STRATEGY STUDIO / PUBLIC DATA EXPLORER

CHRISTIAN HOME FOR THE AGED INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN HOME FOR THE AGED INC (EIN 62-0699106)
Tax period
2011-04-01 to 2012-03-31
Filed
2012-09-05
IRS object ID
201222499349300407
Schema version
2011v1.2
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)
Timestamp2012-09-05T09:21:32-05:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

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 Date2011-04-01TaxPeriodBeginDate

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 Signed2012-08-22DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts16680227GrossReceipts
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 Employees435TotalNbrEmployees
Total Nbr Volunteers34TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year36994ContributionsGrantsPriorYear
Contributions Grants Current Year84053ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15789757ProgramServiceRevenuePriorYear
Program Service Revenue CY16182971ProgramServiceRevenueCY
Investment Income Prior Year218908InvestmentIncomePriorYear
Investment Income Current Year376944InvestmentIncomeCurrentYear
Other Revenue Prior Year36625OtherRevenuePriorYear
Other Revenue Current Year36259OtherRevenueCurrentYear
Total Revenue Prior Year16082284TotalRevenuePriorYear
Total Revenue Current Year16680227TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10310GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY62299GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6272588SalariesEtcPriorYear
Salaries Etc Current Year6591550SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year352947TotalFundrsngExpCurrentYear
Other Expense Prior Year9164164OtherExpensePriorYear
Other Expenses Current Year9817160OtherExpensesCurrentYear
Total Expenses Prior Year15447062TotalExpensesPriorYear
Total Expenses Current Year16471009TotalExpensesCurrentYear
Revenues Less Expenses Prior Year635222RevenuesLessExpensesPriorYear
Revenues Less Expenses CY209218RevenuesLessExpensesCY
Total Assets BOY30331773TotalAssetsBOY
Total Assets EOY30295395TotalAssetsEOY
Total Liabilities BOY21243257TotalLiabilitiesBOY
Total Liabilities EOY21324337TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9088516NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8971058NetAssetsOrFundBalancesEOY
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
Expense14151635Expense
Grants62299Grants
Revenue16252053Revenue
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, HEALTH CARE, 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.PINE OAKS RESIDENTS, FAMILIES, & STAFF SPONSORED ANGEL TREE DONATIONS FOR APPROXIMATELY 70 SENIORS - 12/2011, TWO PINE OAKS TEAM MEMBERS CERTIFIED THROUGH AAAD & UT EXTENSION AS TRAINERS FOR THE "LIVING WELL WITH CHRONIC CONDITIONS SELF-MANAGEMENT PROGRAM" HAVE FACILITATED A TOTAL OF FOUR COURSES THROUGHOUT THE TRI-CITIES REGION-2/2012, TWO PINE OAKS TEAM MEMBERS DELIVER MEALS ON WHEELS TWO MONDAYS PER MONTH BEGINNING 2012, OVER 1800 HOME DELIVERED MEALS DELIVERED IN FY2012, ACV DONATES CANS TO SECOND HARVEST FOOD BANK - 389 POUNDS COLLECTED IN FY2012, ACV'S HR DEPARTMENT LED A FOOD DRIVE AMOUNT EMPLOYEES AND 464 POUNDS OF ASSORTED FOOD WAS COLLECTED FOR GOOD SAMARITAN MINISTRIES - 11/2011, ACV EMPLOYEES DONATED MONEY TO WCAR WITH SECOND HARVEST FOOD BANK TO PURCHASE THANKSGIVING MEALS FOR 12 FAMILIES - 11/2011, ACV DONATED USED APPLIANCES TO THE SALVATION ARMY-9/2011, PINE OAKS EMPLOYEES PARTICIPATED IN A CARFIT EVENT WHICH WAS A FREE EDUCATIONAL EVENT OPENED TO THE PUBLIC FOR SENIOR DRIVERS AND THEIR VEHICLES - 9/2011, BLOOD DRIVE THROUGH MARSH REGIONAL BLOOD CENTER IN WHICH 8 UNITS OF BLOOD WAS COLLECTED - 11/2011,ACV SUPPLIES LAUNDRY SERVICE YEAR ROUND FOR THE INTERFAITH HOSPITALITY NETWORK (HOMELESS ASSISTANCE) WHEN THE FAMILIES STAY AT HOPWOOD MEMORIAL CHRISTIAN CHURCH EVERY 6-8 WEEKS, PINE OAKS HELD A CANNED FOOD DRIVE FOR THE RONALD MCDONALD HOUSE - 11/2011, PINE OAKS HELD AN ANNUAL ALZHEIMER'S YARD SALE AND RAISED $2,000 - 5/2011, PINE OAKS IS INVOLVED IN THE MOUNTAIN VIEW ELEMENTARY SCHOOL MULTI-GENERATIONAL PARTNERSHIP WHERE STUDENTS COME MONTHLY DURING THE SCHOOL YEAR AND OUR RESIDENTS HELP THEM WITH READING, MUSIC, AND CRAFT PROJECTS - FY2012Description
Total Program Service Expense14151635TotalProgramServiceExpense
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 Organizations1GrantsToOrganizations
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 With109664NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees435NumberOfEmployees
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 Duties1DelegationOfManagementDuties
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
Other WebsiteXOtherWebsite
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ADAM CROUCH
BOARD PRESIDENT1.00XX000
RONALD HICKS
VICE PRESIDENT1.00XX000
JOHN HENSLEY
SECRETARY1.00XX000
RICHARD MEASNER
FINANCIAL SECRETARY1.00XX000
PAUL DAVID WALKER
TREASURER1.00XX000
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
L PHILLIP SAMS
BOARD MEMBER1.00X000
SHERYL SHIPLEY
BOARD MEMBER1.00X000
DOUGLAS THEOBALD SR
BOARD MEMBER1.00X000
JACK CARRIER
BOARD MEMBER1.00X000
MICHAEL FRENCH
BOARD MEMBER1.00X000
JAMES RICHARD LEWIS
BOARD MEMBER1.00X000
MITZI MCNAB
BOARD MEMBER1.00X000
MELISSA WEBB
BOARD MEMBER1.00X000
TOM SEXTON
CEO40.00X170393011198
MYRA PAESSLER
CFO40.00X122847025840
FieldValueIRS element (for citing)
Total Reportable Comp From Org293240TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation37038TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TEKA BUILDING & DEVELOPMENT
142 OKLAHOMA ROADTELFORDTN37690CONSTRUCTION, RENOVATION, & FACILITY MAN1817384
SODEXHO INC
PO BOX 536922ATLANTAGA30319FOOD SERVICES1585547
FUNCTIONAL PATHWAYS
PO BOX 102426ATLANTAGA303682426THERAPY SERVICES831770
PNS PHARMACY
PO BOX 5289JOHNSON CITYTN37604PHARMACY366548
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations65223RelatedOrganizations
All Other Contributions18830AllOtherContributions
Noncash Contributions18095NoncashContributions
Total Contributions84053TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column16182971TotalRevenueColumn
Related Or Exempt Function Income16182971RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue16182971TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column158956TotalRevenueColumn
Exclusion$158,956ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real32400Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real32400Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column32400TotalRevenueColumn
Exclusion$32,400ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities217988Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities217988Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column217988TotalRevenueColumn
Exclusion$217,988ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column3859TotalRevenueColumn
Related Or Exempt Function Income3859RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3859TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16680227TotalRevenueColumn
Related Or Exempt Function Income16186830RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$409,344ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total62299Total
Program Services62299ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total330278Total
Management And General330278ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5302653Total
Program Services4778196ProgramServices
Management And General409069ManagementAndGeneral
Fundraising115388Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total460701Total
Program Services406356ProgramServices
Management And General43057ManagementAndGeneral
Fundraising11288Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total497918Total
Program Services434464ProgramServices
Management And General54059ManagementAndGeneral
Fundraising9395Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total546098Total
Program Services260271ProgramServices
Management And General243469ManagementAndGeneral
Fundraising42358Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total130849Total
Fundraising130849Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2799879Total
Program Services2227954ProgramServices
Management And General550784ManagementAndGeneral
Fundraising21141Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total273258Total
Program Services156329ProgramServices
Management And General111792ManagementAndGeneral
Fundraising5137Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1278090Total
Program Services1248097ProgramServices
Management And General29596ManagementAndGeneral
Fundraising397Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total52656Total
Program Services20416ProgramServices
Management And General24872ManagementAndGeneral
Fundraising7368Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1091333Total
Program Services1067176ProgramServices
Management And General24157ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1345371Total
Program Services1299063ProgramServices
Management And General41027ManagementAndGeneral
Fundraising5281Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total171805Total
Program Services124596ProgramServices
Management And General47209ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
FOOD COSTS182121118171274084
BAD DEBT16213114374118390
EMPLOYEE EXPENSES83777611402522612
EDUCATION AND TRAINING608604456823616056

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-158Total
Program Services-158ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16471009Total
Program Services14151635ProgramServices
Management And General1966427ManagementAndGeneral
Fundraising352947Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3080BOY
EOY3680EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY437481BOY
EOY485121EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1435794BOY
EOY1354516EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY21847BOY
EOY24399EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY96181BOY
EOY99339EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34426447LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14785899LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19683469BOY
EOY19640548EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7284360BOY
EOY7373863EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY80362BOY
EOY75876EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1289199BOY
EOY1238053EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30331773BOY
EOY30295395EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY758808BOY
EOY1025673EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2864742BOY
EOY3060517EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY17535761BOY
EOY17169358EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY27660BOY
EOY28265EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY56286BOY
EOY40524EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21243257BOY
EOY21324337EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9016962BOY
EOY8895754EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY71554BOY
EOY75304EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9088516BOY
EOY8971058EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30331773BOY
EOY30295395EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses209218ReconcilationRevenueExpenses
Reconcilation Other Changes-326676ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years98550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years148685CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years157120CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36994CurrentTaxYearMinus1Year
Current Tax Year18830CurrentTaxYear
Total460179Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12442194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14184904CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15065652CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15789757CurrentTaxYearMinus1Year
Current Tax Year16248194CurrentTaxYear
Total73730701Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12540744CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14333589CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15222772CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15826751CurrentTaxYearMinus1Year
Current Tax Year16267024CurrentTaxYear
Total74190880Total

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 Total50974190880PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years337508CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years243252CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years293145CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year251308CurrentTaxYearMinus1Year
Current Tax Year409344CurrentTaxYear
Total1534557Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years337508CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years243252CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years293145CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year251308CurrentTaxYearMinus1Year
Current Tax Year409344CurrentTaxYear
Total1534557Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12878252CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14576841CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15515917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16078059CurrentTaxYearMinus1Year
Current Tax Year16676368CurrentTaxYear
Total75725437Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97970PublicSupportPercentage509
Prior Year Support Percentage0.97960PriorYearSupportPercentage
Investment Income Percentage0.02030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02010PriorYrInvestIncomePercentage
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$1,710OtherActivitiesAmount
Total Lobbying Expenditures IIB1710TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO ANINDUSTRY ASSOCIATIONS. THE ORGANIZATION WAS NOTIFIED THAT APPROXIMATELY 6.3% OR $1,710 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 Basis27331448OtherCostOrOtherBasis
Depreciation12440467Depreciation
Book Value14890981BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5307249OtherCostOrOtherBasis
Depreciation2261690Depreciation
Book Value3045559BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis402141OtherCostOrOtherBasis
Depreciation83742Depreciation
Book Value318399BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19640548TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PATIENT TRUSTS$10,421
SECURITY DEPOSITS$32,830
ANNUITY OBLIGATIONS-$2,727
FieldValueIRS element (for citing)
Total Of Amounts40524TotalOfAmounts
Total Revenue16680227TotalRevenue
Total Expenses16471009TotalExpenses
Excess Or Deficit For Year209218ExcessOrDeficitForYear
Net Unrealized GL On Investments-326676NetUnrealizedGLOnInvestments
Total Adjustments-326676TotalAdjustments
Excess Or Deficit Per FS-117458ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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, 2012. FISCAL YEARS ENDING ON OR AFTER MARCH 31, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
LIBERTY HOUSING CORPORATION
309 PRINCETON ROADJOHNSON CITYTN37601621611779501(C)(3)56093FMVCONTRIBUTION TO RELATED ORGANIZATION FOR OPERATING EXPENSES
APPALACHIAN CHRISTIAN VILLAGE FOUNDATION INC
309 PRINCETON ROADJOHNSON CITYTN37601311789637501(C)(3)6206FMVCONTRIBUTION TO RELATED ORGANIZATION FOR OPERATING EXPENSES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDED FUNDS TO ITS RELATED ORGANIZATIONS DURING THE YEAR. THE USE OF THE FUNDS WAS MONITORED THROUGH THE COMMON SUPERVISION AND MANAGEMENT OF THE RELATED ORGANIZATIONS.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

FieldValueIRS element (for citing)
Name PersonTOM SEXTONNamePerson
Base Compensation Filing Org149638BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org15000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org5755OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org2788DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org8410NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org181591TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org5000CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

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

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 Number47827VAH6CUSIPNumber
Date Issued2004-11-10DateIssued
Issue Price19096778IssuePrice
Description Of PurposeRENOVATION AND CONSTRUCTION 2004DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1610000AmountRetired
Total Proceeds21573530TotalProceeds
Amount In Reserve Fund1410622AmountInReserveFund
Issuance Costs From Proceeds381936IssuanceCostsFromProceeds
Working Capital Expenditures275246WorkingCapitalExpenditures
Capital Expenditures19489391CapitalExpenditures
Year Of Subst Completion2006YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested1GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3SODEXO IS A CONTRACTOR OF THE ORGANIZATION PROVIDING DINING SERVICES INCLUDING PREPARATION OF MEALS AS WELL AS MANAGEMENT OF ALL DINING FACILITY LABOR FOR ALL OF THE FACILITIES. TEKA IS ALSO A CONTRACTOR THAT WAS CONTRACTED BY THE ORGANIZATION TO MANAGE THE ORGANIZATION'S MAINTENANCE SERVICE DEPARTMENT AND ALL OF THE REMODELING WORK THAT IS CURRENTLY TAKING PLACE AT ALL FACILITIES. TEKA ALSO IS CONTRACTED FOR THE MANAGEMENT OF MAINTENANCE LABOR AND ENVIRONMENTAL SERVICES LABOR.
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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -326,676.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 VILLAGENC501(C)(3)11, ICHRISTIAN HOME FOR THE AGED INC1
LIBERTY HOUSING CORPORATION
309 PRINCETON ROADJOHNSON CITYTN37601621611779HOUSINGNC501(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
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 (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LIBERTY HOUSING CORPORATION
B56093FMV
APPALACHIAN CHRISTIAN VILLAGE FOUNDATION INC
K1300489FMV
LIBERTY HOUSING CORPORATION
J459465FMV