2024-10-18T17:09:03-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2023-01-01 561380014 CAROLINA MEADOWS INC CARO 9199424014 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 KEVIN A MCLEOD PRESIDENT AND CEO 9199424014 2024-10-18 1 1 KATHERINE A WARLICK P02065266 7049985200 2024-10-18 2023 2024-10-15 13:58:12Z KEVIN A MCLEOD 100 CAROLINA MEADOWS CHAPEL HILL NC 275178505 51485512 0 X WWW.CAROLINAMEADOWS.ORG X 1983 NC TO PROVIDE HOUSING, HEALTH CARE, AND OTHER SERVICES TO RESIDENTS THROUGH A LIFE PLAN COMMUNITY. 15 15 643 666 0 0 69270 250 44096679 47125775 1134957 1468172 29049 130543 45329955 48724740 298032 321865 0 0 24294520 25121205 0 0 0 20234440 21025026 44826992 46468096 502963 2256644 142729166 155663157 199455340 207187355 -56726174 -51524198 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 (CONTINUED ON SCHEDULE O)INITIATIVES, AS WELL AS PROVIDE HOUSING, HEALTH CARE AND OTHER RELATED SERVICES TO SENIOR ADULTS THROUGH THE OPERATION OF A LIFE PLAN COMMUNITY. 0 0 42285068 321865 47125775 IT IS THE BELIEF THAT IF CAROLINA MEADOWS CEASED TO EXIST, THE ORGANIZATION WOULD BE MISSED WITHIN THE LOCAL COMMUNITY AND THE BROADER COUNTY AREA BECAUSE CAROLINA MEADOWS IS THE 3RD LARGEST EMPLOYER AND THE 4TH LARGEST PROPERTY TAXPAYER IN CHATHAM COUNTY. CAROLINA MEADOWS SUPPORTS A VARIETY OF ORGANIZATIONS AND CAUSES WITHIN THE LOCAL COMMUNITY THAT ALIGN WITH THE GOALS AND BELIEFS OF THE ORGANIZATION, PAYING PARTICULAR ATTENTION TO THE FOLLOWING AREAS:CONTINUED ON SCHEDULE O.-CHATHAM COUNTY PROPERTY TAXES -PROVIDING CHARITY CARE FOR THE RESIDENTS OF CAROLINA MEADOWS-ADDRESSING LITERACY WITHIN ALL AGES OF KIDS AND ADULTS -ADDRESSING FOOD INSECURITY AND HUNGER, PARTICULARLY AMONG CHILDREN AND SENIOR CITIZENS-CONTRIBUTING TO UNITED WAY OF CHATHAM COUNTY AS PART OF A JOINT RESIDENT-ORGANIZATIONAL CAMPAIGN-VALIDATING THE IMPORTANCE OF THE ARTS THROUGH THE CHATHAM ARTIST IN RESIDENCE PROGRAM-SUPPORTING WORKFORCE DEVELOPMENT, INCREASING HOUSING SUPPLY AND AFFORDABILITY, AND SUPPORTING SMALL BUSINESS DEVELOPMENT THROUGH A 5-YEAR, $50,000 PLEDGE FOR A GREATER CHAPEL HILL-CARRBORO CAMPAIGN THROUGH THE CHAPEL HILL CHAMBER OF COMMERCECAROLINA MEADOWS HAS BEEN COMMITTED, SINCE INCEPTION, TO PAYING PROPERTY TAXES ON ITS PROPERTY SINCE THE CAMPUS WAS INITIALLY DEVELOPED THROUGH BANK LOANS AND ENTRY FEES RECEIVED FROM SALE OF INDEPENDENT LIVING UNITS AS THE CAMPUS WAS BUILT OUT OVER THE YEARS. ALL THE INDEPENDENT LIVING UNITS AND THE CURRENT SKILLED NURSING FACILITY WERE FINANCED WITH TRADITIONAL BANK LOANS OR USING FIRST-GENERATION INDEPENDENT LIVING UNIT ENTRY FEES TO PAY FOR THE COST OF CONSTRUCTION. CAROLINA MEADOWS BELIEVES IT BENEFITS GREATLY BY SUPPORTING THE EMERGENCY MANAGEMENT AND COMMUNICATIONS, FIRE MARSHALL, SHERIFF, ENVIRONMENTAL HEALTH AND QUALITY, AGING SERVICES, AND PUBLIC HEALTH DEPARTMENTS WITHIN CHATHAM COUNTY THROUGH ITS ANNUAL PAYMENT OF PROPERTY TAXES. PROPERTY TAXES ARE BUDGETED ANNUALLY AND ARE INCLUDED IN THE MONTHLY FEES PAID BY THE RESIDENTS OF CAROLINA MEADOWS. CAROLINA MEADOWS IS COMMITTED TO PROVIDING FREE HOUSING AND SERVICES TO RESIDENTS WHO MAY HAVE EXHAUSTED THEIR ASSETS THROUGH NO FAULT OF THEIR OWN AND NEED FINANCIAL ASSISTANCE TO COVER THE COST OF HOUSING AND SERVICES. IN ANY GIVEN YEAR, CAROLINA MEADOWS PAYS THE FULL COST OF CARE FOR FIVE TO SIX RESIDENTS WHO HAVE OUTLIVED THEIR FINANCIAL RESOURCES. THE CAROLINA MEADOWS RESIDENTS ASSOCIATION AND CAROLINA MEADOWS, INC. WORK COLLABORATIVELY ON THREE KEY CHARITABLE EVENTS: PBS (FORMERLY UNC TV), CHATHAM COUNTY OUTREACH ALLIANCE (CORA), AND UNITED WAY OF CHATHAM COUNTY. RESIDENTS ALSO PROVIDE SIGNIFICANT VOLUNTEER HOURS TO LOCAL NONPROFIT ORGANIZATIONS IN CHATHAM COUNTY. THE FOLLOWING TABLE REFLECTS THE VOLUNTARY PAYMENTS TO CHATHAM COUNTY, DIRECT FINANCIAL SUPPORT OF LOCAL NONPROFIT ORGANIZATIONS AND PROGRAMS THAT CAROLINA MEADOWS BELIEVES WILL BENEFIT THE LARGER COMMUNITY, BENEVOLENT CARE PROVIDED TO CAROLINA MEADOWS RESIDENTS, AS WELL AS VOLUNTEER HOURS PROVIDED BY CAROLINA MEADOWS' EMPLOYEES TO A VARIETY OF NONPROFIT ORGANIZATIONS TO GOVERNMENT AGENCIES AND CHARITABLE ORGANIZATIONS. DONATION AMOUNTS FOR 2023 ARE AS FOLLOWS:~ CHATHAM COUNTY PROPERTY TAXES$1,229,425~ CHARITY CARE TO CAROLINA MEADOWS RESIDENTS $237,792~ CHATHAM COUNTY LITERACY COUNCIL $12,309~ RISE AGAINST HUNGER $12,000~ CHATHAM COUNTY COUNCIL ON AGING $500~ UNITED WAY OF CHATHAM COUNTY $5,000~ CHATHAM ARTS COUNCIL ARTIST IN RESIDENCE PROGRAM $5,000~ CAMPAIGN FOR A GREATER CHAPEL HILL-CARRBORO (5-YEAR PLEDGE) $10,000~ CHATHAM COUNTY OUTREACH ALLIANCE (CORA) FOOD PANTRY FOR HUNGER RELIEF $2,500~ PBS NORTH CAROLINA (UNC TV) $2,500~ NC LGBT+ ALLIED CHAMBER OF COMMERCE$3,395~ CHATHAM EDUCATION FOUNDATION $2,000~ SALVATION ARMY CHATHAM COUNTY SERVICE CENTER $2,000~ CHATHAM COUNTY CHAMBER OF COMMERCE $2,225~ CHATHAM CARES COMMUNITY PHARMACY $1,500~ NORTH CHATHAM FIRE DEPARTMENT$2,000~ CHATHAM COUNTY HABITAT FOR HUMANITY $1,500~ SECOND BLOOM OF CHATHAM (FAMILY VIOLENCE PREVENTION CENTER)$1,500~ DURHAM TECH COMMUNITY COLLEGE $1,000~ CAROLINA TIGER RESCUE $1,000~ SEAFORTH HEALTH OCCUPATION STUDENTS OF AMERICA $1,000~ CHATHAM CHAMBER OF COMMERCE $700~ ORANGE COUNTY ARTS ALLIANCE$500~ OTHER CHARITABLE DONATIONS $26,660 ~ TOTAL CORPORATE FINANCIAL SUPPORT$1,564,006 ~ EMPLOYEE SERVICE EQUIVALENT IN-KIND DONATIONS TO NUMEROUS CHARITIES AND AREA EVENTS $49,485 ~ TOTAL CORPORATE AND IN-KIND SUPPORT $1,613,491 FITNESS CENTER:THE FITNESS CENTER, POOL, MEDITATION LABYRINTH, NINE-HOLE GOLF COURSE, TENNIS, PICKLEBALL, BASKETBALL HOOP, CROQUET AND BOCCE COURT AMENITIES WERE AVAILABLE THROUGHOUT 2023.WE OFFERED ON AVERAGE 20 CLASSES BOTH IN PERSON AND THROUGH ZOOM IN OUR INDEPENDENT LIVING SETTING. DAILY CLASSES WERE OFFERED IN THE HIGHER LEVELS OF CARE 5 DAYS A WEEK.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 FALL PREVENTION EXPO EVENT. INDIVIDUAL EQUIPMENT ORIENTATIONS AT NO COST. PERSONALIZED TRAINING SESSIONS IN INDEPENDENT, ASSISTED AND SKILLED SETTINGS WITH A MONTHLY AVERAGE OF 44 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.TWO WEEKLY CLASSES ARE OFFERED FOR EMPLOYEES AND WALKING CHALLENGES. AMENITIES ARE AVAILABLE FOR STAFF USE.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, BOXING FOR MOBILITY 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 EIGHT 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. WE ALSO OFFER HEALTH COACHING SERVICES INCLUDING A NINE-WEEK GROUP PROGRAM TWICE A YEAR. 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.PHYSICAL PLANT SERVICES:THE PHYSICAL PLANT ANNUALLY TURNS OVER AN AVERAGE OF APPROXIMATELY 40 EXISTING INDEPENDENT LIVING UNITS FOR NEW RESIDENTS. EACH UNIT IS REFURBISHED TO NEW OR LIKE-NEW CONDITION FOR THE INCOMING RESIDENT/S. FOR 2023, THERE WERE 14,694 COMPLETED WORK ORDERS FOR INDEPENDENT LIVING RESIDENTS, 1,602 FOR SKILLED NURSING RESIDENTS, AND 2,268 FOR ASSISTED LIVING RESIDENTS. THERE WERE ALSO 3,818 COMMUNITY-WIDE WORK ORDERS COMPLETED INCLUSIVE OF SPECIAL PROJECTS, SECURITY RESPONSES, AND TRASH PICKUP. TOTAL WORKS ORDERS COMPLETED FOR 2023 EQUALED 22,382.DINING SERVICES:DINING SERVICES PROVIDES RESIDENT MEALS DAILY FOR ALL OUR LEVELS OF CARE. FOR RESIDENTS, APPROXIMATELY 83.010 MEALS ANNUALLY WERE SERVED IN SKILLED NURSING, 77,953 IN ASSISTED LIVING, AND 121,605 FOR INDEPENDENT LIVING, FOR A TOTAL OF 282,568 ANNUAL RESIDENT MEALS. ADDITIONAL ANNUAL TOTALS OF APPROXIMATELY 10,693 GUEST MEALS AND 32,138 EMPLOYEE MEALS ARE SERVED ACROSS CAMPUS. TOTAL ANNUAL MEALS SERVED ACROSS CAMPUS FOR 2023 EQUAL APPROXIMATELY 325,399.ACTIVITIES/LIFE ENRICHMENT:BOTH STAFF AND RESIDENTS ARE ABLE TO ARRANGE ACTIVITIES, OFFERINGS ARE DESIGNED TO MEET INTEREST FOR SOCIAL, INTELLECTUAL, SPIRITUAL AND EMOTIONAL NEEDS.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 FORUM. ATTENDANCE FOR THESE PROGRAMS RANGE UPWARDS FROM 75 RESIDENTS EACH, WITH SPECIAL EVENTS OFTEN DRAWING OVER 200 RESIDENTS. 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 FOR THE MEMORY SUPPORT ENVIRONMENT WITHIN ASSISTED LIVING DESIGNED TO MEET THE PSYCHOSOCIAL NEEDS OF THE RESIDENTS AND TO FACILITATE ENGAGEMENT. 42285068 1 0 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 94 0 643 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 STEVE MILLER MEMBER 2.00 2.00 X 0 0 0 KEVIN TUNICK MEMBER 2.00 1.00 X 0 0 0 NANCY CHESCHEIR VICE CHAIR 2.00 2.00 X X 0 0 0 RALPH KARPINOS MEMBER 2.00 1.00 X 0 0 0 LEAH OGDEN MEMBER 2.00 1.00 X 0 0 0 HUGH TILSON MEMBER 2.00 4.00 X 0 0 0 BILL LEHRBURGER MEMBER 2.00 2.00 X 0 0 0 RICHARD GURLITZ MEMBER 2.00 3.00 X 0 0 0 PICKETT GUTHRIE SECRETARY 2.00 2.00 X X 0 0 0 GREGORY HERMAN-GIDDENS CHAIR 2.00 1.00 X X 0 0 0 ROBIN MCDUFFIE TREASURER 2.00 4.00 X X 0 0 0 ROSEMARY WALDORF MEMBER 2.00 3.00 X 0 0 0 DR BRYAN MEMBER 2.00 3.00 X 0 0 0 ARON SILVERSTONE MEMBER 2.00 2.00 X 0 0 0 JUDITH KRAMER MEMBER 2.00 X 0 0 0 JUDY JONES EX-OFFICIO 2.00 1.00 X 0 0 0 KEVIN MCLEOD PRESIDENT AND CEO 40.00 8.00 X 364439 0 24712 BENJAMIN CORNTHWAITE CHIEF OPERATING OFFICER 40.00 X 272371 0 27368 GARY LEVINE EXECUTIVE VICE PRESIDENT AND CFO 40.00 8.00 X 253794 0 21695 DONNA MILLER MEDICAL DIRECTOR 40.00 X 268943 0 19467 MELISSA KASS VICE PRESIDENT - MARKETING 40.00 X 181293 0 10581 DANIEL CAMARA VP - PHYSICAL PLANT 40.00 X 162007 0 14096 LUIS SIBRIAN CNA 40.00 X 146575 0 8908 SHELLI GIARDINO VP - HUMAN RESOURCES 40.00 X 145727 0 14260 CAROLYN TWISDALE DIRECTOR OF FINANCE AND ACCOUNTING 40.00 X 173671 0 2470 1968820 0 143557 23 0 1 0 US FOODSERVICE PO BOX 602211 CHARLOTTE NC 28260 FOOD SUPPLIER 1928244 PERKINS EASTMAN ARCHITECTS DPC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTURAL DESIGN SERVICES 1419860 CHATHAM CARPET & INTERIORS INC 50 STILL WATERS DRIVE SILER CITY NC 27344 CARPET AND FLOORING SUPPLIER 786257 MARSH KITCHEN & BATH 2503 GREENGATE DRIVE GREENSBORO NC 27406 KITCHEN AND BATHROOM COUNTERTOPS AND FIX 725058 BUD MATTHEWS SERVICE INC 545 OLD FARRINGTON ROAD CHAPEL HILL NC 27517 PLUMBING AND HVAC SERVICES 711529 36 250 250 INDEPENDENT LIVING REV 623000 23135827 23135827 HEALTH CARE CENTER REV 623000 11012672 11012672 ASSISTED LIVING REV 623000 7182951 7182951 DINING 623000 2489506 2489506 REFURBISHING 623000 1800539 1800539 1504280 1504280 47125775 974828 974828 12377 0 12377 12377 12377 3254116 2760772 493344 493344 493344 MISCELLANEOUS 623000 118166 118166 118166 48724740 47125775 0 1598715 84073 84073 237792 237792 890604 195933 694671 19437191 18457672 979519 507184 413502 93682 2954929 2785285 169644 1331297 1118155 213142 65679 46900 18779 89961 89961 187734 187734 2830536 2811124 19412 53342 11664 41678 1519468 1353836 165632 68431 68431 3082402 2080831 1001571 156194 100838 55356 24229 14038 10191 140616 140616 5846589 5846589 30202 30202 FOOD COSTS 2770604 2770604 SHARED APPRECIATION 2264933 2264933 REPAIRS & MAINTENANCE 1014677 1014677 UPGRADES & MODIFICATION 96438 96438 782991 409366 373625 46468096 42285068 4183028 0 771485 6357129 2269443 2350108 383839 397156 304935 445346 200540894 93232203 104413351 107308691 33085842 37534903 1500271 1269824 142729166 155663157 3213198 5300281 10389164 9680309 479168 527208 185373810 191679557 199455340 207187355 X -56726174 -51524198 -56726174 -51524198 142729166 155663157 X 2256644 3114963 -169631 X 0 1 X 1 0 X 473718 833229 438125 69270 250 1814592 37837600 40559275 39769538 44096679 47125775 209388867 38311318 41392504 40207663 44165949 47126025 211203459 0 0 0 211203459 680386 697497 1005125 1113439 987205 4483652 680386 697497 1005125 1113439 987205 4483652 10200 23402 13908 17031 118166 182707 39001904 42113403 41226696 45296419 48231396 215869818 0.97840 0.98020 0.02080 0.01940 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANOUS - 2019 AMOUNT: $ 10,200. 2020 AMOUNT: $ 23,402. 2021 AMOUNT: $ 13,908. 2022 AMOUNT: $ 17,031. 2023 AMOUNT: $ 118,166. 0 479168 48040 527208 1 X 2469975 2469975 168340420 77115473 91224947 18467741 10841067 7626674 11262758 5275663 5987095 107308691 INVESTMENTS AND ASSETS WHOSE USE IS LIMITED 37534903 F 37534903 OTHER DEFERRED REVENUE 2017537 DEPOSITS ON OCCUPIED UNITS 4454520 ADVANCED FEE LIABILITY 185207500 191679557 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, 2023 AND 2022, AGENCY FUNDS DUE RESIDENTS WERE APPROXIMATELY $527,000 AND $479,000, 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, 2023 1 CHATHAM COUNTY LITERACY COUNCIL PO BOX 1696 PITTSBORO NC 27312 581870076 501(C)(3) 12309 0 GENERAL SUPPORT RISE AGAINST HUNGER 3733 NATIONAL DRIVE SUITE 200 RALEIGH NC 27612 161541024 501(C)(3) 12000 0 GENERAL SUPPORT RESIDENT FINANCIAL ASSISTANCE 4 237792 BOOK VALUE CNA SCHOLARSHIP PROGRAM 5 12895 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 PRESIDENT AND CEO 348562 0 0 0 15877 0 17775 0 6937 0 389151 0 0 0 BENJAMIN CORNTHWAITE CHIEF OPERATING OFFICER 249154 0 17056 0 6161 0 13168 0 14200 0 299739 0 0 0 DONNA MILLER MEDICAL DIRECTOR 254601 0 12056 0 2286 0 13051 0 6416 0 288410 0 0 0 GARY LEVINE EXECUTIVE VICE PRESIDENT AND CFO 235122 0 12056 0 6616 0 12229 0 9466 0 275489 0 0 0 MELISSA KASS VICE PRESIDENT - MARKETING 168348 0 12056 0 889 0 7065 0 3516 0 191874 0 0 0 CAROLYN TWISDALE DIRECTOR OF FINANCE AND ACCOUNTING 172962 0 0 0 709 0 680 0 1790 0 176141 0 0 0 DANIEL CAMARA VP - PHYSICAL PLANT 148663 0 12056 0 1288 0 7681 0 6415 0 176103 0 0 0 SHELLI GIARDINO VP - HUMAN RESOURCES 133098 0 12056 0 573 0 6991 0 7269 0 159987 0 0 0 LUIS SIBRIAN CNA 145559 0 850 0 166 0 7144 0 1764 0 155483 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 2865000 12700000 217643 12482357 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 1 1 TRUIST 11.000000000000 0 0 0 0 1 A 1 FORM 990, PART III, LINE 4A SKILLED NURSING PROVIDES TWO SEPARATE DAILY PROGRAMS CONSISTING OF APPROXIMATELY TEN TO FIFTEEN RESIDENTS WITH MODERATE TO SEVERE MEMORY IMPAIRMENT ARE SERVED DAILY WHILE FIVE TO TEN RESIDENTS WITH RELATIVELY INTACT COGNITION. THERE IS ALSO A MUSIC AND MEMORY PROGRAM UTILIZING INDIVIDUALIZED MUSIC TO SERVE BOTH SKILLED NURSING AND MEMORY CARE RESIDENTS. VOLUNTEERS SUPPLEMENT STAFF MEMBERS TO ENHANCE PROGRAMMING AND QUALITY OF LIFE. ENVIRONMENTAL SERVICES: IN ADDITION TO CLEANING ALL COMMON AREAS AND PROVIDING DAILY SERVICE TO ALL SKILLED NURSING AND ASSISTED LIVING RESIDENTS, ENVIRONMENTAL SERVICES ALSO PROVIDES SERVICE TO APPROXIMATELY 192 INDEPENDENT LIVING RESIDENTS PER MONTH. APPROXIMATELY 60 POUNDS OF LINEN ARE WASHED, DRIED AND IRONED DAILY FOR THE CLUB CENTER DINING ROOMS, IN ADDITION TO LINENS PROVIDED IN THE SKILLED NURSING AND ASSISTED LIVING FACILITIES. TRANSPORTATION: TRANSPORTATION IS PROVIDED TO RESIDENTS AS NEEDED WITH A VARIETY OF VEHICLES, INCLUDING HYBRID SUVS AND HANDICAPPED ASSISTED VANS. INFORMATION TECHNOLOGY: INFORMATION TECHNOLOGY SERVICES ARE PROVIDED TO ALL RESIDENTS UPON REQUEST FOR ISSUES INCLUDING INTERNET, COMPUTER, TECH DEVICES, CABLE TELEVISION, AND PHONE SERVICES. THERE IS ALSO HELP PROVIDED TO ALL NEW INCOMING RESIDENTS AT THE TIME THEY MOVE ONTO CAMPUS. THE DEDICATED RESIDENT SUPPORT SPECIALIST POSITION PROVIDES COMPLETION OF TWELVE TO FIFTEEN RESIDENT SERVICE WORK ORDER TICKETS DAILY. PROPERTY TAXES: FOR 2023, VOLUNTARY PROPERTY TAXES OF $1,229,425 WERE PAID TO SUPPORT NEEDED INFRASTRUCTURE TO BENEFIT 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 THE 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 2023. 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 -169,631. TRANSFER OF NET ASSETS 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