2024-06-12T14:22:40-05:00 2023-07-31 410746749 CLIFTONLARSONALLEN LLP 475 REGENCY PARK SUITE 175 OFALLON IL 62269 990 2022-08-01 237363212 TREZEVANT EPISCOPAL HOME TREZ 9013254000 177 NORTH HIGHLAND MEMPHIS TN 38111 KENT PHILLIPS CHIEF EXECUTIVE OFFICER 9013254000 2024-06-12 1 KENT PHILLIPS XXX-XX-XXXX 0 ERIKA MARTINEZ P02297196 6182331200 2024-06-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KENT PHILLIPS 177 NORTH HIGHLAND MEMPHIS TN 38111 38425717 0 X TREZEVANTMANOR.ORG X 1973 TN PLANNED UNIT RESIDENTIAL LIFE CARE COMMUNITY TO PROVIDE HOUSING, HEALTH CARE AND RELATED SERVICES TO SENIOR ADULTS 18 18 402 90 0 0 46615 416767 32505142 34762158 312602 -21715 904226 929398 33768585 36086608 100 0 0 0 16374990 17600898 0 0 0 21840461 21739459 38215551 39340357 -4446966 -3253749 115067270 115089515 173337084 175309560 -58269814 -60220045 X EACH DAY, WE WILL SERVE AS A PREMIER LIFECARE COMMUNITY AND A CELEBRATION OF LIFE FOR SENIOR ADULTS, SERVING EACH, ENRICHING EACH, PERSONALIZING AND SECURING PEACE OF MIND FOR ALL OF THEIR LIVES. 0 0 19849706 0 16651692 THE LIFECARE PROGRAM INCLUDES ASSISTED LIVING AND MEMORY CARE IN TREZEVANT TERRACE AND SKILLED NURSING IN ALLEN MORGAN HEALTH AND REHABILITATION CENTER WITH ONE MEAL PER DAY, BI-WEEKLY HOUSEKEEPING AND WEEKLY LINEN SERVICE, FULL MAINTENANCE FOR RESIDENCES AND GROUNDS, VALET SERVICE AND ASSIGNED GARAGE PARKING, UTILITIES, SCHEDULED TRANSPORTATION, 24 HOUR SECURITY AND EMERGENCY RESPONSES AND A SCHEDULE OF SOCIAL, SPIRITUAL AND WELLNESS PROGRAMS. 9102615 0 11203757 THE ALLEN MORGAN HEALTH AND REHABILITATION CENTER, IS A 104-BED NURSING HOME LOCATED ON THE TREZEVANT CAMPUS, OFFERING BOTH PRIVATE AND SEMI-PRIVATE ROOMS.WE WELCOME DIRECT ADMISSIONS TO ALLEN MORGAN CENTER ON A SPACE-AVAILABLE BASIS. WHEN YOUR PHYSICIAN, DISCHARGE PLANNER, OR SOCIAL WORKER DISCUSSES POST-HOSPITAL CARE, PLEASE TELL THEM THAT YOU WOULD LIKE TO KNOW ABOUT AVAILABILITY AT THE ALLEN MORGAN CENTER ON THE TREZEVANT CAMPUS.RESPITE CARE IS THE PROVISION OF SHORT-TERM BREAKS TO THOSE WHO ARE CARING FOR FAMILY MEMBERS WHO MIGHT OTHERWISE REQUIRE PERMANENT PLACEMENT IN A FACILITY OUTSIDE THE HOME. IT ALLOWS CAREGIVERS TO MAINTAIN THEIR OWN HEALTH AND WELL-BEING SO THAT THEY MAY CONTINUE THEIR LOVING JOURNEY AS A FAMILY. 3617302 0 7014709 TREZEVANT TERRACE OFFERS SPACIOUS RESIDENTIAL STYLE APARTMENTS FOR ASSISTED LIVING AND MEMORY SUPPORT CARE. THESE BEAUTIFUL APARTMENTS ALL OFFER 9FT. CEILINGS, EXTENSIVE CROWN MOLDINGS, EFFICIENCY KITCHENS WITH MARBLE COUNTER TOPS AND ACCESS TO ALL THE AMENITIES OF THE TREZEVANT COMMUNITY.AS A TERRACE RESIDENT, YOU WILL RECEIVE UNPARALLELED ASSISTED LIVING AMENITIES WITH AN ONSITE POST OFFICE, COMPUTER CENTER, BEAUTY/BARBER SHOP, GARDEN PATIOS, CAF/COFFEE SHOP, CARD AND ACTIVITIES ROOMS, AND GIFT SHOP.SERVICES INCLUDE ASSISTANCE WITH DAILY LIVING ITEMS, THREE MEALS A DAY, PERSONAL LAUNDRY AND HOUSEKEEPING DAILY, AND PLANNED SOCIAL EVENTS AND ENTERTAINMENT BOTH INSIDE AND OUTSIDE THE COMMUNITY. 32569623 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 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 1 1 0 0 0 1 152 0 402 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TN X KENT PHILLIPS 9013254000 177 NORTH HIGHLAND MEMPHIS TN 38111 JOHN D IVY JR PAST CHAIR 1.00 0.00 X X 0 0 0 SHADE ROBINSON CHAIRMAN 1.00 0.00 X X 0 0 0 BRUCE HOPKINS VICE CHAIRMAN 1.00 0.00 X X 0 0 0 ESTELLA MAYHUE-GREER SECRETARY 1.00 0.00 X X 0 0 0 OSCAR P ADAMS BOARD MEMBER 1.00 0.00 X 0 0 0 HUNT CAMPBELL BOARD MEMBER 1.00 0.00 X 0 0 0 THE REV MIMSY JONES BOARD MEMBER 1.00 0.00 X 0 0 0 CLINTON PENN OWEN III BOARD MEMBER 1.00 0.00 X 0 0 0 STEPHEN C REYNOLDS BOARD MEMBER (END TERM 6/23) 1.00 0.00 X 0 0 0 A C WHARTON JR BOARD MEMBER 1.00 0.00 X 0 0 0 GEORGE WORTHAM MD BOARD MEMBER 1.00 0.00 X 0 0 0 DR DANA NASH BOARD MEMBER 1.00 0.00 X 0 0 0 CALVIN ANDERSON BOARD MEMBER 1.00 0.00 X 0 0 0 PHIL MCNEILL JR BOARD MEMBER 1.00 0.00 X 0 0 0 JUANITA ORTIZ BOARD MEMBER 1.00 0.00 X 0 0 0 M DELL STINER BOARD MEMBER 1.00 0.00 X 0 0 0 BOB CRADDOCK BOARD MEMBER 1.00 0.00 X 0 0 0 MIKE KEENEY BOARD MEMBER 1.00 0.00 X 0 0 0 DR RANDY TURNER BOARD MEMBER 1.00 0.00 X 0 0 0 KENT PHILLIPS CHIEF EXECUTIVE OFFICER 35.00 5.00 X 250940 0 37417 DONALD SELHEIMER CHIEF FINANCIAL OFFICER 35.00 5.00 X 239146 0 43519 LIBBY HUFF-KING MARKETING DIRECTOR 40.00 0.00 X 173378 0 36726 PAUL MARTIN VICE PRESIDENT HEALTH & WELLNESS 40.00 0.00 X 140325 0 25171 JOHN MIKAELIAN DIRECTOR OF FOOD SERVICES 40.00 0.00 X 132798 0 13440 BRIAN WILLMARTH DIRECTOR-PLANT OPERATIONS 40.00 0.00 X 135435 0 27113 TERRI PALMORE DIRECTOR OF NURSES - HC 40.00 0.00 X 122068 0 17932 1194090 0 201318 9 0 1 0 FUNCTIONAL PATHWAYS OF TENNESSEE LLC 10133 SHERRILL BLVD KNOXVILLE TN 37932 PHYSICAL THERAPY 1282465 CERTIFIED MEDICAL STAFFING LLC 12669 PINCKLEY RD ARLINGTON TN 38002 STAFFING SERVICES 879614 GUARDIAN MIDSOUTH PHARMACY PO BOX 415000 NASHVILLE TN 37241 PHARMACY SERVICES 301114 ETAIROS HVAC 3095 STONEBROOK CIRCLE MEMPHIS TN 38116 HVAC 146856 JOHNSON CONTROLS FIRE PROTECTION LP DEPT 10320 PALENTINE IL 60055 HVAC 124198 6 88364 328403 416767 NURSING CENTER FEES 623000 11203757 11203757 RESIDENT SERVICE FEES 623000 9682448 9682448 ASSISTED LIVING FEES 623000 7014709 7014709 EARNED ENTRANCE FEES 623000 5931424 5931424 PRIVATE DUTY 623000 929820 929820 34762158 161175 161175 65156 65156 32977 0 32977 32977 32977 2091063 2339109 -248046 -248046 -248046 71884 0 71884 71884 FOOD SERVICE 623000 494550 494550 FOUNDATION MANAGEMENT FEES 623000 108000 108000 ENGINEERING/MAINTENANCE 623000 88026 88026 133961 133961 824537 36086608 34870158 0 799683 571022 26806 544216 14407877 12685335 1722542 246006 96480 149526 1273821 499573 774248 1102172 432255 669917 20479 18157 2322 99602 99602 23271 23271 1591960 1366307 225653 164343 4279 160064 2614217 2229341 384876 285808 253403 32405 1547380 1371937 175443 118159 95158 23001 16532 15715 817 5270837 4673227 597610 5167794 4581867 585927 954321 846120 108201 FOOD SUPPLIES 1894455 1634247 260208 MAINTENANCE & REPAIRS 850911 754434 96477 LICENSES AND FEES 520326 497214 23112 RESIDENT SERVICES 343326 320589 22737 255738 167179 88559 39340357 32569623 6770734 0 6986047 8574659 3408750 3481139 2472349 3084489 93570 112430 317812 515884 169739937 89078015 82931541 80661922 8265337 7095772 10591864 11563220 115067270 115089515 6654972 7616010 32439933 36073775 96231494 94573787 516712 502700 37493973 36543288 173337084 175309560 X -58269814 -60220045 -58269814 -60220045 115067270 115089515 X -3253749 332162 971356 X X 0 1 X 1 0 X 909140 484128 3475311 46615 416767 5331961 29186795 30017690 28390654 32613142 34870158 155078439 8 468584 581145 1049737 30095943 30501818 31865965 33128341 35868070 161460137 0 0 0 161460137 432704 529881 889149 399147 259308 2510189 432704 529881 889149 399147 259308 2510189 4058354 892325 988689 236091 207276 6382735 34587001 31924024 33743803 33763579 36334654 170353061 0.94780 0.94440 0.01470 0.01740 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY BARBER SHOP - 2018 AMOUNT: $ 11,000. 2019 AMOUNT: $ 8,000. 2020 AMOUNT: $ 2,000. HOUSEKEEPING/LAUNDRY - 2018 AMOUNT: $ 877. 2019 AMOUNT: $ 1,638. 2020 AMOUNT: $ 3,233. ENGINEERING/MAINTENANCE - 2018 AMOUNT: $ 72,875. 2019 AMOUNT: $ 62,170. 2020 AMOUNT: $ 79,076. 2021 AMOUNT: $ 78,601. 2022 AMOUNT: $ 88,026. PROC FEES - 2018 AMOUNT: $ 8,493. 2019 AMOUNT: $ 57,711. 2020 AMOUNT: $ 59,405. 2021 AMOUNT: $ 106,639. 2022 AMOUNT: $ 53,645. FOUNDATION MANAGMENT FEES - 2018 AMOUNT: $ 187,893. 2019 AMOUNT: $ 194,304. 2020 AMOUNT: $ 194,304. PERSONALIZED SERVICES - 2018 AMOUNT: $ 21,234. 2019 AMOUNT: $ 14,710. 2020 AMOUNT: $ 4,460. SETTLEMENT REVENUE - 2018 AMOUNT: $ 1,266,494. OTHER INCOME - 2018 AMOUNT: $ 230,970. 2019 AMOUNT: $ 15,542. 2021 AMOUNT: $ 50,851. 2022 AMOUNT: $ 65,605. FOOD SERVICE - 2018 AMOUNT: $ 540,411. 2019 AMOUNT: $ 538,250. 2020 AMOUNT: $ 366,161. MANAGEMENT REVENUE - 2018 AMOUNT: $ 1,718,107. COVID-19 SURCHARGE FEES - 2020 AMOUNT: $ 280,050. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5400890 5400890 146696816 74363941 72332875 17080864 14714074 2366790 561367 561367 80661922 INTEREST IN TREZEVANT FOUNDATION 11563220 F 11563220 REFUNDABLE ENTRANCE FEES 36117627 DEPOSITS 425661 36543288 X 37366855 332162 971356 1303518 36063337 23271 23271 36086608 39317086 0 39317086 23271 23271 39340357 PART X, LINE 2: TREZEVANT'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. TREZEVANT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND IT IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN FOUNDATION 971,356. X X X X 0 0 0 0 0 0 0 0 0 KENT PHILLIPS CHIEF EXECUTIVE OFFICER 215508 0 35432 0 0 0 16017 0 21400 0 288357 0 0 0 DONALD SELHEIMER CHIEF FINANCIAL OFFICER 204019 0 35127 0 0 0 22119 0 21400 0 282665 0 0 0 LIBBY HUFF-KING MARKETING DIRECTOR 160253 0 13125 0 0 0 15326 0 21400 0 210104 0 0 0 PAUL MARTIN VICE PRESIDENT HEALTH & WELLNESS 134825 0 5500 0 0 0 14980 0 10191 0 165496 0 0 0 BRIAN WILLMARTH DIRECTOR-PLANT OPERATIONS 130935 0 4500 0 0 0 5713 0 21400 0 162548 0 0 0 A HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF SHELBY COUNTY 2013-03-01 59900000 REFUND 2007 BONDS 0 0 0 B HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF SHELBY COUNTY 2013-03-01 6575000 REFUND 2007 BONDS 0 0 0 C HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF SHELBY COUNTY 2016-09-30 34935000 REFUND 2006 BONDS 0 0 0 A 1825000 60407557 5699768 2175611 52252249 2007 1 0 1 1 B 625000 6575000 524405 115063 6369418 2007 1 0 1 1 C 2265000 35013555 838340 740363 33348994 2006 1 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF SHELBY COUNTY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/16/2018 ISSUER NAME: HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF SHELBY COUNTY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/16/2018 ISSUER NAME: HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF SHELBY COUNTY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2021 PART II LINE 3 COLUMN A & C THE TOTAL AMOUNT OF PROCEEDS OF THESE BOND ISSUES AT THE END OF THE 12-MONTH PERIOD DO NOT MATCH THE ISSUE PRICE LISTED IN PART I, COLUMN E, DUE TO INVESTMENT EARNINGS. FORM 990, PART VI, SECTION A, LINE 1A THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE. IT CONSISTS OF TWO OR MORE DIRECTORS. THE COMMITTEE ALSO CONSISTS OF THE CHAIRMAN OF THE BOARD, THE VICE-CHAIRMAN OF THE BOARD, THE SECRETARY OF THE BOARD, AND THE CHAIRMAN OF THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE BOARD AND IS REVIEWED BY THE CEO AND THE CFO PRIOR TO IRS SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR A CONFLICT OF INTEREST POLICY AND DECLARATIONS PAGE IS MAILED TO ALL BOARD OF DIRECTORS, COMMITTEE MEMBERS, OFFICERS AND KEY EMPLOYEES. EACH PERSON MUST SIGN AND RETURN THE FORM TO THE EXECUTIVE SECRETARY. THIS WAS LAST DONE IN 2023. FORM 990, PART VI, SECTION B, LINE 15 KEY OFFICERS AND EMPLOYEES' SALARIES ARE REVIEWED BY THE BOARD OF DIRECTORS. INDUSTRY DATA IS REVIEWED DURING THE PROCESS. COMPENSATION IS OUTLINED IN THE EMPLOYMENT AGREEMENTS. THIS WAS LAST DONE IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN FOUNDATION 971,356. FORM 990, PART XII, LINE 2C: PROCESSES HAVE NOT CHANGED FROM PRIOR YEARS. TREZEVANT MANOR FOUNDATION 177 NORTH HIGHLAND STREET MEMPHIS TN 38111 581430713 CHARITABLE CARE FOR TREZEVANT HOME RESIDENTS IN NEED TN 501(C)(3) LINE 7 TREZEVANT EPISCOPAL HOME 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 TREZEVANT MANOR FOUNDATION L 108000 GL