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CHRISTIAN HOME FOR THE AGED INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN HOME FOR THE AGED INC (EIN 62-0699106)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-11-04
IRS object ID
201343089349300009
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)
Timestamp2013-11-04T08:20:44-06:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620699106EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN HOME FOR THE AGED INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHRINameControl
Phone4236108500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1309 PRINCETON ROADAddressLine1
CityJOHNSON CITYCity
StateTNState
ZIP Code37601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMYRA ZUMWALT PAESSLERName
TitleCFOTitle
Phone4236108500Phone
Date Signed2013-11-04DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1APPALACHIAN CHRISTIAN VILLAGEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMYRA ZUMWALT PAESSLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1309 PRINCETON ROADAddressLine1
CityJOHNSON CITYCity
StateTNState
ZIP Code37601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16150774GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHRISTIANVILLIAGE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1954YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionHELPING WITH THE CHALLENGES OF AGING BY PROVIDING QUALITY HOUSING, HEALTHCARE, AND SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees447TotalNbrEmployees
Total Nbr Volunteers64TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year84053ContributionsGrantsPriorYear
Contributions Grants Current Year58373ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16182971ProgramServiceRevenuePriorYear
Program Service Revenue CY15774888ProgramServiceRevenueCY
Investment Income Prior Year376944InvestmentIncomePriorYear
Investment Income Current Year110076InvestmentIncomeCurrentYear
Other Revenue Prior Year36259OtherRevenuePriorYear
Other Revenue Current Year64793OtherRevenueCurrentYear
Total Revenue Prior Year16680227TotalRevenuePriorYear
Total Revenue Current Year16008130TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year62299GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3779GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6591550SalariesEtcPriorYear
Salaries Etc Current Year6737160SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year474446TotalFundrsngExpCurrentYear
Other Expense Prior Year9817160OtherExpensePriorYear
Other Expenses Current Year10323431OtherExpensesCurrentYear
Total Expenses Prior Year16471009TotalExpensesPriorYear
Total Expenses Current Year17064370TotalExpensesCurrentYear
Revenues Less Expenses Prior Year209218RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1056240RevenuesLessExpensesCY
Total Assets BOY30295395TotalAssetsBOY
Total Assets EOY30778195TotalAssetsEOY
Total Liabilities BOY21324337TotalLiabilitiesBOY
Total Liabilities EOY23887649TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8971058NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6890546NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO REFLECT CHRIST'S LOVE BY BEING THE PREMIER REGIONAL PROVIDER OF QUALITY SENIOR LIVING SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense14320276Expense
Grants3779Grants
Revenue15774888Revenue
DescriptionCHRISTIAN 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:- ANNUAL FOOD DRIVE BENEFITING GOOD SAMARITAN MINISTRIES - OVER 181 POUNDS OF LAUNDRY COMPLETED FOR INTERFAITH HOSPITALITY NETWORK, A HOMELESS MINISTRY - BLOOD DRIVE IN APRIL 2012 SUPPORTING MARSH REGIONAL BLOOD CENTER- HOSTED COMMUNITY BLOCK PARTY AT PINE OAKS IN JUNE 2012 WITH FREE FOOD, MUSIC, AND ACTIVITIES FOR ALL AGES- SPONSORED GOLD TOURNAMENT TO BENEFIT EAST TENNESSEE CHRISTIAN HOME & ACADEMY- $318.50 IN DONATIONS TO LOCAL CHURCHES IN MEMORY OF RESIDENTS- HOSTED AND SPONSORED FREE HEALTH SEMINARS OPEN TO COMMUNITY- EASTER LILY FUNDRAISER IN MARCH 2013 TO BENEFIT A LOCAL 9 YEAR OLD GIRL IN NEED OF A SPORTS WHEELCHAIR AND RAISED OVER $700.00IN SEPTEMBER 2012, ACV WELCOMED AN 18 YEAR OLD TO OUR HCC FAMILY WHO WAS INJURED IN A TRAMPOLINE ACCIDENT AND IS A QUADRIPLEGIC. OUR STAFF ARRANGED FOR HOME BOUND TEACHINGS SO HE COULD RETURN TO SCHOOL AND COMPLETE HIS EDUCATION. CONTRIBUTIONS WERE GIVEN BY EMPLOYEES AND BOARD MEMBERS AND A TRUST FUND FOR HIM WAS ESTABLISHED. ADDITIONALLY, COUNTLESS VOLUNTEER HOURS HAVE HELPED TO CHANGE THIS YOUNG MAN'S EXPERIENCE, EXPECTATIONS, AND ASPIRATIONS. EVEN THOUGH HE HAS MANY PHYSICAL LIMITATIONS, HE HAS AN AVENUE FOR ASSISTANCE IN MEETING THOSE CHALLENGES AND ALLOWING HIM TO ACHIEVE AN EDUCATION AND SOCIAL EXPERIENCES LIKE HIS PEERS; ACV EMPLOYEES SUPPLIED NEEDY FAMILIES WITH THANKSGIVING MEALS THROUGH GOOD SAMARITAN MINISTRY.Description
Total Program Service Expense14320276TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
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 Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109677NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees447NumberOfEmployees
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 Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMYRA ZUMWALT PAESSLERNamePerson
Telephone Number4236108556TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1309 PRINCETON ROADAddressLine1
CityJOHNSON CITYCity
StateTNState
ZIP Code37601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RON HICKS
BOARD PRESIDENT1.000.10XX000
PAUL DAVID WALKER
VICE PRESIDENT1.000.10XX000
JOHN HENSLEY
SECRETARY1.000.10XX000
L PHILLIPS SAMS
FINANCIAL SECRETARY1.000.10XX000
DOUGLAS THEOBALD SR
TREASURER1.000.10XX000
STARLA BROOKS
BOARD MEMBER1.00X000
LESLIE H OSBORN
BOARD MEMBER1.00X000
LARRY REAVES
BOARD MEMBER1.00X000
LARRY REYNOLDS
BOARD MEMBER1.00X000
RONALD SALYER
BOARD MEMBER1.00X000
RUTH KETRON
BOARD MEMBER1.00X000
SHERYL SHIPLEY
BOARD MEMBER1.00X000
ANN BROOKER
BOARD MEMBER1.00X000
JACK CARRIER
BOARD MEMBER1.001.00X000
MICHAEL FRENCH
BOARD MEMBER1.001.00X000
JAMES RICHARD LEWIS
BOARD MEMBER1.001.00X000
ADAM CROUCH
BOARD MEMBER1.00X000
RICHARD MEASNER
BOARD MEMBER1.00X000
TOM SEXTON
CEO40.000.10X177585011003
MYRA PAESSLER
CFO40.000.10X135616026161
FieldValueIRS element (for citing)
Total Reportable Comp From Org313201TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation37164TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TEKA BUILDING & DEVELOPMENT
142 OKLAHOMA ROADTELFORDTN37690CONSTRUCTION, RENOVATION, & FACILITY MAN2094599
SODEXO INC
PO BOX 536922ATLANTAGA30319FOOD SERVICES1698480
FUNCTIONAL PATHWAYS
PO BOX 102426ATLANTAGA303682426THERAPY SERVICES902039
PNS INSTITUTIONAL INC
PO BOX 5289JOHNSON CITYTN37604PHARMACY293773
BAKER DONELSON BEARMAN CALDWELL & BER
265 BROOKVIEW CENTRE WAY STE 600KNOXVILLETN37919LEGAL SERVICES261181
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations54486RelatedOrganizations
All Other Contributions3887AllOtherContributions
Total Contributions58373TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column15774888TotalRevenueColumn
Related Or Exempt Function Income15774888RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15774888TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column160337TotalRevenueColumn
Exclusion$160,337ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column314TotalRevenueColumn
Exclusion$314ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real46008Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real46008Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column46008TotalRevenueColumn
Exclusion$46,008ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities92069Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other142644Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities92069Securities
Other-142644Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-50575TotalRevenueColumn
Exclusion-$50,575ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
TOWER CAFE REVENUE90009995119511
OTHER INCOME90009941144114
GIFT SHOP INCOME90009929402940

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2220TotalRevenueColumn
Related Or Exempt Function Income2220RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue18785TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16008130TotalRevenueColumn
Related Or Exempt Function Income15793673RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$156,084ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3779Total
Program Services3779ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total350365Total
Management And General331506ManagementAndGeneral
Fundraising18859Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5396103Total
Program Services4851232ProgramServices
Management And General445629ManagementAndGeneral
Fundraising99242Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total478640Total
Program Services413247ProgramServices
Management And General54747ManagementAndGeneral
Fundraising10646Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total512052Total
Program Services444936ProgramServices
Management And General57553ManagementAndGeneral
Fundraising9563Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total261181Total
Management And General261181ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1298118Total
Program Services1069159ProgramServices
Management And General194996ManagementAndGeneral
Fundraising33963Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total254874Total
Fundraising254874Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1904382Total
Program Services1221090ProgramServices
Management And General649094ManagementAndGeneral
Fundraising34198Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total137969Total
Program Services66524ProgramServices
Management And General70730ManagementAndGeneral
Fundraising715Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total947374Total
Program Services927084ProgramServices
Management And General20290ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total61454Total
Program Services18689ProgramServices
Management And General35846ManagementAndGeneral
Fundraising6919Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1067031Total
Program Services1044770ProgramServices
Management And General22261ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1683957Total
Program Services1639314ProgramServices
Management And General42519ManagementAndGeneral
Fundraising2124Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total181952Total
Program Services131342ProgramServices
Management And General50610ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
FOOD COSTS202854620253673179
MISCELLANEOUS EXPENSE187421187421
BAD DEBT17120516013511070
EMPLOYEE EXPENSES1056198383916421616

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total32348Total
Program Services32348ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17064370Total
Program Services14320276ProgramServices
Management And General2269648ManagementAndGeneral
Fundraising474446Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3680BOY
EOY3715EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY485121BOY
EOY518922EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1354516BOY
EOY1099141EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY24399BOY
EOY21486EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY99339BOY
EOY111091EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35458830LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16109561LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19640548BOY
EOY19349269EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7373863BOY
EOY8880702EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY75876BOY
EOY72541EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1238053BOY
EOY721328EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30295395BOY
EOY30778195EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1025673BOY
EOY982365EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3060517BOY
EOY3246494EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY17169358BOY
EOY19612422EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY28265BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY40524BOY
EOY46368EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21324337BOY
EOY23887649EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8895754BOY
EOY6890546EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY75304BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8971058BOY
EOY6890546EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30295395BOY
EOY30778195EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1056240ReconcilationRevenueExpenses
Reconciliation Unrealized Invest13610ReconciliationUnrealizedInvest
Reconcilation Other Changes-1037882ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years148685CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157120CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36994CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18830CurrentTaxYearMinus1Year
Current Tax Year3887CurrentTaxYear
Total365516Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14184904CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15065652CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15789757CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16248194CurrentTaxYearMinus1Year
Current Tax Year15774888CurrentTaxYear
Total77063395Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14333589CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15222772CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15826751CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16267024CurrentTaxYearMinus1Year
Current Tax Year15778775CurrentTaxYear
Total77428911Total

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 Total50977428911PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years243252CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years293145CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years251308CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year409344CurrentTaxYearMinus1Year
Current Tax Year206659CurrentTaxYear
Total1403708Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years243252CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years293145CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years251308CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year409344CurrentTaxYearMinus1Year
Current Tax Year206659CurrentTaxYear
Total1403708Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year18785CurrentTaxYear
Total18785Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14576841CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15515917CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16078059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16676368CurrentTaxYearMinus1Year
Current Tax Year16004219CurrentTaxYear
Total78851404Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98200PublicSupportPercentage509
Prior Year Support Percentage0.97970PriorYearSupportPercentage
Investment Income Percentage0.01780InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02030PriorYrInvestIncomePercentage
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$806OtherActivitiesAmount
Total Lobbying Expenditures IIB806TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO AN INDUSTRY ASSOCIATIONS. THE ORGANIZATION WAS NOTIFIED THAT APPROXIMATELY 6.3% OR $806 OF ITS DUES WERE USED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1385609OtherCostOrOtherBasis
Book Value1385609BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27876973OtherCostOrOtherBasis
Depreciation13199346Depreciation
Book Value14677627BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis189552OtherCostOrOtherBasis
Depreciation89750Depreciation
Book Value99802BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5920413OtherCostOrOtherBasis
Depreciation2803231Depreciation
Book Value3117182BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis86283OtherCostOrOtherBasis
Depreciation17234Depreciation
Book Value69049BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19349269TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PATIENT TRUSTS$16,300
SECURITY DEPOSITS$35,875
ANNUITY OBLIGATIONS-$5,807
FieldValueIRS element (for citing)
Total Of Amounts46368TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationACV 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
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 (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TOM SEXTON
CEO1600850175000002692083110188588000
MYRA PAESSLER
CFO11961601600000016800093610161777000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 5ReturnReference
ExplanationTHE ORGANIZATION'S CEO AND CFO ARE PAID BONUSES WHICH ARE DETERMINED BY BOTH PERFORMANCE AND EARNINGS OF THE ORGANIZATION.Explanation

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 AN EDUCATIONAL FACILITIES BOARD OF THE CITY OF JOHNSON CITY TNBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521464028IssuerEIN
CUSIP Number4782R4AP6CUSIPNumber
Date Issued2013-02-15DateIssued
Issue Price19853552IssuePrice
Description Of PurposeSEE PART VIDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds19853552TotalProceeds
Refunding Escrow17451947RefundingEscrow
Issuance Costs From Proceeds390399IssuanceCostsFromProceeds
Amount Unspent2011206AmountUnspent
Year Of Subst Completion2014YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

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
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested1GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierExplanationExplanation
PART I COLUMN FPROCEEDS WERE USED TO ADVANCE REFUND 2004 SERIES AND TO FUND CONSTRUCTION.
PART II LINE 6THE AMOUNTS REPORT ON LINE 6 ARE TO USED TO REFUND BONDS ISSUED 10/15/2004 NO LATE THAN 02/15/2014.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15THE 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 18THE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:LOSS ON REFINANCING OF BOND -983,396. APPALACHIAN CHRISTIAN VILLAGE FOUNDATION GRANT -54,486.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
APPALACHIAN CHRISTIAN VILLAGE FOUNDATION INC
309 PRINCETON ROADJOHNSON CITYTN37601311789637TO RAISE FUNDS FOR APPALACHIAN CHRISTIAN VILLAGETN501(C)(3)11, ICHRISTIAN HOME FOR THE AGED INC1
LIBERTY HOUSING CORPORATION
309 PRINCETON ROADJOHNSON CITYTN37601621611779HOUSINGTN501(C)(3)PFCHRISTIAN HOME FOR THE AGED INC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1APPALACHIAN CHRISTIAN VILLAGE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionType
Amount Involved1261914AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination