2016-06-08T08:30:09-05:00 2015-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2015-01-01 561152263 ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC ARBO 3367247921 1240 ARBOR ROAD WINSTONSALEM NC 271041197 KENNETH BOYLES CHIEF FINANCIAL OFFICER 3367247921 2016-05-25 1 AMY BIBBY P00445891 8282542254 2015 2016-09-27 15:27:22Z KENNETH BOYLES 1240 ARBOR ROAD WINSTONSALEM NC 271041197 31576284 0 X WWW.ARBORACRES.ORG X 1975 NC TO SERVE SENIOR ADULTS WHILE PROVIDING SECURITY, CONTENTMENT, AND LIFE WITH MEANING & PURPOSE. 29 29 493 100 467 0 3934616 2520074 25644677 26761749 1150940 1933566 397814 119080 31128047 31334469 0 0 0 0 15023313 14807714 0 32500 429987 13130507 13883401 28153820 28723615 2974227 2610854 119312503 124263962 74240797 78909001 45071706 45354961 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 25569441 0 26761749 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 65 NURSING CARE BEDS (LOCATED IN THE FITZGERALD HEALTH CENTER). AS OF DECEMBER 31, 2015, ARBOR ACRES SERVED 458 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, 2015, $1,390,000 OF FINANCIAL ASSISTANCE WAS PROVIDED TO RESIDENTS TO HELP THEM MAINTAIN RESIDENCY AT THE FACILITY.DURING 2015 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. 25569441 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 56 0 1 493 1 0 0 0 0 0 0 0 0 0 1 0 X 29 29 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 VICTORIA HUNT 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 DALE DEK DRISCOLL 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 RALPH HOLTHAUSER 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 LISA P PURCELL BOARD MEMBER 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 1.00 X 0 0 0 DR DUDLEY CHAMDLER 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 STEVEN VIRGIL BOARD MEMBER 1.00 X 0 0 0 REV DR JEFFREY PATTERSON BOARD MEMBER 1.00 X 0 0 0 DORIS WHITT BOARD MEMBER 1.00 X 0 0 0 FLORENCE CORPENING BOARD MEMBER 1.00 X 0 0 0 W DAVID PINER CEO 40.00 X 286663 0 45167 KATHY GWYN COO 40.00 X 142592 0 21729 KENNETH W BOYLES CFO 40.00 X 182450 0 22890 KATRINA BODFORD CORPORATE SECRETARY 40.00 X 51309 0 13077 LYNN A ROSS TOP 5 HIGHEST COMPENSATED 40.00 X 111749 0 12137 LESLIE A CRANFILL TOP 5 HIGHEST COMPENSATED 40.00 X 100071 0 13220 DAVID W MATTHEWS TOP 5 HIGHEST COMPENSATED 40.00 X 110877 0 10033 985711 0 138253 6 0 1 0 FRANK L BLUM CONSTRUCTION COMPANY 830 NE 25TH STREET WINSTONSALEM NC 27105 CONSTRUCTION 4572647 BWHAWKINS BUILDERS 3614 N LAKESHORE DRIVE CLEMMONS NC 27012 CONSTRUCTION 1473354 US FOOD SERVICE 125 FORT MILL PKWY FORT MILL SC 29715 FOOD SERVICES 1385653 WM WREGE BUILDING CO INC 2250 TRINIDAD LANE WINSTONSALEM NC 27106 CONSTRUCTION 1018940 ICON BUILDERS LLC 2655 FOREST DR WINSTONSALEM NC 27104 CONSTRUCTION 390612 19 81870 2438204 2520074 RESIDENT FEES 623000 21852274 21852274 DEFERRED ENTRANCE FEES 623000 4894475 4894475 APPLICATION FEES 623000 15000 15000 26761749 689978 467 689511 1444929 0 201341 1444929 -201341 1243588 1243588 4715 81870 31355 -26640 -26640 9119 9119 0 FOOD SERVICE REVENUE 900099 97412 97412 GUEST ROOM RENTAL 900099 39513 39513 8795 8795 145720 31334469 26761749 467 2052179 765877 208467 557410 9869810 8997474 587630 284706 3225179 2835744 346607 42828 946848 814289 104153 28406 95032 95032 87882 87882 32500 32500 899690 807299 89583 2808 143674 143674 2365096 1996417 330391 38288 67174 67174 1454694 1349119 105575 12543 11297 1246 2412 2412 1452537 1452537 5587717 5587717 274945 274945 FOOD COST 1254887 1254887 MEDICAL SUPPLIES 169203 169203 15915 15405 59 451 28723615 25569441 2724187 429987 695730 1782398 907219 1000837 297792 293482 292875 342567 147267163 57015829 84922542 90251334 31408339 29818247 788006 775097 119312503 124263962 1885583 2484905 27303243 29068080 43991567 46242011 1060404 1114005 74240797 78909001 X 33957724 35629314 4179935 2336176 6934047 7389471 45071706 45354961 119312503 124263962 X 2610854 -64170 -2263429 X X 0 1 X 1 0 X 1431694 1186500 1474415 3934616 2524789 10552014 20210500 22698413 25689543 25644677 26761749 121004882 98403 142419 105957 418163 154839 919781 21740597 24027332 27269915 29997456 29441377 132476677 6900 523547 967785 625373 2123605 0 6900 523547 967785 625373 2123605 130353072 766195 732612 695945 675286 689978 3560016 766195 732612 695945 675286 689978 3560016 22506792 24759944 27965860 30672742 30131355 136036693 0.95820 0.96040 0.02620 0.02790 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13889622 455424 -59169 566705 13719172 13557947 121811 729268 519404 13889622 11783207 491275 1809160 525695 13557947 10883094 179181 1173090 452158 11783207 10714767 376959 226699 435331 10883094 0.37280 0.53860 0.08860 0 0 2000 2166825 2168825 116841047 45826872 71014175 10291617 6513560 3778057 17965674 4675397 13290277 90251334 REFUNDABLE DEPOSITS 60631 INTEREST RATE SWAP LIABILITY 1053374 1114005 X 29047344 -64170 40474 -23696 29071040 2263429 2263429 31334469 28764089 40474 40474 28723615 0 28723615 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, 2015. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2012 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 9,119. SPECIAL EVENT EXPENSES 31,355. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN INTEREST RATE SWAP 2,263,429. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 9,119. SPECIAL EVENT EXPENSES 31,355. X X X X 0 WHITNEY JONES 119 BROOKSTOWN AVENUE SUITE PH2 WINSTONSALEM NC 27101 CAPITAL CAMPAIGN 0 0 32500 -32500 32500 -32500 MEALS-ON-WHEELS 60255 60255 1345 19850 9030 CRISIS CONTROL 26330 21615 4715 1054 76 86585 81870 4715 1345 20904 9106 31355 -26640 SCHEDULE G, PART I, LINE 2B, COLUMN (V) WHITNEY JONES WAS CONTRACTED TO PROVIDE ADVISORY SERVICES RELATING TO THE PROCESS OF CONDUCTING OF A CAPITAL CAMPAIGN. THE CAPITAL CAMPAIGN WAS CONDUCTED BY THE FILING ORGANIZATION. X X X X X 0 0 0 0 0 0 0 0 0 W DAVID PINER CEO 235274 0 36000 0 15389 0 32152 0 13015 0 331830 0 0 0 KATHY GWYN COO 130818 0 5000 0 6774 0 8453 0 13276 0 164321 0 0 0 KENNETH W BOYLES CFO 165454 0 10000 0 6996 0 9875 0 13015 0 205340 0 0 0 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 6579026M9 2007-03-21 17845817 REFUND SERIES 2002 ISSUE 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2010-06-10 28875000 CAPITAL EXPENDITURES 0 0 0 A 1945000 17845938 19871219 312927 2004 1 0 1 1 B 1169872 28875000 594152 317532 26852670 1434774 2012 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 0 0 1 1 BB&T 10.000000000000 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION B, LINE 11 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 AUDITED FINANCIAL STATEMENTS ARE POSTED ON ELECTRONIC MUNICIPAL MARKET ACCESS ON THE MSRB WEBSITE. THOSE DOCUMENTS ARE ALSO A 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 -2,263,429. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.