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HOOSIER CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOOSIER CARE INC (EIN 62-1486858)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-10
IRS object ID
201231319349301813
Schema version
2010v3.7
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)
Timestamp2012-05-10T12:48:49-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1REZNICK GROUP PCBusinessNameLine1

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621486858EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CLAREMONT HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCLARNameControl
Phone6152522305Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Division St Suite 700AddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN GILLMOREName
TitleOFFICERTitle
Date Signed2012-05-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NamePHILIP H CORNBLATT CPAName
Phone4107834900Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonLEWIS F WOOD JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 Division St Suite 700AddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9977653GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number5138GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees131TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10250312ProgramServiceRevenuePriorYear
Program Service Revenue CY9975631ProgramServiceRevenueCY
Investment Income Prior Year3223InvestmentIncomePriorYear
Investment Income Current Year2022InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10253535TotalRevenuePriorYear
Total Revenue Current Year9977653TotalRevenueCurrentYear
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 Year5256562SalariesEtcPriorYear
Salaries Etc Current Year5306327SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4559898OtherExpensePriorYear
Other Expenses Current Year4517038OtherExpensesCurrentYear
Total Expenses Prior Year9816460TotalExpensesPriorYear
Total Expenses Current Year9823365TotalExpensesCurrentYear
Revenues Less Expenses Prior Year437075RevenuesLessExpensesPriorYear
Revenues Less Expenses CY154288RevenuesLessExpensesCY
Total Assets BOY7999918TotalAssetsBOY
Total Assets EOY7926393TotalAssetsEOY
Total Liabilities BOY8031244TotalLiabilitiesBOY
Total Liabilities EOY7803431TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-31326NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY122962NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9560253Expense
Revenue9975631Revenue
DescriptionOPERATED INTERMEDIATE AND SKILLED-CARE NURSING HOME FACILITIES FOR THE CARE OF ELDERLY PATIENTS. OVER 110 PATIENTS WERE PROVIDED CARE DURING THE FISCAL YEAR.Description
Total Program Service Expense9560253TotalProgramServiceExpense
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 LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees131NumberOfEmployees
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 Members4NbrVotingGoverningBodyMembers
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 (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BRUCE P HUTSON
PRESIDENT0.9XX0662500
STEPHEN F WOOD
VP/TREASURER1.0XX02528000
JOHN G FOOS
VP/DIRECTOR0.35XX0622500
JOHN E GILLMOR
VP/SECRETARY0.25XX0852500
LEWIS F WOOD JR
CEO6.0X05369250
CYNTHIA WOOD
ASSISTANT SECRETARY1.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1003475TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
GENESIS ELDERCARE NETWORK SERVICES
101 E STATE STREETKENNETT SQUAREPA19348MANAGEMENT FEES6163231
GENESIS REHABILITATION SERVICES
101 E STATE STREETKENNETT SQUAREPA19348REHAB THERAPIES740421
OMNICARE
2100 QUAKER POINTE DRIVEQUAKERTOWNPA18981PHARMACEUTICALS280642
SYSCO
PO BOX 477POCOMOKEMD21851food service171076
HOOSIER CARE Investments
535 WEST SECOND STREET SUITE 105LEXINGTONKY40508board fees329200
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SVC REVDescription
Total Revenue Column9975631TotalRevenueColumn
Related Or Exempt Function Income9975631RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9975631TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2022TotalRevenueColumn
Exclusion$2,022ExclusionAmount

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9977653TotalRevenueColumn
Related Or Exempt Function Income9975631RelatedOrExemptFunctionIncome
Exclusion$2,022ExclusionAmount

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)
Total4458362Total
Program Services4458362ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total408742Total
Program Services408742ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total439223Total
Program Services439223ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total515117Total
Program Services515117ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9294Total
Program Services9294ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19699Total
Program Services0ProgramServices
Management And General19699ManagementAndGeneral
Fundraising0Fundraising

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)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total10659Total
Program Services10659ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

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)
Total421268Total
Program Services421268ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total250000Total
Program Services250000ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total393016Total
Program Services393016ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBTS350663506600
ADMINISTRATIVE24341302434130
UTILITIES20641920641900
SUPPLIES14552914552900
CONTRACTS176991769900

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2249859Total
Program Services2249859ProgramServices
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9823365Total
Program Services9560253ProgramServices
Management And General263112ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY548182BOY
EOY998968EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1018446BOY
EOY820485EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY30803BOY
EOY34531EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1029676BOY
EOY901687EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10317837LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5749946LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4718852BOY
EOY4567891EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY653959BOY
EOY602831EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7999918BOY
EOY7926393EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY444756BOY
EOY344175EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY42576BOY
EOY84057EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7416086BOY
EOY7302938EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY127826BOY
EOY72261EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8031244BOY
EOY7803431EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-31326BOY
EOY122962EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-31326BOY
EOY122962EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7999918BOY
EOY7926393EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses154288ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years9834498CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9431036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9864762CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10250312CurrentTaxYearMinus1Year
Current Tax Year9975621CurrentTaxYear
Total49356229Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9834498CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9431036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9864762CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10250312CurrentTaxYearMinus1Year
Current Tax Year9975621CurrentTaxYear
Total49356229Total
FieldValueIRS element (for citing)
Public Support Total50949356229PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23058CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12920CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6518CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3223CurrentTaxYearMinus1Year
Current Tax Year2022CurrentTaxYear
Total47741Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23058CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12920CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6518CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3223CurrentTaxYearMinus1Year
Current Tax Year2022CurrentTaxYear
Total47741Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9857556CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9443956CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9871280CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10253535CurrentTaxYearMinus1Year
Current Tax Year9977643CurrentTaxYear
Total49403970Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99903PublicSupportPercentage509
Prior Year Support Percentage0.99827PriorYearSupportPercentage
Investment Income Percentage0.00097InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00173PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis750000OtherCostOrOtherBasis
Book Value750000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7629311OtherCostOrOtherBasis
Depreciation4381617Depreciation
Book Value3247694BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1705981OtherCostOrOtherBasis
Depreciation1200620Depreciation
Book Value505361BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis232545OtherCostOrOtherBasis
Depreciation167709Depreciation
Book Value64836BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4567891TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionFINANCING FEES, NET OF AMORTDescription
Book Value602831BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets602831TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED WAGES$19,842
OTHER LIABILITY$52,419
FieldValueIRS element (for citing)
Total Of Amounts72261TotalOfAmounts
Total Revenue9977653TotalRevenue
Total Expenses9823365TotalExpenses
Excess Or Deficit For Year154288ExcessOrDeficitForYear
Excess Or Deficit Per FS154288ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9977653TotRevenueEtcAuditedFinclStmt
Revenue Subtotal9977653RevenueSubtotal
Total Revenue Per Form9909977653TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9823365TotExpensesEtcAuditedFinclStmt
Expenses Subtotal9823365ExpensesSubtotal
Total Expenses Per Form9909823365TotalExpensesPerForm990

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)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
STEPHEN F WOOD
0252800000000000252800
LEWIS F WOOD JR
0536925000000000536925

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 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 TITLE OR ROLE: CEO/TREASURER RELATIONSHIP: BROTHER/SISTER-IN-LAW NAME OF OFFICER, DIRECTOR, ETC: LEWIS F. WOOD, JR NAME OF RELATED ENTITY: CYNTHIA WOOD STEPHEN WOOD TITLE OR ROLE: TREASURER/VP RELATIONSHIP: WIFE/BROTHER NAME OF OFFICER, DIRECTOR, ETC: CYNTHIA WOOD NAME OF RELATED ENTITY: LEWIS F. WOOD, JR STEPHEN WOOD TITLE OR ROLE: CEO/VP RELATIONSHIP: HUSBAND/BROTHER-IN-LAW
GOVERNANCE, MANAGEMENT & DISCLOSUREPART VI, SECTION A, LINES 10A 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.
STATEMENT OF FUNCTIONAL EXPENSESPART IX, LINE 24(F): ALL OTHER EXPENSESTOTAL PROG SERV MGMT & GEN FUNDRAISING ---------- --------- ---------- ----------- TRASH REMOVAL 25,995 25,995 NONE NONE VEHICLE MAINTENANCE 25,698 25,698 NONE NONE MISC. OPERATING 19,494 19,494 NONE NONE PROPERTY, LIAB. INS. 160,565 160,565 NONE NONE WORKERS COMP. 180,174 180,174 NONE NONE LICENSES AND CERT. 16,228 16,228 NONE NONE MORTGAGE INS. PREM. 36,821 36,821 NONE NONE AMORTIZATION EXPENSE 23,749 23,749 NONE NONE FOOD 179,918 179,918 NONE NONE DRUGS AND PHARM. 253,481 253,481 NONE NONE MEDICAL SUPPLIES 53,344 53,344 NONE NONE nursing services 32,204 32,204 NONE NONE rehabiliation service 706,181 706,181 NONE NONE activity services 45,373 45,373 NONE NONE OTHER SERVICE EXP. 490,634 490,634 NONE NONE ---------- --------- ---------- ----------- TOTAL $2,249,859 $2,249,859 NONE NONE
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 ten 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.
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 TITLE:VP/TREASURER HOURS:18
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN G. FOOS TITLE:VP/DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN E. GILLMOR TITLE:VP/SECRETARY HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEWIS F. WOOD, JR. TITLE:CEO HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CYNTHIA WOOD TITLE:ASSISTANT SECRETARY HOURS:8

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOOSIER CARE INC
1600 Division St Suite 700NashvilleTN37203311262572NURSING HOMEIN501(C)(3)9NA
HOOSIER CARE II INC
1600 Division St Suite 700NashvilleTN37203311274121NURSING HOMEIN501(C)(3)9HOOSIER CARE
HOOSIER CARE III INC
1600 Division St Suite 700NashvilleTN37203621459304NURSING HOMEDE501(C)(3)9HOOSIER CARE
HOOSIER care PROPERTIES INC
1600 Division St Suite 700NASHVILLETN37203200377349NURSING HOMEIN501(C)(3)9HOOSIER CARE
VICTORIA HEALTH CORPORATION
1600 Division St Suite 700NashvilleTN37203621518645NURSING HOMENJ501(C)(3)9HOOSIER CARE
DELAWARE HEALTH CORPORATION
1600 Division St Suite 700NashvilleTN37203621548336NURSING HOMEDE501(C)(3)9HOOSIER CARE
HIGHLAND HEALTH SYSTEMS INC
1600 Division St Suite 700NashvilleTN37203621486857NURSING HOMEPA501(C)(3)9HOOSIER CARE
BIRCHWOOD SENIOR HOUSING CORPORATION
1600 Division St Suite 700NASHVILLETN37203204800428sr housingDE501(C)(3)9HOOSIER CARE
Cleveland Senior Housing Corporation
1600 Division St Suite 700NashvilleTN37203264739076sr housingTN501(C)(3)9HOOSIER CARE

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 St 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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
hoosier care investment llc
o329200
Hoosier Care Inc
b250000