2021-09-06T10:16:36-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-01-01 561380014 CAROLINA MEADOWS INC CARO 9199424014 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 KEVIN A MCLEOD PRESIDENT AND CEO 9199424014 2021-09-02 1 KEVIN MCLEOD 999009999 JOHN NORMAN P01506766 7049985200 2021-09-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KEVIN A MCLEOD 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 73010685 0 X WWW.CAROLINAMEADOWS.ORG X 1983 NC TO PROVIDE HOUSING, HEALTH CARE, AND OTHER SERVICES TO RESIDENTS THROUGH A LIFE PLAN COMMUNITY. 14 14 549 80 0 0 473718 833229 37837600 40559275 932207 781184 22119 30987 39265644 42204675 787932 666044 0 0 21219168 22463933 0 0 0 18551380 19493189 40558480 42623166 -1292836 -418491 115919056 132480046 164014677 186689811 -48095621 -54209765 X TO ENRICH AND IMPROVE THE LIVES OF RESIDENTS AND THOSE CONNECTED TO OUR COMMUNITY. TO SUPPORT OUR LOCAL COMMUNITY, INVEST IN THE FUTURE OF AGING, CONTRIBUTE TO THE LOCAL ECONOMY AND PARTNER ON SENIOR INITIATIVES, (CONTINUED ON SCHEDULE O) AS WELL AS PROVIDE HOUSING, HEALTH CARE AND OTHER RELATED SERVICES TO SENIOR ADULTS THROUGH THE OPERATION OF A LIFE PLAN COMMUNITY. 0 0 38582152 666044 40559275 CAROLINA MEADOWS PROVIDES HOUSING, HEALTH AND WELLNESS SERVICES, AND SOCIAL OPPORTUNITIES, FOR SENIOR ADULTS IN A FINANCIALLY SECURE RETIREMENT COMMUNITY THROUGH A PERSON-CENTERED APPROACH THAT RESPECTS INDIVIDUAL DIGNITY, ENCOURAGES INDEPENDENCE, AND PROMOTES LIFELONG LEARNING THROUGHOUT THE SEQUENCES OF AGING. CAROLINA MEADOWS PROVIDED 223,801 RESIDENT DAYS OF HOUSING AND SERVICES FOR RESIDENTS LIVING WITHIN THE INDEPENDENT LIVING COMPONENT OF THE CAMPUS. IN ASSISTED LIVING, INCLUDING MEMORY CARE, THE ORGANIZATION PROVIDED 26,274 RESIDENT DAYS OF HOUSING AND SERVICES. IN SKILLED NURSING, THE ORGANIZATION PROVIDED 25,241 PATIENT DAYS OF HOUSING AND SERVICES. (CONTINUED ON SCHEDULE O)A TOTAL OF 41,554 DAYS OF CONTINUING CARE WITHOUT LODGING CONTRACTUAL SERVICES WERE PROVIDED TO AN AVERAGE OF 114 RESIDENTS LIVING OFF-CAMPUS WHO RECEIVE THE SAME ACCESS TO AMENITIES AND HEALTH CARE SERVICES OFFERED TO RESIDENTS LIVING ON-CAMPUS. GERIATRIC PHYSICIAN CARE, NURSE PRACTITIONER AND SPECIALTY PHYSICIAN CARE PROGRAMS SUCH AS AUDIOLOGY, PODIATRY, DERMATOLOGY AND DENTAL SERVICES ARE PROVIDED TO RESIDENTS IN ALL CARE LEVELS. THE CAMPUS PRIMARY CARE MEDICAL PRACTICE ALSO SEES RESIDENTS BOTH IN PERSON AND VIA TELEHEALTH VISITS.FITNESS CENTERFITNESS CENTER WAS CLOSED MID-MARCH 2020 AND REOPENED SEPTEMBER 9, 2020 WITH LIMITED OCCUPANCY RESTRICTIONS. AVERAGE CHECK INS FOR THE MONTHS OF JAN, FEB, NOV, DEC AVERAGED 1213 TOTAL CHECK INS MONTHLY. THE POOL RE-OPENED SUMMER OF 2020 BY RESERVATION SYSTEMS THAT ACCOMMODATED OVER 40 SWIMMERS DAILY. THROUGHOUT THE YEAR WE OFFERED ON AVERAGE 15 ZOOM CLASSES AND FIVE WEEKLY OUTSIDE OFFERINGS IN THE SPRING MONTHS. THE CLASSES OFFERED INCLUDING AEROBICS, STRETCH, YOGA, BALANCE, MEDITATION, AQUATIC AND OTHERS. IN-PERSON CLASSES WERE MAXED AT 10 PARTICIPANTS UNDER CO-VID RESTRICTIONS. ZOOM CLASSES AVERAGED 7-28 PARTICIPANTS PER SESSION, TOTALING 120 PER MONTH. OTHER NON-REGULAR FITNESS CLASSES AND GROUP OFFERINGS INCLUDED CAMPUS GROUP WALKS, WALKING MEDITATION EVENTS, INDIVIDUAL EQUIPMENT ORIENTATIONS AT NO COST. ONE ON ONE SESSIONS IN BOTH ASSISTED AND SKILLED SETTINGS THROUGHOUT CO-VID. ONE WEEKLY CLASS OFFERED FOR EMPLOYEES. FOUR EMPLOYEES ARE DESIGNATED FOR THE WELLNESS PROGRAM FOR ALL LEVELS OF CARE AND ADDITIONAL SERVICES ARE PROVIDED UNDER CONTRACT INCLUDING SPECIALTY CLASS OFFERINGS (I.E., YOGA, TAI CHI) NUTRITION.WELLNESS SERVICESTHE WELLNESS DEPARTMENT PERFORMS ANNUAL FUNCTIONAL FITNESS ASSESSMENTS ON INDEPENDENT LIVING RESIDENTS THAT ARE PATIENTS OF OUR PRIMARY MEDICAL PRACTICE AT THE TIME OF THEIR ANNUAL WELLNESS EXAM.PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES ARE AVAILABLE ON OUR CAMPUS UNDER CONTRACT WITH GENESIS REHABILITATION. ACTIVITIESACTIVITIES ARE ARRANGED BY BOTH STAFF AND RESIDENTS. OFFERINGS EACH MONTH ARE DESIGNED TO MEET THE FULL RANGE OF NEEDS AND INTERESTS AS FOLLOWS: SOCIAL, INTELLECTUAL, SPIRITUAL, PHYSICAL AND EMOTIONAL. INDEPENDENT LIVING HAS A WIDE RANGE OF ACTIVITIES COORDINATED BY STAFF AND RESIDENTS. THE MOST POPULAR ACTIVITIES INCLUDE MUSIC AT THE MEADOWS, CAROLINA MEADOWS UNIVERSITY, AND WORLD AFFAIRS. ATTENDANCE FOR THESE PROGRAMS RANGE FROM 75 TO 150 PARTICIPANTS, WITH SPECIAL EVENTS OFTEN DRAWING OVER 200 PARTICIPANTS. PARTICIPATION WAS IMPACTED DURING THE COVID-19 PANDEMIC. IN THE FAIRWAYS (ASSISTED LIVING) STAFF DESIGN AN ACTIVITIES CALENDAR WITH GROUP AND INDIVIDUAL OPPORTUNITIES. RESIDENTS ARE ENCOURAGED TO CONTINUE INTERESTS AND HOBBIES DEVELOPED OVER A LIFETIME. DESIGNATED STAFF PROVIDE ACTIVITIES IN THE GREEN (MEMORY SUPPORT ENVIRONMENT WITHIN THE FAIRWAYS). TWO SEPARATE PROGRAMS ARE PROVIDED IN THE PINES (SKILLED NURSING): APPROXIMATELY 5-10 RESIDENTS WITH SEVERE MEMORY IMPAIRMENT ARE SERVED DAILY IN A SPECIFIC PROGRAM FOR THIS POPULATION WHILE 15-20 RESIDENTS PARTICIPATE DAILY IN THE PROGRAM DESIGNED FOR THOSE WHOSE COGNITION IS INTACT. THERE IS ALSO A MUSIC & MEMORY PROGRAM USING IPODS THAT SERVES SKILLED NURSING AND MEMORY CARE RESIDENTS.DINING SERVICESDINING SERVICES PROVIDES RESIDENT MEALS DAILY IN ALL LEVELS OF LIVING. FOR RESIDENTS, APPROXIMATELY 6,300 MEALS PER MONTH ARE SERVED IN THE PINES, 5,500 IN THE FAIRWAYS AND 10,600 IN THE INDEPENDENT LIVING DINING VENUES. AN ADDITIONAL TOTAL OF 225 MONTHLY GUEST MEALS AND 1,000 MONTHLY EMPLOYEE MEALS ARE SERVED ACROSS CAMPUS.PHYSICAL PLANTTHE PHYSICAL PLANT ANNUALLY TURNS OVER AN AVERAGE OF 40 INDEPENDENT LIVING UNITS FOR NEW RESIDENTS. EACH UNIT IS REFURBISHED TO NEW OR LIKE-NEW CONDITION. IN ADDITION, THE PHYSICAL PLANT COMPLETED 14,426 WORK ORDER FOR INDEPENDENT LIVING RESIDENTS, 2,018 FOR HEALTH CENTER RESIDENTS AND 1,996 FOR ASSISTED LIVING RESIDENTS. IN ADDITION, 3,424 COMMUNITY WIDE WORK ORDERS WERE COMPLETED INCLUSIVE OF SPECIAL PROJECTS, SECURITY RESPONSES AND TRASH PICKUP FOR A TOTAL OF 21,864 WORK ORDERS. THERE WAS SOME IMPACT ON SERVICES PROVIDED FROM THE COVID-19 PANDEMIC.ENVIRONMENTAL SERVICESTHE ENVIRONMENTAL SERVICES DEPARTMENT, IN ADDITION TO CLEANING ALL COMMON AREAS AND DAILY SERVICE TO ALL HEALTH CENTER AND ASSISTED LIVING RESIDENTS, PROVIDES SERVICE TO 211 INDEPENDENT LIVING RESIDENTS PER MONTH. APPROXIMATELY 50 POUNDS OF LINEN ARE WASHED, DRIED AND IRONED DAILY FOR THE CLUB CENTER DINING ROOMS, IN ADDITION TO LINENS PROVIDED IN THE HEALTH CENTER AND ASSISTED LIVING. THERE WAS SOME IMPACT ON SERVICES PROVIDED FROM THE COVID-19 PANDEMIC. 38582152 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 95 0 549 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X GARY LEVINE 9193707128 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 STEVE MILLER CHAIR 3.00 1.00 X X 0 0 0 JB CULPEPPER VICE-CHAIR 2.00 2.00 X X 0 0 0 JOAN PHARR MEMBER 2.00 3.00 X 0 0 0 ANNE KISSEL SECRETARY 2.00 2.00 X X 0 0 0 JOHN GABOR MEMBER 2.00 1.00 X 0 0 0 BILL KALKHOF MEMBER 2.00 2.00 X 0 0 0 PAT MANDELL MEMBER 2.00 2.00 X 0 0 0 RODGERS HARSHBARGER TREASURER 2.00 1.00 X X 0 0 0 JOAN PELLETTIER MEMBER 2.00 2.00 X 0 0 0 BILL LEHRBURGER MEMBER 2.00 1.00 X 0 0 0 RICHARD GURLITZ MEMBER 2.00 1.00 X 0 0 0 PICKETT GUTHRIE MEMBER 2.00 1.00 X 0 0 0 GERGORY HERMAN-GIDDENS MEMBER 2.00 1.00 X 0 0 0 ROBIN MCDUFFIE MEMBER 2.00 1.00 X 0 0 0 KEVIN MCLEOD CHIEF EXECUTIVE OFFICER 40.00 8.00 X 400882 0 27642 BENJAMIN CORNTHWAITE CHIEF OPERATING OFFICER 40.00 X 257650 0 33831 GARY LEVINE CHIEF FINANCIAL OFFICER 40.00 8.00 X 240311 0 27577 DONNA MILLER MEDICAL DIRECTOR 40.00 X 257387 0 27858 MELISSA KASS VICE PRESIDENT - MARKETING 40.00 X 167475 0 15406 DANIEL CAMARA VP-PHYSICAL PLANT 40.00 X 154356 0 22845 KATHY NORMAN NURSING ADMINISTRATOR 40.00 X 144010 0 15607 MELISSA HOGAN DIRECTOR OF FINANCE 40.00 X 141875 0 7242 SHELLI GIARDINO VP- HUMAN RESOURCES 40.00 X 128290 0 22057 1892236 0 200065 15 0 1 0 US FOODSERVICE PO BOX 602211 CHARLOTTE NC 28260 FOOD SERVICES 1677232 JOHNSON CONTROLS PO BOX 730068 DALLAS TX 75373 HVAC SERVICES 609856 SPECTRUM PO BOX 4617 CAROL STREAM IL 60197 CABLE SERVICES 605867 CHATHAM CARPET & INTERIORS 50 STILL WATERS DRIVE SILER CITY NC 27344 FLOORING 438306 CAROLINA EXTERIORS 2633 SCHIEFFELIN ROAD APEX NC 27505 EXTERIOR SIDING 436010 35 780514 52715 833229 INDEPENDENT LIVING REV 623000 18993601 18993601 HEALTH CARE CENTER REV 623000 9433974 9433974 ASSISTED LIVING REV 623000 7127244 7127244 REFURBISHING 623000 2068080 2068080 REMARKETING 623000 535990 535990 2400386 2400386 40559275 689912 689912 7585 0 7585 7585 7585 30897282 30806010 91272 91272 91272 MISCELLANEOUS 623000 23402 23402 23402 42204675 40559275 0 812171 53854 53854 612190 612190 1156230 257387 898843 16900391 16048711 851680 512798 418078 94720 2616556 2466338 150218 1277958 1073356 204602 -67796 -48412 -19384 68257 68257 169812 169812 2610961 2590159 20802 81799 17886 63913 1181546 1052750 128796 31287 31287 2285110 1542604 742506 54832 35399 19433 23269 13482 9787 401890 401890 4627502 4627502 20073 20073 SHARED APPRECIATION 2271235 2271235 FOOD COSTS 2205793 2205793 UPGRADES & MODIFICATION 1483032 1483032 REPAIRS & MAINTENANCE 815539 815539 1229048 623306 605742 42623166 38582152 4041014 0 6598409 9071404 2268809 2258711 337372 344879 152836 158659 162741183 77795101 74646425 84946082 31293629 34954892 621576 745419 115919056 132480046 5076472 7026085 17775 44500 12427357 11738607 930633 600012 455071 9604979 145107369 157675628 164014677 186689811 X -48095621 -54209765 -48095621 -54209765 115919056 132480046 X -418491 3391126 -9086779 X 0 1 X 1 0 X 15081 473718 833229 1322028 37430393 40373955 42004601 37837600 40559275 198205824 37445474 40373955 42004601 38311318 41392504 199527852 0 0 0 199527852 372219 481388 582770 680386 697497 2814260 372219 481388 582770 680386 697497 2814260 50000 5000 55000 5855 16135 11211 10200 23402 66803 37823548 40921478 42603582 39001904 42113403 202463915 0.98550 0.98730 0.01390 0.01220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 930633 330621 600012 1 X 2469975 2469975 124988048 64478969 60509079 13149658 9053875 4095783 22133502 4262257 17871245 84946082 INVESTMENTS AND ASSETS WHOSE USE IS LIMITED 34954892 F 34954892 INTEREST RATE SWAP AGREEMENT 489553 OTHER DEFERRED REVENUE 933351 DEPOSITS ON OCCUPIED UNITS 6112045 FAIRWAYS ENTRANCE FEE REFUNDS DUE 830679 ADVANCED FEE LIABILITY 149310000 157675628 X PART IV, LINE 2B: RESIDENT FUNDS HELD IN AGENCY ACCOUNTS REPRESENT FUNDS WITHHELD FROM RESIDENTS DETERMINED TO BE A FINANCIAL RISK AND RESIDENTS WISHING TO ESTABLISH AGENCY ACCOUNTS IN LIEU OF LONG-TERM CARE INSURANCE. CAROLINA MEADOWS HAS DEPOSITED THESE FUNDS ON THE RESIDENTS' BEHALF IN CERTIFICATES OF DEPOSIT OR MONEY MARKET FUNDS WITH A FINANCIAL INSTITUTION. CAROLINA MEADOWS ACTS AS CUSTODIAN FOR THE AGENCY ACCOUNTS, WHICH ARE LEGALLY OWNED BY THE RESIDENTS. AT DECEMBER 31, 2020 AND 2019, AGENCY FUNDS DUE RESIDENTS WERE $600,012 AND $930,633, RESPECTIVELY. PART X, LINE 2: CAROLINA MEADOWS IS A NONPROFIT, TAX-EXEMPT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3); ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. CAROLINA MEADOWS HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFIT OR OBLIGATION AS OF DECEMBER 31, 2020. 1 CHATHAM COUNTY LITERACY COUNCIL PO BOX 1696 PITTSBORO NC 27312 581870076 501(C)(3) 12831 TO SUPPORT ESL TUTOR PROGRAM AND CITIZENSHIP PROGRAM AT CM FOR STAFF AND FOR COMMUNITY CITIZENS IN NEED CHATHAM OUTREACH ALLIANCE (CORA) PO BOX 1326 PITTSBORO NC 27312 561668767 501(C)(3) 5000 TO PROVIDE SUPPORT TO CORA FOOD PANTRY TO SUPPORT HUNGER RELIEF THROUGHOUT CHATHAM COUNTY INCREASED BY THE PANDEMIC FUND FOR CAROLINA PUBLIC HUMANITIES UNC ARTS AND SCIENCES FOUNDATION UNC PO BOX 309 CHAPEL HILL NC 27514 561150509 501(C)(3) 10000 TO SUPPORT PUBLIC HUMANITIES LECTURE SERIES FOR THE GREATER COMMUNITY RISE AGAINST HUNGER 3733 NATIONAL DRIVE SUITE 200 RALEIGH NC 27612 161541024 501(C)(3) 5000 TO PROVIDE SUPPORT TO HELP WORLD HUNGER WORLDWIDE. 4 RESIDENT FINANCIAL ASSISTANCE. 8 612190 BOOK VALUE PART I, LINE 2: GRANTEES MUST HAVE 501(C)(3) STATUS AND MUST BE LOCATED IN AND/OR SERVE RESIDENTS IN CHATHAM COUNTY, NORTH CAROLINA. THE FOLLOWING CRITERIA ARE USED DURING THE GRANT EVALUATION PROCESS PROJECT DESCRIPTION: (1) DESCRIPTION - IS THE PROPOSED PROJECT OR PROGRAM CLEARLY DESCRIBED? (2) MISSION SUPPORT - IS THERE CLEAR EVIDENCE THAT THE PROJECT SUPPORTS THE MISSION OF THE AGENCY? (3) NEED - DOES THE PROPOSAL CLEARLY DOCUMENT/EXPLAIN THE NEED FOR THE PROJECT/PROGRAM IN CHATHAM COUNTY? (4) IMPACT - ARE THE PROPOSED OUTCOMES CLEAR, REALISTIC AND MEASURABLE? (5) BUDGET - IS THE BUDGET SUFFICIENTLY DETAILED, REALISTIC AND APPROPRIATE GIVEN THE DESIRED GOALS/IMPACT? (6) EFFECT - IS THERE EVIDENCE THAT A GRANT FROM CAROLINA MEADOWS WILL SIGNIFICANTLY INCREASE THE IMPACT OF THE PROPOSED PROJECT/PROGRAM? (7) COLLABORATIVE EFFORT - IS THE PROPOSED PROJECT/PROGRAM A COLLABORATIVE EFFORT INVOLVING MULTIPLE AGENCIES? (8) REPORTING - GRANTEES ARE REQUIRED TO SUBMIT INTERIM AND FINAL REPORTS TO CAROLINA MEADOWS. X X X X 0 0 0 0 0 0 0 0 0 KEVIN MCLEOD CHIEF EXECUTIVE OFFICER 347470 0 28500 0 24912 0 14250 0 13392 0 428524 0 0 0 BENJAMIN CORNTHWAITE CHIEF OPERATING OFFICER 228346 0 23705 0 5599 0 11994 0 21837 0 291481 0 0 0 DONNA MILLER MEDICAL DIRECTOR 235971 0 20272 0 1144 0 11608 0 16250 0 285245 0 0 0 GARY LEVINE CHIEF FINANCIAL OFFICER 217045 0 17679 0 5587 0 11234 0 16343 0 267888 0 0 0 MELISSA KASS VICE PRESIDENT - MARKETING 130663 0 36409 0 403 0 6646 0 8760 0 182881 0 0 0 DANIEL CAMARA VP-PHYSICAL PLANT 139848 0 13738 0 770 0 6789 0 16056 0 177201 0 0 0 KATHY NORMAN NURSING ADMINISTRATOR 129153 0 12828 0 2029 0 6422 0 9185 0 159617 0 0 0 SHELLI GIARDINO VP- HUMAN RESOURCES 115801 0 12060 0 429 0 6034 0 16023 0 150347 0 0 0 A PUBLIC FINANCE AUTHORITY 273866124 2019-11-21 12700000 TO REFINANCE THE 2010 BONDS WITH A NEW 12/01/34 MATURITY DATE 0 0 0 A 725000 12700000 217643 12482357 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 1 SUNTRUST 14.000000000000 0 0 0 0 1 A 1 FORM 990, PART III, LINE 4A COMMUNITY INVOLVEMENT CAROLINA MEADOWS FOCUSES ON COMMUNITY OUTREACH AND CORPORATE RESPONSIBILITY AS FOLLOWS: - WE SUPPORT OUR LOCAL COMMUNITY - WE INVEST IN THE FUTURE OF AGING - WE CONTRIBUTE TO THE ECONOMY - WE PARTNER ON SENIOR INITIATIVES IN ADDITION, WE ARE COMMITTED TO PROVIDING SERVICES TO ANY RESIDENT OF CAROLINA MEADOWS WHO HAS EXHAUSTED THEIR ASSETS THROUGH NO FAULT OF THEIR OWN AND NEEDS FINANCIAL ASSISTANCE SUBSIDIES TO COVER THE COST OF SERVICES. CAROLINA MEADOWS IS ACTIVELY INVOLVED IN THE COMMUNITY THROUGH PARTICIPATION IN COMMUNITY OUTREACH, EDUCATIONAL, CHARITABLE AND VOLUNTEER PROGRAMS SPONSORED ON CAMPUS OR THROUGHOUT THE SURROUNDING COMMUNITY. CAROLINA MEADOWS HAS MADE SIGNIFICANT CHARITABLE GIFTS IN 2020 TO SUPPORT CHARITIES THAT SUPPORT OLDER ADULTS IN CHATHAM COUNTY, INCLUDING: - A 2016 FIVE-YEAR PLEDGE TO THE UNC MEDICAL FOUNDATION FOR THE CREATION OF A NEW HOSPICE HOME IN PITTSBORO THAT WILL SERVE CHATHAM COUNTY RESIDENTS AND BEYOND. THE PLEDGE WAS FOR $150,000 OVER FIVE YEARS; THE FINAL $22,500 WAS CONTRIBUTED IN 2020. - CAROLINA MEADOWS MADE A FOUR-YEAR PLEDGE OF $100,000 TO SUPPORT LEADING AGE NC. THE THIRD DONATION OF $25,000 WAS PROVIDED IN 2020. - A $20,000 DONATION WAS MADE TO THE COUNCIL ON AGING TO SUPPORT THE IMPLEMENTATION OF THE CHATHAM AGING PLAN WHICH BENEFITS ALL WHO LIVE IN THE COUNTY. THE PLAN PIVOTED THIS YEAR TO PROVIDE NEEDED SERVICES IN NEW WAYS ALLOWING SENIORS TO REMAIN SAFELY AT HOME DURING THE PANDEMIC. - A FIVE-YEAR PLEDGE WAS MADE IN 2016 TO THE CHATHAM COUNTY COUNCIL ON AGING TO SUPPORT THEIR FROZEN MEALS PROGRAM. THE PLEDGE WAS FOR $37,500 OVER FIVE YEARS. THE FIFTH $7,500 DONATION WAS CONTRIBUTED IN 2020. THIS PROGRAM TOOK ON A NEW IMPORTANCE IN 2020 WHEN THE NUMBER OF SENIORS IN THEIR HOMES WITHOUT ACCESS TO HEALTHY FOOD HIT A NEW HIGH. CAROLINA MEADOWS HAS COMMITTED TO CONTINUING SUPPORT OF THIS IMPORTANT PROGRAM. - A $5,000 DONATION WAS MADE TO THE CHATHAM OUTREACH ALLIANCE (CORA) FOOD PANTRY TO SUPPORT HUNGER RELIEF THROUGHOUT ALL OF CHATHAM COUNTY. FOOD INSECURITY INCREASED DRASTICALLY OVER THE PANDEMIC IN 2020. - A $5,000 DONATION WAS MADE TO RISE AGAINST HUNGER TO HELP SUSTAIN THEIR HUNGER RELIEF EFFORTS AROUND THE WORLD. CAROLINA MEADOWS HOSTED MEAL PACKAGING EVENTS WITH THIS ORGANIZATION IN THE PAST AND LOOKS FORWARD TO DOING ANOTHER IN 2021. - A $12,000 DONATION TO THE CHATHAM COUNTY LITERACY COUNCIL TO SUPPORT LITERACY EFFORTS THROUGHOUT OUR ENTIRE COMMUNITY. THESE EFFORTS ARE FOCUSED ON INCREASED LITERACY SUCH AS GED, ENGLISH AS A SECOND LANGUAGE, COMPUTER LITERACY AND MORE. DURING THE PANDEMIC, THE COUNCIL PAUSED IN-PERSON SERVICES FOR ONLINE LEARNING AND IS SLOWLY REOPENING. - A $4,500 DONATION TO UNITED WAY OF CHATHAM COUNTY. AN ADDITIONAL $2,500 WAS CONTRIBUTED BEYOND OUR CORPORATE ANNUAL DONATION OF $2,000. THIS WENT TOWARDS A COMMUNITY-WIDE COVID FUND TO SUPPORT NONPROFITS WORKING IN CHATHAM COUNTY. - A $2,000 DONATION TO PBS NORTH CAROLINA (UNC TV) IN SUPPORT OF THEIR PUBLIC PROGRAMMING WHICH REACHES ALL AGES ACROSS OUR COUNTY AND STATE. - A $1,500 DONATION TO UNC PARTNERSHIPS IN AGING PROGRAM WHICH PROMOTES DIALOGUE ABOUT THE PERSONAL AND SOCIETAL MEANING OF HAVING A LONG LIFE AND ADVANCE CIVIL ENGAGEMENT AS A WAY TO BRING ABOUT A NEW KIND OF AGING. BEYOND FINANCIAL SUPPORT, CAROLINA MEADOWS SUPPORTS NONPROFIT ORGANIZATIONS THROUGH DONATIONS OF IN-KIND CONTRIBUTIONS. EXAMPLES INCLUDE: - DONATED GALLONS OF HAND SANITIZER TO CHATHAM COUNTY'S EMERGENCY RESPONSE SERVCIES, THE COUNCIL ON AGING AND LOCAL CHILDCARE PROVIDERS - DONATED REFRIGERATORS, INDUSTRIAL LIGHTS FIXTURES AND OTHER IN-KIND APPLIANCES TO MANY SCHOOLS, CHURCHES AND THRIFT SHOPS IN OUR LOCAL COMMUNITY. STAFF GENEROUSLY DONATE THEIR TIME/SERVICE TO COMMUNITY ORGANIZATIONS. THIS YEAR STAFF PARTICIPATED ON PLANNING COMMITTEES RELATED TO PANDEMIC RELIEF EFFORTS INCLUDING THE CHATHAM HEALTH ALLIANCE, CHATHAM COMMUNITY PARTNERS AND LEADING AGE NC. IN ADDITION TO OUR ROBUST CORPORATE COMMUNITY OUTREACH PROGRAM, OUR RESIDENT ASSOCIATION HAS A RESIDENT COMMUNITY OUTREACH COMMITTEE WHICH RAISES SIGNIFICANT FUNDS FOR UNC PUBLIC TV, THE CORA FOOD PANTRY AND UNITED WAY OF CHATHAM COUNTY. THIS COMMITTEE HAS RESIDENT LIAISONS WITH VARIOUS NONPROFIT ORGANIZATIONS IN CHATHAM COUNTY. THE LIAISONS SHARE INFORMATION AND VOLUNTEER OPPORTUNITIES ABOUT EACH GROUP WITH THE RESIDENTS. THIS GROUP ALSO ORGANIZES A CLOTHING DRIVE IN WINTER FOR LOCAL SENIORS. OUR RESIDENTS OFFER MANY HOURS OF VOLUNTEER TIME TO SUPPORT NONPROFITS IN OUR AREA AS WELL AS OUR OWN CAMPUS COMMUNITY. THIS YEARS OUTREACH EFFORTS INCLUDING AN EMAIL PEN PAL PROJECT WITH A LOCAL MIDDLE SCHOOL. MORE THAN 120 RESIDENTS ACTIVELY WROTE TO LOCAL MIDDLE SCHOOL STUDENTS TO LESSEN ISOLATION FOR BOTH SENIOR AND STUDENT AND TO INCREASE INTERGENERATIONAL LEARNING. ANOTHER GROUP OF 25 RESIDENTS VOLUNTEERED TO BE INTERVIEWED BY A LOCAL SCHOOL GROUP REGARDING THEIR ORAL HISTORIES. THIS PROVIDED GREAT LEARNING FOR BOTH PARTIES INVOLVED. CHARITABLE DONATIONS CHARITABLE DONATIONS AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2020 INCLUDED $612,190 IN BENEVOLENT CARE, $64,408 IN CHARITABLE DONATIONS, AND $40,000 IN DONATED VOLUNTEER SERVICES. PROPERTY TAXES FOR 2020, PROPERTY TAX PAYMENTS OF $953,883 WERE MADE TO SUPPORT NEEDED INFRASTRUCTURE TO HELP CHATHAM COUNTY PROSPER. FORM 990, PART VI, SECTION A, LINE 6 CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES, INC. IS THE SOLE MEMBER OF CAROLINA MEADOWS, INC. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES, INC. ELECTS THE GOVERNING BODY OF CAROLINA MEADOWS, INC. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES, INC. MUST APPROVE ALL SIGNIFICANT DECISIONS OF CAROLINA MEADOWS, INC. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY MANAGEMENT, THE CAROLINA MEADOWS, INC. BOARD FINANCE COMMITTEE, AND THE PARENT BOARD AFTER PREPARATION BY INDEPENDENT TAX ACCOUNTANT. THE REVIEW IS CONDUCTED PRIOR TO FILING WITH THE IRS AND INVOLVES A THOROUGH EXAMINATION OF THE INFORMATION USED AS A BASIS FOR PREPARATION OF THE 990 BY THE INDEPENDENT TAX ACCOUNTANT AND THE DRAFT OF THE 990. ANY CHANGES ARE RECOMMENDED TO, AND REVIEWED BY, THE TAX ACCOUNTANT. FORM 990, PART VI, SECTION B, LINE 12C ALL ANNUAL SIGNED COI POLICY AFFIRMATIONS ARE REVIEWED BY CEO AND THE FULL BOARD. ANY DISCLOSED OR KNOWN CONFLICTS WOULD BE RESOLVED BY FULL BOARD. PERSONS WITH A CONFLICT MUST RECUSE THEMSELVES FROM DISCUSSIONS AND MEETINGS UNTIL RESOLUTION IS REACHED. IF NOT REACHED, CONFLICT MUST BE TERMINATED OR BOARD MEMBER OR STAFF MEMBER MUST RESIGN. COI POLICY APPLICABLE TO ALL BOARD MEMBERS AND SENIOR AND EXECUTIVE MANAGEMENT. BOARD MEMBERS ARE REQUIRED TO INFORM OF ANY DIRECT OR INDIRECT CONFLICT OF INTEREST WITH REGARD TO ANY TRANSACTION CONTEMPLATED BY THE BOD INCLUDING ACTIONS REGARDING TRANSACTIONS WITH ANY MATERIAL FINANCIAL INTEREST OR IN WHICH DIRECTOR SERVES AS A DIRECTOR, TRUSTEE, OFFICER OR PARTNER. A RESIDENT MEMBER OF THE BOARD OF THE FOUNDATION MAY INCLUDE CM RESIDENTS WHO WILL NOT BE CONSIDERED TO HAVE A FINANCIAL CONFLICT OR INTEREST OF PURPOSES OF POLICY SOLELY DUE TO BEING A RESIDENT. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING THE CEO'S COMPENSATION, SALARY INFORMATION IS COMPILED BY THE EXECUTIVE COMMITTEE OF THE PARENT BOARD OF DIRECTORS WHICH SERVES AS THE EXECUTIVE COMPENSATION COMMITTEE. THE COMMITTEE USES A VARIETY OF COMPARABILITY AND SALARY SURVEY DATA FROM CAPITAL ASSOCIATED INDUSTRIES (CAI) INCLUDING THE NORTH CAROLINA ANNUAL WAGE AND SALARY SURVEY, THE NATIONAL EXECUTIVE COMPENSATION SURVEY, AND GUIDESTAR EXECUTIVE COMPENSATION DATA. ASSESSMENT FORMS RATING THE CEO'S PERFORMANCE ARE ALSO COMPLETED BY MEMBERS OF ALL AFFILIATE BOARDS. USING THE SURVEY DATA AS BENCHMARKS AND THE COMPILED ASSESSMENT DATA AS AN INDICATOR OF PERFORMANCE MEASUREMENT, THE EXECUTIVE COMMITTEE RECOMMENDS TO THE FULL PARENT BOARD FOR APPROVAL OF THE TOTAL CEO COMPENSATION WITHIN THE BOARD ESTABLISHED SALARY RANGE FOR THE CEO POSITION. BASED ON SALARY AND TOTAL COMPENSATION DATA FROM CAPITAL ASSOCIATED INDUSTRIES, GUIDESTAR, THE NATIONAL EXECUTIVE COMPENSATION SURVEY, LEADINGAGE AND OTHER SURVEY DATA, THE CEO SETS AND APPROVES COMPENSATION FOR THE COO AND CFO POSITIONS WITHIN ESTABLISHED RANGES FOR THE ORGANIZATION BASED ON INPUT AND REVIEW FROM THE PARENT BOARD. THE SALARY AMOUNTS FOR THE CEO, COO AND CFO ARE FURTHER REVIEWED BY THE FULL PARENT BOARD AS A MEASURE OF OVERSIGHT AND UNDERSTANDING OF TOTAL EXECUTIVE COMPENSATION FOR THE TOP EXECUTIVE POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 MINUTES OF QUARTERLY BOARD MEETINGS INCLUDING THE QUARTERLY FINANCIALS AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE PLACED IN THE CAROLINA MEADOWS RESIDENT'S LIBRARY. ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE AND, ALONG WITH THE BOARD BYLAWS, ARE AVAILABLE FOR REVIEW UPON REQUEST. AN ANNUAL DISCLOSURE STATEMENT IS AVAILABLE ON-LINE THROUGH THE NC DEPARTMENT OF INSURANCE (NCDOI.COM), AND INCLUDES IN APPENDICES COPIES OF THE DOI CCRC LICENSE, DHSR NURSING FACILITY LICENSE, ANNUAL AUDITED FINANCIAL STATEMENTS, FIVE-YEAR FINANCIAL PROJECTIONS, CCRC CONTRACT AND OTHER CORPORATE INFORMATION. CONFLICT OF INTEREST STATEMENTS ARE AVAILABLE FOR REVIEW UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE INTEREST RATE SWAP -345,719. CHANGE IN ACCOUNTING ESTIMATE -8,741,060. CAROLINA MEADOWS HOME CARE INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 821777558 HOME CARE NC 501(C)(3) LINE 12B, II CAROLINA MEADOWS SR COMM & SERVICES INC 0 CAROLINA MEADOWS SENIOR COMMUNITIES AND SERVICES INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 821792692 HEALTH CARE NC 501(C)(3) LINE 12B, II 0 CAROLINA MEADOWS FOUNDATION INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 825385916 CHARITABLE FOUNDATION NC 501(C)(3) LINE 12B, II CAROLINA MEADOWS SR COMM & SERVICES INC 0 CAROLINA MEADOWS MANAGEMENT AND DEVELOPMENT SERVICES INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 821768377 MANAGEMENT SERVICES NC SEE PART VII C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1