HOOSIER CARE III INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HOOSIER CARE III INC (EIN 62-1459304)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201811349349310921
Schema version
2016v3.0
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)
Return2018-05-14T22:03:49-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19600 Brownsboro Road Suite 400AddressLine1Txt
CityLouisvilleCityNm
State AbbreviationKYStateAbbreviationCd
ZIP402411122ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN621459304EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOOSIER CARE III INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOOSBusinessNameControlTxt
Phone6156479004PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 159098AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP372159098ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDouglass B SmithPersonNm
Person TitlePRESIDENT & COOPersonTitleTxt
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRachel SpurlockPreparerPersonNm
PTINP00520729PTIN
Phone5023263996PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Douglass B SmithBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 159098AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP372159098ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,465,145GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee232TotalEmployeeCnt
Total Volunteers174TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$416CYContributionsGrantsAmt
PY Program Service Revenue$10,449,945PYProgramServiceRevenueAmt
CY Program Service Revenue$11,463,742CYProgramServiceRevenueAmt
PY Investment Income$247PYInvestmentIncomeAmt
CY Investment Income$252CYInvestmentIncomeAmt
PY Other Revenue$2,599PYOtherRevenueAmt
CY Other Revenue$735CYOtherRevenueAmt
PY Total Revenue$10,452,791PYTotalRevenueAmt
CY Total Revenue$11,465,145CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,881,671PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,607,058CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,775,234PYOtherExpensesAmt
CY Other Expenses$6,171,426CYOtherExpensesAmt
PY Total Expenses$11,656,905PYTotalExpensesAmt
CY Total Expenses$11,778,484CYTotalExpensesAmt
PY Revenues Less Expenses-$1,204,114PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$313,339CYRevenuesLessExpensesAmt
Total Assets BOY$7,186,639TotalAssetsBOYAmt
Total Assets EOY$6,485,805TotalAssetsEOYAmt
Total Liabilities BOY$10,125,576TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,738,081TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,938,937NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,252,276NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,696,309ExpenseAmt
Revenue$11,464,477RevenueAmt
DescTHIS 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$9,696,309TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee232EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DOUGLASS B SMITHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6156479004PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 159098AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP372159098ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Stephen F Wood Sr
DIRECTOR/CEO OF EMERALD SHELTER GROUP2.038.0Yes (X)Yes (X)$0$790,900$0
Douglass Smith
DIRECTOR/PRESIDENT OF EMERALD SHELTER GROUP2.038.0Yes (X)Yes (X)$0$283,380$9,098
John E Gillmor
Director/VP, SECRETARY0.16.9Yes (X)Yes (X)$0$113,525$0
Jo Ann Corbitt
DIRECTOR/VP OF HOUSING0.16.9Yes (X)Yes (X)$0$78,800$0
John G Foos
DIRECTOR0.16.9Yes (X)$0$65,000$0
Stephen F Wood Jr
DIRECTOR0.16.9Yes (X)$0$57,500$0
Jim Ridenour
DIRECTOR0.16.9Yes (X)$0$25,000$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,414,105TotReportableCompRltdOrgAmt
Total Other Compensation$9,098TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EXCEPTIONAL REHAB
1050 CHINOE RDSUITE 350LEXINGTONKY40502REHABILITATION$1,118,927
MEDICAL REHABILITATION CENTER
1050 CHINOE ROADSUITE 350LEXINGTONKY40502MANAGEMENT SERVICES$992,943
OMNICARE INC
PO BOX 78000DETROITMI48278PHARMACY SERVICES$394,677
PHOENIX CONSTRUCTION
380 H KnollwoodSUITE 333WINSTONSALEMNC27114CONSTRUCTION$222,454
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020LAUNDRY, FOOD, ENVIRONMENTAL$211,803
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$416AllOtherContributionsAmt
Total Contributions$416TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescResident Service revenueDesc
Business623000BusinessCd
Total Revenue Column$11,463,742TotalRevenueColumnAmt
Related Or Exempt Func Income$11,463,742RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,463,742TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$252TotalRevenueColumnAmt
Exclusion$252ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$735TotalRevenueColumnAmt
Related Or Exempt Func Income$735RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$735OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,465,145TotalRevenueColumnAmt
Related Or Exempt Func Income$11,464,477RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$252ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,719,588TotalAmt
Program Services$3,539,691ProgramServicesAmt
Management And General$1,179,897ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$601TotalAmt
Program Services$451ProgramServicesAmt
Management And General$150ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$493,977TotalAmt
Program Services$370,483ProgramServicesAmt
Management And General$123,494ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$392,892TotalAmt
Program Services$294,669ProgramServicesAmt
Management And General$98,223ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$688,116TotalAmt
Program Services$516,087ProgramServicesAmt
Management And General$172,029ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,614TotalAmt
Management And General$33,614ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,981TotalAmt
Management And General$43,981ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,727,534TotalAmt
Program Services$1,713,564ProgramServicesAmt
Management And General$13,970ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$164,765TotalAmt
Program Services$123,574ProgramServicesAmt
Management And General$41,191ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$51,620TotalAmt
Program Services$38,715ProgramServicesAmt
Management And General$12,905ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$500,783TotalAmt
Program Services$375,587ProgramServicesAmt
Management And General$125,196ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,319TotalAmt
Program Services$15,989ProgramServicesAmt
Management And General$5,330ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,967TotalAmt
Program Services$10,475ProgramServicesAmt
Management And General$3,492ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$328,853TotalAmt
Program Services$246,640ProgramServicesAmt
Management And General$82,213ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$585,961TotalAmt
Program Services$439,471ProgramServicesAmt
Management And General$146,490ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL RECORDS/SUPPLIES/EQUIPMENT$914,688$914,688
REVENUE ASSESSMENT FEES$793,398$793,398
PROVISION FOR BAD DEBT$302,827$302,827

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,778,484TotalAmt
Program Services$9,696,309ProgramServicesAmt
Management And General$2,082,175ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$394,994BOYAmt
EOY$787,434EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,304,436BOYAmt
EOY$895,658EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$107,835BOYAmt
EOY$106,933EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,688,557LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,301,287LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,491,690BOYAmt
EOY$4,387,270EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$887,684BOYAmt
EOY$308,510EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,186,639BOYAmt
EOY$6,485,805EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,052,935BOYAmt
EOY$1,028,263EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,932,586BOYAmt
EOY$7,784,252EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,140,055BOYAmt
EOY$925,566EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,125,576BOYAmt
EOY$9,738,081EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,938,937BOYAmt
EOY-$3,252,276EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,938,937BOYAmt
EOY-$3,252,276EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,186,639BOYAmt
EOY$6,485,805EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$313,339ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$416CurrentTaxYearAmt
Total$416TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,840,324CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,050,821CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,769,029CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,449,945CurrentTaxYearMinus1YearAmt
Current Tax Year$11,463,742CurrentTaxYearAmt
Total$57,573,861TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,840,324CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,050,821CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,769,029CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,449,945CurrentTaxYearMinus1YearAmt
Current Tax Year$11,464,158CurrentTaxYearAmt
Total$57,574,277TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$57,574,277PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$295CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$649CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$397CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$247CurrentTaxYearMinus1YearAmt
Current Tax Year$252CurrentTaxYearAmt
Total$1,840TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$295CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$649CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$397CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$247CurrentTaxYearMinus1YearAmt
Current Tax Year$252CurrentTaxYearAmt
Total$1,840TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,421CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$300,828CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,795CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,599CurrentTaxYearMinus1YearAmt
Current Tax Year$735CurrentTaxYearAmt
Total$309,378TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,842,040CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,352,298CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,773,221CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,452,791CurrentTaxYearMinus1YearAmt
Current Tax Year$11,465,145CurrentTaxYearAmt
Total$57,885,495TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9946PublicSupportCY509Pct
Public Support PY5090.9945PublicSupportPY509Pct
Investment Income CY0.0000InvestmentIncomeCYPct
Investment Income PY0.0000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - 1421.0, COLUMN B - 300828.0, COLUMN C - 3795.0, COLUMN D - 2599.0, COLUMN E - 735.0, COLUMN F - 309378.0;ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,754,650OtherCostOrOtherBasisAmt
Depreciation$8,399,099DepreciationAmt
Book Value$3,355,551BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,243,821OtherCostOrOtherBasisAmt
Depreciation$1,813,519DepreciationAmt
Book Value$430,302BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$424,597OtherCostOrOtherBasisAmt
Depreciation$88,669DepreciationAmt
Book Value$335,928BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,387,270TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescNOTE PAYABLE TO RELATED PARTYDesc
Amt$925,566Amt
FieldValueIRS element (for citing)
Total Liability$925,566TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stephen F Wood Sr
DIRECTOR/CEO OF EMERALD SHELTER GROUP$0$790,900$0$0$0$0$0$0$0$0$0$790,900$0$0
Douglass Smith
DIRECTOR/PRESIDENT OF EMERALD SHELTER GROUP$0$276,673$0$0$0$6,707$0$0$0$9,098$0$292,478$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a NUMBER OF EMPLOYEES AND VENDORSEXCEPTIONAL LIVING CENTERS FILES ALL APPLICABLE IRS TAX FILINGS FOR THE ORGANIZATION.
Form 990, Part VI, Line 15a COMPENSATIONCOMPENSATION 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 COMPENSATIONCOMPENSATION 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 personsSTEPHEN F. WOOD, SR. & STEPHEN F. WOOD, JR. - Family relationship
Form 990, Part VI, Line 3 Delegation of management dutiesTHE 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 bodyTHERE 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 bodyA 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 policyAnnual 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 publicTHE 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 FeesCONTRACT LABOR - Total Expense: 1621349, Program Service Expense: 1621349, Management and General Expenses: , Fundraising Expenses: ; MEDICAL PROFESSIONAL FEES AND SERVICES - Total Expense: 50305, Program Service Expense: 50305, Management and General Expenses: , Fundraising Expenses: ; INFORMATION TECHNOLOGY - Total Expense: 55880, Program Service Expense: 41910, Management and General Expenses: 13970, Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CHURCHMAN VILLAGE CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14949 OGLETOWN STANTON RDAddressLine1Txt
CityNEWARKCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19713ZIPCd
FieldValueIRS element (for citing)
EIN261168743EIN
Primary ActivitiesSENIOR HOUSING/SKILLED NURSINGPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd
Total Income$669,876TotalIncomeAmt
End Of Year Assets$4,793,239EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOOSIER CARE III INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BIRCHWOOD SENIOR HOUSING CORPORATION
PO BOX 159098NASHVILLETN37215204800428SENIOR HOUSINGCO501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
CLAREMONT HEALTH SYSTEM INC
PO BOX 159098NASHVILLETN37215621486858NURSING HOMENJ501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
CLEVELAND SENIOR HOUSING CORPORATION
PO BOX 159098NASHVILLETN37215264739076SENIOR HOUSINGTN501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
DELAWARE HEALTH CORPORATION
PO BOX 159098NASHVILLETN37215621548336NURSING HOMEDE501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
EMERALD UPPER MIDWEST HEALTHCARE HOLDING CORPORATION
PO BOX 159098NASHVILLETN37215364825354HOLDING COMPANYWI501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
EMERALD SPRING HILL INC
PO BOX 159098NASHVILLETN37215474584314NURSING HOMETN501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
HEALTH AND HOUSING SUPPORT SERVICES INC
PO BOX 159098NASHVILLETN37215452449379SUPPORTING ORGANIZATIONNV501(c)(3)Type IIHEALTH AND HOUSING SUPPORT SERVICES INCfalse
HOOSIER CARE II INC
PO BOX 159098NASHVILLETN37215311274121NURSING HOMEIN501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
HOOSIER CARE PROPERTIES INC
PO BOX 159098NASHVILLETN37215200377349HOLDING COMPANYIN501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
HOOSIER CARE INC
PO BOX 159098NASHVILLETN37215311262572NURSING HOMEIN501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
HOOSIER HOUSING GROUP INC
PO BOX 159098NASHVILLETN37215463491686HOLDING COMPANYNV501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
LAURELWOOD SENIOR HOUSING CORPORATION
PO BOX 159098NASHVILLETN37215320362338SENIOR HOUSINGTN501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse
VICTORIA HEALTH CORPORATION
PO BOX 159098NASHVILLETN37215621518645THIS ORGANIZATION IS IN THE PROCESS OF DISSOLVING.NJ501(c)(3)10HEALTH AND HOUSING SUPPORT SERVICES INCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
GATE MANOR HOUSING GP LLC
PO BOX 159098NASHVILLETN37215352531184AFFORDABLE HOUSING PROJECTSTNNAC Corporationfalse
KNOXVILLE HOUSING PORTFOLIO GP LLC
PO BOX 159098NASHVILLETN37215474536542AFFORDABLE HOUSING PROJECTSTNNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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