2024-05-16T14:52:54-05:00 2023-06-30 721396621 CARR RIGGS & INGRAM LLC 1601 2ND AVENUE EAST ONEONTA AL 35121 990 2022-07-01 630386404 EPISCOPAL FOUNDATION OF JEFFERSON COUNTY EPIS 2059561831 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 CAROL M HOLZMAN CEO 2059561831 2024-05-14 1 CAROL HOLZMAN 999009999 0 JOSEPH B MCCURLEY P00611915 2055176914 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CAROL M HOLZMAN 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 14830844 0 X STMARTINSINTHEPINES.ORG X 1957 AL THE MISSION OF ST MARTIN'S IN THE PINES IS TO SERVE GOD THROUGH A MINISTRY THAT PROVIDES A CONTINUUM OF CARE AND QUALITY OF LIFE TO AGING INDIVIDUALS AND THEIR FAMILIES. WE DO THIS BY PROVIDING LONG TERM CARE SERVICES AND SUPPORTS TO THE ELDERS OF JEFFERSON COUNTY, ALABAMA. REVENUES GENERATED FROM THESE SERVICES AND SUPPORTS ARE PAID BY PRIVATE CARE FUNDS, MEDICAID, MEDICARE, PRIVATE INSURANCE AND THE VETERANS ADMINISTRATION. SERVICES ARE PROVIDED ON A PLEASANT SUBURBAN SITE AND IN A HOME LIKE ENVIRONMENT WHENEVER POSSIBLE. WE PROVIDE HOUSING AND HOME CARE SERVICES TO APPROXIMATELY 400 ELDERS AND CLIENTS DAILY. 12 12 0 0 0 0 1577012 85617 13131287 13359557 8602 12315 637816 1373355 15354717 14830844 0 0 0 0 9033188 8621549 0 0 0 8481757 10115607 17514945 18737156 -2160228 -3906312 31827458 26856685 21446008 20658469 10381450 6198216 SEE SCHEDULE O 0 0 16109471 13188253 THE MISSION OF ST MARTIN'S IN THE PINES IS TO SERVE GOD THROUGH A MINISTRY THAT PROVIDES A CONTINUUM OF CARE AND QUALITY OF LIFE TO AGING INDIVIDUALS AND THEIR FAMILIES. WE DO THIS BY PROVIDING LONG TERM CARE SERVICES AND SUPPORTS TO THE ELDERS OF JEFFERSON COUNTY, ALABAMA. REVENUES GENERATED FROM THESE SERVICES AND SUPPORTS ARE PAID BY PRIVATE CARE FUNDS, MEDICAID, MEDICARE, PRIVATE INSURANCE AND THE VETERANS ADMINISTRATION. SERVICES ARE PROVIDED ON A PLEASANT SUBURBAN SITE AND IN A HOME LIKE ENVIRONMENT WHENEVER POSSIBLE. WE PROVIDE HOUSING AND HOME CARE SERVICES TO APPROXIMATELY 400 ELDERS AND CLIENTS DAILY. 16109471 1 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CAROL M HOLZMAN 2059561831 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 MARK BELCHER CHAIRMAN 0.00 X 0 0 0 FRED ELLIOTT TREASURER 0.00 X 0 0 0 WILL CLARK DIRECTOR 0.00 X 0 0 0 PATSY DREHER DIRECTOR 0.00 X 0 0 0 PAUL GOLDMAN DIRECTOR 0.00 X 0 0 0 WILLIAM HOWELL DIRECTOR 0.00 X 0 0 0 JIM JOHNSON DIRECTOR 0.00 X 0 0 0 KIMBLE VARDAMAN DIRECTOR 0.00 X 0 0 0 BETSY POSTLEWAITE DIRECTOR 0.00 X 0 0 0 MATT SHEFFIELD DIRECTOR 0.00 X 0 0 0 CAROL HOLZMAN CEO 40.00 X 247507 0 0 MAMIE MAHONE HR 40.00 X 105226 0 0 352733 0 0 2 0 1 0 0 85617 85617 PROG.SERV.REVENUE-RELATED-990 623000 7146060 7146060 ROOM AND BOARD - PRIVATE 623000 5594982 5594982 ST. MARTINS AT HOME - PRIVATE 623000 334523 334523 AMORTIZED APARTMENT INITIAL FEES 623000 109269 109269 APPLICATION FEES 623000 99204 99204 75519 75519 13359557 12315 12315 170019 0 170019 170019 170019 MISCELLANEOUS REVENUES 623000 1203336 1203336 1203336 14830844 14745227 0 0 7312259 6743698 568561 146968 146968 623117 1242451 -619334 539205 18325 520880 1002691 1002691 129459 3255 126204 150619 23006 127613 74371 53680 20691 7602 2729 4873 579515 579515 1521648 1521648 562680 562680 CONTRACT SERVICES 2321818 2074735 247083 UTILITIES 959418 959418 RAW FOOD 760493 760493 SUPPLIES 519086 1006211 -487125 1526207 557627 968580 18737156 16109471 2627685 0 862191 -51123 436398 293321 112730 47452 87581 19445 57233092 33384108 24851832 23848984 4735535 971268 924805 924805 474523 72193 72203 31827458 26856685 1856809 2233766 15250404 15025600 2799074 1883048 1539721 1516055 21446008 20658469 X 9659496 5675310 721954 522906 10381450 6198216 31827458 26856685 X -3906312 124961 -401883 X 0 0 0 X 292862 695971 273935 1540643 85617 2889028 20885919 20135867 15745092 13560765 13188253 83515896 21178781 20831838 16019027 15101408 13273870 86404924 0 0 0 86404924 8872 3810 98353 8602 12315 131952 8872 3810 98353 8602 12315 131952 459323 450743 1563676 241119 1203336 3918197 21646976 21286391 17681056 15351129 14489521 90455073 0.95520 0.96570 0.00150 0.00180 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2018 AMOUNT: $ 459,323. 2019 AMOUNT: $ 450,743. 2020 AMOUNT: $ 1,563,676. 2021 AMOUNT: $ 241,119. 2022 AMOUNT: $ 1,203,336. 77867 77867 57155225 33384108 23771117 23848984 RESIDENT REFUNDS PAYABLE - INDEPEND 11526 AMORTIZED REFUNDABLE RESIDENT DEPOS 1485566 RESIDENT REFUNDS PAYABLE - EVERGREE 1707 RESIDENT REFUNDS PAYABLE - SKILLED 17256 1516055 X X X X X X 0 0 0 0 0 0 0 0 0 CAROL HOLZMAN CEO 247507 0 0 0 0 0 0 0 0 0 247507 0 0 0 A 2015 SERIES BOND 260576198 2015-08-05 19270830 REFI/CONSTRUCTION FACILITY 0 0 0 A 19270830 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B THE CFO WILL ENSURE THE FORM 990 IS PREPARED ACCURATELY AND TIMELY. THE CEO WILL REVIEW THE FORM 990 AND THE CFO WILL CERTIFY THE INFORMATION IS CORRECT BY SIGNING THE FORM. THE FINANCE COMMITTEE WILL REVIEW THE FORM PRIOR TO FILING. THE FORM 990 WILL BE DISTRIBUTED TO THE FULL BOARD WITHIN 30 DAYS OF FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICIES OF THE FOUNDATION REQUIRE ALL BOARD MEMBERS, OFFICERS AND MANAGEMENT EMPLOYEES PREPARE AND SIGN ANNUAL DOCUMENTS DISCLOSING ANY POTENTIAL CONFLICTS OF INTERESTS. ANY POTENTIAL CONFLICTS ARE REVIEWED AND DISCUSSED BY THE ENTIRE BOARD. ADDITIONALLY THE FOUNDATION POLICY REQUIRES CONTINUAL DISCLOSURE SHOULD CIRCUMSTANCES CHANGE. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION'S POLICIES REQUIRE THE CEO'S COMPENSATION TO BE SET AND MONITORED BY THE BOARD OF DIRECTORS. ADDITIONALLY AN OUTSIDE CONSULTING FIRM PREPARES A PERIODIC STUDY OF COMPENSATION FOR SENIOR MANAGEMENT AND PRESENTS ITS RECOMMENDATIONS TO THE BOARD. FURTHERMORE THE POLICIES REQUIRE THE CEO TO PREPARE COMPENSATION RECOMMENDATIONS FOR SENIOR STAFF FOR THE COMPENSATION COMMITTEE TO REVIEW AND APPROVE. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR KEY EMPLOYEES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION RETURNS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PY POST CLOSING DEPRECIATION AND ALLOWANCE -401,883. EAST DALE PROPERTIES LLC 4941 MONTEVALLO ROAD BIRMINGHAM AL 35210 REAL ESTATE AL