2017-03-14T17:52:23-05:00 2016-10-31 275360847 CROSSLIN PLLC 3803 BEDFORD AVENUE SUITE 103 NASHVILLE TN 37215 990 2015-11-01 620934533 TENNESSEE BAPTIST ADULT HOMES INC TENN 6153712050 P O BOX 682789 FRANKLIN TN 37068 MARK ANDERSON PRESIDENT - TREASURER 6153712050 2017-03-14 1 RODNEY C BROWER P00231865 6153205500 2015 2021-01-29 14:40:06Z X MARK ANDERSON P O BOX 682789 FRANKLIN TN 37068 6734831 0 X WWW.TNBAPTISTHOMES.ORG X 1974 TN TBAH OPERATES SENIOR ADULT LIVING HOMES, NURSING HOME, & GROUP HOMES FOR DEVELOPMENTALLY DISABLED ADULTS. 15 14 214 40 0 0 993838 844057 6191509 5745974 30131 52794 19400 50907 7234878 6693732 141561 152154 0 0 4730773 3692069 0 0 0 2976663 3067465 7848997 6911688 -614119 -217956 7904889 7742780 2354924 2450839 5549965 5291941 X TBAH OPERATIONS INCLUDE A 104-BED INTERMEDIATE CARE NURSING HOME, TWO ADULT-CARE HOMES, AN 18-BED ASSISTED LIVING HOME, AN EMPLOYEE DAY CARE FACILITY, AND THREE INDEPENDENT LIVING FACILITIES WITH 185 RESIDENTS. TBAH ALSO OPERATES SIX GROUP HOMES, WITH A TOTAL OF 55 BEDS, FOR INTELLECTUALLY DISABLED ADULTS. 0 0 5482679 152154 5870392 TBAH OPERATIONS INCLUDE A 104-BED INTERMEDIATE CARE NURSING HOME, TWO ADULT-CARE HOMES, AN 18-BED ASSISTED LIVING HOME, AN EMPLOYEE DAY CARE FACILITY, AND THREE INDEPENDENT LIVING FACILITIES WITH 185 RESIDENTS. TBAH ALSO OPERATES SIX GROUP HOMES, WITH A TOTAL OF 55 BEDS, FOR INTELLECTUALLY DISABLED ADULTS. 5482679 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 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 1 0 0 0 1 29 0 1 214 1 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 1 1 0 0 TN X X MARK ANDERSON 6153712050 330 SEVEN SPRINGS WAY BRENTWOOD TN 37027 MARK ANDERSON PRESIDENT AND TREASURER 40.00 X X 70488 0 42117 FRANK CRAWFORD SECRETARY 1.00 X X 0 0 0 GEORGE THOMPSON DIRECTOR 1.00 X 0 0 0 JEFF AMONETT CHAIRMAN 1.00 X X 0 0 0 MICHAEL ELLIS DIRECTOR 1.00 X 0 0 0 SHERRY SCRUGGS DIRECTOR 1.00 X 0 0 0 PATRICK CUMMINS VICE CHAIRMAN 1.00 X X 0 0 0 HARRY JESTER DIRECTOR 1.00 X 0 0 0 STEVE BABCOCK DIRECTOR 1.00 X 0 0 0 TERRY BAKER DIRECTOR 1.00 X 0 0 0 TOM DUMSER DIRECTOR 1.00 X 0 0 0 JOE COLLINS DIRECTOR 1.00 X 0 0 0 MONTIE MATLOCK DIRECTOR 1.00 X 0 0 0 BOBBY TURNER DIRECTOR 1.00 X 0 0 0 JIMMY BURROUGHS DIRECTOR 1.00 X 0 0 0 MICHAEL DENNEY DIRECTOR 1.00 X 0 0 0 70488 0 42117 0 0 0 0 BUREAU OF TENNCARE 310 GREAT CIRCLE ROAD 4 EAST NASHVILLE TN 37243 BED TAX 501138 HEALTH CARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING 264784 247 STAFFING 110 CENTER PARK DRIVE KNOXVILLE TN 37922 STAFFING 234666 LENOIR CITY UTILITIES BOARD 501 N CEDAR BLUFF RD KNOXVILLE TN 37923 UTILITIES 173092 UNITED HEALTHCARE PO BOX 1459 MINNEAPOLIS MN 554401459 EMPLOYEE HEALTH INSURANCE 149355 8 306507 537550 844057 PATIENT SERVICES 623000 5745974 5745974 5745974 52794 52794 20382 41099 -20717 -20717 -20717 MISCELLANEOUS 900099 71624 71624 71624 6693732 5870392 0 -20717 152154 152154 86682 86682 2965469 2574855 390614 101872 77860 24012 319463 244164 75299 218583 167062 51521 45109 23061 22048 625208 253342 371866 43890 8228 35662 316171 252961 63210 54340 31374 22966 86879 86879 222425 222425 208305 169011 39294 BED TAXES AND LICENSES 527449 527449 FOOD SUPPLIES 331663 331663 SUPPLIES 216391 206485 9906 MISCELLANEOUS 114876 3602 111274 274759 236983 37776 6911688 5482679 1429009 0 313983 341903 243245 246718 16942 3172 79926 32589 10331302 5800215 4487848 4531087 671642 541812 2091303 2045499 7904889 7742780 256201 233603 189427 247258 1626964 1643462 282332 326516 2354924 2450839 X 4110170 3888828 183368 180247 1256427 1222866 5549965 5291941 7904889 7742780 -217956 -40068 0 X 0 1 X 1 0 X X X 1 TENNESSEE BAPTIST CONVENTION 620577038 1 1 306507 0 1 306507 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1348091 25548 55468 1318171 1385812 16721 54442 1348091 1328497 109131 51816 1385812 1292712 87902 52117 1328497 1179617 77778 66093 30776 1292712 0.01360 0.92770 0.05870 0 0 862459 862459 6600717 4801569 1799148 2185 2185 0 1172974 996461 176513 1692967 1692967 4531087 MUTUAL FUNDS 393224 F PREFERRED STOCK 105280 F FIXED INCOME 43308 F 541812 COMPLETED HOMES AVAILABLE FOR SALE 979600 BENEFICIAL INTERESTS IN TRUSTS HELD BY OTHERS 1065869 OTHER ASSETS 30 2045499 POSTRETIREMENT BENEFIT LIABILITY 326516 326516 X 6694763 -40068 41099 1031 6693732 0 6693732 6952787 41099 41099 6911688 0 6911688 PART X, LINE 2: ADULT HOMES IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. ADULT HOMES ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A MORE LIKELY THAN NOT THRESHOLD TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A CUMULATIVE PROBABILITY ASSESSMENT THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. TAX POSITIONS FOR ADULT HOMES INCLUDE, BUT ARE NOT LIMITED TO, THE TAX-EXEMPT STATUS AND DETERMINATION OF WHETHER INCOME IS SUBJECT TO UNRELATED BUSINESS INCOME TAX; HOWEVER, ADULT HOMES HAS DETERMINTED THAT SUCH TAX POSITIONS DO NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED AGAINST RENTAL INCOME 41,099. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED AGAINST RENTAL INCOME 41,099. 0 MEDICAL ASSISTANCE AND COST OF CARE ASSISTANCE 30 152154 COST MEDICAL ASSISTANCE AND MONTHLY FEE ASSISTANCE X 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS ELECTED BY THE TENNESSEE BAPTIST CONVENTION. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SERVES AS THE FINANCE COMMITTEE AND THE BOARD BETWEEN BIANNUAL MEETINGS. FORM 990, PART VI, SECTION B, LINE 12C THERE IS AN ANNUAL REVIEW OF THE BOARD MEMBERS SIGNED CONFLICT OF INTEREST STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE APPROVES THE ANNUAL COMPENSATION OF THE PRESIDENT OF THE ORGANIZATION AND, UPON APPROVAL, RECOMMENDS THE COMPENSATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN APPROVES THE PRESIDENT'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 A COPY OF THE 990 IS AVAILABLE IN THE OFFICE DURING NORMAL BUSINESS HOURS, PRINTED IN THE ANNUAL REPORT OF THE TENNESSEE BAPTIST CONVENTION, AND IS AVAILABLE ON WWW.GIVINGMATTERS.COM (ALSO LINKED FROM WWW.TNBAPTISTHOMES.ORG) THE BOARD OF DIRECTORS IS ELECTED BY THE TENNESSEE BAPTIST CONVENTION. THE 990 IS REVIEWED AND APPROVED BY THE EXECTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SERVES AS THE FINANCE COMMITTEE AND THE BOARD BETWEEN BIANNUAL MEETINGS. TENNESSEE BAPTIST CONVENTION 5001 MARYLAND WAY BRENTWOOD TN 37027 620577038 RELIGIOUS TN 501(C)(3) 509(A)(3)I N/A 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 TENNESSEE BAPTIST CONVENTION C 306507 FAIR MARKET VALUE TENNESSEE BAPTIST CONVENTION K 20445 FAIR MARKET VALUE