2021-05-13T16:12:19-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-01-01 566064186 THE PRESBYTERIAN HOME AT CHARLOTTE INC PRES 7045531670 5100 SHARON ROAD CHARLOTTE NC 28210 ANNE MOFFAT PRESIDENT AND CEO 7045531670 2021-05-07 1 ANNE MOFFAT 999009999 JOHN NORMAN P01506766 7049985200 2021-05-07 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANNE MOFFAT 5100 SHARON ROAD CHARLOTTE NC 28210 36057330 0 X HTTPS://SHARONTOWERS.ORG/ X 1969 NC WE ENRICH RESIDENTS' LIVES BY PROVIDIING A NURTURING ENVIRONMENT WITH JOY, PURPOSE, AND WELL-BEING 22 22 404 75 0 0 3929199 2186836 26840235 26500784 1104929 1638859 0 347874 31874363 30674353 1429745 1322071 0 0 12113568 11721058 84986 38723 188467 10496196 11709437 24124495 24791289 7749868 5883064 177552190 190422797 120570417 126255168 56981773 64167629 WE ENRICH THE LIVES OF THOSE WE SERVE BY PROVIDING A NURTURING ENVIRONMENT THAT FOSTERS JOY, PURPOSE, AND WELL-BEING. 0 0 23789900 1322071 26848658 THE PRESBYTERIAN HOME AT CHARLOTTE, INC. PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RETIREMENT FACILITY WHICH AT DECEMBER 31, 2020, CONTAINED 214 INDEPENDENT LIVING UNITS, 40 ASSISTED LIVING UNITS, AND A 96 BED HEALTH CARE CENTER (24 HEALTH CARE BEDS OUT OF SERVICE DURING CONSTRUCTION). 23789900 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 24 0 404 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X CHARLES R GASKINS 7045531670 5100 SHARON ROAD CHARLOTTE NC 28210 DOUGLAS K BRADLEY CHAIR 1.00 X X 0 0 0 JOHN E BURTON JR SECRETARY 1.00 X X 0 0 0 JOHN J CARPENTER DIRECTOR 1.00 X 0 0 0 SUSAN M GOODMAN DIRECTOR 1.00 X 0 0 0 MICHAEL W FISCHER PAST-CHAIR 1.00 X X 0 0 0 MILDRED P FOLK DIRECTOR 1.00 X 0 0 0 ROBERTA L HARPER DIRECTOR 1.00 X 0 0 0 TIMOTHY J IGNASHER DIRECTOR 1.00 X 0 0 0 ROBERT A JONES TREASURER 1.00 X X 0 0 0 EDWARD S BOOHER DIRECTOR 1.00 X 0 0 0 VIRGINIA L KELLY DIRECTOR 1.00 X 0 0 0 ADELAIDE A DAVIS DIRECTOR 1.00 X 0 0 0 E JUDSON MCADAMS DIRECTOR 1.00 X 0 0 0 RHONDA R MCCLAIN DIRECTOR 1.00 X 0 0 0 HAYDEN MCMAHON JR DIRECTOR 1.00 X 0 0 0 RICHARD L NICHOLS CHAIR-ELECT 1.00 X X 0 0 0 KATHERINE K RICHARDS DIRECTOR 1.00 X 0 0 0 ROBERT S HUDSPETH DIRECTOR 1.00 X 0 0 0 CURTIS L TRENKELBACH DIRECTOR 1.00 X 0 0 0 THECKLA D STERRETT DIRECTOR 1.00 X 0 0 0 R CHRISTOPHER THOMAS DIRECTOR 1.00 X 0 0 0 VELVA W WOOLLEN DIRECTOR 1.00 X 0 0 0 ANNE MOFFAT EXEC DIRECTOR 40.00 X 258198 0 20194 CHARLES R GASKINS CFO 40.00 X 193844 0 18405 ANGELA RIGSBEE COO 40.00 X 160426 0 15435 MILTON MCGOWIAN DIRECTOR OF DINING SERVICES 40.00 X 101450 0 15801 CORY STEPANSKI DIRECTOR OF FACILITY SERVICES 40.00 X 114889 0 16987 OTIS AMERSON PROJECT MANAGER 40.00 X 124236 0 11098 953043 0 97920 6 0 1 0 MESSER CONSTRUCTION 2400 EXECUTIVE STREET CHARLOTTE NC 28208 CONSTRUCTION 24933305 ROSS ALLEN BUILDERS 8260-1200 PROVIDENCE ROAD 384 CHARLOTTE NC 28210 CONSTRUCTION 3490974 HEALTHPRO HERITAGE 536 OLD HOWELL ROAD GREENVILLE NC 29615 THERAPY SERVICES 1043425 US FOOD SERVICE PO BOX 602286 CHARLOTTE NC 28260 FOOD SERVICE 972967 ENVIRONMENTAL SERVICES OF CHARLOTTE 2101 SOUTH TRYON STREET CHARLOTTE NC 28203 ENVIRONMENTAL SERVICES 775724 18 2186836 71636 2186836 INDEPENDENT LIVING 623990 9682688 9682688 HEALTH CARE 623990 6862286 6862286 ENTRANCE FEES 623990 5860819 5860819 ASSISTED LIVING 623990 2191313 2191313 OTHER RESIDENT SERVICE 923990 1903678 1903678 26500784 787942 787942 6231994 1900 4671035 711942 1560959 -710042 850917 850917 347874 347874 347874 30674353 26848658 0 1638859 429757 429757 892314 892314 9488448 8709757 703818 74873 1573302 1492801 66341 14160 659308 609869 42763 6676 38723 38723 260796 260796 369360 368626 734 115963 115963 3723402 3723402 432039 432039 HOUSEKEEPING & MAINTENA 2168747 2167668 1079 HEALTH CARE SUPPLIES 1358400 1358400 FOOD & DIETARY 1187860 1187860 UTILITIES & COMMUNICATI 972960 971960 1000 1119910 1068688 51222 24791289 23789900 812922 188467 7937861 9209737 1446780 246498 1314781 1079053 378510 351730 99940322 41545297 58560042 58395025 23650358 32807809 84263858 88332945 177552190 190422797 2363593 4171628 82364220 83563985 35842604 38519555 120570417 126255168 X 50247816 57544157 6733957 6623472 56981773 64167629 177552190 190422797 5883064 1302792 0 X 0 1 X 1 0 X 494037 932250 4108687 3929199 2186836 11651009 20736724 21853855 24481826 26840235 26500784 120413424 21230761 22786105 28590513 30769434 28687620 132064433 336833 336833 0 336833 336833 131727600 539687 653017 755286 882152 787942 3618084 539687 653017 755286 882152 787942 3618084 21770448 23439122 29345799 31651586 29475562 135682517 0.97090 0.97030 0.02670 0.02710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3032006 158873 158873 3032006 3032006 65368 65368 3032006 3032006 421347 421347 3032006 3032006 305241 305241 3032006 3032006 3032006 1.00000 0 0 478558 478558 92102463 35579681 56522782 7359301 5965616 1393685 58395025 CIP 37220417 OTHER ASSETS 4000 NONCURRENT CONTRIBUTIONS RECEIVABLE 383636 ENTRANCE FEE ESCROW 2293314 CAPITAL CAMPAIGN FUND 2645915 HELD UNDER BOND AGREEMENTS 45785663 88332945 ACCRUED INTEREST PAYABLE 1751677 ACCRUED PAYROLL 685430 DEFERRED REVENUE 28848165 REFUNDABLE ENTRANCE FEES 7234283 38519555 31905358 1302792 1741869 3044661 28860697 1813656 1813656 30674353 23898975 0 23898975 892314 892314 24791289 PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 1,741,869. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS -710,042. RESTRICTED CONTRIBUTIONS 1,323,886. RESTRICTED INVESTMENT INCOME 307,498. SHARON TOWERS RESIDENTS' ASSISTANCE 892,314. PART XII, LINE 4B - OTHER ADJUSTMENTS: SHARON TOWERS RESIDENTS' ASSISTANCE 892,314. X X X X 1 CAPITAL DEVELOPMENT SERVICES 915 W 4TH ST STE 100 WINSTON SALEM NC 27101 PLAN AND IMPLEMENT 2019 CAPITAL CAMPAIGN 0 1730385 38723 1691662 1730385 38723 1691662 NC 1 UNC CHARLOTTE 9201 UNIVERSITY CITY BLVD CHARLOTTE NC 28223 560791228 115 111257 0 SUPPORT UNCC PROGRAM TO PROVIDE UNDERSERVED SENIORS WITH PERSONALIZED HEALTH ASSESSMENTS ALZHEIMER'S ASSOCIATION 4600 PARK ROADSUITE 250 CHARLOTTE NC 28209 561440727 501(C)(3) 85000 T-SHIRTS FOR ALZ WALK WALK TO END ALZHEIMER'S AND DEMENTIA EDUCATION. INREACH 4530 PARK ROAD SUITE 300 CHARLOTTE NC 28209 521084075 501(C)(3) 70000 43500 APPRAISAL 2 VEHICLES - 2008 BUS; AND 2005 CHEVY VAN SUPPORT FOR A WIDE VARIETY OF SERVICES TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES SHEPHERD'S CENTER OF CHARLOTTE 3115 PROVIDENCE ROAD CHARLOTTE NC 28211 561271236 501(C)(3) 15000 0 LEARNING PROGRAMS TO SUPPORT AND ENRICH THE LIVES OF OLDER ADULTS AMERICA'S CHARITIES 14150 NEWBROOK DRIVE SUITE 110 CHANTILLY VA 20151 541517707 501(C)(3) 62000 0 ESTABLISH AN EMPLOYEE HARDSHIP FUND FOR STAFF EXPERIENCING HARDSHIPS DUE TO COVID OR OTHER ILLNESS, OR PERSONAL TRAGEDIES FRIENDSHIP TRAYS PO BOX 241046 CHARLOTTE NC 28224 561201496 501(C)(3) 18000 0 HOME DELIVERED MEALS TO THOSE IN NEED LEADING AGE FOUNDATION - CHARITABLE VISION FUND 222 N PERSON STREET RALEIGH NC 27601 561541496 501(C)(3) 10000 2020 VISION FUND TO DEVELOP DIVERSITY TOOLS, AND BROADEN LEADERSHIP EFFORTS MEMORY AND MOVEMENT 300 BILLINGSLY ROAD SUITE 108 CHARLOTTE NC 28211 464329944 501(C)(3) 15000 PROVIDES CLINICAL, EDUCATIONAL, AND LEADING EDGE CARE FOR INDIVIDUALS AND FAMILIES IMPACTED BY COGNITIVE AND MOVEMENT DISORDERS 8 WAIVED ENTRANCE FEES AND SUBSIDIZED SERVICE FEES FOR RESIDENTS. 21 892314 0 PART I, LINE 2: PRESBYTERIAN HOME AT CHARLOTTE, INC PROVIDES FINANCIAL ASSISTANCE TO ITS RESIDENTS WHO CANNOT AFFORD THE FULL COST OF THEIR CARE. THIS ASSISTANCE WAS GIVEN VIA WAIVED ENTRY FEES AND SUBSIDIZATION OF MONTHLY SERVICE FEES. TWENTY RESIDENTS RECEIVED FINANCIAL ASSISTANCE IN EXCESS OF $5000 FOR 2020. THEIR ASSISTANCE TOTALED $892,314. RECIPIENTS ARE REQUALIFIED ANNUALLY AFTER A REVIEW OF THEIR INCOME AND EXPENSES. FINANCIAL RECORDS ARE KEPT ON ALL ASSISTANCE. X X 0 0 0 1 0 0 0 1 0 ANNE MOFFAT EXEC DIRECTOR 245798 0 12400 0 0 0 8210 0 11984 0 278392 0 0 0 CHARLES R GASKINS CFO 181279 0 12565 0 0 0 6421 0 11984 0 212249 0 0 0 ANGELA RIGSBEE COO 151452 0 8974 0 0 0 5282 0 10153 0 175861 0 0 0 PART I, LINE 5 CEO, CFO, AND COO HAD CERTAIN TARGETS TO ATTAIN INCLUDING "INCOME AVAILABLE FOR DEBT SERVICE" COMPARED TO FORECASTED FIGURES TO EARN A PORTION OF THEIR BONUS. PART I, LINE 7 CEO, CFO, AND COO HAD CERTAIN NON-FINANCIAL GOALS TO MEET IN ORDER TO RECEIVE A PORTION OF THEIR BONUS. A NC MEDICAL CARE COMMISSION A BONDS 521309402 65820YQK5 2019-12-05 83995931 SEE PART VI 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2019-12-01 18000000 SEE PART VI 0 0 0 A 83995931 5269750 7977517 1616080 31045498 4890000 33197086 1 0 0 1 B 18000000 292113 135500 17572387 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 A 1 B 1 PART I, ISSUE A THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW INDEPENDENT LIVING APARTMENT BUILDING, TO FUND CAPITAL IMPROVEMENTS TO BUILDINGS THROUGHOUT THE ORGANIZATION'S CAMPUS, TO REFUND THE OUTSTANDING 2001 VARIABLE RATE DEMAND HEALTH CARE FACILITIES REVENUE BONDS, TO TERMINATE ITS INTEREST RATE SWAP AGREEMENT, TO FUND A DEBT SERVICE RESERVE FUND, TO PAY A PORTION OF THE INTEREST ACCRUED ON THE SERIES 2019A BONDS, AND TO PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2019A BONDS. PART I, ISSUE B THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW INDEPENDENT LIVING APARTMENT BUILDING, TO FUND CAPITAL IMPROVEMENTS TO BUILDINGS THROUGHOUT THE ORGANIZATION'S CAMPUS, AND TO PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2019B BONDS. X 1 70000 APPRAISAL X 1 1636 SALES PRICE 0 1 1 PART I, LINE 32B: FOR CONTRIBUTIONS OF STOCK, THE ORGANIZATION USES A THIRD PARTY BROKER TO SELL THE STOCK DONATED AND CONVERT IT TO CASH. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD PRESENTS A NEW CLASS OF BOARD MEMBERS ANNUALLY TO THE PRESBYTERY OF CHARLOTTE. THE PRESBYTERY ELECTS THE NEW MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B AFTER RECEIVING THE FORM 990 FROM OUR AUDITOR, IT IS REVIEW BY OUR CHIEF FINANICAL OFFICER AND THE EXECUTIVE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST; BOARD MEMBERS ABSTAIN FROM ANY DECISION/VOTE THAT MAY BE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPANY DOES NOT HAVE AN EXTERNAL REVIEW, HOWEVER, THE EXECUTIVE COMMITTEE OF THE BOARD SERVES AS THE COMPENSATION COMMITTEE. THE COMMITTEE IS GIVEN A WAGE AND SALARY SURVEY CONDUCTED ANNUALLY BY THE LEADINGAGE NORTH CAROLINA AND THE HOSPITAL AND HEALTH CARE COMPENSATION SERVICE. THE SURVEY CONSISTS OF DATA FROM OTHER CONTINUING CARE RETIREMENT COMMUNITIES (CCRC'S) IN NORTH CAROLINA, AS WELL AS DATA FOR THE ENTIRE COUNTRY. THE DELIBERATION AND DECISION IS THEN DOCUMENTED AND PLACED IN THE EXECUTIVE DIRECTOR'S FILE HELD BY THE BOARD CHAIR. A COPY IS ALSO KEPT IN THE SHARON TOWER'S HUMAN RESOURCES RECORDS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST; FINANCIALS ARE ALSO AVAILABLE ON MSRB/EMMA REPORTING WEBSITE FOR BONDS