FURP.ORG / PUBLIC DATA EXPLORER

PPRC NURSING HOME INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
PPRC NURSING HOME INC (EIN 31-1733046)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-15
IRS object ID
202232279349303978
Schema version
2020v4.2
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)
Return2022-08-15T15:12:57-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

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 Begin2020-10-01TaxPeriodBeginDt

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
Signature2022-08-15SignatureDt
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 PersonRHONDA F SKILESPreparerPersonNm
PTINP00174702PTIN
Phone3362944494PhoneNum
Preparation2022-08-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$12,005,602GrossReceiptsAmt
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 Independent4VotingMembersIndependentCnt
Total Employee184TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$815,625CYContributionsGrantsAmt
PY Program Service Revenue$11,784,365PYProgramServiceRevenueAmt
CY Program Service Revenue$11,162,662CYProgramServiceRevenueAmt
PY Investment Income$25,603PYInvestmentIncomeAmt
CY Investment Income-$7,966CYInvestmentIncomeAmt
PY Other Revenue$27,725PYOtherRevenueAmt
CY Other Revenue$23,545CYOtherRevenueAmt
PY Total Revenue$11,837,693PYTotalRevenueAmt
CY Total Revenue$11,993,866CYTotalRevenueAmt
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$4,455,578PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,580,333CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,882,311PYOtherExpensesAmt
CY Other Expenses$6,402,954CYOtherExpensesAmt
PY Total Expenses$11,337,889PYTotalExpensesAmt
CY Total Expenses$10,983,287CYTotalExpensesAmt
PY Revenues Less Expenses$499,804PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,010,579CYRevenuesLessExpensesAmt
Total Assets BOY$11,225,484TotalAssetsBOYAmt
Total Assets EOY$10,963,215TotalAssetsEOYAmt
Total Liabilities BOY$11,013,683TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,740,835TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$211,801NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,222,380NetAssetsOrFundBalancesEOYAmt
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$8,129,424ExpenseAmt
Revenue$11,186,207RevenueAmt
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, 2021 WAS 348.Desc
Total Program Service Expenses$8,129,424TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 Required0ScheduleJRequiredInd
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 Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee184EmployeeCnt
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 Member4IndependentVotingMemberCnt
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 OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
BARRY YATES
CFO5.0020.00Yes (X)$92,912$0$11,140
TERRY MILLER
PRESIDENT/CEO4.0012.00Yes (X)$32,533$0$406Yes (X)
PENNY CATES
CHAIRMAN3.14Yes (X)$0$0$0Yes (X)
ED WINSLOW
SECRETARY3.14Yes (X)$0$0$0Yes (X)
CRAIG DUNN
DIRECTOR3.14$0$0$0Yes (X)
THOMAS NEILL
DIRECTOR3.14$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$125,445TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$11,546TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BROAD RIVER REHABILITATION
1 POND STREETASHEVILLENC28704REHABILITATION SERVICES$888,729
CULINARY SERVICES GROUP LLC
1135 BUSINESS PKWY SWESTMINISTERMD21157PROVIDE FOOD FOR RESIDENTS$712,450
THE SOUTHERN BANK COMPANY
221 SOUTH 6TH STGADSDENAL35901BANKING$413,979
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$815,625GovernmentGrantsAmt
Total Contributions$815,625TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICES ROOMDesc
Business623000BusinessCd
Total Revenue Column$11,162,662TotalRevenueColumnAmt
Related Or Exempt Func Income$11,162,662RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,162,662TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,770TotalRevenueColumnAmt
Exclusion$3,770ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$11,736OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$11,736OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,736TotalRevenueColumnAmt
Exclusion-$11,736ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business623000BusinessCd
Total Revenue Column$23,545TotalRevenueColumnAmt
Related Or Exempt Func Income$23,545RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$23,545OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,993,866TotalRevenueColumnAmt
Related Or Exempt Func Income$11,186,207RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$7,966ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$65,920TotalAmt
Management And General$65,920ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,750,289TotalAmt
Program Services$2,859,505ProgramServicesAmt
Management And General$890,784ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$488,644TotalAmt
Program Services$209,012ProgramServicesAmt
Management And General$279,632ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$275,480TotalAmt
Program Services$196,305ProgramServicesAmt
Management And General$79,175ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$670,640TotalAmt
Management And General$670,640ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,552TotalAmt
Management And General$21,552ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,000TotalAmt
Management And General$18,000ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,294TotalAmt
Management And General$14,294ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$64,696TotalAmt
Management And General$64,696ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$160,375TotalAmt
Management And General$160,375ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$233,690TotalAmt
Program Services$233,690ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,449TotalAmt
Management And General$1,449ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$339,427TotalAmt
Program Services$339,427ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$405,732TotalAmt
Program Services$405,732ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$151,008TotalAmt
Program Services$151,008ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NURSING, PHYSICAL THERA$3,247,974$3,247,974
ADMINISTRATIVE EXPENSES$484,149$484,149
BAD DEBTS$287,233$287,233
REPAIRS & MAINTENANCE$196,263$196,263

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$106,472TotalAmt
Program Services$3,275ProgramServicesAmt
Management And General$103,197ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,983,287TotalAmt
Program Services$8,129,424ProgramServicesAmt
Management And General$2,853,863ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,432,509BOYAmt
EOY$2,581,320EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$33,857BOYAmt
EOY$15,227EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$834,975BOYAmt
EOY$776,428EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$26,571BOYAmt
EOY$28,381EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$263,754BOYAmt
EOY$148,420EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,090,282LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,690,741LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,565,907BOYAmt
EOY$6,399,541EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$128,362BOYAmt
EOY$122,100EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$939,549BOYAmt
EOY$891,798EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,225,484BOYAmt
EOY$10,963,215EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$538,032BOYAmt
EOY$500,645EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$734,649BOYAmt
EOY$646,484EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,679,479BOYAmt
EOY$8,558,827EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,523BOYAmt
EOY$34,879EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,013,683BOYAmt
EOY$9,740,835EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$211,801BOYAmt
EOY$1,222,380EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,801BOYAmt
EOY$1,222,380EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,225,484BOYAmt
EOY$10,963,215EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,010,579ReconcilationRevenueExpnssAmt
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$815,625CurrentTaxYearAmt
Total$815,625TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,630,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,038,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,563,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,784,365CurrentTaxYearMinus1YearAmt
Current Tax Year$11,162,662CurrentTaxYearAmt
Total$53,179,258TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,630,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,038,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,563,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,784,365CurrentTaxYearMinus1YearAmt
Current Tax Year$11,978,287CurrentTaxYearAmt
Total$53,994,883TotalAmt

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$53,994,883PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$216CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,603CurrentTaxYearMinus1YearAmt
Current Tax Year$3,770CurrentTaxYearAmt
Total$30,450TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$216CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,603CurrentTaxYearMinus1YearAmt
Current Tax Year$3,770CurrentTaxYearAmt
Total$30,450TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,434CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,273CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,725CurrentTaxYearMinus1YearAmt
Current Tax Year$23,545CurrentTaxYearAmt
Total$92,342TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,648,356CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,051,838CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,574,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,837,693CurrentTaxYearMinus1YearAmt
Current Tax Year$12,005,602CurrentTaxYearAmt
Total$54,117,675TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99770PublicSupportCY509Pct
Public Support PY5090.99800PublicSupportPY509Pct
Investment Income CY0.00060InvestmentIncomeCYPct
Investment Income PY0.00050InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$7,198,873OtherCostOrOtherBasisAmt
Depreciation$1,927,109DepreciationAmt
Book Value$5,271,764BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$991,409OtherCostOrOtherBasisAmt
Depreciation$763,632DepreciationAmt
Book Value$227,777BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,399,541TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$3,144
REPLACEMENT RESERVE$204,157
ESCROW ACCOUNTS$64,652
DUE FROM RELATED COMPANIES$581,475
CONSTRUCTION IN PROGRESS$38,370
FieldValueIRS element (for citing)
Total Book Value Other Assets$891,798TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RESIDENT ESCROW LIABILITY$15,226
CAPITAL LEASE LIABILITY$19,653
FieldValueIRS element (for citing)
Total Liability$34,879TotalLiabilityAmt

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$941,274TotalIncomeAmt
End Of Year Assets$6,758,065EndOfYearAssetsAmt

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$86,148CASH PAID
WESLEYAN ARMS INC
M$670,640CASH PAID
WESLEYAN ARMS INC
Q$80,640CASH PAID