VICTORIA HEALTH CORPORATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- VICTORIA HEALTH CORPORATION (EIN 62-1518645)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-10
- IRS object ID
- 201241319349301814
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-10T12:38:36-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REZNICK GROUP PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 EAST PRATT STREET SUITE 200 | AddressLine1 |
| City | BALTIMORE | City |
| State | MD | State |
| ZIP Code | 212023100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621518645 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VICTORIA HEALTH CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VICT | NameControl |
| Phone | 6152522305 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Division St Suite 700 | AddressLine1 |
| City | Nashville | City |
| State | TN | State |
| ZIP Code | 37203 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN GILLMORE | Name |
| Title | OFFICER | Title |
| Date Signed | 2012-05-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PHILIP H CORNBLATT CPA | Name |
| Phone | 4107834900 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | LEWIS F WOOD JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Division St Suite 700 | AddressLine1 |
| City | Nashville | City |
| State | TN | State |
| ZIP Code | 37203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6304974 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 5138 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING CARE SERVICES FOR THE ELDERLY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 38 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2189769 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6300297 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 122 | InvestmentIncomePriorYear |
| Investment Income Current Year | 762 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 569310 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3915 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2759201 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6304974 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1302842 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2021368 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2494936 | OtherExpensePriorYear |
| Other Expenses Current Year | 3744960 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3797778 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5766328 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1038577 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 538646 | RevenuesLessExpensesCY |
| Total Assets BOY | 11583738 | TotalAssetsBOY |
| Total Assets EOY | 16944886 | TotalAssetsEOY |
| Total Liabilities BOY | 15697023 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 20519525 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -4113285 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -3574639 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING CARE SERVICES FOR THE ELDERLY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5389901 | Expense |
| Revenue | 6304287 | Revenue |
| Description | VICTORIA HEALTH CORPORATION, INC. OWNS AND OPERATED A 120 BED NURSING HOME FACILITY AND A 70 UNIT ASSISTED LIVING AND RETIREMENT CENTER. | Description |
| Total Program Service Expense | 5389901 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 17 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 38 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN GILLMOR | NamePerson |
| Telephone Number | 6152522305 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 DIVISION ST SUITE 700 | AddressLine1 |
| City | Nashville | City |
| State | TN | State |
| ZIP Code | 37203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| BRUCE P HUTSON | ||||||
| PRESIDENT/DIRECTOR | 1.0 | X | X | 0 | 66250 | 0 |
| STEPHEN F WOOD | ||||||
| VP/TREAS./DIRECTOR | 3.0 | X | X | 0 | 252800 | 0 |
| JOHN G FOOS | ||||||
| VP/DIRECTOR | 0.4 | X | X | 0 | 62250 | 0 |
| JOHN E GILLMOR | ||||||
| VP/SEC./DIRECTOR | 2.75 | X | X | 0 | 85250 | 0 |
| LEWIS F WOOD JR | ||||||
| CEO | 6.0 | X | 0 | 536925 | 0 | |
| CYNTHIA WOOD | ||||||
| ASSISTANT SECRETARY | 1.0 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1003475 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GENESIS ELDERCARE NETWORK SERVICES | |||||
| 101 E STATE STREET | KENNETT SQUARE | PA | 19348 | MANAGEMENT FEES | 2209250 |
| SECURITAS SECURITY SERVICE USA INC | |||||
| PO BOX 403412 | ATLANTA | GA | 30384 | SECURITY GUARDS | 144237 |
| NEMSCHOFF CHAIRS INC | |||||
| 3045 Eagle Way | CHICAGO | IL | 60678 | FURNITURE | 156488 |
| DIRECT SUPPLY | |||||
| PO Box 88201 | MILWAUKEE | WI | 53288 | MEDICAL SUPPLIES | 145116 |
| SYSCO | |||||
| PO Box 477 | POCOMOKE | MD | 21851 | FOOD & SUPPLIES | 109690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|
| PATIENT SERVICE | 3115851 | 3115851 | |
| INSURANCE PROCEEDS FROM CASUALTY LOSS | 3184446 | $3,184,446 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6300297 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 762 | TotalRevenueColumn |
| Exclusion | $762 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Total Revenue Column | 3915 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3915 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3915 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6304974 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3119766 | RelatedOrExemptFunctionIncome |
| Exclusion | $3,185,208 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1660105 | Total |
| Program Services | 1660105 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182558 | Total |
| Program Services | 182558 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178705 | Total |
| Program Services | 178705 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 550000 | Total |
| Program Services | 550000 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8961 | Total |
| Program Services | 8961 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13579 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 13579 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39606 | Total |
| Program Services | 39606 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 874867 | Total |
| Program Services | 874867 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 407791 | Total |
| Program Services | 407791 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MISCELLANEOUS ADMINISTRATIVE | 362848 | 0 | 362848 | 0 |
| UTILITIES | 319882 | 319882 | 0 | 0 |
| SUPPLIES | 197668 | 197668 | 0 | 0 |
| CONTRACTS | 30265 | 30265 | 0 | 0 |
| TRASH REMOVAL | 16750 | 16750 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 922743 | Total |
| Program Services | 922743 | ProgramServices |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5766328 | Total |
| Program Services | 5389901 | ProgramServices |
| Management And General | 376427 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88243 | BOY |
| EOY | 205230 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3342284 | BOY |
| EOY | 2478732 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36890 | BOY |
| EOY | 583148 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12421 | BOY |
| EOY | 28941 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 405868 | BOY |
| EOY | 172550 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19060474 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6776606 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6540491 | BOY |
| EOY | 12283868 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1157541 | BOY |
| EOY | 1192417 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11583738 | BOY |
| EOY | 16944886 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 282351 | BOY |
| EOY | 1096473 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53705 | BOY |
| EOY | 39567 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15198717 | BOY |
| EOY | 18854484 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162250 | BOY |
| EOY | 529001 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15697023 | BOY |
| EOY | 20519525 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4113285 | BOY |
| EOY | -3574639 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4113285 | BOY |
| EOY | -3574639 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11583738 | BOY |
| EOY | 16944886 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 538646 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5552798 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1983847 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2177313 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2189769 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6300297 | CurrentTaxYear |
| Total | 18204024 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5552798 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1983847 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2177313 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2189769 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6300297 | CurrentTaxYear |
| Total | 18204024 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 18204024 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8182 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5390 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 164 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 122 | CurrentTaxYearMinus1Year |
| Current Tax Year | 762 | CurrentTaxYear |
| Total | 14620 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8182 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5390 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 164 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 122 | CurrentTaxYearMinus1Year |
| Current Tax Year | 762 | CurrentTaxYear |
| Total | 14620 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 633 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24453 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 30904 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 569310 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3915 | CurrentTaxYear |
| Total | 629215 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5561613 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2013690 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2208381 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2759201 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6304974 | CurrentTaxYear |
| Total | 18847859 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.96584 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.93434 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00078 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00104 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1043000 | OtherCostOrOtherBasis |
| Book Value | 1043000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15426707 | OtherCostOrOtherBasis |
| Depreciation | 5177196 | Depreciation |
| Book Value | 10249511 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2161081 | OtherCostOrOtherBasis |
| Depreciation | 1434984 | Depreciation |
| Book Value | 726097 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 429686 | OtherCostOrOtherBasis |
| Depreciation | 164426 | Depreciation |
| Book Value | 265260 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12283868 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FINANCING FEES, NET OF AMORT | Description |
| Book Value | 1192417 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1192417 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED INTEREST | $202,099 |
| MISCELLANEOUS LIABILITY | $5,018 |
| ACCRUED WAGES | $131,595 |
| ACCRUED EXP MGMT FEES | $190,289 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 529001 | TotalOfAmounts |
| Total Revenue | 6304974 | TotalRevenue |
| Total Expenses | 5766328 | TotalExpenses |
| Excess Or Deficit For Year | 538646 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 538646 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 6304974 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 6304974 | RevenueSubtotal |
| Total Revenue Per Form990 | 6304974 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5766328 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 5766328 | ExpensesSubtotal |
| Total Expenses Per Form990 | 5766328 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | fin 48 | Identifier |
| Return Reference | part X line 2 | ReturnReference |
| Explanation | The 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, 2011. Due to its tax-exempt status, the Company is not subject to income taxes. 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 has no other tax positions which must be considered for disclosure. Open tax year for the Company are 2008, 2009 and 2010. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN F WOOD | |||||||||||
| 0 | 252800 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 252800 |
| LEWIS F WOOD JR | |||||||||||
| 0 | 536925 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 536925 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GOVERNANCE, MANAGEMENT & DISCLOSURE | PART VI, SECTION A, LINE 2 | RELATIONSHIP 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 & DISCLOSURE | PART VI, SECTION A, LINES 11 | A DRAFT OF FORM 990 IS REVIEWED & AUTHORIZED BY A MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
| GOVERNANCE, MANAGEMENT & DISCLOSURE | PART VI, SECTION B, LINE 15 | COMPENSATION 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 & DISCLOSURE | PART VI, SECTION C, LINE 19 | THE 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 EXPENSES | PART IX, LINE 24(F): ALL OTHER EXPENSES | TOTAL PROG SERV MGMT & GEN FUNDRAISING ---------- --------- ---------- ----------- VEHICLE MAINTENANCE 25,799 25,799 NONE NONE MISC. OPERATING 120,642 120,642 NONE NONE REAL ESTATE TAXES 86,586 86,586 NONE NONE PROPERTY, LIAB. INS. 240,392 240,392 NONE NONE WORKERS COMP. 65,368 65,368 NONE NONE LICENSES AND CERT. 12,072 12,072 NONE NONE MORTGAGE INS. PREM. 57,445 57,445 NONE NONE AMORTIZATION EXPENSE 37,949 37,949 NONE NONE FOOD 132,527 132,527 NONE NONE DRUGS AND PHARM. 26,303 26,303 NONE NONE MEDICAL SUPPLIES 11,560 11,560 NONE NONE OTHER SERVICE EXP. 20,740 20,740 NONE NONE REHAB PURCHASED SERVICES 79,994 79,994 NONE NONE ACTIVITIES PURCHASED 5,300 5,300 NONE NONE NURSING PURCHASED SERVICES 66 66 NONE NONE ---------- --------- ---------- ----------- TOTAL $922,743 $922,743 NONE NONE |
| COMPENSATION OF OFFICERS | PART VII, SECTION A, AVERAGE HOURS PER WEEK | THE 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 & DISCLOSURE | Part VI Section B Line 12 | The Board members annually certify that they are aware of the conflict of interest policy and have no conflicts of interest. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRUCE P. HUTSON TITLE:PRESIDENT/DIRECTOR HOURS:7 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEPHEN F. WOOD TITLE:VP/TREAS./DIRECTOR HOURS:16 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN G. FOOS TITLE:VP/DIRECTOR HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN E. GILLMOR TITLE:VP/SEC./DIRECTOR HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LEWIS F. WOOD, JR. TITLE:CEO HOURS:38 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CYNTHIA WOOD TITLE:ASSISTANT SECRETARY HOURS:8 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| HOOSIER CARE INC | |||||||||
| 1600 Division St Suite 700 | NASHVILLE | TN | 37203 | 311262572 | NURSING HOME | IN | 501(C)(3) | 9 | NA |
| HOOSIER CARE II INC | |||||||||
| 1600 Division St Suite 700 | NASHVILLE | TN | 37203 | 311274121 | NURSING HOME | IN | 501(C)(3) | 9 | HOOSIER CARE |
| HOOSIER CARE III INC | |||||||||
| 1600 Division St Suite 700 | NASHVILLE | TN | 37203 | 621459304 | NURSING HOME | DE | 501(C)(3) | 9 | HOOSIER CARE |
| HOOSIER care PROPERTIESINC | |||||||||
| 1600 Division St Suite 700 | NASHVILLE | TN | 37203 | 200377349 | NURSING HOME | IN | 501(C)(3) | 9 | HOOSIER CARE |
| DELAWARE HEALTH CORPORATION | |||||||||
| 1600 Division St Suite 700 | NASHVILLE | TN | 37203 | 621548336 | NURSING HOME | DE | 501(C)(3) | 9 | HOOSIER CARE |
| HIGHLAND HEALTH SYSTEM | |||||||||
| 1600 Division St Suite 700 | NASHVILLE | TN | 37203 | 621486857 | NURSING HOME | PA | 501(C)(3) | 9 | HOOSIER CARE |
| BIRCHWOOD SENIOR HOUSING CORPORATION | |||||||||
| 1600 Division St Suite 700 | NASHVILLE | TN | 37203 | 204800428 | sr housing | TN | 501(C)(3) | 9 | HOOSIER CARE |
| CLAREMONT HEALTH SYSTEM INC | |||||||||
| 1600 Division St Suite 700 | NASHVILLE | TN | 37203 | 621486858 | NURSING HOME | NJ | 501(C)(3) | 9 | HOOSIER CARE |
| CLEVELAND SENIOR HOUSING CORPORATION | |||||||||
| 1600 Division St Suite 700 | NASHVILLE | TN | 37203 | 264739076 | SR HOUSING | TN | 501(C)(3) | 9 | HOOSIER CARE |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOOSIER CARE INVESTMENTS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Division St Suite 700 | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 37203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200479449 | EIN |
| Primary Activity | INVESTMENT | PrimaryActivity |
| Legal Domicile State | DE | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOOSIER CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | related | PredominantIncomeType |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | hoosier care investments llc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | o | TransactionType |
| Amount Involved | 112995 | AmountInvolved |