Civic Intelligence

Serene Manor Hospital Inc

EIN 62-0628157 • 501(c)3 • Knoxville, TN

Profile

Serving the community by providing an intermediate care nursing facility.Currently we are licensed for 79 beds.

970 Wray StreetKnoxville, TN 37917

n/a

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

95th percentile

1.07x

Higher debt load relative to assets than 95% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Liabilities / Revenue

79th percentile

0.66x

Higher debt load relative to revenue than 79% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Net Margin

32nd percentile

-1.7%

Higher net margin than 32% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Top Officer Pay

75th percentile

$207,025

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 3.9% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Asset Growth

59th percentile

7.0%

Faster asset growth than 59% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Revenue Growth

40th percentile

2.2%

Faster revenue growth than 40% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Assets

Up

$3,306,349

Up $215,928 (+7.0%) from 2020

Liabilities

Up

$3,548,387

Up $305,703 (+9.4%) from 2020

Net Assets

Down

-$242,038

Down $89,775 (-59%) from 2020

Revenue

Up

$5,372,938

Up $115,068 (+2.2%) from 2020

Expenses

Up

$5,465,724

Up $198,249 (+3.8%) from 2020

Net Income

Down

-$92,786

Down $83,181 (-866%) from 2020

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$3.0M$2.0M$1.0M$0-$1.0MAssets 2011: $2,519,127Liabilities 2011: $2,357,593Net Assets 2011: $161,5342011Assets 2012: $2,426,525Liabilities 2012: $2,393,720Net Assets 2012: $32,8052012Assets 2013: $2,296,052Liabilities 2013: $2,469,989Net Assets 2013: -$173,9372013Assets 2014: $2,295,940Liabilities 2014: $2,527,401Net Assets 2014: -$231,4612014Assets 2015: $2,436,594Liabilities 2015: $2,715,859Net Assets 2015: -$279,2652015Assets 2016: $2,846,687Liabilities 2016: $2,687,271Net Assets 2016: $159,4162016Assets 2017: $2,940,383Liabilities 2017: $2,793,219Net Assets 2017: $147,1642017Assets 2018: $2,898,757Liabilities 2018: $2,687,605Net Assets 2018: $211,1522018Assets 2019: $2,824,365Liabilities 2019: $2,967,023Net Assets 2019: -$142,6582019Assets 2020: $3,090,421Liabilities 2020: $3,242,684Net Assets 2020: -$152,2632020Assets 2021: $3,306,349Liabilities 2021: $3,548,387Net Assets 2021: -$242,0382021

Highlighted filing

2021

Assets$3,306,349
Liabilities$3,548,387
Net Assets-$242,038

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2011: $3,628,543Expenses 2011: $3,637,921Net Income 2011: -$9,3782011Revenue 2012: $3,613,012Expenses 2012: $3,741,741Net Income 2012: -$128,7292012Revenue 2013: $3,624,206Expenses 2013: $3,830,948Net Income 2013: -$206,7422013Revenue 2014: $3,851,317Expenses 2014: $3,908,841Net Income 2014: -$57,5242014Revenue 2015: $3,943,041Expenses 2015: $3,990,845Net Income 2015: -$47,8042015Revenue 2016: $4,252,491Expenses 2016: $4,279,431Net Income 2016: -$26,9402016Revenue 2017: $4,512,563Expenses 2017: $4,524,815Net Income 2017: -$12,2522017Revenue 2018: $4,732,975Expenses 2018: $4,703,899Net Income 2018: $29,0762018Revenue 2019: $5,137,135Expenses 2019: $5,491,945Net Income 2019: -$354,8102019Revenue 2020: $5,257,870Expenses 2020: $5,267,475Net Income 2020: -$9,6052020Revenue 2021: $5,372,938Expenses 2021: $5,465,724Net Income 2021: -$92,7862021

Highlighted filing

2021

Revenue$5,372,938
Expenses$5,465,724
Net Income-$92,786

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 16, 2022
Return Version
2020v4.1
Gross Receipts
$5,372,938
Mission and Program Overview

Mission

Serving the community by providing an intermediate care nursing facility.Currently we are licensed for 79 beds.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,901,549$1,901,318▼ $231
Cash and Non-Interest-Bearing Accounts$557,889$852,842▲ $294,953
Accounts Receivable$476,818$340,208▼ $136,610
Prepaid Expenses and Deferred Charges$34,182$35,858▲ $1,676
Inventories for Sale or Use$5,699$9,262▲ $3,563
Other Notes and Loans Receivable, Net$58$273▲ $215
Total Assets$3,090,421$3,306,349▲ $215,928
Other Assets Total$114,226$166,588▲ $52,362
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,232,388$2,185,636▼ $46,752
Accounts Payable and Accrued Expenses$903,830$991,973▲ $88,143
Other Liabilities$106,466$370,778▲ $264,312
Total Liabilities$3,242,684$3,548,387▲ $305,703
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-152,263$-242,038▼ $89,775
Total Net Assets Fund Balance$-152,263$-242,038▼ $89,775
Total Liabilities and Net Assets / Fund Balance$3,090,421$3,306,349▲ $215,928

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,741,354$553,064$2,294,418
Buildings$84,964$433,650$518,614
Leasehold Improvements-$180,138$180,138
Land$75,000-$75,000
Other Assets Org$7,761--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Nancy Y BowmanChairmanCEOFT$207,025$207,025
Rita GriffinAdministratorFT$193,005$193,005
Ann MilnerBookkeeperFT$135,495$135,495

Board Members and Trustees

NameTitle
Donald F BowmanChairmanChief Executive Offi
Brenda ArmstrongDirector
Carolyn JonesDirector
David DickDirector
Evelyn V DavidsonDirector
Kelly SheaDirector
Ronald GriffinDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$5,372,568
Program Service Revenue
$0
Investment Income
$370
Other Revenue
$0
All Other Contributions
$5,372,568
Change in Net Assets
$-92,786
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,816,069
Salaries, Compensation, and Employee Benefits$2,649,655
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,465,583--$2,465,583
All Other Expenses$1,318,383--$1,318,383
Insurance$335,280--$335,280
Payroll Taxes$184,072--$184,072
Other Expenses$115,141--$115,141
Fees for Services Other$110,511--$110,511
Office Expenses$56,685--$56,685
Interest$47,705--$47,705
Information Technology$32,028--$32,028
Depreciation Depletion$8,818--$8,818
Fees for Services Accounting$2,000--$2,000
Travel$1,705--$1,705
Total Functional Expenses$5,465,724$0$0$5,465,724
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Restricted PT Trust Funds$158,827
Patient Trust Funds Held$106,466
Payroll Taxes Payable$76,854
Luba$14,664
Employment Insurance$10,497
Philadelphia Ins Co$1,884
Annuity 5013B$800
Garnishments$786
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Officer directors etc family relationship Part VI line 2

A Family relationship exists between Don Bowman (Chair and CEO) and Nancy Bowman (Secretary.)

Members or stockholder classes and rights Part VI line 6

Board members all have equal voting rights.

Member election for additional members Part VI line 7A

Board members all have equal voting rights in selection of additional members.

Governing body decisions Part VI line 7B

Board members all have equal voting rights in governing body decisions.

Form 990 governing body review Part VI line 11

Form 990, Part VI, Section B, Line 11b: the form 990 is reviewed by the board prior to its filing.

Conflict of interest policy compliance Part VI line 12C

Form 990, Part VI, Section B, Line 12c: All Board members have read the conflict of interest policy and are aware that they are to report any potential conflict of interest that they might have and are to report any potential conclict of others that they might suspect.

CEO executive director top management comp Part VI line 15A

CEO,Executive director and top management salaries are approved at board level.

Other officer or key employee compensation Part VI line 15B

Form 990, Part VI, Section B, Line 15b: All salaries of key employees are approved at the board level.

Governing documents etc available to public Part VI line 19

Form 990, Part VI, Section C, Line A: All governing documents, conflict of interest policy, and financial statements are available to the public in the office of Ann Milner, 970 Wray Street, Knoxville, TN 37917

Filing and Contact Details

Filer

Filer Name
Serene Manor Hospital Inc
EIN
62-0628157
Address
970 Wray Street, Knoxville, TN 37917

Signing Officer

Name
Rita Griffin
Title
Administrator
Signed
2022-05-16
Discuss with paid preparer
Yes

Organization Details

Formed
1985
Legal Domicile
Tn
Voting Board Members
9
Independent Board Members
9
Employees
153

Preparer

Firm
Hughes & Gosnell CPAs
Address
3814 Powers Street Ste C, Knoxville, TN 37917
Preparer
Stephen R Hughes CPA
Phone
8656880351
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

Book value of equity is changed to allow for appraisal of building and land which was increased in current year by $465,621

List of other fees for services expenses Part IX line 11G

Consultant services 17,304

List of other expenses Part IX line 24E

Employment Advertising 54Medical Director 13,200Disallowable Expense 42,252Bad Debt 23,774Licenses, Dues, Subscriptions 14,520Nursing Care Expenses 395,105Communications 37,631Vendor Interest Exp 9,228 Furnishing Expense 6,464Plant Operations (Utilities) 145,407Repairs/Maintenance 182,995Fire Safety 6,175

Raw XML AppendixShowing 400 of 429 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd0true
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0903830
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0991973
IRS990/AccountsReceivableGrp/BOYAmt0476818
IRS990/AccountsReceivableGrp/EOYAmt0340208
IRS990/AcctCompileOrReviewBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0Serving the community by providing an intermediate care nursing facility.Currently we are licensed for 79 beds.
IRS990/AllOtherContributionsAmt05372568
IRS990/AllOtherExpensesGrp/ProgramServicesAmt01318383
IRS990/AllOtherExpensesGrp/TotalAmt01318383
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/BooksInCareOfDetail/PersonNm0Ann Milner
IRS990/BooksInCareOfDetail/PhoneNum08655239171
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0970 Wray Street
IRS990/BooksInCareOfDetail/USAddress/CityNm0Knoxville
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0TN
IRS990/BooksInCareOfDetail/USAddress/ZIPCd037917
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt0557889
IRS990/CashNonInterestBearingGrp/EOYAmt0852842
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt05372568
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0370
IRS990/CYOtherExpensesAmt02816069
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-92786
IRS990/CYSalariesCompEmpBnftPaidAmt02649655
IRS990/CYTotalExpensesAmt05465724
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt05372938
IRS990/DecisionsSubjectToApprovaInd0true
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ProgramServicesAmt08818
IRS990/DepreciationDepletionGrp/TotalAmt08818
IRS990/Desc0Serving the community by providing an intermediate care nursing facility.Currently we are licensed for 79 beds.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0true
IRS990/EmployeeCnt0153
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt05465724
IRS990/FamilyOrBusinessRlnInd0true
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt02000
IRS990/FeesForServicesAccountingGrp/TotalAmt02000
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt0110511
IRS990/FeesForServicesOtherGrp/TotalAmt0110511
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form1098CFiledInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form8899Filedind0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt30.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt40.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt50.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt60.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt70.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt80.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt90.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt040.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt140.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt240.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt32.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt42.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt52.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt62.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt72.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt82.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt940.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/PersonNm0Nancy Y Bowman
IRS990/Form990PartVIISectionAGrp/PersonNm1Rita Griffin
IRS990/Form990PartVIISectionAGrp/PersonNm2Ann Milner
IRS990/Form990PartVIISectionAGrp/PersonNm3Ronald Griffin
IRS990/Form990PartVIISectionAGrp/PersonNm4David Dick
IRS990/Form990PartVIISectionAGrp/PersonNm5Kelly Shea
IRS990/Form990PartVIISectionAGrp/PersonNm6Evelyn V Davidson
IRS990/Form990PartVIISectionAGrp/PersonNm7Brenda Armstrong
IRS990/Form990PartVIISectionAGrp/PersonNm8Carolyn Jones
IRS990/Form990PartVIISectionAGrp/PersonNm9Donald F Bowman
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt0207025
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1193005
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2135495
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/TitleTxt0ChairmanCEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Administrator
IRS990/Form990PartVIISectionAGrp/TitleTxt2Bookkeeper
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9ChairmanChief Executive Offi
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01985
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt05372938
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt03
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt032028
IRS990/InformationTechnologyGrp/TotalAmt032028
IRS990/InsuranceGrp/ProgramServicesAmt0335280
IRS990/InsuranceGrp/TotalAmt0335280
IRS990/InterestGrp/ProgramServicesAmt047705
IRS990/InterestGrp/TotalAmt047705
IRS990/InventoriesForSaleOrUseGrp/BOYAmt05699
IRS990/InventoriesForSaleOrUseGrp/EOYAmt09262
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt0370
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0370
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt01166852
IRS990/LandBldgEquipBasisNetGrp/BOYAmt01901549
IRS990/LandBldgEquipBasisNetGrp/EOYAmt01901318
IRS990/LandBldgEquipCostOrOtherBssAmt03068170
IRS990/LegalDomicileStateCd0TN
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0Serving the community by providing an intermediate care nursing facility.Currently we are licensed for 79 beds.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt02232388
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt02185636
IRS990/NetAssetsOrFundBalancesBOYAmt0-152263
IRS990/NetAssetsOrFundBalancesEOYAmt0-242038
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-152263
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-242038
IRS990/NondeductibleContributionsInd0false
IRS990/OfficeExpensesGrp/ProgramServicesAmt056685
IRS990/OfficeExpensesGrp/TotalAmt056685
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0114226
IRS990/OtherAssetsTotalGrp/EOYAmt0166588
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0Disallowable Expense
IRS990/OtherExpensesGrp/Desc1Nursing Home License Fees
IRS990/OtherExpensesGrp/Desc2Supplies
IRS990/OtherExpensesGrp/Desc3Routine Care
IRS990/OtherExpensesGrp/ProgramServicesAmt046499
IRS990/OtherExpensesGrp/ProgramServicesAmt1458831
IRS990/OtherExpensesGrp/ProgramServicesAmt2282483
IRS990/OtherExpensesGrp/ProgramServicesAmt3115141
IRS990/OtherExpensesGrp/TotalAmt046499
IRS990/OtherExpensesGrp/TotalAmt1458831
IRS990/OtherExpensesGrp/TotalAmt2282483
IRS990/OtherExpensesGrp/TotalAmt3115141
IRS990/OtherLiabilitiesGrp/BOYAmt0106466
IRS990/OtherLiabilitiesGrp/EOYAmt0370778
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt02465583
IRS990/OtherSalariesAndWagesGrp/TotalAmt02465583
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt058
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt0273
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ProgramServicesAmt0184072
IRS990/PayrollTaxesGrp/TotalAmt0184072
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt034182
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt035858
IRS990/PriorPeriodAdjustmentsAmt03011
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt05257822
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt048
IRS990/PYOtherExpensesAmt02310100
IRS990/PYRevenuesLessExpensesAmt0-9605
IRS990/PYSalariesCompEmpBnftPaidAmt02957375
IRS990/PYTotalExpensesAmt05267475
IRS990/PYTotalRevenueAmt05257870
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-92786
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt084964
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0433650
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0518614
IRS990ScheduleD/EquipmentGrp/BookValueAmt01741354
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0553064
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt02294418
IRS990ScheduleD/LandGrp/BookValueAmt075000
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt075000
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt0180138
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0180138
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0158827
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt17761
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0Patient Trust Funds Held
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1Deposits
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0106466
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt176854
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt2786
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt310497
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt4800
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt5158827
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt61884
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt714664
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Patient Trust Funds Held
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Payroll Taxes Payable
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2Garnishments
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3Employment Insurance
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc4Annuity 5013B
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc5Restricted PT Trust Funds
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc6Philadelphia Ins Co
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc7LUBA
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01901318
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0166588
IRS990ScheduleD/TotalLiabilityAmt0370778
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0207025
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt1193005
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Nancy Y Bowman
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Rita Griffin
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0ChairmanCEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1Administrator
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0207025
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt1193005
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A Family relationship exists between Don Bowman (Chair and CEO) and Nancy Bowman (Secretary.)
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Board members all have equal voting rights.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Board members all have equal voting rights in selection of additional members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Board members all have equal voting rights in governing body decisions.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Form 990, Part VI, Section B, Line 11b: the form 990 is reviewed by the board prior to its filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Form 990, Part VI, Section B, Line 12c: All Board members have read the conflict of interest policy and are aware that they are to report any potential conflict of interest that they might have and are to report any potential conclict of others that they might suspect.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6CEO,Executive director and top management salaries are approved at board level.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Form 990, Part VI, Section B, Line 15b: All salaries of key employees are approved at the board level.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Form 990, Part VI, Section C, Line A: All governing documents, conflict of interest policy, and financial statements are available to the public in the office of Ann Milner, 970 Wray Street, Knoxville, TN 37917
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9Book value of equity is changed to allow for appraisal of building and land which was increased in current year by $465,621
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Consultant services 17,304
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11Employment Advertising 54Medical Director 13,200Disallowable Expense 42,252Bad Debt 23,774Licenses, Dues, Subscriptions 14,520Nursing Care Expenses 395,105Communications 37,631Vendor Interest Exp 9,228 Furnishing Expense 6,464Plant Operations (Utilities) 145,407Repairs/Maintenance 182,995Fire Safety 6,175
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Officer directors etc family relationship Part VI line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Members or stockholder classes and rights Part VI line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Member election for additional members Part VI line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Governing body decisions Part VI line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Explanation of other changes in net assets or fund balances Part XI line 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10List of other fees for services expenses Part IX line 11g
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11List of other expenses Part IX line 24e
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0TN
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt03090421
IRS990/TotalAssetsEOYAmt03306349
IRS990/TotalAssetsGrp/BOYAmt03090421
IRS990/TotalAssetsGrp/EOYAmt03306349
IRS990/TotalCompGreaterThan150KInd0true
IRS990/TotalContributionsAmt05372568
IRS990/TotalEmployeeCnt0153
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt05465724
IRS990/TotalFunctionalExpensesGrp/TotalAmt05465724
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt03242684
IRS990/TotalLiabilitiesEOYAmt03548387
IRS990/TotalLiabilitiesGrp/BOYAmt03242684
IRS990/TotalLiabilitiesGrp/EOYAmt03548387
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-152263
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-242038
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt05465724
IRS990/TotalReportableCompFromOrgAmt0535525
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0370
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt05372938
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt03090421
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt03306349
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt01705
IRS990/TravelGrp/TotalAmt01705
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0n/a
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/OOBSecurityVerificationCd000

Document Assets

No mirrored PDF or thumbnail assets are attached yet.