HOOSIER CARE III INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: HOOSIER CARE III INC (EIN 62-1459304)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201911359349308676
Schema version: 2017v2.2
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-15T14:07:17-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	621459304	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOOSIER CARE III INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOOS	BusinessNameControlTxt
Phone	6156479004	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 159098	AddressLine1Txt
City	NASHVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	372159098	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Douglass B Smith	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Signature	2019-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Douglass B Smith	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 159098	AddressLine1Txt
City	NASHVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	372159098	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$13,014,716	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	232	TotalEmployeeCnt
Total Volunteers	174	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$416	PYContributionsGrantsAmt
CY Contributions Grants	$299	CYContributionsGrantsAmt
PY Program Service Revenue	$11,463,742	PYProgramServiceRevenueAmt
CY Program Service Revenue	$13,013,942	CYProgramServiceRevenueAmt
PY Investment Income	$252	PYInvestmentIncomeAmt
CY Investment Income	$365	CYInvestmentIncomeAmt
PY Other Revenue	$735	PYOtherRevenueAmt
CY Other Revenue	$110	CYOtherRevenueAmt
PY Total Revenue	$11,465,145	PYTotalRevenueAmt
CY Total Revenue	$13,014,716	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$5,607,058	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$5,368,018	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$6,171,426	PYOtherExpensesAmt
CY Other Expenses	$7,171,081	CYOtherExpensesAmt
PY Total Expenses	$11,778,484	PYTotalExpensesAmt
CY Total Expenses	$12,539,099	CYTotalExpensesAmt
PY Revenues Less Expenses	-$313,339	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$475,617	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,485,805	TotalAssetsBOYAmt
Total Assets EOY	$6,576,636	TotalAssetsEOYAmt
Total Liabilities BOY	$9,738,081	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$9,353,295	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$3,252,276	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$2,776,659	NetAssetsOrFundBalancesEOYAmt
Mission	THE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$10,492,868	ExpenseAmt
Revenue	$13,014,052	RevenueAmt
Desc	THIS ORGANIZATION OPERATES A 101 BED SKILLED NURSING FACILITY AND A 59 BED ASSISTED LIVING/SENIOR HOUSING FACILITY FOR THE CARE OF ELDERLY PATIENTS IN NEWARK, DELAWARE.	Desc
Total Program Service Expenses	$10,492,868	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	47	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	232	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DOUGLASS B SMITH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6156479004	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 159098	AddressLine1Txt
City	NASHVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	372159098	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Douglass Smith
Director/President of Emerald Shelter Group	2.0	38.0	Yes (X)	Yes (X)	$0	$319,603	$13,778
Stephen F Wood Sr
DIRECTOR/CEO OF EMERALD SHELTER GROUP	2.0	38.0	Yes (X)	Yes (X)	$0	$725,000	$0
John G Foos
DIRECTOR	0.1	6.9	Yes (X)		$0	$70,000	$0
John E Gillmor
Director	0.1	6.9	Yes (X)		$0	$36,250	$0
Jo Ann Corbitt
Director	0.1	6.9	Yes (X)		$0	$37,500	$0
Stephen F Wood Jr
DIRECTOR	0.1	6.9	Yes (X)		$0	$66,250	$0
Jim Ridenour
DIRECTOR	0.1	6.9	Yes (X)		$0	$68,750	$0
Andrea Barach
VP AND CORPORATE SECRETARY (AS OF 9/2017)	1.0	39.0		Yes (X)	$0	$56,834	$1,958
John Noffsinger
COO (as of 10/2017)	2.0	33.0		Yes (X)	$0	$44,636	$549

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,424,823	TotReportableCompRltdOrgAmt
Total Other Compensation	$16,285	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EXCEPTIONAL REHAB
1050 CHINOE RD	SUITE 350	LEXINGTON	KY	40502	REHABILITATION	$1,297,849
MEDICAL REHABILITATION CENTER
1050 CHINOE ROAD	SUITE 350	LEXINGTON	KY	40502	MANAGEMENT SERVICES	$961,666
OMNICARE INC
PO BOX 78000		DETROIT	MI	48278	PHARMACY SERVICES	$378,756
PHOENIX CONSTRUCTION
380 H Knollwood	SUITE 333	WINSTONSALEM	NC	27114	CONSTRUCTION	$276,887
Dezign Construction
1833 Glassboro Rd		Williamstown	NJ	08094	Construction	$137,812

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$299	AllOtherContributionsAmt
Total Contributions	$299	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Resident Service revenue	Desc
Business	623000	BusinessCd
Total Revenue Column	$13,013,942	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,013,942	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$13,013,942	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$365	TotalRevenueColumnAmt
Exclusion	$365	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS	Desc
Business	900099	BusinessCd
Total Revenue Column	$110	TotalRevenueColumnAmt
Related Or Exempt Func Income	$110	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$110	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,014,716	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,014,052	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$365	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,564,851	TotalAmt
Program Services	$3,423,638	ProgramServicesAmt
Management And General	$1,141,213	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$812	TotalAmt
Program Services	$609	ProgramServicesAmt
Management And General	$203	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$456,044	TotalAmt
Program Services	$342,033	ProgramServicesAmt
Management And General	$114,011	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$346,311	TotalAmt
Program Services	$259,733	ProgramServicesAmt
Management And General	$86,578	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$704,616	TotalAmt
Program Services	$528,462	ProgramServicesAmt
Management And General	$176,154	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$28,974	TotalAmt
Management And General	$28,974	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$51,627	TotalAmt
Management And General	$51,627	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,961,266	TotalAmt
Program Services	$2,944,306	ProgramServicesAmt
Management And General	$16,960	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$123,659	TotalAmt
Program Services	$92,744	ProgramServicesAmt
Management And General	$30,915	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$57,483	TotalAmt
Program Services	$43,112	ProgramServicesAmt
Management And General	$14,371	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$554,897	TotalAmt
Program Services	$416,173	ProgramServicesAmt
Management And General	$138,724	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$24,951	TotalAmt
Program Services	$18,713	ProgramServicesAmt
Management And General	$6,238	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,065	TotalAmt
Program Services	$5,299	ProgramServicesAmt
Management And General	$1,766	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$306,208	TotalAmt
Program Services	$229,656	ProgramServicesAmt
Management And General	$76,552	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$647,779	TotalAmt
Program Services	$485,834	ProgramServicesAmt
Management And General	$161,945	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL RECORDS/SUPPLIES/EQUIPMENT	$772,053	$772,053
REVENUE ASSESSMENT FEES	$797,347	$797,347
PROVISION FOR BAD DEBT	$133,156	$133,156

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,539,099	TotalAmt
Program Services	$10,492,868	ProgramServicesAmt
Management And General	$2,046,231	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$787,434	BOYAmt
EOY	$642,236	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$895,658	BOYAmt
EOY	$1,178,527	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$106,933	BOYAmt
EOY	$78,832	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$15,237,565	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$10,938,546	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,387,270	BOYAmt
EOY	$4,299,019	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$308,510	BOYAmt
EOY	$378,022	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,485,805	BOYAmt
EOY	$6,576,636	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,028,263	BOYAmt
EOY	$1,028,933	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,784,252	BOYAmt
EOY	$7,631,086	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$925,566	BOYAmt
EOY	$693,276	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,738,081	BOYAmt
EOY	$9,353,295	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$3,252,276	BOYAmt
EOY	-$2,776,659	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$3,252,276	BOYAmt
EOY	-$2,776,659	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,485,805	BOYAmt
EOY	$6,576,636	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$475,617	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (true)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$416	CurrentTaxYearMinus1YearAmt
Current Tax Year	$299	CurrentTaxYearAmt
Total	$715	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,050,821	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,769,029	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$10,449,945	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,463,742	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,013,942	CurrentTaxYearAmt
Total	$58,747,479	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,050,821	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,769,029	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$10,449,945	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,464,158	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,014,241	CurrentTaxYearAmt
Total	$58,748,194	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$58,748,194	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$649	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$397	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$247	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$252	CurrentTaxYearMinus1YearAmt
Current Tax Year	$365	CurrentTaxYearAmt
Total	$1,910	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$649	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$397	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$247	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$252	CurrentTaxYearMinus1YearAmt
Current Tax Year	$365	CurrentTaxYearAmt
Total	$1,910	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$300,828	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,795	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,599	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$735	CurrentTaxYearMinus1YearAmt
Current Tax Year	$110	CurrentTaxYearAmt
Total	$308,067	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,352,298	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,773,221	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$10,452,791	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,465,145	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,014,716	CurrentTaxYearAmt
Total	$59,058,171	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9948	PublicSupportCY509Pct
Public Support PY509	0.9946	PublicSupportPY509Pct
Investment Income CY	0.0000	InvestmentIncomeCYPct
Investment Income PY	0.0000	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part III, Line 12 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - 300828.0, COLUMN B - 3795.0, COLUMN C - 2599.0, COLUMN D - 735.0, COLUMN E - 110.0, COLUMN F - 308067.0;	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$265,489	OtherCostOrOtherBasisAmt
Book Value	$265,489	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,437,182	OtherCostOrOtherBasisAmt
Depreciation	$8,905,461	DepreciationAmt
Book Value	$3,531,721	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,401,258	OtherCostOrOtherBasisAmt
Depreciation	$1,938,509	DepreciationAmt
Book Value	$462,749	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,636	OtherCostOrOtherBasisAmt
Depreciation	$94,576	DepreciationAmt
Book Value	$39,060	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,299,019	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
REPLACEMENT RESERVE	$342,966
ESCROW DEPOSITS	$35,056

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$378,022	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	NOTE PAYABLE TO RELATED PARTY	Desc
Amt	$693,276	Amt

Field	Value	IRS element (for citing)
Total Liability	$693,276	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE OPERATING COMPANY IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE AND CORRESPONDING STATE TAX PROVISIONS. THE FACILITY COMPANY IS A SINGLE MEMBER LIMITED LIABILITY COMPANY, AND ALL INCOME IS INCLUDED IN THE INCOME OF THE INDIVIDUAL MEMBER (THE OPERATING COMPANY). ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF DELAWARE FOR THE LAST THREE YEARS AND DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNT ACCRUED FOR INTEREST AND PENALTIES AT JUNE 30, 2018 AND 2017.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Douglass Smith
Director/President of Emerald Shelter Group	$0	$319,603	$0	$0	$0	$0	$0	$0	$0	$13,778	$0	$333,381	$0	$0
Stephen F Wood Sr
DIRECTOR/CEO OF EMERALD SHELTER GROUP	$0	$725,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$725,000	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 1a NUMBER OF EMPLOYEES AND VENDORS	EXCEPTIONAL LIVING CENTERS FILES ALL APPLICABLE IRS TAX FILINGS FOR THE ORGANIZATION.
Form 990, Part VI, Line 15a COMPENSATION	COMPENSATION FOR THE TOP MANAGEMENT OFFICAL IS PAID BY A RELATED ORGANIZATION, THEREFORE LINE 15A IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL BY THE BOARD OF DIRECTORS. COMPENSATION IS BASED ON AN INDEPENDENT COMPENSATION STUDY AND INCREASES IN COMPENSATION ARE AT THE DISCRETION OF THE BOARD. DURING THE FILING YEAR A COMPENSATION STUDY WAS PERFORMED BY A THIRD PARTY AND INCLUDED A REVIEW OF THE ECONOMIC RESEARCH INSTITUTE'S EXECUTIVE ASSESSOR DATABASE, THE MERCER EXECUTIVE BENCHMARK DATABASE AND SURVEY DATA FROM A GROUP OF PEER COMPANIES WITHIN THE ASSISTED AND LONG-TERM CARE INDUSTRY.
Form 990, Part VI, Line 15b COMPENSATION	COMPENSATION FOR ALL OTHER OFFICERS OR KEY EMPLOYEES IS PAID BY A RELATED ORGANIZATION, THEREFORE LINE 15B IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL BY THE BOARD OF DIRECTORS. COMPENSATION IS BASED ON AN INDEPENDENT COMPENSATION STUDY AND INCREASES IN COMPENSATION ARE AT THE DISCRETION OF THE BOARD. DURING THE FILING YEAR A COMPENSATION STUDY WAS PERFORMED BY A THIRD PARTY AND INCLUDED A REVIEW OF THE ECONOMIC RESEARCH INSTITUTE'S EXECUTIVE ASSESSOR DATABASE, THE MERCER EXECUTIVE BENCHMARK DATABASE AND SURVEY DATA FROM A GROUP OF PEER COMPANIES WITHIN THE ASSISTED AND LONG-TERM CARE INDUSTRY.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	STEPHEN F. WOOD, SR. & STEPHEN F. WOOD, JR. - Family relationship
Form 990, Part VI, Line 3 Delegation of management duties	THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH MEDICAL REHABILITATION CENTERS, LLC, D/B/A EXCEPTIONAL LIVING CENTERS. MANAGEMENT SERVICES INCLUDE SUPERVISION OF FACILITY OPERATIONS, ADMINISTRATIVE SERVICES, MANAGEMENT INFORMATION SYSTEM SERVICES, ACCOUNTING, AND COST REPORT PREPARATION. THERE ARE NO CURRENT OFFICERS, DIRECTORS, OR HIGHEST COMPENSATED EMPLOYEES WHO WERE COMPENSATED BY THE MANAGEMENT COMPANY.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY, THEREFORE THIS QUESTION HAS BEEN MARKED "NO" IN ACCORDANCE TO THE IRS INSTRUCTIONS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A complete copy of the form 990 is reviewed by the organization's legal counsel and an authorized member of the board of directors prior to filing with the IRS. Additionally, a complete copy of the form 990 is provided to all members of the governing body.
Form 990, Part VI, Line 12c Conflict of interest policy	Annual certifications are received from all officers and directors to determine whether any potential conflicts of interest exist. The board of directors discuss the annual certifications at the board meetings to determine whether an actual conflict of interest exists. If a conflict is determined to exist, that person would be refused from taking part in any decisions concerning the conflicting issue.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S OFFICE DURING REGULAR BUSINESS HOURS UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	CONTRACT LABOR - Total Expense: 2841837, Program Service Expense: 2841837, Management and General Expenses: , Fundraising Expenses: ; MEDICAL PROFESSIONAL FEES AND SERVICES - Total Expense: 51588, Program Service Expense: 51588, Management and General Expenses: , Fundraising Expenses: ; INFORMATION TECHNOLOGY - Total Expense: 67841, Program Service Expense: 50881, Management and General Expenses: 16960, Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHURCHMAN VILLAGE CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4949 OGLETOWN STANTON RD	AddressLine1Txt
City	NEWARK	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19713	ZIPCd

Field	Value	IRS element (for citing)
EIN	261168743	EIN
Primary Activities	SENIOR HOUSING/SKILLED NURSING	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd
Total Income	$784,375	TotalIncomeAmt
End Of Year Assets	$4,777,167	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HOOSIER CARE III INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BIRCHWOOD SENIOR HOUSING CORPORATION
PO BOX 159098	NASHVILLE	TN	37215	204800428	SENIOR HOUSING	CO	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
CLAREMONT HEALTH SYSTEM INC
PO BOX 159098	NASHVILLE	TN	37215	621486858	NURSING HOME	NJ	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
CLEVELAND SENIOR HOUSING CORPORATION
PO BOX 159098	NASHVILLE	TN	37215	264739076	SENIOR HOUSING	TN	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
DELAWARE HEALTH CORPORATION
PO BOX 159098	NASHVILLE	TN	37215	621548336	NURSING HOME	DE	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION
PO BOX 159098	NASHVILLE	TN	37215	364825354	HOLDING COMPANY	WI	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
EMERALD SPRING HILL INC
PO BOX 159098	NASHVILLE	TN	37215	474584314	NURSING HOME	TN	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
HEALTH AND HOUSING SUPPORT SERVICES INC
PO BOX 159098	NASHVILLE	TN	37215	452449379	SUPPORTING ORGANIZATION	NV	501(c)(3)	Type II	HEALTH AND HOUSING SUPPORT SERVICES INC	false
HOOSIER CARE II INC
PO BOX 159098	NASHVILLE	TN	37215	311274121	NURSING HOME	IN	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
HOOSIER CARE PROPERTIES INC
PO BOX 159098	NASHVILLE	TN	37215	200377349	HOLDING COMPANY	IN	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
HOOSIER CARE INC
PO BOX 159098	NASHVILLE	TN	37215	311262572	NURSING HOME	IN	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
HOOSIER HOUSING GROUP INC
PO BOX 159098	NASHVILLE	TN	37215	463491686	HOLDING COMPANY	NV	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false
LAURELWOOD SENIOR HOUSING CORPORATION
PO BOX 159098	NASHVILLE	TN	37215	320362338	SENIOR HOUSING	TN	501(c)(3)	10	HEALTH AND HOUSING SUPPORT SERVICES INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
GATE MANOR HOUSING GP LLC
PO BOX 159098	NASHVILLE	TN	37215	352531184	AFFORDABLE HOUSING PROJECTS	TN	NA	C Corporation	false
KNOXVILLE HOUSING PORTFOLIO GP LLC
PO BOX 159098	NASHVILLE	TN	37215	474536542	AFFORDABLE HOUSING PROJECTS	TN	NA	C Corporation	false
Jackson Housing Portfolio GP LLC
PO Box 159098	Nashville	TN	37215	364843724	Affordable Housing Projects		NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd