STRATEGY STUDIO / PUBLIC DATA EXPLORER

COVENANT LIVING AT SHANNONDALE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COVENANT LIVING AT SHANNONDALE (EIN 62-0698709)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-11
IRS object ID
201131319349302118
Schema version
2010v3.2
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)
Timestamp2011-05-11T13:52:09-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN 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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-05-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts29824091GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees634TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year571721ContributionsGrantsPriorYear
Contributions Grants Current Year468834ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28999298ProgramServiceRevenuePriorYear
Program Service Revenue CY29350996ProgramServiceRevenueCY
Investment Income Prior Year150090InvestmentIncomePriorYear
Investment Income Current Year-103035InvestmentIncomeCurrentYear
Other Revenue Prior Year57918OtherRevenuePriorYear
Other Revenue Current Year107296OtherRevenueCurrentYear
Total Revenue Prior Year29779027TotalRevenuePriorYear
Total Revenue Current Year29824091TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6654GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15387362SalariesEtcPriorYear
Salaries Etc Current Year16319917SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11958129OtherExpensePriorYear
Other Expenses Current Year11946505OtherExpensesCurrentYear
Total Expenses Prior Year27352145TotalExpensesPriorYear
Total Expenses Current Year28266422TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2426882RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1557669RevenuesLessExpensesCY
Total Assets BOY64856613TotalAssetsBOY
Total Assets EOY65617283TotalAssetsEOY
Total Liabilities BOY47738277TotalLiabilitiesBOY
Total Liabilities EOY46109174TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17118336NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19508109NetAssetsOrFundBalancesEOY
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
Expense17474114Expense
Revenue21668303Revenue
DescriptionEXPENSES RELATED TO PROVIDING SKILLED NURSING AND RELATED HEALTH CARE SERVICES TO THE ELDERLY. THERE ARE 244 RESIDENT BEDS AVAILABLE AND 86,359 DAYS OF SERVICES WERE PROVIDED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4637050Expense
Revenue4244768Revenue
DescriptionEXPENSES INCURRED PROVIDING RETIREMENT HOME AND RELATED SERVICES TO THE ELDERLY. 66,027 DAYS WERE PROVIDED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2662271Expense
Revenue3437925Revenue
DescriptionEXPENSES INCURRED PROVIDING ASSISTED LIVING AND RELATED SERVICES TO THE ELDERLY. THERE ARE 84 PATIENT BEDS AND 27,817 DAYS WERE PROVIDED.Description
FieldValueIRS element (for citing)
Total Program Service Expense24773435TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees634NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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

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
WILLIAM REEVES
CHAIRMAN1.00X000
CHARLES WEST
VICE CHAIRMAN1.00X000
SANDY MARTIN
SECRETARY1.00X000
JOE COLQUITT
MEMBER1.00X000
CRAIG JARVIS
MEMBER1.00X000
WILLIAM HURT
MEMBER1.00X000
DALE KEASLING
TREASURER1.00X000
FRANK MYERS
MEMBER1.00X000
GAINES PITTENGER
MEMBER1.00X000
MIKE DALTON
MEMBER1.00X000
CARSWELL HUGHS
MEMBER1.00X000
CATHERINE BEALS
MEMBER1.00X000
ROBERT KILLEFER
MEMBER1.00X000
MARY ALICE TUCKER
MEMBER1.00X000
DOUG OVERBEY
MEMBER1.00X000
DEBBIE JONES
MEMBER1.00X000
WILLIAM R THOMAS JR
PRESIDENT/CEO37.50204885020425X
TODD TAYLOR
ADMINISTRATOR37.50106102010610X
DAVID MAXWELL
ADMINISTRATOR37.509406509335X
PEGGY SMITH
ADMINISTRATOR37.507134807134X
FieldValueIRS element (for citing)
Total Reportable Comp From Org476400TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation47504TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions468834AllOtherContributions
Total Contributions468834TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionGENERAL SERVICE FEESDescription
Business Code623000BusinessCode
Total Revenue Column23520249TotalRevenueColumn
Related Or Exempt Function Income23520249RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column5830747TotalRevenueColumn
Related Or Exempt Function Income5830747RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue29350996TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-103035TotalRevenueColumn
Exclusion-$103,035ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMEALSDescription
Business Code623000BusinessCode
Total Revenue Column81815TotalRevenueColumn
Exclusion$81,815ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column25481TotalRevenueColumn
Exclusion$25,481ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue107296TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29824091TotalRevenueColumn
Related Or Exempt Function Income29350996RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,261ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12794140Total
Program Services11513562ProgramServices
Management And General1280578ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1034909Total
Program Services931324ProgramServices
Management And General103585ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1516441Total
Program Services1364659ProgramServices
Management And General151782ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total974427Total
Program Services876896ProgramServices
Management And General97531ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total81211Total
Management And General81211ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total102329Total
Management And General102329ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total25583Total
Management And General25583ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total917673Total
Program Services860097ProgramServices
Management And General57576ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total25863Total
Management And General25863ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4043875Total
Program Services4007788ProgramServices
Management And General36087ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total110654Total
Program Services32919ProgramServices
Management And General77735ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2708663Total
Program Services2708663ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total24106Total
Program Services2651ProgramServices
Management And General21455ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total32988Total
Program Services26089ProgramServices
Management And General6899ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total460127Total
Management And General460127ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2433489Total
Program Services2433489ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
LICENSES & DUES584086584086
RECRUITMENT & TRAINING2540925409
EQUIPMENT EXPENSE1516515165
BAD DEBT92599259

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total346025Total
Program Services133ProgramServices
Management And General345892ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28266422Total
Program Services24773435ProgramServices
Management And General3492987ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY837345BOY
EOY1008746EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2420750BOY
EOY1776155EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7518BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1654549BOY
EOY1540941EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY170461BOY
EOY183988EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18985BOY
EOY80953EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis81264989LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27381216LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY55021698BOY
EOY53883773EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4453625BOY
EOY6855989EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY271682BOY
EOY286738EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY64856613BOY
EOY65617283EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY447396BOY
EOY657424EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY31987862BOY
EOY31336950EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12199707BOY
EOY11166654EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY93079BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3010233BOY
EOY2948146EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY47738277BOY
EOY46109174EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16553970BOY
EOY19040840EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY564366BOY
EOY467269EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17118336BOY
EOY19508109EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY64856613BOY
EOY65617283EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1557669ReconcilationRevenueExpenses
Reconcilation Other Changes832104ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years113132CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years259835CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year571721CurrentTaxYearMinus1Year
Current Tax Year468834CurrentTaxYear
Total1481699Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25035741CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26479811CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28003027CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28999298CurrentTaxYearMinus1Year
Current Tax Year29350996CurrentTaxYear
Total137868873Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25148873CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26547988CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28262862CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29571019CurrentTaxYearMinus1Year
Current Tax Year29819830CurrentTaxYear
Total139350572Total

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 Total509139350572PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years81048CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years111170CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years130963CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69148CurrentTaxYearMinus1Year
Current Tax Year-103035CurrentTaxYear
Total289294Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years81048CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years111170CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years130963CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69148CurrentTaxYearMinus1Year
Current Tax Year-103035CurrentTaxYear
Total289294Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94247CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years241791CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years131473CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year139979CurrentTaxYearMinus1Year
Current Tax Year107296CurrentTaxYear
Total714786Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25324168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26900949CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28525298CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29780146CurrentTaxYearMinus1Year
Current Tax Year29824091CurrentTaxYear
Total140354652Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99280PublicSupportPercentage509
Prior Year Support Percentage0.99020PriorYearSupportPercentage
Investment Income Percentage0.00210InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00450PriorYrInvestIncomePercentage
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 Basis72161407OtherCostOrOtherBasis
Depreciation24900514Depreciation
Book Value47260893BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1545119OtherCostOrOtherBasis
Depreciation533169Depreciation
Book Value1011950BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5335544OtherCostOrOtherBasis
Depreciation1841120Depreciation
Book Value3494424BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis308384OtherCostOrOtherBasis
Depreciation106413Depreciation
Book Value201971BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings53883773TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLONG TERM INVESTMENTSDescription
Book Value6855989BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities6855989TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED PENSION LIABILITIESDescription
Amount$2,948,146Amount
FieldValueIRS element (for citing)
Total Of Amounts2948146TotalOfAmounts
Total Revenue29824091TotalRevenue
Total Expenses28266422TotalExpenses
Excess Or Deficit For Year1557669ExcessOrDeficitForYear
Net Unrealized GL On Investments786449NetUnrealizedGLOnInvestments
Other$45,655OtherAmount
Total Adjustments832104TotalAdjustments
Excess Or Deficit Per FS2389773ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt30753292TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments832104NetUnrealizedGainsInvestments
Other Revenues269935OtherRevenues
Revenue Not Rptd F9901102039RevenueNotRptdF990
Revenue Subtotal29651253RevenueSubtotal
Other Revenues Not Included172838OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt172838RevenueNotRptdOnFinStmt
Total Revenue Per Form99029824091TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28266422TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal28266422ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028266422TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:OTHER CHANGES IN PLAN ASSETS AND BENEFIT OBLIGATIONS 45,655.
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 269,935.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 172,838.

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
Base Compensation Filing Org204255BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org630OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org20425DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org225310TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF BLUNT 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)
Total Proceeds12263362TotalProceeds
Issuance Costs From Proceeds84610IssuanceCostsFromProceeds
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding1CurrentRefunding
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
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DALE KEASLINGBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipSEE SCHEDULE ORelationship
Amount Of Transaction12263362AmountOfTransaction
Description Of TransactionSEE SCHEDULE ODescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS PRESENTED MADE AVAILABLE TO THE BOARD OF DIRECTORS BEFORE BEING FILED.
TO 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 INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION 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 1/1/10, PEGGY SMITH, SENIOR ADMINISTRATOR ON 8/11/10, TODD TAYLOR, ASSISTANT ADMINISTRATOR ON 7/19/09 AND DAVID MAXWELL, ADMINISTRATOR ON 3/22/10.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 786,449. OTHER CHANGES IN PLAN ASSETS AND BENEFIT OBLIGATIONS 45,655. TOTAL TO FORM 990, PART XI, LINE 5: 832,104.FORM 990, PART XI, LINE 5:
THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.FORM 990, PART XII, LINE 2C:
DALE KEASLING IS A BOARD MEMBER OF THE ORGANIZATION AND THE PRESIDENT OF HOME FEDERAL BANK. DURING THE YEAR THE ORGANIZATION TOOK OUT A LOAN WITH HOME FEDERAL BANK IN THE AMOUNT OF $12,263,362. THE ORGANIZATION MADE A PRINCIPAL PAYMENT OF $1,069,651 DURING THE YEAR, AS WELL AS AN INTEREST PAYMENT OF $409,734. THE OUTSTANDING PRINCIPAL BALANCE AT THE END OF THE YEAR IS $11,130,056.SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: