The Nursing Center at Little Creek

Nonprofit profile at a glance

EIN
620534806
IRS 990 coverage
2012–2024
Forms available
Form 990 2024
Location
Knoxville, TN, USA
Phone
8656906727
Rating
82
Verdict
STRONG
Rating confidence
Moderate
Sector
Psychiatric Hospitals

Reported finances

Revenue
$4,520,083
Expenses
$4,438,773
Assets
$2,043,814
Liabilities
$347,986

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

8 people listed

Executive titles in this filing

  • BRUCE MYERS (President)

Highest reported compensation

  • THOMAS KEVIN BROWN (Administrator): $93,369 total reported compensation
  • John Robertson (Director): $75,945 total reported compensation
  • BRUCE MYERS (President): $75,070 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The Nursing Center at Little Creek (Little Creek) is a small (38 Bed), faith-based nursing home providing high quality, compassionate care to those who are nearing end-of-life.

What it reported doing in 2024

The Nursing Center at Little Creek, Little Creek, is a small (38 Bed), faith-based nursing home providing high quality, compassionate care to those who are nearing end-of-life. While Little Creek works closely with home health agencies, hospice services, contract physical therapists, and various other contract medical providers to help our residents reach their highest possible level of physical wellbeing through traditional medical services, Little Creek also provides our residents a high quality vegetarian diet, frequent whirlpool bath experiences, a loving/caring nursing staff, a chaplain, available beauty services, a beautifully landscaped campus for outdoor experiences, and an engaging activities program. The results of the above-referenced combination of traditional medicine, healthy diet, whirlpool experiences, spiritual services, a loving/caring staff, and fresh air, all in keeping with Seventh-Day Adventist values, speak for themselves. Many residents who come to Little Creek with a very short life expectancy see a resurgence in health and much longer life. Quality of life, in many instances, is also improved, giving the residents and their families more days, months, even years of cherished memories now and hope for the life to come. Further, the Administrator, Director of Nursing, Plant Manager and Food Service Manager all live on campus and are available 24/7 to ensure the highest level of care possible, regardless of weather and/or natural disaster(s). Through its benevolent care program, Little Creek also offers qualifying residents the opportunity to apply for financial assistance with daily services.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 77
  • Transparency & Controls: 92
  • Accountability: 83
  • Sustainability: 35
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.9%; rating input score 86
  • Program expense ratio: 87.4%; rating input score 87
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 87.5%; rating input score 88; 19th percentile among comparable filings
  • Governance controls: 6 of 8 controls in place; rating input score 75
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Fail
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 1.8%; rating input score 40; 40th percentile among comparable filings
  • Total-asset coverage ratio: 0.46; rating input score 16; 16th percentile among comparable filings
  • Liabilities to assets ratio: 0.17; rating input score 48; 48th percentile among comparable filings
  • Officer compensation ratio: 5.5%; rating input score 50; 50th percentile among comparable filings

Growth

  • Program expense growth: 3.9% per year; rating input score 100; 33rd percentile among comparable filings
  • Revenue growth: 4.2% per year; rating input score 100; 36th percentile among comparable filings
  • Asset growth: 0.3% per year; rating input score 100; 13th percentile among comparable filings

Details

  • Where the money goes: 85.9% of revenue deployed · 87.4% of spending went to programs
  • Governance: 7 of 8 board members independent · 6 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $3.9M in reported program spending
  • Leadership: top reported pay $93K · 8 people listed
  • Consistency: 29 of 29 current checks pass
  • Schedules: 4 filed schedules · includes major donors
  • Filing history: 11 filing years from 2012 to 2024
  • Contacts: How to reach this organization
  • Money network: 3 filed money-flow records
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: 2 of 8 not reported.
  • Moderate — Sustainability: Operating margin scored 40/100.
  • High — Sustainability: Total-asset coverage ratio scored 16/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 48/100.
  • Review — Sustainability: Officer compensation ratio scored 50/100.