2013-08-13T09:53:39-07:00 2012-12-31 Frasier Dean & Howard PLLC 3310 West End Avenue Ste 550 Nashville TN 37203 990 2012-01-01 621533400 THE BLAKEFORD AT GREEN HILLS BLAK 6156659505 11 BURTON HILLS BLVD NASHVILLE TN 37215 DOUG SMITH 2013-08-13 true Sara G Moon P00034774 6153836592 X 2012 2016-02-25 16:41:14Z VAN CLUCK 11 BURTON HILLS BLVD NASHVILLE TN 37215 19961517 false false X WWW.BLAKEFORD.COM X 1992 TN PROVIDE QUALITY LIFESTYLE OPTIONS AND SERVICES TO SENIOR ADULTS THAT ENCOURAGE INDEPENDENCE, INDIVIDUALITY AND PRIVACY, WHILE CREATING BOTH ECONOMIC VALUE AND LIFE ENRICHMENT OPPORTUNITIES FOR ALL THOSE WE SERVE. 11 11 316 14 0 0 17406048 17007866 1198566 626518 22701 18604614 17657085 183958 0 7171575 7265571 0 0 10289122 9458369 17460697 16907898 1143917 749187 44895518 50744558 55754965 60545446 -10859447 -9800888 PROVIDE QUALITY LIFESTYLE OPTIONS AND SERVICES TO SENIOR ADULTS THAT ENCOURAGE INDEPENDENCE, INDIVIDUALITY AND PRIVACY, WHILE CREATING BOTH ECONOMIC VALUE AND LIFE ENRICHMENT OPPORTUNITIES FOR ALL THOSE WE SERVE. false false 16469199 17007866 THE ORGANIZATION PROVIDES LONG TERM CARE FACILITIES IN THE STATE OF TENNESSEE, SPECIFICALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL & PSYCHOLOGICAL NEEDS OF ELDERLY AND INFIRM PERSONS, INCLUDING BUT NOT LIMITED TO HOUSING, BUILDINGS, STRUCTURES, EQUIPMENT, FURNISHINGS, PROGRAMS AND RELATED HEALTH AND OTHER SERVICES CONTRIBUTING TO THEIR HEALTH, SECURITY, HAPPINESS, AND PHYSICAL AND MENTAL WELL-BEING. THERE WERE APPROXIMATELY 564 PERSONS SERVED IN 2012. 16469199 true false false false false false false false false false true true false false true true true false false false false false false false false false true true false true true true false false false false false false false false false false false false false false false true false false false false true 51 0 true 316 true false false false false false false false false 0 false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false TN X DOUG SMITH 6156659505 11 BURTON HILLS BLVD NASHVILLE TN 37215 DR KEITH MEADOR 0.50 0.00 X 0 0 0 GAYLE VANCE 0.50 0.00 X 0 0 0 JUDY SWEENEY RN 0.50 0.00 X 0 0 0 LOUIS TODD 0.50 0.00 X 0 0 0 JAMES VANDIVER 0.50 0.00 X 0 0 0 MARY HERBERT KELLY 0.50 0.00 X 0 0 0 CYNTHIA H MORIN 0.50 0.00 X 0 0 0 JIM CROWELL 0.50 0.00 X 0 0 0 DEBBY KOCH 0.50 0.00 X 0 0 0 DAVID PRICE 1.00 0.00 X X 0 0 0 LUKE GREGORY 1.00 0.00 X X 0 0 0 DOUG SMITH 50.00 0.00 X 145977 0 11581 VAN CLUCK 50.00 0.00 X 187554 0 23937 ALLISON GRIFFITH 50.00 0.00 X 87999 0 6257 421530 41775 2 false true false REHAB CARE INC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 REHAB SERVICES 1140062 JOHN RICHARDSON 7853 OLD CHARLOTTE PIKE NASHVILLE TN 37209 PAINTING 162810 FAVORITE HEALTHCARE STAFFING PO BOX 803356 KANSAS CITY MO 64180 STAFFING 149067 3 0 RESIDENT SERVICES REVENUE 623000 17007866 17007866 17007866 468018 468018 0 0 0 2462932 2304432 158500 158500 158500 0 0 0 OTHER REVENUE 900099 22701 22701 22701 17657085 17007866 649219 X 0 183958 183958 0 0 421530 417315 4215 0 5631606 5574087 57519 88796 74332 14464 557338 466553 90785 566301 560517 5784 0 32748 2620 30128 43088 16373 26715 0 0 0 1693073 1693073 0 560259 492794 67465 0 0 1166254 1153716 12538 73050 36525 36525 0 0 1636398 1620034 16364 0 1990454 1970549 19905 288297 268116 20181 OTHER 1050 1050 LICENSES, PERMITS & FEES 56337 55774 563 DUES & SUBSCRIPTIONS 86182 68946 17236 SUPPLIES 1831179 1812867 18312 0 16907898 16469199 438699 0 1577 2086986 4760791 9430241 0 1561744 941560 0 0 410211 367230 12580 12580 66053 66997 48949069 20193248 29408791 28755821 2208222 2708370 3930589 5696064 0 0 2534960 678709 44895518 50744558 1513066 1601326 23232660 25650508 14004018 30787146 14493388 2511833 2506466 55754965 60545446 X -10859447 -9800888 -10859447 -9800888 44895518 50744558 749187 309372 X false true X true false X 0 13777218 14463013 15597982 17406048 17007866 78252127 0 0 0 13777218 14463013 15597982 17406048 17007866 78252127 0 11931 9018 849 21798 11931 9018 849 21798 78230329 612119 662256 171321 518912 468018 2432626 0 612119 662256 171321 518912 468018 2432626 0 22701 22701 14389337 15125269 15769303 17924960 17498585 80707454 0.96930 0.96220 0.03010 0.03720 X 3613159 3613159 33076793 10019876 23056917 1285485 922236 363249 10885297 9251136 1634161 88335 88335 28755821 5696064 REFUNDABLE CUSTOMER DEPOSITS 2506466 2506466 X 17966457 309372 309372 17657085 17657085 16907898 16907898 16907898 Part X Part X : FIN48 Footnote The Company is a 501(c)(3) organization which is exempt from federal income taxes pursuant to Section 501(a) of the Internal Revenue Code. It is not considered a private foundation.The Company follows FASB ASC guidance that clarifies the accounting for uncertainty in income taxes recognized in an entitys financial statements. This guidance prescribes a minimum probability threshold that a tax position must meet before a financial statement benefit is recognized. The minimum threshold is defined as a tax position that is more likely than not to be sustained upon examination by the applicable taxing authority, including resolution of any related appeals or litigation processes, based on the technical merits of the position. The tax benefit to be recognized is measured as the largest amount of benefit that is greater than fifty percent likely of being realized upon ultimate settlement. Tax years that remain open for examination include years ended December 31, 2010 through December 31, 2012. The Company does not believe there are any uncertain tax positions at December 31, 2012. Additionally, the Company has not recognized any tax related interest and penalties in the accompanying financial statements. true true false false false false false false false false true 2508360 2959778 -451418 X true false 1 1 THE BLAKEFORD OF GREEN HILLS

11 BURTON HILLS BLVD NASHVILLE TN 37215

www.blakeford.com SKILLED NURSING HOME false false false false false false false false false true false false Part V - Explanation of Number of Facility Type IF CONTRACTED RESIDENTS WHO ENTER THE FACILITY THROUGH INDEPENDENT LIVING EXTINGUISH THEIR ASSETS INCLUDING ANY REFUNDABLE DEPOSITS, THEN THE COST OF THEIR CARE IS WAIVED AS LONG AS IT IS NOT OF FINANCIAL DETRIMENT TO THE BLAKEFORD, WHICH IS STATED IN THEIR RESIDENCY AGREEMENT. true 0 0 SKILLED NURSING CARE 2 183958 SKILLED NURSING CARE Grantmaker's Description of How Grants are Used The two residents who qualify for this assistance both have a specified contract that states that once the individual has moved into a higher level of care, the individuals would release the deposits that were set aside when they moved to The Blakeford at Green Hills to supplement the cost of their care. Once their deposits have been exhausted the organization waives all of their living expenses until the resident leaves the facility. X X X false false false false false false false false false false VAN CLUCK 157025 30529 5619 18318 211491 DOUG SMITH 127257 18720 5839 5742 157558 A NASHVILLE TN GOVERNMENT 626139016 592041UF2 2012-08-09 30808458 REVENUE REFUNDING & IMPROVEMEN false false false A 28115276 30808458 614669 2077013 2012 true false true true A false false false false false false A true false false false FORM 990, PART IX, LINE 24B - FORM 990 BAD DEBT EXPENSE THE ORGANIZATION EXTENDED LINES OF CREDIT AT ARMS LENGTH TO AN AFFILIATED ENTITY UNDER COMMON OWNERSHIP. THE AFFILIATED ENTITY EXISTS TO DEVELOP AND CONSTRUCT SENIOR LIVING FACILITIES SIMILAR TO THAT OPERATED BY THE ORGANIZATION PROVIDING CONTINUUM OF CARE SERVICES MEETING THE HOUSING, HEALTH CARE AND FINANCIAL NEEDS OF SENIORS. DUE TO THE ECONOMIC DOWNTURN AND MOUNTING COSTS, THE ORGANIZATION CHOSE TO ABANDON ONE OF THE PROJECTS UNDER DEVELOPMENT BY THE ENTITY. AS A RESULT OF THIS ABANDONMENT, THE ENTITY IS NOW INACTIVE. THE BAD DEBT IS THE UNCOLLECTIBLE PORTION OF THE CREDIT LINES. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees THE CEO WORKS WITH HUMAN RESOURCES ON EMPLOYEE'S COMPENSATION TO ENSURE THAT COMPETITIVE SALARIES ARE OFFERED UTILIZING MARKET COMPARISONS. A COMPENSATION COMMITTEE OF THE BOARD OFFERS INPUT ON THE COMPENSATION PACKAGES OF OFFICERS AND KEY EMPLOYEES, HOWEVER, THE CEO HAS FULL DISCRETION. Form 990, Part VI, Line 15a Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management THE EXECUTIVE COMMITTEE & BOARD OF DIRECTORS REVIEWS AND APPROVES THE CEO'S COMPENSATION. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANNUALLY, EACH BOARD MEMBER IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE FORM. IF A CONFLICT ARISES THE BOARD WILL TAKE THE APPROPRIATE ACTION TO REMEDY THE CONFLICT. Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process THE 990 WILL BE REVIEWED BY FINANCE COMMITTEE & MANAGEMENT BEFORE FILING. BLAKEFORD AT HOME INC 11 BURTON HILLS BLVD NASHVILLE TN 37215 461354013 DORMANT TN 501(C)(4) N/A false BLAKEFORD ASSTD LIVING HEALTH CENTER 11 BURTON HILLS BLVD NASHVILLE TN 37215 300119048 DORMANT TN 501(c)(3) 9 N/A false BLAKEFORD INC 11 BURTON HILLS BLVD NASHVILLE TN 37215 300119044 SUPPORT ORGANIZATION TN 501(c)(3) 11 N/A false BLAKEFORD MANAGEMENT SERVICES INC 11 BURTON HILLS BLVD NASHVILLE TN 37215 208591838 MGMT. CO. FOR SENIOR HOUSING TN N/A C corp false BLAKEFORD DEVELOPMENT SERVICES INC 11 BURTON HILLS BLVD NASHVILLE TN 37215 208591698 DEV. CO. RETIREMENT COMMUNITY TN N/A C corp false AGING SERVICES NETWORK INC 11 BURTON HILLS BLVD NASHVILLE TN 37215 208591773 HOME CARE SVC TN N/A C corp false false false false false false false false false false false false false false false false false false false false