2022-02-14T08:36:59-06:00 2021-03-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2020-04-01 560963926 MORAVIAN HOME INCORPORATED DBA SALEMTOWNE MORA 3367678130 1000 SALEMTOWNE DRIVE WINSTONSALEM NC 27106 FLOYD C DICKEY INTERIM CFO 3367678130 2022-02-14 1 FLOYD DICKEY 999009999 AMY BIBBY P00445891 8282542254 2022-02-14 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SALEMTOWNE MARK STEELE 1000 SALEMTOWNE DRIVE WINSTONSALEM NC 27106 33077766 0 X WWW.SALEMTOWNE.ORG X 1971 NC LONG TERM CARE FOR THE ELDERLY 16 14 459 25 0 0 778701 1608092 26985846 28952567 2076149 2277052 324728 239407 30165424 33077118 320789 813480 0 0 13733001 14378839 0 0 118705 18324493 20262204 32378283 35454523 -2212859 -2377405 143877398 137193397 135219627 127986773 8657771 9206624 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 27655184 584444 28952567 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. 229036 229036 PROVIDED FINANCIAL ASSISTANCE FOR RESIDENTS MOVING THROUGH THE CONTINUUM OF CARE AT SALEMTOWNE. PROVIDED FINANCIAL ASSISTANCE FOR DIRECT ADMISSIONS TO INDEPENDENT LIVING, THE ASSISTED LIVING CENTER & THE HEALTH CARE CENTER AT SALEMTOWNE. 27884220 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 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 54 0 1 459 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 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 BRIAN TUCKMANTEL 3367142141 1000 SALEMTOWNE DRIVE WINSTONSALEM NC 27106 CHRIS PERRY CHAIRMAN 1.00 X X 0 0 0 JOHN GEIS VICE CHAIR 1.00 X X 0 0 0 JOHN ELSTER TREASURER 1.00 X X 0 0 0 REV F KEITH STIREWALT SECRETARY 1.00 X X 0 0 0 ANN BAREFIELD BOARD MEMBER 1.00 X 0 0 0 BETTY C PETREE BOARD MEMBER 1.00 X 0 0 0 KIMBERLY H STOGNER BOARD MEMBER 1.00 X 0 0 0 CORLIS SELLERS-DRUMMOND BOARD MEMBER 1.00 X 0 0 0 REV GRAHAM RIGHTS BOARD MEMBER 1.00 X 0 0 0 PATTI STOLTZ BOARD MEMBER 1.00 X 0 0 0 JOHN FERGUSON BOARD MEMBER 1.00 X 0 0 0 KATHLEEN O'BRIEN BOARD MEMBER 1.00 X 0 0 0 MARTY EDWARDS BOARD MEMBER 1.00 X 0 0 0 CHIP MIMS BOARD MEMBER 1.00 X 0 0 0 MATTHEW DOLGE BOARD MEMBER 1.00 X 0 0 0 EDWARD J III LEWIS BOARD MEMBER 1.00 X 0 0 0 MARK A STEELE CEO 40.00 X 329783 0 29229 BRIAN TUCKMANTEL CFO 40.00 X 188004 0 23623 KATHY WILSON DIR HR AND COMPLIANCE 40.00 X 132579 0 13454 JOSEPH YOON ADMINISTRATOR 40.00 X 142365 0 14258 ANN NICOLETTE BURRIS MARKETING DIRECTOR 40.00 X 140425 0 14391 DICKEY CHAM CONTROLLER 40.00 X 108106 0 6639 CLYDE J CHRISTMAS GM CULINARY SERVICES 40.00 X 107798 0 8360 1149060 0 109954 7 0 1 0 SODEXO INC PO BOX 360170 PITTSBURGH PA 152516170 CONTRACT MAINTENANCE AND HOUSEKEEPING MA 738641 FRANK L BLUM CONSTRUCTION CO PO BOX 4153 WINSTONSALEM NC 27115 CONSTRUCTION 445955 INNOVATIVE TECHNOLOGY SOLUTIONS LLC 6522 AIRPORT CENTER DRIVE GREENSBORO NC 27409 IT SUPPORT 318690 WOOD HOME IMPROVEMENT INC 480 DULIN ROAD MOCKSVILLE NC 27028 CONSTRUCTION 307245 BETA BUILDERS LLC PO BOX 11528 WINSTON SALEM NC 27116 CONSTRUCTION 244538 8 998943 609149 1608092 RESIDENT SERVICES 623000 24599166 24599166 AMORT. OF ADVANCE FEES 623000 3921677 3921677 NAVIGATION REVENUE 623000 431724 431724 28952567 537191 537191 1740509 0 648 1740509 -648 1739861 1739861 MISCELLANEOUS INCOME 900099 239407 239407 239407 33077118 28952567 0 2516459 584444 584444 229036 229036 650366 520293 130073 11539019 7423412 4015220 100387 202842 94875 107967 1095432 669085 426347 891180 545167 346013 52742 52742 159350 159350 3296056 2738243 557797 16 271400 53480 215157 2763 1657688 999210 658478 387146 4030 371522 11594 1030421 1028544 1877 31800 18961 10839 2000 4425013 4425013 6293647 6293647 271654 271654 FOOD 1513153 1513153 HEALTHCARE SUPPLIES & S 500322 500322 BAD DEBT 167743 167743 COVID-19 136320 46660 89660 67749 28902 36902 1945 35454523 27884220 7451598 118705 945793 1858378 127395 629126 3197026 1314280 51644 62888 313048 291515 144249440 42741340 105054234 101508100 31352653 28507143 2835605 3021967 143877398 137193397 5176662 2950951 20433240 30717992 101435513 86738622 132449 94936 1500000 182164 6541763 7302108 135219627 127986773 X 5193209 4745947 3464562 4460677 8657771 9206624 143877398 137193397 X -2377405 2521217 405041 X X 0 1 X 1 0 X 880262 1036759 943963 778701 998943 4638628 18791815 21670423 25558851 26665057 28723531 121409677 385676 533808 249321 324728 239407 1732940 20057753 23240990 26752135 27768486 29961881 127781245 346000 330845 91552 85732 92230 946359 0 346000 330845 91552 85732 92230 946359 126834886 234811 295800 921819 620230 537191 2609851 234811 295800 921819 620230 537191 2609851 20292564 23536790 27673954 28388716 30499072 130391096 0.97270 0.97220 0.02000 0.01970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 25.00 1 1 1 0 10770109 561688 767422 257042 11842177 11005237 382996 -65686 552438 10770109 10824517 443467 -18807 243940 11005237 11746617 798252 486860 2207212 10824517 11992952 628463 159386 1034184 11746617 0.68000 0.24000 0.08000 0 0 3468962 3468962 131961275 40437732 91523543 6297220 1929697 4367523 2521983 373911 2148072 101508100 DEPOSITS 429778 REFUNDABLE ADVANCE FEES 2085706 BOND INTEREST PAYABLE 2273569 PPP FUNDING 2513055 7302108 X 35617245 2521217 18910 2540127 33077118 0 33077118 35068392 -167095 -167095 35235487 219036 219036 35454523 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, 2021. 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 415,041. GAIN/LOSS ON FIXED ASSETS 648. BAD DEBT -167,743. BENEVOLENT ASSISTANCE NETTED IN REVENUE IN FS -229,036. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON FIXED ASSETS 648. BAD DEBT -167,743. PART XII, LINE 4B - OTHER ADJUSTMENTS: BENEVOLENT ASSISTANCE NETTED IN REVENUE IN FS 229,036. LOSS ON ASSET IMPAIRMENT -10,000. 1 MORAVIAN MINISTRIES FOUNDATION 119 BROOKSTOWN AVENUE STE 305 WINSTON SALEM NC 27101 562108469 501(C)(3) 450000 CHARITABLE DISBURSEMENT WINSTON SALEM FOUNDATION 751 W FOURTH STREET NO 200 WINSTON SALEM NC 27101 566037615 501(C)(3) 100200 ESTABLISH SUPPORT FUND 2 BENEVOLENT ASSISTANCE 5 229036 FMV SCHEDULE I, PART I, LINE 2: RESIDENTS - RESIDENTS MUST APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE VERIFICATION OF ASSETS AND INCOME. APPLICANTS APPROVED FOR FINANCIAL ASSISTANCE MUST SIGN A FINANCIAL ASSISTANCE AGREEMENT OUTLINING THE TERMS AND CONDITIONS OF THE PROGRAM. FINANCIAL ASSISTANCE TOTALS ARE LISTED AS PART OF THE FINANCIAL STATEMENT PACKAGE FOR THE BOARD OF TRUSTEES AND OFFICERS OF THE ORGANIZATION. OUTSIDE ORGANIZATIONS - SALEMTOWNE CHOOSES TO GIVE TO WELL ESTABLISHED NON-PROFIT ORGANIZATIONS IN GOOD STANDING WITH THE IRS WHO SUPPORT AND/OR ENHANCE OUR MISSION AND VALUES. IT IS THE MISSION OF SALEMTOWNE AND ITS OUTREACH PROGRAM TO PROVIDE HOUSING AND SERVICES FOR RESIDENTS WHO HAVE OUTLIVED THEIR RESOURCES, RESOURCES FOR SERVICES, PROGRAMS AND EDUCATION THAT ENHANCE THE QUALITY OF LIVING AND CARE FOR THE SENIOR CITIZENS OF PIEDMONT NORTH CAROLINA. SALEMTOWNE STRIVES TO SHARE ITS EXPERTISE IN THE AREA OF AGING BY OFFERING EDUCATION AND TRAINING TO SENIORS, FAMILIES AND CARE GIVERS; BY UTILIZING ITS TIME, TALENTS, AND FACILITIES FOR PROGRAMS AND EDUCATION; AND BY SPONSORING PROGRAMS OF ORGANIZATIONS AND ASSOCIATIONS DEDICATED TO SENIOR ADVOCACY. X 0 0 X X X X 0 0 0 0 0 0 0 0 0 MARK A STEELE CEO 329783 0 0 0 0 0 11400 0 17829 0 359012 0 0 0 BRIAN TUCKMANTEL CFO 188004 0 0 0 0 0 7950 0 15673 0 211627 0 0 0 JOSEPH YOON ADMINISTRATOR 142365 0 0 0 0 0 5582 0 8676 0 156623 0 0 0 ANN NICOLETTE BURRIS MARKETING DIRECTOR 140425 0 0 0 0 0 5715 0 8676 0 154816 0 0 0 PART I, LINE 1A CEO IS AN ORDAINED MINISTER AND A PORTION OF HIS COMPENSATION IS DETERMINED BY THE BOARD TO BE A PARSONAGE. MARK STEELE - $43,769.22 THE HOUSING ALLOWANCE WAS INCLUDED IN THEIR TAXABLE WAGES. 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 1680000 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 13192 REPORTABLE COMPENSATION-ASSISTANT ADMINISTRATOR 0 FORM 990, PART VI, SECTION A, LINE 7A THE QUADRENNIEL MEETING OF THE MORAVIAN CHURCH IN AMERICA, SOUTHERN PROVINCE (KNOWN AS SYNOD) ELECTS FOUR MEMBERS TO THE BOARD. 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 XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 415,041. LOSS ON ASSET IMPAIRMENT -10,000. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.