2021-11-10T13:56:30-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-01-01 562277623 GALLOWAY RIDGE INC GALL 9195452215 3000 GALLOWAY RIDGE PITTSBORO NC 27312 ROBERT ZIMMER CEO/EXECUTIVE DIRECTOR 9195452215 2021-11-10 1 ROBERT ZIMMER 999009999 JOHN NORMAN P01506766 7049985200 2021-11-10 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z GALLOWAY RIDGE ROBERT ZIMMER 3000 GALLOWAY RIDGE PITTSBORO NC 27312 34568636 0 X WWW.GALLOWAYRIDGE.COM X 2001 NC OPERATION OF CONTINUING CARE RETIREMENT COMMUNITY 12 12 437 12 0 0 1164471 1867972 29827392 31114202 1006681 1515741 192897 52213 32191441 34550128 69400 48100 0 0 13588965 13600442 0 0 0 20061781 15886161 33720146 29534703 -1528705 5015425 131231832 131431887 171999009 167270196 -40767177 -35838309 GALLOWAY RIDGE EXISTS TO INSPIRE MEANINGFUL AND ENGAGED LIVES AND TO ASSURE EACH RESIDENT A SUPERIOR QUALITY OF LIFE AND CARE. 0 0 25313781 48100 31114202 GALLOWAY RIDGE, INC. PROVIDED HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RESIDENT FACILITY CONTAINING 301 INDEPENDENT LIVING UNITS, 22 ASSISTED LIVING UNITS, 14 MULTI-UNIT ASSISTED HOUSING UNITS, 20 MEMORY CARE UNITS, AND 40 SKILLED NURSING UNITS. GALLOWAY RIDGE WELCOME ITS FIRST RESIDENT IN 2005 WITH A MISSION OF PROVIDING ITS RESIDENTS SUPERIOR SERVICES AT A REASONABLE COST AND STRIVING TO PROVIDE A COMPLEMENT OF SERVICES TO SUPPORT THE RESIDENT'S HEALTH, SOCIAL, SPIRITUAL AND RECREATIONAL NEEDS. 25313781 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 71 0 437 1 0 0 0 0 1 1 1 1 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 X DANA BOYLAN-WALKER 9195452603 3000 GALLOWAY RIDGE PITTSBORO NC 27312 ROB NELSON CHAIR & DIRECTOR 5.00 X X 0 0 0 KELLY MACKAY VICE-CHAIR & DIRECTOR 5.00 X X 0 0 0 ALEX WELLER SECRETARY & DIRECTOR 5.00 X X 0 0 0 TODD PETERSON TREASURER & DIRECTOR 5.00 X X 0 0 0 MARVA PRICE BOARD MEMBER 1.00 X 0 0 0 VALERIE CROFTON-HARRIS BOARD MEMBER 1.00 X 0 0 0 STAN CAMBELL BOARD MEMBER 1.00 X 0 0 0 ROBBIE COX BOARD MEMBER 1.00 X 0 0 0 MATT EWEND BOARD MEMBER 1.00 X 0 0 0 DAVID PERRY BOARD MEMBER 1.00 X 0 0 0 FRED SPARLING BOARD MEMBER 1.00 X 0 0 0 JEFF STRICKLER BOARD MEMBER 1.00 X 0 0 0 ROBERT ZIMMER CEO/EXECUTIVE DIRECTOR 50.00 X 260948 0 24033 DANA BOYLAN-WALKER SR. DIRECTOR OF FINANCE 50.00 X 124118 0 18268 ADAM MELTON ASSOCIATE EXECUTIVE DIRECTOR 50.00 X 151132 0 42637 RYAN PAYNE EXECUTIVE CHEF 50.00 X 112261 0 9084 MELISSA JOHNSON SR. DIRECTOR OF MARKETING & SALES 50.00 X 113252 0 48587 SANDRA HAGGINS DIRECTOR OF HEALTHCARE SERVICES 50.00 X 109918 0 42179 871629 0 184788 6 0 1 0 WEAVER COOKE CONSTRUCTION LLC 8401 KEY BLVD GREENSBORO NC 27409 CONSTRUCTION SERVICES 3136397 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 631503534 MEDICAL SERVICES 715460 UNC SCHOOL OF MEDICINE DEPT OF MED CB7005 125 MADNAIDER CHAPEL HILL NC 27599 MEDICAL SERVICES 287918 BRIGHTVIEW HOLDING INC PO BOX 740655 ATLANTA GA 30374 LANDSCAPING SERVICES 276312 RIITHINK LLC 103 LLOYD STREET SUITE 200 CARRBORO NC 27510 MARKETING SERVICES 225223 11 63864 776407 1027701 1867972 RESIDENT SERVICES 623000 25486683 25486683 HEALTH CARE 623000 4408309 4408309 OTHER 623000 736300 736300 DUKE CENTER FOR LIVING 623000 482910 482910 31114202 1515741 1515741 70046 0 70046 70046 70046 675 63864 18508 -17833 -17833 34550128 31114202 0 1567954 48100 48100 385066 385066 10430619 8810783 1619836 114094 114094 1896956 1607694 289262 773707 639489 134218 43892 43892 123440 123440 1767499 1498517 268982 239179 38222 200957 1266029 888903 377126 320339 320339 1767197 1628568 138629 2554 1121 1433 41155 9591 31564 2791544 2791544 4368515 4368515 498624 326540 172084 DIETARY EXPENSE 1568010 1568010 MEDICAL SUPPLIES 1087058 1087058 MISCELLANEOUS 1126 1126 29534703 25313781 4220922 0 4682366 2423546 4732 5000 440045 273985 140479 178588 438509 447440 142020991 51983801 88015765 90037190 19762831 21645776 7501175 6902559 10245930 9517803 131231832 131431887 2390880 2586060 101589173 94767368 66144193 64727298 1874763 5189470 171999009 167270196 X -43371669 -39091052 2604492 3252743 -40767177 -35838309 131231832 131431887 X 5015425 705079 -791636 X 0 1 X 1 0 X 560543 762210 818970 1068356 1867972 5078051 26876085 28555376 29590200 29923507 31114202 146059370 148427 126791 136332 144412 555962 27585055 29444377 30545502 31136275 32982174 151693383 167509 212034 174884 235836 198444 988707 0 167509 212034 174884 235836 198444 988707 150704676 557782 629423 698380 1006681 1585787 4478053 557782 629423 698380 1006681 1585787 4478053 12560 12560 28142837 30086360 31243882 32142956 34567961 156183996 0.96490 0.97350 0.02870 0.01940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5690693 5690693 108615654 43373860 65241794 10510721 4165097 6345624 10323075 4056827 6266248 6880848 388017 6492831 90037190 RESERVE REQUIRED BY STATE STATUTES 6494879 SALES TAX RECEIVABLE 346071 CHARITABLE FUND 2676853 9517803 DCFL DEFERREDS 233909 REFUNDABLE ENTRANCE FEES 4367561 REFUNDABLE PARKING DEPOSITS 588000 5189470 X 34625464 705079 18508 723587 33901877 648251 648251 34550128 30344847 810144 810144 29534703 0 29534703 PART X, LINE 2: THE COMPANY HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE COMPANY IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE COMPANY IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE COMPANY FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE COMPANY'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 18,508. PART XI, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS 1,092,240. RESTRICTED INVESTMENT INCOME 347,647. NET ASSETS RELEASED FROM RESTRICTIONS -791,636. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED 791,636. SPECIAL EVENT EXPENSES 18,508. ANNUAL GALA 64539 63864 675 8508 5000 5000 64539 63864 675 8508 5000 5000 18508 -17833 1 CHATHAM COUNTY COUNCIL ON AGING PO BOX 715 PITTSBORO NC 27312 561084260 9000 PROVIDE RESPITE FOR CAREGIVERS; MEALS & IN-HOME AID FOR SENIORS WEST CHATHAM CARING COMMUNITIES 126 VILLAGE LAKE ROAD SILER CITY NC 27344 510634273 8000 FOOD PURCHASES CHATHAM OUTREACH ALLIANCE 40 CAMPT DRIVE PITTSBORO NC 27312 561668767 6000 FOOD PURCHASES BOYS & GIRLS CLUB OF CENTRAL CAROLINA INC 1414 BRAGG STREET SANFORD NC 27330 561923703 9000 SUPPORT CHILD AND YOUTH PROGRAMS EL FUTOROINC 136 E CHAPEL HILL STREET DURHAM NC 27701 800122334 8000 SALARY FOR STAFF PILOTING A WALK-IN-CLINIC MODEL CHATHAM CARES COMMUNITY PHARMACY 127 E RALEIGH STREET SILER CITY NC 27344 412170926 8100 RENT & UTILITIES FOR CLINIC TO PROVIDE FREE MEDICATION 6 PART I, LINE 2: AGENCIES THAT RECEIVE FUNDING FROM GALLOWAY RIDGE MUST SUBMIT AN END OF YEAR REPORT. THE END OF YEAR REPORT IS REVIEWED BY THE DISTRIBUTION COMMITTEE OF THE GALLOWAY RIDGE CHATHAM COUNTY CHARITABLE FUND AND THE AGENCIES ARE CONTACTED IF THERE ARE ANY QUESTIONS AND/OR CONCERNS ABOUT THE USAGE OF FUNDS. X X 0 0 0 0 0 0 0 1 0 ROBERT ZIMMER CEO/EXECUTIVE DIRECTOR 230794 0 30154 0 0 0 12243 0 11790 0 284981 0 0 0 ADAM MELTON ASSOCIATE EXECUTIVE DIRECTOR 136932 0 14200 0 0 0 747 0 41890 0 193769 0 0 0 MELISSA JOHNSON SR. DIRECTOR OF MARKETING & SALES 102652 0 9880 0 720 0 4779 0 43808 0 161839 0 0 0 SANDRA HAGGINS DIRECTOR OF HEALTHCARE SERVICES 108001 0 1917 0 0 0 0 0 42179 0 152097 0 0 0 PART I, LINE 3 THE CEO/EXECUTIVE DIRECTOR'S POSITION IS REVIEWED BY THE PRESIDENT AND BOARD CHAIRMAN AND APPROVED BY THE BOARD. PART I, LINE 7 THE EXECUTIVE DIRECTOR AND DEPARTMENTAL HEADS ARE ELIGIBLE FOR PERFORMANCE BONUSES BASED ON AGREED UPON GOALS FOR THE YEAR. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YKU9 2014-09-10 15495000 SEE PART VI 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YQW9 2019-10-23 50728876 SEE PART VI 0 0 0 A 50000 15505610 1223896 309859 15002641 1 0 0 1 B 50728876 848124 49880752 1 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 0 0 0 1 B 0 1 0 0 0 0 0 0 1 B 1 SCHDULE K, PART I, LINE A, COLUMN F, DESCRIPTION OF PURPOSE IN SEPTEMBER 2014, THE COMPANY ISSUED $15,495,000 OF TAX-EXEMPT, ADJUSTABLE RATE FIXED MORTGAGE REVENUE REFUNDING BONDS THROUGH THE NORTH CAROLINA MEDICAL CARE COMMISSION. OF THE TOTAL AMOUNT, $15,000,000 WAS USED TO REFUND THE SERIES 2010B BONDS. THE REMAINING AMOUNTS WERE USED FOR COSTS OF ISSUANCE AND TO SET UP A DEBT SERVICE REFUND. SCHDULE K, PART I, LINE B, COLUMN F, DESCRIPTION OF PURPOSE IN OCTOBER 2019, THE COMPANY ISSUED $45,990,000 OF TAX-EXEMPT, ADJUSTABLE RATE FIXED MORTGAGE REVENUE REFUNDING BONDS ("2019A BONDS") THROUGH THE NORTH CAROLINA MEDICAL CARE COMMISSION. THE SERIES 2019A BONDS WERE ISSUED WITH A PREMIUM OF $4,738,876. THE PROCEEDS OF THE SERIES 2019A BONDS WERE TO BE USED TO REFUND AND DEFEASE THE SERIES 2010A BONDS. FORM 990, PART I, ITEM C DBA: DUKE CENTER FOR LIVING DBA: THE ARBOR FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN IS REVIEWED BY MANAGEMENT AND DISTRIBUTED ELECTRONICALLY TO THE MEMBERS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ARE GIVEN TIME TO REVIEW, DISCUSS AND COMMENT PRIOR TO THE FORM BEING ELECTRONICALLY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED BY ALL BOARD MEMBERS ANNUALLY. EACH BOARD MEMBER SIGNS A STATEMENT INDICATING THE UNDERSTANDING OF AND COMPLIANCE WITH THE POLICY. THE CONFLICT OF INTEREST POLICY IS BASED UPON THE IRS MODEL CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO/EXECUTIVE DIRECTOR'S POSITION IS REVIEWED BY THE PRESIDENT AND BOARD CHAIRMAN AND APPROVED BY THE BOARD. OTHER KEY EMPLOYEES HAVE AN ANNUAL REVIEW BY THE CEO/EXECUTIVE DIRECTOR AND COMPARABILITY DATA IS REVIEWED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023, FORM 990, AND FORM 990-T ARE AVAILABLE UPON REQUEST. RECENT FILINGS OF THE FORM 990 CAN BE ACCESSED THROUGH GUIDESTAR.ORG, A NON-PROFIT WEBSITE. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS -791,636.