2019-10-14T07:01:35-05:00 2018-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2018-01-01 561152263 ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC ARBO 3367247921 1240 ARBOR ROAD WINSTONSALEM NC 271041197 DAVID W MATTHEWS VICE PRESIDENT/CFO 3367247921 2019-10-14 1 AMY BIBBY P00445891 8282542254 2019-10-14 24.241.144.70 2019-10-14 06:58:36 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2019-02-21 02:37:17Z ANDREW APPLEGATE 1240 ARBOR ROAD WINSTONSALEM NC 271041197 37242513 0 X WWW.ARBORACRES.ORG X 1975 NC TO SERVE SENIOR ADULTS WHILE PROVIDING SECURITY, CONTENTMENT, AND LIFE WITH MEANING & PURPOSE. 28 28 565 113 0 0 3244878 2599702 30364789 33497918 -30638 55996 141319 90133 33720348 36243749 1683633 1516450 0 0 15685269 16214669 0 0 211770 15404534 16776844 32773436 34507963 946912 1735786 130540923 129937686 79644155 79185603 50896768 50752083 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 31198401 1516450 31981468 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, 2018, ARBOR ACRES SERVED 490 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, 2018, $1,516,450 OF FINANCIAL ASSISTANCE WAS PROVIDED TO RESIDENTS TO HELP THEM MAINTAIN RESIDENCY AT THE FACILITY.DURING 2018 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 AND SOLES FOR SOULS SHOE DRIVE, ETC. 31198401 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 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 67 0 1 565 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 28 28 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 A SCHWARTZ BOARD CHAIR 1.00 X X 0 0 0 PAMELA BALL CHAIR ELECT 1.00 X X 0 0 0 PAUL WILES TREASURER 1.00 X X 0 0 0 FLORENCE CORPENING SECRETARY 1.00 X X 0 0 0 WELBORN ALEXANDER BOARD MEMBER 1.00 X 0 0 0 ART BLOOM BOARD MEMBER 1.00 X 0 0 0 SUSAN ELSTER BOARD MEMBER 1.00 X 0 0 0 DAVID HINTON BOARD MEMBER 1.00 X 0 0 0 DANNY NEWCOMB VICE CHAIR 1.00 X 0 0 0 MARIAN DOUGLAS BOARD MEMBER 1.00 X 0 0 0 DALE DEK DRISCOLL BOARD MEMBER 1.00 X 0 0 0 DREWERY NOSTITZ BOARD MEMBER 1.00 X 0 0 0 DR DUDLEY CHANDLER BOARD MEMBER 1.00 X 0 0 0 VICTORIA HUNT BOARD MEMBER 1.00 X 0 0 0 SCOTT GERDING BOARD MEMBER 1.00 X 0 0 0 KAYE LAMBERT BOARD MEMBER 1.00 X 0 0 0 KAY JOHNSON-WARE BOARD MEMBER 1.00 X 0 0 0 RICHARD SPANGLER BOARD MEMBER 1.00 X 0 0 0 KATHY NELSON BOARD MEMBER 1.00 X 0 0 0 MARSHA BLEDSOE 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 WILLIAM MCGUINN JR BOARD MEMBER 1.00 X 0 0 0 STEVEN REEDER BOARD MEMBER 1.00 X 0 0 0 WANDA MERSCHEL BOARD MEMBER 1.00 X 0 0 0 ALSTON NIGEL BOARD MEMBER 1.00 X 0 0 0 JOHN WILLINGHAM BOARD MEMBER 1.00 X 0 0 0 CINDY S GRAHAM BOARD MEMBER 1.00 X 0 0 0 HAMPTON LEFLER BOARD MEMBER-EX OFFICIO 1.00 X 0 0 0 MIKE BAILEY BOARD MEMBER-EX OFFICIO 1.00 X 0 0 0 BISHOP PAUL LELAND BOARD MEMBER-EX OFFICIO 1.00 X 0 0 0 ANDREW APPLEGATE CEO 40.00 X 271819 0 36636 DAVID MATTHEWS CFO 40.00 X 138993 0 19216 KATHY GWYN VP HEALTH SERVICES 40.00 X 164389 0 25007 KENNETH BOYLES COO 40.00 X 200166 0 25859 LYNN A ROSS DIRECTOR OF MARKETING 40.00 X 112731 0 18455 AMANDA CLEARY NURSE MANAGER 40.00 X 112031 0 6611 LES CRANFILL DIRECTOR OF BUILDINGS AND 40.00 X 116520 0 13457 NANCY PEEBLES DEVELOPMENT DIRECTOR 40.00 X 105032 0 12796 1221681 0 158037 8 0 1 0 US FOOD SERVICE 125 FORT MILL PKWY FORT MILL SC 29715 FOOD SERVICES 1594407 ICON BUILDERS LLC 2655 FOREST DR WINSTONSALEM NC 27104 CONSTRUCTION 1576434 MILLER BUILDING & REMODELING LLC 550 BEAUCHAMP RD ADVANCE NC 27006 CONSTRUCTION 985529 SODEXO INC & AFFILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 MANAGEMENT SERVICES 647215 BWHAWKINS BUILDERS 3614 N LAKESHORE DRIVE CLEMMONS NC 27012 CONSTRUCTION 616576 22 2599702 2599702 RESIDENT FEES 623000 28274603 28274603 DEFERRED ENTRANCE FEES 623000 5198515 5198515 APPLICATION FEES 623000 24800 24800 33497918 890455 890455 5529 330870 509118 -330870 -503589 -834459 -834459 114839 136115 -21276 -21276 23046 22661 385 385 FOOD SERVICE REVENUE 900099 76307 76307 GUEST ROOM RENTAL 900099 34717 34717 111024 36243749 33497918 0 146129 1516450 1516450 882087 202936 679151 83107 83107 11786182 10814453 804444 167285 3463293 3020648 398160 44485 177243 177243 99974 99974 1560591 1469423 91168 174057 174057 2549144 2145073 404071 96284 96284 1854998 1674390 180608 25487 19055 6432 1660 1660 1538559 1538559 6823064 6823064 250458 250458 FOOD COST 1337897 1337897 MEDICAL SUPPLIES 265502 265502 MISCELLANEOUS 18952 15843 3109 0 BAD DEBT EXPENSE 2974 2974 34507963 31198401 3097792 211770 1211053 3018911 578437 537606 267642 416986 340821 527214 317333 160580707 69626293 91986875 90954414 35124910 33656828 721694 684237 14585 119063 130540923 129937686 1544711 2032131 29770647 31969529 47533000 44567000 795797 616943 79644155 79185603 X 40950163 41284674 2305026 1825830 7641579 7641579 50896768 50752083 130540923 129937686 X 1735786 -2052949 172478 X X 0 1 X 1 0 X 3934616 2524789 2057346 1561245 4116152 14194148 25644677 26761749 28914297 30364789 31981468 143666980 418163 154839 153946 164890 134070 1025908 29997456 29441377 31125589 32090924 36231690 158887036 967785 625373 536466 525323 558777 3213724 0 967785 625373 536466 525323 558777 3213724 155673312 675286 689978 755458 752995 890455 3764172 675286 689978 755458 752995 890455 3764172 30672742 30131355 31881047 32843919 37122145 162651208 0.95710 0.95600 0.02310 0.02330 X 15367393 299878 -612038 645000 14410233 14074117 102479 1790797 600000 15367393 13719172 149629 797317 592001 14074117 13889622 455424 -59169 566705 13719172 13557947 121811 729268 519404 13889622 0.39120 0.60880 0 0 2166825 2166825 134845190 56142045 78703145 11524118 7808420 3715698 12044574 5675828 6368746 90954414 REFUNDABLE DEPOSITS 47463 INTEREST RATE SWAP LIABILITY 569480 616943 X 32963757 -2052949 -1516450 331254 -3238145 36201902 41847 41847 36243749 33108442 -1516450 158776 -1357674 34466116 41847 41847 34507963 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 $5,637,639 WITHOUT DONOR RESTRICTIONS AND A ASSISTANCE ENDOWMENT OF $8,772,595 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, 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 22,661. SPECIAL EVENT EXPENSES 136,115. CHANGE IN INTEREST RATE SWAP 172,478. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN EXPENSES 41,847. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 22,661. SPECIAL EVENT EXPENSES 136,115. PART XII, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN EXPENSES 41,847. CROSSNORE SCHOOL & CHILDREN'S HOME 114839 114839 1688 7895 126532 114839 114839 1688 7895 126532 136115 -21276 1 FINANCIAL ASSISTANCE PROVIDED TO RESIDENTS 26 1516450 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. X X X 0 0 0 0 0 0 0 0 0 ANDREW APPLEGATE CEO 225000 0 22600 0 24219 0 16432 0 20204 0 308455 0 0 0 DAVID MATTHEWS CFO 130893 0 8100 0 0 0 8446 0 10770 0 158209 0 0 0 KATHY GWYN VP HEALTH SERVICES 140588 0 13000 0 10801 0 9865 0 15142 0 189396 0 0 0 KENNETH BOYLES COO 175792 0 18100 0 6274 0 10717 0 15142 0 226025 0 0 0 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2010-06-10 28875000 CAPITAL EXPENDITURES 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 531309402 2016-12-15 13159000 REFUND SERIES 2007 ISSUE 0 0 0 A 2314872 28875000 594152 317532 26852670 1434774 2012 0 0 1 1 B 2226000 13159000 13159000 2016 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 1 1 BB&T 10.000000000000 0 0 0 0 0 B 0 1 0 0 1 1 BB&T 16.000000000000 0 0 0 0 0 A 0 B 0 KIMBERLY SNOW FAMILY RELATIONSHIP WITH AN OFFICER 83107 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. COMPARABLE SALARIES FROM REGIONAL AND NATIONAL INDUSTRY SURVEYS AS WELL AS 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. 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 172,478. 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 0 111946 ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC