2023-11-06T06:00:44-06:00 2023-03-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-04-01 560963926 MORAVIAN HOME INCORPORATED DBA SALEMTOWNE MORA 3367678130 1000 SALEMTOWNE DRIVE WINSTONSALEM NC 27106 TRACY BIESECKER CFO 3367678130 2023-11-06 1 TRACY BIESECKER 999009999 0 AMY BIBBY P00445891 8282542254 2023-11-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SALEMTOWNE MARK STEELE 1000 SALEMTOWNE DRIVE WINSTONSALEM NC 27106 42609762 0 X WWW.SALEMTOWNE.ORG X 1971 NC TO BE A WELCOMING COMMUNITY WHERE SENIOR ADULTS FLOURISH. 18 18 483 99 0 0 3066825 6232405 31860143 34422048 785629 -1126109 1004268 1262584 36716865 40790928 1301407 0 0 0 15829039 16331455 0 0 1029831 21873882 24314861 39004328 40646316 -2287463 144612 135166146 131791581 128486353 126276046 6679793 5515535 X SALEMTOWNE IS A NONPROFIT CONTINUING CARE RETIREMENT COMMUNITY THAT PROMOTES THE WELL-BEING OF ITS RESIDENTS BY PROVIDING A CARING ENVIRONMENT. SALEMTOWNE IS AN ECUMENICAL COMMUNITY THAT REFLECTS THE MORAVIAN VALUES OF INDIVIDUAL RESPECT, HOSPITALITY, LIFELONG LEARNING, AND LOVE OF THE ARTS. 0 0 33047165 34422048 SALEMTOWNE PROVIDED SERVICES THROUGH LONG-TERM CARE FOR ELDERLY IN THE WINSTON-SALEM COMMUNITY AND SURROUNDING AREAS. IT IS THE MISSION OF THE SALEMTOWNE COMMUNITY OUTREACH PROGRAM TO PROVIDE RESOURCES FOR SERVICES, PROGRAMS AND EDUCATION THAT ENHANCE THE QUALITY OF LIVING AND CARE FOR SENIOR ADULTS OF PIEDMONT NORTH CAROLINA. SALEMTOWNE STRIVES TO SHARE ITS EXPERTISE IN THE AREA OF AGING BY OFFERING EDUCATION AND TRAINING TO SENIOR ADULTS, FAMILIES AND CAREGIVERS; BY UTILIZING ITS TIME, TALENTS, AND FACILITIES FOR PROGRAMS AND EDUCATION; AND BY SPONSORING AND/OR SUPPORTING PROGRAMS OF ORGANIZATIONS AND ASSOCIATIONS DEDICATED TO SENIOR ADVOCACY. 33047165 1 1 0 0 0 0 1 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 1 0 0 0 0 0 0 0 0 0 0 1 79 0 1 483 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 ME AK AZ OR NM MN MS GA ND CO FL KY OH NH SC UT WA WI X X THE ORGANIZATION 3367142141 1000 SALEMTOWNE DRIVE WINSTONSALEM NC 27106 JOHN GEIS CHAIR 2.00 X X 0 0 0 MARTY EDWARDS VICE CHAIR 2.00 X X 0 0 0 CHRIS PERRY TREASURER 2.00 X X 0 0 0 CORLIS SELLERS-DRUMMOND SECRETARY 2.00 X X 0 0 0 CAROL ANN ADCOCK BOARD MEMBER 2.00 X 0 0 0 ELMS ALLEN BOARD MEMBER 2.00 X 0 0 0 RUSSELL ARMISTEAD BOARD MEMBER 2.00 X 0 0 0 LARRY COLBOURNE BOARD MEMBER 2.00 X 0 0 0 MATTHEW DOLGE BOARD MEMBER 2.00 X 0 0 0 JOHN FERGUSON BOARD MEMBER 2.00 X 0 0 0 TIM MCMULLEN BOARD MEMBER 2.00 X 0 0 0 KATHLEEN O'BRIEN BOARD MEMBER 2.00 X 0 0 0 KEVIN OWEN BOARD MEMBER 2.00 X 0 0 0 BETTY PETREE BOARD MEMBER 2.00 X 0 0 0 AIMEE SMITH BOARD MEMBER 2.00 X 0 0 0 SCOTT SOUTHERLAND BOARD MEMBER 2.00 X 0 0 0 PATTIE STOLTZ BOARD MEMBER 2.00 X 0 0 0 DR R PATRICK YEATTS BOARD MEMBER 2.00 X 0 0 0 MARK STEELE CEO 40.00 X 289491 0 73654 TRACY BIESECKER CFO 40.00 X 169575 0 0 ALLISON VESSELS VP OF HR/RESIDENT SERVICES 40.00 X 159260 0 24560 JOSEPH YOON VP OF HEALTH SERVICES 40.00 X 144491 0 11907 TIMOTHY DAHLKE DIRECTOR OF FACILITIES 40.00 X 146401 0 9927 ANN BURRIS VP OF MARKETING AND SALES 40.00 X 137320 0 14482 ALYSSA BROWN DIRECTOR OF NURSING 40.00 X 116017 0 9052 EMILY RECTOR VP OF DEVELOPMENT 40.00 X 100203 0 13062 1262758 0 156644 9 0 1 0 FRANK L BLUM CONSTRUCTION CO PO BOX 4153 WINSTON SALEM NC 27115 CONSTRUCTION 1862355 FUNCTIONAL PATHWAYS OF TENNESSEE LLC 10133 SHERRILL BLVD SUITE 200 LANCASTER PA 17601 THERAPY 1835838 RLPS ARCHITECTS 250 VALLEYBROOK DR LANCASTER PA 17601 STRATEGIC PLANNING 840277 ATCOM INC PO BOX 63140 CHARLOTTE NC 28263 SOFTWARE SUPPORT 636897 DEDICATED NURSING 6536 WILLIAM PENN HWY RT22 STE201 DELMONT PA 15626 HEALTHCARE STAFFING 519037 24 5257903 974502 6232405 RESIDENT SERVICES 623000 28189859 28189859 AMORT. OF ADVANCE FEES 623000 5533663 5533663 NAVIGATION REVENUE 623000 698526 698526 34422048 607277 607277 85448 0 1818834 85448 -1818834 -1733386 -1733386 MISCELLANEOUS INCOME 900099 1262584 1262584 1262584 40790928 34422048 0 136475 X 663983 174443 464788 24752 49268 49268 13343536 10968464 2178867 196205 221678 132441 65473 23764 1023850 784451 192821 46578 1029140 752268 220326 56546 62285 62285 306875 306875 5160553 3673819 1220964 265770 276032 3539 723 271770 2000425 1369477 555247 75701 618347 4134 579276 34937 1212091 1070734 141357 82529 36670 44127 1732 128052 128052 4200828 4200828 6032480 6032480 328445 328445 FOOD 2014674 1974320 10493 29861 HEALTHCARE SUPPLIES & S 683074 683074 BAD DEBT 650247 649292 955 MISC 531036 531036 26888 5695 19933 1260 40646316 33047165 6569320 1029831 1271154 3849560 44482 109559 1527736 3678722 63091 236948 227799 148014406 53179226 100437045 94835180 28516768 26762786 3068922 2327975 135166146 131791581 3258041 3062263 34523911 33567928 85298646 83703546 1354428 2890783 1100000 2951327 3051526 128486353 126276046 X 2498805 635334 4180988 4880201 6679793 5515535 135166146 131791581 X 144612 -1773437 464567 X X 0 1 X 1 0 X 943963 778701 998943 3066825 6232405 12020837 25558851 26665057 28952567 31860143 34422048 147458666 249321 324728 239407 1004268 1262584 3080308 26752135 27768486 30190917 35931236 41917037 162559811 91552 85732 92230 64006 123382 456902 0 91552 85732 92230 64006 123382 456902 162102909 921819 620230 537191 876536 607277 3563053 921819 620230 537191 876536 607277 3563053 27673954 28388716 30728108 36807772 42524314 166122864 0.97580 0.97340 0.02140 0.02210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 405 405 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADINGAGE NC. A PORTION OF THESE DUES WERE UTILIZED FOR LOBBYING PURPOSES. X 1 1 11964960 772045 188865 260697 12665173 11842177 956240 109702 943159 11964960 10770109 561688 767422 257042 11842177 11005237 382996 -65686 552438 10770109 10824517 443467 -18807 243940 11005237 0.62000 0.20000 0.18000 0 0 1731678 1731678 132961768 49531479 83430289 6752559 2515492 4237067 6568401 1132255 5436146 94835180 DEPOSITS 775339 REFUNDABLE ADVANCE FEES 159840 BOND INTEREST PAYABLE 2116347 3051526 X 38832766 -1773437 -184725 -1958162 40790928 0 40790928 39997024 -649292 -649292 40646316 0 40646316 PART II, LINE 9: THE CONSERVATION EASEMENT IS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS AS PART OF PERMANENTLY RESTRICTED NET ASSETS. PART V, LINE 4: SUPPORT FOR RESIDENTS IN FINANCIAL NEED, PERSONNEL RECRUITING AND OTHER GENERAL OBLIGATIONS. PART X, LINE 2: THE COMMUNITY IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN 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. THE COMMUNITY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF MARCH 31, 2023. IN ADDITION, THE COMMUNITY QUALIFIED FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND IS CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 464,567. GAIN/LOSS ON FIXED ASSETS BAD DEBT -649,292. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -649,292. X 0 0 X X X X 0 0 0 0 0 0 0 0 0 MARK STEELE CEO 241319 0 36652 0 11520 0 9975 0 63679 0 363145 0 0 0 ALLISON VESSELS VP OF HR/RESIDENT SERVICES 144261 0 14999 0 0 0 9165 0 15395 0 183820 0 0 0 TRACY BIESECKER CFO 123646 0 0 0 45929 0 0 0 0 0 169575 0 0 0 JOSEPH YOON VP OF HEALTH SERVICES 130211 0 14280 0 0 0 5056 0 6851 0 156398 0 0 0 TIMOTHY DAHLKE DIRECTOR OF FACILITIES 132754 0 13647 0 0 0 176 0 9751 0 156328 0 0 0 ANN BURRIS VP OF MARKETING AND SALES 121906 0 15414 0 0 0 5280 0 9202 0 151802 0 0 0 PART I, LINE 1A THE CEO ELECTS THE ANNUAL HOUSING ALLOWANCE AMOUNT, AND THE BOARD OF TRUSTEES APPROVES THE ANNUAL HOUSING ALLOWANCE IN NOVEMBER PRIOR TO THE CALENDAR YEAR IN WHICH THE HOUSING IS PAID. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YMA1 2016-09-07 25807298 REFUND 2006 BOND 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YLG9 2015-08-18 42180601 RETIREMENT FACILITIES FIRST MORTGAGE REVENUE BONDS SERIES 2015 0 0 0 C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820YPR1 2018-11-08 37616589 RETIREMENT FACILITIES FIRST MORTGAGE REVENUE BONDS SERIES 2018 0 0 0 A 4735000 23632457 2443544 516146 22963978 2016 0 1 1 1 B 42737781 2441629 843600 39005210 2018 0 0 1 1 C 13375000 38929277 2415521 751325 6921107 28193926 2021 0 0 0 0 A 1 0 0 1 BANK OF AMERICA NA 13.000000000000 1 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 1 0 0 0 0 1 A 1 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/08/2015 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 01/26/2016 SCHEDULE K, PART I, DESCRIPTION OF PURPOSE: THE BONDS WERE ISSUED FOR THE PURPOSE OF (1) REFUNDING PRIOR ISSUES DATED OCTOBER 20, 1999 AND APRIL 26, 2001; (2) PAYING THE COSTS OF ISSUING THE SERIES 2006 BONDS; AND (3) FUNDING A DEBT SERVICE RESERVE FUND. SCHEDULE K, PART II, LINE 3, TOTAL PROCEEDS: THE AMOUNT OF TOTAL PROCEEDS ON PART II, LINE 3 INCLUDES $6,649,229 INVESTMENT EARNINGS OF BOND PROCEEDS. SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS: THE AMOUNT PRESENTED ON PART II, LINE 11 REPRESENTS AMOUNTS USED TO PAY AT MATURITY OR REDEEM THE REFUNDED PRIOR ISSUES DATED OCTOBER 20, 1999 AND APRIL 26, 2001. SCHEDULE K, PART III: BECAUSE THE ISSUE IS AN ADVANCE REFUNDING FOR PRIOR BONDS ISSUED BEFORE JANUARY 1, 2003, AND CONTAINED NO NEW CAPITAL PROJECT BORROWINGS, PART III IS NOT REQUIRED. DAWN STEELE RELATED TO MARK STEELE CEO 49268 REPORTABLE COMPENSATION-ASSISTANT ADMINISTRATOR 0 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE UPDATED TO MODIFY THE TIMING AND NUMBER OF BOARD MEMBERS APPOINTED BY THE PROVINCIAL ELDER'S CONFERENCE. FORM 990, PART VI, SECTION A, LINE 7A EVERY TWO YEARS, THE PROVINCIAL ELDERS' CONFERENCE (PEC) APPOINTS UP TO FOUR MEMBERS TO THE BOARD. IN ADVANCE OF THE SALEMTOWNE BOARD'S ANNUAL MEETING, THE CHAIR OF THE BOARD SHALL CONSULT WITH THE PRESIDENT OF THE PEC REGARDING THE PEC NOMINATIONS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 WAS PROVIDED TO EACH BOARD MEMBER BEFORE THE RETURN WAS FILED. PRIOR TO FILING, THE BOARD FINANCE COMMITTEE REVIEWED AND ACCEPTED THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY UPON INITIALLY JOINING THE BOARD. ANNUALLY BOARD MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS. CHANGES IN CONFLICTS OF INTEREST ARE MAINTAINED BY THE CFO. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION IS PULLED FROM GUIDESTAR FOR CCRCS IN NORTH CAROLINA OF COMPARABLE SIZE AND FROM THE LEADING AGE SALARY SURVEY FOR ALL EXECUTIVE POSITIONS. THE BOARD EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE CEO'S COMPENSATION BASED UPON THIS INFORMATION ALONG WITH COMPENSATION HISTORY FOR THE CEO. THE CEO AND DIRECTOR OF HUMAN RESOURCES REVIEWS THE BENCHMARK DATA IN ESTABLISHING COMPENSATION FOR ALL OTHER EXECUTIVE POSITIONS WHICH ARE THEN APPROVED BY THE BORAD OF DIRECTORS AS PART OF THE ORGANIZATION'S BUDGETING PROCESS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 1023, 990, AND 990-T ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE ON THE NC DEPARTMENT OF INSURANCE WEBSITE. FORM 990, PART IX, LINE 11G CONTRACT PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 363,679. MANAGEMENT AND GENERAL EXPENSES 802,647. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,166,326. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 5,057. MANAGEMENT AND GENERAL EXPENSES 39,278. FUNDRAISING EXPENSES 3,300. TOTAL EXPENSES 47,635. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,449,656. MANAGEMENT AND GENERAL EXPENSES 114,587. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,564,243. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 68,193. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,193. SERVICE FEES: PROGRAM SERVICE EXPENSES 15,177. MANAGEMENT AND GENERAL EXPENSES 264,452. FUNDRAISING EXPENSES 262,470. TOTAL EXPENSES 542,099. THERAPY FEES: PROGRAM SERVICE EXPENSES 1,772,057. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,772,057. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 464,567. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.