2024-09-09T15:14:21-05:00 2023-12-31 621046406 JOHNSON HICKEY & MURCHISON PC 2215 OLAN MILLS DRIVE CHATTANOOGA TN 37421 990 2023-01-01 814454122 PROVIDENCE SENIOR LIVING INC PROV 4234788070 2235 CANDIES LANE NW CLEVELAND TN 37312 BARRY A RAY PRESIDENT 4234788070 2024-08-21 1 LINDA G ENGLAND P00707864 4237560052 2024-08-21 2023 2024-08-08 14:25:15Z LEGACY VILLAGE OF CLEVELAND BARRY A RAY 2235 CANDIES LANE NW CLEVELAND TN 37312 4669296 0 X LEGACYCLEVELAND.NET X 2016 TN TO SERVE THE GREATEST GENERATION WITH HONOR, RESPECT, FAITH AND INTEGRITY BY PROVIDING ASSISTED LIVING AND ALZHEIMER'S CARE SERVICES. 5 5 167 40 0 0 483988 9177 4359866 4611246 1097 47191 0 0 4844951 4667614 0 0 0 0 2111397 2265484 0 0 0 2697335 2838866 4808732 5104350 36219 -436736 7994434 6775228 8043566 7261095 -49132 -485867 TO SERVE THE GREATEST GENERATION WITH HONOR, RESPECT, FAITH AND INTEGRITY BY PROVIDING ASSISTED LIVING AND ALZHEIMER'S CARE SERVICES. 0 0 4761262 4611246 IT IS OUR MISSION TO SERVE THE GREATEST GENERATION AND TO MAKE A GREAT IMPACT ADDRESSING A GREAT NEED. LEGACY VILLAGE OF CLEVELAND HAD ANOTHER SOLID YEAR IN 2023, DESPITE THE ONGOING CHALLENGES OF THE RISING COSTS TO DO BUISNESS. SENIORS CONTINUED TO TRUST LEGACY VILLAGE OF CLEVELAND AS OCCUPANCY CONTINUED AT 96% IN 2023. AS A RESULT OF THE STRONG LEADERSHIP AND COMMITMENT TO EXCELLENCE, LEGACY CLEVELAND CONTINUES TO BE THE FACILITY OF CHOICE IN OUR COMMUNITY. 4761262 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 19 0 1 167 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 TN X BARRY A RAY 4234788070 2235 CANDIES LANE NW CLEVELAND TN 37312 X BARRY A RAY PRESIDENT 2.00 X X 0 0 0 BRYAN A COOK SECRETARY & TREASURER 2.00 X X 0 0 0 KELVIN PAGE DIRECTOR 0.00 X 0 0 0 DR JOHN LOOPER DIRECTOR 0.00 X 0 0 0 DENNIS W WATKINS DIRECTOR 0.00 X 0 0 0 0 0 0 0 0 0 0 BRADLEY RETIREMENT INVESTORS LLC 2235 CANDIES LANE CLEVELAND TN 37312 RENT 1348000 LEGACY SENIOR LIVING LLC 2235 CANDIES LANE CLEVELAND TN 37312 MANAGEMENT SERVICES 236087 2 9177 9177 ASSISTED LIVING INCOME 623000 4611246 4611246 4611246 48873 48873 1682 -1682 -1682 -1682 4667614 4611246 0 47191 1973215 1778284 194931 141003 139238 1765 151266 136695 14571 236087 236087 82944 82944 157826 138463 19363 36714 36714 43908 22236 21672 1636333 1636333 22336 22336 184 184 117350 117350 113338 113338 RAW FOOD 178441 178441 REPAIRS & MAINTENANCE 116494 115057 1437 SUPPLIES 54951 53885 1066 MISCELLANEOUS 41960 36621 5339 5104350 4761262 343088 0 188949 77321 27076 54815 443068 7905 2430 801940 593521 307491 208419 7463013 5989175 7994434 6775228 216663 354105 60983 67448 667070 797050 9049 0 7089801 6042492 8043566 7261095 X -49132 -601300 115433 -49132 -485867 7994434 6775228 X -436736 1 X 0 1 X 1 0 X 476677 226784 483988 9177 1196626 3761700 4061868 4277050 4359866 4611246 21071730 3761700 4538545 4503834 4843854 4620423 22268356 127000 145050 8800 500 281350 0 127000 145050 8800 500 281350 21987006 328 587 482 1097 48873 51367 328 587 482 1097 48873 51367 3762028 4539132 4504316 4844951 4669296 22319723 0.98510 0.00230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 42019 5923 36096 691633 519310 172323 68288 68288 0 208419 DEPOSITS 1250 RIGHT OF USE ASSET 5872492 BENEVOLENCE FUND 115433 5989175 OPERATING LEASE 6042492 6042492 X 4667614 0 4667614 0 4667614 5104350 0 5104350 0 5104350 PART X, LINE 2: THE FINANCIAL ACCOUNTING STANDARDS BOARD GUIDANCE REQUIRES TAX EFFECT FROM UNCERTAIN TAX POSITIONS BE RECOGNIZED IN THE FINANCIAL STATEMENTS ONLY IF THE POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. MANAGEMENT HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN POSITIONS THAT REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. ADDITIONALLY NO PROVISION FOR INCOME TAXES IS REFLECTED IN THESE FINANCIAL STATEMENTS. INTEREST AND PENALTIES WOULD BE RECOGNIZED AS TAX EXPENSE, HOWEVER, THERE IS NO INTEREST OR PENALTIES RECOGNIZED IN THE STATEMENT OF ACTIVITIES. THE TAX YEARS AFTER 2020 ARE STILL OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. BRADLEY RETIREMENT INVESTORS LLC OFFICERS BARRY RAY AND BRYAN A. COOK OWN 100% OF BRADLEY RETIRMENT INV LLC PROVIDE ADDITIONAL WORKING CAPITAL FOR OPERATING EXPENSES X 667070 797050 0 1 1 LEGACY SENIOR LIVING LLC OFFICERS BARRY RAY AND BRYAN A. COOK OWN 100% OF LEGACY SENIOR LIVING, LLC TEMPORARY ADVANCE TO MANAGEMENT COMPANY PAID BACK IN 2024 X 443068 443068 0 1 0 1240118 LEGACY SENIOR LIVING LLC OFFICERS BARRY RAY AND BRYAN A. COOK OWN 100% OF LEGACY SENIOR LIVING. 236087 LEGACY SENIOR LIVING LLC PROVIDES ADMINISTRATIVE SUPPORT FOR A MANAGEMENT FEE BASED ON A PERCENTAGE OF PROVIDENCE SENIOR LIVING'S GROSS REVENUE. 0 BRADLEY RETIREMENT INVESTORS LLC OFFICERS BARRY RAY AND BRYAN A. COOK OWN 100% OF BRADLEY RETIREMENT INV. 1348000 BRADLEY RETIREMENT INVESTORS, LLC OWNS THE PROPERTY WHICH PROVIDENCE SENIOR LIVING OCCUPIES AND LEASES. PROVIDENCE SENIOR LIVING PROCURED A MARKET STUDY REGARDING THE APPROPRIATE FAIR MARKET RENTAL VALUE OF THE PROPERTY LEASED, AND THE LEASE AMOUNTS ARE BASED ON THAT THIRD PARTY STUDY. 0 FORM 990, PART VI, SECTION A, LINE 3 LEGACY SENIOR LIVING LLC MANAGES PROVIDENCE SENIOR LIVING INC. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS WILL REVIEW THE TAX RETURN BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C AFTER DISCLOSURE OF A FINANCIAL INTEREST, THE REMAINING BOARD MEMBERS WILL DECIDE IF A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED BY COMPARABLE ORGANIZATIONS FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE PROVIDED UPON REQUEST FORM 990, PART XI, LINE 9: ROUNDING 1.