2024-06-28T06:23:11-05:00 2023-12-31 621046406 JOHNSON HICKEY & MURCHISON PC 2215 OLAN MILLS DRIVE CHATTANOOGA TN 37421 990 2023-01-01 581838041 THE SENIOR LIVING FOUNDATION INC SENI 7703999988 4488 NORTH SHALLOWFORD ROAD 103 DUNWOODY GA 30338 WINSTON ALLEN PORTER III MANAGING DIRECTOR 7703999988 2024-06-28 WINSTON ALLEN PORTER III XXX-XX-XXXX 1 DIANA BOLEN P01226129 4237560052 2024-06-28 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z WINSTON ALLEN PORTER III DUNWOODY VILLAGE PKWY 115 ATLANTA GA 30350 9888582 0 X N/A X 2008 GA THE ORGANIZATION WAS FORMED TO PROMOTE HEALTH BY OFFERING ELDERLY CITIZENS VIABLE CHOICES IN ALTERNATE LIVING ARRANGEMENTS DESIGNED TO MEET THEIR VARIOUS LEVELS OF NEEDS. 5 4 270 546 0 0 331033 1118732 8306493 8756958 30 -331 7983 12889 8645539 9888248 0 0 0 0 6168304 6482975 0 0 0 4973329 4967183 11141633 11450158 -2496094 -1561910 12111057 11720299 19459153 20633681 -7348096 -8913382 THE ORGANIZATION WAS FORMED TO PROMOTE HEALTH BY PROVIDING ELDERLY CITIZENS VIABLE CHOICES IN ALTERNATE LIVING ARRANGEMENTS DESIGNED TO MEET THEIR 0 0 9726313 8769847 CARE FOR THE ELDERLY WHICH INCLUDES INTERMEDIATE OR SKILLED NURSING CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY,AND EXTENSIVE ACTIVITIES PROGRAMMING. TOTAL PATIENT DAYS WERE 27,115 DURING THE YEAR ENDED 12/31/23. 9726313 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 0 1 5 0 1 270 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 GA X X THE SENIOR LIVING FOUNDATION INC 7703999988 4488 NORTH SHALLOWFORD RD DUNWOODY GA 30338 WINSTON ALLEN PORTER III MANAGING DIRECTOR 12.00 X X 50000 0 0 DAVID MARVIN DIRECTOR 1.00 X 0 0 0 CHUCK POWELL DIRECTOR 1.00 X 0 0 0 STEVE PICKIN CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 CHRIS MORRISON DIRECTOR 1.00 X 0 0 0 50000 0 0 0 0 0 0 GORDON FOOD SERVICE PO BOX 88029 CHICAGO IL 60680 FOOD SERVICES 366076 MIDDLE TN PHARMACY SERVICES PO BOX 415000 MSC 7512 NASHVILLE TN 37241 PHARMACY 274989 PROGRESSIVE MEDICAL CONCEPTS 5020 BU BOWMAN DRIVE STE 600 BUFORD GA 30518 MEDICAL SERVICES 190563 MAKLINE PO BOX 71363 KNOXVILLE TN 37938 DIETARY SERVICES 158135 TURENNE PHARMEDCO 355 INDUSTRIAL PARK BLVD MOTGOMERY AL 36117 PHARMACY 114132 5 1118257 475 1118732 NET PATIENT REVENUE 623000 8756958 8756958 8756958 3 3 334 -334 -334 -334 MISCELLANEOUS 623000 10711 10711 MEALS 623000 1408 1408 BEAUTY & BARBER 623000 770 770 12889 9888248 8769847 0 -331 50000 50000 5416946 5066403 350543 20265 18950 1315 551702 492469 59233 444062 414285 29777 450000 450000 56864 51178 5686 650 585 65 708730 421465 287265 34412 34412 15288 8256 7032 226232 203609 22623 5983 5385 598 6617 4873 1744 888917 844694 44223 402808 382306 20502 119857 113852 6005 DRUGS AND MEDICAL SUPPL 563887 563887 LICENSES AND PERMITS 560139 560139 RAW FOOD 422019 422019 BAD DEBT EXPENSE 357881 357881 146899 117546 29353 11450158 9726313 1723845 0 76905 0 774366 833348 23175 26545 7579366 4846307 3093101 2733059 8143510 8127347 12111057 11720299 2355199 3104993 10363489 10363489 391195 0 6349270 7165199 19459153 20633681 X -7355110 -8922758 7014 9376 -7348096 -8913382 12111057 11720299 X -1561910 -3376 X 0 0 0 X 135 1139749 2192563 331033 1118732 4782212 11026746 9904968 9046322 8314476 8769847 47062359 11026881 11044717 11238885 8645509 9888579 51844571 0 0 0 51844571 518 15 29 30 3 595 518 15 29 30 3 595 11027399 11044732 11238914 8645539 9888582 51845166 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 129651 129651 6950923 4526853 2424070 498792 319454 179338 2733059 GOODWILL 8107191 PATIENT TRUST FUNDS 20156 8127347 NOTE PAYABLE CROSSVILLE ASSOCIATES 93065 PATIENT TRUST FUNDS 20156 PROMISSARY NOTE 5383764 NOTE PAYABLE WINSTON PORTER JR 1455000 A/P RELATED PARTY 150000 CASH OVERDRAFT 63214 7165199 PART IV, LINE 2B: MONEY HELD BY THE ORGANIZATION FOR PATIENT'S PERSONAL USE IN A SEPARATE BANK ACCOUNT. A THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE CITY OF CROSSVILLE TN 2010-02-01 10363489 PURCHASE OF NURSING HOME 0 0 0 A 10363489 10363489 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 CENTRAL HEALTH SYSTEMS LLC PART V 450000 MANAGEMENT FEES 0 PART IV SECTION (B) WINSTON PORTER 99% OWNER IN CROSSVILLE ASSOCIATES LLC, IS THE FATHER OF THE MANAGING DIRECTOR WINSTON PORTER III. WINSTON PORTER OWNS 49% OF THE MANAGEMENT COMPANY WHO MANAGES THE NURSING HOME.WINSTON PORTER III DOES NOT CONTROL OR OWN THE MANAGEMENT COMPANY. WINSTON PORTER THE III DOES NOT PARTICIPATE IN THE EVALUATION OR SELECTION OF THE MANAGEMENT COMPANY WHICH OPERATES THE NURSING HOME.THE MANAGEMENT COMPANY OFFERS A STANDARD CONTRACT THAT IS SIMILAR TO OTHERS IN THE INDUSTRY. THE PROPERTY BID OUT MANAGEMENT AGREEMENTS TO INSURE THAT ANY MANAGEMENT AGREEMENT RATE THAT THE NONPROFIT PAYS ARE KEPT AT OR BELOW FAIR MARKET VALUE FOR SUCH SERVICES FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WILL BE REVIEWED BY THE BOARD BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE SIGNS A STATEMENT THAT HE HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY AND HAS READ AND UNDERSTANDS THE POLICY, AND AGREES TO COMPLY WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED BY THE BOARD FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN RESTRICTED ASSETS 2,367. LOSS ON DEBT EXTINGUISHMENT -5,743. SLF NO1 LLC 456 WAYNE AVENUE CROSSVILLE TN 38555 271506824 NURSING HOME TN -1517504 11915694 THE SENIOR LIVING FOUNDATION INC SOLE MEMBER OF SLF NO1 LLC SLF NO1 LLC 456 WAYNE AVENUE CROSSVILLE TN 38555 271506824 NURSING HOME TN 501(C)3 LINE 10 THE SENIOR LIVING FOUNDATION INC SOLE MEMBER OF SLF NO1 LLC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SLF #1 LLC C 50000 CASH