2015-08-28T10:42:36-05:00 2014-12-31 621046406 JOHNSON HICKEY & MURCHISON PC 651 E 4TH ST STE 200 CHATTANOOGA TN 37403 990 2014-01-01 581838041 THE SENIOR LIVING FOUNDATION INC SENI 7703999988 4488 NORTH SHALLOWFORD ROAD NO 103 DUNWOODY GA 30338 WINSTON ALLEN PORTER III MANAGING DIRECTOR 7703999988 2015-08-28 BARRY R HUGGINS P00627334 4237560052 2014 2016-02-25 16:41:14Z WINSTON ALLEN PORTER III DUNWOODY VILLAGE PKWY 115 ATLANTA GA 30350 11856167 0 X N/A X 2008 GA THE ORGANIZATION WAS FORMED TO PROMOTE HEALTH BY OFFERING ELDERLY CITIZENS VIABLE CHOICES IN ALTERNATE LIVING ARRANGEMENTS DESIGNED TO MEET THEIR VARIOUS LEVELS OF NEEDS. 5 5 360 110 0 0 2344 5980 11769927 11828679 -7530 -3482 60838 21259 11825579 11852436 0 0 0 0 6075843 5945475 0 0 0 6417146 6618292 12492989 12563767 -667410 -711331 16432874 15851595 17621784 17751836 -1188910 -1900241 THE ORGANIZATION WAS FORMED TO PROMOTE HEALTH BY PROVIDING ELDERLY CITIZENS VIABLE CHOICES IN ALTERNATE LIVING ARRANGEMENTS DESIGNED TO MEET THEIR 0 0 11593244 11849938 CARE 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. 11593244 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 0 1 7 0 1 360 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 GA X X THE SENIOR LIVING FOUNDATION INC 7703999988 4488 NORTH SHALLOWFORD RD DUNWOODY GA 30338 DAVID MARVIN DIRECTOR 1.00 X 0 0 0 CHUCK POWELL DIRECTOR 1.00 X 0 0 0 STEVE PICKIN CHAIRMAN OF THE BOARD 1.00 X 0 0 0 CHRIS MORRISON DIRECTOR 1.00 X 0 0 0 WINSTON ALLEN PORTER III MANAGING DIRECTOR 12.00 X 50000 0 0 50000 0 0 0 0 0 0 SELECT REHABILITATION 550 FRONTAGE ROAD SUITE 2415 NORTHFIELD IL 60093 THERAPY SERVICES 1079604 CENTRAL HEALTH SYSTEMS LLC 1530 DUNWOODY VILLAGE PKWY ATLANTA GA 30338 MANAGEMENT FEES 450000 GORDON FOOD SERVICE DEPT CH 10490 PALATINE IL 600550490 FOOD SERVICES 319927 MIDDLE TENNESSEE PHARMACY SERVICES 661 EAST LANE STREET SHELBYVILLE TN 37160 PHARMACY 311763 TRI-MED PHARMACY PO BOX 890985 CHARLOTTE NC 282890985 PHARMACY 230670 5 5980 5980 NET PATIENT REVENUE 623000 11828679 11828679 11828679 249 249 3731 -3731 -3731 -3731 MISCELLANEOUS 623000 9867 9867 BEAUTY & BARBER 623000 7522 7522 MEALS 623000 3870 3870 21259 11852436 11849938 0 -3482 X 50000 50000 4854706 4402754 451952 38749 35142 3607 596430 560079 36351 405590 369165 36425 450000 405000 45000 6659 5993 666 11653 10488 1165 1630292 1530900 99392 64326 64326 16745 8650 8095 297188 267469 29719 34677 31209 3468 3562 1160 2402 1106434 995791 110643 391835 352652 39183 185394 166855 18539 DRUG AND MEDICAL SUPPLI 900251 900251 LICENSES AND PERMITS 448472 448472 BAD DEBT 444926 444926 RAW FOOD 361793 361793 264085 230169 33916 12563767 11593244 970523 0 309489 397249 1534339 1209927 23812 49367 7397865 1396314 6359913 6001551 8205321 8193501 16432874 15851595 1354217 1390672 12363 12363 10363489 10363489 3928180 3635126 1963535 2350186 17621784 17751836 X -1192850 -1904586 3940 4345 -1188910 -1900241 16432874 15851595 -711331 0 X 0 0 0 X 3395 2645 2344 5980 14364 9463447 10798761 10208130 11830765 11849938 54151041 9463447 10802156 10210775 11833109 11855918 54165405 0 0 0 54165405 175 211 86 94 249 815 175 211 86 94 249 815 9463622 10802367 10210861 11833203 11856167 54166220 1.00000 1.00000 0.00000 X 129651 129651 6884775 1289030 5595745 383439 107284 276155 6001551 GOODWILL 8107191 NET DEFERRED FINANCING COSTS 73380 PATIENT TRUST FUNDS 12930 8193501 NOTE PAYABLE CROSSVILLE ASSOCIATES 93065 PATIENT TRUST FUNDS 12930 PROMISSARY NOTE 1642191 NOTE PAYABLE WINSTON PORTER JR 402000 N/P RELATED PARTY 200000 2350186 A THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE CITY OF CROSSVILLE TN 2010-02-01 10363489 PURCHASE OF NURSING HOME 0 0 0 A 10363489 10363489 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 CENTRAL HEALTH SYSTEMS LLC PART V 450000 MANAGEMENT FEES 0 PART IV SECTION (B) WINSTON 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 SERVICES FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WILL BE REVIEWED BY THE BOARD BEFORE IT IS FILED FORM 990, PART VI, SECTION B, LINE 12C EACH 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 15 COMPENSATION IS DETERMINED BY THE BOARD FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,530,900. MANAGEMENT AND GENERAL EXPENSES 99,392. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,630,292. SLF NO1 LLC 456 WAYNE AVENUE CROSSVILLE TN 38555 271506824 NURSING HOME TN -662920 15409335 THE SENIOR LIVING FOUNDATION INC SOLE MEMBER OF SLF NO1 LLC SLF NO1 LLC 456 WAYNE AVENUE CROSSVILLE TN 38555 271506824 NURSING HOME TN 501(C)3 LINE 9 THE SENIOR LIVING FOUNDATION INC SOLE MEMBER OF SLF NO1 LLC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SLF#1 LLC C 50000 CASH