PENICK VILLAGE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PENICK VILLAGE INC (EIN 56-0729010)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-05-13
- IRS object ID
- 201401339349304050
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-13T14:06:23-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 TURNBERRY WAY | AddressLine1 |
| City | PINEHURST | City |
| State | NC | State |
| ZIP Code | 28374 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560729010 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE EPISCOPAL HOME FOR THE AGEING IN THE | BusinessNameLine1 |
| Business Name Line2 | DIOCESE OF NORTH CAROLINA INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EPIS | NameControl |
| Phone | 9106920300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 EAST RHODE ISLAND AVENUE | AddressLine1 |
| City | SOUTHERN PINES | City |
| State | NC | State |
| ZIP Code | 28387 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY I HUTCHINS | Name |
| Title | CEO | Title |
| Phone | 9106920300 | Phone |
| Date Signed | 2014-05-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SCOTT BREWER | Name |
| PTIN | P00004789 | PTIN |
| Phone | 9106928555 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENICK VILLAGE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEFFREY I HUTCHINS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 EAST RHODE ISLAND AVENUE | AddressLine1 |
| City | SOUTHERN PINES | City |
| State | NC | State |
| ZIP Code | 28387 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 15211726 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PENICKVILLAGE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1957 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | OPERATES A CONTINUING CARE RETIREMENT COMMUNITY, SEE ALSO PT III, LN 1. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 23 | NbrIndependentVotingMembers |
| Total Nbr Employees | 283 | TotalNbrEmployees |
| Total Nbr Volunteers | 80 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 204983 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 245190 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12009223 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12767023 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 116892 | InvestmentIncomePriorYear |
| Investment Income Current Year | 128806 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 130456 | OtherRevenuePriorYear |
| Other Revenue Current Year | 202228 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12461554 | TotalRevenuePriorYear |
| Total Revenue Current Year | 13343247 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6995169 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7140302 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7068188 | OtherExpensePriorYear |
| Other Expenses Current Year | 7074244 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14063357 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14214546 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1601803 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -871299 | RevenuesLessExpensesCY |
| Total Assets BOY | 50957465 | TotalAssetsBOY |
| Total Assets EOY | 45354929 | TotalAssetsEOY |
| Total Liabilities BOY | 47371296 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 42835254 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3586169 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2519675 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PENICK VILLAGE'S MISSION IS TO BE A FAMILY THAT CREATES A LOVING COMMUNITY BY MAKING EVERY DAY GREAT FOR ONE ANOTHER. THE MISSION INCLUDES PROVIDING HOUSING, SERVICES, AND LONG-TERM CARE TO OVER 200 RESIDENTS DURING FISCAL YEAR 2012. THE SERVICES AND CARE ARE PROVIDED IN INDEPENDENT LIVING, ASSISTED LIVING, AND SKILLED NURSING AREAS. PENICK VILLAGE ALSO CONTRIBUTES TO THE GREATER SOUTHERN PINES COMMUNITY IN WHICH IT IS LOCATED BY DONATING TIME AND RESOURCES TO THE MOORE COUNTY CHAMBER OF COMMERCE, FIRSTHEALTH HOSPITAL, LEADINGAGE NC, EPISCOPAL DAY SCHOOL, RED CROSS, MEALS ON WHEELS OF THE SANDHILLS, STOP HUNGER NOW, AND THE SOUTHERN PINES FIRE AND POLICE DEPARTMENTS. THE PENICK VILLAGE COMMUNITY ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE RESIDENTS IN NEED. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2485871 | Expense |
| Description | DINING SERVICES IS ONE OF PENICK VILLAGE'S ESSENTIAL SERVICES. DINING SERVICES STRIVES TO PROVIDE A WONDERFUL DINING EXPERIENCE IN ALL LEVELS OF CARE FOR THE RESIDENTS AND THEIR FAMILY AND FRIENDS. THERE ARE SEVERAL DINING OPPORTUNITIES ON THE CAMPUS, INCLUDING THE CAFE EXPERIENCE, A PRIVATE DINING ROOM, CATERING IN ONE'S APARTMENT OR COTTAGE, INDIVIDUALIZED MENUS, AND MORE. DINING SERVICES ALSO PREPARES THE MEALS FOR MEALS ON WHEELS OF THE SANDHILLS ALONG WITH HOSTING EVENTS FOR OTHER SPECIAL COMMUNITY GROUPS SUCH AS KIWANIS. AS AN EMPLOYEE BENEFIT, THE STAFF ALSO ENJOYS WONDERFUL MEALS AT A GENEROUS DISCOUNT. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 590887 | Expense |
| Description | HOUSEKEEPING IS ANOTHER ONE OF PENICK VILLAGE'S ESSENTIAL SERVICES. HOUSEKEEPING PROVIDES GENERAL CLEANING SERVICES ALONG WITH LINEN SERVICES AS REQUESTED. THE HOUSEKEEPING PERSONNEL ALSO BUILD GREAT RELATIONSHIPS WITH THE RESIDENTS THEY ARE SERVING AND HAVE HELPED SIGNIFICANTLY IN TIMES OF NEED. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2691170 | Expense |
| Description | NURSING IS KEY TO THE CONTINUUM OF CARE FOR THE RESIDENTS AT PENICK VILLAGE. SKILLED NURSING SERVICES ARE PROVIDED PER PHYSICIAN ORDERS THAT MAY INCLUDE BUT AREN'T LIMITED TO ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, MEDICATION ADMINISTRATION, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SPECIALIZED DIETS, AND OTHER NEEDS PER ORDERS. THE VISION OF PENICK VILLAGE IS TO DEINSTITUTIONALIZE THE AGEING EXPERIENCE. QUALITY NURSING IS KEY TO ACHIEVING THIS AND IN MAXIMIZING THE QUALITY OF LIFE FOR EACH OF THE RESIDENTS. THE CARE IS PERSONALIZED, AND A STRONG PARTNERSHIP IS DEVELOPED AMONG THE RESIDENT, HIS OR HER FAMILY, AND THE STAFF AT PENICK VILLAGE IN ORDER TO HAVE THE RESIDENT'S NEEDS DRIVE HIS OR HER PLAN OF CARE. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5255256 | Expense |
| Description | PERSONAL CARE, PERSONAL SERVICES, FACILITY SERVICES, ACTIVITIES, AND HOME CARE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 5255256 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 11023184 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 37 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 283 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 23 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFREY I HUTCHINS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9106920300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 EAST RHODE ISLAND AVENUE | AddressLine1 |
| City | SOUTHERN PINES | City |
| State | NC | State |
| ZIP Code | 28387 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| JUDITH LEGGETT | ||||||
| VICE-PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| KEITH JUNK | ||||||
| VICE-PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| JOHN GREER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BETTY ATWELL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ROOT EDMONSON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ALICE FREEMAN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JOHN FRIZZELL III | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LOUIS GENTRY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| REV HOLLY GLOFF | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JANE MASK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MAY SHERROD | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| EUGENIA SIMONS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| HARRIET WHITLEY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DARLENE G VAUGHN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ROBERT STEMLER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DOUGLAS GILL | ||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| RT REV MICHAEL B CURRY | ||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| RICHARD HIGGINBOTHAM | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| PATRICIA SWINDELL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| THOMAS GOODRUM | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| REV FRED L THOMPSON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DAVID BYRD GWINN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CAROLYN BERANEK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ANNIE HAGER-BLUNK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| C MARCUS HARRIS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LYNNE HEALY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JUDIE HENRY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KATHRYN CARTER JACOBS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARION ROSE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| REV NICHOLSON B WHITE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| REV PAUL S WINTON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JEFFREY HUTCHINS | ||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 161830 | 0 | 0 | |
| CHERYL FUTRELL | ||||||
| COO | 40.00 | X | 113848 | 0 | 0 | |
| ROGER CIOKAN FORMER CFO | ||||||
| CFO | 40.00 | X | 108518 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 384196 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BREWER'S PAINTING | |||||
| 1129 MCNEIL ST | CARTHAGE | NC | 28327 | PAINTING | 199950 |
| DIXON HUGHES GOODMAN LLP | |||||
| PO BOX 602828 | CHARLOTTE | NC | 28260 | PROF SERVICES | 109381 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 245190 | AllOtherContributions |
| Total Contributions | 245190 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT CARE | 623000 | 4745903 | 4745903 |
| NURSING | 623000 | 2762478 | 2762478 |
| ADMISSION DONATION | 623000 | 2031930 | 2031930 |
| PERSONAL CARE | 623000 | 660203 | 660203 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2566509 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2566509 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12767023 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 150766 | TotalRevenueColumn |
| Related Or Exempt Function Income | 150766 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1846519 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1851896 | Securities |
| Other | 16583 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -5377 | Securities |
| Other | -16583 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -21960 | TotalRevenueColumn |
| Related Or Exempt Function Income | -21960 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| R & R INCOME | 900099 | 83757 | 83757 |
| GUEST FEES & MEALS | 900099 | 60177 | 60177 |
| MEALS ON WHEELS | 900099 | 58294 | 58294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 202228 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13343247 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13098057 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384196 | Total |
| Management And General | 384196 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5254953 | Total |
| Program Services | 4789055 | ProgramServices |
| Management And General | 465898 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1080880 | Total |
| Program Services | 943352 | ProgramServices |
| Management And General | 137528 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 420273 | Total |
| Program Services | 362008 | ProgramServices |
| Management And General | 58265 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28991 | Total |
| Management And General | 28991 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 804642 | Total |
| Program Services | 226587 | ProgramServices |
| Management And General | 578055 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166909 | Total |
| Management And General | 166909 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1448503 | Total |
| Program Services | 1369892 | ProgramServices |
| Management And General | 78611 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 746949 | Total |
| Program Services | 679372 | ProgramServices |
| Management And General | 67577 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 583017 | Total |
| Management And General | 583017 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1982145 | Total |
| Program Services | 1982145 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 493158 | Total |
| Management And General | 493158 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS & MAINTENANCE | 527331 | 460615 | 66716 |
| MISCELLANEOUS | 268060 | 210158 | 57902 |
| BAD DEBTS | 24539 | 24539 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14214546 | Total |
| Program Services | 11023184 | ProgramServices |
| Management And General | 3191362 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1250 | BOY |
| EOY | 1250 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6065522 | BOY |
| EOY | 1542036 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2083792 | BOY |
| EOY | 832069 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1151 | BOY |
| EOY | 1151 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46386 | BOY |
| EOY | 177445 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 60511325 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 23405002 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37532804 | BOY |
| EOY | 37106323 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4580117 | BOY |
| EOY | 5180820 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 646443 | BOY |
| EOY | 513835 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50957465 | BOY |
| EOY | 45354929 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 662438 | BOY |
| EOY | 360168 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26566144 | BOY |
| EOY | 19394288 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20142714 | BOY |
| EOY | 23080798 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47371296 | BOY |
| EOY | 42835254 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3107714 | BOY |
| EOY | 2070149 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149048 | BOY |
| EOY | 120119 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 329407 | BOY |
| EOY | 329407 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3586169 | BOY |
| EOY | 2519675 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50957465 | BOY |
| EOY | 45354929 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -871299 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -9043 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | -188386 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 2234 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 648246 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 782460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 464545 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 204983 | CurrentTaxYearMinus1Year |
| Current Tax Year | 245190 | CurrentTaxYear |
| Total | 2345424 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10342593 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10095372 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11383229 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12009223 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12767023 | CurrentTaxYear |
| Total | 56597440 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10990839 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10877832 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11847774 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12214206 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13012213 | CurrentTaxYear |
| Total | 58942864 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 170000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 177500 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 185000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 195000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 207500 | CurrentTaxYear |
| Total | 935000 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 170000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 177500 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 185000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 195000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 207500 | CurrentTaxYear |
| Total | 935000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 58007864 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 159156 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 143031 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 130478 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 116892 | CurrentTaxYearMinus1Year |
| Current Tax Year | 128806 | CurrentTaxYear |
| Total | 678363 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 159156 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 143031 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 130478 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 116892 | CurrentTaxYearMinus1Year |
| Current Tax Year | 128806 | CurrentTaxYear |
| Total | 678363 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 311416 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 108609 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 120781 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 130456 | CurrentTaxYearMinus1Year |
| Current Tax Year | 202228 | CurrentTaxYear |
| Total | 873490 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11461411 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11129472 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12099033 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12461554 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13343247 | CurrentTaxYear |
| Total | 60494717 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.95890 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.95960 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01120 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01400 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 796174 | OtherCostOrOtherBasis |
| Book Value | 796174 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54660279 | OtherCostOrOtherBasis |
| Depreciation | 19458057 | Depreciation |
| Book Value | 35202222 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5052596 | OtherCostOrOtherBasis |
| Depreciation | 3765744 | Depreciation |
| Book Value | 1286852 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2276 | OtherCostOrOtherBasis |
| Depreciation | 181201 | Depreciation |
| Book Value | -178925 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 37106323 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED ENTRANCE FEES | $14,380,028 |
| ACCRUED LIABILITIES | $615,768 |
| REFUND LIABILITY | $8,085,002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 23080798 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JEFFREY HUTCHINS | NamePerson |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Base Compensation Filing Org | 161830 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 161830 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| NC MEDICAL CARE COMMISSION | ||||||||
| A | 521309402 | NONEAVAIL | 2004-01-22 | 5655000 | CUR. REFUND/CONSTRUCTION | 0 | 0 | 0 |
| NC MEDICAL CARE COMMISSION | ||||||||
| B | 521309402 | NONEAVAIL | 2010-01-20 | 30000000 | NEW CONSTRUCTION | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capitalized InterestCapitalizedInterest | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 5655000 | 5839499 | 112959 | 4967866 | 1993 | 1 | 0 | 1 | 1 | ||
| B | 10020690 | 28031368 | 550000 | 2011 | 0 | 0 | 1 | 1 | 428691 | 27052677 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 1 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | |||
| BB&T | ||||||||||||
| B | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 15.000000000000 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, COLUMN F | DESCRIPTION OF PURPOSE - BOND A | THE PROCEEDS OF THE SERIES 2004 ISSUE WERE USED TO PROVIDE FUNDS FOR (I) CURRENT REFUNDING OF TWO PRIOR ISSUES, (II) FUND A DEBT SERVICE FUND, (III) PAY A PORTION OF ISSUANCE COSTS, AND (IV) PAY ACCRUED INTEREST ON THE BONDS. |
| PART I, COLUMN F | DESCRIPTION OF PURPOSE - BOND B | THE PROCEEDS OF THE SERIES 2010 ISSUE WERE USED TO PROVIDE FUNDS FOR (I) PAY A PORTION OF THE ISSUANCE COSTS AND (II) THE PROJECT, A NEW 69-UNIT APARTMENT BUILDING AND A NEW APPROXIMATELY 39,000 SQUARE FOOT COMMUNITY CENTER ON EXISTING CAMPUS. |
| PART II, LINE 3 | TOTAL PROCEEDS OF ISSUE - BOND A | TOTAL PROCEEDS ON LINE 3 FOR BOND (A) INCLUDES CUMULATIVE INVESTMENT EARNINGS OF $185,655. |
| PART II, LINE 10 | CAPITAL EXPEDITURES FOR PROCEEDS - BOND B | BOND (B) WAS ESTABLISHED AS A DRAW-DOWN AGREEMENT TO REIMBURSE THE ORGANIZATION FOR CAPITAL ACQUISITION AND CONSTRUCTION PERIODICALLY. BOND PROCEEDS WERE NOT INVESTED BY THE ORGANIZATION DURING CONSTRUCTION, AND THERE ARE NO INVESTMENT EARNINGS TO REPORT. |
| PART II, LINE 11 | OTHER SPENT PROCEEDS - BOND A | OTHER SPENT PROCEEDS ON LINE 11 FOR BOND (A) INCLUDES AMOUNTS USED TO CURRENTLY REFUND PRIOR ISSUES FROM 1985 AND 1993. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO THE FILING OF THE FORM 990, THE ORGANIZATION PROVIDED A COPY OF FORM 990 TO ALL VOTING MEMBERS OF THE BOARD AND ASKED FOR QUESTIONS. FORM 990 IS REVIEWED IN DEPTH BY THE FINANCE COMMITTEE WHICH HAS BEEN APPOINTED BY THE BOARD OF DIRECTORS FOR THIS OVERSIGHT. THE BOARD OF DIRECTORS VOTED TO APPROVE AND ACCEPT THE FORM 990 AS PRESENTED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES THE BOARD TO ANNUALLY COMPLETE DISCLOSURE FORMS CONCERNING POSSIBLE CONFLICTS OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPOINTED A COMPENSATION REVIEW COMMITTEE TO DETERMINE COMPENSATION FOR THE CEO, CFO AND COO OF THE ORGANIZATION. THIS REVIEW IS CONDUCTED ON AN ANNUAL BASIS IN ACCORDANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS GUIDELINES AND MUST BE REVIEWED AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS. | |
| 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 AT THE ADMINISTRATION OFFICES. | |
| FORM 990, PART XI, LINE 9: | DECREASE IN FAIR VALUE OF SPLIT-INTEREST AGREEMENT -256. UNREALIZED LOSS ON FAIR VALUE OF INTEREST RATE CAP AGREEMENT 2,490. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENICK VILLAGE FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 EAST RHODE ISLAND AVENUE | AddressLine1 |
| City | SOUTHERN PINES | City |
| State | NC | State |
| ZIP Code | 28387 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201055492 | EIN |
| Primary Activities | TO RAISE AND HOLD FUNDS FOR CHARITABLE PURPOSES | PrimaryActivities |
| Legal Domicile State | NC | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 9 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE EPISCOPAL HOME FOR THE AGEING IN THE DIOCESE OF NORTH CAROLINA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENICK VILLAGE FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 324441 | AmountInvolved |
| Method Of Amt Determination | CASH | MethodOfAmtDetermination |
Comments