2023-08-31T15:46:04-05:00 2022-12-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 561152263 ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC ARBO 3367247921 1240 ARBOR ROAD WINSTONSALEM NC 271041197 DAVID W MATTHEWS VICE PRESIDENT/CFO 3367247921 2023-08-31 1 DAVID MATTHEWS 999009999 1 AMY BIBBY P00445891 8282542254 2023-08-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANDREW APPLEGATE 1240 ARBOR ROAD WINSTONSALEM NC 271041197 45501658 0 X WWW.ARBORACRES.ORG X 1975 NC TO SERVE SENIOR ADULTS WHILE PROVIDING SECURITY, CONTENTMENT, AND LIFE WITH MEANING & PURPOSE. 21 21 543 28 0 0 2021914 7207470 35244106 37371984 3064084 62543 64609 89110 40394713 44731107 1385013 1669437 0 0 18578826 19709276 0 0 327785 18938685 19602775 38902524 40981488 1492189 3749619 155220604 194181150 92850912 127764705 62369692 66416445 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 27216171 1669437 37371984 ARBOR ACRES, A CONTINUING CARE RETIREMENT COMMUNITY (CCRC), PROVIDING A RESIDENTIAL WINGS CONTAINING 120 UNITS (STUDIO, EFFICIENCY AND CONNECTING ROOM SUITES); 2 TWO-BEDROOM COURTYARD APARTMENTS; 6 ONE-BEDROOM AND 6 TWO-BEDROOM CLUSTER HOMES AND 119 HOUSES. IN ADDITION TO THE INDEPENDENT LIVING FACILITIES, ARBOR ACRES ALSO HAS 95 ADULT CARE HOME BEDS AND 83 NURSING CARE BEDS (LOCATED IN THE FITZGERALD HEALTH CENTER). AS OF DECEMBER 31, 2022, ARBOR ACRES SERVED 482 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, 2022, $1,247,924 OF FINANCIAL ASSISTANCE WAS PROVIDED TO RESIDENTS TO HELP THEM MAINTAIN RESIDENCY AT THE FACILITY.DURING 2022 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 AVAILABLE LICENSED CARE AND EXCEEDED 90% OCCUPANCY OF INDEPENDENT LIVING UNITS.2. SPONSORED AND FACILITATED PARTICIPATION OF RESIDENT EFFORTS IN COMMUNITY SERVICE PROJECTS TO INCLUDE HABITAT FOR HUMANITY, FORSYTH BACKPACK PROGRAM, AUDUBON SOCIETY, TORCH CLUB, AND TRELLIS SUPPORTIVE CARE ETC. IN ADDITION, ARBOR ACRES MADE MONETARY DONATIONS TO COMMUNITY CARE CENTER, HABITAT FOR HUMANITY, AGE-FRIENDLY FORSYTH, THE SHEPHERD'S CENTER, YWCA, AND WINSTON SALEM STATE UNIVERSITY. 27216171 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 1 93 0 1 543 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DAVID W MATTHEWS VICE PRESIDENTCFO 3367247921 1240 ARBOR ROAD WINSTONSALEM NC 27104 JOHN WILLINGHAM CHAIR 1.00 X X 0 0 0 DREWRY NOSTITZ VICE CHAIR 1.00 X X 0 0 0 JOHN E LAUER TREASURER 1.00 X X 0 0 0 TANYA AFOLAYAN BOARD MEMBER 1.00 X 0 0 0 SAMUEL BLACK BOARD MEMBER 1.00 X 0 0 0 ART BLOOM BOARD MEMBER 1.00 X 0 0 0 CHRISTINE DUNN BOARD MEMBER 1.00 X 0 0 0 JOHN EARLE BOARD MEMBER 1.00 X 0 0 0 SUSAN ELSTER BOARD MEMBER 1.00 X 0 0 0 DONALD EPPERT BOARD MEMBER 1.00 X 0 0 0 CINNY S GRAHAM BOARD MEMBER 1.00 X 0 0 0 DAVID HINTON BOARD MEMBER 1.00 X 0 0 0 BILL HOLLAN BOARD MEMBER 1.00 X 0 0 0 VINCENT HOWELL BOARD MEMBER 1.00 X 0 0 0 CARROLL MCCULLOUGH BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER PEARCE BOARD MEMBER 1.00 X 0 0 0 BILL SAYERS BOARD MEMBER 1.00 X 0 0 0 RICKY SHORE BOARD MEMBER 1.00 X 0 0 0 J HILL STOCKTON BOARD MEMBER 1.00 X 0 0 0 WENDY WALKER-FOX BOARD MEMBER 1.00 X 0 0 0 PAMELA BALL EX-OFFICIO 1.00 X 0 0 0 BISHOP KEN CARTER EX-OFFICIO 1.00 X 0 0 0 BISHOP PAUL LEELAND EX-OFFICIO 1.00 X 0 0 0 REV SAM MOORE EX-OFFICIO 1.00 X 0 0 0 JUDY REEDER EX-OFFICIO 1.00 X 0 0 0 JULIA TAMPA SECRETARY 1.00 X 74047 0 12560 ANDREW APPLEGATE CEO 40.00 X 334095 0 45870 DAVID MATTHEWS CFO 40.00 X 207578 0 28893 KATHY GWYN VP HEALTH SERVICES 40.00 X 189279 0 31149 LYNN ROSS DIRECTOR OF MARKETING 40.00 X 144746 0 16112 AMANDA HARRELL DIRECTOR OF NURSING 40.00 X 124041 0 20052 LES CRANFILL DIRECTOR OF BUILDINGS AND GROUNDS 40.00 X 122706 0 15402 HANNAH YOON HEALTHCARE ADMINISTRATOR 40.00 X 113864 0 19624 DENNI PEEBLES DIRECTOR OF PHILANTHROPY 40.00 X 124992 0 15579 1435348 0 205241 11 0 1 0 FRANK L BLUM CONSTRUCTION COMPANY 830 NE 25TH ST WINSTON SALEM NC 27105 CONSTRUCTION 32950872 SOLID FOUNDATION CONSTRUCTION INC 1240 YORKSHIRE RD WINSTON SALEM NC 27106 CONSTRUCTION 1366843 CHENEY BROTHERS 195 BUSINESS PARK STATESVILLE NC 28677 FOOD SERVICE 1279477 ICON BUILDERS 2655 FOREST DR WINSTONSALEM NC 27104 CONSTRUCTION 989949 THE BUDD GROUP 2325 S STRATFORD RD WINSTONSALEM NC 27103 LANDSCAPING 617412 31 4052925 3154545 7207470 RESIDENT FEES 623000 29734517 29734517 DEFERRED ENTRANCE FEES 623000 5676357 5676357 HOME CARE FEES 623000 1772121 1772121 MODIFICATION FEES EARNED 623000 168789 168789 APPLICATION FEES 623000 20200 20200 37371984 799697 799697 258047 479107 -258047 -479107 -737154 -737154 33412 33397 15 15 FOOD SERVICE REVENUE 900099 72419 72419 GUEST ROOM RENTAL 900099 16676 16676 89095 44731107 37371984 0 151653 421513 421513 1247924 1247924 805000 152467 652533 14725224 13072878 1455038 197308 4179052 3515320 610267 53465 191078 191078 200265 200265 2278025 1927258 350767 253611 253611 3417114 2910509 431797 74808 127333 127333 1696341 1523528 172813 9414 7254 2122 38 3530 3530 1204407 1204407 7712552 7712552 451657 451657 FOOD COST 1677483 1677483 MEDICAL SUPPLIES 324152 324152 COVID EXPENSES 40905 40905 MISCELLANEOUS 14911 10509 2236 2166 -3 -3 40981488 27216171 13437532 327785 7121721 10936386 592736 594815 635398 4678914 370639 505431 211189523 88035712 91186585 123153811 52459061 47141211 1536729 1219500 1198672 1056937 119063 4894145 155220604 194181150 5935497 10293770 33969622 37433684 47194228 76864581 490000 5261565 3172670 92850912 127764705 X 47362360 51929995 15007332 14486450 62369692 66416445 155220604 194181150 X 3749619 -7345754 7642888 X X 0 1 X 1 0 X 4116152 2586876 3468407 2021914 7207470 19400819 31981468 32760642 35448155 34178093 36124060 170492418 134070 176179 108967 87136 122507 628859 36231690 35523697 39025529 36287143 43454037 190522096 558777 688710 568943 681634 450955 2949019 0 558777 688710 568943 681634 450955 2949019 187573077 890455 879976 847915 1147533 799697 4565576 890455 879976 847915 1147533 799697 4565576 37122145 36403673 39873444 37434676 44253734 195087672 0.96150 0.95890 0.02340 0.02460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 409 409 0 PART II-B, LINE 1: THE ORGANIZATION ENGAGED IN VARIOUS LOBBYING ACTIVITES WITH LEADING AGE NORTH CAROLINA IN THE AMOUNT OF $266 AND LEADING AGE (NATIONAL) IN THE AMOUNT OF $143. 19680302 1737196 -2573506 790204 18053788 18288955 382761 1720288 711702 19680302 16210205 1088308 1664828 674386 18288955 14410233 129350 2275202 604580 16210205 15367393 299878 -612038 645000 14410233 0.32420 0.67580 0 0 2166825 2166825 141543174 72447963 69095211 11589178 8524146 3065032 55890346 7063603 48826743 123153811 REFUNDABLE DEPOSITS 3172670 3172670 X 43764656 -7345754 -332890 -7678644 51443300 -6712193 -6712193 44731107 39717903 33397 33397 39684506 1296982 1296982 40981488 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 DESIGNATED ASSISTANCE ENDOWMENT OF $5,853,027 WITHOUT DONOR RESTRICTIONS AND A ASSISTANCE ENDOWMENT OF $12,200,762 WITH DONOR RESTRICTIONS. PART X, LINE 2: ARBOR ACRES IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOME CARE IS A LIMITED LIABILITY COMPANY THAT HAS NOT ELECTED TO BE TAXED AS A CORPORATION UNDER CURRENT INTERNAL REVENUE CODE (IRC) REGULATIONS. HOME CARE IS WHOLLY OWNED BY ARBOR ACRES. AS SUCH, HOME CARE IS CONSIDERED A DISREGARDED ENTITY UNDER CURRENT IRC REGULATIONS. BASED ON THE INFORMATION ABOVE, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 33,397. CHANGE IN VALUE OF PERPETUAL TRUST -317,229. REVENUES IN EXPENSES -49,058. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN INTEREST RATE SWAP -7,960,117. GRANTS TO INDIVIDUALS 1,247,924. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 33,397. PART XII, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN EXPENSES 49,058. GRANTS TO INDIVIDUALS 1,247,924. 1 HABITAT FOR HUMANITY 608 COLISEUM DR NW WINSTONSALEM NC 27106 561448955 501(C)(3) 162000 0 OPERATIONAL SUPPORT THE SHEPHERD'S CENTER 1700 EBERT ST WINSTONSALEM NC 27103 561646960 501(C)(3) 81000 0 OPERATIONAL SUPPORT YWCA 1300 S MAIN ST WINSTONSALEM NC 27127 560564345 501(C)(3) 40500 0 OPERATIONAL SUPPORT WINSTON SALEM STATE UNIVERSITY FOUNDATION 601 S MARTIN LUTHER KING DRIVE WINSTONSALEM NC 27110 560989620 501(C)(3) 81000 0 OPERATIONAL SUPPORT AGE-FRIENDLY FORSYTH 717 COLISEUM DR WINSTONSALEM NC 27106 873894106 501(C)(3) 15000 0 OPERATIONAL SUPPORT COMMUNITY CARE CENTER 2135 NEW WALKERTOWN RD WINSTONSALEM NC 27101 581403699 501(C)(3) 40500 0 OPERATIONAL SUPPORT 6 FINANCIAL ASSISTANCE PROVIDED TO RESIDENTS 26 0 1247924 FMV FINANCIAL ASSISTANCE TO RESIDENTS PART I, LINE 2: THE ORGANIZATION PROVIDES FINANCIAL ASSISTANCE TO RESIDENTS UNABLE TO PAY FOR SERVICES. THE ORGANIZATION KEEPS A RECORD OF HOW IT DETERMINES A RESIDENTS FINANCIAL NEED AND THE AMOUNT OF ASSISTANCE PROVIDED. X X X X 0 0 0 0 0 0 0 0 0 ANDREW APPLEGATE CEO 271029 0 27459 0 35607 0 18809 0 27061 0 379965 0 0 0 DAVID MATTHEWS CFO 179774 0 22012 0 5792 0 12530 0 16363 0 236471 0 0 0 KATHY GWYN VP HEALTH SERVICES 155804 0 21051 0 12424 0 11204 0 19945 0 220428 0 0 0 LYNN ROSS DIRECTOR OF MARKETING 126922 0 12244 0 5580 0 8003 0 8109 0 160858 0 0 0 A NORTH CAROLINA MEDICAL CARE COMMISSION 531309402 2016-12-15 13159000 REFUND SERIES 2007 ISSUE 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2019-08-01 24900000 REFUND SERIES 2010 ISSUE 0 0 0 C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2021-07-27 62640000 RETIREMENT FACILITIES FIRST MORTGAGE REVENUE BONDS 0 0 0 A 5693000 13159000 13159000 2016 0 0 1 1 B 2120000 24900000 24900000 2019 0 0 1 1 C 62640000 629909 900000 52024525 9085566 2023 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 1 BB&T 16.000000000000 0 0 0 0 1 B 0 1 0 0 1 1 BB&T 19.000000000000 0 0 0 0 1 C 0 1 0 0 1 1 TRUIST BANK 10.000000000000 0 0 0 0 1 A 1 B 1 C 1 X 1 30000 FMV X WOODWORKING EQUIPMENT 1 29623 FMV 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES A COMPLETE COPY OF THE 990 TO THE BOARD OF DIRECTORS' FINANCE COMMITTEE, PRIOR TO FILING. AFTER REVIEW AND APPROVAL BY THE FINANCE COMMITTEE THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING. ONCE ACCEPTED BY THE BOARD OF DIRECTORS THE 990 IS FILED BY MANAGEMENT. 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 THE CEO'S COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE ANNUALLY. SPECIFIC SALARY INFORMATION AVAILABLE FOR COMPARABLE FACILITIES WILL BE UTILIZED IN EVALUATING THE CEO'S COMPENSATION. WHEN EVALUATING SURVEY AND LOCAL COMMUNITY'S DATA, SIZE OF COMMUNITY AND ANNUAL REVENUES WILL BE UTILIZED AS THE PRIMARY BENCHMARKS. THE CEO, WORKING WITH THE DIRECTOR OF TALENT ARTS, WILL RECOMMEND COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES TO THE COMPENSATION COMMITTEE, SEEKING THEIR APPROVAL BEFORE IMPLEMENTING ANY CHANGES. THE SAME SOURCES OF DATA USED TO EVALUATE THE CEO'S COMPENSATION IS USED FOR OTHER OFFICERS AND KEY EMPLOYEES. 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 FINANCIAL STATEMENTS ARE PART OF THE ANNUAL DISCLOSURE STATEMENT MADE AVAILABLE THROUGH THE NC DEPARTMENT OF INSURANCE WEBSITE. THE ANNUAL AUDIT IS DISTRIBUTED TO RESIDENT COUNCIL AND MADE AVAILABLE TO ANY RESIDENT UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST RATE SWAP 7,960,117. CHANGE IN VALUE OF PERPETUAL TRUST -317,229. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ARBOR ACRES HOME CARE LLC 1240 ARBOR ROAD WINSTONSALEM NC 27104 832830530 IN HOME CARE SERVICES NC 1772121 2295688 ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC