Our Com munities and Beyon dOur Com munities and Beyon d

A Family of Senior Living Communities serving the Western North Carolina regionA Family of Senior Living Communities serving the Western North Carolina region.

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ImpactImpact

BackgroundBackground

¤ 3 campuses (297 acres) ¤ $44.9 million budget (2015) ¤ 1,200 residents ¤ 500 employees ¤ 98th Largest Not-for-profi t

Multisite Senior Living Organization (LeadingAge Ziegler)

¤ Over 6,000 impacted through outreach and partnerships

¤ 6 corporations: Givens Estates Givens Highland Farms Givens Aff ordable

Communities Givens Great Laurels Givens Gerber Park (2015) Givens LifeMinistries

¤ Social Accountability Impact exceeds $5.3 million:

Resident Assistance Ministry - $4.2 million

Outreach & Partnerships $1.1 million

Senior Living CommunitiesGivens provides care and services to more than 1,200 seniors on its South Asheville, Black Mountain, and Waynesville campuses. A balance of subsidized, aff ordable, and market rate housing is available to residents. Partnerships and OutreachThrough outreach and partnership eff orts, Givens impacts more than 6,000 people beyond our residents. The benefi t of the Resident Assistance Ministry exceeded $4.2 million in 2013. The value of this assistance ministry, along with the value of its eff orts to serve the people in our region, exceeded $5.3 million in 2013.

2360 Sweeten Creek Road Asheville, NC

Western North Carolina

Givens is governed by a volunteer board that meets quarterly. Board commi� ees provide leadership throughout the year in support of the community’s mission and vision. The Board’s strategic plan recommends current campus enhancements and initiatives to develop market-rate, aff ordable, and subsidized communities in the greater area. Givens has received a positive “BBB” rating by Fitch Ratings, a global investment rating agency. This rating is based on high occupancy levels, operating performance, and suffi cient liquidity.

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ImpactImpactGivens Estates is nationally accredited by the Commission on Accreditation of Rehabilitation Facilities-Continuing Care Accreditation Commission (CARF-CCAC). The community is a member of Leading Age, NC LeadingAge, the United Methodist Association, and the NC Health Care Facilities Association.In 2014, Wood Assisted Living and the Health Center earned the highest ratings from the U.S. Centers for Medicare/Medicaid Services. In 2010, U.S. News and World Report rated the Health Center in the top 173 nursing facilities (of 16,000) in the country. In 2014, Givens Estates residents invested more than 25,500 hours of volunteer work, with 12,100 of those hours spent serving the local community.

¤ Established in 1975 ¤ $28.1 million budget (2015) ¤ One of the largest CCRCs in

North Carolina ¤ 215 acres ¤ 700 residents ¤ 325 employees ¤ 6.57% ($1.79 million)

Community Benefi t in 2013

¤ Living options: 59 Co� ages 27 Homes 40 Duplexes 137 Oxford apartments 53 Asbury apartments 24 Creekside apartments 48 Villa apartments 48 Assisted living beds 84 Healthcare beds

2360 Sweeten Creek Road Asheville, NC

Buncombe County

BackgroundBackgroundThrough their estates, Dr. and Mrs. Maurice H. Givens indicated that, if feasible, their 160-acre farm situated in Asheville and the income from a $2 million trust would help establish a retirement community on their property for people from all walks of life.In August 1975, at a special called session of the WNC Annual Conference, Givens Estates became a United Methodist, church-related, non-profi t retirement community. Over the next 40 years, Givens would expand within the region to include several senior housing communities, outreach ministries, and partnerships in support of seniors, families, and individuals with special needs.

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ImpactImpact

BackgroundBackground

200 Tabernacle RoadBlack Mountain, NC

Buncombe County

¤ Established in 1969 ¤ $15.6 million budget (2015) ¤ 74 acres ¤ 375 residents ¤ 220 employees

¤ 8.15% ($1.01 million) Community Benefi t in 2013

¤ Living options: 188 independent living

residences 30 catered living

residences 30 assisted living

residences 60 bed skilled nursing

facility

In 2011, Highland Farms celebrated its fortieth anniversary. Highland Farms has maintained a solid reputation in the mountains for providing stellar care for residents. With their impending retirements, the owners approached Givens with the opportunity to purchase Highland Farms. A� er a careful, indepth study of the market, physical plant, and need for capital improvements, Givens enthusiastically agreed that acquiring Highland Farms would naturally align with its strategic plan. The transition in ownership occurred December 1, 2012.

The community is a member of LeadingAge, NC LeadingAge, and the NC Health Care Facilities Association (NCHCFA). In 2014, the Health Center earned a four star rating from the U.S. Centers for Medicare/Medicaid Services.Highland Farms residents are active and highly involved with ministries on their campus as well as within the Swannanoa Valley. Residents and The Highland Farms Residents Corporation support local nonprofi ts with grants raised from donations and proceeds from thri� sales. In 2014, Givens Highland Farms residents invested more than 26,500 hours of volunteer work, with 13,500 of those hours spent serving the local community.

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ImpactImpact

BackgroundBackgroundWoven into Givens Estates’ campus are 78 HUD-subsidized apartments. Approximately 80 residents are provided housing with monthly rent adjusted according to income. Givens Housing is classifi ed as a 202 Section 8 project and is directly supported by three employees. Residents have easy access to all points in the community and benefi t from a broad array of programming and services.

¤ Established in 1979 as Givens Housing Corporation

¤ $560,773 budget (2015) ¤ Located on 10 acres in Givens’

Asheville campus ¤ 78 villa apartments for seniors

of low to modest incomes ¤ 3 employees

¤ Amenities: Landscaped, park-like

se� ing with small waterfall Community Center with

laundry facilities and computer access

Programs and wellness opportunities

Access to transportation Worship and spiritual

growth opportunities

¤ Total value of assistance funds and in-kind services is $1,306,150 (2013)

Givens Housing was the fi rst subsidized senior housing project to be located on a CCRC campus in North Carolina.Residents benefi t from many programs, activities, and wellness off erings, which are all a part of the Givens Estates community at li� le to no personal cost.A full-time Resident Services Coordinator is dedicated to these residents and provides ongoing support to those struggling with many issues related to aging.Many residents in the CCRC appreciate knowing they live in an economically balanced community.

2360 Sweeten Creek Road Asheville, NC

Buncombe CountyA F F O R D A B L E C O M M U N I T I E S

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ImpactImpact

BackgroundBackground

¤ Established in 2007 ¤ $587,690 budget (2015) ¤ 3 employees ¤ 100 apartments for low- and

middle-income seniors 36 1-bedroom HUD-

subsidized apartments 64 2-bedroom Tax Credit

apartments ¤ State-of-the-art Wellness

Center, Media Center and Library

¤ Apartment features: above average square

footage washer, dryer, dishwasher

¤ Givens’ staff - supported programs:

quarterly health and wellness education

monthly wellness orientation

monthly communion and Bible studies

In 2005, Givens was invited to give leadership in developing a new aff ordable senior housing project in Waynesville. This $15 million project was uniquely funded through federal and state tax credits, a grant from HUD, and a grant from The Duke Endowment. The project was completed in October 2007 and reached full capacity within the following year. The quality of life for many of these residents has been enhanced by the addition of fi tness equipment, a library, a computer center, raised gardens, and an outdoor fi replace and picnic area. These amenities are uncommon for subsidized communities.

Givens Great Laurels provides a vibrant community for seniors in a rural area noted for its shortage of subsidized and aff ordable housing for low income ($23,000 or less) and handicapped adults. Great Laurels benefi ts from Givens’ leadership and involvement in promoting a wellness philosophy which, in turn, positively impacts the residents’ quality of life. Our commitment to a Resident Services Coordinator has helped many residents access health care, groceries, discounts on utilities and insurance, and other community services. Out of 105 residents, at least two-thirds have benefi ted from the emergency food pantry which is supported by the Junaluskans and through a partnership with MANNA FoodBank.

80 Candler StreetWaynesville, NC

Haywood County

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ImpactImpact

BackgroundBackground

Gerber RoadAsheville, NC

Buncombe County

¤ 12.9 acre site purchased in September 2012

¤ 1/4 mile from Givens Estates ¤ 260 apartments for low-

income seniors to be fi nanced through tax credits, loans, grants, and charitable gi� s

¤ Three construction phases ¤ Package of services similar to

Givens Great Laurels ¤ ADA accessible

¤ Walking distance to

public transportation general and grocery stores pharmacies restaurants

Givens Gerber Park is a new planned community which will help meet the growing need for low-income senior housing in the Asheville area.These apartments would meet local guidelines for aff ordable rent, and some of the apartments would also be HUD-subsidized.This project will be built in three phases. Construction on the fi rst phase is expected to begin in spring 2015 and could be completed in 12 months.

In accordance with its strategic plan, Givens wanted to develop more housing opportunities for seniors with low and moderate incomes. This $30 million project (for three phases) is planned to be uniquely funded through federal tax credits. In August 2014, Givens was notifi ed that it was awarded more than $10 million in Federal Low-income Housing Tax Credits. The project is also supported by an investment from the City of Asheville’s Housing Trust Funds and the Asheville Regional Housing Consortium.

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ImpactImpact

BackgroundBackground

Givens EstatesGivens Great Laurels

Givens Highland Farms

The value of our assistance ministry for residents signifi cantly limited in their resources is more than $4.2 million annually.The Resident Assistance Ministry provides confi dential ongoing support and emergency funding to help with medical or dental costs, health care, prescriptions, meals, and in-home care. Seniors living at home with limited support are more likely to prematurely fi nd them themselves in a costly health dilemma, which may also impact their fi nancial health and quality of life. Through our assistance ministry and support structures, Givens can reduce the number of residents who might otherwise become frail and at-risk.

One in fi ve of the residents we serve is burdened with the challenges of basic health and living expenses. Eff orts to support these residents include:

fundraising for our Resident Assistance Ministry

a commitment to Medicare/Medicaid certifi ed nursing beds

the inclusiveness of HUD-subsidized and tax-credit funded residential options

All of the above are critical initiatives our Board of Directors has taken to maintain our commitment to serve people from all walks of life.

Since inception, Givens has provided fi nancial support and housing to residents faced with signifi cant challenges and whose resources have become too limited to meet today’s cost of living. Givens’ mission of caring for people from all walks of life is extended throughout all of our communities.

Resident Assistance MinistryResident Assistance Ministry

The Medicaid Gap The Medicaid Gap

MealsMeals

Home CareHome Care

Medicaid GapMedicaid Gap

Some services provided to our residents of limited means are not covered in reimbursements. It is estimated that the additional unreimbursed care and services that Givens expends for our health center residents on Medicaid amounts to more than $22,000 per resident annually.

The Resident Assistance Ministry is funded through charitable support and our relationships with HUD and Medicaid. The eff orts our Board of Directors took years ago are still paying signifi cant dividends in the lives of our residents.

2013 Resident Assistance:

Charitable gi� s, endowments, and Givens Trust supported:Charitable gi� s, endowments, and Givens Trust supported:

-Healthcare Related Financial Assistance $1,577,204-Independent Living Residents Financial Assistance $171,901 Total $1,749,105Total $1,749,105

Givens and Partnerships supported:Givens and Partnerships supported:

-Assistance with healthcare costs (Medicaid) $1,179,953-Assistance with monthly rent (HUD and Tax Credit) $358,696-Value of Givens’ services for subsidized apartments $945,508 Total $2,484,156Total $2,484,156

Total Value of Assistance Ministry $4,233,262Total Value of Assistance Ministry $4,233,262

Givens is commi� ed to serving seniors of a diverse population in a caring environment. Periodically, signifi cant capital funds must be raised in addition to assistance funds to enable us to broaden our mission and keep up with the rapidly growing needs of a senior population. Because we serve residents unable to participate in these campaigns, and because our eff orts benefi t future generations, we seek charitable capital to cover the costs of major facility additions and programs.

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ImpactImpact

BackgroundBackgroundSince the 1980s, Givens has shared compassionate care and ministry with Western North Carolina by deliberately seeking ways to help those who are less fortunate. We are commi� ed to helping meet these needs by sharing leadership, knowledge, and fundraising guidance through various outreach initiatives and partnerships. LifeMinistries was established in 1998 to address health and wellness issues within congregations and communities and with clergy. LifeMinistries continues to positively impact thousands of lives annually.

¤ Established in 1998 ¤ More than 6,000 served ¤ $114,000 budget (2015) ¤ Over $14.5 million in

medications requested for uninsured and underinsured since 2001

LifeMinistries is impacting 13 counties in Western North Carolina:

Buncombe County Alexander County Avery County Cherokee County Haywood County Henderson County Madison County McDowell County Mitchell County Polk County Rutherford County Transylvania County Yancey County

Map of Western North CarolinaMap of Western North Carolina

2360 Sweeten Creek Road Asheville, NC

Western North Carolina

MY Meds Medication AssistanceMY Meds Medication Assistance

Welcome TablesWelcome Tables

MY MedsMY Meds

BEAR ClosetsBEAR Closets

MY Meds is a nonprofi t ministry of LifeMinistries that works with pharmaceutical companies and physicians to secure needed prescription medications for individuals with chronic illnesses who have modest incomes and no prescription insurance. Since 2001, MY Meds has requested more than $10.5 million in prescription medications for people with chronic illnesses.The average yearly cost of medications for clients is $9,500, while their average annual income is only $12,765. By helping these clients obtain medication for chronic illnesses, we are also reducing their fi nancial stress and enabling them to buy groceries, pay heating bills, and aff ord other basic needs. MY Meds also guides people each year to other agencies that are poised to help them with needs such as food, medical equipment, heating bills, and navigating health care choices.

LifeMinistries has partnerships with twelve meal sites spanning fi ve counties. These Welcome Tables provide more than 87,000 hot, nutritious meals each year to their local communities. In many cases, volunteers from various denominations throughout the area cook and serve the meals, giving many hours on a regular basis. Many Welcome Tables have expanded their services to include free legal counsel, health screenings, medical equipment loan closets, clothing closets, and wellness education.

Welcome TablesWelcome Tables

Working with LifeMinistries, several congregations have helped meet the needs of low-income expectant mothers and young families in their community. Baby Equipment and Resource (BEAR) Closets serve families and single parents struggling to acquire necessary equipment and clothing for their newborns and young children.Families receive new car seats and various baby equipment, as well as clothing and shoes for children ranging from “premie” to six years old. They are also connected to community resources for health, housing, and emergency food.

BEAR ClosetsBEAR Closets

MAHECMAHEC

MemoryCareMemoryCareMemoryCare is an independent, nonprofi t organization that provides appropriate assessment, treatment and support for memory-impaired individuals and their caregivers. MemoryCare enables the caregiver to assist loved ones in managing the disease, remaining safe, and maintaining dignity. MemoryCare serves nearly 1,000 patients with memory impairment, in addition to 3,200 caregivers each year.Givens assisted MemoryCare in securing more than $500,000 in initial grant funding for this clinic and continues to embrace their mission by providing space for them in the Givens Manor at a reduced rate. Givens staff also serve in volunteer capacities with the MemoryCare Board of Directors and commi� ees.MemoryCare was awarded the 2011 Premier Cares Award, a nationally recognized award given to one non-profi t throughout the country. Founder and Director Emeritus Dr. Margaret Noel was also selected as the 2011 Clinician of the Year by the American Geriatrics Society.

For the past 25 years, MAHEC has provided on-site health care services for the Givens community. In 2000, Givens Estates began serving as the clinical geriatric training site for the Family Practice Residency Program. Today, MAHEC provides on-site physician clinic services (family medicine, geriatric medicine, and gynecology) for residents fi ve days a week, with access to a physician 365 days a year. The relationship between Givens Estates and the Mountain Area Health Education Center (MAHEC) improves access to current medical care practices for Givens residents and helps physicians obtain a fuller understanding of the needs of seniors in a mutally benefi cial se� ing.

Givens also helped raise funds to establish a new Clinic on MAHEC’s Biltmore campus. The Clinic focuses on geriatric training and the dental needs of seniors.

PartnershipsPartnerships

Givens Estates partnered with the WNC-UMAR in 1994 to provide a home on its campus for developmentally disabled women. In 2006 UMAR designated this home as a home for seniors ages 50 and up.The group home on the Givens’ campus is approximately 3,000 sq. � . with seven bedrooms and a common living area. Trained counselors staff the area around the clock. Locating a UMAR group home on the Givens Estates campus with no land cost ultimately reduces the operational costs, a direct savings to the UMAR residents and families. Being situated on the campus also allows these residents to experience community in a safe se� ing. They are invited to a� end programs, participate in wellness programs, enjoy outdoor exercise on the hiking trails, and have a place to worship.

Vanderbilt Apartments is an historic nine-story building with 150 aff ordable housing apartments for seniors in downtown Asheville. Local leaders encouraged Givens to become involved on the Vanderbilt Board of Directors, and beginning in the mid-1990s, Givens staff were active with the Vanderbilt for more than 12 years. Givens helped raise funds to implement their fi rst-ever resident services program, giving these seniors be� er access to care and support services. In addition to many other low-income housing complexes in Buncombe, LifeMinistries also provides ongoing support to the Vanderbilt residents with cholesterol screenings, wellness counseling, and quarterly health and wellness education programs. As a result, a dilapidated downtown historic high-rise for seniors of limited means was preserved and enhanced, and the overall living environment and quality of life of the residents at the Vanderbilt Apartments is improved.

WNC-UMARWNC-UMAR

Vanderbilt ApartmentsVanderbilt Apartments

NotesNotes

Through a year-long planning process, the Givens Board of Directors analyzed our current mission and ministry to prepare us to be� er serve our residents and plan for the future. This plan was adopted by the Board in October 2009.

Internal PlansInternal Plans

The 2000 Strategic Plan highlighted several internal opportunities on the Givens Estates campus, which the Board of Directors addressed in the 2009 Strategic Plan:

Refurbish or replace HUD apartments

Replace villa apartments with Creekside Homes (began 2013)

Replace older homes on the Givens Estates campus

Refurbish systems in Asbury Commons and Health Center

Build a new Grounds Facility (completed 2012)

Renovate and expand Maintenance Facility (completed 2013)

Change entrance road in keeping with Aldersgate and Wesley Drive

Renovate Nursing and Assisted Living Convert Adult Care (AL) beds to Skilled Nursing Short-term

Rehab beds

¤ Every seven to eight years, the Givens Board of Directors embarks on an in-depth strategic planning process

¤ The Strategic Plan focuses on addressesing Internal and External Opportunities

¤ CCRC industry consultants Spectrum Consultants, RLPS Architects, and Rodgers Builders aided in the planning process

Strategic Planning UpdateStrategic Planning Update

Moses Grounds BuildingMoses Grounds Building

As upgrades and extensive renovations continue at Givens Highland Farms, a major long-term goal is the addition of a new Health Care Center with assisted living and skilled nursing. To satisfy current demand for more homes, the community is also expanding its independent living cluster-type homes. Meadowmont will be located adjacent to the existing campus on 18 acres featuring panoramic views of the surrounding mountains. Phase 1 will include 18 homes situated in duplex and four-plex arrangements. Construction is planned for summer 2015.

External PlansExternal PlansLooking beyond the Givens Estates campus, the Board of Directors decided to continue seeking opportunities to create communities, off er more programs, and serve people with needs.Plans include several options which may become possibilities within the next fi ve to seven years:

“Aff ordable” community in Haywood County “Aff ordable” community in Haywood County for persons with an income range of $25,000 to $45,000. The community would be designed to serve those whose income is more than the limit for subsidized housing, but likely below what is required for a market-rate project. It would offer full services and a full continuum of care. (A� er conducting a thorough feasibility study, the project was delayed until there is suffi cient interest to move forward. Givens continues to explore this possibility.)

Market-rate community within 120 miles of GivensMarket-rate community within 120 miles of Givens for individuals with incomes of $45,000 or more. This community would be similar to Givens Estates, in a diff erent location (within two hours’ drive), and designed to complement, not compete with Givens Estates. (In 2012, Givens Highland Farms was purchased. This community provides aff ordable and market rate residences, along with Medicaid certifi ed nursing beds.)

Subsidized community in Buncombe CountySubsidized community in Buncombe County for those with a Social Security income of approximately $25,000 or less. (Givens Gerber Park construction is planned for spring 2015.)

Creekside HomesCreekside Homes

Givens Highland FarmsGivens Highland FarmsHighland Farms ExpansionHighland Farms Expansion

Givens Gerber ParkGivens Gerber Park

2360 Sweeten Creek Rd.Asheville, NC 28803

(828) 274-4800givensestates.org April 2015