Civic Intelligence

Staywell Senior Care

EIN 46-1289922 • 501(c)3 • Asheboro, NC

Profile

To provide benefits to seniors determined to need a skilled level of care required under the state medicaid plan for coverage of nursing facility services under the deferral program of all inclusive care for the elderly ("pace").

364 White Oak StreetAsheboro, NC 27204

www.randolphhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2021

Liabilities / Revenue

10th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Net Margin

60th percentile

9.5%

Higher net margin than 60% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Top Officer Pay

94th percentile

$476,435

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 5.6% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2017

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Revenue Growth

17th percentile

-14%

Faster revenue growth than 17% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Assets

Down

$0

Down $4,192,409 (-100%) from 2020

Liabilities

Down

$0

Down $1,257,826 (-100%) from 2020

Net Assets

Down

$0

Down $2,934,583 (-100%) from 2020

Revenue

Down

$7,095,581

Down $1,125,558 (-14%) from 2020

Expenses

Down

$6,423,880

Down $2,102,755 (-25%) from 2020

Net Income

Up

$671,701

Up $977,197 (+320%) from 2020

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0-$2.0MAssets 2015: $858,952Liabilities 2015: $693,401Net Assets 2015: $165,5512015Assets 2016: $672,320Liabilities 2016: $832,102Net Assets 2016: -$159,7822016Assets 2017: $1,291,480Liabilities 2017: $1,240,469Net Assets 2017: $51,0112017Assets 2018: $3,446,315Liabilities 2018: $1,518,375Net Assets 2018: $1,927,9402018Assets 2019: $4,858,609Liabilities 2019: $1,618,530Net Assets 2019: $3,240,0792019Assets 2020: $4,192,409Liabilities 2020: $1,257,826Net Assets 2020: $2,934,5832020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2021

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2015: $1,981,804Expenses 2015: $2,820,815Net Income 2015: -$839,0112015Revenue 2016: $6,499,204Expenses 2016: $6,824,537Net Income 2016: -$325,3332016Revenue 2017: $8,561,192Expenses 2017: $8,350,399Net Income 2017: $210,7932017Revenue 2018: $9,054,371Expenses 2018: $7,177,097Net Income 2018: $1,877,2742018Revenue 2019: $9,067,446Expenses 2019: $7,755,307Net Income 2019: $1,312,1392019Revenue 2020: $8,221,139Expenses 2020: $8,526,635Net Income 2020: -$305,4962020Revenue 2021: $7,095,581Expenses 2021: $6,423,880Net Income 2021: $671,7012021

Highlighted filing

2021

Revenue$7,095,581
Expenses$6,423,880
Net Income$671,701

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2020 to Sep 30, 2021
Signed
Aug 15, 2022
Return Version
2020v4.2
Gross Receipts
$7,095,581
Mission and Program Overview

Mission

To provide benefits to seniors determined to need a skilled level of care required under the state medicaid plan for coverage of nursing facility services under the deferral program of all inclusive care for the elderly ("pace").

To provide benefits to seniors determined to need a skilled level of care required under the state medicaid plan for coverage of nursing facility services under the deferral program of all inclusive care for the elderly ("pace')

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$3,493,655$0▼ $3,493,655
Accounts Receivable$419,046$0▼ $419,046
Land, Buildings, and Equipment, Net$220,986$0▼ $220,986
Prepaid Expenses and Deferred Charges$58,722$0▼ $58,722
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$4,192,409$0▼ $4,192,409
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$1,154,933--
Other Liabilities$102,893$0▼ $102,893
Total Liabilities$1,257,826$0▼ $1,257,826
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,934,583$0▼ $2,934,583
Total Net Assets Fund Balance$2,934,583$0▼ $2,934,583
Total Liabilities and Net Assets / Fund Balance$4,192,409$0▼ $4,192,409
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Karen MartinDirectorFT$100,771$15,877$116,648
Thomas MilliardDirectorFT$101,460$11,942$113,402

Board Members and Trustees

NameTitle
Larry Simpson MdVice Chair
Rob ClauserChair/vice President
Aashka MehtaBoard Member
Linda BrownBoard Member
William CockerhamBoard Member
Stephen CampbellDirector
Loretta LongTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Tabula Rasa Healthcare INCConsulting228 STRAWBRIDGE DRIVE, Moorsetown, NJ 08057$447,293
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$7,095,581
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$671,701
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,298,405
Salaries, Compensation, and Employee Benefits$2,125,475
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$2,874,153--$2,874,153
Other Salaries and Wages$1,601,266$59,261-$1,660,527
Other Expenses$1,372,756--$1,372,756
Other Employee Benefits$464,483$465-$464,948
Depreciation Depletion$51,496--$51,496
Total Functional Expenses$6,364,154$59,726$0$6,423,880
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The corporation is a membership corporation, with randolph hospital, inc. Cone health, and hospice of randolph county as the sole members.

Form 990, Part VI, Section A, Line 7A

The board of directors are elected by the affirmative vote of the board of directors of the members.

Form 990, Part VI, Section A, Line 7B

Changes to the bylaws, sale or merger of the organization must be approved by the members.

Form 990, Part VI, Section B, Line 11B

The 990, along with a summary of key elements and disclosures, are provided to the board inviting questions and comments prior to filing.

Form 990, Part VI, Section B, Line 12C

Staywell shares with randolph hospital a corporate compliance officer charged with educating the board, officers, and other employees on the conflict of interest policy. All new employees are given info upon orientation and all current employees are requried to take an annual education course on compliance with the policy. There is a corporate compliance meeting to update key individuals on new issues and new information regarding corporate compliance. The board of directors are required to read, sign, and remit a copy of the policy to the board chair.

Form 990, Part VI, Section B, Line 15A

Randolph hospital, a related organization, uses competitive market surveys, from such organizations as nchhra and vashhra, to determine appropriate compensation levels for executives that are commensurate with organizations of similar size and structure. Periodically, an external firm is used to evaluate compensation. A compensation committee of the board has final determination of compensation levels for top executives.

Form 990, Part VI, Section C, Line 19

Upon request at the organization's administration office.

Filing and Contact Details

Filer

Filer Name
Staywell Senior Care
EIN
46-1289922
Phone
3366255151
Address
364 WHITE OAK STREET, ASHEBORO, NC 27204

Signing Officer

Name
Loretta Long
Title
CFO
Phone
3366255151
Signed
2022-08-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert S Clauser
Formed
2015
Legal Domicile
Nc
Voting Board Members
7
Independent Board Members
4
Employees
47
Volunteers
0

Preparer

Firm
Cliftonlarsonallen Llp
Address
227 WEST TRADE STREET SUITE 800, CHARLOTTE, NC 28202
Preparer
John Norman
Phone
7049985200
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

Effective 7/1/21, the membership interest of staywell senior care that was owned by randolph hospital was sold to american healthcare systems, llc, a wholly owned llc of american healthcare systems, inc. -- a for-profit c corporation. Ahs leased the assets back to the hospital through 9/30/21.as a result, the organization's tax-exempt status terminated.

Form 990, Part IX, Line 11G

Professional fees: program service expenses 1,569,785. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,569,785. Other expenses: program service expenses 1,304,368. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,304,368.

FORM 990, PART XI, LINE 9:

Net assets released from restrictions -1,598,606. Termination of exempt status -2,007,678.

Raw XML AppendixShowing 400 of 569 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ReportLandBuildingEquipmentInd00
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IRS990/ReportOtherLiabilitiesInd00
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0RANDOLPH HOSPITAL INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1THE MOSES H CONE MEMORIAL HOSPITAL
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2HOSPICE OF RANDOLPH
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IRS990ScheduleA/SupportingOrgType1Ind0X
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IRS990/ScheduleBRequiredInd00
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IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/Form990OfOtherOrganizationsInd0X
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0196381
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1149520
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt015877
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt112722
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt09028
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt16719
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ROB CLAUSER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1LORETTA LONG
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHAIR/VICE PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0221286
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1168961
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM PARTICIPATE IN THE RANDOLPH HOSPITAL, INC. DEFERRED COMPENSATION PLAN. UNDER THIS PLAN, AN ANNUAL CONTRIBUTION IS MADE INTO A TRUST FOR EACH PARTICIPANT BASED ON A PERCENTAGE (10% OR 15%) OF THEIR SALARY. EACH PARTICIPANT DIRECTS THE INVESTMENT OF HIS/HER ACCOUNT BALANCE. DURING 2018, ROBERT CLAUSER RECEIVED A PAYOUT FROM THE PLAN OF $58,682.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM PARTICIPATE IN THE RANDOLPH HOSPITAL, INC. DEFERRED COMPENSATION PLAN. UNDER THIS PLAN, AN ANNUAL CONTRIBUTION IS MADE INTO A TRUST FOR EACH PARTICIPANT BASED ON A PERCENTAGE (10% OR 15%) OF THEIR SALARY. EACH PARTICIPANT DIRECTS THE INVESTMENT OF HIS/HER ACCOUNT BALANCE. DURING 2018, ROBERT CLAUSER RECEIVED A PAYOUT FROM THE PLAN OF $58,682.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990ScheduleN/AssetsDistributedInd00
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd00
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0MEMBERSHIP INTEREST IN STAYWELL SENIOR CARE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0AMERICAN HEALTHCARE SYSTEMS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02021-07-01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0854354835
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0629932
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0C CORP/LLC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0BANKRUPTCY AUCTION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0505 N BRAND BLVD STE 1110
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0GLENDALE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0CA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd091203
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0UNABLE TO PARTNER WITH A SUITABLE TAX-EXEMPT PARTNER, RANDOLPH HOSPITAL WAS FORCED TO DECLARE BANKRUPTCY. THE ORGANIZATION SOLD ITS ASSETS TO THE BUYER AS DECIDED BY THE UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF NORTH CAROLINA GREENSBORO DIVISION IN BANKRUPTCY CASE NO. 20-10247. AS PART OF THAT SALE, RANDOLPH HOSPITAL SOLD ITS 60% MEMBERSHIP INTEREST IN RANDOLPH CANCER CENTER TO THE BUYER, A FOR-PROFIT ENTITY. AS A RESULT, THE TAX-EXEMPT STATUS OF RANDOLPH CANCER CENTER TERMINATED.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE N, PART I, LINE 1
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EFFECTIVE 7/1/21, THE MEMBERSHIP INTEREST OF STAYWELL SENIOR CARE THAT WAS OWNED BY RANDOLPH HOSPITAL WAS SOLD TO AMERICAN HEALTHCARE SYSTEMS, LLC, A WHOLLY OWNED LLC OF AMERICAN HEALTHCARE SYSTEMS, INC. -- A FOR-PROFIT C CORPORATION. AHS LEASED THE ASSETS BACK TO THE HOSPITAL THROUGH 9/30/21.AS A RESULT, THE ORGANIZATION'S TAX-EXEMPT STATUS TERMINATED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE CORPORATION IS A MEMBERSHIP CORPORATION, WITH RANDOLPH HOSPITAL, INC. CONE HEALTH, AND HOSPICE OF RANDOLPH COUNTY AS THE SOLE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD OF DIRECTORS ARE ELECTED BY THE AFFIRMATIVE VOTE OF THE BOARD OF DIRECTORS OF THE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CHANGES TO THE BYLAWS, SALE OR MERGER OF THE ORGANIZATION MUST BE APPROVED BY THE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE 990, ALONG WITH A SUMMARY OF KEY ELEMENTS AND DISCLOSURES, ARE PROVIDED TO THE BOARD INVITING QUESTIONS AND COMMENTS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5STAYWELL SHARES WITH RANDOLPH HOSPITAL A CORPORATE COMPLIANCE OFFICER CHARGED WITH EDUCATING THE BOARD, OFFICERS, AND OTHER EMPLOYEES ON THE CONFLICT OF INTEREST POLICY. ALL NEW EMPLOYEES ARE GIVEN INFO UPON ORIENTATION AND ALL CURRENT EMPLOYEES ARE REQURIED TO TAKE AN ANNUAL EDUCATION COURSE ON COMPLIANCE WITH THE POLICY. THERE IS A CORPORATE COMPLIANCE MEETING TO UPDATE KEY INDIVIDUALS ON NEW ISSUES AND NEW INFORMATION REGARDING CORPORATE COMPLIANCE. THE BOARD OF DIRECTORS ARE REQUIRED TO READ, SIGN, AND REMIT A COPY OF THE POLICY TO THE BOARD CHAIR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6RANDOLPH HOSPITAL, A RELATED ORGANIZATION, USES COMPETITIVE MARKET SURVEYS, FROM SUCH ORGANIZATIONS AS NCHHRA AND VASHHRA, TO DETERMINE APPROPRIATE COMPENSATION LEVELS FOR EXECUTIVES THAT ARE COMMENSURATE WITH ORGANIZATIONS OF SIMILAR SIZE AND STRUCTURE. PERIODICALLY, AN EXTERNAL FIRM IS USED TO EVALUATE COMPENSATION. A COMPENSATION COMMITTEE OF THE BOARD HAS FINAL DETERMINATION OF COMPENSATION LEVELS FOR TOP EXECUTIVES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATION OFFICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,569,785. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,569,785. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 1,304,368. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,304,368.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9NET ASSETS RELEASED FROM RESTRICTIONS -1,598,606. TERMINATION OF EXEMPT STATUS -2,007,678.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DisproportionateAllocationsInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN0471905523
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IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt0MEDICAL EQUIPMENT RENTAL
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0RANDOLPH NEWCO LLC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt0364 WHITE OAK STREET
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm0ASHEBORO
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd0NC

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