2017-02-14T10:08:23-06:00 2016-03-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2015-04-01 620699106 CHRISTIAN HOME FOR THE AGED INC CHRI 4236108500 309 PRINCETON ROAD JOHNSON CITY TN 37601 JERI LINTHICUM CFO 4236108500 2017-02-14 1 Amy Bibby P00445891 8282542254 2017-02-14 2015 2021-01-29 14:40:06Z CORNERSTONE VILLAGE TOM SECTON 16772153 0 X WWW.CHRISTIANVILLIAGE.ORG X 1954 TN HELPING WITH THE CHALLENGES OF AGING BY PROVIDING QUALITY HOUSING, HEALTHCARE, AND SERVICES. 14 14 501 33 0 0 2057 175489 16000789 16334094 102933 -333420 76509 70012 16182288 16246175 1915 1315 0 0 6776324 6835195 0 0 16978 10421662 10554825 17199901 17391335 -1017613 -1145160 28632049 27269597 23660790 23099156 4971259 4170441 X TO REFLECT CHRIST'S LOVE BY BEING THE PREMIER REGIONAL PROVIDER OF QUALITY SENIOR LIVING SERVICES. 0 0 15355868 1315 16334094 CHRISTIAN HOME FOR THE AGED, INC. D/B/A CORNERSTONE VILLAGE IS A NOT-FOR-PROFIT CORPORATION, ESTABLISHED BY CHRISTIAN CHURCHES TO PROVIDE HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO THE RETIRED AND AGED IN JOHNSON CITY, TENNESSEE, AND NEIGHBORING COMMUNITIES. CHRISTIAN HOME FOR THE AGED, INC. CONSISTS OF 83 INDEPENDENT LIVING UNITS, 97 CONGREGATE LIVING UNITS, 103 INTERMEDIATE AND SKILLED CARE NURSING BEDS, AND 89 ASSISTED LIVING UNITS.PLEASE SEE CONTINUATION ON SCHEDULE O.DONATED 2 COMPLETE THANKSGIVING TURKEY AND HAM DINNERS TO TWO NEEDY FAMILIES IN THE AREA, COLLECTED OVER 1,000 POUNDS OF FOOD FOR SECOND HARVEST FOOD BANK, CSV HELD BLOOD DRIVES SUPPORTING MARSH REGIONAL BLOOD CENTER RESULTING IN 15 UNITS OF BLOOD DONATED WHICH COULD SAVE 45 LIVES, EMPLOYEES PARTICIPATED IN THE "WALK TO END ALZHEIMER'S" EVENT, CSV STARTED CNA CLASSES FOR THE PUBLIC TO COME AND TRAIN AND OBTAIN A CNA LICENSE WHILE GETTING PAID, WE HELD A FUNDRAISER/SILENT AUCTION TO RAISE OVER $20,000 FOR OUR BENEVOLENCE FUND TO ALLOW PEOPLE IN THE COMMUNITY AN OPPORTUNITY TO LIVE IN A COMMUNITY IN WHICH THEY COULDN'T AFFORD OTHERWISE, WE HELD OUR ANNUAL COAT DRIVE WHICH ALLOWED US TO DONATE OVER 70 COATS TO GOOD SAMARITAN AND SALVATION ARMY, WE HELD OUR ANNUAL FOOD DRIVE WHICH COLLECTED 700+ POUNDS OF FOOD FOR SECOND HARVEST FOOD BANK, WE HELD A CHRISTMAS STORE/TOY DRIVE WHERE EMPLOYEES COULD DONATE NEW AND SLIGHTLY USED TOYS WHICH WAS DONATED TO LOCAL CHARITIES, COMPLETED 127 POUNDS OF LAUNDRY FOR INTERFAITH HOSPITALITY NETWORK WHICH PARTNERS WITH FAMILY PROMISE TO ASSIST HOMELESS FAMILIES IN OUR COMMUNITY, EMPLOYEES WENT AND HELPED PACK DRY GOODS FOR 2ND HARVEST MOBILE PANTRIES, WE HELD A HEALTH FAIR FOR RESIDENTS, EMPLOYEES, AND IT WAS OPENED TO THE COMMUNITY AND WE HAD 35 AREA VENDORS THAT CAME TO DISPLAY THEIR SERVICES TO EVERYONE AND WE HAD 110 IN ATTENDANCE. FY16 ACCOMPLISHMENTS: WE HAVE OFFICIALLY HAD OUR PLANS APPROVED TO START CONSTRUCTION ON OUR NEW ENHANCED RESPIRATORY CENTER WHICH SHOULD BE OPENED BY EARLY NOVEMBER 2016, UNEMPLOYMENT CLAIMS WERE REDUCE BY $22,000+ WHICH ALLOWED US TO DROP OUR MONTHLY PAYMENT SIGNIFICANTLY AND 2015 THEY WERE DOWN BY $19,000, CONDUCTED OUR SECOND ANNUAL COMPANY WIDE EASTER EGG HUNTER FOR ALL EMPLOYEES AND THEIR FAMILIES, REDUCED OUR WORKERS COMP PAYMENT SIGNIFICANTLY AND OUR MODIFIER FELL FROM .80 TO .79. 15355868 1 1 0 1 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 96 0 1 501 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 1 1 0 X The Organization 4236108500 309 PRINCETON ROAD JOHNSON CITY TN 37601 ADAM CROUCH BOARD PRESIDENT 1.00 0.10 X X 0 0 0 DWAYNE DICKSON VICE PRESIDENT 1.00 0.10 X X 0 0 0 Dr Eddie Fine SECRETARY 1.00 0.10 X X 0 0 0 Doug Sams FINANCIAL SECRETARY 1.00 X X 0 0 0 Richard Measner TREASURER 1.00 0.10 X X 0 0 0 STARLA BROOKS BOARD MEMBER 1.00 X 0 0 0 TISHA BARBER BOARD MEMBER 1.00 X 0 0 0 GRAHAM BANNISTER BOARD MEMBER 1.00 X 0 0 0 BETH SCHREINER BOARD MEMBER 1.00 X 0 0 0 TONY MARTIN BOARD MEMBER 1.00 X 0 0 0 BETH BARTCHEY-SMITH BOARD MEMBER 1.00 X 0 0 0 DOUG AKERS BOARD MEMBER 1.00 X 0 0 0 DR MARK MATSON BOARD MEMBER 1.00 X 0 0 0 ANN BOOKER BOARD MEMBER 1.00 X 0 0 0 TOM SEXTON CEO 40.00 0.10 X 156873 0 12903 MYRA PAESSLER CFO 40.00 0.10 X 108142 0 2599 KATHY GREEN ADMINISTRATOR 40.00 X 104028 0 9554 369043 0 25056 3 0 1 0 SODEXO INC PO BOX 536922 ATLANTA GA 30319 FOOD SERVICES 1904534 TEKA BUILDING & DEVELOPMENT 142 OKLAHOMA ROAD TELFORD TN 37690 CONSTRUCTION, RENOVATION, & FACILITY MAN 1657227 RELIANT REHABILITATION 11616 SOUTHFORD AVE SUITE 101 BATON ROUGE LA 70816 THERAPY SERVICES 810251 PNS INSTITUTIONAL INC PO BOX 5289 JOHNSON CITY TN 37604 PHARMACY SERVICES 316675 MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE IL 60055 MEDICAL SUPPLIES 147282 7 X 175489 175489 RESIDENT SERVICES 623000 16334094 16334094 16334094 185265 185265 49656 0 49656 49656 49656 516568 2117 -516568 -2117 -518685 -518685 7293 -7293 -7293 TOWER CAFE REVENUE 900099 15144 15144 OTHER INCOME 900099 6114 6114 GIFT SHOP INCOME 900099 5269 5269 1122 1122 27649 16246175 16334094 0 -263408 X 1315 1315 280517 263539 16978 5722231 5278881 443350 397381 355878 41503 435066 383913 51153 8131 8131 1821818 1450494 371324 226509 33957 192552 1410393 1091044 319349 167398 60611 106787 1027654 997768 29886 47132 17679 29453 25835 20331 5504 901249 884393 16856 1572802 1512628 60174 228869 158500 70369 FOOD COSTS 1496982 1496982 MEDICAL SUPPLIES EXPENS 1077224 1077224 BED TAX 277658 277658 BAD DEBT 166550 166550 98621 90062 8559 17391335 15355868 2018489 16978 4295 3741 119547 214911 982172 1127003 39178 37246 167754 142792 38901455 20509733 18923396 18391722 7658977 6652021 103700 94916 633030 605245 28632049 27269597 1214166 964745 3499208 3537195 18908023 18560408 39393 36808 23660790 23099156 X 4971259 4170441 4971259 4170441 28632049 27269597 -1145160 344342 0 X X 0 1 X 1 0 X 18830 3887 28015 2057 175489 228278 16248194 15774888 16307590 16000789 16334094 80665555 16267024 15778775 16335605 16002846 16509583 80893833 0 0 0 80893833 409344 206659 287831 283653 185265 1372752 409344 206659 287831 283653 185265 1372752 18785 24643 30501 27649 101578 16676368 16004219 16648079 16317000 16722497 82368163 0.98210 0.98150 0.01670 0.01760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3603 3603 0 Part II-B, Line 1: The organization pays dues to an industry associations. The organization was notified that approximately 25% or $2,210 of its dues were used for lobbying. 1385609 1385609 27721344 15266538 12454806 947449 521774 425675 8274771 4557034 3717737 572282 164387 407895 18391722 PATIENT TRUSTS 22000 SECURITY DEPOSITS 14808 36808 X Part X, Line 2: Cornerstone is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue code; accordingly, the accompanying consolidated financial statements do not reflect a provision or liability for federal and state income taxes. Cornerstone has determined that it does not have any material unrecognized tax benefits or obligations as of March 31, 2016. X X 0 0 0 1 0 0 0 0 0 TOM SEXTON CEO 156873 0 0 0 0 0 1298 0 11605 0 169776 0 0 0 Part I, Line 5 THE ORGANIZATION'S CEO AND CFO ARE PAID BONUSES WHICH ARE DETERMINED BY BOTH PERFORMANCE AND EARNINGS OF THE ORGANIZATION. A THE HEALTH AN EDUCATIONAL FACILITIES BOARD OF THE CITY OF JOHNSON CITY TN 521464028 4782R4AP6 2013-02-15 19355000 SEE PART VI 0 0 0 A 905000 19355000 17451947 390399 2011206 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 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 EXEUCTIVE 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 B, line 11 The Executive Committee reviewed the Form 990 and made a recommendation to the full Board of Directors for approval. This approval occurred at the last Board meeting before the Form 990 was filed. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest poilcy 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 consititute 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 organization 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 compensaiton 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 18 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM CAN BE FOUND ON GUIDESTAR.ORG. 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. PART VIII, LINE 8B THE 50TH ANNIVERSARY FUNDRAISER WAS MANAGED AND PAID FOR BY THE FILING ORGANIZATION. ALL FUNDRAISING INCOME WENT DIRECTLY TO THE RELATED ORGANIZATION. Form 990, Part IX, line 11g CONTRACT LABOR: Program service expenses 956,241. Management and general expenses 0. Fundraising expenses 0. Total expenses 956,241. PROFESSIONAL FEES: Program service expenses 494,253. Management and general expenses 371,324. Fundraising expenses 0. Total expenses 865,577. Form 990, Part XII, Line 2c: THIS PROCESS HAS NOT CHANGED FROM 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) 11, I 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 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0