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FRIENDS HOMES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FRIENDS HOMES INC (EIN 56-0754599)
Tax period
2011-10-01 to 2012-09-30
Filed
2012-12-10
IRS object ID
201223459349300507
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-12-10T10:02:47-06:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560817345EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Turlington and Company LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1697AddressLine1
CityLexingtonCity
StateNCState
ZIP Code272931697ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560754599EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Friends Homes IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone3362928187Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1925 New Garden RoadAddressLine1
CityGreensboroCity
StateNCState
ZIP Code27410ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilson SheldonName
TitleExecutive DirectorTitle
Phone3362928187Phone
Date Signed2012-12-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMarcia W HenriksenName
PTINP01259831PTIN
Phone3362496856Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilson SheldonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1925 New Garden RoadAddressLine1
CityGreensboroCity
StateNCState
ZIP Code27410ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31345307GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitefriendshomes.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTo establish and operate continuing care retirement communities in accordance with the principles of the Religious Society of Friends. These principles require that our communities provide, at a reasonable cost, an environment which fosters independence and a sense of wholeness, health, and security so that each resident may realize his or her full potential. In doing so we facilitate the basic Quaker principle that "there is God in every person," meaning that everyone has worth and value. Through continuous improvement and expansion, the organization will provide affordable services to the aged and support to the community at large. We accept the responsibility to promote consistent quality care while providing a HOME for our residents.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees512TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year426574ContributionsGrantsPriorYear
Contributions Grants Current Year1332243ContributionsGrantsCurrentYear
Program Service Revenue Prior Year23478229ProgramServiceRevenuePriorYear
Program Service Revenue CY23664598ProgramServiceRevenueCY
Investment Income Prior Year359916InvestmentIncomePriorYear
Investment Income Current Year-334761InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year-32480OtherRevenueCurrentYear
Total Revenue Prior Year24264719TotalRevenuePriorYear
Total Revenue Current Year24629600TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11747647SalariesEtcPriorYear
Salaries Etc Current Year12202078SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11094116OtherExpensePriorYear
Other Expenses Current Year13032628OtherExpensesCurrentYear
Total Expenses Prior Year22841763TotalExpensesPriorYear
Total Expenses Current Year25234706TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1422956RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-605106RevenuesLessExpensesCY
Total Assets BOY77174697TotalAssetsBOY
Total Assets EOY78737849TotalAssetsEOY
Total Liabilities BOY55163234TotalLiabilitiesBOY
Total Liabilities EOY51995046TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22011463NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26742803NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide nursing and residential care and other support services to the elderly.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense22031393Expense
Revenue23632118Revenue
DescriptionThere are 10 cottages, 360 apartments, 100 assisted care beds and 109 nursing beds.Description
Total Program Service Expense22031393TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096125NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees512NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Wilson SheldonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3362928187TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1925 New Garden RoadAddressLine1
CityGreensboroCity
StateNCState
ZIP Code27410ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
Jack Kirk
Board Member0.00X000
Dick Coe
Secretary0.00X000
Ed Harris
Board Member0.00X000
Mary Farlow
Board Member0.00X000
Dale Brent McKinney
Board Member0.00X000
Bill Davis
Board Member0.00X000
Beth Joyce
Board Member0.00X000
David Millikan
Board Member0.00X000
Janie Edgerton
Board Member0.00X000
Carolyn McPherson
Board Member0.00X000
Tony Lowe
Vice-chair0.00X000
Jim Newlin
Board Member0.00X000
Scott Wagoner
Board Member0.00X000
Carl Semmler
Board Member0.00X000
Gwen Taylor
Board Member0.00X000
Terri Harris
Board Member0.00X000
Daniel Thames
Board Member0.00X000
Lawrence Ross
Board Member0.00X000
Brenda Shelton
Board Member0.00X000
Dan Allen
Treasurer0.00X000
Martha Mattocks
Board Member0.00X000
Susan Steelman
Board Member0.00X000
Sara Beth Terrell
Board Member0.00X000
Jon Mitchell
Board Member0.00X000
Tom Wright
Chair0.00X000
Wilson Sheldon Jr
CEO40.0016680700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org166807TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions1332243AllOtherContributions
Total Contributions1332243TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionResident servicesDescription
Business Code623000BusinessCode
Total Revenue Column23664598TotalRevenueColumn
Related Or Exempt Function Income23664598RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue23664598TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column472990TotalRevenueColumn
Exclusion$472,990ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5362476Securities
Other545480Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6167459Securities
Other548248Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-804983Securities
Other-2768Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-807751TotalRevenueColumn
Exclusion-$807,751ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionChange in value of splDescription
Business Code623000BusinessCode
Total Revenue Column-32480TotalRevenueColumn
Related Or Exempt Function Income-32480RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue-32480TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24629600TotalRevenueColumn
Related Or Exempt Function Income23632118RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$334,761ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11080462Total
Program Services9835490ProgramServices
Management And General1244972ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total270000Total
Program Services212777ProgramServices
Management And General57223ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total851616Total
Program Services774471ProgramServices
Management And General77145ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4187Total
Management And General4187ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76364Total
Management And General76364ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total103444Total
Program Services103444ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total164316Total
Program Services77260ProgramServices
Management And General87056ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4385Total
Program Services4385ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total46422Total
Program Services37925ProgramServices
Management And General8497ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total706024Total
Program Services621301ProgramServices
Management And General84723ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1984998Total
Program Services1885748ProgramServices
Management And General99250ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Insurance19235351816504107031
Dietary18642381864238
Early termination of sw15867161396310190406
Utilities1084020107952976068

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3483979Total
Program Services3293588ProgramServices
Management And General190391ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25234706Total
Program Services22031393ProgramServices
Management And General3203313ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6060531BOY
EOY8306022EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1017272BOY
EOY1750447EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY200957BOY
EOY200943EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY267741BOY
EOY284173EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis78606351LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29396610LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY50503018BOY
EOY49209741EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY17749674BOY
EOY18654453EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1375504BOY
EOY332070EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY77174697BOY
EOY78737849EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1987558BOY
EOY2160942EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12006651BOY
EOY11264558EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY37745000BOY
EOY36665000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1739500BOY
EOY1697000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1684525BOY
EOY207546EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY55163234BOY
EOY51995046EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20252554BOY
EOY26050135EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1693909BOY
EOY627668EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY65000BOY
EOY65000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22011463BOY
EOY26742803EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77174697BOY
EOY78737849EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-605106ReconcilationRevenueExpenses
Reconcilation Other Changes5336446ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years294280CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years196638CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years184218CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year426574CurrentTaxYearMinus1Year
Current Tax Year1332243CurrentTaxYear
Total2433953Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22154506CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22523520CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22601926CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23478229CurrentTaxYearMinus1Year
Current Tax Year23664598CurrentTaxYear
Total114422779Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22448786CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22720158CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22786144CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23904803CurrentTaxYearMinus1Year
Current Tax Year24996841CurrentTaxYear
Total116856732Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509116856732PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1060338CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years536830CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years386167CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year475544CurrentTaxYearMinus1Year
Current Tax Year472990CurrentTaxYear
Total2931869Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1060338CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years536830CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years386167CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year475544CurrentTaxYearMinus1Year
Current Tax Year472990CurrentTaxYear
Total2931869Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23509124CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23256988CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23172311CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24380347CurrentTaxYearMinus1Year
Current Tax Year25469831CurrentTaxYear
Total119788601Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97550PublicSupportPercentage509
Prior Year Support Percentage0.97060PriorYearSupportPercentage
Investment Income Percentage0.02450InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02940PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5179990OtherCostOrOtherBasis
Book Value5179990BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis62227655OtherCostOrOtherBasis
Depreciation23666969Depreciation
Book Value38560686BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6100063OtherCostOrOtherBasis
Depreciation1743121Depreciation
Book Value4356942BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5098643OtherCostOrOtherBasis
Depreciation3986520Depreciation
Book Value1112123BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings49209741TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Occupancy deposits$16,800
Obligation under interest rate swap$190,746
FieldValueIRS element (for citing)
Total Of Amounts207546TotalOfAmounts
Total Revenue24629600TotalRevenue
Total Expenses25234706TotalExpenses
Excess Or Deficit For Year-605106ExcessOrDeficitForYear
Net Unrealized GL On Investments3888192NetUnrealizedGLOnInvestments
Other$1,448,254OtherAmount
Total Adjustments5336446TotalAdjustments
Excess Or Deficit Per FS4731340ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt29966046TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3888192NetUnrealizedGainsInvestments
Other Revenues1448254OtherRevenues
Revenue Not Rptd F9905336446RevenueNotRptdF990
Revenue Subtotal24629600RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99024629600TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25234706TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal25234706ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025234706TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X:No uncertain tax positions under FIN 48
Part XI, Line 8 - Other Adjustments:Unrealized gain/loss on interest rate swap 1,448,254.
Part XII, Line 2d - Other Adjustments:Unrealized gain on interest rate swap 1,448,254.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonWilson Sheldon JrNamePerson
Base Compensation Filing Org166807BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org166807TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1North Carolina Medical Care CommissionBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521309402IssuerEIN
CUSIP Number657902M41CUSIPNumber
Date Issued2011-11-01DateIssued
Issue Price37745000IssuePrice
Description Of PurposeRefunding prior bond issue dated 10/16/03DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1080000AmountRetired
Total Proceeds37745000TotalProceeds
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1Branch Bank & TrustBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge7.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
Identifier(3c) Term of HedgeIdentifier
ExplanationEntered into two (2) year forward swap on September 27, 2012 effective September 1, 2014, for a seven (7) year term, ending November 1, 2021.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section B, line 11The 990 is reviewed by the Executive Director, the Controller and Chairman of the board.
Form 990, Part VI, Section B, line 12cThe policy is signed each time a member joins the board. The organization relies on the integrity of the board members to monitor their independence.
Form 990, Part VI, Section B, line 15aThe CEO's compensation is set by the compensation committee of the board who are independent.
Form 990, Part VI, Section C, line 19The Organization is regulated by the Insurance Commission and our Financials are part of the Disclosure required by them.
Form 990, Part X, line 24eSupplies: Program service expenses 782,439. Management and general expenses 55,360. Fundraising expenses 0. Total expenses 837,799. Repairs & maintenance: Program service expenses 809,114. Management and general expenses 0. Fundraising expenses 0. Total expenses 809,114. Contract Medical Services: Program service expenses 669,737. Management and general expenses 0. Fundraising expenses 0. Total expenses 669,737. Miscellaneous: Program service expenses 295,258. Management and general expenses 93,315. Fundraising expenses 0. Total expenses 388,573. Amortization of bond issue costs: Program service expenses 333,704. Management and general expenses 0. Fundraising expenses 0. Total expenses 333,704. Bad Debts: Program service expenses 267,792. Management and general expenses 0. Fundraising expenses 0. Total expenses 267,792. Prescription drugs, etc.: Program service expenses 92,524. Management and general expenses 0. Fundraising expenses 0. Total expenses 92,524. Telephone: Program service expenses 29,227. Management and general expenses 2,961. Fundraising expenses 0. Total expenses 32,188. Property Taxes: Program service expenses 11,036. Management and general expenses 19,220. Fundraising expenses 0. Total expenses 30,256. Dues and Subscriptions: Program service expenses 2,757. Management and general expenses 19,535. Fundraising expenses 0. Total expenses 22,292.All Other Functional Expenses
Form 990, Part XI, line 5:Net unrealized gains on investments: 3,888,192. Unrealized gain/loss on interest rate swap 1,448,254. Total to Form 990, Part XI, Line 5: 5,336,446.Changes in Net Assets or Fund Balances: