2023-11-13T15:10:12-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2022-01-01 620698709 PRESBYTERIAN HOMES OF TENNESSEE INC PRES 8656903411 801 VANOSDALE ROAD KNOXVILLE TN 37909 ERIK HOCKMAN CHIEF FINANCIAL OFFICER 8656903411 2023-11-13 1 ERIK HOCKMAN 999009999 0 JOHN NORMAN P01506766 7049985200 2023-11-09 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z SCOTT PHILLIPS 801 VANOSDALE ROAD KNOXVILLE TN 37909 31858630 0 X WWW.SHANNONDALETN.COM X 1968 TN THE 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. 10 10 648 0 0 0 7610657 7032518 24083841 24726035 579633 2584 88811 85577 32362942 31846714 0 0 0 0 17112660 21069356 0 0 729 19173298 19500080 36285958 40569436 -3923016 -8722722 109320590 97078876 114611203 112532058 -5290613 -15453182 X THE 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. 0 0 34196736 24811612 OUR HEALTH CARE CENTER COMMUNITIES IN KNOXVILLE AND MARYVILLE PROVIDE A SAFE AND LOVING ENVIRONMENT FOR SENIORS IN NEED OF MEDICAL ASSISTANCE AND MONITORING IN THE COMFORT OF A PRIVATE ROOM. WITH CONVENIENCES LIKE AN ON-SITE PHARMACY, BARBER/BEAUTY SALON AND REHABILITATION SERVICES TO ENHANCE WELL-BEING AND RECOVERY, SENIORS FEEL MORE AT HOME.(CONTINUED ON SCHEDULE O)FEATURES AND AMENITIES:- EMERGENCY CALL SYSTEM IN EVERY ROOM- A WIDE VARIETY OF SOCIAL ACTIVITIES- PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY- BEAUTY AND BARBER SALON WITH PROFESSIONAL STYLISTS (KNOXVILLE LOCATION)- ON-SITE PHARMACY- DENTAL AND PODIATRY SERVICES AT SHANNONDALE, WE OFFER INDEPENDENT LIVING OPTIONS NESTLED IN THE FOOTHILLS OF THE GREAT SMOKY MOUNTAINS IN BOTH KNOXVILLE AND MARYVILLE. HERE, RESIDENTS RETAIN THE INDEPENDENCE OF LIVING IN THEIR OWN PRIVATE HOME WITHOUT THE WORRIES OF MAINTAINING A HOME. OUR RESIDENCY AGREEMENT OFFERS LIFETIME USE OF THE RESIDENCE WITH ASSURED MAINTENANCE AND SECURITY WITH USE OF HIGHER LEVELS OF CARE, IF NEEDED. RESIDENTS CAN MOVE EASILY BETWEEN THE LEVEL OF CARE THEY MAY NEED AT THE TIME, FROM SHORT-TERM REHAB TO ASSISTED OR SKILLED NURSING.(CONTINUED ON SCHEDULE O)FEATURES AND AMENITIES:- HOME MAINTENANCE- TRANSPORTATION- COMMUNITY CLUBHOUSE- FULL SLATE OF SOCIAL EVENTS- FITNESS PROGRAMS- MEDICAL ASSISTANCE- DINING OPTIONS- EMERGENCY CALL SYSTEM- INDOOR POOL ON CAMPUS SENIORS IN ASSISTED LIVING HAVE THIER OWN PRIVATE ROOMS WITH A CARING STAFF WITHIN A BUTTON'S REACH AWAY. ASSISTED LIVING IS BEST FOR SENIORS WHO MAY NEED A PARTNER TO HELP WITH DAILY TASKS OF LIVING, FROM SIMPLE HOUSEKEEPING AND NUTRITIOUS MEALS TO HYGIENE, HEALTH CARE, AND MEDICATION MANAGEMENT. (CONTINUED ON SCHEDULE O) THE KNOXVILLE AND MARYVILLE CAMPUSES ARE BOTH LOCATED NEAR PARKS, SHOPPING CENTERS, HOSPITALS, CHURCHES AND MORE, WITH TRANSPORTATION ASSISTANCE AVAILABLE WHEN NEEDED. THE COMMUNITIES PROVIDE QUIET, PEACEFUL, PRIVATE ENVIRONMENTS, WHERE RESIDENTS CAN RECEIVE THE PERSONAL AND MEDICAL ASSISTANCE THEY MAY NEED, WHILE STILL MAINTAINING A PLEASANT AND SOCIALLY ENGAGING LIFESTYLE. LICENSED NURSES AND NURSING ASSISTANTS ARE AVAILABLE ANY TIME OF DAY OR NIGHT TO PROVIDE PERSONAL, MEDICAL AND EMERGENCY CARE. AN EMERGENCY CALL SYSTEM IS IN EACH BEDROOM AND BATHROOM, SHOULD A MEDICAL NEED ARISE. RESIDENTS CAN ALSO EASILY TRANSITION BETWEEN THE SHANNONDALE HEALTH CARE CENTER AND ASSISTED LIVING CENTER WHEN AN INCREASED LEVEL OF MEDICAL CARE IS NEEDED. RESIDENTS LIVE AN INDEPENDENT LIFESTYLE WITH ALL THE AMENITIES NEEDED TO MAKE LIFE AS EASY AND CAREFREE AS POSSIBLE. THREE DELICIOUS MEALS ARE SERVED EACH DAY IN THE BEAUTIFUL DINING ROOM AND WEEKLY HOUSEKEEPING IS OFFERED SO RESIDENTS CAN SPEND TIME PURSUING HOBBIES OR VISITING WITH FRIENDS. A FULL CALENDAR OF WELLNESS AND SOCIAL ACTIVITIES ARE PROVIDED BY THE CARING AND EXPERIENCED STAFF SO RESIDENTS CAN DESIGN THEIR OWN DAY. 34196736 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 648 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 0 0 TN X TODD TAYLOR 8656903411 7424 MIDDLEBROOK PIKE KNOXVILLE TN 37909 MELINDA BOOKER CHAIR 1.00 X X 0 0 0 REBECCA CRISWELL VICE CHAIR 1.00 X X 0 0 0 JOE COLQUITT BOARD MEMBER 1.00 X 0 0 0 ROY MICHAEL DALTON BOARD MEMBER 1.00 X 0 0 0 STUART CRAIG JARVIS BOARD MEMBER 1.00 X 0 0 0 DEBORAH JONES BOARD MEMBER 1.00 X 0 0 0 DALE KEASLING TREASURER 1.00 X X 0 0 0 SANDRA MARTIN SECRETARY 1.00 X X 0 0 0 MICHAEL MILLER BOARD MEMBER 1.00 X 0 0 0 SUSAN SEAGRAVES BOARD MEMBER 1.00 X 0 0 0 CHARLES WEST BOARD MEMBER 1.00 X 0 0 0 TODD TAYLOR PRESIDENT/CEO (FORMER) 40.00 X 249210 0 0 KEITH MCCORD VICE PRESIDENT 40.00 X 166039 0 13300 ERIK HOCKMAN CHIEF FINANCIAL OFFICER 40.00 X 126688 0 12070 WYNN SHELTON DIRECTOR OF PHARMACY 40.00 X 135263 0 8243 CLAY FIEGLE DIRECTOR OF REHAB 40.00 X 116766 0 13953 SANDRA FRANKLIN DIRECTOR OF NURSING 40.00 X 116192 0 8243 DEANNA EVANS OCCUPATIONAL THERAPIST 40.00 X 104093 0 0 MELISSA STUART RN 40.00 X 102008 0 15258 1116259 0 71067 15 0 1 0 THE CHRISTMAN COMPANY 2400 SUTHERLAND AVENUE KNOXVILLE TN 37919 BUILDING CONSTRUCTION 545242 TDH CONSTRUCTION INC 2211 DUTCH VALLEY DRIVE KNOXVILLE TN 37918 BUILDING CONSTRUCTION 502520 CHISTOPOULOS & KENNEDY 2301 HATCHER DR NW KNOXVILLE TN 37921 BUILDING CONSTRUCTION 299723 SYNC MANAGEMENT 932 DRY VALLEY RD TOWNSEND TN 37882 BUILDING CONSTRUCTION 249518 SAS HOME IMPROVEMENTS AND REMODELING LLC 10413 KINGSTON PIKE KNOXVILLE TN 37922 BUILDING CONSTRUCTION 197725 5 7032518 7032518 GENERAL SERVICE FEES 623000 20543550 20543550 OTHER PATIENT SERVICES 623000 4182485 4182485 24726035 14484 14484 16 0 11916 16 -11916 -11900 -11900 MEALS - GUESTS AND EMPLOYEES 623000 15509 15509 70068 70068 85577 31846714 24811612 0 2584 784249 784249 15944037 14728760 1215277 721544 721544 2346898 2313439 33459 1272628 1120511 152117 103364 103364 172454 172454 4188 4188 1344728 948001 396727 85767 85767 195616 55349 140267 426966 7508 419458 3858781 3858781 36109 36109 14735 14735 2060600 1813326 247274 3722813 3276076 446737 739998 739998 HOUSEKEEPING 2247480 1850094 397386 MEDICATIONS 2098764 2098764 DIETARY/FOOD SERVICE 1416169 1416169 LICENSES & DUES 663594 663594 307954 -148197 455422 729 40569436 34196736 6371971 729 5219945 3519269 4375226 894843 316364 275751 134487 42277 154334286 62368044 95609093 91966242 658635 323430 3006840 57064 109320590 97078876 5057886 2676061 50978884 53957915 52589757 53847911 5984676 2050171 114611203 112532058 X -5561861 -15724430 271248 271248 -5290613 -15453182 109320590 97078876 X -8722722 -173949 -1265898 X X 0 0 1 0 X 294316 156058 1921101 7610657 3098013 13080145 32559015 33091735 29060046 24083841 24714135 143508772 32853331 33247793 30981147 31694498 27812148 156588917 0 0 0 156588917 472725 360441 155189 237158 14484 1239997 472725 360441 155189 237158 14484 1239997 158033 117143 94024 88811 4020082 4478093 33484089 33725377 31230360 32020467 31846714 162307007 0.96480 0.98430 0.00760 0.01220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3728818 3728818 137468224 52157466 85310758 1932909 1128776 804133 10204055 9081802 1122253 1000280 1000280 91966242 ACCRUED PENSION LIABILITIES 2050171 2050171 X PART X, LINE 2: THE CORPORATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE CORPORATION FILES AS A TAX-EXEMPT ORGANIZATION. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF THE CORPORATION. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR THE CORPORATION. THE CORPORATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE CORPORATION'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS PART XI, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS BAD DEBT EXPENSE PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1 X X X X 0 0 0 0 0 0 0 0 0 TODD TAYLOR PRESIDENT/CEO (FORMER) 247824 0 0 0 1386 0 0 0 0 0 249210 0 0 0 KEITH MCCORD VICE PRESIDENT 165556 0 0 0 483 0 0 0 13300 0 179339 0 0 0 A THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF BLOUNT COUNTY TENNESSEE 621192419 NONEAVAIL 2014-07-24 10000000 FINANCE BUILDINGS AND STRUCTURES 0 0 0 B THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF BLOUNT COUNTY TENNESSEE 621192419 NONEAVAIL 2019-01-24 47000000 FINANCE BUILDINGS AND REFINANCE 2009 LOAN 0 0 0 A 4159174 10000000 87332 9912668 2015 0 0 1 1 B 1512949 47000000 206677 40290564 3254179 3248580 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C 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 INURNMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15A THE VOLUNTEER BOARD, PARTICULARLY THE FINANCE AND PERSONNEL COMMITTEES, REVIEWS COMPENSATION AGREEMENTS TO ENSURE ALL AGREEMENTS ARE COMPARABLE TO MARKET RATES AND THAT NO ONE IS COMPENSATED OUT-OF-LINE WITH THE LOCAL MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: OTHER CHANGES IN PENSION PLAN ASSETS AND BENEFIT OBLIGATIONS -1,265,898. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR.