2018-02-14T12:27:23-06:00 2017-03-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-04-01 620699106 CHRISTIAN HOME FOR THE AGED INC CHRI 4236108500 309 PRINCETON ROAD JOHNSON CITY TN 37601 JERI LINTHICUM CFO 4236108500 2018-02-14 1 Amy Bibby P00445891 8282542254 12.25.12.224 2018-02-14 11:48:51 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 3C4A73C7F70BFF54BAAC11A85090BDFB39FC8B01 2016 2021-01-29 14:40:06Z CORNERSTONE VILLAGE TOM SECTON 16595803 0 X WWW.CHRISTIANVILLIAGE.ORG X 1954 TN HELPING WITH THE CHALLENGES OF AGING BY PROVIDING QUALITY HOUSING, HEALTHCARE, AND SERVICES. 10 10 525 29 0 0 175489 276389 16334094 15981730 -333420 228739 70012 102019 16246175 16588877 1315 638 0 0 6835195 7728030 0 0 21609 10554825 10460015 17391335 18188683 -1145160 -1599806 27269597 26571735 23099156 23895612 4170441 2676123 TO REFLECT CHRIST'S LOVE BY BEING THE PREMIER REGIONAL PROVIDER OF QUALITY SENIOR LIVING SERVICES. 0 0 16170362 638 15981730 CHRISTIAN HOME FOR THE AGED, INC. D/B/A CORNERSTONE VILLAGE IS A NOT-FOR-PROFIT CORPORATION, ESTABLISHED BY CHRISTIAN CHURCHES TO PROVIDE HOUSING, HEALTHCARE, 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. 16170362 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 47 0 1 525 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 1 1 0 X The Organization 4236108500 309 PRINCETON ROAD JOHNSON CITY TN 37601 ADAM CROUCH BOARD PRESIDENT 1.00 0.10 X X 0 0 0 BETH BARCHEY-SMITH VICE PRESIDENT 1.00 X X 0 0 0 Dr Eddie Fine SECRETARY 1.00 0.10 X X 0 0 0 JIM CULP FINANCIAL SECRETARY 1.00 X X 0 0 0 Richard Measner TREASURER 1.00 0.10 X X 0 0 0 DOUG SAMS BOARD MEMBER 1.00 X 0 0 0 DR WAYNE EMORY BOARD MEMBER 1.00 X 0 0 0 BETH SCHREINER BOARD MEMBER 1.00 X 0 0 0 DR MARK MATSON BOARD MEMBER 1.00 X 0 0 0 ANN BOOKER BOARD MEMBER 1.00 X 0 0 0 TOM SEXTON CEO 40.00 0.10 X 174684 0 13105 JERI LINTHICUM CFO 40.00 0.10 X 85022 0 7498 KATHY GREEN ADMINISTRATOR 40.00 X 100453 0 9507 360159 0 30110 2 0 1 0 SODEXO INC PO BOX 536922 ATLANTA GA 30319 FOOD SERVICES 1872824 TEKA BUILDING & DEVELOPMENT 142 OKLAHOMA ROAD TELFORD TN 37690 CONSTRUCTION, RENOVATION, & FACILITY MAN 1508720 RELIANT REHABILITATION 11616 SOUTHFORD AVE SUITE 101 BATON ROUGE LA 70816 THERAPY SERVICES 759255 PNS INSTITUTIONAL INC PO BOX 5289 JOHNSON CITY TN 37604 PHARMACY SERVICES 270328 MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE IL 60055 MEDICAL SUPPLIES 127088 8 276389 276389 RESIDENT SERVICES 623000 15981730 15981730 15981730 145836 145836 48888 0 48888 48888 48888 82903 0 82903 82903 82903 23968 6926 17042 17042 GIFT SHOP INCOME 900099 18557 18557 TOWER CAFE REVENUE 900099 13225 13225 OTHER INCOME 900099 3057 3057 1250 1250 36089 16588877 15981730 0 330758 X 638 638 280309 261530 18779 6435854 5878555 557299 498449 436259 60796 1394 513418 449387 62595 1436 469 469 1833319 1478873 354446 122511 13100 109411 1329076 1069229 259847 164056 50432 113624 1045578 1021675 23903 47570 16411 31159 31352 16569 14783 917944 897217 20727 1442488 1396359 46129 244081 166864 77217 FOOD COSTS 1640745 1640745 MEDICAL SUPPLIES EXPENS 837152 837152 BAD DEBT 417406 417406 BED TAX 243933 243933 142335 139558 2777 18188683 16170362 1996712 21609 3741 3843 214911 92318 1127003 1446411 37246 31606 142792 135847 40231247 21909187 18391722 18322060 6652021 5903016 94916 94885 605245 541749 27269597 26571735 964745 1703143 3537195 3230085 18560408 18167325 397836 36808 397223 23099156 23895612 X 4170441 2676123 4170441 2676123 27269597 26571735 -1599806 105488 0 X 0 1 X 1 0 X 3887 28015 2057 175489 276389 485837 15774888 16307590 16000789 16334094 15981730 80399091 15778775 16335605 16002846 16509583 16258119 80884928 0 0 0 80884928 206659 287831 283653 185265 194724 1158132 206659 287831 283653 185265 194724 1158132 18785 24643 30501 27649 36089 137667 16004219 16648079 16317000 16722497 16488932 82180727 0.98420 0.98210 0.01410 0.01670 X 1385609 1385609 28432227 16072196 12360031 709092 400836 308256 9072301 5128399 3943902 632018 307756 324262 18322060 PATIENT TRUSTS 32360 SECURITY DEPOSITS 10022 CAPITAL LEASE OBLIGATIONS 354841 397223 X Part X, Line 2: Cornerstone 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. Cornerstone has determined that it does not have any material unrecognized tax benefits or obligations as of March 31, 2017. 51st CORNERSTONE GALA FUNDRAISER 23968 23968 1493 5183 250 23968 23968 1493 5183 250 6926 17042 X X 0 0 0 1 0 0 0 0 0 TOM SEXTON CEO 164684 0 10000 0 0 0 1298 0 11807 0 187789 0 0 0 Part I, Line 5 THE ORGANIZATION'S CEO AND CFO ARE PAID BONUSES WHICH ARE DETERMINED BY BOTH PERFORMANCE AND EARNINGS OF THE ORGANIZATION. A THE HEALTH AN EDUCATIONAL FACILITIES BOARD OF THE CITY OF JOHNSON CITY TN 521464028 4782R4AP6 2013-02-15 19355000 SEE PART VI 0 0 0 A 1280000 19355000 17451947 390399 2011206 2014 0 1 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 1 0 A 1 Form 990, Part VI, Section A, line 1 THE BOARD ELECTED UNDER THE BOARD OF DIRECTORS SHALL IN TURN ELECT FROM THEIR NUMBER: - PRESIDENT - VICE-PRESIDENT - SECRETARY - TREASURER - FINANCIAL SECRETARY THESE OFFICERS SHALL BE THE EXEUCTIVE COMMITTEE. THE IMMEDIATE PAST PRESIDENT SHALL BE AN EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE IN ORDER TO PROVIDE CONTINUITY FROM YEAR TO YEAR. HE/SHE SHALL HAVE NO VOTING PRIVILEGES. Form 990, Part VI, Section B, line 11b The 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 12c The 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 15 The 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 Stage, based on revenue and based on number of units. The EC is provided with the report for each manner and an average of the three. Form 990, Part VI, Section C, line 18 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part IX, line 11g CONTRACT LABOR: Program service expenses 998,165. Management and general expenses 4,407. Fundraising expenses 0. Total expenses 1,002,572. PROFESSIONAL FEES: Program service expenses 480,708. Management and general expenses 350,039. Fundraising expenses 0. Total expenses 830,747. APPALACHIAN CHRISTIAN VILLAGE FOUNDATION INC 309 PRINCETON ROAD JOHNSON CITY TN 37601 311789637 TO RAISE FUNDS FOR APPALACHIAN CHRISTIAN VILLAGE TN 501(C)(3) 11, I CHRISTIAN HOME FOR THE AGED INC 1 LIBERTY HOUSING CORPORATION 309 PRINCETON ROAD JOHNSON CITY TN 37601 621611779 HOUSING TN 501(C)(3) PF CHRISTIAN HOME FOR THE AGED INC 1 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0