2021-02-16T07:24:36-06:00 2020-03-31 620647474 BLACKBURN CHILDERS & STEAGALL PLC 801B SUNSET DRIVE JOHNSON CITY TN 376043033 990 2019-04-01 620699106 CHRISTIAN HOME FOR THE AGED INC CHRI 4236108500 309 PRINCETON ROAD JOHNSON CITY TN 37601 BETH BARTCHY SMITH PRESIDENT 4236108500 2021-02-11 1 MELISSA STEAGALL JONES P01257759 4232824511 2021-02-11 2019 2022-09-23 18:48:47Z CORNERSTONE VILLAGE BETH BARTCHY SMITH 309 PRINCETON ROAD JOHNSON CITY TN 37601 15734376 0 X WWW.CHRISTIANVILLAGE.ORG X 1954 TN HELPING WITH THE CHALLENGES OF AGING BY PROVIDING QUALITY HOUSING, HEALTHCARE, AND SEVICES. 12 12 456 30 0 0 0 0 16519958 15230316 116001 138205 355199 365855 16991158 15734376 0 0 0 0 8398952 6436553 0 0 0 11893637 10645237 20292589 17081790 -3301431 -1347414 22965197 18185362 25774035 22341613 -2808838 -4156251 TO REFLECT CHRIST'S LOVE BY BEING THE PREMIER REGIONAL PROVIDER OF QUALITY SENIOR LIVING SERVICES. 0 0 11479003 15596171 CHRISTIAN HOME FOR THE AGED, INC. D/B/A CORNERSTONE VILLAGE (CORNERSTONE) IS A NOT-FOR-PROFIT CORPORATION, ESTABLISHED BY CHRISTIAN CHURCHES TO PROVIDE HOUSING, HEALTH CARE AND OTHER RELATED SERVICES TO THE RETIRED AND AGED IN JOHNSON CITY, TENNESSEE AND NEIGHBORING COMMUNITIES. CORNERSTONE AND ITS RELATED ENTITIES OPERATE A CONTINUING CARE RETIREMENT COMMUNITY AND AN ASSISTED LIVING COMMUNITY. THE RELATED ENTITIES ARE LIBERTY HOUSING CORPORATION (THE CORPORATION) AND THE APPALACHIAN CHRISTIAN VILLAGE FOUNDATION, INC. (THE FOUNDATION). 11479003 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 0 0 1 1 0 0 0 1 11 0 1 456 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 1 1 1 1 0 TN X ANITA WEST 4239755455 2020 NORTHPARK DR SUITE 2D JOHNSON CITY TN 37601 X DR MARK MATSON TREASURER 0.00 X X 0 0 0 DOUG SAMS TRUSTEE 0.00 X 0 0 0 BETH SCHREINER TRUSTEE 0.00 X 0 0 0 JOYCE LEONARD TRUSTEE 0.00 X 0 0 0 REBECCA HENDERSON TRUSTEE 0.00 X 0 0 0 BRUCE LARGE TRUSTEE 0.00 X 0 0 0 SCOTT REYNOLDS TRUSTEE 0.00 X 0 0 0 JIM CULP TRUSTEE 0.00 X 0 0 0 RICHARD MEASNER VICE PRESIDENT 0.00 X X 0 0 0 DR EDDIE FINE SECRETARY 0.00 X X 0 0 0 BETH BARTCHY-SMITH PRESIDENT 0.00 X X 0 0 0 ADAM CROUCH TRUSTEE 0.00 X 0 0 0 0 0 0 0 0 0 0 CARE CENTERS MANAGEMENT CONSULTING 2020 NORTHPARK DR SUITE 2D JOHNSON CITY TN 37601 MANAGEMENT SERVICES 697965 BROAD RIVER REHABILITATION LLC 775 HAYWOOD ROAD SUITE H ASHEVILLE NC 28806 THERAPY SERVICES 679816 PHARMACY NETWORK SERVICES PO BOX 5289 JOHNSON CITY TN 37602 PHARMACY SERVICES 547849 SODEXO PO BOX 360170 PITTSBURG PA 15251 FOOD SERVICES 352702 LAFERNEY INC 2642 SULLIVAN GARDENS PARKWAY KINGSPORT TN 37660 CONSTRUCTION SERVICES 112760 5 RESIDENT SERVICES 623000 13495024 13495024 ANCILLARY CHARGES 623000 4756959 4756959 AMORTIZATION ADVANCED PAYMENTS 623000 417136 417136 PERSONAL CARE SERVICES 623000 289590 289590 MEALS 623000 95860 95860 -3824253 -3824253 15230316 37630 37630 28054 72521 0 0 28054 72521 100575 100575 OTHER REVENUES 623000 357519 357519 RENTAL 623000 8336 8336 365855 15734376 15596171 0 138205 5314697 4783589 531108 661446 661446 460410 374153 86257 1161027 389737 771290 63504 1166 62338 118616 63399 55217 706657 706657 18192 12452 5740 788990 788990 1229640 1229640 199009 75294 123715 ANCILLARY EXPENSES 1352686 1352686 PLANT OPERATIONS & MAIN 1209259 1209259 DINING SERVICES 1097834 1097834 MEDICAL & NURSING 1086955 1086955 1612868 371033 1241835 17081790 11479003 5602787 0 226589 894621 1922350 1177137 126507 61224 39990990 24378764 16859242 15612226 2371217 2359 119453 0 1339839 437795 22965197 18185362 1762692 1914344 3914495 2795364 17784602 16956965 1538812 20712 773434 654228 25774035 22341613 X -2808838 -4156251 -2808838 -4156251 22965197 18185362 -1347414 0 X X 0 1 X 1 0 X 175489 276389 2485 454363 16334094 15981730 16483292 16519958 15230316 80549390 16509583 16258119 16485777 16519958 15230316 81003753 0 0 0 81003753 185265 194724 791373 154418 138205 1463985 185265 194724 791373 154418 138205 1463985 27649 36089 19929 355199 365855 804721 16722497 16488932 17297079 17029575 15734376 83272459 0.97280 0.97520 0.01760 0.01920 X 1223494 1223494 34724591 21480236 13244355 258677 132756 125921 3603574 2589187 1014387 180654 176585 4069 15612226 PATIENT TRUSTS 12142 SECURITY DEPOSITS 12000 WAGES PAYABLE 452535 ACCRUED INTEREST 101940 ACCRUED LIABILITIES 75611 654228 PAGE 4, PART IV, LINE 11F IN THE CONSOLIDATED AUDIT REPORT FOOTNOTES, THE ENTITY INCLUDES A STATEMENT THAT ENTITY HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. A THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE CITY OF JOHNSON CITY TN 521464028 4782R4AP6 2013-02-15 19520000 REFUND 2004 BOND ISSUES AND PROVIDE ADDITIONAL FUNDING FOR CAPITAL PROJECTS 0 0 0 A 2225000 19853552 425653 555540 2004533 2014 0 1 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 1 0 A 1 SCHEDULE K, PART II LINE 3: (A) INCLUDES THE NET ORIGINAL ISSUE PREMIUM OF $333,552 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD ELECTED UNDER THE BOARD OF DIRECTORS SHALL IN TURN ELECT FROM THEIR NUMBER: -PRESIDENT -VICE-PRESIDENT -SECRETARY -TREASURER -FINANCIAL SECRETARY THESE OFFICERS SHALL BE THE EXECUTIVE COMMITTEE. THE IMMEDIATE PAST PRESIDENT SHALL BE AN EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE IN ORDER TO PROVIDE CONTINUITY FROM YEAR TO YEAR. HE/SHE SHALL HAVE NO VOTING PRIVILEGES. FORM 990, PART VI, SECTION A, LINE 3 ON APRIL 29, 2019, THE BOARD OF DIRECTORS CONTRACTED AN EXPERIENCED MANAGEMENT COMPANY TO REPLACE CORNERSTONE'S PREVIOUS EMPLOYED MANAGEMENT. THE MANAGEMENT COMPANY BEGAN AN INTENSIVE REVIEW OF ALL OF CORNERSTONE'S OPERATIONS AND PRACTICES. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING ALL REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH PERSON WHO WAS A VOTING MEMBER OF THE GOVERNING BODY AT THE TIME THE FORM 990 WAS PREPARED, WHETHER IN PAPER OR ELECTRONIC FORM, BEFORE ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ASKING EACH BOARD MEMBER TO, AT THE RENEWAL OF EACH TERM, SIGN A STATEMENT INDICATING THAT HE OR SHE HAS READ AND UNDERSTANDS THE POLICY AND ASKING EACH BOARD MEMBER TO DISCLOSE IN WRITING ANY ORGANIZATIONAL RELATIONSHIP OR OTHER ACTIVITY OR INTEREST THAT MIGHT POSSIBLY CONSTITUTE A CONFLICT OF INTEREST. IN ADDITION, THE POLICY REQUIRES THE ORGANIZATION TO IDENTIFY CONFLICTS OF INTEREST AS THEY ARISE AND CONTAINS DETAILED PROCEDURES ON HOW THE ONGANIZATION HANDLES CONFLICTS AS THEY ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS THE COMPENSATION FOR BOTH THE CEO AND CFO ON AN ANNUAL BASIS. AAHSA'S CCRC SALARY & BENEFIT REPORT FOR THE CURRENT FISCAL YEAR IS USED IN COMPENSATION DETERMINATION. THIS INFORMATION IS REPORTED IN 3 MANNERS: BASED ON STAGE, BASED ON REVENUE AND BASED ON NUMBER OF UNITS. THE EC IS PROVIDED WITH THE REPORT FOR EACH MANNER AND AN AVERAGE OF THE THREE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. APPALACHIAN CHRISTIAN VILLAGE FOUNDATION INC 309 PRINCETON ROAD JOHNSON CITY TN 37601 311789637 TO RAISE FUNDS FOR APPALACHIAN CHRISTIAN VILLAGE TN 501(C)(3) LINE 10 CHRISTIAN HOME FOR THE AGED INC 1 LIBERTY HOUSING CORPORATION 309 PRINCETON ROAD JOHNSON CITY TN 37601 621611779 HOUSING TN 501(C)(3) PF CHRISTIAN HOME FOR THE AGED INC 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0