STRATEGY STUDIO / PUBLIC DATA EXPLORER

CHRISTIAN HOME FOR THE AGED INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN HOME FOR THE AGED INC (EIN 62-0699106)
Tax period
2010-04-01 to 2011-03-31
Filed
2011-10-27
IRS object ID
201133009349300718
Schema version
2010v3.4
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)
Timestamp2011-10-27T10:51:11-05:00Timestamp
Tax Period End Date2011-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-04-01TaxPeriodBeginDate

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 Signed2011-10-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts16082284GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHRISTIANVILLAGE.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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees373TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year157120ContributionsGrantsPriorYear
Contributions Grants Current Year36994ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15065652ProgramServiceRevenuePriorYear
Program Service Revenue CY15789757ProgramServiceRevenueCY
Investment Income Prior Year293145InvestmentIncomePriorYear
Investment Income Current Year218908InvestmentIncomeCurrentYear
Other Revenue Prior Year37749OtherRevenuePriorYear
Other Revenue Current Year36625OtherRevenueCurrentYear
Total Revenue Prior Year15553666TotalRevenuePriorYear
Total Revenue Current Year16082284TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2334GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10310GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6208375SalariesEtcPriorYear
Salaries Etc Current Year6272588SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year371837TotalFundrsngExpCurrentYear
Other Expense Prior Year8904818OtherExpensePriorYear
Other Expenses Current Year9164164OtherExpensesCurrentYear
Total Expenses Prior Year15115527TotalExpensesPriorYear
Total Expenses Current Year15447062TotalExpensesCurrentYear
Revenues Less Expenses Prior Year438139RevenuesLessExpensesPriorYear
Revenues Less Expenses CY635222RevenuesLessExpensesCY
Total Assets BOY30492260TotalAssetsBOY
Total Assets EOY30331773TotalAssetsEOY
Total Liabilities BOY22213776TotalLiabilitiesBOY
Total Liabilities EOY21243257TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8278484NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9088516NetAssetsOrFundBalancesEOY
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
Expense13275118Expense
Grants10310Grants
Revenue15793982Revenue
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 85 INDEPENDENT LIVING UNITS, 109 CONGREGATE LIVING UNITS, 103 INTERMEDIATE AND SKILLED CARE NURSING BEDS, AND 100 ASSISTED LIVING UNITS.BLOOD DRIVE, AUGUST 10, 2010: 14 PINTS OF BLOOD GIVEN. ANNUAL FOOD DRIVE FOR GOOD SAMARITAN MINISTRIES, NOVEMBER 10, 2010: 234 POUNDS OF FOOD DONATED. WARMING CLOTHING DRIVE, NOVEMBER 10, 2010: PINE OAKS RESIDENTS, FAMILIES, AND STAFF SPONSORED, DONATING HATS, SCARVES, AND GLOVES TO THE SALVATION ARMY. PINE OAKS ANGEL TREE DONATIONS, DECEMBER 10, 2011. PINE OAKS CANNED FOOD DRIVE FOR RONALD MCDONALD HOUSE, NOVEMBER 10, 2010. TWO PINE OAKS TEAM MEMBERS CERTIFIED THROUGH AAAD AND UT EXTENSION AS TRAINERS FOR THE "LIVING WELL WITH CHRONIC CONDITIONS SELF-MANAGEMENT PROGRAM", MARCH 11, 2010. PINE OAKS ANNUAL ALZHEIMERS YARD SALE, MAY, 2010: RAISED $2,000. PINE OAKS IS INVOLVED IN THE MOUNTAIN VIEW ELEMENTARY SCHOOL MULTI-GENERATIONAL PARTNERSHIP. STUDENTS COME MONTHLY DURING THE SCHOOL YEAR AND RESIDENTS HELP THEM WITH READING, MUSIC, AND CRAFT PROJECTS. ACV DONATES DENTED CANS OF FOOD TO SECOND HARVEST FOOD BANK: 389 POUNDS. HOST LUNCHEONS FOR CHURCH SENIOR GROUPS CATERED A COMMUNITY LEADERS FORUM LUNCHEON AT GROUPS. THE JOHNSON CITY SENIOR CENTER: 500 PEOPLE FED. AFFILIATION WITH THE TENNESSEE TECHNOLOGY SCHOOL OF PRACTIVAL NURSING, WHICH ALLOWS LPN STUDENTS TO GAIN CLINICAL EXPERIENCE AND TRAINING.Description
Total Program Service Expense13275118TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Footnote0ReportFin48Footnote
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 Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees373NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
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
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 (17 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
JOHNNY HENSLEY
SECRETARY1.00XX000
PAUL DAVID WALKER
TREASURER1.00XX000
RICHARD MEASNER
FINANCIAL SECRETARY1.00XX000
STARLA BROOKS
BOARD MEMBER1.00X000
MITZI MCNAB
BOARD MEMBER1.00X000
LARRY REAVES
BOARD MEMBER1.00X000
LESLIE OSBORN
BOARD MEMBER1.00X000
PHIP SAMS
BOARD MEMBER1.00X000
SHERYL PACK SHIPLEY
BOARD MEMBER1.00X000
LARRY REYNOLDS
BOARD MEMBER1.00X000
RONALD SALYER
BOARD MEMBER1.00X000
DOUGLAS THEOBALD
BOARD MEMBER1.00X000
DR MELESSIA WEBB
BOARD MEMBER1.00X000
TOM SEXTON
CEO40.00X16433206034
MYRA PAESSLER
CFO40.00X8480306721
FieldValueIRS element (for citing)
Total Reportable Comp From Org249135TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation12755TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO INC & AFFILIATES
PO BOX 536922ATLANTAGA30319FOOD SERVICES & FACILITIES MANAGEMENT1745294
TEKA BUILDING
142 OKLAHOMA ROADTELFORDTN37690CONSTRUCTION RENOVATION1433706
FUNCTIONAL PATHWAYS
PO BOX 102426ATLANTAGA303682426THERAPY SERVICES609054
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations36994RelatedOrganizations
Total Contributions36994TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column15789757TotalRevenueColumn
Related Or Exempt Function Income15789757RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15789757TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column141494TotalRevenueColumn
Exclusion$141,494ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real32400Real

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)
Securities77414Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities77414Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column77414TotalRevenueColumn
Exclusion$77,414ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column4225TotalRevenueColumn
Related Or Exempt Function Income4225RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4225TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16082284TotalRevenueColumn
Related Or Exempt Function Income15793982RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$251,308ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10310Total
Program Services10310ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5353758Total
Program Services4596206ProgramServices
Management And General641671ManagementAndGeneral
Fundraising115881Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total452698Total
Program Services383015ProgramServices
Management And General58228ManagementAndGeneral
Fundraising11455Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total466132Total
Program Services407436ProgramServices
Management And General49841ManagementAndGeneral
Fundraising8855Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total344631Total
Program Services181661ProgramServices
Management And General110565ManagementAndGeneral
Fundraising52405Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total133630Total
Fundraising133630Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2539937Total
Program Services1961677ProgramServices
Management And General544356ManagementAndGeneral
Fundraising33904Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total235025Total
Program Services122324ProgramServices
Management And General110314ManagementAndGeneral
Fundraising2387Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1207410Total
Program Services1189181ProgramServices
Management And General18132ManagementAndGeneral
Fundraising97Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total42845Total
Program Services23013ProgramServices
Management And General15596ManagementAndGeneral
Fundraising4236Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1122685Total
Program Services1087962ProgramServices
Management And General34723ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1275166Total
Program Services1233312ProgramServices
Management And General37120ManagementAndGeneral
Fundraising4734Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total167886Total
Program Services123443ProgramServices
Management And General44443ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
FOOD COSTS174732917441213208
BAD DEBT238418131289107129
EMPLOYEE EXPENSE618834032248221079
EDUCATION AND TRAINING24109166365636910
BEAUTY SHOP EXPENSE2321023210

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15447062Total
Program Services13275118ProgramServices
Management And General1800107ManagementAndGeneral
Fundraising371837Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4095BOY
EOY3080EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY654526BOY
EOY437481EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1467743BOY
EOY1435794EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20559BOY
EOY21847EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY62220BOY
EOY96181EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis33123998LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13440529LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19793200BOY
EOY19683469EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6971625BOY
EOY7284360EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY82458BOY
EOY80362EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1435834BOY
EOY1289199EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30492260BOY
EOY30331773EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY879034BOY
EOY758808EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2893065BOY
EOY2864742EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY17882684BOY
EOY17535761EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY467000BOY
EOY27660EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY91993BOY
EOY56286EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22213776BOY
EOY21243257EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8197334BOY
EOY9016962EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY81150BOY
EOY71554EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8278484BOY
EOY9088516EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30492260BOY
EOY30331773EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses635222ReconcilationRevenueExpenses
Reconcilation Other Changes174810ReconcilationOtherChanges
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 Years45699CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years98550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years148685CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year157120CurrentTaxYearMinus1Year
Current Tax Year36994CurrentTaxYear
Total487048Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12023287CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12442194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14184904CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15065652CurrentTaxYearMinus1Year
Current Tax Year15789757CurrentTaxYear
Total69505794Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12068986CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12540744CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14333589CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15222772CurrentTaxYearMinus1Year
Current Tax Year15826751CurrentTaxYear
Total69992842Total

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 Total50969992842PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years310908CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years337508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years243252CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year293145CurrentTaxYearMinus1Year
Current Tax Year251308CurrentTaxYear
Total1436121Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years310908CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years337508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years243252CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year293145CurrentTaxYearMinus1Year
Current Tax Year251308CurrentTaxYear
Total1436121Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1020CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7404CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3525CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5349CurrentTaxYearMinus1Year
Current Tax Year4225CurrentTaxYear
Total21523Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12380914CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12885656CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14580366CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15521266CurrentTaxYearMinus1Year
Current Tax Year16082284CurrentTaxYear
Total71450486Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97960PublicSupportPercentage509
Prior Year Support Percentage0.98190PriorYearSupportPercentage
Investment Income Percentage0.02010InvestmentIncomePercentage
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$1,231OtherActivitiesAmount
Total Lobbying Expenditures IIB1231TotalLobbyingExpendituresIIB
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 PAID DUES OF $12,314 TO THE TNAHSA. OF THOSE DUES, APPROXIMATELY $1,231 RELATED TO LOBBYING EXPENDITURES.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 Basis26690560OtherCostOrOtherBasis
Depreciation11308508Depreciation
Book Value15382052BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4852373OtherCostOrOtherBasis
Depreciation2055899Depreciation
Book Value2796474BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis195456OtherCostOrOtherBasis
Depreciation76122Depreciation
Book Value119334BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19683469TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PATIENT TRUSTS$9,128
SECURITY DEPOSITS$46,805
ANNUITY OBLIGATIONS$353
FieldValueIRS element (for citing)
Total Of Amounts56286TotalOfAmounts
Total Revenue16082284TotalRevenue
Total Expenses15447062TotalExpenses
Excess Or Deficit For Year635222ExcessOrDeficitForYear
Net Unrealized GL On Investments174810NetUnrealizedGLOnInvestments
Total Adjustments174810TotalAdjustments
Excess Or Deficit Per FS810032ExcessOrDeficitPerFS

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

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 Org154332BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org10000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org6034NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org170366TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 5ReturnReference
ExplanationTHE ORGANIZATION PAYS BONUSES TO THE CEO AND CFO THAT FACTOR IN NET EARNINGS OF THE ORGANIZATION.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HEALTH AND EDUCATIONAL FACILITIES BOARD OF JOHNSON CITY TNBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521464028IssuerEIN
CUSIP Number47827VAH6CUSIPNumber
Date Issued2004-11-10DateIssued
Issue Price19096778IssuePrice
Description Of PurposeRENOVATION AND CONSTRUCTION 2004A,B,CDescriptionOfPurpose
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
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
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 (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 OCCURED AT THE LAST BOARD MEETING BEFORE THE FORM 990 WAS FILED.
THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY ASKING EACH BOARD MEMBER TO 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 CONSTITUTE A CONFLICT OF INTEREST. THE POLICY CONTAINS DETAILED PROCEDURES ON HOW THE ORGANIZATION HANDLES CONFLICTS ONCE THEY ARISE.FORM 990, PART VI, SECTION B, LINE 12C
THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS, VOTES ON, AND APPROVES COMPENSATION FOR BOTH THE CHIEF EXECTIVE OFFER AND THE CHIEF FINANCIAL OFFICER ON AN ANNUAL BASIS. AAHSA'S CCRC SALARY & BENEFITS REPORT FOR THE CURRENT FISCAL YEAR IS USED IN COMPENSATION DETERMINATION. THIS INFORMATION IS REPORTED IN 3 MANNERS: BASED ON STATE, BASED ON REVENUE AND BASED ON 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 B, LINE 15
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM CAN BE FOUND ON GUIDESTAR.ORG.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 174,810.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
APPALACHIAN CHRISTIAN VILLAGE FOUNDATION INC
309 PRINCETON ROADJOHNSON CITYTN37601311789637TO RAISE FUNDS FOR APPALACHIAN CHRISTIAN VILLAGENC501(C)(3)11, IN/A0
LIBERTY HOUSING CORPORATION
309 PRINCETON ROADJOHNSON CITYTN37601621611779HOUSINGNC501(C)(3)PFN/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
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 InvolvedAmountInvolved
APPALACHIAN CHRISTIAN VILLAGE FOUNDATION
C36994
APPALACHIAN CHRISTIAN VILLAGE FOUNDATION
K1265532
LIBERTY HOUSING CORPORATION
J391931