STRATEGY STUDIO / PUBLIC DATA EXPLORER

COVENANT LIVING AT SHANNONDALE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COVENANT LIVING AT SHANNONDALE (EIN 62-0698709)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-06-25
IRS object ID
201301769349300310
Schema version
2012v2.1
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)
Timestamp2013-06-25T10:08:30-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620698709EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN HOMES OF TENNESSEE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRESNameControl
Phone8656903411Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 VANOSDALE ROADAddressLine1
CityKNOXVILLECity
StateTNState
ZIP Code37909ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM R THOMAS JRName
TitlePRESIDENT/CEOTitle
Phone8656903411Phone
Date Signed2013-06-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN NORMANName
PTINP01506766PTIN
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM R THOMAS JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1801 VANOSDALE ROADAddressLine1
CityKNOXVILLECity
StateTNState
ZIP Code37909ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31427927GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHANNONDALETN.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1968YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION OWNS AND OPERATES TWO CONTINUING CARE RETIREMENT COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees662TotalNbrEmployees
Total Nbr Volunteers17TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year418506ContributionsGrantsPriorYear
Contributions Grants Current Year275225ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30094761ProgramServiceRevenuePriorYear
Program Service Revenue CY29230554ProgramServiceRevenueCY
Investment Income Prior Year267503InvestmentIncomePriorYear
Investment Income Current Year387253InvestmentIncomeCurrentYear
Other Revenue Prior Year2311578OtherRevenuePriorYear
Other Revenue Current Year877307OtherRevenueCurrentYear
Total Revenue Prior Year33092348TotalRevenuePriorYear
Total Revenue Current Year30770339TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16223702SalariesEtcPriorYear
Salaries Etc Current Year17124488SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12781614OtherExpensePriorYear
Other Expenses Current Year12582963OtherExpensesCurrentYear
Total Expenses Prior Year29005316TotalExpensesPriorYear
Total Expenses Current Year29707451TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4087032RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1062888RevenuesLessExpensesCY
Total Assets BOY67979479TotalAssetsBOY
Total Assets EOY67501398TotalAssetsEOY
Total Liabilities BOY45381211TotalLiabilitiesBOY
Total Liabilities EOY43859959TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22598268NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23641439NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION IS AN EXEMPT ORGANIZATION RELATED TO THE PRESBYTERIAN CHURCH OF TN. THE ORGANIZATION OWNS AND OPERATES TWO CONTINUING CARE RETIREMENT COMMUNITIES CONSISTING OF RESIDENTIAL RETIREMENT COMPLEXES, ASSISTED LIVING FACILITIES, AND SKILLED NURSING FACILITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17164565Expense
Revenue19554492Revenue
DescriptionEXPENSES RELATED TO PROVIDING SKILLED NURSING AND RELATED HEALTH CARE SERVICES TO THE ELDERLY. THERE ARE 244 RESIDENT BEDS AVAILABLE AND 86,741 DAYS OF SERVICES WERE PROVIDED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6306359Expense
Revenue6471304Revenue
DescriptionEXPENSES INCURRED PROVIDING RETIREMENT HOME AND RELATED SERVICES TO THE ELDERLY. 66,266 DAYS WERE PROVIDED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2606190Expense
Revenue3204759Revenue
DescriptionEXPENSES INCURRED PROVIDING ASSISTED LIVING AND RELATED SERVICES TO THE ELDERLY. THERE ARE 84 PATIENT BEDS AND 27,529 DAYS WERE PROVIDED.Description
FieldValueIRS element (for citing)
Total Program Service Expense26077114TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees662NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GLEN MCDANIELBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8656903411TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1801 VANOSDALE ROADAddressLine1
CityKNOXVILLECity
StateTNState
ZIP Code37909ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
CHARLES WEST
CHAIRMAN1.00X000
DEBBIE JONES
VICE CHAIRMAN1.00X000
SANDY MARTIN
SECRETARY1.00X000
DALE KEASLING
TREASURER1.00X000
WILLIAM REEVES
MEMBER-AT-LARGE1.00X000
JOE COLQUITT
MEMBER1.00X000
WILLIAM HURT
MEMBER1.00X000
CRAIG JARVIS
MEMBER1.00X000
MIKE DALTON
MEMBER1.00X000
FRANKE MYERS
MEMBER1.00X000
GAINES PITTENGER
MEMBER1.00X000
MICHAEL MILLER
MEMBER1.00X000
CATHERINE BEALS
MEMBER1.00X000
MARY ALICE TUCKER
MEMBER1.00X000
ROBERT KILLEFER
MEMBER1.00X000
DOUG OVERBEY
MEMBER1.00X000
HOLLY BURKETT
MEMBER1.00X000
WILLIAM R THOMAS JR
PRESIDENT/CEO37.5021248200X
TODD TAYLOR
ADMINISTRATOR37.5012133100X
DAVID MAXWELL
ADMINSTRATOR37.509777700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org431590TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions275225AllOtherContributions
Total Contributions275225TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionGENERAL SERVICE FEESDescription
Business Code623000BusinessCode
Total Revenue Column24099513TotalRevenueColumn
Related Or Exempt Function Income24099513RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column5131041TotalRevenueColumn
Related Or Exempt Function Income5131041RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue29230554TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column344949TotalRevenueColumn
Exclusion$344,949ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities699892Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities657588Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities42304Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column42304TotalRevenueColumn
Exclusion$42,304ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
INCOME FROM INSURANCE PROCEEDS900099781459$781,459
MEALS - GUESTS AND EMPLOYEES62300070286$70,286

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column25562TotalRevenueColumn
Exclusion$25,562ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue877307TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30770339TotalRevenueColumn
Related Or Exempt Function Income29230554RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,264,560ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total640161Total
Management And General640161ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12483885Total
Program Services11823232ProgramServices
Management And General660653ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1326857Total
Program Services1194171ProgramServices
Management And General132686ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1671288Total
Program Services1504159ProgramServices
Management And General167129ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1002297Total
Program Services902067ProgramServices
Management And General100230ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total78115Total
Management And General78115ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total88314Total
Management And General88314ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total38772Total
Management And General38772ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total894885Total
Program Services857961ProgramServices
Management And General36924ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total25780Total
Management And General25780ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total89286Total
Program Services50159ProgramServices
Management And General39127ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total149370Total
Program Services32549ProgramServices
Management And General116821ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2667777Total
Program Services2667777ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total29461Total
Program Services6296ProgramServices
Management And General23165ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17626Total
Program Services11506ProgramServices
Management And General6120ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total372525Total
Management And General372525ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3445163Total
Program Services3438655ProgramServices
Management And General6508ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES21387902138790
FOOD COSTS13186911318691
LICENSES & DUES571829571829
BAD DEBT208460208460

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total448119Total
Program Services131101ProgramServices
Management And General317018ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29707451Total
Program Services26077114ProgramServices
Management And General3630337ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2538304BOY
EOY794337EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2407815BOY
EOY2704502EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1624603BOY
EOY1549271EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY165013BOY
EOY170496EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY84638BOY
EOY48538EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis85394089LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec33795255LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY52129727BOY
EOY51598834EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY8731746BOY
EOY10322231EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY297633BOY
EOY313189EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY67979479BOY
EOY67501398EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY656665BOY
EOY721625EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY30850046BOY
EOY29701073EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY10064439BOY
EOY8957579EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3810061BOY
EOY4479682EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY45381211BOY
EOY43859959EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22078883BOY
EOY23216419EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY519385BOY
EOY425020EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22598268BOY
EOY23641439EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY67979479BOY
EOY67501398EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1062888ReconcilationRevenueExpenses
Reconciliation Unrealized Invest546850ReconciliationUnrealizedInvest
Reconcilation Other Changes-566567ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years259835CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years571721CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years468834CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year418506CurrentTaxYearMinus1Year
Current Tax Year275225CurrentTaxYear
Total1994121Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28003027CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28999298CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29350996CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30094761CurrentTaxYearMinus1Year
Current Tax Year29230554CurrentTaxYear
Total145678636Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28262862CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29571019CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29819830CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30513267CurrentTaxYearMinus1Year
Current Tax Year29505779CurrentTaxYear
Total147672757Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509147672757PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years238177CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years150090CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years301901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year267503CurrentTaxYearMinus1Year
Current Tax Year387253CurrentTaxYear
Total1344924Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years238177CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years150090CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years301901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year267503CurrentTaxYearMinus1Year
Current Tax Year387253CurrentTaxYear
Total1344924Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years131473CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years139979CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107296CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2311578CurrentTaxYearMinus1Year
Current Tax Year877307CurrentTaxYear
Total3567633Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28632512CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29861088CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30229027CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33092348CurrentTaxYearMinus1Year
Current Tax Year30770339CurrentTaxYear
Total152585314Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96780PublicSupportPercentage509
Prior Year Support Percentage0.97390PriorYearSupportPercentage
Investment Income Percentage0.00880InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00720PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1914535OtherCostOrOtherBasis
Book Value1914535BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73811022OtherCostOrOtherBasis
Depreciation28859872Depreciation
Book Value44951150BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5939558OtherCostOrOtherBasis
Depreciation4305636Depreciation
Book Value1633922BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3728974OtherCostOrOtherBasis
Depreciation629747Depreciation
Book Value3099227BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings51598834TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLONG TERM INVESTMENTSDescription
Book Value10322231BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities10322231TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED PENSION LIABILITIESDescription
Amount$4,479,682Amount
FieldValueIRS element (for citing)
Total Of Amounts4479682TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt30844987TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments546850NetUnrealizedGainsInvestments
Other Revenues-376675OtherRevenues
Revenue Not Rptd F990170175RevenueNotRptdF990
Revenue Subtotal30674812RevenueSubtotal
Other Revenues Not Included95527OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt95527RevenueNotRptdOnFinStmt
Total Revenue Per Form99030770339TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29707451TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal29707451ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99029707451TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE CORPORATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE CORPORATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD ANY STATUS BE CHALLENGED IN THE FUTURE, THE 2009, 2010, AND 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF THE CORPORATION. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR THE CORPORATION. THE CORPORATION HAS ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE CORPORATION'S FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN PLAN ASSETS AND BENEFIT OBLIGATIONS -566,567. NET ASSETS RELEASED FROM RESTRICTIONS 189,892.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 95,527.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonWILLIAM R THOMAS JRNamePerson
TitlePRESIDENT/CEOTitle
Base Compensation Filing Org212482BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org212482TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF BLOUNT COUNTY TENNESSEEBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN621192419IssuerEIN
CUSIP NumberNONEAVAILCUSIPNumber
Date Issued2009-12-04DateIssued
Issue Price12263362IssuePrice
Description Of PurposeREFUND OF OLD BONDS AND REFINANCE OTHER DEBTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer1OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate1ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDALE KEASLINGNamePerson
FieldValueIRS element (for citing)
RelationshipBUSINESS RELATIONSHIPRelationship
Description Of TransactionTHE CORPORATION HAS VARIOUS DEPOSIT ACCOUNTS WITH HOME FEDERAL BANK, WHOSE PRESIDENT IS A MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION. AT DECEMBER 31, 2012 AND 2011, TOTAL DEPOSITS HELD WITH HOME FEDERAL BANK APPROXIMATED $1,473,000 AND $3,670,000, RESPECTIVELY.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS BEFORE BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND THE RESULT OF ARM'S LENGTH BARGAINING. B. WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INURNMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED BY JOB PERFORMANCE, AS WELL AS THE GOING RATE IN THE AREA, AND IS THEN APPROVED BY THE BOARD. THE PROCESS WAS LAST UNDERTAKEN FOR WILLIAM R. THOMAS, CEO & PRESIDENT ON 1/1/12, TODD TAYLOR, ASSISTANT ADMINISTRATOR ON 8/7/12 AND DAVID MAXWELL, ADMINISTRATOR ON 3/19/12.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:OTHER CHANGES IN PLAN ASSETS AND BENEFIT OBLIGATIONS -566,567.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990 PART XII LINE 2C:NO CHANGE IN METHOD SINCE THE PRIOR YEAR