2021-08-27T10:50:52-05:00 2020-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2020-01-01 561152263 ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC ARBO 3367247921 1240 ARBOR ROAD WINSTONSALEM NC 271041197 DAVID W MATTHEWS VICE PRESIDENT/CFO 3367247921 2021-08-27 1 DAVID MATTHEWS 999009999 AMY BIBBY P00445891 8282542254 2021-08-27 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANDREW APPLEGATE 1240 ARBOR ROAD WINSTONSALEM NC 271041197 40119260 0 X WWW.ARBORACRES.ORG X 1975 NC TO SERVE SENIOR ADULTS WHILE PROVIDING SECURITY, CONTENTMENT, AND LIFE WITH MEANING & PURPOSE. 25 25 610 0 0 0 2586822 3468407 34486391 35448155 2774314 848697 134748 83514 39982275 39848773 1761749 1558579 0 0 17279903 18187729 0 0 295370 17360775 18069592 36402427 37815900 3579848 2032873 136351629 141135946 81676920 83702447 54674709 57433499 X ARBOR ACRES, AN AFFILIATE MINISTRY OF THE UNITED METHODIST CHURCH, SERVES SENIOR ADULTS THROUGH FACILITIES AND PROGRAMS THAT ENHANCE OPPORTUNITY FOR SECURITY, CONTENTMENT AND LIFE WITH MEANING AND PURPOSE. 0 0 24576036 1558579 35448155 ARBOR ACRES, A CONTINUING CARE RETIREMENT COMMUNITY (CCRC), PROVIDING A CONTINUUM OF INDEPENDENT LIVING FACILITIES WHICH INCLUDE FOUR MID-RISE RESIDENTIAL WINGS CONTAINING 124 UNITS (STUDIO, EFFICIENCY AND CONNECTING ROOM SUITES); 2 TWO-BEDROOM COURTYARD APARTMENTS; 6 ONE-BEDROOM AND 6 TWO-BEDROOM CLUSTER HOMES AND 128 HOUSES. IN ADDITION TO THE INDEPENDENT LIVING FACILITIES, ARBOR ACRES ALSO HAS 102 ADULT CARE HOME BEDS AND 83 NURSING CARE BEDS (LOCATED IN THE FITZGERALD HEALTH CENTER). AS OF DECEMBER 31, 2020, ARBOR ACRES SERVED 479 RESIDENTS IN THE ABOVE UNITS.ARBOR ACRES HOLDS MEMBERSHIPS WITH LEADING AGE (FORMERLY THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING) AND LEADING AGE NC (FORMERLY THE NORTH CAROLINA ASSOCIATION OF NON-PROFIT HOMES FOR THE AGING). THE FACILITY IS ACCREDITED THROUGH THE CONTINUING CARE ACCREDITATION COMMISSION.AN IMPORTANT COMPONENT OF FULFILLING ARBOR ACRES' MISSION IS THE PROVISION OF FINANCIAL ASSISTANCE SUPPORT TO ENABLE RESIDENTS TO RESIDE AT ARBOR ACRES WHO WOULD OTHERWISE BE UNABLE TO AFFORD TO DO SO. FOR THE YEAR ENDING DECEMBER 31, 2020, $1,426,479 OF FINANCIAL ASSISTANCE WAS PROVIDED TO RESIDENTS TO HELP THEM MAINTAIN RESIDENCY AT THE FACILITY.DURING 2020 THE FOLLOWING SPECIFIC ACCOMPLISHMENTS ENHANCED THE ABILITY TO SERVE RESIDENTS:1. MAINTAINED NEAR FULL OCCUPANCY OF ASSISTED LIVING, MEMORY CARE AND SKILLED NURSING LEVELS OF LICENSED CARE AND EXCEEDED 90% OCCUPANCY OF INDEPENDENT LIVING UNITS.2. SPONSORED AND FACILITATED PARTICIPATION OF RESIDENT EFFORTS IN COMMUNITY SERVICE PROJECTS TO INCLUDE CROSSNORE SCHOOL & CHILDREN'S HOME, SENIOR SERVICES PROGRAMS, RONALD MCDONALD HOUSE LUMINARIES, TUTORING STUDENTS AT COOK ELEMENTARY SCHOOL, BACK TO SCHOOL SUPPLIES PROGRAM FOR COOK ELEMENTARY SCHOOL, ALZHEIMER ASSOCIATION-WESTERN CAROLINA CHAPTER, AND SOLES FOR SOULS SHOE DRIVE, ETC.2.1 SPONSORED AND FACILITATED PARTICIPATION OF RESIDENT EFFORTS IN COMMUNITY SERVICE PROJECTS TO INCLUDE SALVATION ARMY CENTER FOR HOPE, HABITAT FOR HUMANITY, RESTORE, GOODWILL INDUSTRIES OF NORTHWEST N.C., FORSYTH TECHNICAL COMMUNITY COLLEGE (CERTIFIED NURSING ASSISTANT TRAINING PROGRAM), 40+ STAGE COMPANY, SHEPHERD'S CENTER OF GREATER WINSTON-SALEM, SENIOR SERVICES AND TRELLIS SUPPORTIVE CARE ETC. 24576036 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 72 0 1 610 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 25 25 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DAVID W MATTHEWS VICE PRESIDENTCFO 3367247921 1240 ARBOR ROAD WINSTONSALEM NC 27104 SUSAN S SCHWARTZ CHAIR THEN TREASURER 1.00 X X 0 0 0 PAMELA BALL CHAIR ELECT THEN CHAIR 1.00 X X 0 0 0 JOHN WILLINGHAM CHAIR ELECT 1.00 X X 0 0 0 VICTORIA HUNT VICE CHAIR 1.00 X X 0 0 0 KATHY NELSON VICE CHAIR 1.00 X X 0 0 0 WELBORN ALEXANDER BOARD MEMBER 1.00 X 0 0 0 DANNY NEWCOMB TREASURER 1.00 X X 0 0 0 FLORENCE CORPENING SECRETARY 1.00 X X 0 0 0 MARSHA BLEDSOE BOARD MEMBER 1.00 X 0 0 0 ART BLOOM BOARD MEMBER 1.00 X 0 0 0 DR DUDLEY CHANDLER BOARD MEMBER 1.00 X 0 0 0 COURTNEY DOUGLAS BOARD MEMBER 1.00 X 0 0 0 CHRISTINE DUNN BOARD MEMBER 1.00 X 0 0 0 SUSAN ELSTER BOARD MEMBER 1.00 X 0 0 0 DONALD EPPERT BOARD MEMBER 1.00 X 0 0 0 SCOTT GERDING BOARD MEMBER 1.00 X 0 0 0 CINNY S GRAHAM BOARD MEMBER 1.00 X 0 0 0 DAVID HINTON BOARD MEMBER 1.00 X 0 0 0 VINCENT HOWELL BOARD MEMBER 1.00 X 0 0 0 KAYE LAMBERT BOARD MEMBER 1.00 X 0 0 0 JOHN E LAUER BOARD MEMBER 1.00 X 0 0 0 CARROLL MCCULLOUGH BOARD MEMBER 1.00 X 0 0 0 J WILLIAM MCGUINN JR BOARD MEMBER 1.00 X 0 0 0 DREWRY NOSTITZ BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER PEARCE BOARD MEMBER 1.00 X 0 0 0 STEVEN REEDER BOARD MEMBER 1.00 X 0 0 0 JAMES RUFFIN BOARD MEMBER 1.00 X 0 0 0 WILLIAM SAYERS BOARD MEMBER 1.00 X 0 0 0 J HILL STOCKTON BOARD MEMBER 1.00 X 0 0 0 WENDY WALKER-FOX BOARD MEMBER 1.00 X 0 0 0 MIKE BAILEY EX-OFFICIO 1.00 X 0 0 0 DALE DEK DRISCOLL EX-OFFICIO 1.00 X 0 0 0 MARGARET HAYDEN EX-OFFICIO 1.00 X 0 0 0 BISHOP PAUL LEELAND EX-OFFICIO 1.00 X 0 0 0 SAM MOORE EX-OFFICIO 1.00 X 0 0 0 FRANK RAYBURN EX-OFFICIO 2.00 X 0 0 0 ANDREW APPLEGATE CEO 40.00 X 287662 0 40722 KENNETH BOYLES COO 40.00 X 208310 0 30368 KATHY GWYN VP HEALTH SERVICES 40.00 X 171694 0 28014 JULIE TAMPA SECRETARY 40.00 X 68769 0 10538 DAVID MATTHEWS CFO 40.00 X 174996 0 22856 LYNN ROSS DIRECTOR OF MARKETING 40.00 X 122176 0 14954 AMANDA CLEARY NURSE MANAGER 40.00 X 130220 0 7699 LES CRANFILL DIRECTOR OF BUILDINGS AND 40.00 X 117637 0 14563 KIMBERLY SNOW ASSISTANT DON 40.00 X 115689 0 17079 KEVIN CLINKENBEARD DIRECTOR OF FACILITIES 40.00 X 125124 0 22487 1522277 0 209280 11 0 1 0 US FOOD SERVICE 125 FORT MILL PKWY FORT MILL SC 29715 FOOD SERVICE 1454379 SFCS INC 305 SOUTH JEFFERSON ST ROANOKE VA 24011 ARCHITECTS 1153166 SOLID FOUNDATION CONSTRUCTION INC 1240 YORKSHIRE RD WINSTON SALME NC 27106 CONSTRUCTION 643346 THE BUDD GROUG INC 2325 S STRATFORD RD WINSTON SALME NC 27103 LANDSCAPING 562935 ICON BUILDERS LLC 2655 FOREST DR WINSTON SALME NC 27104 CONSTRUCTION 547991 21 132100 602992 2733315 3468407 RESIDENT FEES 623000 29246986 29246986 DEFERRED ENTRANCE FEES 623000 5025305 5025305 HOME CARE FEES 623000 1122936 1122936 MODIFICATION FEES EARNED 623000 40728 40728 APPLICATION FEES 623000 12200 12200 35448155 847915 847915 245816 0 245034 245816 -245034 782 782 0 132100 2786 -2786 -2786 22667 22667 0 FOOD SERVICE REVENUE 900099 78519 78519 GUEST ROOM RENTAL 900099 7781 7781 86300 39848773 35448155 0 932211 132100 132100 1426479 1426479 911431 163398 748033 115689 115689 13174811 11972855 1020711 181245 3985798 3380344 554537 50917 155913 155913 136876 136876 1521349 1343539 177560 250 193099 193099 2541584 2060563 418445 62576 92084 92084 1749106 1567373 181733 4510 2940 1477 93 324 324 1375249 1375249 7488424 7488424 329601 329601 FOOD COST 1352930 1352930 COVID EXPENSES 440259 440259 BAD DEBT 355048 355048 MEDICAL SUPPLIES 320397 320397 12839 11663 887 289 37815900 24576036 12944494 295370 2686310 2984475 590090 592104 30905 638525 798196 376378 360402 162424963 75792104 89275332 86632859 40586627 47543563 1344661 1449495 703738 655789 119063 119063 136351629 141135946 2311706 2805455 33006098 33535569 35487000 34025000 8335907 7876184 2536209 5460239 81676920 83702447 X 43123840 43909871 11550869 13523628 54674709 57433499 136351629 141135946 X 2032873 3488833 -2762916 X X 0 1 X 1 0 X 2057346 1561245 4116152 2586876 3333521 13655140 28914297 30364789 31981468 32760642 34021676 158042872 153946 164890 134070 176179 108967 738052 31125589 32090924 36231690 35523697 37464164 172436064 536466 525323 558777 688710 568943 2878219 0 536466 525323 558777 688710 568943 2878219 169557845 755458 752995 890455 879976 847915 4126799 755458 752995 890455 879976 847915 4126799 31881047 32843919 37122145 36403673 38312079 176562863 0.96030 0.95900 0.02340 0.02360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16210205 1088308 1664828 674386 18288955 14410233 129350 2275202 604580 16210205 15367393 299878 -612038 645000 14410233 14074117 102479 1790797 600000 15367393 13719172 149629 797317 592001 14074117 0.36747 0.63253 0 0 2166825 2166825 136123934 62386881 73737053 10735501 7182954 3552547 13398703 6222269 7176434 86632859 REFUNDABLE DEPOSITS 110640 INTEREST RATE SWAP LIABILITY 5349599 5460239 X 38632821 3488833 -410556 3078277 35554544 4294229 4294229 39848773 35874031 22667 22667 35851364 1964536 1964536 37815900 PART V, LINE 4: ARBOR ACRES CURRENTLY MAINTAINS A FINANCIAL ASSISTANCE PROGRAM AND POLICY FOR RESIDENTS HOLDING CONTINUING CARE RESIDENCY AGREEMENTS IN THE EVENT THE RESIDENT(S) SHOULD BECOME UNABLE TO PAY FOR SERVICES. THERE IS A DESIGNATED ASSISTANCE ENDOWMENT OF $6,720,732 WITHOUT DONOR RESTRICTIONS AND A ASSISTANCE ENDOWMENT OF $11,568,224 WITH DONOR RESTRICTIONS. PART X, LINE 2: ARBOR ACRES IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOME CARE IS A LIMITED LIABILITY COMPANY THAT HAS NOT ELECTED TO BE TAXED AS A CORPORATION UNDER CURRENT INTERNAL REVENUE CODE (IRC) REGULATIONS. HOME CARE IS WHOLLY OWNED BY ARBOR ACRES. AS SUCH, HOME CARE IS CONSIDERED A DISREGARDED ENTITY UNDER CURRENT IRC REGULATIONS. BASED ON THE INFORMATION ABOVE, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 22,667. CHANGE IN VALUE OF PERPETUAL TRUST 104,834. REVENUES IN EXPENSES -538,057. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN INTEREST RATE SWAP 2,867,750. GRANTS TO INDIVIDUALS 1,426,479. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 22,667. PART XII, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN EXPENSES 538,057. GRANTS TO INDIVIDUALS 1,426,479. X X X X SALVATION ARMY CENTERS FOR HOPE 132100 132100 1000 1786 132100 132100 1000 1786 2786 -2786 1 THE SALVATION ARMY 1255 TRADE ST NW WINSTONSALEM NC 27101 501(C)(3) 132100 GENERAL SUPPORT 1 FINANCIAL ASSISTANCE PROVIDED TO RESIDENTS 19 0 1426479 FMV FINANCIAL ASSISTANCE TO RESIDENTS PART I, LINE 2: THE ORGANIZATION PROVIDES FINANCIAL ASSISTANCE TO RESIDENTS UNABLE TO PAY FOR SERVICES. THE ORGANIZATION KEEPS A RECORD OF HOW IT DETERMINES A RESIDENTS FINANCIAL NEED AND THE AMOUNT OF ASSISTANCE PROVIDED. THE ORGANIZATION HELD A FUNDRAISER IN WHICH RESIDENTS RAISED FUNDS FOR A LOCAL TAX EXEMPT ORGANIZATION. X X X X 0 0 0 0 0 0 0 0 0 ANDREW APPLEGATE CEO 247170 0 20184 0 20308 0 17110 0 23612 0 328384 0 0 0 KENNETH BOYLES COO 198067 0 7721 0 2522 0 12638 0 17730 0 238678 0 0 0 KATHY GWYN VP HEALTH SERVICES 152493 0 10552 0 8649 0 10284 0 17730 0 199708 0 0 0 DAVID MATTHEWS CFO 163593 0 5978 0 5425 0 9553 0 13303 0 197852 0 0 0 PART I, LINE 3 IN 2019, THE ORGANIZATION ENGAGED A COMPENSATION CONSULTANT. THE RESULTS OF SUCH WERE NOT REFLECTED IN THE 2019 COMPENSATION, BUT WILL AFFECT THE 2020 COMPENSATION. A NORTH CAROLINA MEDICAL CARE COMMISSION 531309402 2016-12-15 13159000 REFUND SERIES 2007 ISSUE 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2019-08-01 24900000 REFUND SERIES 2010 ISSUE 0 0 0 A 3918000 13159000 13159000 2016 0 0 1 1 B 600000 24900000 24900000 2019 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 1 1 BB&T 16.000000000000 0 0 0 0 1 B 0 1 0 0 1 1 BB&T 19.000000000000 0 0 0 0 1 A 0 B 0 KIMBERLY SNOW FAMILY RELATIONSHIP WITH AN OFFICER 115689 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES A COMPLETE COPY OF THE 990 TO THE BOARD OF DIRECTORS' FINANCE COMMITTEE, PRIOR TO FILING. AFTER REVIEW AND APPROVAL BY THE FINANCE COMMITTEE THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING. ONCE ACCEPTED BY THE BOARD OF DIRECTORS THE 990 IS FILED BY MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ALL BOARD MEMBERS ARE REQUIRED TO SIGN A CERTIFICATION THAT THEY HAVE READ AND UNDERSTAND OUR POLICY. THEY ARE ALSO REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OR RELATIONSHIPS. THESE CERTIFICATIONS ARE KEPT ON FILE AND ARE REVIEWED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE ANNUALLY. SPECIFIC SALARY INFORMATION AVAILABLE FOR COMPARABLE FACILTIES WILL BE UTILIZED IN EVALUATING THE CEO'S COMPENSATION. WHEN EVALUATING SURVEY AND LOCAL COMMUNITY'S DATA, SIZE OF COMMUNITY AND ANNUAL REVENUES WILL BE UTLIZED AS THE PRIMARY BENCHMARKS. DURING 2019 THE ORGANIZATION ENGAGED A COMPENSATION CONSULTANT TO ASSIST IN EVALUATING COMPENSATION. THE CEO, WORKING WITH THE DIRECTOR OF TALENT ARTS, WILL RECOMMEND COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES TO THE COMPENSATION COMMITTEE, SEEKING THEIR APPROVAL BEFORE IMPLEMENTING ANY CHANGES. THE SAME SOURCES OF DATA USED TO EVALUATE THE CEO'S COMPENSATION IS USED FOR OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM CAN BE FOUND ON WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. ANNUAL FINANCIAL STATEMENTS ARE PART OF THE ANNUAL DISCLOSURE STATEMENT MADE AVAILABLE THROUGH THE NC DEPARTMENT OF INSURANCE WEBSITE. THE ANNUAL AUDIT IS DISTRIBUTED TO RESIDENT COUNCIL AND MADE AVAILABLE TO ANY RESIDENT UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST RATE SWAP -2,867,750. CHANGE IN VALUE OF PERPETUAL TRUST 104,834. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ARBOR ACRES HOME CARE LLC 1240 ARBOR ROAD WINSTONSALEM NC 27104 832830530 IN HOME CARE SERVICES NC 1122936 950875 ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC