2013-02-14T14:50:57-06:00 2012-09-30 420714325 MCGLADREY LLP 230 N ELM ST STE 1100 GREENSBORO NC 27401 990 2011-10-01 560562308 BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED BAPT 3367250202 PO BOX 11024 WINSTONSALEM NC 27116 WILLIAM B STILLERMAN 3367250202 2013-02-13 ADRIENNE MCKINNEY P00819656 3362724551 2011 2016-03-07 17:11:31Z WILLIAM B STILLERMAN PO BOX 11024 WINSTONSALEM NC 27116 31191995 0 X WWW.BRH.ORG X 1952 NC TO PROVIDE QUALITY LIVING OPTIONS AND SERVICES TO NORTH CAROLINA'S OLDER ADULT POPULATION. 19 19 595 19 0 0 3994195 1580565 25106860 25081445 1157384 418216 435673 505178 30694112 27585404 660648 729463 0 0 12155537 12362429 0 0 243859 11463688 11510294 24279873 24602186 6414239 2983218 77817726 85068329 56968936 59117734 20848790 25950595 X TO PROVIDE QUALITY LIVING OPTIONS AND SERVICES TO NORTH CAROLINA'S OLDER ADULT POPULATION. 0 0 20330230 729463 25257098 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 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 270 INDEPENDENT LIVING HOMES AND APARTMENTS, 170 ASSISTED LIVING RESIDENCES, AND 209 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. 20330230 1 1 0 0 0 0 0 0 1 1 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 0 0 0 0 0 0 0 1 1 1 0 0 1 20 0 1 595 1 0 0 0 0 0 0 0 0 0 0 X 19 19 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 WILLIAM B STILLERMAN 36.00 X 306721 0 21766 DEBRA A MEGINNIS 36.00 X 189617 0 15670 CHARLES R GASKINS 36.00 X 128659 0 21458 RALPH S MORGAN 1.00 X 0 0 0 CLARENCE R LAMBE JR 1.00 X 0 0 0 CAROLYN D HELMS 1.00 X 0 0 0 KENNTH W AMBURN 1.00 X 0 0 0 KAREN S BARKSDALE 1.00 X 0 0 0 EDWARD A BEDDINGFIELD JR 1.00 X 0 0 0 MELBA M BRIDGES 1.00 X 0 0 0 JEFFREY L COBB 1.00 X 0 0 0 JENNIE B COUNTS 1.00 X 0 0 0 MARY ANN DAVIS 1.00 X 0 0 0 PHILLIP R FEAGAN 1.00 X 0 0 0 JEFFREY K HOBART 1.00 X 0 0 0 MICHAEL L JOYCE 1.00 X 0 0 0 MARY ALICE MARSHBANKS 1.00 X 0 0 0 KENNETH W MASSEY 1.00 X 0 0 0 CHARLES D MAST 1.00 X 0 0 0 SAMUEL R MOORE 1.00 X 0 0 0 GLUTHER STARKS 1.00 X 0 0 0 MICHAEL R TAYLOR 1.00 X 0 0 0 624997 0 58894 3 0 1 0 ROGERS BUILDERS 5701 NORTH SHARON AMITY ROAD CHARLOTTE NC 28215 CONSTRUCTION 3556246 HERITAGE HEALTHCARE INC PO BOX 823424 PHILADELPHIA PA 19182 NURSING CARE 664435 RLPS II LLP 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTUAL 228113 CNIT INC 114C SOUTH WESTGATE DRIVE GREENSBORO NC 27407 TECHNOLOGICAL 119747 BETA BUILDERS LLC PO BOX 11528 WINSTONSALEM NC 27116 CONSTRUCTION 105370 5 543148 1037417 1580565 RESIDENT REVENUE 623000 25081445 25081445 25081445 360012 360012 20953 0 20953 20953 20953 3663310 1485 3592031 14560 71279 -13075 58204 58204 484225 175653 308572 484225 27585404 25257098 0 747741 729463 729463 683891 683891 10112579 8660058 1426224 26297 802706 566093 231354 5259 763253 638620 124633 82715 82715 111244 111244 980633 898445 82188 347007 19952 114752 212303 66121 25985 40136 126252 126252 1189414 1058263 131151 5457 5457 2638 1257 1381 2296329 2296329 2620650 2620650 345635 345635 FOOD 847279 795591 51688 REPAIRS 749373 678571 70802 MISCELLANEOUS 570347 186696 383651 MEDICAL SUPPLIES 462636 462636 706564 686164 20400 24602186 20330230 4028097 243859 2793645 2504729 9060599 9661672 105993 106126 781732 601822 77618 83136 64492 74093 285576 316021 82634071 35064993 45443876 47569078 11274843 14940338 7042007 7678403 17200 791998 1302481 78147 230430 77817726 85068329 2861239 3624874 17930420 16681855 35725168 34865160 31653 29206 3916639 420456 0 56968936 59117734 X 11803244 15940950 3505403 3912960 5540143 6096685 20848790 25950595 77817726 85068329 X 2983218 2118587 X X 0 1 1 X 0 X 1099869 1050969 866633 3756120 1037417 7811008 22434005 22479867 23858631 25261852 25257098 119291453 23533874 23530836 24725264 29017972 26294515 127102461 12837 6904 24028 19378 31222 94369 135000 2484409 2619409 147837 6904 24028 2503787 31222 2713778 124388683 492573 172092 620714 788119 380965 2454463 492573 172092 620714 788119 380965 2454463 447172 407666 423202 258573 308572 1845185 24473619 24110594 25769180 30064664 26984052 131402109 0.94660 0.93580 0.01870 0.02490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 9132979 94544 923912 10151435 9737705 305051 -909777 9132979 7541920 481433 1714352 9737705 7932069 169197 -559346 7541920 0.00000 0.60870 0.39130 0 0 15000 6090491 6105491 67186376 30873799 36312577 4717785 4191194 526591 4624419 4624419 47569078 CHARITABLE REMAINDER TRUST 3690464 F BENEFICIAL INTEREST IN PERPETUAL TRUSTS 3987939 F 7678403 27585404 24602186 2983218 1420984 697603 2118587 5101805 28974528 1420984 511288 1932272 27042256 543148 543148 27585404 23872723 0 23872723 729463 729463 24602186 PART IV, LINE 2B: RESIDENT TRUST FUNDS DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: RESTRICTED FUNDS ARE INTENDED FOR RESIDENT ASSISTANCE AND OTHER RESTRICTED PURPOSES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: BAPTIST RETIREMENT HOMES OF NORTH CAROLINA, INC. (HOMES) IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HOMES FILES AS A TAX-EXEMPT ORGANIZATION. BECAUSE MANAGEMENT HAS NOT IDENTIFIED UNRELATED BUSINESS INCOME IN PAST YEARS, HOMES HAS NOT FILED FORM 990-T, EXEMPT ORGANIZATION BUSINES INCOME TAX RETURN. AS A RESULT, ALL YEARS ARE POTENTIALLY OPEN TO REVIEW BY TAXING AUTHORITIES. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF HOMES. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR HOMES. PART XI, LINE 8 - OTHER ADJUSTMENTS: GRANT ASSISTANCE FROM BAPTIST RETIREMENT HOMES FOUNDATION -543,148. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 555,196. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS 685,555. TOTAL TO SCHEDULE D, PART XI, LINE 8: 697,603. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS 685,555. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 555,196. BENEVOLENT ASSISTANCE -729,463. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANT ASSISTANCE FROM BAPTIST RETIREMENT HOMES FOUNDATION 543,148. PART XIII, LINE 4B - OTHER ADJUSTMENTS: BENEVOLENT ASSISTANCE 729,463. 1 BENEVOLENT ASSISTANCE FOR RESIDENTS 204 729463 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 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 0 1 0 0 0 0 0 1 0 WILLIAM B STILLERMAN 260059 0 45900 0 762 0 9596 0 12170 0 328487 0 0 0 DEBRA A MEGINNIS 181466 0 7893 0 258 0 7272 0 8398 0 205287 0 0 0 CHARLES R GASKINS 122952 0 5617 0 90 0 5357 0 16101 0 150117 0 0 0 PART I, LINE 4B WILLIAM B. STILLERMAN - $7,795 DEBRA A. MEGINNIS - $4,803 PART I, LINE 7 MR. STILLERMAN PAYS DOWN LOAN BALANCE. THIS IS TREATED AS ADDITIONAL COMPENSATION. DISCRETIONARY BONUSES PAID TO WILLIAM STILLERMAN, DEBRA MEGINNIS, AND CHARLES GASKINS. WILLIAM B STILLERMAN X 252874 83136 0 1 1 83136 SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: (A) 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. MR. STILLERMAN HAS BEEN REPAYING THE ORGANIZATION WITH INTEREST. BAPTIST RETIREMENT HOMES IS THE OWNER AND BENEFICIARY OF THE NEW LIFE INSURANCE POLICY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990, EXCEPT FOR THE DETAILS OF THE DONORS ON SCHEDULE B, IS PRESENTED FOR REVIEW AT 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 2012. 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 BOND COVENANTS AND 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,420,984. GRANT ASSISTANCE FROM BAPTIST RETIREMENT HOMES FOUNDATION -543,148. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 555,196. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS 685,555. TOTAL TO FORM 990, PART XI, LINE 5: 2,118,587. 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) 11-TYPE 1 BRH INC 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 BAPTIST RETIREMENT HOMES FOUNDATION D 148437 FAIR MARKET VALUE BAPTIST RETIREMENT HOMES FOUNDATION C 543148 FAIR MARKET VALUE BAPTIST RETIREMENT HOMES FOUNDATION Q 51676 FAIR MARKET VALUE