FURP.ORG / PUBLIC DATA EXPLORER

PPRC NURSING HOME INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PPRC NURSING HOME INC (EIN 31-1733046)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-29
IRS object ID
202312419349301566
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-29T19:45:20-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560571159PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERNARD ROBINSON & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 19608AddressLine1Txt
CityGREENSBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP274199608ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311733046EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PPRC NURSING HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPPRCBusinessNameControlTxt
Phone3368884560PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 WESTCHESTER DRIVE SUITE 400AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRY MILLERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3368884560PhoneNum
Signature2023-08-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTERRYPersonFirstNm
Person LastMILLERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN M ROBINSONPreparerPersonNm
PTINP01281319PTIN
Phone3362944494PhoneNum
Preparation2023-08-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRY MILLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 WESTCHESTER DRIVE SUITE 400AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,509,145GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROVIDENCEPLACENC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPPRC NURSING HOME, INC. IS A NON-PROFIT ORGANIZATION WHOSE MISSION IS TO PASSIONATELY SERVE THE HOUSING AND CARE NEEDS OF SENIOR ADULTS WITH INNOVATIVE PROGRAMS AND SERVICES DELIVERED AT AN EXCEPTIONAL VALUE WHILE ENCOURAGING PERSONAL AND SPIRITUAL GROWTH AND DEVELOPMENT.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee177TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$815,625PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$11,162,662PYProgramServiceRevenueAmt
CY Program Service Revenue$13,275,608CYProgramServiceRevenueAmt
PY Investment Income-$7,966PYInvestmentIncomeAmt
CY Investment Income$13,594CYInvestmentIncomeAmt
PY Other Revenue$23,545PYOtherRevenueAmt
CY Other Revenue$217,677CYOtherRevenueAmt
PY Total Revenue$11,993,866PYTotalRevenueAmt
CY Total Revenue$13,506,879CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,580,333PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,318,595CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,402,954PYOtherExpensesAmt
CY Other Expenses$7,883,101CYOtherExpensesAmt
PY Total Expenses$10,983,287PYTotalExpensesAmt
CY Total Expenses$11,201,696CYTotalExpensesAmt
PY Revenues Less Expenses$1,010,579PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,305,183CYRevenuesLessExpensesAmt
Total Assets BOY$10,963,215TotalAssetsBOYAmt
Total Assets EOY$13,102,132TotalAssetsEOYAmt
Total Liabilities BOY$9,740,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,574,569TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,222,380NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,527,563NetAssetsOrFundBalancesEOYAmt
MissionPPRC NURSING HOME, INC. IS A NON-PROFIT ORGANIZATION WHOSE MISSION IS TO PASSIONATELY SERVE THE HOUSING AND CARE NEEDS OF SENIOR ADULTS WITH INNOVATIVE PROGRAMS AND SERVICES DELIVERED AT AN EXCEPTIONAL VALUE WHILE ENCOURAGING PERSONAL AND SPIRITUAL GROWTH AND DEVELOPMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,360,673ExpenseAmt
Revenue$13,493,285RevenueAmt
DescTHE ORGANIZATION OPERATES A 129-BED SKILLED NURSING FACILITY FOR THE ELDERLY LOCATED IN HIGH POINT, NORTH CAROLINA (THE PROJECT). SPECIFICALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF ELDERLY AND HANDICAPPED INDIVIDUALS. THE PROJECT IS OPERATED UNDER SECTION 232 OF THE NATIONAL HOUSING ACT AND REGULATED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD). THE PROJECT'S MAJOR PROGRAM IS ITS SECTION 232 INSURED MORTGAGE. FHA PROJECT NUMBER 053-43243. THE NUMBER OF PATIENTS / RESIDENTS SERVED BY THE SKILLED NURSING FACILITY DURING THE YEAR ENDED SEPTEMBER 30, 2022 WAS 360.Desc
Total Program Service Expenses$8,360,673TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee177EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY MILLERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3368884560PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 WESTCHESTER DRIVE SUITE 400AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TERRY MILLER
PRESIDENT/CEO4.0012.00Yes (X)Yes (X)$77,736$0$1,171
PENNY CATES
CHAIRMAN3.14Yes (X)Yes (X)$0$0$0
ED WINSLOW
SECRETARY3.14Yes (X)Yes (X)$0$0$0
CRAIG DUNN
DIRECTOR3.14Yes (X)$0$0$0
THOMAS NEILL
DIRECTOR3.14Yes (X)$12,500$0$0
BARRY YATES
CFO5.0020.00Yes (X)$143,418$0$40,499
FieldValueIRS element (for citing)
Total Reportable Comp From Org$233,654TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$41,670TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CULINARY SERVICES GROUP LLC
1135 BUSINESS PKWY SWESTMINISTERMD21157PROVIDE FOOD FOR RESIDENTS$812,720
BROAD RIVER REHABILITATION
1 POND STREETASHEVILLENC28704REHABILITATION SERVICES$765,702
EXCEL STAFFING SERVICE
PO BOX 748247ATLANTAGA30374TEMPORARY HEALTHCARE STAFFING$196,379
SALGADO PAINTING
PO BOX 1588HIGH POINTNC27261PAINTING$138,730
FOCAL POINT MEDICAL STAFFING
8356 SIX FORKS RD STE 203RALEIGHNC27615TEMPORARY HEALTHCARE STAFFING$102,327
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICES ROOMDesc
Business623000BusinessCd
Total Revenue Column$13,275,608TotalRevenueColumnAmt
Related Or Exempt Func Income$13,275,608RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,275,608TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,860TotalRevenueColumnAmt
Exclusion$15,860ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,266OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$2,266OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,266TotalRevenueColumnAmt
Exclusion-$2,266ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business623000BusinessCd
Total Revenue Column$217,677TotalRevenueColumnAmt
Related Or Exempt Func Income$217,677RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$217,677OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,506,879TotalRevenueColumnAmt
Related Or Exempt Func Income$13,493,285RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,594ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$115,993TotalAmt
Management And General$115,993ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,391,879TotalAmt
Program Services$1,818,679ProgramServicesAmt
Management And General$573,200ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$496,472TotalAmt
Program Services$227,102ProgramServicesAmt
Management And General$269,370ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$314,251TotalAmt
Program Services$213,970ProgramServicesAmt
Management And General$100,281ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$797,112TotalAmt
Management And General$797,112ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15,534TotalAmt
Management And General$15,534ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$20,234TotalAmt
Management And General$20,234ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,829TotalAmt
Management And General$15,829ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$61,344TotalAmt
Management And General$61,344ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$172,176TotalAmt
Management And General$172,176ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$257,374TotalAmt
Program Services$257,374ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$456TotalAmt
Management And General$456ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$326,646TotalAmt
Program Services$326,646ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$398,726TotalAmt
Program Services$398,726ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$136,175TotalAmt
Program Services$136,175ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NURSING, PHYSICAL THERA$4,527,768$4,527,768
ADMINISTRATIVE EXPENSES$566,568$566,568
REPAIRS & MAINTENANCE$317,810$313,529$4,281
BAD DEBTS$140,704$140,704

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$128,645TotalAmt
Management And General$128,645ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,201,696TotalAmt
Program Services$8,360,673ProgramServicesAmt
Management And General$2,841,023ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,581,320BOYAmt
EOY$3,315,253EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,227BOYAmt
EOY$15,749EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$776,428BOYAmt
EOY$1,183,821EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$28,381BOYAmt
EOY$44,210EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$148,420BOYAmt
EOY$173,489EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,252,523LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,073,299LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,399,541BOYAmt
EOY$6,179,224EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$122,100BOYAmt
EOY$115,838EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$891,798BOYAmt
EOY$2,074,548EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,963,215BOYAmt
EOY$13,102,132EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$500,645BOYAmt
EOY$932,287EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$646,484BOYAmt
EOY$373,807EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,558,827BOYAmt
EOY$8,243,328EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,879BOYAmt
EOY$25,147EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,740,835BOYAmt
EOY$9,574,569EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,222,380BOYAmt
EOY$3,527,563EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,222,380BOYAmt
EOY$3,527,563EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,963,215BOYAmt
EOY$13,102,132EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,305,183ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$815,625CurrentTaxYearMinus1YearAmt
Total$815,625TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,038,188CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,563,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,784,365CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,162,662CurrentTaxYearMinus1YearAmt
Current Tax Year$13,275,608CurrentTaxYearAmt
Total$56,824,148TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,038,188CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,563,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,784,365CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,978,287CurrentTaxYearMinus1YearAmt
Current Tax Year$13,275,608CurrentTaxYearAmt
Total$57,639,773TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$57,639,773PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$216CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$588CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,603CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,770CurrentTaxYearMinus1YearAmt
Current Tax Year$15,860CurrentTaxYearAmt
Total$46,037TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$216CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$588CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,603CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,770CurrentTaxYearMinus1YearAmt
Current Tax Year$15,860CurrentTaxYearAmt
Total$46,037TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,434CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,273CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,725CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,545CurrentTaxYearMinus1YearAmt
Current Tax Year$217,677CurrentTaxYearAmt
Total$292,654TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,051,838CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,574,186CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,837,693CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,005,602CurrentTaxYearMinus1YearAmt
Current Tax Year$13,509,145CurrentTaxYearAmt
Total$57,978,464TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99420PublicSupportCY509Pct
Public Support PY5090.99770PublicSupportPY509Pct
Investment Income CY0.00080InvestmentIncomeCYPct
Investment Income PY0.00060InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$900,000OtherCostOrOtherBasisAmt
Book Value$900,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,334,154OtherCostOrOtherBasisAmt
Depreciation$2,206,216DepreciationAmt
Book Value$5,127,938BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,018,369OtherCostOrOtherBasisAmt
Depreciation$867,083DepreciationAmt
Book Value$151,286BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,179,224TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$1,024,270
REPLACEMENT RESERVE$210,033
ESCROW ACCOUNTS$23,278
DUE FROM RELATED COMPANIES$730,916
CONSTRUCTION IN PROGRESS$86,051
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,074,548TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RESIDENT ESCROW LIABILITY$15,749
CAPITAL LEASE LIABILITY$9,398
FieldValueIRS element (for citing)
Total Liability$25,147TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonBARRY YATESPersonNm
TitleCFOTitleTxt
Base Compensation Filing Org$143,418BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$40,499NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$183,917TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3CERTAIN MANAGEMENT DUTIES WERE DELEGATED TO A RELATED 501(C)(3) ORGANIZATION: WESLEYAN ARMS, INC. (56-1012908).
FORM 990, PART VI, SECTION B, LINE 11BPPRC NURSING HOME, INC. DOES NOT PROVIDE ITS FORM 990 TO THE BOARD FOR REVIEW PRIOR TO FILING THE 990 RETURN. THE FINANCIAL STATEMENTS ARE REVIEWED ON A MONTHLY BASIS BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS ARE ASKED TO DISCLOSE ALL POTENTIAL CONFLICTS OF INTEREST AND IN THE EVENT OF A CONFLICT OF INTEREST THAT MEMBER IS ASKED TO ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND CERTAIN TOP EMPLOYEES IS DETERMINED BY AN INDEPENDENT BOARD OF DIRECTORS. THE DIRECTORS ARE ALL LOCAL BUSINESS EXECUTIVES AND PROFESSIONALS. THE REVIEW AND ANALYSIS IS CONDUCTED IN A CLOSED SESSION WHERE THE INDIVIDUAL WHO IS THE SUBJECT OF THE REVIEW IS EXCLUDED FROM THE DISCUSSIONS SO AS TO ENCOURAGE FRANK AND FORTHRIGHT DEBATE. DURING THE DISCUSSIONS, COMPARABILITY DATA IS OFTEN IDENTIFIED. FOR EXAMPLE, ONE OF THE DIRECTORS IS A HEALTHCARE ATTORNEY AND IS AWARE OF EXECUTIVE SALARIES AT A NUMBER OF SIMILAR LONG TERM CARE ORGANIZATIONS THROUGHOUT THE STATE. NOTES AND MINUTES ARE TAKEN OF THE DISCUSSION AND THE DECISION AND THEN THE CONCLUSIONS OF THE BOARD ARE THEN PUT INTO PLACE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PPRC HOLDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 WESTCHESTER DRIVE SUITE 400AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd
FieldValueIRS element (for citing)
EIN463824921EIN
Primary ActivitiesLEASING PROPERTY TO PPRC NURSING HOME, INC.PrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Total Income$878,541TotalIncomeAmt
End Of Year Assets$6,699,592EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PPRC NURSING HOME INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
WESLEYAN ARMS
1701 WESTCHESTER DRIVEHIGH POINTNC27262561012908ASSISTED LIVINGNC501(C)(3)LINE 11N/A0
PPRC SENIOR LIVING I INC
1795 WESTCHESTER DRIVEHIGH POINTNC27262311733044INDEPENDENT LIVINGNC501(C)(3)LINE 11N/A0
PPRC SENIOR LIVING II INC
1727 WESTCHESTER DRIVEHIGH POINTNC27262300113709INDEPENDENT LIVINGNC501(C)(3)LINE 11N/A0
FIRST WESLEYAN MANAGEMENT CO INC
1701 WESTCHESTER DRIVEHIGH POINTNC27262912152420MANAGEMENT COMPANYNC501(C)(3)LINE 11N/A0
PROVIDENCE PLACE ASSISTED LIVING INC
1701 WESTCHESTER DRIVEHIGH POINTNC27262273481562ASSISTED LIVINGNC501(C)(3)LINE 11N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WESTCHESTER CHRISTIAN CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 WESTCHESTER DRIVEAddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd
FieldValueIRS element (for citing)
EIN561963673EIN
Primary ActivitiesACQUISITION, IMPROVEMENT, MAINTENANCE, LEASING OF PROPERTYPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WESTCHESTER CHRISTIAN CENTER INC
Q$159,707CASH PAID
WESLEYAN ARMS INC
M$797,112CASH PAID
WESLEYAN ARMS INC
Q$304,122CASH PAID