2018-05-14T22:03:49-05:00 2017-06-30 350921680 CROWE HORWATH LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2016-07-01 621459304 HOOSIER CARE III INC HOOS 6156479004 PO BOX 159098 NASHVILLE TN 372159098 Douglass B Smith PRESIDENT & COO 2018-05-14 true Rachel Spurlock P00520729 5023263996 2016 2022-09-23 18:48:47Z Douglass B Smith PO BOX 159098 NASHVILLE TN 372159098 11465145 false X N/A X 1991 DE THE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY. 7 2 232 174 0 0 416 10449945 11463742 247 252 2599 735 10452791 11465145 0 0 5881671 5607058 0 0 5775234 6171426 11656905 11778484 -1204114 -313339 7186639 6485805 10125576 9738081 -2938937 -3252276 THE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY. false false 9696309 11464477 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. 9696309 true false false false false false false false false false true false false false true false false false false false false false false false false false false false false true false false false false false false false false false false false false true true false false false true 46 0 true 232 true false false false false false false X 7 2 true true false false false false false true false false false true true true true true true false false false X DOUGLASS B SMITH 6156479004 PO BOX 159098 NASHVILLE TN 372159098 Stephen F Wood Sr DIRECTOR/CEO OF EMERALD SHELTER GROUP 2.0 38.0 X X 0 790900 0 Douglass Smith DIRECTOR/PRESIDENT OF EMERALD SHELTER GROUP 2.0 38.0 X X 0 283380 9098 John E Gillmor Director/VP, SECRETARY 0.1 6.9 X X 0 113525 0 Jo Ann Corbitt DIRECTOR/VP OF HOUSING 0.1 6.9 X X 0 78800 0 John G Foos DIRECTOR 0.1 6.9 X 0 65000 0 Stephen F Wood Jr DIRECTOR 0.1 6.9 X 0 57500 0 Jim Ridenour DIRECTOR 0.1 6.9 X 0 25000 0 0 1414105 9098 0 false true false EXCEPTIONAL REHAB 1050 CHINOE RD SUITE 350 LEXINGTON KY 40502 REHABILITATION 1118927 MEDICAL REHABILITATION CENTER 1050 CHINOE ROAD SUITE 350 LEXINGTON KY 40502 MANAGEMENT SERVICES 992943 OMNICARE INC PO BOX 78000 DETROIT MI 48278 PHARMACY SERVICES 394677 PHOENIX CONSTRUCTION 380 H Knollwood SUITE 333 WINSTONSALEM NC 27114 CONSTRUCTION 222454 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 LAUNDRY, FOOD, ENVIRONMENTAL 211803 5 416 416 Resident Service revenue 623000 11463742 11463742 0 0 0 0 11463742 252 252 0 0 0 0 MISCELLANEOUS 900099 735 735 0 0 0 0 735 11465145 11464477 0 252 X 4719588 3539691 1179897 601 451 150 493977 370483 123494 392892 294669 98223 688116 516087 172029 33614 33614 43981 43981 1727534 1713564 13970 0 164765 123574 41191 51620 38715 12905 500783 375587 125196 21319 15989 5330 13967 10475 3492 328853 246640 82213 585961 439471 146490 MEDICAL RECORDS/SUPPLIES/EQUIPMENT 914688 914688 REVENUE ASSESSMENT FEES 793398 793398 PROVISION FOR BAD DEBT 302827 302827 0 0 0 0 11778484 9696309 2082175 0 394994 787434 1304436 895658 0 0 0 107835 106933 14688557 10301287 4491690 4387270 0 0 887684 308510 7186639 6485805 1052935 1028263 7932586 7784252 1140055 925566 10125576 9738081 X -2938937 -3252276 -2938937 -3252276 7186639 6485805 -313339 0 X true X false true X 416 416 11840324 12050821 11769029 10449945 11463742 57573861 0 0 0 11840324 12050821 11769029 10449945 11464158 57574277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57574277 295 649 397 247 252 1840 0 295 649 397 247 252 1840 0 1421 300828 3795 2599 735 309378 11842040 12352298 11773221 10452791 11465145 57885495 0.9946 0.9945 0.0000 0.0000 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - 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; 265489 265489 11754650 8399099 3355551 2243821 1813519 430302 424597 88669 335928 4387270 NOTE PAYABLE TO RELATED PARTY 925566 925566 false false false false false false false false Stephen F Wood Sr DIRECTOR/CEO OF EMERALD SHELTER GROUP 0 790900 0 0 0 0 0 0 0 0 0 790900 0 0 Douglass Smith DIRECTOR/PRESIDENT OF EMERALD SHELTER GROUP 0 276673 0 0 0 6707 0 0 0 9098 0 292478 0 0 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: 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: ; CHURCHMAN VILLAGE CENTER LLC 4949 OGLETOWN STANTON RD NEWARK DE 19713 261168743 SENIOR HOUSING/SKILLED NURSING DE 669876 4793239 HOOSIER CARE III INC 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 VICTORIA HEALTH CORPORATION PO BOX 159098 NASHVILLE TN 37215 621518645 THIS ORGANIZATION IS IN THE PROCESS OF DISSOLVING. NJ 501(c)(3) 10 HEALTH AND HOUSING SUPPORT SERVICES INC false 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 false false false false true false false false false false false false false false false true false false false