 1148341 175740 2866 2866 3496 812 2684 2007762 2007762 3351846 3351846 377242 377242 FOOD 875440 819852 55588 REPAIRS 736122 681063 55059 MEDICAL SUPPLIES 389326 389326 MEDICAL SERVICES 375119 375119 889157 437979 451178 26073279 21867822 3968629 236828 3674446 4127817 6042501 4764818 151805 150308 804565 961132 48990 24495 73904 77038 555194 709704 97994332 44251569 54755945 53742763 17909175 16871275 5426391 5447469 953082 878723 2238544 1845619 92634542 89601161 1853164 1779450 14892757 13772714 135067 99669 47086036 44763276 63967024 60415109 X 20415730 21139533 1190333 1073202 7061455 6973317 28667518 29186052 92634542 89601161 X 2385929 -1163606 -703789 X X 0 1 X 1 0 X 3756120 1037417 869652 1919026 1614404 9196619 25261852 25257098 24184484 23712242 25464687 123880363 29017972 26294515 25054136 25631268 27079091 133076982 19378 31222 36788 285341 27158 399887 2484409 2484409 2503787 31222 36788 285341 27158 2884296 130192686 788119 380965 399363 851875 1162750 3583072 788119 380965 399363 851875 1162750 3583072 258573 308572 215400 230574 1013119 30064664 26984052 25668899 26713717 28241841 137673173 0.94570 0.94560 0.02600 0.02250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 15000 6301491 6316491 85095900 39500890 45595010 5127560 4750679 376881 1454381 1454381 53742763 CHARITABLE REMAINDER TRUST 913979 F BENEFICIAL INTEREST IN PERPETUAL TRUSTS 4505520 F REAL ESTATE INVESTMENT TRUSTS 27970 F 5447469 X 26001707 -1163606 -1286295 -2449901 28451608 7600 7600 28459208 25483173 0 25483173 590106 590106 26073279 PART IV, LINE 2B: RESIDENT TRUST FUNDS 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 OTHER TAXES FOR HOMES OR THE FOUNDATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS 41,271. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -737,460. BENEVOLENT ASSISTANCE -590,106. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANT ASSISTANCE FROM BAPTIST RETIREMENT HOMES FOUNDATION 7,600. PART XII, LINE 4B - OTHER ADJUSTMENTS: BENEVOLENT ASSISTANCE 590,106. 1 BENEVOLENT ASSISTANCE FOR RESIDENTS 186 590106 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 APPROVED PROJECTS. 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. X 1 1 X X X 0 1 0 0 0 0 0 1 0 WILLIAM B STILLERMAN PRESIDENT 322324 0 15698 0 0 0 35979 0 14391 0 388392 0 0 0 DEBRA A MEGINNIS EVP - COO 194831 0 9000 0 0 0 7953 0 13734 0 225518 0 0 0 CHARLES R GASKINS CFO 134102 0 6000 0 0 0 5739 0 30325 0 176166 0 0 0 PART I, LINE 4B WILLIAM B. STILLERMAN $2,379 DEBRA A. MEGINNIS $17,500 PART I, LINE 7 DISCRETIONARY BONUSES PAID TO WILLIAM STILLERMAN, DEBRA MEGINNIS, AND CHARLES GASKINS. SEE SCHEDULE O OF THE FORM 990 FOR MORE DETAIL ON HOW COMPENSATION FOR THE PRESIDENT, COO AND CFO ARE DETERMINED. WILLIAM B STILLERMAN SEE PT V SEE PT V X 252874 24495 0 1 1 24495 WILLIAM PETER MEGINNIS FAMILY MEMBER OF DEBRA MEGINNIS, OFFICER 141879 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 CONTRACTOR. 0 SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: (B) RELATIONSHIP WITH ORGANIZATIONWILLIAM B. STILLERMAN IS PRESIDENT OF THE ORGANIZATION.(C) PURPOSE OF LOANBAPTIST RETIREMENT HOMES AND MR. STILLERMAN HAD A SPLIT INTEREST LIFE INSURANCE POLICY IN THE PAST. WHILE THAT POLICY WAS IN EFFECT, MR. STILLERMAN TOOK OUT A LOAN AGAINST THE CASH SURRENDER VALUE. WHEN THE SPLIT INTEREST ARRANGEMENT WAS TERMINATED DUE TO A CHANGE IN TAX LAWS, A NEW LIFE INSURANCE POLICY WAS PURCHASED AND THE ORGANIZATION PAID OFF THE LOAN. BAPTIST RETIREMENT HOMES IS THE OWNER AND BENEFICIARY OF THE NEW LIFE INSURANCE POLICY. MR. STILLERMAN HAS BEEN VOLUNTARILY REPAYING THE ORGANIZATION WITH INTEREST. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990, EXCEPT FOR THE DETAILS OF THE DONORS ON SCHEDULE B, IS SENT TO TRUSTEES FOR THEIR REVIEW PRIOR TO THE FEBRUARY TRUSTEE MEETING. IF NOT AVAILABLE IN TIME FOR THE MEETING, IT IS MAILED TO THE TRUSTEES FOR REVIEW PRIOR TO SUBMITTING THE 990 TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, TRUSTEES MUST COMPLETE A "NON-CONFLICT OF INTEREST" QUESTIONNAIRE. 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 TWO YEARS, THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS. THE MOST RECENT YEAR IN WHICH THE PROCESS WAS REVIEWED AND APPROVED BY INDEPENDENT PERSONS WAS 2014. 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, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AND IN ACCORDANCE WITH REGULATORY REQUIREMENTS. 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 IS NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -737,460. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS 41,271. GRANT ASSISTANCE FROM BAPTIST RETIRMENT HOMES FOUNDATION -7,600. FORM 990, PART XII, LINE 2C, AUDIT COMMITTEE: THE AUDIT COMMITTEE'S PROCESS OF OVERSIGHT AND SELECTION HAS NOT CHANGED SINCE PRIOR YEAR. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B: HOURS PROVIDED TO RELATED ORGANIZATION, BAPTIST RETIREMENT HOMES FOUNDATION: WILLIAM B. STILLERMAN - 4 HRS PER WEEK DEBRA A. MEGINNIS - 4 HRS PER WEEK CHARLES R. GASKINS - 4 HRS PER WEEK BAPTIST RETIREMENT HOMES FOUNDATION 1912 BETHABARA ROAD WINSTONSALEM NC 27106 562205837 SUPPORT BAPTIST RETIREMENT HOMES OF NORTH CAROLINA, INCORPORATED (BRH, INC.) NC 501(C)(3) LINE 11A, I BRH INC 1 0 0 1 1 0 0 0 0 1 0 0 0 0 1 1 0 0 1 0 BAPTIST RETIREMENT HOMES FOUNDATION D 1770764 FAIR MARKET VALUE BAPTIST RETIREMENT HOMES FOUNDATION C 657090 FAIR MARKET VALUE BAPTIST RETIREMENT HOMES FOUNDATION R 75000 FAIR MARKET VALUE