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DELAWARE HEALTH CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DELAWARE HEALTH CORPORATION (EIN 62-1548336)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201331309349302453
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-10T15:50:20-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 EAST PRATT STREET SUITE 200AddressLine1
CityBALTIMORECity
StateMDState
ZIP Code212023100ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621548336EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELAWARE HEALTH CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOHN GILLMORInCareOfName
Name ControlDELANameControl
Phone6152522305Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 DIVISION STREET SUITE 700AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code37203ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN GILLMORName
TitleOFFICERTitle
Date Signed2013-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePHILIP H CORNBLATT CPAName
Phone4107834900Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN GILLMORNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 Division St Suite 700AddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29038014GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number5138GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING CARE SERVICES FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees475TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28811566ProgramServiceRevenuePriorYear
Program Service Revenue CY27789293ProgramServiceRevenueCY
Investment Income Prior Year337196InvestmentIncomePriorYear
Investment Income Current Year154433InvestmentIncomeCurrentYear
Other Revenue Prior Year194600OtherRevenuePriorYear
Other Revenue Current Year1094288OtherRevenueCurrentYear
Total Revenue Prior Year29343362TotalRevenuePriorYear
Total Revenue Current Year29038014TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15715538SalariesEtcPriorYear
Salaries Etc Current Year15964743SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13092425OtherExpensePriorYear
Other Expenses Current Year12855341OtherExpensesCurrentYear
Total Expenses Prior Year28807963TotalExpensesPriorYear
Total Expenses Current Year28820084TotalExpensesCurrentYear
Revenues Less Expenses Prior Year535399RevenuesLessExpensesPriorYear
Revenues Less Expenses CY217930RevenuesLessExpensesCY
Total Assets BOY18753820TotalAssetsBOY
Total Assets EOY18650319TotalAssetsEOY
Total Liabilities BOY25605020TotalLiabilitiesBOY
Total Liabilities EOY25071414TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-6851200NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-6421095NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING CARE SERVICES FOR THE ELDERLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense28524006Expense
Revenue27789293Revenue
DescriptionOPERATION OF INTERMEDIATE AND SKILLED-CARE NURSING HOME FACILITIES FOR THE CARE OF ELDERLY PATIENTS. HARBOR HEALTHCARE IS A 179 BED FACILITY AND PARKVIEW NURSING CENTER IS A 150 BED FACILITY.Description
Total Program Service Expense28524006TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees475NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN GILLMORNamePerson
Telephone Number6152522305TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 DIVISION ST SUITE 700AddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
BRUCE P HUTSON
PRESIDENT1.0XX0555000
STEPHEN F WOOD SR
CEO/VP/TREASURER2.0XX244000
JOHN G FOOS
VP/TREASURER0.6XX55500
JOHN GILLMOR
VP/SECRETARY0.9XX70878
DOUGLASS SMITH
DIRECTOR0.2X
JO ANN CORBITT
DIRECTOR0.2X
STEPHEN F WOOD JR
DIRECTOR0.2X
CYNTHIA WOOD
ASSISTANT SECRETARY0.48X21000
LEWIS F WOOD JR
former CEO548713X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs995591TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SYSCO
PO Box 477POCOMOKEMD21851FOOD, SUPPLIES867850
REHAB DYNAMICS
150 Onix DriveKENNETT SQUAREPA19348THERAPY SERVICES2231937
HEALTHCARE SERVICES GROUP
3220 TILMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING955239
NEW CASTLE PHARMACY
263 QUIGLEY BLVDNEW CASTLEDE19720PHARMACY SERVICES1228253
GG A
401 N Michigan Ave Suite 2800CHICAGOIL60611CONSULTING434788
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICEDescription
Business Code623000BusinessCode
Total Revenue Column27789293TotalRevenueColumn
Related Or Exempt Function Income27789293RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue27789293TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column154433TotalRevenueColumn
Exclusion$154,433ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME900099901120901120
HOOSIER CARE INVESTMENT LLC900099193168193168
FieldValueIRS element (for citing)
Total Other Revenue1094288TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29038014TotalRevenueColumn
Related Or Exempt Function Income28883581RelatedOrExemptFunctionIncome
Exclusion$154,433ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15964743Total
Program Services15964743ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1101658Total
Program Services1101658ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total364824Total
Program Services364824ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total74724Total
Management And General74724ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1141Total
Program Services1141ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1187950Total
Program Services1187950ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total674889Total
Program Services674889ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total109618Total
Program Services109618ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES AND OTHER EXPENSES3597204359720400
CONTRACT SERVICES4997260499726000
TAXES AND INSURANCE46452746452700
BAD DEBT EXPENSE601926019200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total221354Total
Management And General221354ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28820084Total
Program Services28524006ProgramServices
Management And General296078ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2076729BOY
EOY289064EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1358058BOY
EOY2223332EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY491408BOY
EOY458081EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14571659LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4140454LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10238714BOY
EOY10431205EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4588911BOY
EOY5248637EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18753820BOY
EOY18650319EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2591406BOY
EOY2300741EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY21550858BOY
EOY22770673EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1462756BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25605020BOY
EOY25071414EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-6851200BOY
EOY-6421095EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-6851200BOY
EOY-6421095EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18753820BOY
EOY18650319EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses217930ReconcilationRevenueExpenses
Reconcilation Other Changes212175ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27479700CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27570879CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27032074CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28811566CurrentTaxYearMinus1Year
Current Tax Year27789293CurrentTaxYear
Total138683512Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27479700CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27570879CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27032074CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28811566CurrentTaxYearMinus1Year
Current Tax Year27789293CurrentTaxYear
Total138683512Total
FieldValueIRS element (for citing)
Public Support Total509138683512PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years183276CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102571CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years102878CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year128111CurrentTaxYearMinus1Year
Current Tax Year154433CurrentTaxYear
Total671269Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years183276CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102571CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years102878CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year128111CurrentTaxYearMinus1Year
Current Tax Year154433CurrentTaxYear
Total671269Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years704647CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years470678CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years557123CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year194600CurrentTaxYearMinus1Year
Current Tax Year1094288CurrentTaxYear
Total3021336Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28367623CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28144128CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27692075CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29134277CurrentTaxYearMinus1Year
Current Tax Year29038014CurrentTaxYear
Total142376117Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97406PublicSupportPercentage509
Prior Year Support Percentage0.97766PriorYearSupportPercentage
Investment Income Percentage0.00471InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00483PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1137000OtherCostOrOtherBasis
Book Value1137000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10431392OtherCostOrOtherBasis
Depreciation2747963Depreciation
Book Value7683429BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1927829OtherCostOrOtherBasis
Depreciation1270390Depreciation
Book Value657439BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1075438OtherCostOrOtherBasis
Depreciation122101Depreciation
Book Value953337BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10431205TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
GOODWILL, NET OR AMORT1248818
FINANCING FEES, NET OF AMORT719506
REPLACEMENT RESERVES847678
ESCROW DEPOSITS640363
HOOSIER CARE INVESTMENT LLC1792272
FieldValueIRS element (for citing)
Total Book Value Other Assets5248637TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue29038014TotalRevenue
Total Expenses28820084TotalExpenses
Excess Or Deficit For Year217930ExcessOrDeficitForYear
Excess Or Deficit Per FS217930ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt28900762TotRevenueEtcAuditedFinclStmt
Revenue Subtotal28900762RevenueSubtotal
Investment Expenses Not Included137252InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt137252RevenueNotRptdOnFinStmt
Total Revenue Per Form99029038014TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28598730TotExpensesEtcAuditedFinclStmt
Expenses Subtotal28598730ExpensesSubtotal
Investment Expenses Not Included2221354InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt221354ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028820084TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48Identifier
Return ReferencePART X LINE 2ReturnReference
ExplanationThe Company has applied for and received a determination letter from the Internal Revenue Service (IRS) to be treated as a tax-exempt entity pursuant to Section 501(c)(3) of the Internal Revenue Code and did not have any unrelated business income for the year ended June 30, 2012. Due to its tax-exempt status, the Company is not subject to income taxes. Parkview LLC and Harbor LLC are singlemember LLCs and are disregarded entities for tax reporting purposes. Therefore Parkview LLC and Harbor LLC are not required to file tax returns with the IRS and other taxing authorities. The Company is required to file and does file tax returns with the IRS and other taxing authorities. Accordingly, these financial statements do not reflect a provision for income taxes and the Company, Parkview LLC, and Harbor LLC have no other tax positions which must be considered for disclosure. Open tax years for the Company are 2009, 2010 and 2011.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
STEPHEN F WOOD SR
244000244000
LEWIS F WOOD JR
548713548713

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNANCE, MANAGEMENT & DISCLOSUREPART VI, SECTION A, LINE 2RELATIONSHIP SCHEDULE --------------------- NAME OF OFFICER, DIRECTOR, ETC: Stephen Wood NAME OF RELATED ENTITY: LEWIS F. WOOD, JR CYNTHIA WOOD Stephen Wood, JR TITLE OR ROLE: CEO/TREASURER RELATIONSHIP: BROTHER/SISTER-IN-LAW/son NAME OF OFFICER, DIRECTOR, ETC: LEWIS F. WOOD, JR NAME OF RELATED ENTITY: CYNTHIA WOOD STEPHEN WOOD stephen wood, jr TITLE OR ROLE: Former officer RELATIONSHIP: WIFE/BROTHER/nephew NAME OF OFFICER, DIRECTOR, ETC: CYNTHIA WOOD NAME OF RELATED ENTITY: LEWIS F. WOOD, JR STEPHEN WOOD Stephen wood, jr TITLE OR ROLE: Asst Secretary RELATIONSHIP: HUSBAND/BROTHER-IN-LAW/nephew NAME OF OFFICER, DIRECTOR, ETC: Stephen Wood Jr NAME OF RELATED ENTITY: LEWIS F. WOOD, JR STEPHEN WOOD Cynthia Wood TITLE OR ROLE: director RELATIONSHIP: uncle/father/uncle
GOVERNANCE, MANAGEMENT & DISCLOSUREPART VI, SECTION A, LINES 11A DRAFT OF FORM 990 IS REVIEWED & AUTHORIZED BY A MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
GOVERNANCE, MANAGEMENT & DISCLOSUREPART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON AN INDEPENDENT COMPENSATION STUDY, AND INCREASES ARE BASED ON THE CPI (ALL CONSUMERS MARKET BASKET) AND THE DISCRETION OF THE BOARD.
GOVERNANCE, MANAGEMENT & DISCLOSUREPART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S OFFICE DURING REGULAR BUSINESS HOURS UPON REQUEST.
COMPENSATION OF OFFICERSPART VII, SECTION A, AVERAGE HOURS PER WEEKTHE OFFICERS AND DIRECTORS DO NOT KEEP DETAILED TIME RECORDS OF HOURS SPENT FOR THIS AND RELATED ENTITIES. HOWEVER, THROUGH DISCUSSIONS WITH EACH, AN ESTIMATE HAS BEEN MADE OF THE TIME THEY SPENT ON MATTERS OF THIS ENTITY AND ITS RELATED CHARITABLE ENTITIES. THERE ARE twelve RELATED CHARITABLE ENTITIES FOR WHICH THE OFFICERS AND DIRECTORS PROVIDE SERVICES. OFTEN BOARD MEETINGS AND OTHER WORK INVOLVES MATTERS FOR SEVERAL OR ALL OF THESE ENTITIES.
GOVERNANCE, MANAGEMENT & DISCLOSUREPart VI Section B Line 12The Board members annually certify that they are aware of the conflict of interest policy and have no conflicts of interest.
RECONCILIATION OF NET ASSETSPART XI LINE 5HOOSIER CARE INVESTMENTS LLC - BOOK/TAX DIFFERENCE - $212,175
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRUCE P. HUTSON TITLE:PRESIDENT HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHEN F. WOOD, SR TITLE:CEO/VP/TREASURER HOURS:28
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN G. FOOS TITLE:VP/TREASURER HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN GILLMOR TITLE:VP/SECRETARY HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DOUGLASS SMITH TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JO ANN CORBITT TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHEN F. WOOD, JR TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CYNTHIA WOOD TITLE:ASSISTANT SECRETARY HOURS:4

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Parkview Nursing Center Co LLC
1600 DIVISION STREET STE 700NASHVILLETN37203621548336nursing homeDE11476265622531DELAWARE HEA
Harbor Healthcare Henter Co LLC
1600 DIVISION STREET STE 700NASHVILLETN37203621548336nursing homeDE9031707090578DELAWARE HEA

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HOOSIER CARE INC
1600 DIVISION STREET STE 700NASHVILLETN37203311262572NURSING HOMEIN501(C)(3)9NAfalse
HOOSIER CARE II INC
1600 DIVISION STREET STE 700NASHVILLETN37203311274121NURSING HOMEIN501(C)(3)9HOOSIER CAREfalse
HOOSIER CARE III INC
1600 DIVISION STREET STE 700NASHVILLETN37203621459304NURSING HOMEDE501(C)(3)9HOOSIER CAREfalse
HOOSIER CARE PROPERTIES INC
1600 DIVISION STREET STE 700NASHVILLETN37203200377349NURSING HOMEIN501(C)(3)9HOOSIER CAREfalse
VICTORIA HEALTH CORPORATION
1600 DIVISION STREET STE 700KENNETT SQUAREPA19348621518645NURSING HOMENJ501(C)(3)9HOOSIER CAREfalse
HIGHLAND HEALTH SYSTEMS INC
1600 DIVISION STREET STE 700NASHVILLETN37203621486857NURSING HOMEPA501(C)(3)9HOOSIER CAREfalse
BIRCHWOOD SENIOR HOUSING CORPORATION
1600 DIVISION STREET STE 700NASHVILLETN37203204800428sr housingDE501(C)(3)9HOOSIER CAREfalse
CLAREMONT HEALTH SYSTEM INC
1600 DIVISION STREET STE 700NASHVILLETN37203621486858NURSING HOMENJ501(C)(3)9HOOSIER CAREfalse
CLEVELAND SENIOR HOUSING CORPORATION
1600 DIVISION STREET STE 700NASHVILLETN37203264739076SR HOUSINGTN501(C)(3)9HOOSIER CAREfalse
LAURELWOOD SENIOR HOUSING CORPORATION
1600 DIVISION STREET STE 700NASHVILLETN37203320362338SR HOUSINGTN501(C)(3)9HOOSIER CAREfalse
HEALTH & HOUSING SUPPORT SERVICES INC
1600 DIVISION STREET STE 700NASHVILLETN37203452449379sr hsg & svcsNV501(C)(3)11HOOSIER CAREfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HOOSIER CARE INVESTMENTS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 DIVISION STREET SUITE 700AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
EIN200479449EIN
Primary ActivityINVESTMENTPrimaryActivity
Legal Domicile StateDELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOOSIER CAREBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income124999ShareOfTotalIncome
Share Of EOY Assets1726256ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.20000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1hoosier care investments llcBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeoTransactionType
Amount Involved118991AmountInvolved
Method Of Amt DeterminationcostMethodOfAmtDetermination