STRATEGY STUDIO / PUBLIC DATA EXPLORER

SENIOR LIVING FOUNDATION INC PERIMETER 400 CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
SENIOR LIVING FOUNDATION INC PERIMETER 400 CENTER (EIN 58-1838041)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-14
IRS object ID
202543189349300619
Schema version
2024v5.2
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)
Return2025-11-14T05:55:08-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621046406PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON HICKEY & MURCHISON PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12215 OLAN MILLS DRIVEAddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP37421ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581838041EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SENIOR LIVING FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSENIBusinessNameControlTxt
Phone7703999988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14488 NORTH SHALLOWFORD ROAD 103AddressLine1Txt
CityDUNWOODYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30338ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAKE PORTERPersonNm
Person TitleOPERATING DIRECTORPersonTitleTxt
Phone6784526111PhoneNum
Signature2025-11-12SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDIANA BOLENPreparerPersonNm
PTINP01226129PTIN
Phone4237560052PhoneNum
Preparation2025-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAKE PORTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1131 PONCE DE LEON AVE NE APT 484AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30308ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,315,850GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION WAS FORMED TO PROMOTE HEALTH BY OFFERING ELDERLY CITIZENS VIABLE CHOICES IN ALTERNATE LIVING ARRANGEMENTS DESIGNED TO MEET THEIR VARIOUS LEVELS OF NEEDS.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee310TotalEmployeeCnt
Total Volunteers210TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,118,732PYContributionsGrantsAmt
CY Contributions Grants$18,499CYContributionsGrantsAmt
PY Program Service Revenue$8,756,958PYProgramServiceRevenueAmt
CY Program Service Revenue$10,291,528CYProgramServiceRevenueAmt
PY Investment Income-$331PYInvestmentIncomeAmt
CY Investment Income$14CYInvestmentIncomeAmt
PY Other Revenue$12,889PYOtherRevenueAmt
CY Other Revenue$5,809CYOtherRevenueAmt
PY Total Revenue$9,888,248PYTotalRevenueAmt
CY Total Revenue$10,315,850CYTotalRevenueAmt
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$6,482,975PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,335,305CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,967,183PYOtherExpensesAmt
CY Other Expenses$5,040,300CYOtherExpensesAmt
PY Total Expenses$11,450,158PYTotalExpensesAmt
CY Total Expenses$12,375,605CYTotalExpensesAmt
PY Revenues Less Expenses-$1,561,910PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,059,755CYRevenuesLessExpensesAmt
Total Assets BOY$11,720,299TotalAssetsBOYAmt
Total Assets EOY$11,743,153TotalAssetsEOYAmt
Total Liabilities BOY$20,633,681TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,716,363TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$8,913,382NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$10,973,210NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION WAS FORMED TO PROMOTE HEALTH BY PROVIDING ELDERLY CITIZENS VIABLE CHOICES IN ALTERNATE LIVING ARRANGEMENTS DESIGNED TO MEET THEIRMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,617,218ExpenseAmt
Revenue$10,297,337RevenueAmt
DescCARE FOR THE ELDERLY WHICH INCLUDES INTERMEDIATE OR SKILLED NURSING CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY,AND EXTENSIVE ACTIVITIES PROGRAMMING. TOTAL PATIENT DAYS WERE 31,762 DURING THE YEAR ENDED 12/31/24.Desc
Total Program Service Expenses$10,617,218TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee310EmployeeCnt
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 Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SENIOR LIVING FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7703999988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14488 NORTH SHALLOWFORD RDAddressLine1Txt
CityDUNWOODYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30338ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DAVID MARVIN
DIRECTOR1.00Yes (X)$0$0$0
CHUCK POWELL
DIRECTOR1.00Yes (X)$0$0$0
STEVE PICKIN
CHAIRMAN OF THE BOARD1.00Yes (X)$0$0$0Yes (X)
CHRIS MORRISON
DIRECTOR1.00Yes (X)$0$0$0
JAKE PORTER
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GORDON FOOD SERVICE
PO BOX 88029CHICAGOIL60680FOOD SERVICES$452,789
MIDDLE TN PHARMACY SERVICES
PO BOX 415000 MSC 7512NASHVILLETN37241PHARMACY$270,571
PROGRESSIVE MEDICAL CONCEPTS
5020 BU BOWMAN DRIVE STE 600BUFORDGA30518MEDICAL SERVICES$220,926
MAKLINE
PO BOX 71363KNOXVILLETN37938DIETARY SERVICES$164,911
TURENNE PHARMEDCO
355 INDUSTRIAL PARK BLVDMOTGOMERYAL36117PHARMACY$116,361
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$18,383GovernmentGrantsAmt
All Other Contributions$116AllOtherContributionsAmt
Total Contributions$18,499TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$10,291,528TotalRevenueColumnAmt
Related Or Exempt Func Income$10,291,528RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,291,528TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14TotalRevenueColumnAmt
Exclusion$14ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEALS623000$3,591$3,591
MISCELLANEOUS623000$1,616$1,616
BEAUTY & BARBER623000$602$602
FieldValueIRS element (for citing)
Other Revenue Total$5,809OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,315,850TotalRevenueColumnAmt
Related Or Exempt Func Income$10,297,337RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,238,979TotalAmt
Program Services$5,821,727ProgramServicesAmt
Management And General$417,252ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$16,759TotalAmt
Program Services$15,638ProgramServicesAmt
Management And General$1,121ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$578,241TotalAmt
Program Services$453,704ProgramServicesAmt
Management And General$124,537ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$501,326TotalAmt
Program Services$467,581ProgramServicesAmt
Management And General$33,745ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$450,000TotalAmt
Management And General$450,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,750TotalAmt
Program Services$6,075ProgramServicesAmt
Management And General$675ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$686TotalAmt
Program Services$617ProgramServicesAmt
Management And General$69ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$665,968TotalAmt
Program Services$390,797ProgramServicesAmt
Management And General$275,171ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$37,911TotalAmt
Program Services$37,911ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,709TotalAmt
Program Services$26,665ProgramServicesAmt
Management And General$5,044ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$247,221TotalAmt
Program Services$222,260ProgramServicesAmt
Management And General$24,961ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,044TotalAmt
Program Services$7,240ProgramServicesAmt
Management And General$804ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,989TotalAmt
Program Services$7,443ProgramServicesAmt
Management And General$2,546ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$887,609TotalAmt
Program Services$816,056ProgramServicesAmt
Management And General$71,553ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$393,225TotalAmt
Program Services$361,526ProgramServicesAmt
Management And General$31,699ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$109,095TotalAmt
Program Services$100,300ProgramServicesAmt
Management And General$8,795ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LICENSES AND PERMITS$650,047$650,047
DRUGS AND MEDICAL SUPPL$589,761$589,761
RAW FOOD$501,400$501,400
BAD DEBT EXPENSE$274,512$274,512

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$176,373TotalAmt
Program Services$140,470ProgramServicesAmt
Management And General$35,903ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,375,605TotalAmt
Program Services$10,617,218ProgramServicesAmt
Management And General$1,758,387ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$833,348BOYAmt
EOY$1,195,120EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$26,545BOYAmt
EOY$14,374EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,610,876LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,230,801LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,733,059BOYAmt
EOY$2,380,075EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,127,347BOYAmt
EOY$8,153,584EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,720,299BOYAmt
EOY$11,743,153EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,104,993BOYAmt
EOY$4,164,954EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,363,489BOYAmt
EOY$10,363,489EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,165,199BOYAmt
EOY$8,187,920EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,633,681BOYAmt
EOY$22,716,363EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$8,922,758BOYAmt
EOY-$10,982,513EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,376BOYAmt
EOY$9,303EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$8,913,382BOYAmt
EOY-$10,973,210EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,720,299BOYAmt
EOY$11,743,153EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,059,755ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$73OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
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 Minus4 Years$1,139,749CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,192,563CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$331,033CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,118,732CurrentTaxYearMinus1YearAmt
Current Tax Year$18,499CurrentTaxYearAmt
Total$4,800,576TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,904,968CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,046,322CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,314,476CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,769,847CurrentTaxYearMinus1YearAmt
Current Tax Year$10,297,337CurrentTaxYearAmt
Total$46,332,950TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,044,717CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,238,885CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,645,509CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,888,579CurrentTaxYearMinus1YearAmt
Current Tax Year$10,315,836CurrentTaxYearAmt
Total$51,133,526TotalAmt

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$51,133,526PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3CurrentTaxYearMinus1YearAmt
Current Tax Year$14CurrentTaxYearAmt
Total$91TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3CurrentTaxYearMinus1YearAmt
Current Tax Year$14CurrentTaxYearAmt
Total$91TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,044,732CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,238,914CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,645,539CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,888,582CurrentTaxYearMinus1YearAmt
Current Tax Year$10,315,850CurrentTaxYearAmt
Total$51,133,617TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$129,651OtherCostOrOtherBasisAmt
Book Value$129,651BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,950,923OtherCostOrOtherBasisAmt
Depreciation$4,884,223DepreciationAmt
Book Value$2,066,700BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$530,302OtherCostOrOtherBasisAmt
Depreciation$346,578DepreciationAmt
Book Value$183,724BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,380,075TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
GOODWILL$8,107,191
PATIENT TRUST FUNDS$46,393
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,153,584TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
NOTE PAYABLE CROSSVILLE ASSOCIATES$93,065
PATIENT TRUST FUNDS$46,393
PROMISSARY NOTE$5,833,807
NOTE PAYABLE WINSTON PORTER JR$1,939,825
A/P RELATED PARTY$150,000
CASH OVERDRAFT$114,830
NOTE PAYABLE MICHAEL DENNY$10,000
FieldValueIRS element (for citing)
Total Liability$8,187,920TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationMONEY HELD BY THE ORGANIZATION FOR PATIENT'S PERSONAL USE IN A SEPARATE BANK ACCOUNT.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE CITY OF CROSSVILLE TNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issued2010-02-01BondIssuedDt
Issue Price$10,363,489IssuePriceAmt
PurposePURCHASE OF NURSING HOMEPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$10,363,489TotalProceedsAmt
Working Capital Expenditures$10,363,489WorkingCapitalExpendituresAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL HEALTH SYSTEMS LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionPART VRelationshipDescriptionTxt
Transaction$450,000TransactionAmt
TransactionMANAGEMENT FEESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV SECTION (B)FormAndLineReferenceDesc
ExplanationWINSTON PORTER 99% OWNER IN CROSSVILLE ASSOCIATES LLC, IS THE FATHER OF THE DIRECTOR JAKE PORTER AND THE STEP BROTHER OF THE DIRECTOR STEVE PICKIN. WINSTON PORTER OWNS 49% OF THE MANAGEMENT COMPANY WHO MANAGES THE NURSING HOME.JAKE PORTER AND STEVE PICKIN DO NOT CONTROL OR OWN THE MANAGEMENT COMPANY. JAKE PORTER AND STEVE PICKIN DO NOT PARTICIPATE IN THE EVALUATION OR SELECTION OF THE MANAGEMENT COMPANY WHICH OPERATES THE NURSING HOME.THE MANAGEMENT COMPANY OFFERS A STANDARD CONTRACT THAT IS SIMILAR TO OTHERS IN THE INDUSTRY. THE PROPERTY BID OUT MANAGEMENT AGREEMENTS TO INSURE THAT ANY MANAGEMENT AGREEMENT RATE THAT THE NONPROFIT PAYS ARE KEPT AT OR BELOW FAIR MARKET VALUE FOR SUCH SERVICES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN WILL BE REVIEWED BY THE BOARD BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE SIGNS A STATEMENT THAT HE HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY AND HAS READ AND UNDERSTANDS THE POLICY, AND AGREES TO COMPLY WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED BY THE BOARD
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN RESTRICTED ASSETS -73.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SLF NO1 LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1456 WAYNE AVENUEAddressLine1Txt
CityCROSSVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP38555ZIPCd
FieldValueIRS element (for citing)
EIN271506824EIN
Primary ActivitiesNURSING HOMEPrimaryActivitiesTxt
Legal Domicile StateTNLegalDomicileStateCd
Total Income-$2,059,632TotalIncomeAmt
End Of Year Assets$11,887,056EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1THE SENIOR LIVING FOUNDATION INC SOLE MEMBER OF SLF NO1 LLCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SLF NO1 LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1456 WAYNE AVENUEAddressLine1Txt
CityCROSSVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP38555ZIPCd
FieldValueIRS element (for citing)
EIN271506824EIN
Primary ActivitiesNURSING HOMEPrimaryActivitiesTxt
Legal Domicile StateTNLegalDomicileStateCd
Exempt Code Section501(C)3ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1THE SENIOR LIVING FOUNDATION INC SOLE MEMBER OF SLF NO1 LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
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 Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd