2023-03-28T15:56:11-05:00 2022-06-30 621199757 LBMC PC 2095 LAKESIDE CENTRE WAY SUITE 220 KNOXVILLE TN 37922 990 2021-07-01 620641093 HILLCREST HEALTHCARE COMMUNITIES INC HILL 8656871321 5325 BEVERLY PARK CIRCLE KNOXVILLE TN 37918 KEVIN WHITLOCK DIRECTOR OF FINANCE 8656871321 2023-03-28 1 KEVIN WHITLOCK XXX-XX-XXXX MAYUMI STELLA P00970938 8656919000 2023-03-28 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KEVIN WHITLOCK 5325 BEVERLY PARK CR KNOXVILLE TN 37918 35115477 0 X BEVERLYPARKPLACE.COM X 1966 TN HILLCREST HEALTHCARE COMMUNITIES, INC.IS A NON-PROFIT CORPORATION ORGANIZED TO PROVIDE NURSING HOME CARE TO THE KNOX COUNTY COMMUNITY. 9 9 653 13 0 0 0 1250 35157073 33085540 256632 -533280 3938154 109809 39351859 32663319 0 300000 0 0 20624862 18738261 0 0 0 15473551 16010329 36098413 35048590 3253446 -2385271 38531973 35116427 8174697 7325636 30357276 27790791 HILLCREST HEALTHCARE COMMUNITIES, INC. IS A NON-PROFIT CORPORATION ORGANIZED TO PROVIDE NURSING HOME CARE TO THE KNOX COUNTY COMMUNITY. 0 0 26942180 300000 33195349 HILLCREST HEALTHCARE COMMUNITIES, INC. PROVIDES NURSING HOME CARE PRIMARILY TO RESIDENTS OF KNOX AND SURROUNDING COUNTIES IN ITS 560 CERTIFIED BEDS. 26942180 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 71 0 1 653 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 TN X KEVIN WHITLOCK 8656871321 5325 BEVERLY PARK CR KNOXVILLE TN 37918 MARK WALKER MEMBER 1.00 1.00 X 0 0 0 FARIS N EID MEMBER 1.00 X 0 0 0 BILL MASON MEMBER THROUGH DEC 2021 1.00 1.00 X 0 0 0 MATT SMITH MEMBER 1.00 X 0 0 0 WINDIE WILSON SECRETARY/TREASURER 1.00 X X 0 0 0 JOHN WILLIAMS CHAIRMAN 1.00 1.00 X X 0 0 0 TOMMY DODSON MEMBER 1.00 X 0 0 0 TERESA LEVEY MEMBER 1.00 X 0 0 0 MARY EMBLER MEMBER 1.00 X 0 0 0 DR GREGORY BLAKE MEMBER 1.00 X 0 0 0 BARRY DAVIS PRESIDENT 40.00 1.00 X 215545 0 9703 SUSETTE WILLIAMSON VP STANDARD AND REGULATORY AFFAIRS 40.00 X 183112 0 4710 DONNA KELLEY ADMINISTRATOR 40.00 X 138461 0 10480 DIANA FISHER SVP STRATEGY AND BUSINESS OPERATIONS 40.00 X 144947 0 12528 KIMBERLY MOUNTZ DIRECTOR OF CLINICAL SERVI 40.00 X 142415 0 10886 KEVIN WHITLOCK SVP FINANCE 40.00 X 148586 0 6594 ROGER PARKER ADMINISTRATOR 40.00 X 131140 0 4710 1104206 0 59611 11 0 1 0 FUNCTIONAL PATHWAYS OF TENNSESSEE LLC 614 MABRY HOOD ROAD KNOXVILLE TN 37932 THERAPY SERVICES 2030528 GALE HEALTHCARE SOLUTIONS LLC PO BOX 4729 WINTER PARK FL 32793 NURSING AGENCY STAFF 1378839 PIONEER TECHNOLOGY 801 BROAD STREET STE 640 CHATTANOOGA TN 37402 IT SUPPORT 347136 247 STAFFING LLC 110 CENTER PARK DRIVE STE 101 KNOXVILLE TN 37922 NURSING AGENCY STAFF 309274 4 1250 1250 RESIDENT SERVICES 623000 33085540 33085540 33085540 217970 217970 1700908 2452158 -751250 -751250 -751250 OTHER REVENUE 900099 109809 109809 109809 32663319 33195349 0 -533280 X 300000 300000 405163 405163 15390091 13088006 2302085 109125 65709 43416 1679164 1480252 198912 1154718 976768 177950 136209 136209 57122 57122 32918 32918 7145698 6322873 822825 33363 33363 1281013 1191342 89671 36591 1799 34792 21472 15783 5689 125638 125638 1140287 1083267 57020 1077034 1077034 SUPPLIES 2370756 2228622 142134 TN NURSING FACILITY ASS 1836980 1836980 PURCHASED SERVICES 363099 363099 MISCELLANEOUS 215498 25184 190314 136651 3574 133077 35048590 26942180 8106410 0 3503802 555502 4197456 5423847 3650363 3958539 161369 201807 27225768 11337869 16940211 15887899 9678711 8927252 400061 161581 38531973 35116427 2864360 3082504 4553907 4117401 756430 125731 8174697 7325636 X 24357276 21790791 6000000 6000000 30357276 27790791 38531973 35116427 -2385271 -181214 0 X X 0 1 X 1 1 1 X 1250 1250 36016331 36301308 40061340 35750616 33085540 181215135 36016331 36301308 40061340 35750616 33086790 181216385 0 0 0 181216385 131600 155958 180749 162273 217970 848550 131600 155958 180749 162273 217970 848550 296961 338738 398817 3938154 109809 5082479 36444892 36796004 40640906 39851043 33414569 187147414 0.96830 0.96860 0.00450 0.00400 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 296,961. 2018 AMOUNT: $ 338,738. 2019 AMOUNT: $ 398,817. 2020 AMOUNT: $ 3,938,154. 2021 AMOUNT: $ 109,809. 752280 752280 21654411 7689048 13965363 4470232 3419819 1050413 348845 229002 119843 15887899 PATIENT TRUST FUND 125731 125731 X 32435544 -181214 -13643 -194857 32630401 32918 32918 32663319 34739456 23784 23784 34715672 32918 300000 332918 35048590 PART X, LINE 2: AN UNCERTAIN TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE ORGANIZATION HAS NO MATERIAL UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION REVENUE INCLUDED IN CONSOLIDATED F/S 286,357. FOUNDATION REVENUE ELIMINATED IN CONSOLIDATED F/S -300,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION EXPENSES INCLUDED IN CONSOLIDATED F/S 23,784. PART XII, LINE 4B - OTHER ADJUSTMENTS: ORGANIZATION EXPENSE ELIMINATED IN CONSOLIDATION 300,000. 1 HILLCREST HEALTHCARE FOUNDATION 5325 BEVERLY PARK CIRCLE KNOXVILLE TN 37918 202137242 501(C)(3) 300000 0 GENERAL OPERATION SUPPORT 1 0 PART I, LINE 2: HILLCREST HEALTHCARE FOUNDATION IS A RELATED, DIRECTLY CONTROLLED ENTITY OF THE FILING ORGANIZATION. THE USE OF THE GRANT FUND IS MONITORED AND REPORTED TO THE FILING ORGANIZATION'S MANAGEMENT ON THE PERIODIC BASIS. X 0 0 0 0 0 0 0 1 0 BARRY DAVIS PRESIDENT 194053 0 21492 0 0 0 9703 0 0 0 225248 0 0 0 SUSETTE WILLIAMSON VP STANDARD AND REGULATORY AFFAIRS 128297 0 32796 0 22019 0 0 0 4710 0 187822 0 0 0 PART I, LINE 7 BONUSES DURING COVID HAVE BEEN DISCRETIONARY. THE BONUSES THAT WILL BE PAID ON JUNE 2024 WILL BE METRIC DRIVEN WITH A SMALL PORTION BEING DISCRETIONARY. A HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF KNOX COUNTY 621220275 NONEAVAIL 2017-12-28 5660000 REFINANCE REFUNDED BONDS 0 0 0 A 1515336 5660000 5660000 2017 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS REVIEWED BY THE PRESIDENT AND DIRECTOR OF FINANCE OF HILLCREST HEALTHCARE COMMUNITIES, INC. BEFORE THE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, TRUSTEES AND SENIOR MANAGEMENT STAFF ARE REQUIRED TO COMPLETE A SIGNED CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST STATEMENT LISTS VARIOUS AREAS OF POSSIBLE CONFLICT THAT MUST BE DISCLOSED AND STATES THAT THE PERSON HAS RECEIVED, READ, UNDERSTOOD, AND AGREED TO ABIDE BY THE TERMS OF CONFLICT OF INTEREST POLICY. THE AREAS OF ANY POSSIBLE CONFLICT OF INTEREST ARE MONITORED AND ENFORCED DURING BOARD MEETINGS AFTER DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST. ALL MATERIAL FACTS ARE PRESENTED TO THE BOARD. THE PERSON WITH THE POSSIBLE CONFLICT OF INTEREST LEAVES THE MEETING AND THE REMAINING COMMITTEE MEMBERS WILL DECIDE WHETHER OR NOT A CONFLICT EXISTS. THE MINUTES OF ALL COMMITTEES WILL CONTAIN THE NAMES OF THE PERSONS WHO DISLOSED OR HAD A CONFLICT OF INTEREST, THE NATURE OF THE CONFLICT, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT AND THE COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST EXISTED. FORM 990, PART VI, SECTION B, LINE 15 BOARD MEMBERS DISCUSS THE POSSIBLE COMPENSATION OF PRESIDENT, OTHER OFFICERS AND KEY EMPLOYEES WITH OUTSIDE EXPERTISE. PUBLICATIONS ARE CHECKED FOR MARKET ANALYSIS OF PAY/BENEFITS COMPARABILITY. COMPENSATION IS DISCUSSED, REVIEWED AND APPROVED BY THE INDEPENDENT BOARD MEMBERS BEFORE ENTERING INTO ANY CONTRACT. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G THERAPY CONTRACT AND OTHER FEES: PROGRAM SERVICE EXPENSES 6,322,873. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,322,873. COMPUTER CONSULTING AND OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 822,825. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 822,825. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DOES HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS CHANGED DURING THE TAX YEAR. HILLCREST HEALTHCARE FOUNDATION 5325 BEVERLY PARK CIRCLE KNOXVILLE TN 37918 202137242 IDENTIFYING SOURCES OF SOLICITING AND DISBURSING TO BENEFIT HILLCREST TN 501(C)3 12A, TYPE I HILLCREST HEALTHCARE COMMUNITIES INC 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 HILLCREST HEALTHCARE FOUNDATION B 300000 CASH