2014-10-02T13:19:55-05:00 2014-03-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2013-04-01 620699106 CHRISTIAN HOME FOR THE AGED INC CHRI 4236108500 309 PRINCETON ROAD JOHNSON CITY TN 37601 MYRA PAESSLER CFO 4236108500 2014-09-09 AMY BIBBY P00445891 8282542254 2013 2015-11-30 17:44:51Z APPALACHIAN CHRISTIAN VILLAGE MYRA PAESSLER 309 PRINCETON ROAD JOHNSON CITY TN 37601 16694087 0 X WWW.CHRISTIANVILLIAGE.ORG X 1954 TN HELPING WITH THE CHALLENGES OF AGING BY PROVIDING QUALITY HOUSING, HEALTHCARE, AND SERVICES. 14 14 490 68 0 0 58373 28015 15774888 16307590 110076 277346 64793 70651 16008130 16683602 3779 3920 0 0 6737160 7237003 0 0 398227 10323431 10051618 17064370 17292541 -1056240 -608939 30778195 29504529 23887649 23482190 6890546 6022339 X TO REFLECT CHRIST'S LOVE BY BEING THE PREMIER REGIONAL PROVIDER OF QUALITY SENIOR LIVING SERVICES. 0 0 15451166 3920 16307590 CHRISTIAN HOME FOR THE AGED, INC. D/B/A APPALACHIAN CHRISTIAN 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.DURING THE FISCAL YEAR ACV HAS SUPPORTED THE COMMUNITY BY:- RESIDENTS PREPARED 100 BOXES FOR OPERATION CHRISTMAS CHILD - THE ACTIVITY DEPARTMENT AND DINING SERVICES DELIVERED 4 COMPLETE MEALS TO NEEDY FAMILIES DURING THE THANKSGIVING & CHRISTMAS HOLIDAYS - COMPLETED OVER 192 POUNDS OF LAUNDRY FOR INTERFATIH HOSPITALITY NETWORK WHICH PARTNERS WITH FAMILY PROMISE TO ASSIST 25-35 HOMELESS FAMILIES EACH YEAR - HELD BLOOD DRIVES IN APRIL 2013 AND NOVEMBER 2013 SUPPORTING MARSH REGIONAL BLOOD CENTER RESULTING IN 41 PEOPLE REGISTERED WITH 29 PINTS OF BLOOD DONATED, ULTIMATELY SAVING 87 LIVES - HOSTED A COMPANY-WIDE FOOD DRIVE COLLECTING A TOTAL OF 900 POUNDS OF FOOD - EMPLOYEES VOLUNTEERED AT A LOCAL GROCERY STORE AND RECEIVED AN ADDITIONAL 2000 POUNDS OF FOOD TO BENEFIT SECOND HARVEST FOOD BANK. ADDITIONALLY, $200 WAS RAISED FOR THE STOP HUNGER FOUNDATION - EMPLOYEES SERVED AT THE MELTING POT, A LOCAL SOUP KITCHEN, TO SERVE LUNCH TO OVER 200 NEEDY PEOPLE - EMPLOYEES PARTICIPATED IN 5K RUN TO RAISE MONEY FOR THE SENIOR CENTER - $269.50 IN DONATIONS TO OTHER NON-PROFIT ORGANIZATIONS IN MEMORY OF RESIDENTS - A NEW EMPLOYEE WITH TWO SMALL CHILDREN SUFFERED A COMPLETE LOSS OF ALL THEIR PERSONAL BELONGINGS DURING A HOUSE FIRE JUST PRIOR TO CHRISTMAS. ACV EMPLOYEES DONATED $2443.50 TO ASSIST THE FAMILY IN NEED AND CHRISTMAS GIFTS WERE PURCHASED FOR THE TWO CHILDREN WHO SUFFERED INJURIES IN THE DEVASTATING HOUSE FIRE. IN NOVEMBER 2013, A FOOD DRIVE WAS HELD FOR GOOD SAMARITAN MINISTRIES, INC. COLLECTING 490 FOOD ITEMS. PARTNERED WITH RELIANT REHAB TO PARTICIPATE IN THE "YEAR OF WELLNESS" PROGRAM TO PROVIDE MONTHLY EDUCATIONAL HEALTH SEMINARS. PARTICIPATED IN ALZHEIMER'S WALK RAISING $1,148.81 FOR THE ALZHEIMER'S ASSOCIATION. EMPLOYEES DONATED ITEMS FOR THE ANGEL TREE, BENEFITING LOCAL CHILDREN AT CHRISTMAS TIME. A "COAT DRIVE" WAS HELD FOR EMPLOYEES OR RESIDENTS WHO NEEDED A WARM COAT IN THE WINTERTIME, ALLOWING THOSE IN NEED TO "SHOP" FOR A NEW COAT FROM THE DONATED SELECTIONS. THOSE COATS REMAINING WERE DONATED TO A LOCAL CHARITY. 15451166 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 98 0 1 490 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 MYRA PAESSLER 4236108556 309 PRINCETON ROAD JOHNSON CITY TN 37601 RON HICKS BOARD PRESIDENT 1.00 0.10 X X 0 0 0 PAUL DAVID WALKER VICE PRESIDENT 1.00 0.10 X X 0 0 0 JOHN HENSLEY SECRETARY 1.00 0.10 X X 0 0 0 L PHILLIPS SAMS FINANCIAL SECRETARY 1.00 0.10 X X 0 0 0 DOUGLAS THEOBALD SR 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 DWAYNE DICKSON BOARD MEMBER 1.00 X 0 0 0 BETH SCHREINER BOARD MEMBER 1.00 X 0 0 0 RONALD SALYER BOARD MEMBER 1.00 X 0 0 0 RUTH KETRON BOARD MEMBER 1.00 X 0 0 0 SHERYL SHIPLEY BOARD MEMBER 1.00 X 0 0 0 ANN BOOKER BOARD MEMBER 1.00 X 0 0 0 ADAM CROUCH BOARD MEMBER 1.00 X 0 0 0 TOM SEXTON CEO 40.00 0.10 X 174174 0 11785 MYRA PAESSLER CFO 40.00 0.10 X 130500 0 15888 304674 0 27673 2 0 1 0 TEKA BUILDING & DEVELOPMENT 142 OKLAHOMA ROAD TELFORD TN 37690 CONSTRUCTION, RENOVATION, & FACILITY MAN 1837311 SODEXO INC PO BOX 536922 ATLANTA GA 30319 FOOD SERVICES 1643397 RELIANT REHABILITATION 11616 SOUTHFORD AVE SUITE 101 BATON ROUGE LA 70816 THERAPY SERVICES 620115 FUNCTIONAL PATHWAYS PO BOX 102426 ATLANTA GA 303682426 THERAPY SERVICES 349136 PNS INSTITUTIONAL INC PO BOX 5289 JOHNSON CITY TN 37604 PHARMACY 220754 9 28015 15011 28015 RESIDENT SERVICES 623000 16307590 16307590 16307590 287831 287831 46008 0 46008 46008 46008 10485 -10485 -10485 -10485 TOWER CAFE REVENUE 900099 15993 15993 OTHER INCOME 900099 5456 5456 GIFT SHOP INCOME 900099 1822 1822 1372 1372 24643 16683602 16307590 0 347997 3920 3920 332347 313751 18596 5813258 5398115 318523 96620 547354 468245 59512 19597 544044 485184 55980 2880 60671 60671 1498244 1303573 182130 12541 209791 6123 250 203418 1951773 1750172 165894 35707 154250 61874 92211 165 978430 954281 24149 52511 20998 26856 4657 36045 23433 12612 924198 901528 22670 1497711 1450002 44732 2977 206865 144876 61989 FOOD COSTS 1197161 1197161 MEDICAL SUPPLIES EXPENS 895355 895355 BAD DEBT 303833 303833 EMPLOYEE EXPENSES 47285 44998 1218 1069 37495 37495 17292541 15451166 1443148 398227 3715 3715 518922 89295 1099141 1083656 21486 20938 111091 113664 36749836 17512955 19349269 19236881 8880702 8244741 72541 88252 721328 623387 30778195 29504529 982365 1001783 3246494 3180527 19612422 19262489 46368 37391 23887649 23482190 X 6890546 6022339 6890546 6022339 30778195 29504529 -608939 -259268 0 X 0 1 X 1 0 X 157120 36994 18830 3887 28015 244846 15065652 15789757 16248194 15774888 16307590 79186081 15222772 15826751 16267024 15778775 16335605 79430927 0 0 0 79430927 293145 251308 409344 206659 287831 1448287 293145 251308 409344 206659 287831 1448287 18785 24643 43428 15515917 16078059 16676368 16004219 16648079 80922642 0.98160 0.98200 0.01790 0.01780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 379 379 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO AN INDUSTRY ASSOCIATIONS. THE ORGANIZATION WAS NOTIFIED THAT APPROXIMATELY 2.8% OR $379 OF ITS DUES WERE USED FOR LOBBYING. 1385609 1385609 27476033 13609384 13866649 830932 411576 419356 6769027 3352824 3416203 288235 139171 149064 19236881 PATIENT TRUSTS 13891 SECURITY DEPOSITS 23500 37391 X PART X, LINE 2: ACV 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. ACV HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF MARCH 31, 2013. FISCAL YEARS ENDING ON OR AFTER MARCH 31, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. X X 0 0 0 1 0 0 0 0 0 TOM SEXTON CEO 157174 0 17000 0 0 0 2596 0 9189 0 185959 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 19853552 SEE PART VI 0 0 0 A 350000 19853552 17451947 390399 1505385 505821 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 STATE, BASED ON REVENUE AND BASED ON THE NUMBER OF UNITS. THE EXECUTIVE COMMITTEE 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. 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 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0