2023-11-13T09:15:58-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2022-01-01 561380014 CAROLINA MEADOWS INC CARO 9199424014 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 KEVIN A MCLEOD PRESIDENT AND CEO 9199424014 2023-11-10 1 KEVIN MCLEOD 999009999 0 JOHN NORMAN P01506766 7049985200 2023-11-09 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEVIN A MCLEOD 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 59369651 0 X WWW.CAROLINAMEADOWS.ORG X 1983 NC TO PROVIDE HOUSING, HEALTH CARE, AND OTHER SERVICES TO RESIDENTS THROUGH A LIFE PLAN COMMUNITY. 14 14 609 631 0 0 438125 69270 39769358 44096679 3239655 1134957 25571 29049 43472709 45329955 458245 298032 0 0 22366408 24294520 0 0 0 19245244 20234440 42069897 44826992 1402812 502963 159623308 142729166 210023760 199455340 -50400452 -56726174 X TO ENRICH AND IMPROVE THE LIVES OF RESIDENTS AND THOSE CONNECTED TO OUR COMMUNITY. TO SUPPORT OUR LOCAL COMMUNITY, INVEST IN THE FUTURE OF AGING, CONTRIBUTE TO THE LOCAL ECONOMY AND PARTNER ON SENIOR INITIATIVES, (CONTINUED ON SCHEDULE O) AS WELL AS PROVIDE HOUSING, HEALTH CARE AND OTHER RELATED SERVICES TO SENIOR ADULTS THROUGH THE OPERATION OF A LIFE PLAN COMMUNITY. 0 0 40508723 298032 44096679 CAROLINA MEADOWS PROVIDES HOUSING, HEALTH AND WELLNESS SERVICES, AND SOCIAL OPPORTUNITIES, FOR SENIOR ADULTS IN A FINANCIALLY SECURE RETIREMENT COMMUNITY THROUGH A PERSON-CENTERED APPROACH THAT RESPECTS INDIVIDUAL DIGNITY, ENCOURAGES INDEPENDENCE, AND PROMOTES LIFELONG LEARNING THROUGHOUT THE SEQUENCES OF AGING. CAROLINA MEADOWS PROVIDED 239,030 RESIDENT DAYS OF HOUSING AND SERVICES FOR RESIDENTS LIVING WITHIN THE INDEPENDENT LIVING COMPONENT OF THE CAMPUS. IN ASSISTED LIVING, INCLUDING MEMORY CARE, THE ORGANIZATION PROVIDED 26,200 RESIDENT DAYS OF HOUSING AND SERVICES. IN SKILLED NURSING, THE ORGANIZATION PROVIDED 25,321 PATIENT DAYS OF HOUSING AND SERVICES. (CONTINUED ON SCHEDULE O)A TOTAL OF 32,703 DAYS OF CONTINUING CARE WITHOUT LODGING CONTRACTUAL SERVICES WERE PROVIDED TO AN AVERAGE OF 90 RESIDENTS LIVING OFF-CAMPUS WHO RECEIVE THE SAME ACCESS TO AMENITIES AND HEALTH CARE SERVICES OFFERED TO RESIDENTS LIVING ON-CAMPUS. GERIATRIC PHYSICIAN CARE, NURSE PRACTITIONER AND SPECIALTY PHYSICIAN CARE PROGRAMS SUCH AS AUDIOLOGY, PODIATRY, DERMATOLOGY AND DENTAL SERVICES ARE PROVIDED TO RESIDENTS FOR ALL CARE LEVELS. THE CAMPUS PRIMARY CARE MEDICAL PRACTICE ALSO SEES RESIDENTS BOTH IN PERSON AND VIA TELEHEALTH VISITS FOR ALL LEVELS OF PROVIDED CARE.FITNESS CENTER:THE FITNESS CENTER, POOL , MEDITATION LABYRINTH, NINE-HOLE GOLF COURSE, TENNIS, PICKLEBALL, CROQUET AND BOCCE COURT AMENITIES WERE AVAILABLE THROUGHOUT 2022. WE OFFERED ON AVERAGE 20 CLASSES BOTH IN PERSON AND THROUGH ZOOM IN OUR INDEPENDENT LIVING SETTING. THE CLASSES OFFERED INCLUDED AEROBICS, STRETCH, STRENGTH, YOGA, BALANCE, MEDITATION, AQUATIC, AND OTHERS. SPECIAL OFFERINGS WERE HELD THROUGHOUT THE YEAR INCLUDING CAMPUS GROUP WALKS, WALKING CHALLENGES, MEDITATION EVENTS, LECTURES AND INDIVIDUAL EQUIPMENT ORIENTATIONS AT NO COST. PERSONALIZED TRAINING SESSIONS IN INDEPENDENT, ASSISTED AND SKILLED SETTINGS WITH A MONTHLY AVERAGE OF 48 CLIENTS. WE OFFER GOLF FITNESS SERVICES INCLUDING SCREENING, AND LESSONS. THREE OF OUR TEAM MEMBERS ARE TRAINED IN PARKINSON'S WELLNESS RECOVERY AND SERIES TRAINING IS OFFERED REGULARLY. WE ALSO OFFER HEALTH COACHING SERVICES. TWO WEEKLY CLASSES ARE OFFERED FOR EMPLOYEES AND WALKING CHALLENGES. FOUR EMPLOYEES ARE DESIGNATED FOR THE WELLNESS PROGRAM FOR ALL LEVELS OF CARE AND ADDITIONAL SERVICES ARE PROVIDED UNDER CONTRACT INCLUDING SPECIALTY CLASS OFFERINGS (INCLUDING YOGA, TAI CHI, AND PILATES) AND NUTRITION. WE HAVE THREE CONTRACTED MASSAGE THERAPISTS TO PROVIDE IN-HOME SERVICES TO RESIDENTS IN ALL LEVELS OF CARE. DURING THE SPRING SEMESTER WE PROVIDED AN INTERNSHIP OPPORTUNITY FOR A UNC EXERCISE AND SPORT SCIENCE STUDENT.WELLNESS SERVICES:THE WELLNESS DEPARTMENT PERFORMS ANNUAL FUNCTIONAL FITNESS ASSESSMENTS ON INDEPENDENT LIVING RESIDENTS THAT ARE PATIENTS OF OUR PRIMARY MEDICAL PRACTICE AT THE TIME OF THEIR ANNUAL WELLNESS EXAM. THIS AVERAGES SEVEN PARTICIPANTS PER MONTH. VIRTUE BALANCE GAIT SCREENINGS ARE OFFERED AT NO COST IN BOTH OUR ASSISTED AND INDEPENDENT SETTINGS AND ULTIMATELY TESTED OVER 500 RESIDENTS THROUGH YEAR END. WE HOST QUARTERLY EVENTS AND ONE ON ONE OPPORTUNITIES FOR SCREENINGS. WE OFFERED TWO MATTER OF BALANCE SERIES AND SARCOPENIA PREVENTIONS PROGRAMS DEVELOPED ON EVIDENCE-BASED RESEARCH. PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES ARE AVAILABLE ON OUR CAMPUS UNDER CONTRACT WITH POWERBACK REHABILITATION. WE HOSTED THREE CAMPUS BLOOD DRIVES FOR THE BLOOD CONNECTION AND THE CHATHAM COUNTY SENIOR GAMES CROQUET, TABLE TENNIS AND MEN'S BOCCE EVENTS.ACTIVITIES/LIFE ENRICHMENT:BOTH STAFF AND RESIDENTS ARE ABLE TO ARRANGE ACTIVITIES. OFFERINGS ARE DESIGNED TO MEET THE FULL RANGE OF NEEDS AND INTERESTS AS FOLLOWS: SOCIAL, INTELLECTUAL, SPIRITUAL, PHYSICAL AND EMOTIONAL. INDEPENDENT LIVING HAS A WIDE RANGE OF PROGRAMS COORDINATED BY STAFF AND RESIDENTS. THE MOST POPULAR ACTIVITIES INCLUDE MUSIC AT THE MEADOWS, CAROLINA MEADOWS UNIVERSITY, AND WORLD AFFAIRS. ATTENDANCE FOR THESE PROGRAMS RANGE UPWARDS FROM 75 RESIDENTS, WITH SPECIAL EVENTS OFTEN DRAWING OVER 200 PARTICIPANTS. IN THE FAIRWAYS (ASSISTED LIVING) QUALIFIED STAFF DESIGN AN ACTIVITIES CALENDAR WITH RESIDENT INPUT FOR GROUP AND INDIVIDUAL OPPORTUNITIES. RESIDENTS ARE ENCOURAGED TO CONTINUE INTERESTS AND HOBBIES DEVELOPED OVER A LIFETIME. QUALIFIED STAFF PROVIDE A RANGE OF ACTIVITIES IN THE GREEN (MEMORY SUPPORT ENVIRONMENT WITHIN THE FAIRWAYS) DESIGNED TO MEET THE PSYCHOSOCIAL NEEDS OF THE RESIDENTS AND TO FACILITATE ENGAGEMENT. TWO SEPARATE PROGRAMS ARE PROVIDED IN THE PINES (SKILLED NURSING) AS FOLLOWS: APPROXIMATELY TEN TO FIFTEEN RESIDENTS WITH MODERATE TO SEVERE MEMORY IMPAIRMENT ARE SERVED DAILY IN A SPECIFIC PROGRAM FOR THIS POPULATION, WHILE FIVE TO TEN RESIDENTS PARTICIPATE DAILY IN THE PROGRAM DESIGNED FOR THOSE WHOSE COGNITION IS RELATIVELY INTACT. VOLUNTEERS SUPPLEMENT STAFF MEMBERS TO ENHANCE PROGRAMMING AND QUALITY OF LIFE. THERE IS A MUSIC & MEMORY PROGRAM UTILIZING INDIVIDUALIZED MUSIC TO SERVE BOTH SKILLED NURSING AND MEMORY CARE RESIDENTS.DINING SERVICES: DINING SERVICES PROVIDES RESIDENT MEALS DAILY FOR ALL OUR LEVELS OF LIVING. FOR RESIDENTS, APPROXIMATELY 6,552 MEALS PER MONTH ARE SERVED IN THE PINES, 6,768 IN THE FAIRWAYS, AND 9,289 IN THE INDEPENDENT LIVING DINING VENUES. AN ADDITIONAL TOTAL OF 570 MONTHLY GUEST MEALS AND 1,815 MONTHLY EMPLOYEE MEALS ARE SERVED ACROSS CAMPUS.PHYSICAL PLANT:THE PHYSICAL PLANT ANNUALLY TURNS OVER AN AVERAGE OF 40 EXISTING INDEPENDENT LIVING UNITS FOR NEW RESIDENTS. EACH EXISTING UNIT IS REFURBISHED TO NEW OR LIKE-NEW CONDITION FOR INCOMING RESIDENTS. IN ADDITION, THE PHYSICAL PLANT COMPLETED 16,360 WORK ORDERS FOR INDEPENDENT LIVING RESIDENTS, 1,902 FOR SKILLED NURSING RESIDENTS, AND 2,086 FOR ASSISTED LIVING RESIDENTS. IN ADDITION, 3,879 COMMUNITY-WIDE WORK ORDERS WERE COMPLETED INCLUSIVE OF SPECIAL PROJECTS, SECURITY RESPONSES AND TRASH PICKUP FOR A TOTAL OF 24,227 WORK ORDERS. ENVIRONMENTAL SERVICES:THE ENVIRONMENTAL SERVICES DEPARTMENT, IN ADDITION TO CLEANING ALL COMMON AREAS AND PROVIDING DAILY SERVICE TO ALL SKILLED NURSING AND ASSISTED LIVING RESIDENTS, PROVIDES SERVICE TO APPROXIMATELY 225 INDEPENDENT LIVING RESIDENTS PER MONTH. APPROXIMATELY 65 POUNDS OF LINEN ARE WASHED, DRIED AND IRONED DAILY FOR THE CLUB CENTER DINING ROOMS, IN ADDITION TO LINENS PROVIDED IN THE HEALTH CENTER AND ASSISTED LIVING. 40508723 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 80 0 609 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X GARY LEVINE 9193707128 100 CAROLINA MEADOWS CHAPEL HILL NC 27516 STEVE MILLER MEMBER 3.00 1.00 X 0 0 0 JOAN PELLETTIER CHAIR 2.00 3.00 X X 0 0 0 NANCY CHESCHEIR MEMBER 2.00 1.00 X 0 0 0 RALPH KARPINOS MEMBER 2.00 2.00 X 0 0 0 RODGERS HARSHBARGER MEMBER 2.00 1.00 X 0 0 0 HUGH TILSON MEMBER 2.00 2.00 X 0 0 0 BILL LEHRBURGER MEMBER 2.00 1.00 X 0 0 0 RICHARD GURLITZ MEMBER 2.00 1.00 X 0 0 0 PICKETT GUTHRIE MEMBER 2.00 1.00 X 0 0 0 GREGORY HERMAN-GIDDENS VICE CHAIR 2.00 1.00 X X 0 0 0 ROBIN MCDUFFIE TREASURER 2.00 1.00 X X 0 0 0 ROSEMARY WALDORF MEMBER 2.00 1.00 X 0 0 0 DR BRYAN MEMBER 2.00 1.00 X 0 0 0 PAT MANDELL SECRETARY 2.00 2.00 X X 0 0 0 JUDY JONES EX-OFFICIO 2.00 0.00 X 0 0 0 KEVIN MCLEOD CHIEF EXECUTIVE OFFICER 40.00 8.00 X 435542 0 22255 BENJAMIN CORNTHWAITE CHIEF OPERATING OFFICER 40.00 X 272930 0 25638 GARY LEVINE CHIEF FINANCIAL OFFICER 40.00 8.00 X 248191 0 20358 DONNA MILLER MEDICAL DIRECTOR 40.00 X 263080 0 18294 MELISSA KASS VICE PRESIDENT - MARKETING 40.00 X 178367 0 9686 DANIEL CAMARA VP - PHYSICAL PLANT 40.00 X 157104 0 13210 LUIS SIBRIAN CNA 40.00 X 146977 0 9900 SHELLI GIARDINO VP - HUMAN RESOURCES 40.00 X 140713 0 13209 ADAM PIZZO IT DIRECTOR 40.00 X 135502 0 10475 1978406 0 143025 25 0 1 0 US FOODSERVICE PO BOX 602211 CHARLOTTE NC 28260 RAW FOOD AND DINING SUPPLIES VENDOR 1674794 CHATHAM CARPET & INTERIORS INC 50 STILL WATERS DRIVE SILER CITY NC 27344 CARPET MATERIAL AND INSTALLATION SERVICE 984043 MARSH KITCHEN AND BATH 2503 GREENGATE DRIVE GREENSBORO NC 27406 CABINETS AND COUNTERTOPS MATERIAL AND IN 749936 HD SUPPLY PO BOX 509058 SAN DIEGO CA 921509058 BUILDING SUPPLIES AND FACILITIES MAINTEN 641625 PERKINS EASTMAN ARCHITECTS DPC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTURAL SERVICES 623545 41 69170 100 69270 INDEPENDENT LIVING REV 623000 21310625 21310625 HEALTH CARE CENTER REV 623000 9976240 9976240 ASSISTED LIVING REV 623000 6997544 6997544 REFURBISHING 623000 2902678 2902678 REMARKETING 623000 759124 759124 2150468 2150468 44096679 1011421 1011421 12018 0 12018 12018 12018 14163232 14039696 123536 123536 123536 MISCELLANEOUS 623000 17031 17031 17031 45329955 44096679 0 1164006 63371 63371 234661 234661 1219743 271526 948217 18035924 17127020 908904 481868 392861 89007 3195751 3012281 183470 1361234 1143299 217935 58980 42117 16863 87048 87048 175163 175163 2361336 2343721 17615 54760 11974 42786 1397157 1244858 152299 74301 74301 2803472 1892533 910939 137703 88900 48803 21819 12642 9177 351880 351880 5272549 5272549 28261 28261 SHARED APPRECIATION 3033372 3033372 FOOD COSTS 2397345 2397345 REPAIRS & MAINTENANCE 887313 887313 UPGRADES & MODIFICATION 122865 122865 969116 533374 435742 44826992 40508723 4318269 0 16553785 771485 2921097 2269443 345041 383839 211893 304935 191867662 87454311 98848116 104413351 39996984 33085842 746392 1500271 159623308 142729166 4499799 3213198 11070686 10389164 651940 479168 20036263 173765072 185373810 210023760 199455340 X -50400452 -56726174 -50400452 -56726174 159623308 142729166 X 502963 -7576427 747742 X 0 1 X 1 0 X 473718 833229 438125 69270 1814342 42004601 37837600 40559275 39769538 44096679 204267693 42004601 38311318 41392504 40207663 44165949 206082035 0 0 0 206082035 582770 680386 697497 1005125 1113439 4079217 582770 680386 697497 1005125 1113439 4079217 5000 5000 11211 10200 23402 13908 17031 75752 42603582 39001904 42113403 41226696 45296419 210242004 0.98020 0.98260 0.01940 0.01670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 651940 -172772 479168 1 X 2469975 2469975 163423758 72339008 91084750 16836528 10181468 6655060 9137401 4933835 4203566 104413351 INVESTMENTS AND ASSETS WHOSE USE IS LIMITED 33085842 F 33085842 OTHER DEFERRED REVENUE 936856 DEPOSITS ON OCCUPIED UNITS 4145654 ADVANCED FEE LIABILITY 180291300 185373810 X PART IV, LINE 2B: RESIDENT FUNDS HELD IN AGENCY ACCOUNTS REPRESENT FUNDS WITHHELD FROM RESIDENTS DETERMINED TO BE A FINANCIAL RISK AND RESIDENTS WISHING TO ESTABLISH AGENCY ACCOUNTS IN LIEU OF LONG-TERM CARE INSURANCE. CAROLINA MEADOWS HAS DEPOSITED THESE FUNDS ON THE RESIDENTS' BEHALF IN CERTIFICATES OF DEPOSIT OR MONEY MARKET FUNDS WITH A FINANCIAL INSTITUTION. CAROLINA MEADOWS ACTS AS CUSTODIAN FOR THE AGENCY ACCOUNTS, WHICH ARE LEGALLY OWNED BY THE RESIDENTS. AT DECEMBER 31, 2022 AND 2021, AGENCY FUNDS DUE RESIDENTS WERE APPROXIMATELY $652,000 AND $480,000, RESPECTIVELY. PART X, LINE 2: CAROLINA MEADOWS IS A NONPROFIT, TAX-EXEMPT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3); ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. CAROLINA MEADOWS HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFIT OR OBLIGATION AS OF DECEMBER 31, 2022. 1 CHATHAM COUNTY COUNCIL ON AGING PO BOX 715 PITTSBORO NC 27312 561084260 501(C)(3) 10000 0 TO SUPPORT THE CHATHAM AGING PLAN, FROZEN MEALS PROGRAM FOR SENIORS THROUGHOUT CHATHAM COUNTY, THE SENIOR GAMES AND PEACEFUL PATHWAYS FOR CAREGIVERS PROJECT. CHATHAM COUNTY LITERACY COUNCIL PO BOX 1696 PITTSBORO NC 27312 581870076 501(C)(3) 11048 0 TO SUPPORT ESL TUTOR PROGRAM AND CITIZENSHIP PROGRAM AT CM FOR STAFF AND FOR COMMUNITY CITIZENS IN NEED RISE AGAINST HUNGER 3733 NATIONAL DRIVE SUITE 200 RALEIGH NC 27612 161541024 501(C)(3) 11400 0 TO PROVIDE SUPPORT TO HELP WORLD HUNGER WORLDWIDE. MORE THAN 180,000 WERE FED AS A RESULT. CHATHAM OUTREACH ALLIANCE (CORA) PO BOX 1326 PITTSBORO NC 27312 561668767 501(C)(3) 8606 0 TO PROVIDE SUPPORT TO HELP WITH HUNGER IN CHATHAM COUNTY THROUGH THE CORA FOOD PANTRY (DONATIONS MADE FROM RESIDENT DINING ACCOUNTS) 4 RESIDENT FINANCIAL ASSISTANCE. 3 234661 BOOK VALUE PART I, LINE 2: GRANTEES MUST HAVE 501(C)(3) STATUS AND MUST BE LOCATED IN AND/OR SERVE RESIDENTS IN CHATHAM COUNTY, NORTH CAROLINA. THE FOLLOWING CRITERIA ARE USED DURING THE GRANT EVALUATION PROCESS PROJECT DESCRIPTION: (1) DESCRIPTION - IS THE PROPOSED PROJECT OR PROGRAM CLEARLY DESCRIBED? (2) MISSION SUPPORT - IS THERE CLEAR EVIDENCE THAT THE PROJECT SUPPORTS THE MISSION OF THE AGENCY? (3) NEED - DOES THE PROPOSAL CLEARLY DOCUMENT/EXPLAIN THE NEED FOR THE PROJECT/PROGRAM IN CHATHAM COUNTY? (4) IMPACT - ARE THE PROPOSED OUTCOMES CLEAR, REALISTIC AND MEASURABLE? (5) BUDGET - IS THE BUDGET SUFFICIENTLY DETAILED, REALISTIC AND APPROPRIATE GIVEN THE DESIRED GOALS/IMPACT? (6) EFFECT - IS THERE EVIDENCE THAT A GRANT FROM CAROLINA MEADOWS WILL SIGNIFICANTLY INCREASE THE IMPACT OF THE PROPOSED PROJECT/PROGRAM? (7) COLLABORATIVE EFFORT - IS THE PROPOSED PROJECT/PROGRAM A COLLABORATIVE EFFORT INVOLVING MULTIPLE AGENCIES? (8) REPORTING - GRANTEES ARE REQUIRED TO SUBMIT INTERIM AND FINAL REPORTS TO CAROLINA MEADOWS. X X X X 0 0 0 0 0 0 0 0 0 KEVIN MCLEOD CHIEF EXECUTIVE OFFICER 350810 0 68923 0 15809 0 17765 0 4490 0 457797 0 0 0 BENJAMIN CORNTHWAITE CHIEF OPERATING OFFICER 240225 0 26727 0 5978 0 12660 0 12978 0 298568 0 0 0 DONNA MILLER MEDICAL DIRECTOR 245233 0 16659 0 1188 0 12549 0 5745 0 281374 0 0 0 GARY LEVINE CHIEF FINANCIAL OFFICER 226628 0 15781 0 5782 0 11761 0 8597 0 268549 0 0 0 MELISSA KASS VICE PRESIDENT - MARKETING 168849 0 9106 0 412 0 6794 0 2892 0 188053 0 0 0 DANIEL CAMARA VP - PHYSICAL PLANT 146336 0 9994 0 774 0 7465 0 5745 0 170314 0 0 0 LUIS SIBRIAN CNA 143970 0 2895 0 112 0 7163 0 2737 0 156877 0 0 0 SHELLI GIARDINO VP - HUMAN RESOURCES 131235 0 8967 0 511 0 6723 0 6486 0 153922 0 0 0 PART I, LINE 3 IN DETERMINING CEO COMPENSATION, SALARY INFORMATION IS COMPILED BY THE EXECUTIVE COMMITTEE OF THE PARENT BOARD OF DIRECTORS WHICH SERVES AS THE EXECUTIVE COMPENSATION COMMITTEE. THE COMMITTEE USES A VARIETY OF COMPARABILITY AND SALARY SURVEY DATA FROM CATAPULT INC., INCLUDING THE NC ANNUAL WAGE AND SALARY SURVEY, THE NATIONAL EXECUTIVE COMPENSATION SURVEY, AND GUIDESTAR EXECUTIVE COMPENSATION DATA. ASSESSMENT FORMS RATING THE CEO'S PERFORMANCE ARE ALSO COMPLETED BY MEMBERS OF ALL AFFILIATE BOARDS. USING THE SURVEY DATA AS BENCHMARKS AND THE COMPILED ASSESSMENT DATA AS AN INDICATOR OF PERFORMANCE MANAGEMENT, THE EXECUTIVE COMMITTEE RECOMMENDS TO THE FULL PARENT BOARD FOR APPROVAL OF THE TOTAL CEO COMPENSATION WITHIN THE BOARD ESTABLISHED SALARY RANGE FOR THE CEO POSITION. A PUBLIC FINANCE AUTHORITY 273866124 2019-11-21 12700000 TO REFINANCE THE 2010 BONDS WITH A NEW 12/01/34 MATURITY DATE 0 0 0 A 2130000 12700000 217643 12482357 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 1 1 TRUIST 13.000000000000 0 0 0 0 1 A 1 FORM 990, PART III, LINE 4A INFORMATION TECHNOLOGY: THE INFORMATION TECHNOLOGY (IT) DEPARTMENT PROVIDES SERVICES TO INDEPENDENT LIVING RESIDENTS UPON REQUEST FOR ISSUES INCLUDING INTERNET, COMPUTERS, CABLE, AND PHONE SERVICE. THERE IS ALSO HELP PROVIDED TO ALL NEW INCOMING RESIDENTS AT THEIR TIME OF MOVING ONTO CAMPUS. OUR DEDICATED IT RESIDENT SUPPORT SPECIALIST AVERAGES COMPLETING TEN TO FIFTEEN RESIDENT SERVICE REQUEST TICKETS PER DAY. COMMUNITY OUTREACH: COMMUNITY INVOLVEMENT AT CAROLINA MEADOWS FOCUSES ON COMMUNITY OUTREACH AND CORPORATE RESPONSIBILITY AS FOLLOWS: - WE SUPPORT OUR LOCAL COMMUNITY - WE INVEST IN THE FUTURE OF AGING - WE CONTRIBUTE TO THE ECONOMY - WE PARTNER ON SENIOR INITIATIVES IN ADDITION, WE ARE COMMITTED TO PROVIDING SERVICES TO CAROLINA MEADOWS RESIDENTS WHO MAY HAVE EXHAUSTED THEIR ASSETS THROUGH NO FAULT OF THEIR OWN AND NEED FINANCIAL ASSISTANCE TO COVER THEIR COST OF THEIR SERVICES. IN 2022, CAROLINA MEADOWS WAS HONORED TO RECEIVE A STATEWIDE AWARD, THE 2022 EXCELLENCE IN COMMUNITY SERVICE AWARD FROM LEADING AGE NC. IT WAS IN RECOGNITION OF THE MANY WAYS THAT CAROLINA MEADOWS RESIDENTS AND STAFF SUPPORTED THE CHATHAM OUTREACH ALLIANCE (CORA). CAROLINA MEADOWS PROVIDED AN ANNUAL CORPORATE DONATION, RESIDENTS CONDUCTED A CAMPAIGN FOR THE CORA FOOD PANTRY, RESIDENTS DONATED FUNDS FROM THEIR DINING ACCOUNTS AND RESIDENTS ALSO PURCHASED FOOD FROM HOME SHOPPING TO DONATE TO THE CORA PANTRY. CAROLINA MEADOWS IS ACTIVELY INVOLVED IN THE COMMUNITY THROUGH PARTICIPATION IN COMMUNITY OUTREACH, EDUCATIONAL, CHARITABLE, AND VOLUNTEER PROGRAMS SPONSORED ON CAMPUS OR THROUGHOUT THE SURROUNDING COMMUNITY. CAROLINA MEADOWS HAS MADE SIGNIFICANT CHARITABLE GIFTS IN 2022 TO SUPPORT CHARITIES THAT SUPPORT OLDER ADULTS IN CHATHAM COUNTY, NORTH CAROLINA, INCLUDING: - $7,500 DONATION WAS MADE TO THE CHATHAM COUNTY COUNCIL ON AGING TO SUPPORT THEIR FROZEN MEALS PROGRAM. THIS PROGRAM CONTINUES TO BE OF GREAT IMPORTANCE DUE TO THE NUMBER OF SENIORS IN THEIR HOMES WITHOUT ACCESS TO HEALTHY FOOD. IN ADDITION, A $2,000 DONATION WAS PROVIDED TO THE COUNCIL TO SPONSOR A SENIOR EDUCATIONAL CONFERENCE FOR ELDERS IN CHATHAM COUNTY. - $500 DONATION TO CHATHAM COUNTY COUNCIL ON AGING TO SUPPORT THE SENIOR GAMES AND SILVER ARTS IN CHATHAM COUNTY. CAROLINA MEADOWS ALSO HOSTED THE BOCCE, CROQUET AND TABLE TENNIS GAMES FOR THE SENIOR GAMES ON OUR CAMPUS. - $500 DONATION WAS MADE TO THE CHATHAM CARES COMMUNITY PHARMACY, A PHARMACY PROVIDING FREE PRESCRIPTIONS AND DRUG STORE GOODS TO ELDERS AND OTHERS WHO NEED SUPPORT IN CHATHAM COUNTY. CAROLINA MEADOWS HAS MADE ADDITIONAL SIGNIFICANT CHARITABLE GIFTS IN 2022 TO SUPPORT CHARITIES THAT SUPPORT OUR BROADER COMMUNITY IN CHATHAM COUNTY, THE STATE AND AROUND THE WORLD, INCLUDING: - $8,606 DONATION WAS MADE TO THE CHATHAM OUTREACH ALLIANCE (CORA) FOOD PANTRY TO SUPPORT HUNGER RELIEF THROUGHOUT CHATHAM. THESE FUNDS WERE DONATED FROM RESIDENT DINING ACCOUNTS. - $2,500 CORPORATE DONATION WAS ALSO MADE TO THE CHATHAM OUTREACH ALLIANCE (CORA) FOOD PANTRY TO SUPPORT HUNGER RELIEF THROUGHOUT ALL OF CHATHAM COUNTY. FOOD INSECURITY INCREASED AS THE PANDEMIC CONTINUED IN 2022. - $11,400 DONATION WAS MADE TO RISE AGAINST HUNGER TO SUPPORT THE 2022 CAROLINA MEADOWS MEAL PACKAGING EVENT. THIS EVENT RESULTS IN 30,000 MEALS BEING PACKAGED TO HELP FIGHT HUNGER THROUGHOUT THE WORLD. - $10,000 DONATION TO THE CHATHAM COUNTY LITERACY COUNCIL TO SUPPORT LITERACY EFFORTS THROUGHOUT OUR ENTIRE COMMUNITY. THESE EFFORTS ARE FOCUSED ON INCREASED LITERACY SUCH AS GED PROGRAMS, ENGLISH AS A SECOND LANGUAGE, COMPUTER LITERACY AND MORE. - $5,000 ANNUAL CORPORATE DONATION TO UNITED WAY OF CHATHAM COUNTY TO SUPPORT THE GREAT WORK OF NUMEROUS CHARITIES THROUGHOUT OUR LARGE COUNTY. - $3,000 DONATION TO CHATHAM ARTS COUNCIL TO SUPPORT THEIR ARTIST IN RESIDENCE PROGRAM THROUGHOUT THE CHATHAM COUNTY SCHOOLS. WE SPONSORED A WEEK-LONG RESIDENCY OF FLAMENCO VIVO CARLOTTA SANTANA DANCE COMPANY AT SILER CITY ELEMENTARY, A TITLE 1 SCHOOL. - $2,500 DONATION TO PBS NORTH CAROLINA (UNC TV) IN SUPPORT OF THEIR PUBLIC PROGRAMMING WHICH REACHES ALL AGES ACROSS OUR COUNTY AND STATE. - $2,500 DONATION TO BENEFIT THE SPECIAL OLYMPICS OF ORANGE COUNTY WHICH PROVIDES YEAR AROUND SPORTS TRAINING AND ATHLETIC COMPETITION FOR CHILDREN AND ADULTS WITH INTELLECTUAL DISABILITIES, GIVING THEM CONTINUING OPPORTUNITIES TO DEVELOP PHYSICAL FITNESS, DEMONSTRATE COURAGE, EXPERIENCE JOY, AND A SHARING OF THEIR GIFTS, SKILLS, AND FRIENDSHIP WITH THEIR FAMILIES, OTHER SPECIAL OLYMPICS ATHLETES AND THE COMMUNITY. - $1,000 DONATION TO THE CHATHAM EDUCATION FOUNDATION WHICH SUPPORTS TEACHERS, STUDENTS AND SCHOOLS THROUGHOUT CHATHAM COUNTY - $500 DONATION TO THE BOYS AND GIRLS CLUB OF CENTRAL CAROLINA FOR A NEW BOYS AND GIRLS CLUB TO SERVE YOUTH WHO LIVE IN PITTSBORO (CHATHAM COUNTY) - $500 DONATION TO THE SALVATION ARMY CHATHAM COUNTY SERVICE CENTER WHICH SERVES CHILDREN, TEENS AND ADULTS IN CHATHAM COUNTY WHO NEED SUPPORT - DONATIONS FROM THE CAROLINA MEADOWS MARKETING DEPARTMENT INCLUDE A $1,000 DONATION TO THE CHORAL SOCIETY OF DURHAM, AND $,1500 TO THE MUSEUM OF LIFE AND SCIENCE SMALLER DONATIONS INCLUDE: - $350 FOR FOOTNOTES TAP ENSEMBLE TO SUPPORT DANCING PERFORMANCES THROUGHOUT THE TRIANGLE - $100 TO ORANGE COUNTY DEPARTMENT OF AGING TO SPONSOR THEIR CAREGIVER DAY OF CARE BEYOND FINANCIAL SUPPORT, CAROLINA MEADOWS SUPPORTS NONPROFIT ORGANIZATIONS THROUGH DONATIONS OF VOLUNTEER HOURS AND IN-KIND CONTRIBUTIONS. EXAMPLES INCLUDE: - RESIDENTS AND EMPLOYEES OF CAROLINA MEADOWS PARTICIPATED IN A 2022 DR. MARTIN LUTHER KING, JR. DAY OF SERVICE PROJECT ENTITLED "PROJECT WARMTH" THAT ASSEMBLED CARE PACKAGES OF WINTER GLOVES, SOCKS, SCARVES AND WHICH WERE DONATED TO HOMELESS PEOPLE IN CHATHAM COUNTY THROUGH THE SALVATION ARMY. ITEMS WERE PURCHASED BY CAROLINA MEADOWS OR DONATED BY RESIDENTS AND STAFF MEMBERS, INCLUDING SEVERAL HAND-MADE MITTENS AND WINTER ACCESSORIES. - RESIDENTS OF CAROLINA MEADOWS RAISED NEARLY $1,500 (TO PURCHASE SUPPLIES) AND DONATED AN SUV LOAD OF SCHOOL SUPPLIES TO BENEFIT STUDENTS ACROSS ALL CORNERS OF CHATHAM COUNTY. THE SUPPLIES WENT TO THE TITLE 1 MIGRANT SPECIALIST AND HOMELESS FAMILIES SUPPORT TEAMS IN THE CHATHAM PUBLIC SCHOOL SYSTEM. - CAROLINA MEADOWS PARTICIPATED IN THE 2022 UNITED WAY DAY OF SERVICE. RESIDENTS HELPED TO COMPLETE A 1,500-PIECE MAILING FOR UNITED WAY, STUFFED BACKPACKS FOR THE SALVATION ARMY, AND MADE DOG AND CAT TREATS FOR THE LOCAL ANIMAL SHELTER. - CAROLINA MEADOWS HELD A RISE AGAINST HUNGER MEAL PACKAGING EVENT ON CAMPUS IN 2022 WHERE RESIDENTS AND EMPLOYEES DONATE THEIR TIME TO PACKAGE MEALS TO BE SHARED AROUND THE WORLD TO FIGHT HUNGER. RESIDENTS AND EMPLOYEES WORKED SIDE BY SIDE TO PACKAGE MORE THAN 30,000 MEALS. - DONATED KITCHEN RANGES AND OTHER APPLIANCES TO THE THRIFT SHOP IN OUR LOCAL COMMUNITY. - OUR WELLNESS DEPARTMENT ORGANIZED TWO BLOOD DRIVES WITH MORE THAN 60 RESIDENTS AND EMPLOYEES DONATING NEEDED BLOOD. - STAFF GENEROUSLY DONATE THEIR TIME/SERVICE TO COMMUNITY ORGANIZATIONS, PARTICULARLY THOSE FOCUSING ON CARING FOR OLDER ADULTS. THIS YEAR STAFF PARTICIPATED ON BOARDS INCLUDING LEADING AGE NC, SOLTYS PLACE (ADULT DAY CENTER), NC MASONIC FOUNDATION, AND PLANNING COMMITTEES FOR SENIOR GAMES AND CHATHAM HEALTH ALLIANCE. - OUR EMPLOYEES TRACK HOURS SPENT ON SERVICE ACTIVITIES AND THIS YEARS' SERVICE HOURS ARE EQUIVALENT TO AN IN-KIND DONATION OF $53,534. IN ADDITION TO OUR ROBUST CORPORATE COMMUNITY OUTREACH PROGRAM, OUR CAROLINA MEADOWS RESIDENT ASSOCIATION HAS A RESIDENT COMMUNITY OUTREACH COMMITTEE. THE COMMITTEE'S WORK INCLUDES: - RESIDENT LIAISONS WITH VARIOUS NONPROFIT ORGANIZATIONS IN CHATHAM COUNTY WHO SHARE INFORMATION AND VOLUNTEER OPPORTUNITIES ABOUT EACH GROUP WITH THE RESIDENTS. - THESE RESIDENT LIAISONS HELPED TO ORGANIZE AND RAISE SIGNIFICANT FUNDS IN 2022 FOR UNC PUBLIC TV (APPROXIMATELY $70,000), THE CORA FOOD PANTRY (APPROXIMATELY $81,000), AND UNITED WAY OF CHATHAM COUNTY (APPROXIMATELY $100,000). THESE ARE ANNUAL CAMPAIGNS THAT THE RESIDENTS ORGANIZE, AND CAROLINA MEADOWS CONTRIBUTES A CORPORATE GIFT IN SUPPORT. OUR RESIDENTS OFFER MANY HOURS OF VOLUNTEER TIME TO SUPPORT NONPROFITS IN OUR AREA, AS WELL AS OUR OWN CAMPUS COMMUNITY. WE CONTINUED AN EMAIL PEN PAL PROJECT WITH A LOCAL HIGH SCHOOL. MORE THAN ONE HUNDRED RESIDENTS ACTIVELY WROTE TO LOCAL HIGH SCHOOL STUDENTS WHICH PROVIDED MEANINGFUL INTERGENERATIONAL LEARNING FOR BOTH GROUPS. CHARITABLE DONATIONS: CHARITABLE DONATIONS AND COMMUNITY BENEFITS FOR 2022 INCLUDED $351,266 IN BENEVOLENT CARE PROVIDED, $125,291 IN CHARITABLE DONATIONS, AND $47,483 IN DONATED VOLUNTEER SERVICES. PROPERTY TAXES: FOR 2022, PROPERTY TAX PAYMENTS OF $1,115,45 WERE MADE TO SUPPORT NEEDED INFRASTRUCTURE TO HELP CHATHAM COUNTY, NORTH CAROLINA WHERE CAROLINA MEADOWS IS LOCATED. FORM 990, PART VI, SECTION A, LINE 6 CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES, INC. IS THE SOLE MEMBER OF CAROLINA MEADOWS, INC. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES, INC. ELECTS THE GOVERNING BODY OF CAROLINA MEADOWS, INC. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES, INC. MUST APPROVE ALL SIGNIFICANT DECISIONS OF CAROLINA MEADOWS, INC. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY MANAGEMENT, RECOMMENDED BY THE CAROLINA MEADOWS, INC. BOARD FINANCE COMMITTEE AND THEN APPROVED BY THE PARENT BOARD FOLLOWING PREPARATION BY THE CFO AND THEN INDEPENDENT TAX ACCOUNTANT. THE REVIEW IS CONDUCTED PRIOR TO FILING WITH THE IRS AND INVOLVES A THOROUGH EXAMINATION OF THE INFORMATION USED AS A BASIS FOR PREPARATION OF THE 990 BY THE CFO AND INDEPENDENT TAX ACCOUNTANT, AS WELL AS EXAMINATION OF THE DRAFT OF THE 990. ANY CHANGES ARE RECOMMENDED TO, AND REVIEWED BY, THE INDEPENDENT TAX ACCOUNTANT. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL SIGNED COI POLICY AND ATTESTATION FORMS ARE PROVIDED TO ALL BOARD MEMBERS, INCLUDING EX-OFFICIO MEMBERS. THE SAME FORMS ARE PROVIDED TO ALL KEY STAFF EMPLOYEES. THE ATTESTATION FORMS ARE COLLECTED FROM THE BOARD AND KEY EMPLOYEES IN MAY OF EACH YEAR. THEY ARE THEN REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND CEO FOR ANY INDICATIONS OF ACTUAL OR PERCEIVED CONFLICT NOTED. IF NONE, THE ATTESTATION FORMS ARE ACCEPTED AND STORED. IF THERE WERE TO BE ANY INDICATIONS OF ACTUAL OR PERCEIVED CONFLICT NOTED, THE GOVERNANCE COMMITTEE WOULD ALERT THE BOARD CHAIR AND THE ACTUAL OR PERCEIVED CONFLICT WOULD BE DISCUSSED FURTHER WITH THE INDIVIDUAL INVOLVED TO DETERMINE IF AN ACTUAL CONFLICT EXISTED. IF IT IS BELIEVED AN ACTUAL CONFLICT EXISTS, THEN THE FULL BOARD WOULD REVIEW THE CONFLICT AND MAKE A DETERMINATION HOW BEST TO RESOLVE THE CONFLICT BY EITHER ACCEPTING THE CONFLICT OR REQUIRING THE MEMBER OR STAFF PERSON TO CEASE AND DESIST OR FACE REMOVAL FROM THE BOARD OR TERMINATION FROM EMPLOYMENT IF A KEY STAFF EMPLOYEE. IF A CONFLICT IS ACCEPTED BY THE BOARD, A PERSON INVOLVED IN MATTERS WHERE A CONFLICT EXISTS MUST RECUSE HIMSELF OR HERSELF FROM BOARD MEETING DISCUSSIONS AROUND THE CONFLICT OR BOARD ACTION TAKEN IN REGARD TO THE CONFLICT. IF A CONFLICT INVOLVES A STAFF PERSON, THE STAFF PERSON WOULD EITHER BE REASSIGNED OR TERMINATED, DEPENDING ON THE TYPE OF CONFLICT AND IMPACT TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING THE CEO'S COMPENSATION, SALARY INFORMATION IS COMPILED BY THE EXECUTIVE COMMITTEE OF THE PARENT BOARD OF DIRECTORS WHICH SERVES AS THE EXECUTIVE COMPENSATION COMMITTEE. THE COMMITTEE USES A VARIETY OF COMPARABILITY AND SALARY SURVEY DATA FROM CATAPULT, INC., FORMERLY CAPITAL ASSOCIATED INDUSTRIES (CAI), INCLUDING THE NORTH CAROLINA ANNUAL WAGE AND SALARY SURVEY, THE NATIONAL EXECUTIVE COMPENSATION SURVEY, AND GUIDESTAR EXECUTIVE COMPENSATION DATA. ASSESSMENT FORMS RATING THE CEO'S PERFORMANCE ARE ALSO COMPLETED BY MEMBERS OF ALL AFFILIATE BOARDS. USING THE SURVEY DATA AS BENCHMARKS AND THE COMPILED ASSESSMENT DATA AS AN INDICATOR OF PERFORMANCE MEASUREMENT, THE EXECUTIVE COMMITTEE RECOMMENDS TO THE FULL PARENT BOARD FOR APPROVAL OF THE TOTAL CEO COMPENSATION WITHIN THE BOARD ESTABLISHED SALARY RANGE FOR THE CEO POSITION. BASED ON SALARY AND TOTAL COMPENSATION DATA FROM CATAPULT (FORMERLY CAPITAL ASSOCIATED INDUSTRIES), GUIDESTAR, THE NATIONAL EXECUTIVE COMPENSATION SURVEY, AND LEADINGAGE SURVEY DATA, THE CEO SETS AND APPROVES COMPENSATION FOR THE COO AND CFO POSITIONS WITHIN ESTABLISHED RANGES FOR THE ORGANIZATION BASED ON INPUT AND REVIEW FROM THE PARENT BOARD. THE SALARY AMOUNTS FOR THE CEO, COO, AND CFO ARE FURTHER REVIEWED BY THE FULL PARENT BOARD AS A MEASURE OF OVERSIGHT AND UNDERSTANDING OF TOTAL EXECUTIVE COMPENSATION FOR THE TOP EXECUTIVE POSITIONS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022 FORM 990, PART VI, SECTION C, LINE 19 MINUTES OF QUARTERLY BOARD MEETINGS INCLUDING THE QUARTERLY FINANCIALS AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE PLACED IN THE CAROLINA MEADOWS RESIDENT'S LIBRARY. ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE AND, ALONG WITH THE BOARD BYLAWS, ARE AVAILABLE FOR REVIEW UPON REQUEST. AN ANNUAL DISCLOSURE STATEMENT IS AVAILABLE ON-LINE THROUGH THE NC DEPARTMENT OF INSURANCE (NCDOI.COM), AND INCLUDES IN APPENDICES COPIES OF THE DOI CCRC LICENSE, DHSR NURSING FACILITY LICENSE, ANNUAL AUDITED FINANCIAL STATEMENTS, FIVE-YEAR FINANCIAL PROJECTIONS, CCRC CONTRACT AND OTHER CORPORATE INFORMATION. CONFLICT OF INTEREST STATEMENTS ARE AVAILABLE FOR REVIEW UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE INTEREST RATE SWAP 1,128,589. TRANSFER OF NET ASSETS -380,847. CAROLINA MEADOWS HOME CARE INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 821777558 HOME CARE NC 501(C)(3) LINE 12B, II CAROLINA MEADOWS SR COMM & SERVICES INC 0 CAROLINA MEADOWS SENIOR COMMUNITIES AND SERVICES INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 821792692 HEALTH CARE NC 501(C)(3) LINE 12B, II 0 CAROLINA MEADOWS FOUNDATION INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 825385916 CHARITABLE FOUNDATION NC 501(C)(3) LINE 12B, II CAROLINA MEADOWS SR COMM & SERVICES INC 0 CAROLINA MEADOWS MANAGEMENT AND DEVELOPMENT SERVICES INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 821768377 MANAGEMENT SERVICES NC SEE PART VII C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 CAROLINA MEADOWS HOME CARE INC CONSOLIDATED ENTITTY