2020-08-24T13:12:10-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-01-01 561380014 CAROLINA MEADOWS INC CARO 9199424014 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 KEVIN A MCLEOD PRESIDENT AND CEO 9199424014 2020-08-19 1 JOHN NORMAN P01506766 7049985200 2020-08-19 67.137.57.251 2020-08-19 13:27:10 ED P D73DD419434AD86791BAD4D174710EE2F5735302 CB8605C0B1635D9AB32B1BC44742CA01E2275659 2019 2020-11-06 18:47:13Z KEVIN A MCLEOD 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 52201490 0 X WWW.CAROLINAMEADOWS.ORG X 1983 NC PROVIDING HOUSING, HEALTH CARE & OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A CCRC. 13 13 589 130 0 0 0 473718 42000596 37837600 3351924 932207 38214 22119 45390734 39265644 529888 787932 0 0 20047019 21219168 0 0 0 16214249 18551380 36791156 40558480 8599578 -1292836 109704331 115919056 73226035 164014677 36478296 -48095621 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, AS WELL AS PROVIDE HOUSING, HEALTH CARE AND OTHER RELATED SERVICES TO SENIOR ADULTS THROUGH THE OPERATION OF A LIFE PLAN COMMUNITY. 0 0 36828001 787932 37837600 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 227,144 RESIDENT DAYS OF HOUSING AND SERVICES FOR RESIDENTS LIVING WITHIN THE INDEPENDENT LIVING COMPONENT OF THE CAMPUS. IN ASSISTED LIVING, INCLUDING MEMORY CARE, 24,619 RESIDENT DAYS OF HOUSING AND SERVICES WERE PROVIDED. IN SKILLED NURSING, 24,004 PATIENT DAYS OF HOUSING AND SERVICES WERE PROVIDED. (CONTINUED ON SCHEDULE O)A TOTAL OF 33,679 DAYS OF CONTINUING CARE WITHOUT LODGING CONTRACTUAL SERVICES WERE PROVIDED TO AN AVERAGE OF 92 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 AVERAGED OVER 600 RESIDENT VISITS WITH PROVIDERS AND NURSES PER MONTH.FITNESS CENTERTHE FITNESS CENTER LOGGED SIGN-INS AVERAGE 1,503 PER MONTH. IN ADDITION, 30 REGULARLY SCHEDULED FITNESS CLASSES ARE OFFERED INCLUDING: AEROBICS, STRETCH, YOGA, MEDITATION, AQUATIC AND OTHERS WITH AN AVERAGE ATTENDANCE OF FIVE TO TWENTY EIGHT PER CLASS.THERE ARE ALSO TWO ADDITIONAL NON-REGULAR FITNESS CLASSES AND CAMPUS GROUP WALKING OFFERINGS, AS WELL AS INDIVIDUAL ORIENTATION TO NEW HUR EQUIPMENT AS NEEDED ARE OFFERED (265 REGISTERED) AT NO COST FOR INDIVIDUAL PERSONAL TRAINING SESSIONS. FOUR EMPLOYEES ARE DESIGNATED FOR THE WELLNESS PROGRAM AND ADDITIONAL SERVICES ARE PROVIDED UNDER CONTRACT INCLUDING MASSAGE, NUTRITION AND SWIM LESSONS. THE POOL AVERAGES OVER 400 SIGN-INS PER MONTH. THERE ARE OVER 200 EMPLOYEES ENROLLED IN THE WELLNESS INITIATIVE. THE WELLNESS DEPARTMENT PERFORMS AN ANNUAL FUNCTIONAL FITNESS ASSESSMENT ON INDEPENDENT LIVING RESIDENTS THAT ARE PATIENTS OF OUR PRIMARY CARE MEDICAL PRACTICE AT THE TIME OF THEIR ANNUAL WELLNESS EXAM WHICH AVERAGES 20 PARTICIPANTS MONTHLY. IN ADDITION TO CREATING AN INDIVIDUAL WELLNESS PLAN, DATA FROM THE ASSESSMENTS IS USED IN AGGREGATE FORM ON BOTH THE COMMUNITY AND NATIONAL LEVEL FOR RESEARCH ON AGING.WELLNESS SERVICESPHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES ARE AVAILABLE ON OUR CAMPUS UNDER CONTRACT WITH GENESIS REHABILITATION. AVERAGE VISITS PER MONTH ARE AS FOLLOWS: PHYSICAL THERAPY - 1,750, OCCUPATIONAL THERAPY - 710, AND SPEECH THERAPY - 280.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. 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 6,100 MEALS PER MONTH ARE SERVED IN THE PINES, 2,500 IN THE FAIRWAYS AND 7,200 IN THE INDEPENDENT LIVING DINING VENUES. THERE ARE AN ADDITIONAL TOTAL OF 500 MONTHLY GUEST MEALS AND 2,200 MONTHLY EMPLOYEE MEALS 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 15,279 WORK ORDER FOR INDEPENDENT LIVING RESIDENTS, 2,374 FOR HEALTH CENTER RESIDENTS AND 2,360 FOR ASSISTED LIVING RESIDENTS. IN ADDITION, 3,766 COMMUNITY WIDE WORK ORDERS WERE COMPLETED INCLUSIVE OF SPECIAL PROJECTS, SECURITY RESPONSES AND TRASH PICKUP FOR A TOTAL OF 23,779 WORK ORDERS.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 224 INDEPENDENT LIVING RESIDENTS PER MONTH. APPROXIMATELY 200 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 IS AN AVERAGE OF 6,400 POUNDS OF LAUNDRY SERVICED PER MONTH FOR THE CLUB CENTER DINING PROGRAM. SEE SCHEDULE O 36828001 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 1 107 0 589 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 TREASURER 2.00 3.00 X 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 MEMBER 2.00 1.00 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 0.00 X 0 0 0 PICKETT GUTHRIE MEMBER 2.00 1.00 X 0 0 0 GERGORY HERMAN-GIDDENS MEMBER 2.00 0.00 X 0 0 0 KEVIN MCLEOD CHIEF EXECUTIVE OFFICER 40.00 8.00 X X 383221 0 31818 BENJAMIN CORNTHWAITE CHIEF OPERATING OFFICER 40.00 0.00 X X 236229 0 31129 GARY LEVINE CHIEF FINANCIAL OFFICER 40.00 2.00 X X 224955 0 27626 DONNA MILLER MEDICAL DIRECTOR 40.00 0.00 X 203333 0 14216 MELISSA KASS VICE PRESIDENT - MARKETING 40.00 0.00 X 180107 0 16072 DANIEL CAMARA VP-PHYSICAL PLANT 40.00 0.00 X 141227 0 23732 KATHY NORMAN NURSING ADMINISTRATOR 40.00 0.00 X 131781 0 15864 WHITNEY HARRIS SENIOR SALES SPECIALIST 40.00 0.00 X 127294 0 13864 HOLLY JEAN COWARD PHYSICIAN 40.00 0.00 X 121110 0 4565 1749257 0 178886 14 0 1 0 BUD MATTHEWS SERVICE INC 545 OLD FARRINGTON RD CHAPEL HILL NC 27517 PLUMBING/HVAC 1343593 US FOODSERVICE PO BOX 602211 CHARLOTTE NC 28260 FOOD 1284076 SFCS INC 305 SOUTH JEFFERSON STREET ROANOKE VA 24011 ARCHITECTURAL SERVICES 666293 CHATHAM CARPET & INTERIORS 50 STILL WATERS DRIVE SILER CITY NC 27344 FLOORING 373444 CAROLINA EXTERIORS 2633 SCHIEFFELIN ROAD APEX NC 27505 EXTERIOR SIDING 357974 27 473718 473718 INDEPENDENT LIVING REV 623000 19149898 19149898 HEALTH CARE CENTER REV 623000 8878417 8878417 ASSISTED LIVING REV 623000 6588495 6588495 REFURBISHING 623000 1419007 1419007 REMARKETING 623000 185140 185140 1616643 1616643 37837600 668467 668467 11919 0 11919 11919 11919 13199586 12935846 263740 263740 263740 MISCELLANEOUS 623000 10200 10200 10200 39265644 37837600 0 954326 173768 173768 614164 614164 844405 844405 16398422 15572039 826383 457023 372606 84417 2346679 2211955 134724 1172639 984899 187740 194850 139139 55711 58354 58354 122888 122888 2499326 2483302 16024 74184 16221 57963 1349818 1202679 147139 92044 92044 2367215 1598031 769184 129122 83361 45761 53162 30801 22361 428690 428690 4674187 4674187 21195 21195 FOOD COSTS 2054241 2054241 UPGRADES & MODIFICATION 1704203 1704203 SHARED APPRECIATION 990661 990661 REPAIRS & MAINTENANCE 777674 777674 959566 694185 265381 40558480 36828001 3730479 0 4897515 6598409 2534 0 2148780 2268809 400068 337372 184773 152836 147886770 73240345 73676845 74646425 27960173 31293629 433643 621576 109704331 115919056 4419603 5076472 48392067 17775 13251167 12427357 1859041 930633 0 455071 5304157 145107369 73226035 164014677 X 36478296 -48095621 36478296 -48095621 109704331 115919056 X -1292836 3442765 -86723846 X 0 1 X 1 0 X 23914 15081 473718 512713 36000478 37430393 40373955 42004601 37837600 193647027 36024392 37445474 40373955 42004601 38311318 194159740 0 0 0 194159740 275477 372219 481388 582770 680386 2392240 275477 372219 481388 582770 680386 2392240 50000 5000 0 55000 11439 5855 16135 11211 10200 54840 36311308 37823548 40921478 42603582 39001904 196661820 0.98730 0.98970 0.01220 0.00970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1859041 928408 930633 1 X 2185405 2185405 124146824 60822851 63323973 12248666 8465763 3782903 9305875 3951731 5354144 74646425 INVESTMENTS AND ASSETS WHOSE USE IS LIMITED 31293629 F 31293629 INTEREST RATE SWAP AGREEMENT 143834 OTHER DEFERRED REVENUE 996195 DEPOSITS ON OCCUPIED UNITS 6232950 FAIRWAYS ENTRANCE FEE REFUNDS DUE 65000 ADVANCED FEE LIABILITY 137669390 145107369 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, 2019 AND 2018, AGENCY FUNDS DUE RESIDENTS WERE $930,633 AND $1,859,041, 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, 2019. 1 CHATHAM COUNTY COUNCIL ON AGING PO BOX 715 PITTSBORO NC 27312 561084260 501 (C) (3) 35000 TO SUPPORT THE CHATHAM AGING PLAN, FROZEN MEALS PROGRAM FOR SENIORS THROUGH CHATHAM COUNTY, NC, THE SENIOR GAMES AND SENIOR EDUCATIONAL CONFERENCES. CHATHAM COUNTY LITERACY COUNCIL PO BOX 1696 PITTSBORO NC 27312 581870076 501 (C) (3) 8555 TO SUPPORT ESL TUTOR PROGRAM AT CAROLINA MEADOWS FOR STAFF AND FOR COMMUNITY CITIZENS IN NEED. LEADING AGE FOUNDATION 222 N PERSON STREET RALEIGH NC 27601 561594182 501 (C) (3) 25000 CONTRIBUTION OF SECOND OF FOUR YEAR PLEDGE FOR A NEW LEADING AGE BUILDING. RISE AGAINST HUNGER 3733 NATIONAL DRIVE SUITE 200 RALEIGH NC 27612 161541024 501 (C) (3) 11619 TO FUND ONE EVENT RESULTING IN MORE THAN 35,000 SHELF-STABLE MEALS TO BE SENT TO HELP HUNGER WORLDWIDE. UNC MEDICAL FOUNDATION UNC PO BOX 309 CHAPEL HILL NC 27514 566001393 501 (C) (3) 30000 CONTRIBUTION OF FOURTH OF FIVE YEAR PLEDGE FOR THE NEW UNC HOSPICE HOME IN CHATHAM COUNTY, NC. 5 0 RESIDENT FINANCIAL ASSISTANCE. 9 614164 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 321818 0 41662 0 19741 0 16239 0 15579 0 415039 0 0 0 BENJAMIN CORNTHWAITE CHIEF OPERATING OFFICER 213012 0 17235 0 5982 0 8209 0 22920 0 267358 0 0 0 GARY LEVINE CHIEF FINANCIAL OFFICER 203010 0 16424 0 5521 0 10527 0 17099 0 252581 0 0 0 DONNA MILLER MEDICAL DIRECTOR 202310 0 0 0 1023 0 0 0 14216 0 217549 0 0 0 MELISSA KASS VICE PRESIDENT - MARKETING 121307 0 58432 0 368 0 6212 0 9860 0 196179 0 0 0 DANIEL CAMARA VP-PHYSICAL PLANT 130160 0 10306 0 761 0 6752 0 16980 0 164959 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 55000 12700000 217643 12482357 0 0 0 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 1 SUNTRUST 15.000000000000 0 0 0 0 1 A 1 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 2019 TO SUPPORT CHARITIES THAT SUPPORT OLDER ADULTS IN CHATHAM COUNTY, INCLUDING: - DONATED $11,619 TO RISE AGAINST HUNGER FOR A MEAL-PACKAGING EVENT HELD ON OUR CAMPUS. OVER 240 RESIDENTS AND STAFF PARTICIPATED IN THIS VOLUNTEER SERVICE EVENT HELD ON CAMPUS IN 2019, RESULTING IN THE PACKAGING OF MORE THAN 35,000 MEALS TO FIGHT HUNGER WORLDWIDE. - 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; $30,000 WAS CONTRIBUTED IN 2019. - CAROLINA MEADOWS HAS MADE A PLEDGE OF $100,000 TO SUPPORT LEADING AGE NC OVER THE NEXT FOUR YEARS. THE SECOND DONATION OF $25,000 WAS PROVIDED IN 2019. - A FIVE-YEAR PLEDGE WAS MADE IN 2016 TO THE CHATHAM COUNTY COUNCIL ON AGING TO SUPPORT THEIR FROZEN MEALS PROGRAM FOR ELDERS. THIS PROGRAM REACHES SENIORS WHO LIVE OUTSIDE OF THE MEALS FOR WHEELS ROUTES BUT STILL NEED CRUCIAL NUTRITIONAL SUPPORT. THIS PROGRAM IS A PARTNERSHIP OF CAROLINA MEADOWS, CHATHAM COUNTY GOVERNMENT AND THE COUNCIL ON AGING. THE PLEDGE WAS FOR $37,500 OVER FIVE YEARS. THE FOURTH $7,500 DONATION WAS CONTRIBUTED IN 2019. - A $25,000 DONATION WAS MADE TO THE COUNCIL ON AGING TO SUPPORT THE IMPLEMENTATION OF THE NEW CHATHAM AGING PLAN WHICH BENEFITS ALL WHO LIVE IN THE COUNTY. IN ADDITION, CAROLINA MEADOWS SUPPORTED ($2,500) TWO EDUCATIONAL CONFERENCES FOR SENIORS IN OUR COUNTY, ONE IN THE SPRING AND ONE IN THE FALL OF 2019. -A $5,000 DONATION WAS MADE TO THE CHATHAM OUTREACH ALLIANCE (CORA) FOOD PANTRY TO SUPPORT A NEW WALK IN REFRIDGERATOR FOR THEIR EXPANDED FOOD PANTRY THAT SERVES ALL OF CHATHAM COUNTY. - A $8,000 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. - A $3,500 DONATION TO FEARRINGTON CARES, A LOCAL NONPROFIT WHICH SUPPORTS ELDERS IN REMAINING SAFELY IN THEIR HOMES. THE GIFT PROVIDED NEEDED MEDICAL EQUIPEMNT TO SAFELY SUPPORT OLDER ADULTS. - A $3,000 SPONSORSHIP TO PROVIDE AN ARTIST IN RESIDENCE AT OUR NEARBY LOCAL ELEMENTARY SCHOOL FOR A WEEK THROUGH CHATHAM COUNTY ARTS COUNCIL. - A $2,500 DONATION TO HABITAT FOR HUMANITY IN ORANGE COUNTY FOR A CAROLINA MEADOWS BUILD DAY IN THEIR HILLSBOROUGH 55 YEARS OLD AND UP HOUSING COMMUNITY. OVER 12 RESIDENTS AND STAFF CAME TOGETHER TO BUILD, AND DONATED THEIR SWEAT EQUITY HOURS TO A STAFF MEMBER WHO HAS QUALIFIED FOR A HABITAT HOUSE IN THE NEW 55 AND UP COMMUNITY. BEYOND FINANCIAL SUPPORT, CAROLINA MEADOWS SUPPORTS NONPROFIT ORGANIZATIONS THROUGH DONATIONS OF TALENT, SPACE, FOOD, AND OTHER IN-KIND CONTRIBUTIONS. EXAMPLES INCLUDE: - DONATED FOOD AND TIME TO CHARITABLE COMMUNITY EVENTS, SUCH AS ALL THE MEALS (VALUED AT $1,890) FOR 60 CHILDREN AND ADULT VOLUNTEERS AT DUKE HOSPICE'S CAMP RELEAF, A WEEKEND-LONG CAMP FOR KIDS WHO HAVE LOST FAMILY MEMBERS. - PARTNERED WITH UNC CHAPEL HILL SCHOOL OF MEDICINE TO TRAIN ALL 3RD YEAR MEDICAL STUDENTS. CAROLINA MEADOWS HOSTS THREE WORKSHOPS AN ACADEMIC YEAR WHERE UNC INSTRUCTORS PROVIDE TRAINING AND THEN THE STUDENTS PRACTICE NEWLY LEARNED SKILLS ON RESIDENT VOLUNTEERS. WE PROVIDED IN-KIND LUNCHES (VALUED AT $503 EACH TIME) TO FACILITATE STUDENT AND RESIDENT INTERACTION AND LEARNING. MORE THAN 240 STUDENTS WERE TRAINED AT CAROLINA MEADOWS IN 2019. - 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. EXAMPLES INCLUDE: - PARTICIPATED ON PLANNING COMMITTEES FOR COMMUNITY-WIDE PROJECTS SUCH AS THE STEERING COMMITTEE FOR THE CHATHAM COUNTY AGING PLAN, CHATHAM COUNTY SENIOR GAMES AND THE CHATHAM HEALTH ALLIANCE. - SERVED AS PRECEPTORS FOR STUDENTS FROM DURHAM TECH, UNC, NCCU AND BEYOND. 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 COAT DRIVE IN WINTER AND A SCHOOL SUPPLIES DRIVE IN FALL. OUR RESIDENTS OFFER MANY HOURS OF VOLUNTEER TIME TO SUPPORT NONPROFITS IN OUR AREA AS WELL AS OUR OWN CAMPUS COMMUNITY. IN OUR LAST SURVEY, RESIDENTS REPORTED NEARLY 45,000 VOLUNTEER HOURS TO THE GREATER COMMUNITY. THIS EQUATES TO A VALUE OF OVER A MILLION DOLLARS. RESIDENTS ALSO VOLUNTEER WITHIN OUR OWN COMMUNITY. EIGHTY-FOUR RESIDENT VOLUNTEERS PROVIDED MORE THAN 2,000 HOURS OF SERVICE INCLUDING ONE-ON-ONE VISITS, MAIL DELIVERY, AND ACTIVITIES IN HIGHER LEVELS OF CARE ON CAMPUS. CHARITABLE DONATIONS CHARITABLE DONATIONS AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2019 INCLUDED $614,164 IN BENEVOLENT CARE, $173,768 IN CHARITABLE DONATIONS AND $63,382 IN DONATED VOLUNTEER SERVICES. PROPERTY TAXES FOR 2019, PROPERTY TAX PAYMENTS OF $941,208 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 FORM 990 IS FIRST REVIEWED IN DETAIL BY THE BOARD FINANCE COMMITTEE PRIOR TO THE FULL BOARD REVIEW TO ENSURE THE FORM 990 IS ACCURATE AND COMPLETE. THE ENTIRE BOARD THEN REVIEWS AND APPROVES THE FORM 990 AT ITS NEXT QUARTERLY MEETING PRIOR TO THE RETURN BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY AND ATTESTATION FORMS ARE PROVIDED TO ALL BOARD MEMBERS INCLUDING EX-OFFICIO MEMBERS. THE SAME FORMS ARE PROVIDED TO ALL KEY EMPLOYEES. THE ATTESTATION FORMS ARE COLLECTED FROM THE BOARD AND KEY EMPLOYEES IN MAY OF EACH YEAR. THEY ARE THEN REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND CEO FOR ANY INDICATIONS OF ACTUAL OR PERCEIVED CONFLICT NOTED. IF NONE, THE ATTESTATION FORMS ARE ACCEPTED AND STORED. IF THERE WERE TO BE ANY INDICATIONS OF ACTUAL OR PERCEIVED CONFLICT NOTED, THE GOVERNANCE COMMITTEE WOULD ALERT THE BOARD CHAIR AND THE ACTUAL OR PERCEIVED CONFLICT WOULD BE DISCUSSED FURTHER WITH THE INDIVIDUAL INVOLVED TO DETERMINE IF AN ACTUAL CONFLICT EXISTED. IF IT IS BELIEVED AN ACTUAL CONFLICT EXISTS, THEN THE FULL BOARD WOULD REVIEW THE CONFLICT AND MAKE A DETERMINATION HOW BEST TO RESOLVE THE CONFLICT BY EITHER ACCEPTING THE CONFLICT OR REQUIRING THE MEMBER OR STAFF PERSON TO CEASE AND DESIST OR FACE REMOVAL FROM THE BOARD OR TERMINATION FROM EMPLOYMENT IF A KEY STAFF PERSON. IF A CONFLICT IS ACCEPTED BY THE BOARD, A PERSON INVOLVED IN MATTERS WHERE A CONFLICT EXISTS MUST RECUSE HIMSELF OR HERSELF FROM BOARD MEETING DISCUSSIONS AROUND THE CONFLICT OR BOARD ACTION TAKEN IN REGARD TO THE CONFLICT. IF A CONFLICT INVOLVES A STAFF PERSON, THE STAFF PERSON WOULD EITHER BE REASSIGNED OR TERMINATED, PENDING ON THE TYPE OF CONFLICT AND IMPACT TO THE ORGANIZATION. 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, AND LEADINGAGE 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 65,103. CHANGE FROM ADOPTION OF NEW ACCOUNTING STANDARD -86,788,949. 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 0 1 0 0