FURP.ORG / PUBLIC DATA EXPLORER

COVENANT LIVING AT SHANNONDALE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COVENANT LIVING AT SHANNONDALE (EIN 62-0698709)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-19
IRS object ID
201231719349300708
Schema version
2011v1.2
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)
Timestamp2012-06-19T15:54:31-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620698709EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN HOMES OF TENNESSEE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRESNameControl
Phone8656903411Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 VANOSDALE ROADAddressLine1
CityKNOXVILLECity
StateTNState
ZIP Code37909ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM R THOMAS JRName
TitlePRESIDENT/CEOTitle
Phone8656903411Phone
Date Signed2012-06-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGORY W JOHNSName
PTINP00535091PTIN
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM R THOMAS JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1801 VANOSDALE ROADAddressLine1
CityKNOXVILLECity
StateTNState
ZIP Code37909ZIPCode
FieldValueIRS element (for citing)
Gross Receipts33092348GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHANNONDALETN.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1968YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION OWNS AND OPERATES TWO CONTINUING CARE RETIREMENT COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees647TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year468834ContributionsGrantsPriorYear
Contributions Grants Current Year418506ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29350996ProgramServiceRevenuePriorYear
Program Service Revenue CY30094761ProgramServiceRevenueCY
Investment Income Prior Year-103035InvestmentIncomePriorYear
Investment Income Current Year267503InvestmentIncomeCurrentYear
Other Revenue Prior Year107296OtherRevenuePriorYear
Other Revenue Current Year2311578OtherRevenueCurrentYear
Total Revenue Prior Year29824091TotalRevenuePriorYear
Total Revenue Current Year33092348TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16319917SalariesEtcPriorYear
Salaries Etc Current Year16223702SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11946505OtherExpensePriorYear
Other Expenses Current Year12781614OtherExpensesCurrentYear
Total Expenses Prior Year28266422TotalExpensesPriorYear
Total Expenses Current Year29005316TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1557669RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4087032RevenuesLessExpensesCY
Total Assets BOY65617283TotalAssetsBOY
Total Assets EOY67979479TotalAssetsEOY
Total Liabilities BOY46109174TotalLiabilitiesBOY
Total Liabilities EOY45381211TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19508109NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22598268NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16796251Expense
Revenue20132624Revenue
DescriptionEXPENSES RELATED TO PROVIDING SKILLED NURSING AND RELATED HEALTH CARE SERVICES TO THE ELDERLY. THERE ARE 244 RESIDENT BEDS AVAILABLE AND 86,741 DAYS OF SERVICES WERE PROVIDED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6171039Expense
Revenue6662629Revenue
DescriptionEXPENSES INCURRED PROVIDING RETIREMENT HOME AND RELATED SERVICES TO THE ELDERLY. 66,266 DAYS WERE PROVIDED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2550267Expense
Revenue3299508Revenue
DescriptionEXPENSES INCURRED PROVIDING ASSISTED LIVING AND RELATED SERVICES TO THE ELDERLY. THERE ARE 84 PATIENT BEDS AND 27,529 DAYS WERE PROVIDED.Description
FieldValueIRS element (for citing)
Total Program Service Expense25517557TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees647NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GLEN MCDANIELBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8656903411TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1801 VANOSDALE ROADAddressLine1
CityKNOXVILLECity
StateTNState
ZIP Code37909ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
WILLIAM REEVES
MEMBER-AT-LARGE1.00X000
CHARLES WEST
CHAIRMAN1.00X000
SANDY MARTIN
SECRETARY1.00X000
JOE COLQUITT
MEMBER1.00X000
CRAIG JARVIS
MEMBER1.00X000
WILLIAM HURT
MEMBER1.00X000
DALE KEASLING
TREASURER1.00X000
FRANK MYERS
MEMBER1.00X000
GAINES PITTENGER
MEMBER1.00X000
MIKE DALTON
MEMBER1.00X000
HOLLY BURKETT
MEMBER1.00X000
CATHERINE BEALS
MEMBER1.00X000
ROBERT KILLEFER
MEMBER1.00X000
MARY ALICE TUCKER
MEMBER1.00X000
DOUG OVERBEY
MEMBER1.00X000
DEBBIE JONES
VICE CHAIR1.00X000X
WILLIAM R THOMAS JR
PRESIDENT/CEO37.50212959021233X
TODD TAYLOR
ADMINISTRATOR37.50117473011747X
DAVID MAXWELL
ADMINISTRATOR37.509790309720X
FieldValueIRS element (for citing)
Total Reportable Comp From Org428335TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation42700TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TRU GREEN LANDCAREBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13312 NORTH PARK BOULEVARDAddressLine1
CityALCOACity
StateTNState
ZIP Code37701ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLAWN CAREDescriptionOfServices
Compensation166847Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions418506AllOtherContributions
Total Contributions418506TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionGENERAL SERVICE FEESDescription
Business Code623000BusinessCode
Total Revenue Column24509641TotalRevenueColumn
Related Or Exempt Function Income24509641RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column5585120TotalRevenueColumn
Related Or Exempt Function Income5585120RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue30094761TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column267503TotalRevenueColumn
Exclusion$267,503ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
INSURANCE PROCEEDS9000992211513$2,211,513
MEALS62300071658$71,658

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column28407TotalRevenueColumn
Exclusion$28,407ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2311578TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33092348TotalRevenueColumn
Related Or Exempt Function Income30094761RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,579,081ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total471034Total
Management And General471034ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12472760Total
Program Services11681831ProgramServices
Management And General790929ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1071956Total
Program Services967447ProgramServices
Management And General104509ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1232276Total
Program Services1112137ProgramServices
Management And General120139ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total975676Total
Program Services880554ProgramServices
Management And General95122ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total78200Total
Management And General78200ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total80973Total
Management And General80973ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total32671Total
Management And General32671ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total923280Total
Program Services876260ProgramServices
Management And General47020ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total26108Total
Management And General26108ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total89828Total
Program Services54578ProgramServices
Management And General35250ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total99510Total
Program Services26181ProgramServices
Management And General73329ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2744484Total
Program Services2744484ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total29191Total
Program Services4776ProgramServices
Management And General24415ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22838Total
Program Services14435ProgramServices
Management And General8403ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total415263Total
Management And General415263ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3219913Total
Program Services3213405ProgramServices
Management And General6508ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES25400022540002
FOOD COSTS12774731277473
LICENSES & DUES617014617014
BAD DEBT159935159935

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total424931Total
Program Services123994ProgramServices
Management And General300937ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29005316Total
Program Services25517557ProgramServices
Management And General3487759ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1008746BOY
EOY2538304EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1776155BOY
EOY2407815EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1540941BOY
EOY1624603EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY183988BOY
EOY165013EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY80953BOY
EOY84638EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis82548404LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30418677LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY53883773BOY
EOY52129727EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6855989BOY
EOY8731746EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY286738BOY
EOY297633EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY65617283BOY
EOY67979479EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY657424BOY
EOY656665EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY31336950BOY
EOY30850046EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11166654BOY
EOY10064439EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2948146BOY
EOY3810061EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY46109174BOY
EOY45381211EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19040840BOY
EOY22078883EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY467269BOY
EOY519385EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19508109BOY
EOY22598268EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65617283BOY
EOY67979479EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4087032ReconcilationRevenueExpenses
Reconcilation Other Changes-996873ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years68177CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years259835CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years571721CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year468834CurrentTaxYearMinus1Year
Current Tax Year418506CurrentTaxYear
Total1787073Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26479811CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28003027CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28999298CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29350996CurrentTaxYearMinus1Year
Current Tax Year30094761CurrentTaxYear
Total142927893Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26547988CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28262862CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29571019CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29819830CurrentTaxYearMinus1Year
Current Tax Year30513267CurrentTaxYear
Total144714966Total

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 Total509144714966PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111170CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years238177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years150090CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year301901CurrentTaxYearMinus1Year
Current Tax Year267503CurrentTaxYear
Total1068841Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111170CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years238177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years150090CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year301901CurrentTaxYearMinus1Year
Current Tax Year267503CurrentTaxYear
Total1068841Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years116509CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years131473CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years139979CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107296CurrentTaxYearMinus1Year
Current Tax Year2311578CurrentTaxYear
Total2806835Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26775667CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28632512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29861088CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30229027CurrentTaxYearMinus1Year
Current Tax Year33092348CurrentTaxYear
Total148590642Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97390PublicSupportPercentage509
Prior Year Support Percentage0.99280PriorYearSupportPercentage
Investment Income Percentage0.00720InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00210PriorYrInvestIncomePercentage
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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1914535OtherCostOrOtherBasis
Book Value1914535BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73248165OtherCostOrOtherBasis
Depreciation25976401Depreciation
Book Value47271764BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5773533OtherCostOrOtherBasis
Depreciation3875448Depreciation
Book Value1898085BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1612171OtherCostOrOtherBasis
Depreciation566828Depreciation
Book Value1045343BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings52129727TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLONG TERM INVESTMENTSDescription
Book Value8731746BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities8731746TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED PENSION LIABILITIESDescription
Amount$3,810,061Amount
FieldValueIRS element (for citing)
Total Of Amounts3810061TotalOfAmounts
Total Revenue33092348TotalRevenue
Total Expenses29005316TotalExpenses
Excess Or Deficit For Year4087032ExcessOrDeficitForYear
Net Unrealized GL On Investments-107556NetUnrealizedGLOnInvestments
Other-$889,317OtherAmount
Total Adjustments-996873TotalAdjustments
Excess Or Deficit Per FS3090159ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt32043359TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-107556NetUnrealizedGainsInvestments
Other Revenues-720116OtherRevenues
Revenue Not Rptd F990-827672RevenueNotRptdF990
Revenue Subtotal32871031RevenueSubtotal
Other Revenues Not Included221317OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt221317RevenueNotRptdOnFinStmt
Total Revenue Per Form99033092348TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29005316TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal29005316ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99029005316TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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. SHOULD ANY STATUS BE CHALLENGED IN THE FUTURE, THE 2008, 2009, AND 2010 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. 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 HAS ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE CORPORATION'S FINANCIAL STATEMENTS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:OTHER CHANGES IN PLAN ASSETS AND BENEFIT OBLIGATIONS -889,317.
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 169,201. CHANGE IN PLAN ASSETS AND BENEFIT OBLIGATIONS -889,317.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 221,317.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
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 PersonWILLIAM R THOMAS JRNamePerson
Base Compensation Filing Org212329BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org630OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org21233NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org234192TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF BLOUNT COUNTY TENNESSEEBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN621192419IssuerEIN
CUSIP NumberNONEAVAILCUSIPNumber
Date Issued2009-12-04DateIssued
Issue Price12263362IssuePrice
Description Of PurposeREFUND OF OLD BONDS AND REFINANCE OTHER DEBTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer1OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds12263362TotalProceeds
Issuance Costs From Proceeds84610IssuanceCostsFromProceeds
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding1CurrentRefunding
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
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

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 Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDALE KEASLINGNamePerson
FieldValueIRS element (for citing)
RelationshipBUSINESS RELATIONSHIPRelationship
Amount Of Transaction0AmountOfTransaction
Description Of TransactionTHE CORPORATION HAS VARIOUS DEPOSIT ACCOUNTS WITH HOME FEDERAL BANK, WHOSE PRESIDENT IS A MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION. AT DECEMBER 31, 2011 AND 2010, TOTAL DEPOSITS HELD WITH HOME FEDERAL BANK APPROXIMATED $3,670,000 AND $1,842,000, RESPECTIVELY.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS BEFORE BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTO 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 15COMPENSATION IS DETERMINED BY JOB PERFORMANCE, AS WELL AS THE GOING RATE IN THE AREA, AND IS THEN APPROVED BY THE BOARD. THE PROCESS WAS LAST UNDERTAKEN FOR WILLIAM R. THOMAS, CEO & PRESIDENT ON 1/1/11, TODD TAYLOR, ASSISTANT ADMINISTRATOR ON 8/3/11 AND DAVID MAXWELL, ADMINISTRATOR ON 3/7/11.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -107,556. OTHER CHANGES IN PLAN ASSETS AND BENEFIT OBLIGATIONS -889,317. TOTAL TO FORM 990, PART XI, LINE 5: -996,873.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:NO CHANGES IN AUDIT COMMITTEE PROCESSES HAVE OCCURED IN THE CURRENT TAX YEAR.