2025-09-26T14:49:11-05:00 2024-09-30 560571159 BERNARD ROBINSON & COMPANY LLP PO BOX 19608 GREENSBORO NC 274199608 990 2023-10-01 273481562 PROVIDENCE PLACE ASSISTED LIVING INC PROV 3368884561 1701 WESTCHESTER DRIVE SUITE 400 HIGH POINT NC 27262 KIM S HOPPE PRESIDENT/CEO 3368884561 2025-09-26 1 0 JOHN M ROBINSON P01281319 3362944494 2025-09-24 2023 2025-03-06 01:10:19Z KIM S HOPPE 1701 WESTCHESTER DRIVE SUITE 400 HIGH POINT NC 27262 4580632 0 X WWW.PROVIDENCEPLACENC.COM X 2010 NC 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 SPIRTUAL GROWTH AND DEVELOPMENT. 3 3 88 0 0 0 0 0 4285310 4579154 31753 1278 244289 200 4561352 4580632 0 0 0 0 2197820 2081611 0 0 0 3026943 3074210 5224763 5155821 -663411 -575189 5539930 5170062 5982348 6187669 -442418 -1017607 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 SPIRTUAL GROWTH AND DEVELOPMENT. 0 0 4050923 4579354 PROVIDING 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. 4050923 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 26 0 1 88 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X KIM S HOPPE 3368884560 1701 WESTCHESTER DRIVE SUITE 400 HIGH POINT NC 27262 TERRY MILLER OUTGOING PRESIDENT/CEO 4.00 12.00 X X 0 740310 1784 CRAIG DUNN DIRECTOR 3.14 X 0 0 0 C NORWOOD DAVIS INCOMING PRESIDENT 3.14 X X 0 0 0 REGINA SHARROW INCOMING SECRETARY 3.14 X X 0 0 0 BARRY YATES OUTGOING CFO 5.00 20.00 X 0 668387 44711 KIM HOPPE INTERIM CEO/CFO 5.00 20.00 X 0 0 0 0 1408697 46495 0 0 1 0 CULINARY SERVICES GROUP LLC 1135 BUSINESS PARKWAY S STE 10 WESTMINSTER MD 21157 FOOD SERVICE 648275 INTELYCARE INC PO BOX 787317 PHILADELPHIA PA 19178 HEALTHCARE STAFFING 349347 2 ROOM AND BOARD 623000 4579154 4579154 4579154 1278 1278 MISCELLANEOUS 623000 200 200 200 4580632 4579354 0 1278 133677 133677 1726126 1124156 601970 82567 57797 24770 139241 97469 41772 274749 274749 336 336 41720 25970 15750 58719 54183 4536 5348 5348 65739 65739 152694 152694 398715 398715 258042 258042 131671 131671 ANCILLARY EXPENSES 1032723 1032723 CONTRACT SERVICES 495204 495204 REPAIRS AND MAINTENANCE 129004 129004 TELEPHONE 10008 10008 19538 12200 7338 5155821 4050923 1104898 0 218743 37846 1000 1000 88753 144718 34205 39729 8677674 4003161 4872489 4674513 47818 47256 276922 225000 5539930 5170062 240388 455684 5623 4585 5712027 5570201 24310 157199 5982348 6187669 X -442418 -1017607 -442418 -1017607 5539930 5170062 -575189 0 X 0 0 0 X 282757 282757 4529354 4769139 4501173 4529599 4579354 22908619 4529354 5051896 4501173 4529599 4579354 23191376 0 0 0 23191376 5223 1485 9701 44304 1279 61992 5223 1485 9701 44304 1279 61992 4534577 5053381 4510874 4573903 4580633 23253368 0.99730 0.99730 0.00270 0.00270 X 1218000 1218000 6458170 3050471 3407699 995504 952690 42814 6000 6000 4674513 DUE TO RELATED ORGANIZATIONS 157199 157199 0 0 0 0 0 0 0 0 0 TERRY MILLER OUTGOING PRESIDENT/CEO 0 740310 0 0 0 0 0 0 0 1784 0 742094 0 0 BARRY YATES OUTGOING CFO 0 668387 0 0 0 0 0 0 0 44711 0 713098 0 0 FORM 990, PART VI, SECTION A, LINE 3 CERTAIN MANAGEMENT DUTIES WERE DELEGATED TO A RELATED 501(C)(3) ORGANIZATION: WESLEYAN ARMS, INC. (56-1012908). FORM 990, PART VI, SECTION B, LINE 11B PROVIDENCE 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 12C ALL 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 15 THE 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST BY ANY INTERESTED PARTY. WESLEYAN ARMS INC 1701 WESTCHESTER DRIVE HIGH POINT NC 27262 561012908 ASSISTED LIVING NC 501(C)(3) LINE 10 N/A 0 PPRC NURSING HOME INC 1795 WESTCHESTER DRIVE HIGH POINT NC 27262 311733046 NURSING HOME NC 501(C)(3) LINE 10 N/A 0 PPRC SENIOR LIVING I INC 1795 WESTCHESTER DRIVE HIGH POINT NC 27262 311733044 INDEPENDENT LIVING NC 501(C)(3) LINE 10 N/A 0 PPRC SENIOR LIVING II INC 1727 WESTCHESTER DRIVE HIGH POINT NC 27262 300113709 INDEPENDENT LIVING NC 501(C)(3) LINE 10 N/A 0 WESTCHESTER CHRISTIAN CENTER INC 1701 WESTCHESTER DRIVE HIGH POINT NC 27262 561963673 ACQUISITION, IMPROVEMENT, MAINTENANCE, LEASING OF PROPERTY NC N/A C 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 WESLEYAN ARMS INC M 274749 CASH PAID