2025-05-01T14:16:25-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2023-07-01 561722754 GRACE LIFECARE INC GRAC 8285805000 500 LENOIR ROAD MORGANTON NC 28655 PATRICIA MOLL CHIEF FINANCIAL OFFICER 8285805000 2025-05-01 1 1 KATHERINE A WARLICK P02065266 7049985200 2025-05-01 2023 2025-03-06 01:10:19Z GARY PAXSON 500 LENOIR ROAD MORGANTON NC 28655 12080413 0 X WWW.BLUERIDGEHEALTH.ORG X 1992 NC COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EXCELLENT & COMPASSIONATE CARE. 11 10 115 95 0 0 0 7470 10100167 11774224 210078 296224 43813 2170 10354058 12080088 0 0 0 0 5859301 6512678 0 0 0 6307013 6217363 12166314 12730041 -1812256 -649953 23588261 24090350 25061482 25780823 -1473221 -1690473 GRACE LIFECARE IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES BY PROVIDING EXCELLENT AND COMPASSIONATE CARE. 0 0 10976723 11776394 THE ORGANIZATION OPERATES A RETIREMENT COMMUNITY CONSISTING OF INDEPENDENT LIVING QUARTERS, A HEALTH FACILITY, AND OTHER AMENITIES FOR RETIREMENT LIVING. 10976723 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 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 0 115 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 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 GANDHARI LOOMIS MD BOARD MEMBER 0.20 49.80 X 0 321074 14645 J MICHAEL BRIDGES PAST CHAIR 0.20 1.80 X X 0 0 0 M H MCCRARY VICE CHAIR (THRU 1/24)/CHAIR 0.20 1.80 X X 0 0 0 JEFF CARSWELL CHAIRMAN (THRU 1/2024) 0.20 1.80 X X 0 0 0 DAVID BENNETT TREASURER 0.20 1.80 X X 0 0 0 JIM ROSTAN SECRETARY (THRU 1/2024)/VICE CHAIR 0.20 1.80 X X 0 0 0 SUSAN HAIRE SECRETARY (AS OF 1/2024) 0.20 1.80 X X 0 0 0 TEA YANG BOARD MEMBER 0.20 1.80 X 0 0 0 ANDREW BRANT MD BOARD MEMBER 0.20 1.80 X 0 0 0 KEVIN BAXTER BOARD MEMBER 0.20 2.80 X 0 0 0 AMY JACKSON-KINCAID BOARD MEMBER 0.20 1.80 X 0 0 0 PATRICIA MOLL CFO 4.00 46.00 X 0 396003 49744 KATHY BAILEY PRESIDENT & CEO 4.00 46.00 X 0 947938 10408 MCKAYLA VANCE EXECUTIVE DIRECTOR 50.00 0.00 X 116979 0 28330 JEFFREY BRIGHT MARKETING DIRECTOR 50.00 0.00 X 133684 0 12954 LINDA LACKEY NURSE MANAGER 50.00 0.00 X 110181 0 13155 NANCY LOVELACE ADMINISTRATOR HEALTHCARE SERVICES 50.00 0.00 X 119623 0 15283 480467 1665015 144519 3 0 1 0 0 7470 7470 OPERATING REVENUE 623000 6129425 6129425 RESIDENT REVENUE 623000 5644799 5644799 11774224 221253 221253 75296 0 325 75296 -325 74971 74971 2170 2170 2170 12080088 11776394 0 296224 X 5892772 5126712 766060 62156 54076 8080 286694 249424 37270 271056 235819 35237 157000 157000 7670 7670 1726432 1381146 345286 177552 177552 128382 128382 868086 868086 1934 1934 1323597 1323597 65441 65441 SUPPLIES 1157598 1157598 INTERCOMPANY 513984 513984 LEASE 5221 5221 84466 59126 25340 12730041 10976723 1753318 0 600 600 621214 247401 363307 622919 45927 52310 95133 82108 35848451 20178869 15775400 15669582 5671902 6393482 1013373 1013373 1405 8575 23588261 24090350 757160 1289951 11555711 13294728 12748611 11196144 25061482 25780823 X -1473221 -1690473 -1473221 -1690473 23588261 24090350 -649953 432701 0 X X 0 1 X 1 0 X 39339 743674 0 0 7470 790483 9577200 9673063 4894057 10100167 11774224 46018711 9616539 10416737 4894057 10100167 11781694 46809194 0 0 0 46809194 191716 343167 44668 196506 221253 997310 191716 343167 44668 196506 221253 997310 24883 16345 26373 43813 2171 113585 9833138 10776249 4965098 10340486 12005118 47920089 0.97680 0.97660 0.02080 0.02070 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 24,883. 2020 AMOUNT: $ 16,345. 2021 AMOUNT: $ 26,373. 2022 AMOUNT: $ 43,813. 2023 AMOUNT: $ 2,171. 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) - 12/31/20 COLUMN (B) - 12/31/21 COLUMN (C) - 6/30/22 (SHORT YEAR) COLUMN (D) - 6/30/23 COLUMN (E) - 6/30/24 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 289233 289233 31059721 17706611 13353110 2952563 2003378 949185 1546934 468880 1078054 15669582 STATUTORY OPERATING RESERVE 6393482 F 6393482 REFUNDABLE ENTRANCE FEES 6739839 INTERCOMPANY PAYABLES 4456305 11196144 X 12505119 432701 432701 12072418 7670 7670 12080088 12722371 0 12722371 7670 7670 12730041 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, 2024 OR 2023. 0 1 0 0 0 0 0 0 0 KATHY BAILEY PRESIDENT & CEO 0 645998 0 298130 0 3810 0 0 0 10408 0 958346 0 0 PATRICIA MOLL CFO 0 276079 0 106304 0 13620 0 13200 0 36544 0 445747 0 0 GANDHARI LOOMIS MD BOARD MEMBER 0 240720 0 80093 0 261 0 9853 0 4792 0 335719 0 0 PART I, LINE 3 A RELATED ORGANIZATION'S 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 FORM 990, PART VI, SECTION A, LINE 3 IN 2021, THE ORGANIZATION 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 A RELATED ORGANIZATION'S COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION PACKAGE DURING 2024. FORM 990, PART VI, SECTION C, LINE 19 BY-LAWS ARE AVAILABLE UPON REQUEST THROUGH CORPORATE COUNSEL. ARTICLES OF INCORPORATION ARE FILED WITH 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 IX, LINE 11G OTHER PROG FEES: PROGRAM SERVICE EXPENSES 1,381,146. MANAGEMENT AND GENERAL EXPENSES 345,286. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,726,432. 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 NURSING CENTER INC 109 FOOTHILLS DRIVE MORGANTON NC 28655 561838369 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 COMMERCIAL REAL ESTATE RENTAL 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