2022-09-28T12:36:22-05:00 2021-06-30 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2020-07-01 222986746 THE TROUSDALE FOUNDATION INC TROU 4234785953 485 CENTRAL AVENUE NE CLEVELAND TN 37311 RON SWARTZ CHIEF FINANCIAL OFFICER 4234785953 2022-09-28 1 RON SWARTZ 999009999 VICKI L HINZ CPA P00356696 4077405400 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHRISTIAN J ROSE 485 CENTRAL AVENUE NE CLEVELAND TN 37311 76137385 1 1 9216 X N/A X 1989 MA ACQUIRE, OWN, AND MANAGE NURSING HOMES, HOSPITALS, RETIREMENT HOUSING AND HEALTH CARE FACILITIES. 5 4 2015 6 0 0 6231384 6190327 86788978 69552106 459906 4610 4344542 390342 97824810 76137385 502000 1705 0 0 49006811 40242686 0 0 0 57562793 46033113 107071604 86277504 -9246794 -10140119 181483861 157578588 192194811 174439165 -10710950 -16860577 THE TROUSDALE FOUNDATION, INC. IS DEDICATED TO ACQUIRING, OWNING, MAINTAINING, OPERATING, AND MANAGING NURSING HOMES, HOSPITALS, HEALTH CARE FACILITIES, RETIREMENT HOUSING, AND OTHER HOUSING FACILITIES FOR PERSONS WHO NEED ASSISTANCE WITH CARE. 0 0 65988093 1705 69942448 THE FILING ORGANIZATION PROVIDES PATIENT CARE TO PATIENTS WHO REQUIRE NURSING HOME CARE. THE SERVICES INCLUDED ARE NURSING CARE, MEDICATION, DIETARY, SOCIAL AND ACTIVITY, LAUNDRY, ETC. 65988093 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 5 0 1 2015 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 MA X THE ORGANIZATION 4234785953 485 CENTRAL AVENUE NE CLEVELAND TN 37311 CHRISTIN J ROSE PRESIDENT 4.00 12.00 X X 0 0 0 KENNETH C HART JR TREASURER 2.00 6.00 X X 0 0 0 KELLI ANN CANAN-DENNY SECRETARY 2.00 6.00 X X 0 71993 0 JEANNE O VARNELL DIRECTOR 2.00 6.00 X X 0 0 0 DAVID SHERLIN DIRECTOR 2.00 6.00 X 0 0 0 JAY ELLIOT DIRECTOR (ENDING 04/2021) 2.00 6.00 X 0 0 0 JACK P BYRD DIRECTOR (ENDING 04/2021) 2.00 6.00 X 0 0 0 THOMAS D JOHNSON EXECUTIVE DIRECTOR 10.00 30.00 X 436863 0 0 SANFORD MITCHELL SKIPPER CFO (ENDING 12/2021) 10.00 30.00 X 216224 0 0 653087 71993 0 2 0 1 0 SENIOR LIVING SUPPORT SERVICES INC 485 CENTRAL AVENUE NE CLEVELAND TN 37311 MANAGEMENT SERVICES 2483067 FUNCTIONAL PATHWAYS 10133 SHERRIL BLVD SUITE 200 KNOXVILLE TN 37932 MEDICAL SUPPORT SERVICES 2425355 PIONEER TECHNOLOGY 801 BROAD STREET SUITE 640 CHATTANOOGA TN 37402 IT SERVICES 615404 MIDDLE TENNESSEE PHARMACY 661 E LANE STREET SHELBYVILLE TN 37160 MEDICAL SERVICES 477765 34 6190327 6190327 NET PATIENT SERVICE REVENUE 623000 68157319 68157319 OTHER PATIENT SERVICE REVENUE 623000 1394787 1394787 69552106 4610 4610 INSURANCE PROCEEDS 900099 390342 390342 390342 76137385 69942448 0 4610 1705 1705 653087 653087 36183933 28392204 7791729 514987 353301 161686 2890679 2278781 611898 2483067 2483067 464202 464202 8057959 5565781 2492178 42631 42631 4219778 3934771 285007 6172191 3013641 3158550 88672 25992 62680 1250 1250 9015092 9015092 5696523 5696523 2612683 956314 1656369 MEDICAL SUPPLIES 3307398 3307398 FOOD 2604188 2604188 SUPPLIES & EQUIP. 1070857 176824 894033 SETTLEMENT CLAIMS 179250 179250 17372 11241 6131 86277504 65988093 20289411 0 13490312 8552400 8102377 3805465 3839545 20755 247233 139076793 14565347 147341961 124511446 1292391 5525821 3310478 10007156 9015109 181483861 157578588 21781943 18725882 270647 148938510 131586239 391618 431720 1276450 1264239 19806290 12744724 9401289 0 14425 192194811 174439165 X -10710950 -16860577 -10710950 -16860577 181483861 157578588 X -10140119 3990492 X X 0 0 0 X 1067035 6231384 6190327 13488746 34102961 47045690 97119598 91133520 69552106 338953875 15105 15105 34102961 47060795 98186633 97364904 75742433 352457726 0 0 0 352457726 135 4610 4745 135 4610 4745 390342 390342 34103096 47060795 98186633 97364904 76137385 352852813 0.99890 1.00000 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 12070400 12070400 118409957 11383280 107026677 8477919 3182067 5295852 118517 118517 124511446 DEPOSITS 23663 INTERCOMPANY RECEIVABLES 3053180 INTEREST RECEIVABLE 703319 DEFERRED FINANCING COSTS 5234947 9015109 DEPOSITS 14425 14425 PART IV, LINE 2B: THE ORGANIZATION HOLDS MONEY IN A SEPARATE BANK ACCOUNT FOR PATIENTS' PERSONAL USE. DURING THE YEAR, THERE WAS $431,720 HELD IN THE ACCOUNT FOR PATIENT USE. X 1 1 X 0 0 0 0 0 0 0 0 0 THOMAS D JOHNSON EXECUTIVE DIRECTOR 436863 0 0 0 0 0 0 0 0 0 436863 0 0 0 SANFORD MITCHELL SKIPPER CFO (ENDING 12/2021) 216224 0 0 0 0 0 0 0 0 0 216224 0 0 0 PART I, LINE 1A THOMAS JOHNSON, EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION AND PRESIDENT OF HEALTH SERVICES MANAGEMENT GROUP, WHICH IS A RELATED PARTY TO TROUSDALE FOUNDATION, WAS PROVIDED FIRST CLASS TRAVEL WHEN ATTENDING MEETINGS OR TRAVELING TO FACILITIES. A THE TROUSDALE FOUNDATION INC 222986746 59212TAJ5 2018-09-19 6750000 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 B THE TROUSDALE FOUNDATION INC 222986746 59212TAF3 2018-09-19 2000000 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 C THE TROUSDALE FOUNDATION INC 222986746 59212TAG1 2018-09-19 16875000 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 D THE TROUSDALE FOUNDATION INC 222986746 59212TAH9 2018-09-19 34750000 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 A 6750000 128250 6621750 0 0 1 1 B 1976774 38000 1938774 0 0 0 0 C 16679028 320625 16358403 0 0 1 1 D 34346444 660250 33686194 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A THE TROUSDALE FOUNDATION INC 222986746 897186AC6 2018-09-19 16500000 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 B THE TROUSDALE FOUNDATION INC 222986746 613554AF1 2018-09-19 22820000 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 C THE TROUSDALE FOUNDATION INC 222986746 613554AG9 2018-09-19 42405000 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 D THE TROUSDALE FOUNDATION INC 222986746 1111TNB20 2018-09-19 4894737 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 A 16284345 523563 15760782 0 0 1 1 B 22106192 433580 21672612 0 0 1 1 C 41078576 433580 40644996 0 0 1 1 D 4894737 4894737 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A THE TROUSDALE FOUNDATION INC 222986746 1111TLFB0 2018-09-19 1468421 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 B THE TROUSDALE FOUNDATION INC 222986746 1111TOHB0 2018-09-19 9136842 PROCEEDS USED FOR PURCHASE OF MEDICAL FACILITIES 0 0 0 A 1468421 1468421 0 0 1 1 B 9136842 9136842 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 ROBERT JOHNSON FAMILY MEMBER OF OFFICER WORKING CAPITAL FOR FACILITIES X 1276450 1264239 0 0 0 1264239 ROBERT JOHNSON FAMILY MEMBER OF OFFICER 1264239 WORKING CAPITAL FOR FACILITIES 0 FORM 990, PART VI, SECTION A, LINE 2 CHRISTIN J. ROSE, CHAIR AND THOMAS D. JOHNSON, EXECUTIVE DIRECTOR - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CHAIR AND TREASURER PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF SENIOR LIVING SUPPORT SERVICERS, INC. THAT CONFLICTS OF INTEREST BE MONITORED ON AN ONGOING BASIS. OFFICERS ARE REQUIRED TO NOTIFY THE BOARD WHEN THERE ARE ANY CHANGES IN INTEREST OR AFFILIATIONS THAT WOULD AFFECT THEIR ABILITY TO PARTICIPATE IN DECISION MAKING ACTIONS. ANY CONFLICTS OF INTEREST THAT ARE DISCOVERED ARE HANDLED IN ACCORDANCE WITH THE WRITTEN CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE FILING ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS 3,990,492. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. 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