2011-11-08T08:22:27-06:00 2010-12-31 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2010-01-01 510553716 UPSTATE SENIOR LIVING INC DBA THE WOODLANDS AT FURMAN UPST 8643713100 1500 TRAILHEAD COURT GREENVILLE SC 29617 WALTER GOLDSMTIH 8643713100 2011-11-07 1 AMY BIBBY 8282542254 2010 2016-02-24 21:20:13Z THE WOODLANDS AT FURMAN WALTER GOLDSMTIH 1500 TRAILHEAD COURT GREENVILLE SC 29617 5580105 0 X WWW.THEWOODLANDSATFURMAN.ORG X 2003 SC TO PROVIDE HIGH QUALITY ELDER CARE SERVICES AND FACILITIES AT THE LOWEST POSSIBLE COST. 13 13 221 15 0 0 0 0 1117487 5276099 530337 304006 0 0 1647824 5580105 0 0 0 0 2176930 3656444 0 0 0 7516786 11199569 9693716 14856013 -8045892 -9275908 85252258 79387677 94660851 97799058 -9408593 -18411381 X THE MISSION OF UPSTATE SENIOR LIVING, INC. IS TO BE THE RETIREMENT COMMUNITY OF CHOICE BY NURTURING A DISTINCTIVE CULTURE OF ENRICHMENT WHILE PROVIDING SECURITY AND A CONTINUUM OF CARE FOR ITS RESIDENTS. 0 0 13010435 5276099 THE WOODLANDS AT FURMAN WAS CREATED WITH A PHILOSOPHY OF REJUVENATION AND RE-INSPIRATION, AND OUR UNIQUE AFFILIATION WITH FURMAN UNIVERSITY GOES A LONG WAY TOWARD MAKING THAT HAPPEN. IT IS AN AFFILIATION THAT WILL KEEP RESIDENTS HEALTHY, ACTIVE, CONNECTED, AND INVOLVED.WE BELIEVE THAT THE HEALTHIEST AND HAPPIEST RETIREMENT IS ONE THAT IS ACTIVE AND STIMULATING. WE DO EVERYTHING POSSIBLE TO MAKE RETIREMENT ONE OF THE MOST REWARDING AND ENRICHING PARTS OF LIFE BY OFFERING MORE THAN JUST BEAUTIFUL HOUSING. WE OFFER A LIFESTYLE THAT ENCOURAGES PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL GROWTH.EVERY ASPECT OF OUR COMMUNITY IS DESIGNED TO PROVIDE FINE SENIOR LIVING. OUR HOUSING OPTIONS INCLUDE AN EXTENSIVE SELECTION OF FLOOR PLANS TO OFFER MAXIMUM COMFORT, CONVENIENCE, AND STYLE. OUR UNIQUE LOCATION, ADJACENT TO FURMAN UNIVERSITY, FURTHER ENHANCES THE DISTINCTIVE LIFESTYLE AT THE WOODLANDS.FOR THOSE WHO CAN NO LONGER LIVE INDEPENDENTLY, THE ARBORETUM PROVIDES CARE IN A COMFORTABLE, NURTURING ENVIRONMENT BASED ON COMPASSION, UNDERSTANDING, AND PROFESSIONALISM. HERE, QUALITY OF LIFE AND QUALITY OF CARE TAKE PRECEDENCE. WHETHER IT'S ASSISTED LIVING, MEMORY SUPPORT, OR SKILLED NURSING, HERE YOU WILL FIND QUALITY CARE IN A SECURE YET INVITING ENVIRONMENT. THE ARBORETUM PROVIDES SPACIOUS RESIDENCES, VALUABLE AMENITIES, HEALTH SERVICES, AND CUSTOMIZED CARE THAT TRANSITIONS TO ADDRESS THE EVOLVING NEEDS AND PREFERENCES OF ITS RESIDENTS. 13010435 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 1 221 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X X TROY CANNADAY EXECUTIVE DIRECTOR 8643713100 1500 TRAILHEAD COURT GREENVILLE SC 29617 WALTER GOLDSMITH 4.00 X X 0 0 0 LARRY D ESTRIDGE 4.00 X X 0 0 0 BEN NORWOOD III 4.00 X X 0 0 0 W BEN DEIBLER 2.00 X 0 0 0 ELAINE GUYTON 2.00 X 0 0 0 JOHN R SANDERS 2.00 X 0 0 0 SAM SMITH 2.00 X 0 0 0 SARAH FLETCHER 2.00 X 0 0 0 BRUCE BROWN 2.00 X 0 0 0 CLARE MORRIS 2.00 X 0 0 0 TROY CANNADAY 50.00 X 105511 0 19234 105511 0 19234 1 0 0 1 GREYSTONE MANAGEMENT SERVICES CO LLC 222 W LAS COLINAS BLVD 2100 IRVING TX 75039 MANAGEMENT SERVICES 455236 SCOUT MARKETING 3391 PEACHTREE ROAD NE ATLANTA GA 30326 MARKETING SERVICES 351311 HERITAGE HEALTHCARE 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SERVICES 316267 SYSCO FOOD SERVICES COLUMBIA PO BOX 9224 COLUMBIA SC 29290 FOOD DISTRIBUTION 192545 WHITE OAK PHARMACY 1233 BOILING SPRINGS ROAD SPARTANBURG SC 29304 PHARMACEUTICAL SERVICES 172892 11 RESIDENT SERVICE REVEN 623000 3336465 3336465 SKILLED NURSING AND TH 623000 1356549 1356549 AMORTIZATION OF ADVANC 623000 440068 440068 OTHER SERVICE REVENUE 623000 106225 106225 FOOD SERVICE REVENUE 623000 36792 36792 5276099 304006 304006 5580105 5276099 0 304006 124745 24949 99796 2937091 2708468 228623 318733 283672 35061 275875 245529 30346 584079 584079 37607 37607 50000 50000 435808 435808 431459 431459 329942 329942 1059487 830332 229155 82707 30770 51937 1846602 1846602 73133 14118 59015 17138 16663 475 3542496 3542496 2486907 2486907 196101 193141 2960 MISCELLANEOUS 26103 25387 716 14856013 13010435 1845578 0 1594700 989349 5433093 5387580 2237691 2814082 6115 9797 6473431 6353391 62994343 3616114 61134670 59378229 8372558 4455249 85252258 79387677 585455 870223 10401922 12505850 77497594 77512600 6175880 6910385 94660851 97799058 X -9408593 -18411381 -9408593 -18411381 85252258 79387677 X -9275908 273120 X 0 0 0 X 6719 4500 1117487 5276099 6404805 6719 4500 1117487 5276099 6404805 0 0 0 6404805 530337 304006 834343 530337 304006 834343 6719 4500 1647824 5580105 7239148 X 55622090 2547039 53075051 5287345 483807 4803538 2084908 585268 1499640 59378229 INTEREST RECEIVABLE 28897 GUARANTEED INVESTMENT CONTRACTS 4426352 4455249 DUE TO THE CLIFFS COMMUNITIES INC. 500000 ENTRANCE FEE DEPOSITS 640305 DERIVATIVE INSTRUMENT PAYABLE 450914 GROUND LEASE PAYABLE 4375282 ACCRUED INTEREST PAYABLE 943884 6910385 5580105 14856013 -9275908 273120 273120 -9002788 5853225 273120 273120 5580105 0 5580105 14856013 0 14856013 0 14856013 PART XI, LINE 8 - OTHER ADJUSTMENTS: UNREALIZED GAIN ON INTEREST RATE SWAP 273,120. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON INTEREST RATE SWAP 273,120. X X X 0 0 0 1 0 0 0 0 0 TROY CANNADAY 105511 0 0 0 0 0 0 0 19234 0 124745 0 0 0 PART I, LINE 5 A PORTION OF THE EXECUTIVE DIRECTOR'S SALARY (4-10%) IS BASED ON FINANCIAL PERFORMACE. GOALS ARE ESTABLISHED AND APPROVED BY THE MANAGEMENT COMPANY AND THE BOARD. SUPPLEMENTAL INFORMATION PART III DAY TO DAY MANAGEMENT FUNCTIONS ARE PROVIDED THROUGH GREYSTONE COMMUNITIES, AN UNRELATED ORGANIZATION. SERVICES INCLUDE FINANCIAL OVERSIGHT, MARKETING, AND OPERATIONS. GREYSTONE COMMUNITIES ISSUES W-2'S AND 1099'S ON BEHALF OF THE ORGANIZATION. SOUTH CAROLINA JOBS - ECONOMIC DEVELOPMENT AUTHORITY 570960018 837036DA7 2007-10-17 76911708 CONSTRUCTION AND DEVELOPMENT 0 0 0 80834753 4650146 2867592 1478983 67963058 2966293 908582 2009 0 0 0 1 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 1 SOVEREIGN BANK 3.300000000000 0 0 1 BAYERISCHE LANDESBANK/SAN 3.000000000000 1 1 0 FORM 990, PART VI, SECTION A, LINE 3 DAY TO DAY MANAGEMENT FUNCTIONS ARE PROVIDED THROUGH GREYSTONE COMMUNITIES INCLUDING FINANCIAL OVERSIGHT, MARKETING, AND OPERATIONS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 WAS INITIALLY REVIEWED BY THE FINANCE COMMITTE. AFTER APPROVAL, THE 990 WAS PROVIDED TO THE FULL BOARD FOR REVIEW, COMMENT, AND APPROVAL PRIOR TO SUBMITTING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS IS REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. INDIVIDUALS REALIZE THEIR FIDUCIARY DUTY TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST SO THAT THE BOARD CAN DETERMINE THE APPROPRIATE COURSE OF ACTION SHOULD A CONFLICT ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION UTILIZES COMPARABILITY DATA WHEN DETERMINING CHANGES IN COMPENSATION FOR TOP MANAGEMENT OFFICIALS. THESE SALARIES ARE APPROVED BY THE BOARD WITH ASSISTANCE FROM GREYSTONE AS PART OF THE APPROVAL OF THE ANNUAL BUDGET FOR THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: UNREALIZED GAIN ON INTEREST RATE SWAP 273,120. TOTAL TO FORM 990, PART XI, LINE 5: 273,120.