2014-11-12T14:02:59-06:00 2013-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2013-01-01 561152263 ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC ARBO 3367247921 1240 ARBOR ROAD WINSTONSALEM NC 271041197 KENNETH BOYLES CHIEF FINANCIAL OFFICER 3367247921 2014-11-12 1 MICHAEL RAUCHWARG P00439551 8282542254 2013 2015-11-30 17:44:51Z KENNETH BOYLES 1240 ARBOR ROAD WINSTONSALEM NC 271041197 28358589 0 X WWW.ARBORACRES.ORG X 1975 NC TO SERVE SENIOR ADULTS WHILE PROVIDING SECURITY, CONTENTMENT, AND LIFE WITH MEANING & PURPOSE. 28 28 524 175 0 0 1186500 1474415 22698413 25689543 1219633 1040931 105179 60223 25209725 28265112 0 0 0 0 13508692 14495025 0 0 327428 10741077 12398282 24249769 26893307 959956 1371805 111880900 116400311 73045475 73827004 38835425 42573307 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 22425229 25689543 ARBOR ACRES, A CONTINUING CARE RETIREMENT COMMUNITY (CCRC), PROVIDING A CONTINUUM OF INDEPENDENT LIVING FACILITIES WHICH INCLUDE THREE MID-RISE RESIDENTIAL WINGS CONTAINING 126 UNITS (STUDIO, EFFICIENCY AND CONNECTING ROOM SUITES); 3 ONE-BEDROOM AND 3 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, 2013, ARBOR ACRES SERVED 480 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, 2013, $1,334,120 OF FINANCIAL ASSISTANCE WAS PROVIDED TO 31 RESIDENTS TO HELP THEM MAINTAIN RESIDENCY AT THE FACILITY.DURING 2013 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. 22425229 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 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 42 0 1 524 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 KENNETH BOYLES CFO 3367247921 1240 ARBOR ROAD WINSTONSALEM NC 27104 ANITA OGBURN BOARD CHAIR 1.00 X X 0 0 0 ALEXANDER AL BEATY BOARD SECRETARY 1.00 X X 0 0 0 WILLIAM F WOMBLE JR BOARD TREASURER 1.00 X X 0 0 0 WILLIAM L BALL JR VICE PRESIDENT 1.00 X X 0 0 0 VICTORIA HUNT CHAIR ELECT 1.00 X X 0 0 0 SUSAN HAUSER BOARD MEMBER 1.00 X 0 0 0 RALPH HOLTHOUSER BOARD MEMBER 1.00 X 0 0 0 NANCY S CANNON 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 DUANE DAVIS BOARD MEMBER 1.00 X 0 0 0 TIMOTHY DAVIS BOARD MEMBER 1.00 X 0 0 0 DON EPPERT BOARD MEMBER 1.00 X 0 0 0 RICHARD FULP BOARD MEMBER 1.00 X 0 0 0 LISA P PURCELL BOARD MEMBER 1.00 X 0 0 0 BRENDA ROBERTSON 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 REV DR N FRED JORDAN JR BOARD MEMBER 1.00 X 0 0 0 REV DR WILLIAM T MEDLIN III BOARD MEMBER 1.00 X 0 0 0 COY CARPENTER BOARD MEMBER 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 KAY JOHNSON-WARE BOARD MEMBER 1.00 X 0 0 0 MARTHA KEIGER BOARD MEMBER 1.00 X 0 0 0 RICHARD SPANGLER BOARD MEMBER 1.00 X 0 0 0 PAUL WILES BOARD MEMBER 1.00 X 0 0 0 JOHN WILLIAMS BOARD MEMBER 1.00 X 0 0 0 W DAVID PINER CEO 40.00 X 222864 0 30202 LURANA M DAY COO 40.00 X 152713 0 15028 KENNETH W BOYLES CFO 40.00 X 153751 0 21443 KATRINA BODFORD CORPORATE SECRETARY 40.00 X 46681 0 14905 576009 0 81578 3 0 1 0 LANDMARK BUILDERS OF THE TRIAD 3520 TRIAD COURT WINSTON SALEM NC 27107 BUILDING CONTRACTOR 2230324 FRANK L BLUM CONSTRUCTION PO BOX 4153 WINSTON SALEM NC 27105 BUILDING CONTRACTOR 1536185 WM WREGE BUILDING CO 2250 TRINIDAD LANE WINSTON SALEM NC 27106 BUILDING CONTRACTOR 706099 WEST END CONSTRUCTION 461 WEST END BLVD WINSTON SALEM NC 27101 BUILDING CONTRACTOR 526501 BOB GRUBBS CARPET DESIGNERS PO BOX 271 WINSTON SALEM NC 27102 FLOORING CONTRACTOR 374525 14 1474415 82650 1474415 RESIDENT FEES 623000 21270883 21270883 DEFERRED ENTRANCE FEES 623000 4403360 4403360 APPLICATION FEES 623000 15300 15300 25689543 695945 695945 392729 0 47743 392729 -47743 344986 344986 42381 45734 -3353 -3353 GUEST ROOM RENTAL 900099 27429 27429 FOOD SERVICE REVENUE 900099 22168 22168 MISCELLANEOUS REVENUE 900099 13979 13979 63576 28265112 25689543 0 1101154 576009 160906 415103 11029302 9481657 1320268 227377 2889714 2426229 406754 56731 130300 130300 41624 41624 334916 306681 23849 4386 135953 135953 2060696 1336571 685405 38720 2107884 1467985 639899 94010 87672 6124 214 1183868 1183868 4608709 4608709 335371 335371 FOOD COST 1325266 1325266 MISCELLANEOUS 39685 39685 26893307 22425229 4140650 327428 361899 523889 248845 96952 470169 392542 246126 201923 133115160 48056183 82656166 85058977 27112671 29286032 785024 839996 111880900 116400311 2057133 2062503 25607084 26484578 45326258 45053977 55000 225946 73045475 73827004 X 31356171 33884901 1158293 1876170 6320961 6812236 38835425 42573307 111880900 116400311 1371805 2366077 0 X 0 1 X 1 0 X 2229624 2324101 1431694 1186500 1474415 8646334 18199800 18563259 20210500 22698413 25689543 105361515 155187 11726 98403 142419 105957 513692 20584611 20899086 21740597 24027332 27269915 114521541 6900 523547 530447 0 6900 523547 530447 113991094 664025 683958 766195 732612 695945 3542735 664025 683958 766195 732612 695945 3542735 21248636 21583044 22506792 24759944 27965860 118064276 0.96550 0.96360 0.03000 0.03640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11783207 491275 1809160 525695 13557947 10883094 179181 1173090 452158 11783207 10714767 376959 226699 435331 10883094 9224309 121319 1772061 402922 10714767 8122665 202578 1280396 381330 9224309 0.37380 0.50250 0.12380 0 0 2000 2166825 2168825 112463911 38205500 74258411 7964812 4057277 3907535 9303984 5793406 3510578 1213628 1213628 85058977 REFUNDABLE DEPOSITS 47500 INTEREST RATE SWAY LIABILITY 178446 225946 X 30705365 2366077 74176 2440253 28265112 0 28265112 26967483 74176 74176 26893307 0 26893307 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 $5,067,515 AND A PERMANENT ASSISTANCE ENDOWMENT OF $6,312,236. 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, 2013. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 45,734. LOSS ON DISPOSAL OF ASSET 47,743. MOVED MISC. INCOME TO EXPENSE -19,301. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 45,734. LOSS ON DISPOSAL OF ASSET 47,743. MOVED MISC INCOME ACCOUNT TO EXPENSE -19,301. X X X X X 0 0 0 0 0 0 0 0 0 W DAVID PINER CEO 206196 0 15000 0 1668 0 13523 0 16679 0 253066 0 0 0 LURANA M DAY COO 146045 0 5000 0 1668 0 9209 0 5819 0 167741 0 0 0 KENNETH W BOYLES CFO 141247 0 8000 0 4504 0 9559 0 11884 0 175194 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 755000 17845938 19871199 312927 2004 1 0 1 1 B 104872 28875000 594152 317532 26852670 1434774 2012 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 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 0 0 0 0 A 0 B 0 X 1 82650 FMV 0 0 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, AAHSA, 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.