2024-05-02T07:33:05-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2022-07-01 561838369 GRACE NURSING CENTER INC GRAC 8285805000 109 FOOTHILLS DRIVE MORGANTON NC 28655 PATRICIA A MOLL CHEIF FINANCIAL OFFICER 8285805000 2024-04-25 1 PATRICIA MOLL 999009999 0 JOHN NORMAN P01506766 7049985200 2024-04-25 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z KATHY BAILEY 109 FOOTHILLS DRIVE MORGANTON NC 28655 766500 0 X WWW.BLUERIDGEHEALTH.ORG X 1994 NC TO PROVIDE HEALTHCARE TO THE ELDERLY AND AGING. 12 11 0 0 0 0 0 0 383250 766500 0 0 0 0 383250 766500 0 0 0 0 0 0 0 0 0 33122 69290 33122 69290 350128 697210 2290877 2988090 25 28 2290852 2988062 GRACE NURSING CENTER IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES BY PROVIDING EXCELLENT AND COMPASSIONATE CARE. 0 0 60111 766500 GRACE NURSING CENTER ("GNC") PROVIDES NURSING HOME AND HEALTH CARE SERVICES FOR THE ELDERLY AND AGING RESIDENTS OF THE COMMUNITY. GNC OPERATES A 120 BED FACILITY TO MEET THE LONG TERM AND SHORT TERM CARE NEEDS OF ITS RESIDENTS. GNC FOCUSES ON IMPROVING RESIDENT QUALITY OF LIFE WITH PROGRAMS SUCH AS PET THERAPY, ENVIRONMENTAL/ART ENHANCEMENT PROJECTS, AND MULTI-GENERATIONAL ACTIVITIES INVOLVING LOCAL ELEMENTARY AND MIDDLE SCHOOLS. SUB-ACUTE CARE IS AVAILABLE FOR MEDICALLY COMPLEX CASES AND RESIDENTS NEEDING SHORT TERM REHABILIATION.ON 7/1/19, SANSTONE HEALTH & REHABILITATION TOOK OVER OPERATIONS OF THE FACILITY. GNC LEASES THE BUILDING AND EQUIPMENT TO SANSTONE. 60111 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PATRICIA MOLL 8285805003 2201 S STERLING ST MORGANTON NC 28655 X J MICHAEL BRIDGES CHAIRMAN 0.20 1.80 X X 0 0 0 M H MCCRARY VICE-CHAIRMAN 0.20 1.80 X X 0 0 0 SHERROD SALSBURY SECRETARY 0.20 1.80 X X 0 0 0 JEFF CARSWELL TREASURER 0.20 1.80 X X 0 0 0 JOHN BRANSTROM BOARD MEMBER 0.20 1.80 X 0 0 0 ALAN GRIFFIN BOARD MEMBER 0.20 1.80 X 0 0 0 SUSAN HAIRE BOARD MEMBER 0.20 1.80 X 0 0 0 ALAN VANNOPPEN BOARD MEMBER 0.20 1.80 X 0 0 0 DAVID BENNETT BOARD MEMBER 0.20 1.80 X 0 0 0 TEA YANG BOARD MEMBER 0.20 1.80 X 0 0 0 GANDHARI LOOMIS MD BOARD MEMBER 0.20 50.80 X 0 317688 20172 ANDREW BRANT MD BOARD MEMBER 0.20 1.80 X 0 0 0 PATRICIA MOLL CFO 1.00 50.00 X 0 387359 43409 KATHY BAILEY PRESIDENT & CEO 1.00 50.00 X 0 965485 13957 0 1670532 77538 0 0 1 0 0 OTHER 900099 766500 766500 766500 766500 766500 0 0 1899 1899 8159 6527 1632 47801 47801 5648 5648 INTERCOMPANY EXPENSE 5783 5783 69290 60111 9179 0 1719779 219688 253007 2308548 4716402 4446125 318078 270277 13 189577 2290877 2988090 25 28 25 28 X 2290852 2988062 2290852 2988062 2290877 2988090 697210 0 X X 0 1 X 1 0 X 4742467 774145 768895 383250 766500 7435257 4742467 774145 768895 383250 766500 7435257 0 0 0 7435257 4742467 774145 768895 383250 766500 7435257 1.00000 1.00000 0.00000 X SCHEDULE A, PART III THE SUPPORT TEST INCLUDES A SHORT YEAR BEGINNING JANUARY 1, 2022 AND ENDING JUNE 30, 2022. THE YEARS FOR COLUMNS (A) THROUGH (E) ARE AS FOLLOWS: COLUMN (A) - 12/31/19 COLUMN (B) - 12/31/20 COLUMN (C) - 12/31/21 COLUMN (D) - 6/30/22 (SHORT YEAR) COLUMN (E) - 6/30/23 130742 130742 3192451 3172994 19457 281981 269709 12272 1095638 987832 107806 15590 15590 0 270277 OTHER ASSETS 16 INTERCOMPANY RECEIVABLE 189561 189577 X PART X, LINE 2: THE FILING ORGANIZATION IS A TAX-EXEMPT ORGANIZATION AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FILING ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE FILING ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE FILING ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE FILING ORGANIZATION ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAD NO IMPACT ON THE FILING ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2023 OR 2022. X 1 1 X X 0 1 0 0 0 1 1 0 0 KATHY BAILEY PRESIDENT & CEO 0 600355 0 362492 0 2638 0 3664 0 10293 0 979442 0 0 PATRICIA MOLL CFO 0 245224 0 129512 0 12623 0 7940 0 35469 0 430768 0 0 GANDHARI LOOMIS MD BOARD MEMBER 0 226399 0 91098 0 191 0 9031 0 11141 0 337860 0 0 PART I, LINE 1A ALL BENEFITS PROVIDED TO OFFICERS FACILITATE BUSINESS RELATIONSHIPS. BRHC PAID THE CLUB DUES FOR KATHY BAILEY. PART I, LINE 3 IN 2021, THE ORGANIZATION TERMINATED THE MANAGEMENT SERVICES CONTRACT WITH ATRIUM HEALTH (FORMERLY CAROLINAS HEALTHCARE SYSTEM) AND ENTERED INTO A MANAGEMENT SERVICES CONTRACT WITH UNC HEALTH. THE ORGANIZATION COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION PACKAGE. PART I, LINE 4B DURING THE YEAR, THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SECTION 457(F) PLAN: PATRICIA MOLL $ 11,792 PART I, LINE 6 BONUSES ARE PAID IF THE ORGANIZATION'S RESULTS MEET CERTAIN PERFORMANCE INDICATORS. FORM 990, PART VI, SECTION A, LINE 3 IN 2021, THE ORGANIZATION TERMINATED THE MANAGEMENT SERVICES CONTRACT WITH ATRIUM HEALTH AND ENTERED INTO A MANAGEMENT SERVICES CONTRACT WITH UNC HEALTH. THE TERMS OF THE CONTRACT CALL FOR THE ORGANIZATION TO PAY UNC HEALTH AN ANNUAL MANAGEMENT FEE BASED UPON THE ORGANIZATION'S NET OPERATING REVENUES. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER, THE BOARD AND THE EXECUTIVE COMMITTEE WILL REVIEW THE PREPARED FORM 990 BEFORE IT IS FILED WITH THE IRS. A DRAFT OF FORM 990 WAS POSTED FOR ACCESS BY THE GOVERNING BODY BEFORE IT WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CORPORATE COUNSEL, WHO REVIEWS ALL ANNUAL CONFLICT OF INTEREST DISCLOSURES, IS PRESENT AT EVERY BOARD MEETING TO ENSURE THAT ANY POTENTIAL CONFLICTS ARE APPROPRIATELY HANDLED BY MEMBERS ABSTAINING FROM VOTES AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION PACKAGE DURING 2023. FORM 990, PART VI, SECTION C, LINE 19 BY-LAWS ARE AVAILABLE UPON REQUEST THROUGH CORPORATE COUNSEL. ARTICLES OF INCORPORATION ARE FILED WITH THE NORTH CAROLINA SECRETARY OF STATE AND ARE AVAILABLE ON THEIR WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PART VII DESCRIPTION OF HOURS -- FOR RELATED ORGANIZATIONS, OFFICERS LISTED ON PART VII WORK AN AVERAGE OF 40 TO 50 HOURS PER WEEK. THEIR TIME IS SHARED BETWEEN THE FILING ORGANIZATION AND OTHER RELATED ENTITIES LISTED ON SCHEDULE R. FORM 990, PART XII, LINE 2C NO CHANGES FOR APPROVING AUDITED FINANCIAL STATEMENTS OR SELECTION OF INDEPENDENT ACCOUNTANTS HAVE OCCURRED FROM THE PRIOR YEAR. BLUE RIDGE HEALTHCARE HOSPITALS INC 2201 SOUTH STERLING STREET MORGANTON NC 28655 560529976 HEALTHCARE NC 501(C)(3) LINE 3 N/A 0 VALDESE NURSING HOME INC 95 LOCUST STREET CONNELLY SPRINGS NC 28612 581978560 HEALTHCARE NC 501(C)(3) LINE 10 N/A 0 GRACE LIFECARE INC 500 LENOIR ROAD MORGANTON NC 28655 561722754 HEALTHCARE NC 501(C)(3) LINE 10 N/A 0 GRACE PROPERTIES INC 500 LENOIR ROAD MORGANTON NC 28655 561727514 HEALTHCARE NC 501(C)(3) LINE 12A, I N/A 0 BLUE RIDGE FOUNDATION INC 2201 SOUTH STERLING STREET MORGANTON NC 28655 582063920 HEALTHCARE NC 501(C)(3) LINE 7 N/A 0 BLUE RIDGE HEALTHCARE MEDICAL GROUP INC 2201 SOUTH STERLING STREET MORGANTON NC 28655 020777195 HEALTHCARE NC 501(C)(3) LINE 10 N/A 0 BLUE RIDGE HEALTHCARE SYSTEM INC 2201 SOUTH STERLING STREET MORGANTON NC 28655 562150313 HEALTHCARE NC 501(C)(3) LINE 12B, II N/A 0 GRACE HEALTH VENTURES INC 2201 SOUTH STERLING STREET MORGANTON NC 28655 561581317 RELATED NC BLUE RIDGE HEALTHCARE SYSTEM C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0