2024-02-15T07:14:09-06:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2022-10-01 561443222 SOUTHMINSTER INC SOUT 7045516800 8919 PARK ROAD CHARLOTTE NC 28210 KENDA LAUGHEY CHIEF FINANCIAL OFFICER 7045516800 2024-02-14 1 KENDA LAUGHEY 999009999 0 JOHN NORMAN P01506766 7049985200 2024-02-14 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z BEN GILCHRIST 8919 PARK ROAD CHARLOTTE NC 28210 59719017 0 X WWW.SOUTHMINSTER.ORG X 1984 NC TO PROVIDE CONTINUING CARE TO RESIDENTS OF SOUTHMINSTER, INC. 13 13 674 80 0 0 3296476 876153 40336896 48629254 2652965 1456424 276172 286015 46562509 51247846 1403407 1424767 0 0 19014327 21208683 0 17500 155969 26199014 28626495 46616748 51277445 -54239 -29599 251267272 248725124 269161441 264810838 -17894169 -16085714 AT SOUTHMINSTER, OUR MISSION IS TO EMBRACE COMMUNITY, CARING AND COLLABORATION TO ENRICH THE LIVES OF THOSE WE SERVE. WE ARE SOUTHMINSTER. 0 0 45138090 1424767 48629254 CONTINUING CARE RETIREMENT COMMUNITYPROVIDE A CONTINUUM OF SERVICES (INDEPENDENT LIVING, ASSISTED LIVING, NURSING) TO OLDER ADULTS THAT ALLOWS THEM TO LIVE INDEPENDENTLY AND AS ACTIVELY AS THEIR FACULTIES AND STRENGTH PERMIT. 45138090 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 132 0 674 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X KENDA LAUGHEY 7045516800 8919 PARK ROAD CHARLOTTE NC 28210 REV ROBIN COIRA CHAIR 1.00 X X 0 0 0 CHARLES H CONNER JR VICE CHAIR/TREASURER 1.00 X X 0 0 0 SUSAN R SALVIN VICE CHAIR/SECRETARY 1.00 X X 0 0 0 FRANK HORNE JR VICE CHAIR 1.00 X X 0 0 0 SUZANNE G BLEDSOE BOARD MEMBER 1.00 X 0 0 0 REV LISA SAUNDERS EX OFFICIO 1.00 X 0 0 0 DICK WELCH BOARD MEMBER (10/22-2/23) 1.00 X 0 0 0 MARYANN LARGEN BOARD MEMBER TO 2/23; VICE CHAIR FROM 2/23 1.00 X X 0 0 0 ROY L SMART III BOARD MEMBER 1.00 X 0 0 0 GLORIA GIBSON BOARD MEMBER 1.00 X 0 0 0 EDWARD T HINSON JR BOARD MEMBER 1.00 X 0 0 0 DR JJ FLAG EX OFFICIO (2/23-10/23) 1.00 X 0 0 0 JACK COOK BOARD MEMBER (FROM 2/23) 1.00 X 0 0 0 REV JOE ALDRICH EX OFFICIO (10/22-2/23) 1.00 X 0 0 0 LARRY DAGENHART BOARD MEMBER 1.00 X 0 0 0 BEN GILCHRIST PRESIDENT & CEO 39.00 1.00 X 437979 0 63564 KENDA LAUGHEY CFO/ASST TREASURER 39.00 1.00 X 264500 0 45062 ARNOLDO MARQUEZ COO/ASST SEC SINCE 10/22 40.00 X 166390 0 29364 STEWART WILEY MARKETING DIRECTOR 40.00 X 178336 0 31822 TERESA LEWIS CONTROLLER 40.00 X 135752 0 39552 PRISCILLA OKORO REGISTERED NURSE 57.00 X 134348 0 27688 DONNA EATON DIRECTOR OF NURSING 40.00 X 132185 0 5402 LISA MCCLELLAN VP OF HUMAN RESOURCES 40.00 X 126431 0 33593 MARY COOPER FORMER COOASST SEC UNTIL 9/22; INT. ADMIN UNTIL 12/22 40.00 X 235695 0 34567 1811616 0 310614 13 1 1 0 BLUEWATER DESIGN-BUILD LLC PO BOX 955 DAVIDSON NC 28036 ARCHITECT/CONSTRUCTION 1651649 SYSCO CHARLOTTE LLC 4500 CORPORATE DRIVE NW CONCORD NC 28027 FOOD DISTRIBUTOR 1488868 CULINESSE LLC 250 WYANDOTTE ST BETHLEHEM PA 18015 CULINARY MANAGEMENT SERVICES 174824 PAYCOM PAYROLL LLC 7501 W MEMORIAL ROAD OKLAHOMA CITY OK 73142 PAYROLL PROVIDER/HR INFO SYSTEM 164445 CHIMNEY GUYS LLC 6913 GROVER ROGERS ROAD WAXHAW NC 28173 CHIMNEY REPAIRS, GAS LOG INSTALLATION 142860 6 876153 6677 876153 INDEPENDENT LIVING 623000 20568320 20568320 HEALTHCARE REVENUE 623000 10077790 10077790 EARNED ENTRANCE FEES 900099 8974687 8974687 HOME CARE REVENUE 623000 3144351 3144351 5864106 5864106 48629254 1016565 1016565 286015 0 286015 286015 286015 8911030 8421785 49386 489245 -49386 439859 439859 51247846 48629254 0 1742439 673314 673314 751453 751453 1200054 334821 865233 15730426 14060925 1600879 68622 405389 334634 68549 2206 2665912 2324528 329965 11419 1206902 1057921 143905 5076 33507 33507 63921 63921 17500 17500 136623 136623 611641 106230 505411 209916 209916 218237 78366 139871 516546 15553 500993 1623768 1623768 1069 939 130 73458 36782 36676 7397827 7303068 94759 11961862 11809039 152823 409141 409141 DIETARY SUPPLIES 1934913 1934913 REPAIRS AND MAINTENANCE 1112976 1112976 PROGRAM SUPPLIES 345536 345536 1975554 1233324 691084 51146 51277445 45138090 5983386 155969 2494723 385922 821067 597224 303670 382860 602715 84775 79978 1684999 1688654 307090093 103703291 207209234 203386802 38602290 36326624 211167 5129692 251267272 248725124 5475407 4126944 93805553 98382893 149009015 142793390 20652786 19330000 218680 177611 269161441 264810838 X -20244482 -16604827 2350313 519113 -17894169 -16085714 251267272 248725124 -29599 1838054 0 X X 0 1 X 1 0 X 1061373 788991 1620058 3296476 876153 7643051 29514121 31800030 34381967 40336896 48629254 184662268 30575494 32589021 36002025 43633372 49505407 192305319 357215 319233 729594 612449 1027524 3046015 36374 237847 274221 357215 355607 729594 850296 1027524 3320236 188985083 1325103 1133822 1892081 1313095 1302580 6966681 1325103 1133822 1892081 1313095 1302580 6966681 31900597 33722843 37894106 44946467 50807987 199272000 0.94840 0.94650 0.03500 0.03840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 409 409 0 PART II-B, LINE 1: SOUTHMINSTER'S STATE AND NATIONAL INDUSTRY ASSOCIATIONS LOBBY FOR LEGISLATION TO POSITIVELY IMPACT THE LIVES OF SENIORS, SUCH AS MAINTAINING CERTAIN TYPES OF TAX EXEMPTION 2154813 2154813 287071596 94631581 192440015 10489302 7431872 3057430 7374382 1639838 5734544 203386802 RIGHT-OF-USE LEASE LIABILITY 177611 177611 X PART X, LINE 2: THE CORPORATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE CORPORATION IS CLASSIFIED AS A PUBLIC CHARITY UNDER SECTION 509A(2) OF THE INTERNAL REVENUE CODE. THE CORPORATION FILES AS A TAX-EXEMPT ORGANIZATION. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE CORPORATION ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE CORPORATION'S FINANCIAL STATEMENTS. X 1 BULLOCK DEVELOPMENT CONSULTING 308 HILLSIDE AVENUE CHARLOTTE NC 28209 ENDOWMENT FEASIBILITY 0 0 17500 -17500 17500 -17500 NC SC 1 CHARLOTTE BILINGUAL PRESCHOOL 6300 HIGHLAND AVE CHARLOTTE NC 28215 364522499 501(C)(3) 30000 0 BILINGUAL WORKFORCE DEVELOPMENT PROGRAM CHARLOTTE MECKLENBURG LIBRARY FOUNDATION 310 N TRYON STREET CHARLOTTE NC 28202 461172548 501(C)(3) 25000 0 DONATION CHARLOTTE VILLAGE NETWORK PO BOX 32544 CHARLOTTE NC 28232 474800673 501(C)(3) 24760 0 SUPPORT OF SOUTH CHARLOTTE CHAPTER PROVIDING SUPPORT TO SENIORS LIVING AT HOME IN COMMUNITY GOOD FELLOWS CLUB INC PO BOX 34708 CHARLOTTE NC 282344708 566044762 501(C)(3) 10000 0 ANNUAL CHRISTMAS LUNCHEON SPONSORSHIP LEADINGAGE NC FOUNDATION PO BOX 27527 RALEIGH NC 27611 581594182 501(C)(3) 25000 0 SUPPORT FOR SENIOR LIVING ADVOCACY PARKINSON ASSOCIATION OF THE CAROLINAS 2101 SARDIS RD N BOX 15 CHARLOTTE NC 28227 300064156 501(C)(3) 14250 0 SUPPORT FOR YOGA AND DANCE FOR PD CLASSES, WALK SPONSORSHIP QUEENS UNIVERSITY OF CHARLOTTE 1900 SELWYN AVE CHARLOTTE NC 28274 560530003 501(C)(3) 12000 0 DONATION SUPPORTING FRIENDS OF THE LIBRARY AND ESTATE PLANNERS DAY SAMARITAN'S FEET INTERNATIONAL PO BOX 78992 CHARLOTTE NC 28271 141880905 501(C)(3) 6445 0 SENIOR SHOE DISTRIBUTION THE ECHO FOUNDATION 1125 E MOREHEAD ST STE 101 CHARLOTTE NC 28204 501(C)(3) 25000 0 FORUM FOR HOPE THE IVEY 6030 PARK DRIVE CHARLOTTE NC 28210 264197696 501(C)(3) 200000 0 SUPPORT FOR BRAIN HEALTH AND RESPITE PROGRAMMING THE SHEPHERD'S CENTER OF CHARLOTTE INC 300 HAWTHORNE LN CHARLOTTE NC 28204 561271236 501(C)(3) 181000 0 TO SUPPORT SENIOR PROGRAMMING AND SERVICES IN THE GREATER CHARLOTTE COMMUNITY UNC CHARLOTTE 9201 UNIVERSITY CITY BLVD CHARLOTTE NC 28223 560791228 66706 0 CAREGIVER STUDY, FUND SENIOR POVERTY SIMULATION 12 RESIDENT ASSISTANCE 10 751453 PART I, LINE 2: THE DIRECTOR OF PHILANTHROPY WORKS WITH A COMMITTEE OF THE SOUTHMINSTER BOARD TO DETERMINE AREAS OF NEED IN THE OUTSIDE COMMUNITY THAT ALIGN WITH SOUTHMINSTER'S MISSION. GRANTS TO INDIVIDUAL RESIDENTS ARE APPLIED TO INDIVIDUAL RESIDENT ACCOUNTS TO ASSIST THEM WITH ENTRANCE FEES AND MONTHLY FEES. GRANTS ARE AWARDED BASED ON THE FINANCIAL NEED OF THE RESIDENT. 1 X X X 0 1 0 0 0 0 0 1 0 BEN GILCHRIST PRESIDENT & CEO 364696 0 72923 0 360 0 35767 0 27797 0 501543 0 0 0 KENDA LAUGHEY CFO/ASST TREASURER 230360 0 34050 0 90 0 25575 0 19487 0 309562 0 0 0 MARY COOPER FORMER COOASST SEC UNTIL 9/22; INT. ADMIN UNTIL 12/22 208895 0 26800 0 0 0 14132 0 20435 0 270262 0 0 0 STEWART WILEY MARKETING DIRECTOR 169542 0 8200 0 594 0 10976 0 20846 0 210158 0 0 0 ARNOLDO MARQUEZ COO/ASST SEC SINCE 10/22 157331 0 8978 0 81 0 10243 0 19121 0 195754 0 0 0 TERESA LEWIS CONTROLLER 127728 0 7934 0 90 0 8811 0 30741 0 175304 0 0 0 PRISCILLA OKORO REGISTERED NURSE 131970 0 2200 0 178 0 8208 0 19480 0 162036 0 0 0 LISA MCCLELLAN VP OF HUMAN RESOURCES 118424 0 7800 0 207 0 7162 0 26431 0 160024 0 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT/CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF SOUTHMINSTER, INC. AS PART OF A COMPREHENSIVE REVIEW OF THE PRESIDENT'S PERFORMANCE AGAINST AGREED-UPON GOALS. PRESIDENT/CEO COMPENSATION INCLUDED AN ANNUAL BONUS BASED ON CERTAIN GOALS NOT TIED TO ORGANIZATION'S REVENUE OR NET EARNINGS, SET BY BOARD OF DIRECTORS. PART I, LINE 4B SOUTHMINSTER, INC. CONTRIBUTED $20,500 ON BEHALF OF CEO, BEN GILCHRIST, AND $10,000 ON BEHALF OF CFO, KENDA LAUGHEY, TO A SECTION 457 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN; KENDA LAUGHEY CONTRIBUTED $10,500 TO A SECTION 457 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PART I, LINE 7 CEO COMPENSATION INCLUDED AN ANNUAL BONUS BASED ON CERTAIN GOALS NOT TIED TO ORGANIZATION'S REVENUE OR NET EARNINGS, SET BY BOARD OF DIRECTORS. DEPARTMENT HEADS' COMPENSATION INCLUDED ANNUAL BONUSES BASED ON CERTAIN GOALS NOT TIED TO ORGANIZATION'S REVENUE OR NET EARNINGS, SET BY CEO. A NC MEDICAL CARE COMMISSION 521309402 65820YMR4 2016-11-10 64801252 ADVANCE REFUND $61,515,000 OF SERIES 2007A OUTSTANDING BONDS 0 0 0 B PUBLIC FINANCE AUTHORITY 273866124 74444VAH3 2018-07-18 90670374 CONSTRUCTION OF REPLACEMENT HEALTH CTR. AND 2 INDEPENDENT LIVING BUILDINGS 0 0 0 A 8895000 64801252 4746688 1089988 58964576 1 0 1 1 B 1925000 90670374 4282850 1682100 84705424 2021 0 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NC MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2021 ISSUER NAME: PUBLIC FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2023 PART II, LINE 3, COLUMN A PROCEEDS, AS WELL AS THE ISSUE PRICE, ARE BROKEN OUT AS FOLLOWS: PAR AMOUNT $58,765,000 ORIGINAL ISSUE DISCOUNT (47,157) PREMIUM 6,083,409 ------------ $64,801,252 FORM 990, PART VI, SECTION A, LINE 7B ALL BOARD MEMBERS ARE NOMINATED BY A NOMINATING COMMITTEE OF THE BOARD, BUT SUCH NOMINEES ARE SUBJECT TO APPROVAL BY THE GOVERNING BODIES OF THE ORGANIZATION'S TWO FOUNDING CHURCHES PRIOR TO ELECTION BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FINAL FORM 990 WILL BE DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO BEING FILED. ANY COMMENTS OR QUESTIONS WILL BE DIRECTED TO MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS OF THE BOARD SIGN CONFLICT OF INTEREST POLICY/DECLARATIONS EACH YEAR. IF THERE IS A CONCERN THAT A TRANSACTION MAY RISE TO A CONFLICT OF INTEREST, IT IS PROACTIVELY RAISED WITH THE BOARD FOR DISCUSSION/APPROVAL. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PRESIDENT/CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF SOUTHMINSTER, INC. AS PART OF A COMPREHENSIVE REVIEW OF THE PRESIDENT'S PERFORMANCE AGAINST AGREED-UPON GOALS. PRESIDENT/CEO COMPENSATION INCLUDED AN ANNUAL BONUS BASED ON CERTAIN GOALS NOT TIED TO ORGANIZATION'S REVENUE OR NET EARNINGS, SET BY BOARD OF DIRECTORS. COMPENSATION OF KEY EMPLOYEES OTHER THAN THE PRESIDENT/CEO IS REVIEWED AND APPROVED BY THE PRESIDENT/CEO. COMPENSATION INCLUDED ANNUAL BONUSES BASED ON CERTAIN GOALS NOT TIED TO ORGANIZATION'S REVENUE OR NET EARNINGS, SET BY PRESIDENT/CEO. COMPETITIVE COMPENSATION INFORMATION IS OBTAINED FROM INDEPENDENT SOURCES, SUCH AS GUIDESTAR, TO ENSURE THAT COMPENSATION IS REASONABLE IN RELATION TO THE MARKETPLACE. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH ELECTRONIC MUNICIPAL MARKET ACCESS, A SOURCE FOR MUNICIPAL DISCLOSURES AND MARKET DATA. IN ADDITION, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS FOR SELECTING AN INDEPENDENT AUDITOR AND OVERSEEING THE AUDIT DID NOT CHANGE FROM THE PRIOR YEAR. SOUTHMINSTER FOUNDATION 8919 PARK ROAD CHARLOTTE NC 28210 581711827 FUNDRAISING NC 501(C)(3) LINE 12A, I SOUTHMINSTER INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0