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PROVIDENCE PLACE ASSISTED LIVING INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE PLACE ASSISTED LIVING INC (EIN 27-3481562)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-15
IRS object ID
202442289349301599
Schema version
2022v5.0
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)
Return2024-08-15T11:37:13-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

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 Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273481562EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE PLACE ASSISTED LIVING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone3368884561PhoneNum

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)
PersonKIM S HOPPEPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3368884561PhoneNum
Signature2024-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN M ROBINSONPreparerPersonNm
PTINP01281319PTIN
Phone3362944494PhoneNum
Preparation2024-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIM S HOPPEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 WESTCHESTER DRIVE SUITE 400AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,573,903GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROVIDENCEPLACENC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO PASSIONATELY SERVE THE HOUSING AND CARE NEEDS OF SENIOR ADULTS WITH INNOVATIVE PROGRAMS AND SERVICES DELIVERED AT AN EXCEPTIONAL VALUE WHILE ENCOURAGING PERSONAL AND SPIRTUAL GROWTH AND DEVELOPMENT.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee92TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,288,610PYProgramServiceRevenueAmt
CY Program Service Revenue$4,285,310CYProgramServiceRevenueAmt
PY Investment Income-$54,494PYInvestmentIncomeAmt
CY Investment Income$31,753CYInvestmentIncomeAmt
PY Other Revenue$212,563PYOtherRevenueAmt
CY Other Revenue$244,289CYOtherRevenueAmt
PY Total Revenue$4,446,679PYTotalRevenueAmt
CY Total Revenue$4,561,352CYTotalRevenueAmt
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$2,209,339PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,197,820CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,595,284PYOtherExpensesAmt
CY Other Expenses$3,026,943CYOtherExpensesAmt
PY Total Expenses$4,804,623PYTotalExpensesAmt
CY Total Expenses$5,224,763CYTotalExpensesAmt
PY Revenues Less Expenses-$357,944PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$663,411CYRevenuesLessExpensesAmt
Total Assets BOY$6,571,220TotalAssetsBOYAmt
Total Assets EOY$5,539,930TotalAssetsEOYAmt
Total Liabilities BOY$6,350,227TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,982,348TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$220,993NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$442,418NetAssetsOrFundBalancesEOYAmt
MissionTO PASSIONATELY SERVE THE HOUSING AND CARE NEEDS OF SENIOR ADULTS WITH INNOVATIVE PROGRAMS AND SERVICES DELIVERED AT AN EXCEPTIONAL VALUE WHILE ENCOURAGING PERSONAL AND SPIRTUAL GROWTH AND DEVELOPMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,042,596ExpenseAmt
Revenue$4,529,599RevenueAmt
DescPROVIDING HOUSING AND SENIOR SERVICES THROUGH INNOVATIVE MODELS AND STATE OF THE ART CARE SYSTEMS THAT MAXIMIZE FUNCTIONAL ABILITIES AND SPIRITUAL DEVELOPMENT OF THE RESIDENTS AND PROGRAM PARTICIPANTS IN A CHRISTIAN ENVIRONMENT. THE PRIMARY SERVICES PROVIDED ARE ASSISTED LIVING SERVICES AND MEMORY CARE. 55,170 SQ. FT. OF LIVING SPACE, MEMORY CARE CENTER PROVIDING THERAPEUTIC CARE FOR ALZHEIMER'S/DEMENTIA RESIDENTS, PRIVATE AND SEMI-PRIVATE ROOMS AND ON SITE PHYSICAL THERAPY.Desc
Total Program Service Expenses$4,042,596TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee92EmployeeCnt
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 Members3GoverningBodyVotingMembersCnt
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 Line1KIM S HOPPEBusinessNameLine1Txt
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 (8 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)$0$312,351$1,418
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)$0$0$0
C NORWOOD DAVIS
DIRECTOR3.14Yes (X)$0$0$0
REGINA SHARROW
DIRECTOR3.14Yes (X)$0$0$0
BARRY YATES
CFO5.0020.00Yes (X)$0$351,031$44,954
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$663,382TotReportableCompRltdOrgAmt
Total Other Compensation$46,372TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CULINARY SERVICES GROUP LLC
1135 BUSINESS PARKWAY S 10WESTMINSTERMD21157FOOD SERVICE$604,672
INTELYCARE INC
PO BOX 200413PITTSBURGPA15251HEALTHCARE STAFFING$101,221
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescROOM AND BOARDDesc
Business623000BusinessCd
Total Revenue Column$4,285,310TotalRevenueColumnAmt
Related Or Exempt Func Income$4,285,310RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,285,310TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,304TotalRevenueColumnAmt
Exclusion$44,304ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$12,551OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$12,551OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$12,551TotalRevenueColumnAmt
Exclusion-$12,551ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business623000BusinessCd
Total Revenue Column$244,289TotalRevenueColumnAmt
Related Or Exempt Func Income$244,289RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$244,289OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,561,352TotalRevenueColumnAmt
Related Or Exempt Func Income$4,529,599RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$31,753ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$77,486TotalAmt
Management And General$77,486ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,873,513TotalAmt
Program Services$1,143,634ProgramServicesAmt
Management And General$729,879ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$99,562TotalAmt
Program Services$69,693ProgramServicesAmt
Management And General$29,869ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$147,259TotalAmt
Program Services$103,081ProgramServicesAmt
Management And General$44,178ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$257,119TotalAmt
Management And General$257,119ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,161TotalAmt
Management And General$7,161ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$45,137TotalAmt
Program Services$22,237ProgramServicesAmt
Management And General$22,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$40,062TotalAmt
Program Services$40,062ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,540TotalAmt
Program Services$16,540ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$64,722TotalAmt
Program Services$64,722ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$153,372TotalAmt
Program Services$153,372ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$404,405TotalAmt
Program Services$404,405ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$261,326TotalAmt
Program Services$261,326ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$122,410TotalAmt
Program Services$122,410ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ANCILLARY EXPENSES$885,169$885,169
CONTRACT SERVICES$576,840$576,840
REPAIRS AND MAINTENANCE$158,559$158,559
ADMINISTRATIVE EXPENSES$13,575$13,575

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$20,546TotalAmt
Program Services$20,546ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,224,763TotalAmt
Program Services$4,042,596ProgramServicesAmt
Management And General$1,182,167ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$564,055BOYAmt
EOY$218,743EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$567,161BOYAmt
EOY$88,753EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$26,355BOYAmt
EOY$34,205EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,618,171LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,745,682LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,060,017BOYAmt
EOY$4,872,489EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$54,569BOYAmt
EOY$47,818EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$298,063BOYAmt
EOY$276,922EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,571,220BOYAmt
EOY$5,539,930EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$217,951BOYAmt
EOY$240,388EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$244,958BOYAmt
EOY$5,623EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,872,851BOYAmt
EOY$5,712,027EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,467BOYAmt
EOY$24,310EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,350,227BOYAmt
EOY$5,982,348EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$220,993BOYAmt
EOY-$442,418EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$220,993BOYAmt
EOY-$442,418EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,571,220BOYAmt
EOY$5,539,930EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$663,411ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$282,757CurrentTaxYearMinus2YearsAmt
Total$282,757TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,664,878CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,529,354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,769,139CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,501,173CurrentTaxYearMinus1YearAmt
Current Tax Year$4,529,599CurrentTaxYearAmt
Total$22,994,143TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,664,878CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,529,354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,051,896CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,501,173CurrentTaxYearMinus1YearAmt
Current Tax Year$4,529,599CurrentTaxYearAmt
Total$23,276,900TotalAmt

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$23,276,900PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,223CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,485CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,701CurrentTaxYearMinus1YearAmt
Current Tax Year$44,304CurrentTaxYearAmt
Total$63,361TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,223CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,485CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,701CurrentTaxYearMinus1YearAmt
Current Tax Year$44,304CurrentTaxYearAmt
Total$63,361TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,667,526CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,534,577CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,053,381CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,510,874CurrentTaxYearMinus1YearAmt
Current Tax Year$4,573,903CurrentTaxYearAmt
Total$23,340,261TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99730PublicSupportCY509Pct
Public Support PY5090.99910PublicSupportPY509Pct
Investment Income CY0.00270InvestmentIncomeCYPct
Investment Income PY0.00090InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,218,000OtherCostOrOtherBasisAmt
Book Value$1,218,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,397,649OtherCostOrOtherBasisAmt
Depreciation$2,813,843DepreciationAmt
Book Value$3,583,806BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$985,674OtherCostOrOtherBasisAmt
Depreciation$931,839DepreciationAmt
Book Value$53,835BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,848OtherCostOrOtherBasisAmt
Book Value$16,848BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,872,489TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED ORGANIZATIONSDesc
Amt$24,310Amt
FieldValueIRS element (for citing)
Total Liability$24,310TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,573,903TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$4,573,903RevenueSubtotalAmt
Other Revenues Not Included-$12,551OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$12,551RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,561,352TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,237,314TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$12,551OtherExpensesIncludedAmt
Expenses Not Reported$12,551ExpensesNotReportedAmt
Expenses Subtotal$5,224,763ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,224,763TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. IT IS THE ORGANIZATION'S POLICY TO EVALUATE ALL TAX POSITIONS TO IDENTIFY ANY THAT MAY BE CONSIDERED UNCERTAIN. ALL IDENTIFIED MATERIAL TAX POSITIONS ARE ASSESSED AND MEASURED BY A "MORE-LIKELY-THAN-NOT" THRESHOLD TO DETERMINE IF THE TAX POSITION IS UNCERTAIN AND WHAT, IF ANY, THE EFFECT OF THE UNCERTAIN TAX POSITION MAY HAVE ON THE FINANCIAL STATEMENTS. NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED FOR 2023 AND 2022.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LOSS ON FIXED ASSET DISPOSAL -12,551.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON FIXED ASSET DISPOSAL 12,551.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY YATES
CFO$0$351,031$0$0$0$0$0$0$0$44,954$0$395,985$0$0
TERRY MILLER
PRESIDENT/CEO$0$312,351$0$0$0$0$0$0$0$1,418$0$313,769$0$0

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 11BPROVIDENCE PLACE ASSISTED LIVING, 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 BY ANY INTERESTED PARTY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
WESLEYAN ARMS INC
1701 WESTCHESTER DRIVEHIGH POINTNC27262561012908ASSISTED LIVINGNC501(C)(3)LINE 10N/A0
PPRC NURSING HOME INC
1795 WESTCHESTER DRIVEHIGH POINTNC27262311733046NURSING HOMENC501(C)(3)LINE 10N/A0
PPRC SENIOR LIVING I INC
1795 WESTCHESTER DRIVEHIGH POINTNC27262311733044INDEPENDENT LIVINGNC501(C)(3)LINE 10N/A0
PPRC SENIOR LIVING II INC
1727 WESTCHESTER DRIVEHIGH POINTNC27262300113709INDEPENDENT LIVINGNC501(C)(3)LINE 10N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WESTCHESTER CHRISTIAN CENTER INCBusinessNameLine1Txt

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 OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
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 Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WESTCHESTER CHRISTIAN CENTER INC
D$275,000CASH PAID
WESLEYAN ARMS INC
M$257,119CASH PAID