2024-10-18T16:37:58-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2023-01-01 821777558 CAROLINA MEADOWS HOME CARE INC CARO 9193707128 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 KEVIN A MCLEOD PRESIDENT AND CEO 9199424014 2024-10-16 1 1 KATHERINE A WARLICK P02065266 7049985200 2024-10-16 2023 2024-10-15 13:58:12Z KEVIN A MCLEOD 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 1543035 0 X WWW.CAROLINAMEADOWS.ORG X 2017 NC CAROLINA MEADOWS HOME CARE, INC. PROVIDES IN-HOME CARE SERVICES EXCLUSIVELY TO THE ELDERLY MAINLY BY HOME HEALTH AIDES LICENSED BY NC DEPT. OF HEALTH AND HUMAN SERVICES. 7 7 69 7 0 0 0 0 918648 1543035 0 0 0 0 918648 1543035 0 0 0 0 816314 1228061 0 0 0 40366 80899 856680 1308960 61968 234075 181994 350197 195242 129370 -13248 220827 X CAROLINA MEADOWS HOME CARE, INC. PROVIDES IN-HOME CARE SERVICES AND ACTS AS A TYPE II SUPPORTING ORGANIZATION FOR CAROLINA MEADOWS, INC. WHICH IS A LIFE PLAN COMMUNITY. SERVICES ARE PRIMARILY PROVIDED BY HOME HEALTH AIDES LICENSED BY N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND PROVIDED EXCLUSIVELY TO ELDERLY CLIENTS WHO RESIDE AT CAROLINA MEADOWS RETIREMENT COMMUNITY. 0 0 1160441 1543035 CAROLINA MEADOWS HOME CARE PROVIDES SUPPORT TO AS MANY CAROLINA MEADOWS RESIDENTS AS WOULD BENEFIT FROM ITS SERVICES. ACTIVITY'S OBJECTIVE: HOME CARE SERVICES WILL CONTINUE TO GROW TO PROVIDE INCREASED HOURS OF SUPPORT AT MATURITY. CURRENTLY APPROXIMATELY 1,600 TO 3,100 HOURS PER MONTH, DEPENDING ON NUMBER OF LARGE HOUR CASES AND AVAILABLE STAFFING. 1160441 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 69 0 69 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 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 27517 JOAN PELLETTIER MEMBER 1.00 3.00 X X 0 0 0 ANNE KISSEL MEMBER 1.00 3.00 X 0 0 0 STEVE MILLER MEMBER 1.00 3.00 X 0 0 0 ROBIN MCDUFFIE TREASURER 1.00 5.00 X 0 0 0 HUGH TILSON CHAIR 1.00 5.00 X 0 0 0 NANCY CHESCHEIR VICE CHAIR /SECRETARY 1.00 3.00 X 0 0 0 ROSEMARY WALDORF MEMBER 1.00 4.00 X 0 0 0 GARY LEVINE EXECUTIVE VICE PRESIDENT AND CFO 2.00 46.00 X 0 253794 21695 KEVIN MCLEOD PRESIDENT AND CEO 1.00 47.00 X 0 364439 24712 0 618233 46407 0 0 1 0 0 MEDICAL AND ANCILLARY 621610 1543035 1543035 1543035 1543035 1543035 0 0 1061330 946767 114563 14978 12211 2767 57267 53979 3288 94486 79359 15127 2250 2250 9638 9007 631 50769 45235 5534 57 37 20 9381 9381 MISCELLANEOUS 8804 4465 4339 1308960 1160441 148519 0 57866 145765 124128 204432 181994 350197 70541 94119 124701 35251 195242 129370 X -13248 220827 -13248 220827 181994 350197 234075 0 X 0 1 X 1 0 X X X 1 CAROLINA MEADOWS INC 561380014 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 DUE TO RELATED PARTIES 35251 35251 0 0 0 0 0 0 0 0 0 KEVIN MCLEOD PRESIDENT AND CEO 0 348562 0 0 0 15877 0 17775 0 6937 0 389151 0 0 GARY LEVINE EXECUTIVE VICE PRESIDENT AND CFO 0 235122 0 12056 0 6616 0 12229 0 9466 0 275489 0 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO IS SET BY A RELATED ORGANIZATION. IN DETERMINING THE CEO'S COMPENSATION, SALARY SURVEY DATA IS COMPILED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS USING A VARIETY OF COMPARABILITY DATA AND SALARY SURVEY DATA. QUESTIONNAIRES RELATING TO THE CEO'S PERFORMANCE ARE ALSO COMPLETED BY SENIOR STAFF AND BOARD MEMBERS. USING THE SURVEY DATA AND QUESTIONNAIRES AS BENCHMARKS, THE EXECUTIVE COMMITTEE SETS THE CEO'S COMPENSATION BASED ON PERFORMANCE AND WITHIN ESTABLISHED SALARY RANGES. FORM 990, PART VI, SECTION A, LINE 6 CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES, INC. ELECTS MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES, INC., AS SOLE MEMBER OF THE ORGANIZATION, HAS THE RIGHT OF FINAL APPROVAL ON ALL MAJOR BOARD DECISIONS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS AND APPROVED PRIOR TO FINALIZING AND FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST 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, PENDING 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., 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 2023. FORM 990, PART VI, SECTION C, LINE 18 WILL BE AVAILABLE UPON REQUEST AT MANAGEMENT OFFICES. FORM 990, PART VI, SECTION C, LINE 19 PROVIDED IN PUBLIC INSPECTION BINDER MADE AVAILABLE UPON REQUEST. DOCUMENTS INCLUDED IN THE BOARD OF DIRECTORS MINUTES AS WELL. ALL GOVERNING DOCUMENTS AVAILABLE ON REQUEST. CAROLINA MEADOWS SENIOR COMMUNITIES & SERVICES INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 821792692 PARENT COMPANY TO AFFILIATED ORGANIZATIONS NC 501(C)(3) LINE 12B, II YES 0 CAROLINA MEADOWS INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 561380014 CONTINUING CARE RETIREMENT COMMUNITY NC 501(C)(3) LINE 10 NO 0 CAROLINA MEADOWS FOUNDATION INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 825385916 CHARITABLE FOUNDATION NC 501(C)(3) LINE 12B, II NO 0 CAROLINA MEADOWS MANAGEMENT AND DEVELOPMENT SERVICES INC 100 CAROLINA MEADOWS CHAPEL HILL NC 27517 821768377 SENIOR LIVING MANAGEMENT DEVELOPMENT SERVICES NC CAROLINA MEADOWS SENIOR COMMUNITIES C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0