2017-10-24T08:58:01-05:00 2016-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-01-01 561152263 ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC ARBO 3367247921 1240 ARBOR ROAD WINSTONSALEM NC 271041197 KENNETH BOYLES CHIEF FINANCIAL OFFICER 3367247921 2017-10-24 1 Amy Bibby P00445891 8282542254 2017-10-24 12.25.12.224 2017-10-24 08:55:32 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 3C4A73C7F70BFF54BAAC11A85090BDFB39FC8B01 2016 2021-01-29 14:40:06Z KENNETH BOYLES 1240 ARBOR ROAD WINSTONSALEM NC 271041197 31896726 0 X WWW.ARBORACRES.ORG X 1975 NC TO SERVE SENIOR ADULTS WHILE PROVIDING SECURITY, CONTENTMENT, AND LIFE WITH MEANING & PURPOSE. 28 28 516 209 489 0 2520074 2057346 26761749 28914297 1933566 50818 119080 129945 31334469 31152406 0 0 0 0 14807714 15775196 32500 0 242358 13883401 15502950 28723615 31278146 2610854 -125740 124263962 130257000 78909001 83722382 45354961 46534618 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 27805358 28914297 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, 2016, 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, 2016, $1,600,000 OF FINANCIAL ASSISTANCE WAS PROVIDED TO RESIDENTS TO HELP THEM MAINTAIN RESIDENCY AT THE FACILITY.DURING 2016 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 SENIOR SERVICES' MEALS ON WHEELS PROGRAM, 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. 27805358 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 56 0 1 516 1 0 0 0 0 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 CONTROLLER 3364649960 1240 ARBOR ROAD WINSTONSALEM NC 27104 DALE DEK DRISCOLL BOARD CHAIR 1.00 X X 0 0 0 PAUL WILES TREASURER 1.00 X X 0 0 0 SUSAN A SCHWARTZ CHAIR ELECT 1.00 X X 0 0 0 NANCY S CANNON SECRETARY 1.00 X X 0 0 0 SUSAN HAUSER BOARD MEMBER 1.00 X 0 0 0 ART BLOOM BOARD MEMBER 1.00 X 0 0 0 AMY EGLESTON BOARD MEMBER 1.00 X 0 0 0 DAVID B BLANCO BOARD MEMBER 1.00 X 0 0 0 NICK DAVES BOARD MEMBER 1.00 X 0 0 0 MARIAN DOUGLAS BOARD MEMBER 1.00 X 0 0 0 CHARLES DUCKETT BOARD MEMBER-EX OFFICIO 1.00 X 0 0 0 JAMES GALLAHER BOARD MEMBER 1.00 X 0 0 0 MARY PRESTON YATES BOARD MEMBER 1.00 X 0 0 0 BISHOP LARRY GOODPASTOR BOARD MEMBER-EX OFFICIO 1.00 X 0 0 0 DR DUDLEY CHANDLER BOARD MEMBER 1.00 X 0 0 0 REV DR WILLIAM T MEDLIN III BOARD MEMBER 1.00 X 0 0 0 SCOTT GERDING BOARD MEMBER 1.00 X 0 0 0 ANITA OGBURN 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 PAMELA BALL 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 JAMES A ROUSSEAU II BOARD MEMBER 1.00 X 0 0 0 LORY HUFFMAN BOARD MEMBER 1.00 X 0 0 0 REV DR JEFFREY PATTERSON BOARD MEMBER-EX OFFICIO 1.00 X 0 0 0 VICKI HUNT BOARD MEMBER-EX OFFICIO 1.00 X 0 0 0 FLORENCE CORPENING BOARD MEMBER 1.00 X 0 0 0 Cindy S Graham BOARD MEMBER 1.00 X 0 0 0 W DAVID PINER CEO 40.00 X 280903 0 30197 KATHY GWYN COO 40.00 X 137686 0 22360 KENNETH W BOYLES CFO 40.00 X 181041 0 24475 KATRINA BODFORD CORPORATE SECRETARY 40.00 X 50745 0 13721 ANDREW APPLEGATE CEO 40.00 X 72811 0 0 LYNN A ROSS DIRECTOR OF MARKETING 40.00 X 107835 0 12580 AMANDA CLEARY NURSE MANAGER 40.00 X 101957 0 6117 DAVID W MATTHEWS CONTROLLER 40.00 X 114201 0 15282 1047179 0 124732 6 0 1 0 FRANK L BLUM CONSTRUCTION COMPANY 830 NE 25TH STREET WINSTONSALEM NC 27105 CONSTRUCTION 4737390 US FOOD SERVICE 125 FORT MILL PKWY FORT MILL SC 29715 FOOD SERVICES 1444278 BWHAWKINS BUILDERS 3614 N LAKESHORE DRIVE CLEMMONS NC 27012 CONSTRUCTION 1363614 ICON BUILDERS LLC 2655 FOREST DR WINSTONSALEM NC 27104 CONSTRUCTION 1171407 SCHNEIFER ELECTRIC 8001 KNIGHTDALE BLVD RALEIGH NC 27545 ELECTRICAL CONTRACTOR 342039 25 73615 1983731 58953 2057346 RESIDENT FEES 623000 23964005 23964005 DEFERRED ENTRANCE FEES 623000 4935292 4935292 APPLICATION FEES 623000 15000 15000 28914297 755458 489 754969 253106 451534 -253106 -451534 -704640 -704640 5815 73615 29826 -24011 -24011 9864 9854 10 10 FOOD SERVICE REVENUE 900099 106951 106951 GUEST ROOM RENTAL 900099 46995 46995 153946 31152406 28914297 489 180274 813939 148060 665879 11649768 10645565 843868 160335 3311489 2955318 312187 43984 115598 115598 102249 102249 1362081 1122472 237342 2267 137460 137460 2587607 2119854 432821 34932 83678 83678 1510716 1392009 118707 26125 13757 12368 5030 5030 1505531 1505531 6056306 6056306 246515 246515 FOOD COST 1324876 1324876 MEDICAL SUPPLIES 208983 208983 LOSS ON DEBT 185489 185489 MISCELLANEOUS 39563 38430 293 840 5143 5143 31278146 27805358 3230430 242358 1782398 2763325 1000837 783490 293482 333931 342567 360343 153282798 58106316 90251334 95176482 29818247 30088289 775097 751140 124263962 130257000 2484905 3335108 29068080 29797956 46242011 49554000 1114005 1035318 78909001 83722382 X 35629314 36703160 2336176 2292358 7389471 7539100 45354961 46534618 124263962 130257000 X -125740 1227106 78291 X X 0 1 X 1 0 X 1186500 1474415 3934616 2524789 2057346 11177666 22698413 25689543 25644677 26761749 28914297 129708679 142419 105957 418163 154839 153946 975324 24027332 27269915 29997456 29441377 31125589 141861669 6900 523547 967785 625373 536466 2660071 0 6900 523547 967785 625373 536466 2660071 139201598 732612 695945 675286 689978 755458 3549279 732612 695945 675286 689978 755458 3549279 24759944 27965860 30672742 30131355 31881047 145410948 0.95730 0.95820 0.02440 0.02620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13719172 149629 797317 592001 14074117 13889622 455424 -59169 566705 13719172 13557947 121811 729268 519404 13889622 11783207 491275 1809160 525695 13557947 10883094 179181 1173090 452158 11783207 0.38500 0.53500 0.08000 0 0 2166825 2166825 128053726 46809250 81244476 10691636 6306212 4385424 12370611 4990854 7379757 95176482 REFUNDABLE DEPOSITS 60235 INTEREST RATE SWAP LIABILITY 975083 1035318 X 32311994 1227106 -67518 1159588 31152406 0 31152406 31132336 39680 39680 31092656 185489 185489 31278145 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 BOARD DESIGNATED ASSISTANCE ENDOWMENT OF $5,114,236 AND A PERMANENT ASSISTANCE ENDOWMENT OF $6,889,471. THERE IS A SWIMMING POOL ENDOWMENT OF $500,000. Part X, Line 2: ARBOR ACRES IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. ARBOR ACRES HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2016. Part XI, Line 2d - Other Adjustments: COST OF GOODS SOLD 9,854. SPECIAL EVENT EXPENSES 29,826. CHANGE IN INTEREST RATE SWAP 78,291. LOSS ON DEBT EXTINGUISHMENT -185,489. Part XII, Line 2d - Other Adjustments: COST OF GOODS SOLD 9,854. SPECIAL EVENT EXPENSES 29,826. Part XII, Line 4b - Other Adjustments: LOSS ON DEBT EXTINGUISHMENT 185,489. X 0 0 X X X X X X 0 0 0 0 0 0 0 0 0 W DAVID PINER CEO 233803 0 36000 0 11100 0 16365 0 13832 0 311100 0 0 0 KATHY GWYN COO 130929 0 5000 0 1757 0 8420 0 13940 0 160046 0 0 0 KENNETH W BOYLES CFO 163739 0 10000 0 7302 0 10643 0 13832 0 205516 0 0 0 Part I, Line 1a Arbor Acres provided free use of on-campus residence to our new CEO during the CEO's move. October 1, 2016 through December 31, 2016. Valued at $ 2,400. 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 28875000 594152 317532 26852670 1434774 2012 0 0 1 1 B 13159000 13159000 2016 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 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 X 1 18000 X 7 40953 0 0 0 Form 990, Part VI, Section B, line 11b THE ORGANIZATION PROVIDED AN ELECTRONIC COPY OF THE FORM 990 TO ALL VOTING BOARD MEMBERS FOR PERSONAL REVIEW PRIOR TO A REGULARLY SCHEDULED BOARD MEETING. A QUESTION AND ANSWER PERIOD WAS HELD AT THE BOARD MEETING TO ADDRESS ANY QUESTIONS. 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 COMPENSATION OF ALL OFFICERS, SENIOR MANAGERS, AND HIGHEST PAID EMPLOYEES IS ANNUALLY REVIEWED AND APPROVED BY AN INDEPENDANT COMPENSATION COMMITTEE OF CONSISTING OF THE BOARD CHAIR, CHAIR OF HUMAN RESOURCES, AND CHAIR OF THE FINANCE COMMITTEE. THE HUMAN RESOURCES ACCUMULATES COMPARATIVE DATA FROM 990'S OF COMPARABLE ORGANIZATIONS, LEADING AGE, AND OTHER WAGE SURVEYS TO COMPARE TO CURRENT COMPENSATION FOR REASONABLENESS. 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 78,291. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.