2020-08-13T12:14:25-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-01-01 566064186 THE PRESBYTERIAN HOME AT CHARLOTTE INC PRES 7045531670 5100 SHARON ROAD CHARLOTTE NC 28210 ANNE MOFFAT PRESIDENT AND CEO 7045531670 2020-08-13 1 JOHN NORMAN P01506766 7049985200 2020-08-03 67.137.57.251 2020-08-13 09:01:08 ED P FDDE6E59ECAC1E5ABC0702B1D23036C1C3115FC1 D2B4287C954488C71DF9815DC6C388615DA2251A 2019 2020-11-06 18:47:13Z ANNE MOFFAT 5100 SHARON ROAD CHARLOTTE NC 28210 32854658 0 X HTTPS://SHARONTOWERS.ORG/ X 1969 NC WE ENRICH RESIDENTS' LIVES BY PROVIDIING A NURTURING ENVIRONMENT WITH JOY, PURPOSE, AND WELL-BEING 22 22 466 200 0 0 4108687 3929199 25452206 26840235 1260014 1104929 80047 0 30900954 31874363 1227969 1429745 0 0 11508388 12113568 59736 84986 271382 10528036 10496196 23324129 24124495 7576825 7749868 87538008 177552190 40654722 120570417 46883286 56981773 WE ENRICH THE LIVES OF THOSE WE SERVE BY PROVIDING A NURTURING ENVIRONMENT THAT FOSTERS JOY, PURPOSE, AND WELL-BEING. 0 0 23053474 1429745 26840235 THE PRESBYTERIAN HOME AT CHARLOTTE, INC. PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RETIREMENT FACILITY WHICH AT DECEMBER 31, 2019, CONTAINED 213 INDEPENDENT LIVING UNITS, 40 ASSISTED LIVING UNITS, AND A 96 BED HEALTH CARE CENTER. 23053474 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 2 1 466 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 1 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X CHARLES R GASKINS 7045531670 5100 SHARON ROAD CHARLOTTE NC 28210 DOUGLAS K BRADLEY CHAIR-ELECT 1.00 X X 0 0 0 JOHN E BURTON JR DIRECTOR 1.00 X 0 0 0 JOHN J CARPENTER DIRECTOR 1.00 X 0 0 0 SUSAN M GOODMAN DIRECTOR 1.00 X 0 0 0 MICHAEL W FISCHER CHAIR 1.00 X X 0 0 0 MILDRED P FOLK DIRECTOR 1.00 X 0 0 0 ROBERTA L HARPER DIRECTOR 1.00 X 0 0 0 TIMOTHY J IGNASHER DIRECTOR 1.00 X 0 0 0 ROBERT A JONES TREASURER 1.00 X X 0 0 0 EDWARD S BOOHER DIRECTOR 1.00 X 0 0 0 VIRGINIA L KELLY DIRECTOR 1.00 X 0 0 0 ADELAIDE A DAVIS DIRECTOR 1.00 X 0 0 0 E JUDSON MCADAMS DIRECTOR 1.00 X 0 0 0 RHONDA R MCCLAIN DIRECTOR 1.00 X 0 0 0 HAYDEN MCMAHON JR DIRECTOR 1.00 X 0 0 0 RICHARD L NICHOLS DIRECTOR 1.00 X 0 0 0 FREDA H NICHOLSON DIRECTOR 1.00 X 0 0 0 KATHERINE K RICHARDS DIRECTOR 1.00 X 0 0 0 RANDAL L RIPPLE SECRETARY 1.00 X 0 0 0 THECKLA D STERRETT DIRECTOR 1.00 X 0 0 0 R CHRISTOPHER THOMAS DIRECTOR 1.00 X 0 0 0 VELVA W WOOLLEN DIRECTOR 1.00 X 0 0 0 ANNE MOFFAT EXEC DIRECTOR 40.00 X 229600 0 18530 CHARLES R GASKINS CFO 40.00 X 167834 0 16664 ANGELA RIGSBEE COO 40.00 X 134473 0 13945 MILTON MCGOWIAN DIRECTOR OF DINING SERVICES 40.00 X 104209 0 10925 ALLISON SWITZER ADMINISTRATOR 40.00 X 118432 0 10456 OTIS AMERSON DIR OF FACILITY SERVICES 40.00 X 114986 0 10277 869534 0 80797 6 0 1 0 ROSS ALLEN BUILDERS 8260-1200 PROVIDENCE ROAD 384 CHARLOTTE NC 28210 CONSTRUCTION 2756241 MESSER CONSTRUCTION 2400 EXECUTIVE STREET CHARLOTTE NC 28208 CONSTRUCTION 1958407 HEALTHPRO HERITAGE 536 OLD HOWELL ROAD GREENVILLE NC 29615 THERAPY SERVICES 991700 US FOOD SERVICE PO BOX 602286 CHARLOTTE NC 28260 FOOD SERVICE 808880 SHOOK KELLY 1545 WEST TRADE STREET CHARLOTTE NC 28216 ARCHITECT 725561 21 3929199 978 3929199 INDEPENDENT LIVING 623990 9725287 9725287 HEALTH CARE 623990 8483033 8483033 ENTRANCE FEES 623990 4307948 4307948 OTHER RESIDENT SERVICE 923990 2258862 2258862 ASSISTED LIVING 623990 2065105 2065105 26840235 882152 882152 1203072 980295 222777 222777 222777 31874363 26840235 0 1104929 405593 405593 1024152 1024152 531907 531907 9218270 8989249 140702 88319 1661947 1562465 83657 15825 701444 651782 43373 6289 84986 84986 274334 274334 385902 385902 237632 237632 2363366 2363366 356411 356411 HOUSEKEEPING & MAINTENA 2346011 2344759 1252 HEALTH CARE SUPPLIES 1663854 1663854 FOOD & DIETARY 1548166 1548166 UTILITIES & COMMUNICATI 1098166 1096666 1500 222354 149143 73211 24124495 23053474 799639 271382 5675755 7937861 942077 1446780 1001419 1314781 259301 378510 97319822 38759780 57772229 58560042 18322287 23650358 249540 3315400 84263858 87538008 177552190 1534474 2363593 0 5780000 82364220 33340248 35842604 40654722 120570417 X 41790249 50247816 5093037 6733957 46883286 56981773 87538008 177552190 X 7749868 2628392 -279773 X 0 1 X 1 0 X 1164829 494037 932250 4108687 3929199 10629002 20112578 20736724 21853855 24481826 26840235 114025218 21277407 21230761 22786105 28590513 30769434 124654220 336833 336833 0 336833 336833 124317387 644206 539687 653017 755286 882152 3474348 644206 539687 653017 755286 882152 3474348 21921613 21770448 23439122 29345799 31651586 128128568 0.97030 0.97020 0.02710 0.02980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 440 440 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO LEADINGAGE IS ATTRIBUTABLE TO LOYBBYING. 3032006 65368 65368 3032006 3032006 421347 421347 3032006 3032006 305241 305241 3032006 3032006 3032006 2958380 73626 3032006 1.00000 0 0 478558 478558 84071212 31466120 52605092 4941348 1149742 3791606 7828704 6143918 1684786 58560042 CIP 9076364 NONCURRENT CONTRIBUTIONS RECEIVABLE 1065239 HELD UNDER BOND AGREEMENTS 70707294 CAPITAL CAMPAIGN FUND 1290316 OTHER ASSETS 4000 ENTRANCE FEE ESCROW 2120645 84263858 ACCRUED INTEREST PAYABLE 198 ACCRUED PAYROLL 934692 DEFERRED REVENUE 27735711 REFUNDABLE ENTRANCE FEES 7172003 35842604 31837683 2628392 1149335 3777727 28059956 3814407 3814407 31874363 23100343 0 23100343 1024152 1024152 24124495 PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 2,173,487. RESIDENT ASSISTANCE EXPENSES -1,024,152. PART XI, LINE 4B - OTHER ADJUSTMENTS: DONOR RESTRICTED CONTRIBUTIONS 3,483,391. RESTRICTED INVESTMENT INCOME 331,016. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE EXPENSES 1,024,152. X X X X 1 CAPITAL DEVELOPMENT SERVICES 915 W 4TH ST STE 100 WINSTON SALEM NC 27101 PLAN AND IMPLEMENT 2019 CAPITAL CAMPAIGN 0 2131081 84986 2046095 2131081 84986 2046095 NC 1 UNC CHARLOTTE 9201 UNIVERSITY CITY BLVD CHARLOTTE NC 28223 560791228 115 202593 SUPPORT UNCC PROGRAM TO PROVIDE UNDERSERVED SENIORS WITH PERSONALIZED HEALTH ASSESSMENTS ALZHEIMER'S ASSOCIATION 4600 PARK ROADSUITE 250 CHARLOTTE NC 28209 561440727 501(C)(3) 55000 2756 OTHER T-SHIRTS FOR ALZ WALK WALK TO END ALZHEIMER'S AND DEMENTIA EDUCATION. INREACH 4530 PARK ROAD SUITE 300 CHARLOTTE NC 28209 521084075 501(C)(3) 20000 SUPPORT FOR A WIDE VARIETY OF SERVICES TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES SHEPHERD'S CENTER OF CHARLOTTE 3115 PROVIDENCE ROAD CHARLOTTE NC 28211 561271236 501(C)(3) 5000 LEARNING PROGRAMS TO SUPPORT AND ENRICH THE LIVES OF OLDER ADULTS FARMINGTON BAPTIST CHURCH 1835 FARMINGTON ROAD MOCKSVILLE NC 27208 561748466 501(C)(3) 9166 BOOK VALUE CITECAR TRANSPORTER (SHUTTLE) DONATED SHUTTLE TO CHURCH TO ASSIST WITH PARKING LOT TRANSPORTATION 3 2 WAIVED ENTRANCE FEES AND SUBSIDIZED SERVICE FEES FOR RESIDENTS. 22 1024152 SCHEDULE I, PART III, COLUMN (B) THE PRESBYTERIAN HOME AT CHARLOTTE, INC. PROVIDES FINANCIAL ASSISTANCE TO ITS RESIDENTS WHO CANNOT AFFORD THE FULL COST OF THEIR CARE. THIS ASSISTANCE WAS GIVEN VIA WAIVED ENTRANCE FEES AND SUBSIDIZATION OF MONTHLY SERVICE FEES. TWENTY-TWO RESIDENTS RECEIVED FINANCIAL ASSISTANCE IN EXCESS OF $5,000 FOR 2019. THEIR ASSISTANCE TOTALLED $1,024,152. RECIPIENTS ARE RE-QUALIFIED ANNUALLY AFTER A REVIEW OF THEIR INCOME AND EXPENSES. FINANCIAL RECORDS ARE KEPT ON ALL ASSISTANCE. X 0 0 0 0 0 0 0 0 0 ANNE MOFFAT EXEC DIRECTOR 228259 0 1341 0 0 0 7605 0 10925 0 248130 0 0 0 CHARLES R GASKINS CFO 167024 0 810 0 0 0 5739 0 10925 0 184498 0 0 0 A NC MEDICAL CARE COMMISSION A BONDS 521309402 65820YQK5 2019-12-05 83995931 SEE PART VI 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2019-12-01 18000000 SEE PART VI 0 0 0 A 83995931 5269750 7977517 1632453 6864492 4890000 57361719 1 0 0 1 B 18000000 292113 135500 17572387 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 A 1 B 1 PART I, ISSUE A THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW INDEPENDENT LIVING APARTMENT BUILDING, TO FUND CAPITAL IMPROVEMENTS TO BUILDINGS THROUGHOUT THE ORGANIZATION'S CAMPUS, TO REFUND THE OUTSTANDING 2001 VARIABLE RATE DEMAND HEALTH CARE FACILITIES REVENUE BONDS, TO TERMINATE ITS INTEREST RATE SWAP AGREEMENT, TO FUND A DEBT SERVICE RESERVE FUND, TO PAY A PORTION OF THE INTEREST ACCRUED ON THE SERIES 2019A BONDS, AND TO PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2019A BONDS. PART I, ISSUE B THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW INDEPENDENT LIVING APARTMENT BUILDING, TO FUND CAPITAL IMPROVEMENTS TO BUILDINGS THROUGHOUT THE ORGANIZATION'S CAMPUS, AND TO PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2019B BONDS. FORM 990, PART VI, SECTION A, LINE 4 IN ADDITION TO SOME IMPROVEMENT IN WORDING, THE BYLAWS WERE AMENDED TO CREATE THESE SUBSTANTIAL CHANGES: 1. ADDED "CHIEF FINANCIAL OFFICER" AS AN OFFICIAL OFFICER OF THE CORPORATION; 2. ADDED LANGUAGE THAT DESCRIBES THE PROCESS FOR ELECTING THE VICE CHAIRPERSON OF THE BOARD; 3. ADDED ARTICLE IV, SECTION 6, WHICH DESCRIBES THE ROLE OF THE CHIEF FINANCIAL OFFICER; 4. REDEFINED THE ROLE OF THE TREASURER TO MORE OF A FINANCIAL OVERSIGHT ROLE FORM 990, PART VI, SECTION A, LINE 7A THE BOARD PRESENTS A NEW CLASS OF BOARD MEMBERS ANNUALLY TO THE PRESBYTERY OF CHARLOTTE. THE PRESBYTERY ELECTS THE NEW MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B AFTER RECEIVING THE FORM 990 FROM OUR AUDITOR, IT IS REVIEW BY OUR CHIEF FINANICAL OFFICER AND THE EXECUTIVE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST; BOARD MEMBERS ABSTAIN FROM ANY DECISION/VOTE THAT MAY BE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD CHAIR SELECTS A COMPENSATION COMMITTEE. THE COMMITTEE IS GIVEN A WAGE AND SALARY SURVEY CONDUCTED ANNUALLY BY THE LEAGINGAGE NORTH CAROLINA AND THE HOSPITAL AND HEALTH CARE COMPENSATION SERVICE. THE SURVEY CONSISTS OF DATA FROM OTHER CONTINUING CARE RETIREMENT COMMUNITIES (CCRC'S) IN NORTH CAROLINA. THE DELIBERATION AND DECISION IS THEN DOCUMENTED AND PLACED IN TEH EXECUTIVE DIRECTOR'S FILE HELD BY THE BOARD CHAIR. A COPY IS ALSO KEPT IN THE SHARON TOWER'S HUMAN RESOURCES RECORDS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST; FINANCIALS ARE ALSO AVAILABLE ON MSRB/EMMA REPORTING WEBSITE FOR BONDS FORM 990, PART XI, LINE 9: LOSS ON EARLY EXTINGUISHMENT OF DEBT AND SWAP AGREEMENT -279,773.