2011-02-10T09:44:55-06:00 2010-09-30 RSM MCGLADREY INC 230 N ELM ST STE 1100 GREENSBORO NC 27401 990 2009-10-01 560562308 BAPTIST RETIREMENT HOMES OF NORTH CAROLINA INCORPORATED BAPT 3367250202 PO BOX 11024 WINSTONSALEM NC 27116 WILLIAM B STILLERMAN 3367250202 2011-02-07 ADRIENNE S MCKINNEY 3362724551 2009 2016-02-24 21:20:13Z WILLIAM B STILLERMAN PO BOX 11024 WINSTONSALEM NC 27116 28428555 0 X WWW.BRH.ORG X 1952 NC To provide quality living options and services to North Carolina's older adult population. 20 20 633 0 0 0 1050969 866633 22479867 23730348 172092 599024 407666 442350 24110594 25638355 604791 0 12406327 12473442 0 322515 11241423 11244316 23647750 24322549 462844 1315806 74544046 76815663 62255067 60788513 12288979 16027150 To provide quality living options and services to North Carolina's older adult population. 0 0 19913618 604791 23858631 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 the homes has fiduciary responsibility and authority to operate and make management decisions for Homes.The mission of Homes is to provide quality residential and health care living options and services to North Carolina's older adults population. The provision of those services being directed to the "poor elderly" as well as those older persons who do have the financial resources necessary to pay for the institutional services they receive.In addition to its program of benevolent funding to the "poor elderly" of the state, Homes also provides at no cost to its indigent population, a special program designed to enhance the lifestyle of older adults with dementia related disorders like Alzheimer's disease. Two such programs are operated by Baptist Retirement Homes: One at Brookridge and one at its Western North Carolina Baptist Home.Homes owns, maintains, and operates facilities throughout North Carolina. The current facilities consist of 270 independent living homes and apartments, 170 assisted living units, and 209 skilled and intermediate care rooms. Homes receives support from Indivuduals, Businesses, Foundation, churches, special offerings, and bequests from others to assist in the operation and administration of these facilities. 19913618 1 1 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 1 18 0 1 633 1 0 0 0 0 0 0 0 0 0 1 1 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 William B Stillerman 40.00 X 302632 0 14706 Debra A Meginnis 40.00 X 173219 0 11935 Charles R Gaskins 40.00 X 125596 0 10032 A Edward Beddingfield 1.00 X 0 0 0 Glenda L Brinkley 1.00 X 0 0 0 Jeffrey L Cobb 1.00 X 0 0 0 Jennie B Counts 1.00 X 0 0 0 James E Daniel 1.00 X 0 0 0 Mary Ann Davis 1.00 X 0 0 0 Brady W Dickson 1.00 X 0 0 0 Phillip W Feagan 1.00 X 0 0 0 Carolyn D Helms 1.00 X 0 0 0 Jeffrey K Hobart 1.00 X 0 0 0 Beth T Jones 1.00 X 0 0 0 Michael L Joyce 1.00 X 0 0 0 Al L Lyerly 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 David Sane 1.00 X 0 0 0 Henry M Skinner Jr 1.00 X 0 0 0 Mason F Smith 1.00 X 0 0 0 Michael R Taylor 1.00 X 0 0 0 601447 0 36673 3 0 1 0 Heritage Healthcare Inc 536 Old Howell Road Greenville SC 29615 Nursing 524876 Greenspace Outdoor Construction LLC 431 Old Asheville Highway Campobello SC 29322 Construction 164000 Larry McDaniel Builders Inc PO Box 577 Mocksville NC 27028 Construction 122447 Bay View Funding PO Box 881774 San Francisco CA 941881774 Nursing 116898 Larson Allen LLP PO Box 643661 Cincinnati OH 452643661 Accounting 116250 5 262500 604133 82334 866633 Resident Revenue 623000 23730348 23730348 23730348 601566 601566 19148 19148 19148 19148 2784555 3103 2788834 1366 -4279 1737 -2542 -2542 423202 128283 294919 423202 25638355 23858631 0 913091 604791 604791 644210 644210 10037454 8547553 1399901 90000 1041527 800142 241385 750251 626288 123963 100256 100256 117304 117304 802482 728037 74445 348425 19080 96830 232515 58028 17371 40657 124442 124442 5260 3037 2223 7035 2298 4737 2336675 2336675 2417499 2417499 419648 419648 Utilities 1212594 1058043 154551 Food 790702 759690 31012 Repairs 682319 611421 70898 Miscellaneous 563130 211745 351385 Medical Services 438471 438471 820046 731477 88569 24322549 19913618 4086416 322515 5499762 3633946 5149804 7269709 113042 103584 680869 711410 115922 97295 63401 63401 214980 317993 76070805 30007089 47375100 46063716 1417187 10353080 6872844 7238711 17200 17200 949529 870763 6074406 74855 74544046 76815663 6962440 3070963 17982442 18636423 37310185 36540177 0 2540950 62255067 60788513 X 4747059 6663231 1869359 3417646 5672561 5946273 12288979 16027150 74544046 76815663 X 0 1 1 X 0 X 3391681 1762299 1099869 1050969 866633 8171451 19072906 20604275 22434005 22479867 23858631 108449684 22464587 22366574 23533874 23530836 24725264 116621135 21316 46169 12837 6904 24028 111254 2649272 486532 135000 3270804 2670588 532701 147837 6904 24028 3382058 113239077 1016232 1123578 492573 172092 620714 3425189 1016232 1123578 492573 172092 620714 3425189 235463 285285 447172 407666 423202 1798788 23716282 23775437 24473619 24110594 25769180 121845112 0.92940 0.87010 0.02810 0.03210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 951 0 0 0 0 0 0 0 0 0 Part I-A, Line 1: Organizations Direct and Indirect Political Campaign Activities: Percentage of dues to certain organizations that support lobbying activities. 7541920 481433 1714352 9737705 7932069 169197 -559346 7541920 0.00000 0.61100 0.38900 0 0 6090491 6090491 54096549 21936529 32160020 11510090 4282748 7227342 4224213 3776359 447854 149462 11453 138009 46063716 Charitable Remainder Trust 3270396 F Beneficial Interest in Perpetual Trusts 3968315 F 7238711 Resident Trust Funds 24045 Due to Related Organization 2516905 2540950 25638355 24322549 1315806 585105 1837260 2422365 3738171 27455929 585105 1232469 1817574 25638355 0 25638355 23717758 0 23717758 604791 604791 24322549 Part V, Line 4: Description of Intended Use of Endowment Funds: Restricted funds are intended for resident assistance and other restricted purposes. Schedule D, Part XI, Line 8, Other Adjustments: Change in value of charitable remainder trusts: (1,646,382) Change in value of beneficial interest in perpetual trusts: (190,878) Schedule D, Part XII, Line 2d, Other Adjustments: Change in value of charitable remainder trusts: 1,646,382 Change in value of beneficial interest in perpetual trusts: 190,878 Benevolent Assistance: (604,791) Schedule D, Part XIII, Line 4b, Other Adjustments: Benevolent Assistance: 604,791 1 Benevolent Assistance for Residents 285 604791 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. 1 X X X X 0 0 0 0 0 0 0 0 0 William B Stillerman 302632 0 0 0 0 0 0 0 14706 0 317338 0 0 0 Debra A Meginnis 173219 0 0 0 0 0 0 0 11935 0 185154 0 0 0 William B Stillerman X 252874 97295 0 1 1 97295 X Trust - Perp. 1 82334 Trust Value 0 0 0 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 2009. 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. (A) PURPOSE OF LOAN BAPTIST 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, Section VII, Part A, Line 1a, Column B Hours provided to related Organization, Baptist Retirement Homes Foundation William B. Stillerman - 40 hrs per week Debra A. Meginnis - 40 hrs per week Charles R. Gaskins - 40 hrs per week Beth T. Jones - 1 hr per week Brady Dickson - 1 hr per week Baptist Retirement Homes Foundation 1912 Bethabara Road WinstonSalem NC 27106 562205837 Support Baptist Retirement Homes of North Carolina, Incorporated NC 501(c)(3) 11-Type 1 Baptist Retirement Homes of North Carolina Incorporated 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 Baptist Retirement Homes Foundation E 2516905 Baptist Retirement Homes Foundation Q 1529668 Baptist Retirement Homes Foundation R 262500