2019-05-15T14:03:54-05:00 2018-06-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2017-07-01 621486858 CLAREMONT HEALTH SYSTEM INC CLAR 6156479004 PO BOX 159098 NASHVILLE TN 372159098 Douglass B Smith President 2019-05-15 true Rachel Spurlock P00520729 5023263996 2017 2019-02-21 02:37:17Z Douglass B Smith PO BOX 159098 NASHVILLE TN 372159098 10855020 false 5138 X N/A X 1992 NJ THE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY. 7 4 196 129 0 0 0 10111529 10849578 3323 2672 293 2770 10115145 10855020 0 0 6108324 5393048 0 0 5169835 5685223 11278159 11078271 -1163014 -223251 5721869 5277331 7875171 7653884 -2153302 -2376553 THE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY. false false 8546945 10852107 THE ORGANIZATION OPERATES A SKILLED-CARE NURSING HOME FACILITY FOR THE CARE OF ELDERLY PATIENTS. THE ORGANIZATION HAS 118 BEDS IN ITS NURSING HOME FACILITY. 8546945 true false false false false false false false false true false false true false true true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 53 0 true 196 true false false false false false false true false false false X 7 4 true true false false false false false true false false false true true true true true true false false false X DOUGLASS B SMITH 6156479004 PO BOX 159098 NASHVILLE TN 372159098 Stephen F Wood Sr DIRECTOR/CEO OF EMERALD SHELTER GROUP 1.5 38.5 X X 0 725000 0 Douglass Smith Director/President of Emerald Shelter Group 1.5 38.5 X X 0 319603 13778 John G Foos DIRECTOR 0.1 6.9 X 0 70000 0 John E Gillmor Director 0.1 6.9 X 0 36250 0 Jo Ann Corbitt Director 0.1 6.9 X 0 37500 0 Stephen F Wood Jr DIRECTOR 0.1 6.9 X 0 66250 0 Jim Ridenour DIRECTOR 0.1 6.9 X 0 68750 0 Andrea Barach VP AND CORPORATE SECRETARY (AS OF 9/2017) 1.5 38.5 X 0 56834 1958 Patricia Austin Director of Nursing 40.0 0.0 X 110906 0 673 Susan Wood Executive Director 40.0 0.0 X 116046 0 10544 John Noffsinger COO (as of 10/2017) 1.5 33.5 X 0 44636 549 226952 1424823 27502 2 false true false HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 LAUNDRY, FOOD, ENVIRONMENTAL 956183 MEDICAL REHABILITATION CENTER 1050 CHINOE RD SUITE 350 LEXINGTON KY 40502 MANAGEMENT 853214 EXCEPTIONAL REHAB 1050 CHINOE RD SUITE 350 LEXINGTON KY 40502 REHABILITATION 633047 OMNICARE INC PO BOX 78000 DETROIT MI 48278 PHARMACY SERVICES 195975 4 0 Patient Service Revenue 623000 10849578 10849578 0 0 0 0 10849578 2672 2672 0 0 0 0 VENDING 900099 241 241 MISCELLANEOUS 900099 2529 2529 0 0 0 0 2770 10855020 10852107 0 2913 X 4432106 4432106 755 755 614272 614272 345915 345915 704784 704784 38240 38240 37852 37852 1457974 0 1457974 0 70100 70100 63336 63336 72563 72563 454215 454215 56919 56919 10657 10657 292476 292476 509424 509424 MEDICAL SUPPLIES 1270191 1270191 PROVISION FOR BAD DEBT 201634 201634 REVENUE ASSESSMENT FEES 403910 403910 MEDICAL EQUIPMENT 40948 40948 0 0 0 0 11078271 8546945 2531326 0 504804 778241 1464520 998512 0 0 0 180007 269039 11733029 8830527 3230283 2902502 0 0 342255 329037 5721869 5277331 1086752 1005421 0 6788419 6648463 0 0 7875171 7653884 X -2153302 -2376553 -2153302 -2376553 5721869 5277331 -223251 0 X true X true X true false X 0 10409435 11059808 11159887 10111529 10849578 53590237 0 0 0 10409435 11059808 11159887 10111529 10849578 53590237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53590237 395 265 1991 3323 2672 8646 0 395 265 1991 3323 2672 8646 0 3059 1918 881 293 2770 8921 10412889 11061991 11162759 10115145 10855020 53607804 0.9997 0.9998 0.0002 0.0001 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - 3059.0, COLUMN B - 1918.0, COLUMN C - 881.0, COLUMN D - 293.0, COLUMN E - 2770.0, COLUMN F - 8921.0; 750000 750000 8531648 6884377 1647271 2242122 1774084 468038 209259 172066 37193 2902502 REPLACEMENT RESERVE 166191 ESCROW DEPOSITS 162846 329037 0 X 10855020 0 0 10855020 0 0 10855020 11078271 0 0 11078271 0 0 11078271 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the Organization is not subject to U.S. federal income tax or state income tax. The Organization's Form 990 has not been subject to examination by the Internal Revenue Service or the state of New Jersey for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at June 30, 2018. false false false false false false false false Stephen F Wood Sr DIRECTOR/CEO OF EMERALD SHELTER GROUP 0 725000 0 0 0 0 0 0 0 0 0 725000 0 0 Douglass Smith Director/President of Emerald Shelter Group 0 319603 0 0 0 0 0 0 0 13778 0 333381 0 0 Form 990, Part VI, Line 15a COMPENSATION - TOP MANAGEMENT OFFICIAL COMPENSATION FOR THE TOP MANAGEMENT OFFICAL IS PAID BY A RELATED ORGANIZATION, THEREFORE LINE 15A IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL BY THE BOARD OF DIRECTORS. COMPENSATION IS BASED ON AN INDEPENDENT COMPENSATION STUDY AND INCREASES IN COMPENSATION ARE AT THE DISCRETION OF THE BOARD. DURING THE FILING YEAR A COMPENSATION STUDY WAS PERFORMED BY A THIRD PARTY AND INCLUDED A REVIEW OF THE ECONOMIC RESEARCH INSTITUTE'S EXECUTIVE ASSESSOR DATABASE, THE MERCER EXECUTIVE BENCHMARK DATABASE AND SURVEY DATA FROM A GROUP OF PEER COMPANIES WITHIN THE ASSISTED AND LONG-TERM CARE INDUSTRY. Form 990, Part VI, Line 15b COMPENSATION - OTHER OFFICERS OR KEY EMPLOYEES COMPENSATION FOR ALL OTHER OFFICERS OR KEY EMPLOYEES IS PAID BY A RELATED ORGANIZATION, THEREFORE LINE 15B IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL BY THE BOARD OF DIRECTORS. COMPENSATION IS BASED ON AN INDEPENDENT COMPENSATION STUDY AND INCREASES IN COMPENSATION ARE AT THE DISCRETION OF THE BOARD. DURING THE FILING YEAR A COMPENSATION STUDY WAS PERFORMED BY A THIRD PARTY AND INCLUDED A REVIEW OF THE ECONOMIC RESEARCH INSTITUTE'S EXECUTIVE ASSESSOR DATABASE, THE MERCER EXECUTIVE BENCHMARK DATABASE AND SURVEY DATA FROM A GROUP OF PEER COMPANIES WITHIN THE ASSISTED AND LONG-TERM CARE INDUSTRY. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons STEPHEN F. WOOD, SR. & STEPHEN F. WOOD, JR. - Family relationship Form 990, Part VI, Line 3 Delegation of management duties THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH MEDICAL REHABILITATION CENTERS, LLC, D/B/A EXCEPTIONAL LIVING CENTERS. MANAGEMENT SERVICES INCLUDE SUPERVISION OF FACILITY OPERATIONS, ADMINISTRATIVE SERVICES, MANAGEMENT INFORMATION SYSTEM SERVICES, ACCOUNTING, AND COST REPORT PREPARATION. THERE ARE NO CURRENT OFFICERS, DIRECTORS, OR HIGHEST COMPENSATED EMPLOYEES WHO WERE COMPENSATED BY THE MANAGEMENT COMPANY. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY, THEREFORE THIS QUESTION HAS BEEN MARKED "NO" IN ACCORDANCE TO THE IRS INSTRUCTIONS. Form 990, Part VI, Line 11b Review of form 990 by governing body A complete copy of the form 990 is reviewed by the organization's legal counsel and an authorized member of the board of directors prior to filing with the IRS. Additionally, a complete copy of the form 990 is provided to all members of the governing body prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy Annual certifications are received from all officers and directors to determine whether any potential conflicts of interest exist. The board of directors discuss the annual certifications at the board meetings to determine whether an actual conflict of interest exists. If a conflict is determined to exist, that person would be recused from taking part in any decisions concerning the conflicting issue. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S OFFICE DURING REGULAR BUSINESS HOURS UPON REQUEST. Form 990, Part IX, Line 11g Other Fees TENANT SERVICES - Total Expense: 10200, Program Service Expense: , Management and General Expenses: 10200, Fundraising Expenses: ; MEDICAL PROFESSIONAL FEES AND SERVICES - Total Expense: 28689, Program Service Expense: , Management and General Expenses: 28689, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 1419085, Program Service Expense: , Management and General Expenses: 1419085, Fundraising Expenses: ; BIRCHWOOD SENIOR HOUSING CORPORATION PO BOX 159098 NASHVILLE TN 37215 204800428 SENIOR HOUSING CO 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false CLEVELAND SENIOR HOUSING CORPORATION PO BOX 159098 NASHVILLE TN 37215 264739076 SENIOR HOUSING TN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false DELAWARE HEALTH CORPORATION PO BOX 159098 NASHVILLE TN 37215 621548336 NURSING HOME DE 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION PO BOX 159098 NASHVILLE TN 37215 364825354 HOLDING COMPANY WI 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false EMERALD SPRING HILL INC PO BOX 159098 NASHVILLE TN 37215 474584314 NURSING HOME TN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HEALTH AND HOUSING SUPPORT SERVICES INC PO BOX 159098 NASHVILLE TN 37215 452449379 SUPPORTING ORGANIZATION NV 501(c)(3) Type II HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE II INC PO BOX 159098 NASHVILLE TN 37215 311274121 NURSING HOME IN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE III INC PO BOX 159098 NASHVILLE TN 37215 621459304 NURSING HOME DE 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE PROPERTIES INC PO BOX 159098 NASHVILLE TN 37215 200377349 HOLDING COMPANY IN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER CARE INC PO BOX 159098 NASHVILLE TN 37215 311262572 NURSING HOME IN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false HOOSIER HOUSING GROUP INC PO BOX 159098 NASHVILLE TN 37215 463491686 HOLDING COMPANY NV 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false LAURELWOOD SENIOR HOUSING CORPORATION PO BOX 159098 NASHVILLE TN 37215 320362338 SENIOR HOUSING TN 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false GATE MANOR HOUSING GP LLC PO BOX 159098 NASHVILLE TN 37215 352531184 AFFORDABLE HOUSING PROJECTS TN NA C Corporation false KNOXVILLE HOUSING PORTFOLIO GP LLC PO BOX 159098 NASHVILLE TN 37215 474536542 AFFORDABLE HOUSING PROJECTS TN NA C Corporation false JACKSON HOUSING PORTFOLIO GP LLC PO BOX 159098 NASHVILLE TN 37215 364843724 AFFORDABLE HOUSING PROJECTS TN NA C Corporation false false false false false false false false false false false false false false false false false false false false