ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC (EIN 56-1152263)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-03
- IRS object ID
- 201232169349300603
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-03T08:09:18-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561152263 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARBOR ACRES UNITED METHODIST | BusinessNameLine1 |
| Business Name Line2 | RETIREMENT COMMUNITY INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ARBO | NameControl |
| Phone | 3367247921 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1240 ARBOR ROAD | AddressLine1 |
| City | WINSTONSALEM | City |
| State | NC | State |
| ZIP Code | 271041197 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENNETH BOYLES | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 3367247921 | Phone |
| Date Signed | 2012-08-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KENNETH BOYLES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1240 ARBOR ROAD | AddressLine1 |
| City | WINSTONSALEM | City |
| State | NC | State |
| ZIP Code | 271041197 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 22506792 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ARBORACRES.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | TO SERVE SENIOR ADULTS WHILE PROVIDING SECURITY, CONTENTMENT, AND LIFE WITH MEANING & PURPOSE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 32 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 32 | NbrIndependentVotingMembers |
| Total Nbr Employees | 440 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2324101 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1431694 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18563259 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20210500 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 683957 | InvestmentIncomePriorYear |
| Investment Income Current Year | 766195 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 111726 | OtherRevenuePriorYear |
| Other Revenue Current Year | 67997 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 21683043 | TotalRevenuePriorYear |
| Total Revenue Current Year | 22476386 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10922571 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11940843 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 203420 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8512378 | OtherExpensePriorYear |
| Other Expenses Current Year | 8976295 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19434949 | TotalExpensesPriorYear |
| Total Expenses Current Year | 20917138 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2248094 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1559248 | RevenuesLessExpensesCY |
| Total Assets BOY | 88279391 | TotalAssetsBOY |
| Total Assets EOY | 106319115 | TotalAssetsEOY |
| Total Liabilities BOY | 52998114 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 69915399 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 35281277 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 36403716 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16406981 | Expense |
| Revenue | 20210500 | Revenue |
| Description | ARBOR ACRES, A CONTINUING CARE RETIREMENT COMMUNITY (CCRC), PROVIDING A CONTINUUM OF INDEPENDENT LIVING FACILITIES WHICH INCLUDE THREE MID-RISE RESIDENTIAL WINGS CONTAINING 66 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 106 HOUSES. IN ADDITION TO THE INDEPENDENT LIVING FACILITIES, ARBOR ACRES ALSO HAS 96 ADULT CARE HOME BEDS (34 LOCATED IN A MID-RISE BUILDING AND 62 LOCATED IN THE FITZGERALD HEALTH CENTER) AND 53 NURSING CARE BEDS (LOCATED IN THE FITZGERALD HEALTH CENTER). AS OF DECEMBER 31, 2011 ARBOR ACRES SERVED 422 RESIDENTS IN THE ABOVE UNITS.ARBOR ACRES HOLDS MEMBERSHIPS WITH LEADINGAGE (FORMERLY THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING) AND LEADINGAGE 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, 2011, $1,254,321 OF FINANCIAL ASSISTANCE WAS PROVIDED TO 34 RESIDENTS TO HELP THEM MAINTAIN RESIDENCY AT THE FACILITY.DURING 2011 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.3. IN ADDITION TO FINANCIAL ASSISTANCE MENTIONED ABOVE, PROVIDED $39,566 OF OTHER SPECIFIC COMMUNITY BENEFIT. THIS DOES NOT COUNT VOLUNTEER SERVICE HOURS OF RESIDENTS AND STAFF TO SUPPORT NUMEROUS COMMUNITY SERVICE ORGANIZATIONS. | Description |
| Total Program Service Expense | 16406981 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 1 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 33 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 440 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 32 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 32 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENNETH BOYLES CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3367247921 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1240 ARBOR ROAD | AddressLine1 |
| City | WINSTONSALEM | City |
| State | NC | State |
| ZIP Code | 27104 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| LINDA G DAVIS | ||||||
| BOARD CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| WILLIAM F WOMBLE JR | ||||||
| BOARD TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| LISA P PURCELL | ||||||
| BOARD SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| WILLIAM L BALL JR | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DON EPPERT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RICHARD V BENNETT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| VICTORIA HUNT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JAMES CORRIGAN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR JAMES FERREE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JUDY M BRIGGS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| AL BEATY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR HENRY MILLER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DAVID B BLANCO | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BRENDA ROBERTSON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR KEN CARLSON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ROBERT S CHILES SR | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| GREGORY B HUNTER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RALPH HOLTHOUSER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| NICK DAVES | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BISHOP LARRY GOODPASTOR | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| REV DR SAMUEL MOORE JR | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RICHARD STOCKTON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR FRANK A ISON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| REV DR N FRED JORDAN JR | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| REV SYLVIA D WILHELM | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| REV DR WILLIAM T MEDLIN III | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SUSAN S SCHWARTZ | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR C M WORTHY JR | ||||||
| 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 | |
| ANITA OGBURN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARY PRESTON YATES | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| W DAVID PINER | ||||||
| PRESIDENT & CEO | 45.00 | X | 225641 | 0 | 29884 | |
| KENNETH W BOYLES | ||||||
| VP & CHIEF FINANCIAL OFFIC | 50.00 | X | 152444 | 0 | 20759 | |
| LURANA M DAY | ||||||
| VP & CHIEF OPERATING OFFIC | 45.00 | X | 148504 | 0 | 14388 | |
| KATRINA BODFORD | ||||||
| SECRETARY | 45.00 | X | 43971 | 0 | 12509 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 570560 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 77540 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LANDMARK BUILDERS OF THE TRIAD | |||||
| 3520 TRIAD COURT | WINSTON SALEM | NC | 27107 | BUILDING CONTRACTOR | 12192649 |
| FRANK L BLUM CONSTRUCTION | |||||
| PO BOX 4153 | WINSTON SALEM | NC | 27105 | BUILDING CONTRACTOR | 3303074 |
| WM WREGE BUILDING CO | |||||
| 2250 TRINIDAD LANE | WINSTON SALEM | NC | 271069777 | BUILDING CONTRACTOR | 545109 |
| IL LONG CONSTRUCTION CO | |||||
| 4117 INDIANA AVE | WINSTON SALEM | NC | 27105 | BUILDING CONTRACTOR | 330378 |
| BW HAWKINS CONSTRUCTION | |||||
| 3614 LAKESHORE DRIVE | CLEMMONS | NC | 27012 | BUILDING CONTRACTOR | 299942 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| All Other Contributions | 1431694 | AllOtherContributions |
| Total Contributions | 1431694 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT FEES | 623000 | 16832787 | 16832787 |
| DEFERRED ENTRANCE FEES | 623000 | 3364713 | 3364713 |
| APPLICATION FEES | 623000 | 13000 | 13000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 20210500 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 725884 | TotalRevenueColumn |
| Exclusion | $725,884 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 40311 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 40311 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40311 | TotalRevenueColumn |
| Exclusion | $40,311 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 30600 | GrossSalesOfInventory |
| Cost Of Goods Sold | 30406 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 194 | TotalRevenueColumn |
| Exclusion | $194 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| GUEST ROOM RENTAL | 900099 | 26161 | $26,161 |
| FOOD SERVICE REVENUE | 900099 | 24532 | $24,532 |
| MISCELLANEOUS REVENUE | 900099 | 17110 | $17,110 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 67803 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22476386 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20210500 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $834,192 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 648100 | Total |
| Program Services | 182862 | ProgramServices |
| Management And General | 465238 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8728280 | Total |
| Program Services | 7611391 | ProgramServices |
| Management And General | 980665 | ManagementAndGeneral |
| Fundraising | 136224 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2564463 | Total |
| Program Services | 2134022 | ProgramServices |
| Management And General | 392809 | ManagementAndGeneral |
| Fundraising | 37632 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89168 | Total |
| Management And General | 89168 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33909 | Total |
| Management And General | 33909 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 213946 | Total |
| Program Services | 176677 | ProgramServices |
| Management And General | 33845 | ManagementAndGeneral |
| Fundraising | 3424 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162986 | Total |
| Management And General | 162986 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1726437 | Total |
| Program Services | 1189423 | ProgramServices |
| Management And General | 510874 | ManagementAndGeneral |
| Fundraising | 26140 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1412336 | Total |
| Program Services | 866830 | ProgramServices |
| Management And General | 545506 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77273 | Total |
| Program Services | 68729 | ProgramServices |
| Management And General | 8544 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 797233 | Total |
| Management And General | 797233 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2980527 | Total |
| Program Services | 2980527 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285960 | Total |
| Management And General | 285960 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| FOOD COST | 1147469 | 1147469 |
| MISCELLANEOUS | 49051 | 49051 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20917138 | Total |
| Program Services | 16406981 | ProgramServices |
| Management And General | 4306737 | ManagementAndGeneral |
| Fundraising | 203420 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2109888 | BOY |
| EOY | 909229 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 610068 | BOY |
| EOY | 397148 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255390 | BOY |
| EOY | 550519 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130175 | BOY |
| EOY | 28310 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 115182831 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 39896214 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56283474 | BOY |
| EOY | 75286617 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28020892 | BOY |
| EOY | 28320028 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 869504 | BOY |
| EOY | 827264 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88279391 | BOY |
| EOY | 106319115 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3163087 | BOY |
| EOY | 4925953 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20327664 | BOY |
| EOY | 22701908 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29442363 | BOY |
| EOY | 42222538 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65000 | BOY |
| EOY | 65000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52998114 | BOY |
| EOY | 69915399 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28208004 | BOY |
| EOY | 29461269 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1308452 | BOY |
| EOY | 800667 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5764821 | BOY |
| EOY | 6141780 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35281277 | BOY |
| EOY | 36403716 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88279391 | BOY |
| EOY | 106319115 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1559248 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -436809 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1116042 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1257047 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2229624 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2324101 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1431694 | CurrentTaxYear |
| Total | 8358508 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1116042 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1257047 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2229624 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2324101 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1431694 | CurrentTaxYear |
| Total | 8358508 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 1302122 | AmountsSubstContributorsTotal |
| Public Support Total170 | 7056386 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1308366 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1163706 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 664025 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 683958 | CurrentTaxYearMinus1Year |
| Current Tax Year | 766195 | CurrentTaxYear |
| Total | 4586250 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 12944758 | TotalSupport |
| Gross Receipts From Admissions Etc | 90834092 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.54510 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.50720 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10714767 | BeginningOfYearBalance |
| Contributions | 376959 | Contributions |
| Investment Earnings Or Losses | 226699 | InvestmentEarningsOrLosses |
| Other Expenditures | 435331 | OtherExpenditures |
| End Of Year Balance | 10883094 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9224309 | BeginningOfYearBalance |
| Contributions | 121319 | Contributions |
| Investment Earnings Or Losses | 1772061 | InvestmentEarningsOrLosses |
| Other Expenditures | 402922 | OtherExpenditures |
| End Of Year Balance | 10714767 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8122665 | BeginningOfYearBalance |
| Contributions | 202578 | Contributions |
| Investment Earnings Or Losses | 1280396 | InvestmentEarningsOrLosses |
| Other Expenditures | 381330 | OtherExpenditures |
| End Of Year Balance | 9224309 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10001298 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1878633 | InvestmentEarningsOrLosses |
| End Of Year Balance | 8122665 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.43570 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.56430 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1921139 | OtherCostOrOtherBasis |
| Book Value | 1923139 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66308216 | OtherCostOrOtherBasis |
| Depreciation | 33717959 | Depreciation |
| Book Value | 32590257 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6500558 | OtherCostOrOtherBasis |
| Depreciation | 3305556 | Depreciation |
| Book Value | 3195002 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 40450918 | OtherCostOrOtherBasis |
| Depreciation | 2872699 | Depreciation |
| Book Value | 37578219 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 75286617 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | REFUNDABLE DEPOSITS | Description |
| Amount | $65,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 65000 | TotalOfAmounts |
| Total Revenue | 22476386 | TotalRevenue |
| Total Expenses | 20917138 | TotalExpenses |
| Excess Or Deficit For Year | 1559248 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -436809 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -436809 | TotalAdjustments |
| Excess Or Deficit Per FS | 1122439 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 22069983 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -436809 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -436809 | RevenueNotRptdF990 |
| Revenue Subtotal | 22506792 | RevenueSubtotal |
| Other Revenues Not Included | -30406 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -30406 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 22476386 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 20947544 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 30406 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 30406 | ExpensesNotRptdF990 |
| Expenses Subtotal | 20917138 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 20917138 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | 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 $4,741,314 AND A PERMANENT ASSISTANCE ENDOWMENT OF $5,641,780. THERE IS A SWIMMING POOL ENDOWMENT OF $500,000. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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, 2011. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | GAIN ON DISPOSAL OF PROPERTY COST OF GOODS SOLD -30,406. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 30,406. GAIN ON DISPOSAL OF PROPERTY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| W DAVID PINER | |||||||||||||
| 209877 | 0 | 15506 | 0 | 258 | 0 | 13642 | 0 | 16242 | 0 | 255525 | 0 | 0 | 0 |
| KENNETH W BOYLES | |||||||||||||
| 131279 | 0 | 20769 | 0 | 396 | 0 | 9719 | 0 | 11040 | 0 | 173203 | 0 | 0 | 0 |
| LURANA M DAY | |||||||||||||
| 140069 | 0 | 8039 | 0 | 396 | 0 | 8955 | 0 | 5433 | 0 | 162892 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | |||||||
| 521309402 | 6579026M9 | 2007-03-21 | 17845817 | REFUND SERIES 2002 ISSUE | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | |||||||
| 521309402 | 2010-06-10 | 28875000 | CAPITAL EXPENDITURES | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capitalized InterestCapitalizedInterest | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 435000 | 17845817 | 2853478 | 312927 | 2004 | 1 | 0 | 1 | 1 | ||||
| 28875000 | 317532 | 2012 | 0 | 0 | 0 | 0 | 270024 | 22421412 | 1434774 | 4431258 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 1 | 0 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | AN INITIAL REVIEW OF THE FORM 990 WAS PERFORMED BY THE FINANCE COMITTEE. A COPY OF THE FORM 990 WAS THEN PROVIDED TO EACH VOTING MEMBER OF THE ENTIRE BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. THE FORM 990 WAS APPROVED BY ALL VOTING MEMBERS AS PRESENTED. | |
| 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 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 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -436,809. | CHANGES IN NET ASSETS OR FUND BALANCES: |
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