STRATEGY STUDIO / PUBLIC DATA EXPLORER

SENIOR LIVING FOUNDATION INC PERIMETER 400 CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SENIOR LIVING FOUNDATION INC PERIMETER 400 CENTER (EIN 58-1838041)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-24
IRS object ID
201641459349300704
Schema version
2015v2.1
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)
Return2016-05-24T10:08:14-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Line1651 E 4TH ST STE 200AddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP37403ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

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 NO 103AddressLine1Txt
CityDUNWOODYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30338ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWINSTON ALLEN PORTER IIIPersonNm
Person TitleMANAGING DIRECTORPersonTitleTxt
Phone7703999988PhoneNum
Signature2016-05-16SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBARRY R HUGGINSPreparerPersonNm
PTINP00627334PTIN
Phone4237560052PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWINSTON ALLEN PORTER IIIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1DUNWOODY VILLAGE PKWY 115AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30350ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,013,577GrossReceiptsAmt
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 Employee380TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,980PYContributionsGrantsAmt
CY Contributions Grants$1,585CYContributionsGrantsAmt
PY Program Service Revenue$11,828,679PYProgramServiceRevenueAmt
CY Program Service Revenue$12,002,041CYProgramServiceRevenueAmt
PY Investment Income-$3,482PYInvestmentIncomeAmt
CY Investment Income-$7,374CYInvestmentIncomeAmt
PY Other Revenue$21,259PYOtherRevenueAmt
CY Other Revenue$9,294CYOtherRevenueAmt
PY Total Revenue$11,852,436PYTotalRevenueAmt
CY Total Revenue$12,005,546CYTotalRevenueAmt
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$5,945,475PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,764,822CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,618,292PYOtherExpensesAmt
CY Other Expenses$5,564,082CYOtherExpensesAmt
PY Total Expenses$12,563,767PYTotalExpensesAmt
CY Total Expenses$12,328,904CYTotalExpensesAmt
PY Revenues Less Expenses-$711,331PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$323,358CYRevenuesLessExpensesAmt
Total Assets BOY$15,851,595TotalAssetsBOYAmt
Total Assets EOY$15,390,894TotalAssetsEOYAmt
Total Liabilities BOY$17,751,836TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,612,346TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,900,241NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,221,452NetAssetsOrFundBalancesEOYAmt
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$10,873,453ExpenseAmt
Revenue$12,011,335RevenueAmt
DescCARE FOR THE ELDERLY WHICH INCLUDES INTERMEDIATE OR SKILLED NURSING CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY,AND EXTENSIVE ACTIVITIES PROGRAMMING. TOTAL PATIENT DAYS WERE 43,425 DURING THE YEAR ENDED 12/31/15.Desc
Total Program Service Expenses$10,873,453TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer EntYes (1)BusinessRlnWithOfficerEntInd
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 Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee380EmployeeCnt
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
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

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$0
CHRIS MORRISON
DIRECTOR1.00Yes (X)$0$0$0
WINSTON ALLEN PORTER III
MANAGING DIRECTOR12.00$50,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$50,000TotalReportableCompFromOrgAmt
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
MIDDLE TENNESSEE PHARMACY SERVICES
661 EAST LANE STREETSHELBYVILLETN37160PHARMACY$518,762
SELECT REHABILITATION
550 FRONTAGE ROAD SUITE 2415NORTHFIELDIL60093THERAPY SERVICES$378,687
GORDON FOOD SERVICE
DEPT CH 10490PALATINEIL600550490FOOD SERVICES$349,482
PROGRESSIVE MEDICAL SERVICE
5020 B U BOWMAN DRIVE STE 600BUFORDGA30518MEDICAL SERVICES$228,236
MAKLINE
7327 OAK RIDGE HWYKNOXVILLETN37931LINEN SERVICES$158,236
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,585AllOtherContributionsAmt
Total Contributions$1,585TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$12,002,041TotalRevenueColumnAmt
Related Or Exempt Func Income$12,002,041RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,002,041TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$657TotalRevenueColumnAmt
Exclusion$657ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$8,031OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$8,031OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,031TotalRevenueColumnAmt
Exclusion-$8,031ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEALS623000$4,510$4,510
BEAUTY & BARBER623000$2,574$2,574
MISCELLANEOUS623000$2,210$2,210
FieldValueIRS element (for citing)
Other Revenue Total$9,294OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,005,546TotalRevenueColumnAmt
Related Or Exempt Func Income$12,011,335RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$7,374ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$50,000TotalAmt
Management And General$50,000ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,609,613TotalAmt
Program Services$5,116,972ProgramServicesAmt
Management And General$492,641ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,323TotalAmt
Program Services$32,221ProgramServicesAmt
Management And General$3,102ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$613,284TotalAmt
Program Services$577,858ProgramServicesAmt
Management And General$35,426ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$456,602TotalAmt
Program Services$419,476ProgramServicesAmt
Management And General$37,126ManagementAndGeneralAmt

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$14,680TotalAmt
Program Services$13,212ProgramServicesAmt
Management And General$1,468ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,908TotalAmt
Program Services$13,417ProgramServicesAmt
Management And General$1,491ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$729,139TotalAmt
Program Services$601,639ProgramServicesAmt
Management And General$127,500ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$65,563TotalAmt
Program Services$65,563ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,411TotalAmt
Program Services$9,899ProgramServicesAmt
Management And General$10,512ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$255,398TotalAmt
Program Services$229,858ProgramServicesAmt
Management And General$25,540ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,524TotalAmt
Program Services$41,872ProgramServicesAmt
Management And General$4,652ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,901TotalAmt
Program Services$1,361ProgramServicesAmt
Management And General$1,540ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,153,032TotalAmt
Program Services$1,037,729ProgramServicesAmt
Management And General$115,303ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$390,568TotalAmt
Program Services$351,512ProgramServicesAmt
Management And General$39,056ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$237,304TotalAmt
Program Services$213,574ProgramServicesAmt
Management And General$23,730ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DRUG AND MEDICAL SUPPLI$852,568$852,568
LICENSES AND PERMITS$536,897$536,897
RAW FOOD$376,664$376,664
BAD DEBT$251,824$251,824

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$165,701TotalAmt
Program Services$129,337ProgramServicesAmt
Management And General$36,364ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,328,904TotalAmt
Program Services$10,873,453ProgramServicesAmt
Management And General$1,455,451ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$397,249BOYAmt
EOY$73,907EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,209,927BOYAmt
EOY$1,417,924EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$49,367BOYAmt
EOY$57,804EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,392,159LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,757,894LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,001,551BOYAmt
EOY$5,634,265EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,193,501BOYAmt
EOY$8,206,994EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,851,595BOYAmt
EOY$15,390,894EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,390,672BOYAmt
EOY$1,160,857EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$12,363BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,635,126BOYAmt
EOY$3,395,715EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,350,186BOYAmt
EOY$2,692,285EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,751,836BOYAmt
EOY$17,612,346EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,904,586BOYAmt
EOY-$2,227,945EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,345BOYAmt
EOY$6,493EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,900,241BOYAmt
EOY-$2,221,452EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,851,595BOYAmt
EOY$15,390,894EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$323,358ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,147OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
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$3,395CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,645CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,344CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,980CurrentTaxYearMinus1YearAmt
Current Tax Year$1,585CurrentTaxYearAmt
Total$15,949TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,798,761CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,208,130CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,830,765CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,849,938CurrentTaxYearMinus1YearAmt
Current Tax Year$12,011,335CurrentTaxYearAmt
Total$56,698,929TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,802,156CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,210,775CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,833,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,855,918CurrentTaxYearMinus1YearAmt
Current Tax Year$12,012,920CurrentTaxYearAmt
Total$56,714,878TotalAmt

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$56,714,878PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$211CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$86CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$249CurrentTaxYearMinus1YearAmt
Current Tax Year$657CurrentTaxYearAmt
Total$1,297TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$211CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$86CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$249CurrentTaxYearMinus1YearAmt
Current Tax Year$657CurrentTaxYearAmt
Total$1,297TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,802,367CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,210,861CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,833,203CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,856,167CurrentTaxYearMinus1YearAmt
Current Tax Year$12,013,577CurrentTaxYearAmt
Total$56,716,175TotalAmt
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 D IRS990ScheduleD

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$6,887,874OtherCostOrOtherBasisAmt
Depreciation$1,643,094DepreciationAmt
Book Value$5,244,780BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$374,634OtherCostOrOtherBasisAmt
Depreciation$114,800DepreciationAmt
Book Value$259,834BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,634,265TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
GOODWILL$8,107,191
NET DEFERRED FINANCING COSTS$65,724
PATIENT TRUST FUNDS$34,079
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,206,994TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
NOTE PAYABLE CROSSVILLE ASSOCIATES$93,065
PATIENT TRUST FUNDS$34,079
PROMISSARY NOTE$2,065,141
NOTE PAYABLE WINSTON PORTER JR$250,000
N/P RELATED PARTY$250,000
FieldValueIRS element (for citing)
Total Liability$2,692,285TotalLiabilityAmt

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
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
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 MANAGING DIRECTOR WINSTON PORTER III. WINSTON PORTER OWNS 49% OF THE MANAGEMENT COMPANY WHO MANAGES THE NURSING HOME.WINSTON PORTER III DOES NOT CONTROL OR OWN THE MANAGEMENT COMPANY. WINSTON PORTER THE III DOES 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 SERVICESExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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:INCREASE IN TEMPORARILY RESTRICTED FUND BALANCE 2,147.

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-$273,328TotalIncomeAmt
End Of Year Assets$15,389,662EndOfYearAssetsAmt

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 9PublicCharityStatusTxt

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 OrgYes (1)GiftGrntCapContriFromOthOrgInd
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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SLF#1 LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$50,000InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt