2024-11-01T15:50:37-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2023-01-01 570647976 ROLLING GREEN VILLAGE ROLL 8649879800 1 HOKE SMITH BLVD GREENVILLE SC 29615 RYAN TOERNER EXECUTIVE DIRECTOR 8649879800 2024-10-31 1 1 KATHERINE A WARLICK P02065266 7049985200 2024-10-31 2023 2024-10-15 13:58:12Z RYAN TOERNER 1 HOKE SMITH BLVD GREENVILLE SC 29615 28903374 0 X WWW.ROLLINGGREENVILLAGE.COM X 1977 SC TO SERVE SENIOR ADULTS IN AN ENVIRONMENT BASED ON INDEPENDENCE AND CHRISTIAN IDEALS. 9 9 385 25 0 0 205592 3939995 20890104 24569968 -115217 289468 0 0 20980479 28799431 195958 72179 0 0 8992240 11199763 0 0 0 15292239 16383831 24480437 27655773 -3499958 1143658 76747405 78326087 83541624 84283313 -6794219 -5957226 X THE MISSION OF ROLLING GREEN VILLAGE IS TO SERVE SENIOR ADULTS BY PROVIDING AN ENVIRONMENT THAT ENRICHES QUALITY OF LIFE AND FOSTERS THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE IN A SETTING NURTURED BY AND ESTABLISHED ON CHRISTIAN IDEALS. 0 0 18374847 72179 24569968 THE LICENSED AREAS INCLUDE 24 HOUR CARE INCLUDING ASSISTANCE WITH BATHING, DRESSING, MEDICATION ADMINISTRATION, THREE WELL BALANCED MEALS EACH DAY WITH ACCOMODATIONS FOR SPECIAL DIETS WHEN PRESCRIBED BY A PHYSICIAN. THERE IS ALSO WEEKLY HOUSEKEEPING WITH DAILY TIDYING OF ROOM, LAUNDRY AND PERSONAL LAUNDRY SERVICES, EMERGENCY CALL SYSTEM TO LICENSED NURSE AVAILABLE 24-HOURS, A 7 DAY/WEEK FULL ACTIVITIES PROGRAM, UTILITIES INCLUDING ELECTRICITY, GAS, WATER, SEWER, AND EXTENDED BASIC CABLE TELEVISION. MANY OTHER SERVICES ARE ALSO AVAILABLE AT AN ADDITIONAL CHARGE SUCH AS BEAUTY AND BARBER, ESCORTS TO PHYSICIAN APPOINTMENTS, PERSONAL AND MEDICAL SUPPLIES, (1) DAY AND EXTENDED OFF CAMPUS TRIPS, AND GUEST MEALS. MANY ADDITIONAL NON CHARGEABLE ACTIVITIES EXIST FOR ALL RESIDENTS SUCH AS WATER AEROBICS, EXERCISE CLASSES, BOARD GAMES, AND ENTERTAINMENT FROM OUTSIDE VENDORS. 18374847 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 67 0 385 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X SHAUN FRIEDMAN 8649874607 1 HOKE SMITH BLVD GREENVILLE SC 29615 X X BROOKS-MADDEN VALERIE VICE CHAIR OF THE BOARD 2.00 X X 0 0 0 SCHLANSKER GARY FINANCE COMMITTEE CHAIR 2.00 X X 0 0 0 JONES TONY GOVERNANCE COMM. CHAIR 2.00 X X 0 0 0 SCHOVIAK DAVID STRATEGIC COMM. CHAIR 2.00 X X 0 0 0 HARPER DOUGLAS TRUSTEE 2.00 X 0 0 0 GARVIN DANIEL TRUSTEE 2.00 X 0 0 0 DEHOLLANDER ROB TRUSTEE 2.00 X 0 0 0 BRENNAN DANIEL CHAIR OF THE BOARD 2.00 X X 0 0 0 WESSEL KELLY TRUSTEE 2.00 X 0 0 0 GREIN JOSH TRUSTEE 2.00 X 0 0 0 JUDD GARY TRUSTEE 2.00 X 0 0 0 BENSON ROBERT EXECUTIVE DIRECTOR (THRU 6/2023) 40.00 X 0 0 0 TOERNER RYAN EXECUTIVE DIRECTOR (AS OF 6/2023) 40.00 X 0 0 0 LENTZ LYNNE FINANCIAL SERVICES DIRECTOR 40.00 X 154389 0 9774 SHYMSKE LEGARE DIR. OF NURSING 40.00 X 127338 0 12719 VOGELSBERG BRUCE DIR. FOOD/BEVERAGE 40.00 X 114493 0 15376 WIGGINS BIRL DIR. OF FACILITIES 40.00 X 112667 0 3377 SHELL FELICIA NURSE AIDE 70.00 X 113321 0 12123 622208 0 53369 5 0 1 0 LCS HOLDING COMPANY LLC 400 LOCUST STREET SUITE 820 DESMOINES IA 50309 MANAGEMENT SERVICES 1257133 HEALTHPRO-MERITAGE LLC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SERVICES 840460 PHARMERICA PO BOX 409251 ATLANTA GA 30384 PHARMACY SERVICES 418623 DONALD E ALLISON 20 REHOBETH CIRCLE PIEDMONT SC 29673 APARTMENT REFURBISHMENT LABOR 291621 GALE HEALTHCARE SOLUTIONS LLC 4111 METRIC DR SUITE 1 WINTER PARK FL 327934729 AGENCY STAFFING CNAS, LPNS, RNS 227037 10 3558574 381421 339000 3939995 APARTMENT RESIDENT FEE 623000 9410933 9410933 HEALTH CARE FACILITY F 623000 7627277 7627277 PERSONAL CARE FACILITY 623000 2840257 2840257 OTHER RESIDENT AND PAT 623000 2726483 2726483 PATIO HOME FEES 623000 1965018 1965018 24569968 393411 393411 103943 -103943 -103943 -103943 28799431 24569968 0 289468 72179 72179 9758904 8653933 1104971 88289 45067 43222 611393 539507 71886 741177 656374 84803 1383467 1383467 115792 115792 67979 67979 16444 16444 1741458 1512646 228812 323353 323353 193421 13606 179815 68675 33709 34966 835157 802980 32177 208611 203671 4940 27607 23080 4527 1615859 438220 1177639 4385890 1189449 3196441 742650 76390 666260 FOOD SUPPLIES 1693157 1693157 MAINTENANCE AND REPAIRS 1360218 1152068 208150 DEPARTMENTAL SUPPLIES 607610 573823 33787 MEDICAL SUPPLIES 559574 529555 30019 436909 165433 271476 27655773 18374847 9280926 0 11334496 12187867 732453 4456175 61977 58566 628061 584341 99655149 41015151 61302069 58639998 1089873 1184307 1598476 1214833 76747405 78326087 1559967 1654788 33132269 36061921 46385000 45941361 978000 0 1486388 625243 83541624 84283313 X -6794219 -5957226 -6794219 -5957226 76747405 78326087 X 1143658 76978 -383643 X X 0 1 X 1 0 X 55406 18324 18011 205592 3939995 4237328 17318706 17987038 218817619 20890104 24569968 299583435 17374112 18005362 218835630 21095696 28509963 303820763 0 0 0 303820763 19795 88289 39121 65916 393411 606532 19795 88289 39121 65916 393411 606532 17393907 18093651 218874751 21161612 28903374 304427295 0.99800 0.99920 0.00200 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X OLD COINS HELD ON PREMISES 0 7983763 388899 382170 8754832 7547235 381215 55313 7983763 7011418 524772 11045 7547235 5108610 1844413 58395 7011418 3317848 1754810 35952 5108610 1.00000 0 0 846417 846417 91228224 36014917 55213307 6603282 5000234 1603048 977226 977226 58639998 ACCRUED REFUNDABLE DEPOSITS 233337 CAPITAL LEASE OBLIGATIONS 149834 OTHER LIABILITIES 242072 625243 X 28758187 76978 125585 202563 28555624 243807 243807 28799431 27655773 0 27655773 0 27655773 PART III, LINE 4: ORGANIZATION WAS GIVEN OLD COINS THAT ARE KEPT ON PREMISES FOR SAFE KEEPING. PART V, LINE 4: TO BE HELD IN PERPETUITY WITH 4.25% OF THE AVERAGE FAIR MARKET VALUE OF THE ACCOUNTS FOR THE PAST 16 QUARTERS BEING RELEASED TO A SELF-RESTRICTED ACCOUNT FOR THE BENEFIT OF FINANCIALLY DISTRESSED RESIDENTS. PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 125,585. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT -103,943. RESTRICTED CONTRIBUTIONS 347,750. 1 HELP PAYING MONTHLY ROOM & BOARD FEES/MEDICINES/ETC. 2 72179 PART I, LINE 2: ROLLING GREEN VILLAGE WILL GIVE FINANCIAL ASSISTANCE TO RESIDENTS WHO QUALIFY AND HAVE IDENTIFIED A NEED. THERE IS A HARDSHIP APPLICATION THAT MUST BE FILLED OUT BY THE RESIDENT (OR POA). THE APPLICATION REQUIRES SEVERAL YEARS' TAX RETURNS AMONG OTHER DETAILED FINANICAL INFORMATION ABOUT THE RESIDENT. WHEN THE NEED IS CALCULATED (INCOME LESS OUTGOING EXPENSES) AND A DOLLAR VALUE IS OBTAINED, THE REQUEST IS THEN BROUGHT TO THE TRUSTEE FINANCE COMMITTEE (IF THE MONTHLY AMOUNT WOULD EXCEED THE BUDGETED AMOUNT) TO DETERMINE IF THE HARDSHIP REQUEST IS APPROVED. 0 0 0 0 0 0 0 0 0 LENTZ LYNNE FINANCIAL SERVICES DIRECTOR 154389 0 0 0 0 0 3706 0 6068 0 164163 0 0 0 PART I, LINE 3 LIFE CARE SERVICES DETERMINES THE SALARIES AND BENEFITS FOR THE EXECUTIVE DIRECTOR AND THE ADMINISTRATOR. THE EXECUTIVE DIRECTOR AND THE HUMAN RESOURCES DIRECTOR DETERMINE THE SALARIES FOR OTHER OFFICERS BASED ON WAGE STUDIES AND MARKET ANALYSIS. COMPARABLE DATA USED WAS LEADING AGE CCRC SALARY REPORT, AND LCS PAYFACTOR. THE DOCUMENTATION THAT SUPPORTS THE DECISION IS THE PAF (PERSONAL ACTION FORM) SIGNED BY EACH AND FILED IN THE EMPLOYEE'S PERSONNEL FOLDER. THIS WAS MOST RECENTLY REVIEWED AND APPROVED BY INDEPENDENT PERSONS IN 2023. A SOUTH CAROLINA JOBS ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2018-12-27 67574000 PAYOFF EXISTING BANK LOANS AND FUND FUTURE CAPITAL PROJECTS 0 0 0 A 21189000 67574000 2173607 732889 43719091 20948413 2022 0 0 0 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 1 1 TRUIST 5.000000000000 0 0 0 0 1 A 1 X 1 339000 SALES PRICE 1 0 0 1 PART I, LINE 32B: THE ORGANIZATION USED A REALTOR TO SELL THE GIFT RECEIVED OF RESIDENTIAL REAL ESTATE. FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE COMPANIES LLC PERFORMS MANAGEMENT DUTIES OF THE EXECUTIVE DIRECTOR AND THE ADMINISTRATOR, AS WELL AS DEVELOPMENT SERVICES. LIFE CARE IS LISTED IN PART VII, SECTION B, AS ONE OF THE 5 HIGHEST PAID INDEPENDENT CONTRACTORS. FORM 990, PART VI, SECTION B, LINE 11B AFTER BEING REVIEWED BY THE EXECUTIVE DIRECTOR, THE FORM 990 IS REVIEWED BY THE BOARD FINANCE COMMITTEE. ONCE RECOMMENDED FOR ACCEPTANCE BY THAT COMMITTEE, IT IS THEN REVIEWED BY THE FULL BOARD OF DIRECTORS FOR FINAL APPROVAL/ACCEPTANCE. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS REVIEWED AND SIGNED OFF ANNUALLY AT ORIENTATION (FOR EMPLOYEES) AND REVIEWED AND SIGNED OFF DURING THE FIRST BOARD MEETING (BOARD MEMBERS) OF EACH NEW YEAR. POTENTIAL CONFLICTS ARE DISCUSSED AT BOARD MEETINGS. IF A CONFLICT EXISTS OR IS PERCEIVED, THE MEMBER WOULD BE DISALLOWED FROM THE DISCUSSION AND FROM VOTING ON THE TOPIC. FORM 990, PART VI, SECTION B, LINE 15 LIFE CARE SERVICES DETERMINES THE SALARIES AND BENEFITS FOR THE EXECUTIVE DIRECTOR AND THE ADMINISTRATOR. THE EXECUTIVE DIRECTOR AND THE HUMAN RESOURCES DIRECTOR DETERMINE THE SALARIES FOR OTHER OFFICERS BASED ON WAGE STUDIES AND MARKET ANALYSIS. COMPARABLE DATA USED WAS LEADING AGE CCRC SALARY REPORT, AND LCS PAYFACTOR. THE DOCUMENTATION THAT SUPPORTS THE DECISION IS THE PAF (PERSONAL ACTION FORM) SIGNED BY EACH AND FILED IN THE EMPLOYEE'S PERSONNEL FOLDER. THIS WAS MOST RECENTLY REVIEWED AND APPROVED BY INDEPENDENT PERSONS IN 2023. FORM 990, PART VI, SECTION C, LINE 18 A COPY IS ON HAND IN THE FINANCIAL SERVICES DIRECTOR'S OFFICE FOR PUBLIC INSPECTION FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE IN VARYING WAYS, BUT GENERALLY THEY ARE MADE AVAILABLE UPON REUQEST. PART VII SECTION B INDEPENDENT CONTRACTORS MANAGEMENT SERVICES AND REIMBURSABLE EXPENSES, INCLUDING SALARIES AND BENEFITS OF THE EXECUTIVE DIRECTOR AND ADMINISTRATOR. ALSO INCLUDED ARE DEVELOPMENT FEES. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP INSTRUMENTS -383,643. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE VILLAGE FOUNDATION 1140 WOODRUFF ROAD-SUITE 106-163 GREENVILLE SC 29607 205896271 FUNDRAISING SC 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0