2024-11-12T09:22:21-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 900 ORLANDO FL 32801 990 2023-01-01 621827185 THE VILLAGE AT GERMANTOWN INC VILL 9017522500 7820 WALKING HORSE CIRCLE GERMANTOWN TN 38138 CLAY COLLINS CFO 9017522500 2024-11-09 1 1 TINA HENTON P00630282 4078021200 2024-11-09 2023 2024-10-15 13:58:12Z MICHAEL CRAFT 7820 WALKING HORSE CIRCLE GERMANTOWN TN 38138 30363790 0 X WWW.VILLAGE-GERMANTOWN.COM X 2000 TN TO OPERATE AS A CONTINUING CARE RETIREMENT COMMUNITY 7 7 466 9 0 0 838579 159898 21945023 24446016 408251 802777 381375 418934 23573228 25827625 0 0 0 0 12914269 14048215 0 0 0 17477535 16149226 30391804 30197441 -6818576 -4369816 97266349 92823181 156078221 155480283 -58811872 -62657102 X TO PROVIDE A QUALITY, STIMULATING, AND SAFE COMMUNITY THAT PROMOTES INDEPENDENCE AND WELLNESS THROUGH INNOVATIVE PROGRAMS, SUPPORTIVE SERVICES, AND AN EXCEPTIONAL STAFF. WE RESPECT AND VALUE THE DIGNITY OF EACH PERSON THROUGH OUR AFFILIATION WITH METHODIST LE BONHEUR HEALTHCARE. WE SERVE THE COMMUNITY AS A RESOURCE FOR SENIOR WELLNESS PROGRAMS AND INFORMATION. 0 0 27345925 0 24446016 THE CCRC CONSISTS OF 230 INDEPENDENT LIVING UNITS (INCLUDING 202 APARTMENTS AND 28 PATIO HOMES), AND A HEALTHCARE CENTER CONSISTING OF 32 ASSISTED LIVING UNITS, 16 SPECIAL CARE DEMENTIA UNITS, AND 55 SKILLED NURSING BEDS. IN 2023, THE VILLAGE BILLED 31,645 HEALTHCARE DAYS - 3,478 FOR DEMENTIA, 10,895 FOR ASSISTED LIVING, AND 17,272 FOR SKILLED. OF THESE DAYS, 8,633 WERE MEDICARE DAYS AND 23,012 PRIVATE PAY DAYS/INSURANCE BILLABLE DAYS. OUR INDEPENDENT LIVING OCCUPANCY WAS 79%. 27345925 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 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 81 0 466 1 0 0 0 0 0 0 0 0 0 1 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TN X X CLAY COLLINS 9017522508 7820 WALKING HORSE CIRCLE GERMANTOWN TN 38138 REBECCA CULLISON CHAIRMAN 1.00 X X 0 0 0 DR JOHN CROCKARELL SECRETARY 1.00 X X 0 0 0 DR BILL GREENE DIRECTOR 1.00 X 0 0 0 JEAN MORTON DIRECTOR 1.00 X 0 0 0 MITCH GRAVES DIRECTOR 1.00 X 0 0 0 ADAM HOPPER DIRECTOR 1.00 X 0 0 0 DR STEVE THRELKELD DIRECTOR 1.00 X 0 0 0 CHUCK LANE DIRECTOR (TERM ENDED) 1.00 X 0 0 0 MICHAEL CRAFT CEO 40.00 X 286889 0 19221 CLAY COLLINS CFO 40.00 X 213946 0 16920 LISA GARNER VP OF HEALTHCARE SERVICES 40.00 X 159513 0 7527 JESSE CRITTENDON DIRECTOR OF DINING 40.00 X 162459 0 8044 MELISSA RUKSTAD DIRECTOR OF WELLNESS 40.00 X 168252 0 13274 VICKIE GRIMES DIRECTOR OF HR 40.00 X 128582 0 12226 SCOTT MEDLEY DIRECTOR OF OPERATIONS 40.00 X 129119 0 12160 MARIA WYATT ASST. LVG/MEM CARE MGR 40.00 X 118254 0 12664 1367014 0 102036 8 0 1 0 YORK CONSTRUCTION SERVICES LLC 442 DISTRIBUTION PARKWAY COLLIERVILLE TN 38017 REMODELING 909782 STEPHENSON HOME SOLUTIONS LLC 18180 HWY 315 WEST SARDIS MS 38666 MAINTENANCE 546182 FUNCTIONAL PATHWAYS OF TN LLC 10133 SHERRIL BLVD SUITE 200 KNOXVILLE TN 37932 THERAPY 430302 ALAN IVEY LANDSCAPE PO BOX 688 ARLINGTON TN 38002 LANDSCAPING 293490 HANDS ON LABOR AGENCY 12408 WARREN RIDGE LANE ARLINGTON TN 38002 DINING OUTSIDE SERVICE 261983 8 159898 144976 159898 PROGRAM SERVICE REVENUE 623000 24446016 24446016 24446016 471500 471500 92501 92501 4752941 22000 4520141 16024 232800 5976 238776 238776 MEAL INCOME 623000 201992 201992 BEAUTY SHOP 623000 142090 142090 ENG AND MAINT 623000 34943 34943 39909 39909 418934 25827625 24446016 0 1221711 X 660347 660347 11516893 10956532 560361 151528 136234 15294 827055 745087 81968 892392 802323 90069 144245 144245 3105803 2697331 408472 469789 156724 313065 713873 513471 200402 339373 326247 13126 1300872 1250558 50314 33746 33053 693 25181 24436 745 2258273 2170929 87344 4795776 4610289 185487 459474 441703 17771 FOOD SUPPLIES 1235636 1235636 MAINTENANCE 453902 436346 17556 ANCILLARY SUPPLIES 407789 407789 OTHER EXPENSES 164691 163637 1054 240803 237600 3203 30197441 27345925 2851516 0 749007 276250 247537 416700 714820 1272297 149767 141909 270491 265256 121090502 56752732 64828125 64337770 24302739 20977203 6003863 5135796 97266349 92823181 9388000 7965012 4308886 4494993 61606587 60202101 80774748 82818177 156078221 155480283 X -58811872 -62657102 -58811872 -62657102 97266349 92823181 X -4369816 1392653 -868067 X X 0 1 X 1 0 X 186278 2488978 1717455 838579 159898 5391188 24401785 22150128 20839123 21945023 24446016 113782075 271183 371075 402765 1045023 24588063 24639106 22827761 23154677 25008679 120218286 53816 55054 94145 63744 67551 334310 0 53816 55054 94145 63744 67551 334310 119883976 645120 626703 560027 446196 564001 2842047 645120 626703 560027 446196 564001 2842047 548704 374252 14186 10300 16169 963611 25781887 25640061 23401974 23611173 25588849 124023944 0.96660 0.96320 0.02290 0.02090 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC - 2019 AMOUNT: $ 20,598. 2020 AMOUNT: $ 56,068. 2021 AMOUNT: $ 14,186. 2022 AMOUNT: $ 10,300. 2023 AMOUNT: $ 16,169. MEAL INCOME - 2019 AMOUNT: $ 250,920. 2020 AMOUNT: $ 137,888. BEAUTY SHOP - 2019 AMOUNT: $ 213,304. 2020 AMOUNT: $ 107,834. ENG AND MAINT - 2019 AMOUNT: $ 44,702. 2020 AMOUNT: $ 68,527. GUEST ACCOMMODATIONS - 2019 AMOUNT: $ 19,180. 2020 AMOUNT: $ 3,935. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5349049 5349049 104427501 52238711 52188790 1925057 962989 962068 7098672 3551032 3547640 2290223 2290223 64337770 SKILLED NURSING FACILITY BED LICENSES 40651 FAIR VALUE OF DERIVATIVE INSTRUMENTS 5095145 5135796 ENTRANCE FEE DEPOSITS 417902 REFUNDABLE ENTRANCE FEE 82400275 82818177 X 26352211 1392653 -868067 524586 25827625 0 25827625 30197441 0 30197441 0 30197441 PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION 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 FAIR VALUE OF DERIVATIVE INSTRUMENTS -868,067. X X 0 0 0 0 0 0 0 1 0 MICHAEL CRAFT CEO 260479 0 26410 0 0 0 11579 0 7642 0 306110 0 0 0 CLAY COLLINS CFO 204027 0 9919 0 0 0 8941 0 7979 0 230866 0 0 0 MELISSA RUKSTAD DIRECTOR OF WELLNESS 160440 0 7812 0 0 0 6312 0 6962 0 181526 0 0 0 JESSE CRITTENDON DIRECTOR OF DINING 154355 0 8104 0 0 0 0 0 8044 0 170503 0 0 0 LISA GARNER VP OF HEALTHCARE SERVICES 153843 0 5670 0 0 0 0 0 7527 0 167040 0 0 0 PART I, LINE 7 THE ORGANIZATION PAYS PERFORMANCE BONUSES. A HEALTH EDUCATION & HOUSING FACILITIES BOARD OF THE COUNTY OF SHELBY TN 521283414 82169JAP8 2014-10-01 22059660 FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF THE EXPANSION 0 0 0 B HEALTH EDUCATION & HOUSING FACILITIES BOARD OF THE COUNTY OF SHELBY TN 521283414 2022-09-01 43815000 TO REFUND SERIES 2020 TAXABLE BONDS ISSUED 6/12/20 0 0 0 A 1795000 22278082 1359264 441193 20259203 2017 0 0 1 1 B 2395000 43815000 43815000 2022 0 1 1 1 A 0 1 1 1 0 0.00210 0.00000 0.00210 0 0 1 A 0 0 0 1 0 0 1 BAYERISCHE LANDESBANK 8.000000000000 1 1 B 0 1 0 0 1 1 FIRST HORIZON BANK 14.750000000000 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HEALTH EDUCATION & HOUSING FACILITIES BOARD OF THE COUNTY OF S DATE THE REBATE COMPUTATION WAS PERFORMED: 10/28/2019 SCHEDULE K PART I (E) AND PART II LINE 3 ISSUE PRICE AND TOTAL PROCEEDS OF ISSUE DIFFER AS A RESULT OF INVESTMENT EARNINGS. X 1 32080 1098-C AND DONATION LETT X RESIDENTIAL UPGRADES 8 112896 GL 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR OF THE ORGANIZATION PRIOR TO FILING WITH THE IRS. EACH BOARD MEMBER RECEIVES A COPY OF THE FORM 990 FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. FURTHERMORE, THE POLICY IS EXPLAINED DURING EACH NEW HIRE ORIENTATION AND THE ORGANIZATION MAINTAINS AN OPEN DOOR POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE INDEPENDENT BOARD OF DIRECTORS CONDUCTS AN ANNUAL REVIEW OF THE CEO AND DETERMINES COMPENSATION WITH THE USE OF COMPARABILITY DATA (CCRC SALARY AND BENEFITS REPORT) THE EXECUTIVE DIRECTOR DETERMINES COMPENSATION FOR DEPARTMENT DIRECTORS WITH INPUT FROM THE HR DIRECTOR ALONG WITH THE CCRC SALARY AND BENEFITS REPORT. THE EXECUTIVE DIRECTOR DETERMINES THE COMPENSATION FOR THE KEY EMPLOYEES, INCLUDING THE CFO. THIS PROCESS IS DOCUMENTED DURING THE ANNUAL REVIEW PROCESS USING COMPARABILITY DATA (CCRC SALARY AND BENEFITS REPORT) FOR ORGANIZATIONS WITH COMPARABLE REVENUE. ANNUAL COMPENSATION INCREASES ARE DETERMINED IN THE BUDGETING PROCESS AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE ORGANIZATION MAKES ITS AUDITED FINANCIAL STATEMENTS AVAILABLE ON THE INTERNET AT HTTP://EMMA.MSRB.ORG/. FORM 990, PART IX, LINE 11G SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 158,813. MANAGEMENT AND GENERAL EXPENSES 177,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 336,028. AGENCY SERVICES: PROGRAM SERVICE EXPENSES 261,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 261,340. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 739,741. MANAGEMENT AND GENERAL EXPENSES 97,963. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 837,704. ANCILLIARY SERVICES: PROGRAM SERVICE EXPENSES 1,496,013. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,496,013. CONSULTING: PROGRAM SERVICE EXPENSES 41,424. MANAGEMENT AND GENERAL EXPENSES 133,294. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,718. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENTS -868,067. FORM 990, PAGE 12, PART XII, LINE 2C THE ORGANIZATION'S POLICY REGARDING THE OVERSIGHT OF THE AUDIT IS CONSISTENT WITH THE PRIOR YEAR.