STRATEGY STUDIO / PUBLIC DATA EXPLORER

SENIOR LIVING FOUNDATION INC PERIMETER 400 CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SENIOR LIVING FOUNDATION INC PERIMETER 400 CENTER (EIN 58-1838041)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-08-28
IRS object ID
201502409349300015
Schema version
2014v5.0
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)
Return2015-08-28T10:42:36-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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
Signature2015-08-28SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBARRY R HUGGINSPreparerPersonNm
PTINP00627334PTIN
Phone4237560052PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

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$11,856,167GrossReceiptsAmt
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 Employee360TotalEmployeeCnt
Total Volunteers110TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,344PYContributionsGrantsAmt
CY Contributions Grants$5,980CYContributionsGrantsAmt
PY Program Service Revenue$11,769,927PYProgramServiceRevenueAmt
CY Program Service Revenue$11,828,679CYProgramServiceRevenueAmt
PY Investment Income-$7,530PYInvestmentIncomeAmt
CY Investment Income-$3,482CYInvestmentIncomeAmt
PY Other Revenue$60,838PYOtherRevenueAmt
CY Other Revenue$21,259CYOtherRevenueAmt
PY Total Revenue$11,825,579PYTotalRevenueAmt
CY Total Revenue$11,852,436CYTotalRevenueAmt
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$6,075,843PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,945,475CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,417,146PYOtherExpensesAmt
CY Other Expenses$6,618,292CYOtherExpensesAmt
PY Total Expenses$12,492,989PYTotalExpensesAmt
CY Total Expenses$12,563,767CYTotalExpensesAmt
PY Revenues Less Expenses-$667,410PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$711,331CYRevenuesLessExpensesAmt
Total Assets BOY$16,432,874TotalAssetsBOYAmt
Total Assets EOY$15,851,595TotalAssetsEOYAmt
Total Liabilities BOY$17,621,784TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,751,836TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,188,910NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,900,241NetAssetsOrFundBalancesEOYAmt
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$11,593,244ExpenseAmt
Revenue$11,849,938RevenueAmt
DescCARE FOR THE ELDERLY WHICH INCLUDES INTERMEDIATE OR SKILLED NURSING CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY,AND EXTENSIVE ACTIVITIES PROGRAMMING. TOTAL PATIENT DAYS WERE 45,812 DURING THE YEAR ENDED 12/31/14.Desc
Total Program Service Expenses$11,593,244TotalProgramServiceExpensesAmt
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 Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee360EmployeeCnt
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
SELECT REHABILITATION
550 FRONTAGE ROAD SUITE 2415NORTHFIELDIL60093THERAPY SERVICES$1,079,604
CENTRAL HEALTH SYSTEMS LLC
1530 DUNWOODY VILLAGE PKWYATLANTAGA30338MANAGEMENT FEES$450,000
GORDON FOOD SERVICE
DEPT CH 10490PALATINEIL600550490FOOD SERVICES$319,927
MIDDLE TENNESSEE PHARMACY SERVICES
661 EAST LANE STREETSHELBYVILLETN37160PHARMACY$311,763
TRI-MED PHARMACY
PO BOX 890985CHARLOTTENC282890985PHARMACY$230,670
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,980AllOtherContributionsAmt
Total Contributions$5,980TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$11,828,679TotalRevenueColumnAmt
Related Or Exempt Func Income$11,828,679RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,828,679TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$249TotalRevenueColumnAmt
Exclusion$249ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,731OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$3,731OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,731TotalRevenueColumnAmt
Exclusion-$3,731ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS623000$9,867$9,867
BEAUTY & BARBER623000$7,522$7,522
MEALS623000$3,870$3,870
FieldValueIRS element (for citing)
Other Revenue Total$21,259OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,852,436TotalRevenueColumnAmt
Related Or Exempt Func Income$11,849,938RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$3,482ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

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$4,854,706TotalAmt
Program Services$4,402,754ProgramServicesAmt
Management And General$451,952ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$38,749TotalAmt
Program Services$35,142ProgramServicesAmt
Management And General$3,607ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$596,430TotalAmt
Program Services$560,079ProgramServicesAmt
Management And General$36,351ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$405,590TotalAmt
Program Services$369,165ProgramServicesAmt
Management And General$36,425ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$450,000TotalAmt
Program Services$405,000ProgramServicesAmt
Management And General$45,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,659TotalAmt
Program Services$5,993ProgramServicesAmt
Management And General$666ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,653TotalAmt
Program Services$10,488ProgramServicesAmt
Management And General$1,165ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,630,292TotalAmt
Program Services$1,530,900ProgramServicesAmt
Management And General$99,392ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$64,326TotalAmt
Program Services$64,326ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,745TotalAmt
Program Services$8,650ProgramServicesAmt
Management And General$8,095ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$297,188TotalAmt
Program Services$267,469ProgramServicesAmt
Management And General$29,719ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,677TotalAmt
Program Services$31,209ProgramServicesAmt
Management And General$3,468ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,562TotalAmt
Program Services$1,160ProgramServicesAmt
Management And General$2,402ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,106,434TotalAmt
Program Services$995,791ProgramServicesAmt
Management And General$110,643ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$391,835TotalAmt
Program Services$352,652ProgramServicesAmt
Management And General$39,183ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$185,394TotalAmt
Program Services$166,855ProgramServicesAmt
Management And General$18,539ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DRUG AND MEDICAL SUPPLI$900,251$900,251
LICENSES AND PERMITS$448,472$448,472
BAD DEBT$444,926$444,926
RAW FOOD$361,793$361,793

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$264,085TotalAmt
Program Services$230,169ProgramServicesAmt
Management And General$33,916ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,563,767TotalAmt
Program Services$11,593,244ProgramServicesAmt
Management And General$970,523ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$309,489BOYAmt
EOY$397,249EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,534,339BOYAmt
EOY$1,209,927EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,812BOYAmt
EOY$49,367EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,397,865LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,396,314LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,359,913BOYAmt
EOY$6,001,551EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,205,321BOYAmt
EOY$8,193,501EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,432,874BOYAmt
EOY$15,851,595EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,354,217BOYAmt
EOY$1,390,672EOYAmt

Deferred Revenue DeferredRevenueGrp

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

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$3,928,180BOYAmt
EOY$3,635,126EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,963,535BOYAmt
EOY$2,350,186EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,621,784BOYAmt
EOY$17,751,836EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,192,850BOYAmt
EOY-$1,904,586EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,940BOYAmt
EOY$4,345EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,188,910BOYAmt
EOY-$1,900,241EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,432,874BOYAmt
EOY$15,851,595EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$711,331ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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 Minus3 Years$3,395CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,645CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,344CurrentTaxYearMinus1YearAmt
Current Tax Year$5,980CurrentTaxYearAmt
Total$14,364TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,463,447CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,798,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,208,130CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,830,765CurrentTaxYearMinus1YearAmt
Current Tax Year$11,849,938CurrentTaxYearAmt
Total$54,151,041TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,463,447CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,802,156CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,210,775CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,833,109CurrentTaxYearMinus1YearAmt
Current Tax Year$11,855,918CurrentTaxYearAmt
Total$54,165,405TotalAmt

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$54,165,405PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$175CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$211CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$94CurrentTaxYearMinus1YearAmt
Current Tax Year$249CurrentTaxYearAmt
Total$815TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$175CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$211CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$94CurrentTaxYearMinus1YearAmt
Current Tax Year$249CurrentTaxYearAmt
Total$815TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,463,622CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,802,367CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,210,861CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,833,203CurrentTaxYearMinus1YearAmt
Current Tax Year$11,856,167CurrentTaxYearAmt
Total$54,166,220TotalAmt
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$6,884,775OtherCostOrOtherBasisAmt
Depreciation$1,289,030DepreciationAmt
Book Value$5,595,745BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$383,439OtherCostOrOtherBasisAmt
Depreciation$107,284DepreciationAmt
Book Value$276,155BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,001,551TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
GOODWILL$8,107,191
NET DEFERRED FINANCING COSTS$73,380
PATIENT TRUST FUNDS$12,930
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,193,501TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
NOTE PAYABLE CROSSVILLE ASSOCIATES$93,065
PATIENT TRUST FUNDS$12,930
PROMISSARY NOTE$1,642,191
NOTE PAYABLE WINSTON PORTER JR$402,000
N/P RELATED PARTY$200,000
FieldValueIRS element (for citing)
Total Liability$2,350,186TotalLiabilityAmt

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 IX, LINE 11GOTHER CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,530,900. MANAGEMENT AND GENERAL EXPENSES 99,392. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,630,292.

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-$662,920TotalIncomeAmt
End Of Year Assets$15,409,335EndOfYearAssetsAmt

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