2025-08-06T10:48:11-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2023-10-01 560729010 PENICK VILLAGE INC PENI 9106920300 500 EAST RHODE ISLAND AVENUE SOUTHERN PINES NC 28387 CHRISTOPHER MOONEY CHIEF FINANCIAL OFFICER 9106920300 2025-08-05 1 1 KATHERINE A WARLICK P02065266 7049985200 2025-07-25 2023 2025-03-06 01:10:19Z ALVA S CROMARTIE III 500 EAST RHODE ISLAND AVENUE SOUTHERN PINES NC 28387 21444115 0 X WWW.PENICKVILLAGE.ORG X 1957 NC OPERATES A LIFE PLANNING COMMUNITY, SEE ALSO PART III, LINE 1. 12 12 398 340 466282 0 849224 1328265 18964967 19608364 2129969 485269 0 0 21944160 21421898 0 0 0 0 10625167 10656378 0 0 154460 9987749 10630536 20612916 21286914 1331244 134984 73223544 76594546 62507697 64102076 10715847 12492470 X AS A FAITH-BASED NONPROFIT ORGANIZATION, PENICK VILLAGE'S MISSION IS TO CULTIVATE A FRIENDLY AND SAFE COMMUNITY WHERE RESIDENTS HAVE THE FREEDOM TO FOCUS ON THEIR WELLNESS AND RELATIONSHIPS WHILE LIVING TO LIFE'S FULLEST POTENTIAL. (CONTINUED ON SCHEDULE O) PENICK VILLAGE'S VISION IS TO OFFER A PREMIER LIFEPLAN COMMUNITY EXPERIENCE TO OUR RESIDENTS, DELIVERING EXCEPTIONAL SERVICES, LIFESTYLE, AND INNOVATION. 0 0 16515843 19142082 PENICK VILLAGE PROVIDES HOUSING, SERVICES, AND LONG-TERM CARE TO OVER 230 RESIDENTS. 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 AND MOORE COUNTY IN WHICH IT IS LOCATED BY DONATING TIME AND RESOURCES TO, AMONG OTHERS, THE MOORE COUNTY CHAMBER OF COMMERCE, FIRSTHEALTH HOSPITAL, LEADINGAGE NC, EPISCOPAL DAY SCHOOL, RED CROSS, HABITAT FOR HUMANITY, FRIEND TO FRIEND, AND THE SOUTHERN PINES FIRE AND POLICE DEPARTMENTS. THE PENICK VILLAGE COMMUNITY ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE RESIDENTS IN NEED.(CONTINUED ON SCHEDULE O)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 ARE NOT LIMITED TO ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, MEDICATION ADMINISTRATION, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, SPECIALIZED DIETS AND OTHER NEEDS PER ORDERS. THE 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. PENICK VILLAGE ALSO OFFERS A BROAD RANGE OF IN-HOME SERVICES TO THOSE SENIORS THAT PREFER TO AGE IN HOME. PENICK TAILORS CARE PLANS INDIVIDUALLY, FOLLOWING A FREE IN-HOME CONSULTATION AND ASSESSMENT. POTENTIAL HOME CARE SERVICES INCLUDE COMPANION/SITTER/RESPITE CARE (INCLUDING TRANSPORTATION, LIGHT HOUSEKEEPING, ERRANDS, PET CARE, DAILY CHECK-INS, AND MEDICATION REMINDERS), CARE MANAGEMENT TO ENSURE PROPER TREATMENT, AND POST HOSPITAL DISCHARGE FOLLOW UPS (INCLUDING MEDICARE/LONG-TERM CARE INSURANCE REVIEWS, HOME ORGANIZING/DOWNSIZING, SUPPORT THROUGH DIFFERENT LEVELS OF CARE, HOME SAFETY ASSESSMENTS/MODIFICATIONS, AND REFERRALS TO COMMUMINITY PARTNERS).INDIVIDUALS WHO MOVE INTO PENICK FOR ASSISTED LIVING ARE PROVIDED A UNIQUE SERVICE THAT HAS BEEN PURPOSEFULLY PLANNED TO FILL THEIR INDIVIDUAL NEEDS AND PREFERENCES AND DESIGNED TO SERVE THEM TO THE BEST OF OUR ABILITY. OUR NURSING STAFF MEETS WITH THE NEW RESIDENT AND FAMILY PRIOR TO MOVE IN TO FULLY UNDERSTAND EACH SITUATION AND DESIGN A PERSONALIZED PLAN. ASSISTED LIVING RESIDENTS ENJOY: - A SPACIOUS, PRIVATE APARTMENT- LICENSED CARE SEVEN DAYS A WEEK- DELICIOUS, NUTRITIOUS MEALS- A SAFE SETTING THAT PROMOTES INDEPENDENCE- MEDICATION ASSISTANCE AND/OR ADMINISTRATION AVAILABLE- CARING AND DEDICATED HEALTHCARE PROFESSIONALS- 24-HOUR EMERGENCY CALL SYSTEMS- A VIBRANT SOCIAL ATMOSPHERE- ACCESS TO ALL COMMUNITY AMENITIESDINING SERVICES IS ONE OF PENICK VILLAGE'S ESSENTIAL SERVICES. DINING SERVICES STRIVES TO PRIVIDE 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 IS COMMITTED TO PREPARING THE SAME QUALITY AND CHOICES OF FOOD ITEMS IN THE HEALTHCARE AREAS THAT ARE AVAILABLE TO INDEPENDENT RESIDENTS. DINING SERVICES ALSO HOSTS EVENTS FOR OTHER SPECIAL COMMUNITY GROUPS SUCH AS THE KIWANIS. AS AN EMPLOYEE BENEFIT, THE STAFF ALSO ENJOYS WONDERFUL MEALS AT A GENEROUS DISCOUNT.PENICK VILLAGE IS ALSO VERY PROUD OF ITS HOUSEKEEPING SERVICES. HOUSEKEEPING PROVIDES GENERAL CLEANING SERVICES ALONG WITH LINEN SERVICES AS REQUESTED. THE HOUSEKEEPING TEAM BUILDS GREAT RELATIONSHIPS WITH THE RESIDENTS THEY ARE SERVING AND HAVE HELPED SIGNIFICANTLY IN TIMES OF NEED. 16515843 1 1 0 0 0 0 0 1 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 86 0 1 398 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X CHRISTOPHER J MOONEY CFO 9106920300 500 E RHODE ISLAND AVE SOUTHERN PINES NC 28387 MICAH NEIBAUER PRESIDENT 1.00 1.00 X X 0 0 0 FRANK QUIS VICE PRESIDENT 1.00 0.00 X X 0 0 0 JOHN FRIZZELL IMMEDIATE PAST PRESIDENT 1.00 0.00 X X 0 0 0 LANCE CRAIG TREASURER 1.00 0.00 X X 0 0 0 SHERRY PRICE SECRETARY 1.00 0.00 X X 0 0 0 MARSHA COLES BOARD MEMBER 1.00 0.00 X 0 0 0 REV J CARR HOLLAND BOARD MEMBER 1.00 0.00 X 0 0 0 DR GARY KRASICKY BOARD MEMBER 1.00 0.00 X 0 0 0 JACKLYNN LESNIAK BOARD MEMBER 1.00 0.00 X 0 0 0 MIKE PENICK BOARD MEMBER 1.00 0.00 X 0 0 0 WAYNE ROBBINS BOARD MEMBER 1.00 0.00 X 0 0 0 MARY RECA TODD BOARD MEMBER 1.00 0.00 X 0 0 0 ALVA CROMARTIE CEO 39.00 1.00 X 282900 0 37613 TERRY KEES CFO-RETIRED - 2/28/2024 39.00 1.00 X 224853 0 13995 CHRISTOPHER MOONEY CFO AS OF 3/1/24 39.00 1.00 X 118614 0 18885 MICHAEL WHITLOCK DIRECTOR OF DINING 40.00 0.00 X 108879 0 2175 VERONICA AXT DIRECTOR OF HR 40.00 0.00 X 105932 0 12730 WENDY FARRELL DIRECTOR OF MARKETING 40.00 0.00 X 111350 0 3744 PANSY REYNOLDS HEALTHCARE ADMINISTRATOR 40.00 0.00 X 105083 0 22702 JENNIFER POLLARD DIRECTOR OF HOME CARE 40.00 0.00 X 102016 0 14410 1159627 0 126254 11 0 1 0 THS NATIONAL LLC 1550 CLASSIC RD APEX NC 27539 CONSTRUCTION 1437088 RLPS LLP 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECT 1258241 BARTLETT CONSTRUCTION LLC PO BOX 3013 PINEHURST NC 28374 CONSTRUCTION 686147 PINNACLE DEVELPMNT DESIGN BLD PO BOX 55 SOUTHERN PINES NC 28388 CONSTRUCTION 457226 BRIAN SCHIFF & ASSOC LLC 7969 OAK POINT DR FRISCO TX 75034 CONSULTING 320271 10 758664 569601 1328265 INDEPENDENT LIVING 623000 7750718 7750718 HEALTHCARE 623000 7355172 7355172 EARNED ENTRANCE FEES 623000 3423665 3423665 JA GREER GROUP 531310 466282 466282 612527 612527 19608364 400353 400353 83416 23717 0 22217 83416 1500 84916 84916 21421898 19142082 466282 485269 685163 685163 7620930 6432367 1074027 114536 1693338 1054849 628654 9835 656947 535506 112091 9350 466276 44795 419531 1950 165313 165313 56685 56685 921030 918069 2961 138310 2463 132604 3243 1610666 1349531 260722 413 945974 795428 150546 41892 21775 19914 203 11233 11233 1646817 1524057 122760 2588279 2200037 388242 57712 6840 50872 OTHER PATIENT SERVICES 1397561 1360792 35279 1490 EMPLOYEE RECRUITMENT AN 186230 32587 153148 495 PHARMACEUTICALS 79849 79849 MEDICAL SUPPLIES 77718 77718 238991 79180 146866 12945 21286914 16515843 4616611 154460 1200 1200 4820627 1077638 2283198 3313728 0 63921 400682 450048 75981223 23385337 50282749 52595886 10605089 12540526 2186121 2127508 2643878 4424091 73223544 76594546 2424551 1531485 18568760 20738398 35343189 34762341 118056 124396 6053141 6945456 62507697 64102076 X 10008783 11762401 707064 730069 10715847 12492470 73223544 76594546 X 134984 1614227 27412 X 0 1 X 1 0 X 631753 2346471 1070571 849224 1328265 6226284 16816272 16886921 17242282 18425035 19142082 88512592 17448025 19233392 18312853 19274259 20470347 94738876 341129 341129 0 341129 341129 94397747 242513 236309 236082 355027 400353 1470284 242513 236309 236082 355027 400353 1470284 17690538 19469701 18548935 19629286 20870700 96209160 0.98120 0.96320 0.01530 0.01470 X PART III, SECTION A, LINE 11 PART III, SECTION A, LINE 11 HAS BEEN UPDATED FOR TAX YEARS 2019 THROUGH 2023 TO REPORT $0 IN NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. IN PRIOR YEARS, THE GROSS INCOME, RATHER THAN NET INCOME, FROM UNRELATED BUSINESS ACTIVITIES WAS REPORTED ON THIS LINE. THIS CORRECTION DOES NOT IMPACT THE ORGANIZATION'S ABILITY TO PASS THE PUBLIC SUPPORT TEST. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X ANNUAL ART SHOW 1 0 1 X 329407 329407 329407 329407 329407 329407 329407 329407 329407 329407 1.00000 0 0 678542 678542 66372847 21860700 44512147 1944943 1347027 597916 6984891 177610 6807281 52595886 INTEREST RATE CAP AGREEMENT 204443 BENEFICIAL INTEREST IN ANNUITIES 209847 INTANGIBLE ASSET 80180 INVESTMENT IN AFFILIATE 1000 HELD BY TRUSTEE UNDER BOND AGREEMENTS 3812414 OTHER ASSETS 66373 DEPOSITS 49834 4424091 REFUND LIABILITY 3262264 APPLICATION AND PREPAID ADMISSION DEPOSITS 1927824 DUE TO AFFILIATE 1754615 INTEREST RATE CAP AGREEMENT 753 6945456 X PART III, LINE 4: FOR THE PAST 14 YEARS, PENICK VILLAGE HAS BROUGHT TOGETHER THE LOCAL COMMUNITY -- RESIDENTS, NEIGHBORS AND RENOWNED LOCAL ARTISTS -- FOR AN ART SHOW AND AUCTION. ONE HUNDRED PERCENT OF THE NET PROCEEDS RAISED DURING THE ANNUAL ART SHOW AND AUCTION GOES DIRECTLY TO THE PENICK VILLAGE BENEVOLENT ASSISTANCE PROGRAM, WHICH SUPPORTS RESIDENTS WHEN THEY OUTLIVE THEIR FINANCIAL RESOURCES THROUGH NO FAULT OF THEIR OWN. FOR THIS REASON, PENICK VILLAGE HAS NEVER ASKED A RESIDENT TO LEAVE! PENICK VILLAGE ALSO DISPLAYS VARIOUS PIECES OF ART THROUGHOUT ITS CAMPUS FOR THE GENERAL ENJOYMENT OF ITS RESIDENTS. PART IV, LINE 2B: PENICK VILLAGE MAINTAINS CUSTODY OVER A RESIDENT TRUST CASH ACCOUNT WHEREIN VARIOUS RESIDENTS' MONIES ARE REGULARLY DEPOSITED. OUT OF THIS ACCOUNT, PENICK VILLAGE ASSISTS THOSE RESIDENTS IN PAYING THEIR BILLS AND/OR MONTHLY SERVICE CHARGES THROUGH AN AUTOMATIC WITHDRAWAL FROM THEIR FUNDS. PART X, LINE 2: THE VILLAGE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC; ACCORDINGLY, THE CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. AS A LIMITED LIABILITY COMPANY, GREER'S TAXABLE INCOME OR LOSS IS ALLOCATED TO ITS MEMBERS IN ACCORDANCE WITH THE OPERATING AGREEMENT AND IS INCLUDED IN THEIR INDIVIDUAL INCOME TAX RETURNS; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2024 AND 2023. X X X 1 0 0 0 0 0 0 0 0 ALVA CROMARTIE CEO 231466 0 51434 0 0 0 5669 0 31944 0 320513 0 0 0 TERRY KEES CFO-RETIRED - 2/28/2024 200818 0 24035 0 0 0 0 0 13995 0 238848 0 0 0 PART I, LINE 4A NAME: TERRY KEES, DESCRIPTION: CFO, CURRENT YEAR AMOUNT: $61,496. PLAN DESCRIPTION: SEVERANCE A PUBLIC FINANCE AUTHORITY 521309402 74444VAS9 2019-11-06 32440000 FINANCE PROJECT COSTS AND REFUND TAXABLE AND TAX-EXEMPT DEBT 0 0 0 A 3873341 34864620 2007000 900824 697293 10484246 20775257 2020 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE ORGANIZATION'S OFFICERS, THEN SENT TO THE FINANCE COMMITTEE FOR REVIEW AND COMMENTS AND THEN PRESENTED TO THE FULL BOARD OF DIRECTORS. IT WILL BE REVIEWED BY THE OFFICERS AND FINANCE COMMITTEE MEMBERS BEFORE FILING WITH THE IRS AND WITH THE FULL BOARD IF THEY ARE SCHEDULED TO MEET BEFORE THE FILING DEADLINE. IF NOT IT WILL BE SENT TO THEM BEFORE THE FILING DEADLINE AND REVIEWED AT THE NEXT SCHEDULED MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS AND BOARD MEMBERS ARE REQUIRED TO RECEIVE, REVIEW AND SIGN A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE IF ANY CONFLICTS MIGHT ARISE IN THE COURSE OF CONDUCTING PENICK VILLAGE BUSINESS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS APPOINTED AN AD-HOC COMPENSATION REVIEW COMMITTEE TO DETERIME THE COMPENSATION FOR THE CEO OF THE ORGANIZATION. THIS REVIEW IS CONDUCTED ON AN ANNUAL BASIS AND USES DATA FROM OTHER ORGANIZATIONS AS WELL AS WAGE SURVEYS TO DETERMINE THE COMPENSATION. THE RESULTS ARE DOCUMENTED IN THE CEO'S PERSONNEL FILE IN HR. THE CEO CONDUCTS ANNUAL REVIEWS FOR THE CFO OF THE ORGANIZATION. BASED ON THOSE REVIEWS AND WAGE SURVEYS, THE CEO DETERMINES THE UPCOMING YEAR COMPENSATION FOR THESE KEY EMPLOYEES. THE EVALUATION AND ADVICE OF PAYROLL ARE DOCUMENTED IN THE PERSONNEL FILES IN HR. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. 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: CHANGE IN FAIR VALUE OF SPLIT-INTEREST AGREEMENT 27,842. UNREALIZED GAIN ON RESTRICTED INVESTMENTS 58,183. DECREASE IN BENEFICIAL INTEREST IN PVF -58,613. JA GREER GROUP LLC 500 EAST RHODE ISLAND AVENUE SOUTHERN PINES NC 28387 814456670 RENTAL NC 466282 3748420 PENICK VILLAGE PENICK VILLAGE FOUNDATION INC 500 EAST RHODE ISLAND AVENUE SOUTHERN PINES NC 28237 201055492 CHARITABLE FUNDRAISING NC 501(C)(3) LINE 12A, I PENICK VILLAGE 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PENICK VILLAGE FOUNDATION C 758664 CASH