2013-05-10T16:16:03-05:00 2012-06-30 COHNREZNICK LLP 500 EAST PRATT STREET SUITE 200 BALTIMORE MD 212023100 990 2011-07-01 621486857 HIGHLAND HEALTH SYSTEM INC % JOHN GILLMOR HIGH 6152522305 1600 DIVISION STREET Suite 700 NASHVILLE TN 37203 JOHN GILMOR 2013-05-10 true PHILIP H CORNBLATT CPA 4107834900 2011 2016-02-24 21:20:13Z JOHN GILLMOR 1600 Division St Suite 700 Nashville TN 37203 8269772 false 5138 X N/A X 1992 PA THE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY 6 0 107 0 0 0 8485272 7887620 336737 153449 211199 228703 9033208 8269772 0 0 0 0 4517047 4368420 0 0 0 4473225 4668891 8990272 9037311 42936 -767539 7620141 7182856 7955714 8286010 -335573 -1103154 THE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY. false false 8798105 7887620 OPERATED A 97 BED INTERMEDIATE AND SKILLED-CARE NURSING FACILITY FOR THE CARE OF ELDERLY PATIENTS. 8798105 true false false false false false false false false true false false true true true true 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 false true false false false false true 0 0 true 107 true false false false false false false false false false false X 6 0 true false false false false false false true true false false true true true true true true true true false X JOHN GILLMOR 6152522305 1600 DIVISION ST SUITE 700 Nashville TN 37203 X X BRUCE P HUTSON 0.6 X X 0 55500 0 STEPHEN F WOOD SR 5.0 X X 244000 JOHN G FOOS 0.1 X X 55500 JOHN GILLMOR 0.4 X X 70878 DOUGLASS SMITH 0.1 X JO ANN CORBITT 0.1 X STEPHEN F WOOD JR 0.1 X CYNTHIA WOOD 0.48 X 21000 LEWIS F WOOD JR X 548713 0 995591 0 0 true true false GENESIS ELDERCARE NETWORK SERVICES 101 EAST STATE STREET KENNETT SQUARE PA 19348 MANAGEMENT 4231610 GENESIS REHABILITATION SERVICES PO Box 7247-6524 PHILADELPHIA PA 19170 REHAB SERVICES 630473 MEDLINE INDUSTRIES INC Po Box 382075 PITTSBURGH PA 15251 NURSING SUPPLIES 122743 OMNICARE PO Box 715276 COLUMBUS OH 43271 PHARMACEUTICALS 249007 US FOOD SERVICE WEST VIRGINIA PO Box 644540 PITTSBURGH PA 15264 FOOD & DIETARY 154420 5 0 PATIENT SERVICE 623000 7887620 7887620 7887620 153449 153449 0 0 0 0 0 0 MISC. REVENUE 900099 35537 35537 HOOSIER CARE INVESTMENTS, LLC - OTHER INCOME 900099 193166 193166 228703 8269772 8116323 153449 0 0 0 0 0 0 4368420 4368420 0 0 0 0 0 413524 413524 0 0 77324 77324 0 0 17850 0 17850 0 0 0 0 85856 85856 0 0 0 0 0 0 0 0 0 0 557296 557296 0 0 0 308355 308355 0 0 172273 172273 0 0 CONTRACT SERVICES 795805 795805 0 0 SUPPLIES AND OTHER EXPENSES 774872 774872 0 0 BAD DEBT 131512 131512 0 0 HOOSIER CARE INVESTMENTS, LLC 221356 0 221356 0 1112868 1112868 9037311 8798105 239206 0 780005 180801 1864191 1997243 0 0 872829 1049098 0 0 0 0 0 0 36496 34992 49985 44234 8672571 5752619 3156076 2919952 0 0 0 0 0 0 0 0 860559 956536 7620141 7182856 2006717 2579620 0 0 29898 51266 5146935 4858091 0 0 0 0 772164 772164 0 0 0 24869 7955714 8286010 X -335573 -1103154 0 0 0 0 -335573 -1103154 7620141 7182856 X -767539 -42 X false true true X X false false false 8987050 8422135 8690594 8485272 7887620 42472671 8987050 8422135 8690594 8485272 7887620 42472671 42472671 57181 82601 101423 127651 153449 522305 57181 82601 101423 127651 153449 522305 214491 111328 143181 211199 228703 908902 9258722 8616064 8935198 8824122 8269772 43903878 0.96740 0.97144 0.01190 0.00890 X 81548 81548 6912326 4370022 2542304 1487956 1220201 267755 190741 162396 28345 2919952 DUE FROM THIRD PARTY PAYOR 424 FINANCING FEES, NET OF AMORT 102632 INVESTMENTS, LLC 851256 DUE FROM AFFILIATE 1462 OTHER ASSETS 762 956536 0 DUE TO THIRD PARTY 24869 24869 8269772 9037311 -767539 23212 23212 -744327 8071628 8071628 198144 198144 8269772 8815955 8815955 221356 221356 9037311 SUPPLEMENTAL FINANCIAL STATEMENTS PART XI, LINE 8/PART XII, LINE 4B/PART XIII, LINE 4B FROM HOOSIER CARE INVESTMENTS, LLC FIN 48 PART X LINE 2 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, 2012. 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 years for the Company are 2009, 2010 and 2011. X X X X false false false false false false false false false STEPHEN F WOOD SR 244000 244000 LEWIS F WOOD JR 548713 548713 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 Stephen Wood, JR TITLE OR ROLE: CEO/TREASURER RELATIONSHIP: BROTHER/SISTER-IN-LAW/son NAME OF OFFICER, DIRECTOR, ETC: LEWIS F. WOOD, JR NAME OF RELATED ENTITY: CYNTHIA WOOD STEPHEN WOOD stephen wood, jr TITLE OR ROLE: Former officer RELATIONSHIP: WIFE/BROTHER/nephew NAME OF OFFICER, DIRECTOR, ETC: CYNTHIA WOOD NAME OF RELATED ENTITY: LEWIS F. WOOD, JR STEPHEN WOOD Stephen wood, jr TITLE OR ROLE: Asst Secretary RELATIONSHIP: HUSBAND/BROTHER-IN-LAW/nephew NAME OF OFFICER, DIRECTOR, ETC: Stephen Wood Jr NAME OF RELATED ENTITY: LEWIS F. WOOD, JR STEPHEN WOOD Cynthia Wood TITLE OR ROLE: director RELATIONSHIP: uncle/father/uncle GOVERNANCE, MANAGEMENT & DISCLOSURE PART VI, SECTION A, LINE 10 A DRAFT OF FORM 990 IS REVIEWED AND 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. 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 twelve 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. RECONCILIATION OF NET ASSETS Part XI line 5 Hoosier Care Investments LLC - book/tax difference - (42) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRUCE P. HUTSON TITLE:PRESIDENT HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEPHEN F. WOOD, SR TITLE:CEO/VP/TREASURER HOURS:25 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN G. FOOS TITLE:VP/TREASURER HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN GILLMOR TITLE:VP/SECRETARY HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DOUGLASS SMITH TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JO ANN CORBITT TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEPHEN F. WOOD, JR TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CYNTHIA WOOD TITLE:ASSISTANT SECRETARY HOURS:4 OTHER EXPENSES FORM 990 PART IX DESCRIPTION:ADMINISTRATIVE TOTAL EXPENSES:195425 PROGRAM SERVICES:195425 MANAGEMENT AND GENERAL:FUNDRAISING: OTHER EXPENSES FORM 990 PART IX DESCRIPTION:MAINTENANCE TOTAL EXPENSES:46132 PROGRAM SERVICES:46132 MANAGEMENT AND GENERAL:FUNDRAISING: OTHER EXPENSES FORM 990 PART IX DESCRIPTION:MEDICAID ASSESSMENT TOTAL EXPENSES:644443 PROGRAM SERVICES:644443 MANAGEMENT AND GENERAL:FUNDRAISING: OTHER EXPENSES FORM 990 PART IX DESCRIPTION:REAL ESTATE TAXES TOTAL EXPENSES:97063 PROGRAM SERVICES:97063 MANAGEMENT AND GENERAL:FUNDRAISING: OTHER EXPENSES FORM 990 PART IX DESCRIPTION:UTILITIES TOTAL EXPENSES:129805 PROGRAM SERVICES:129805 MANAGEMENT AND GENERAL:FUNDRAISING: HOOSIER CARE INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 311262572 NURSING HOME IN 501(C)(3) 9 NA false HOOSIER CARE II INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 311274121 NURSING HOME IN 501(C)(3) 9 HOOSIER CARE false HOOSIER CARE III INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 621459304 NURSING HOME DE 501(C)(3) 9 HOOSIER CARE false HOOSIER CARE PROPERTIES INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 200377349 NURSING HOME IN 501(C)(3) 9 HOOSIER CARE false CLAREMONT HEALTH SYSTEMS INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 621486858 NURSING HOME NJ 501(C)(3) 9 HOOSIER CARE false VICTORIA HEALTH CORPORATION 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 621518645 NURSING HOME NJ 501(C)(3) 9 HOOSIER CARE false DELAWARE HEALTH CORPORATION 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 621548336 NURSING HOME DE 501(C)(3) 9 HOOSIER CARE false BIRCHWOOD SENIOR HOUSING CORPORATION 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 204800428 sr housing DE 501(C)(3) 9 HOOSIER CARE false CLEVELAND SENIOR HOUSING CORPORATION 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 264739076 SR HOUSING TN 501(C)(3) 9 HOOSIER CARE false LAURELWOOD SENIOR HOUSING CORPORATION 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 320362338 SR HOUSING TN 501(C)(3) 9 HOOSIER CARE false HEALTH & HOUSING SUPPORT SERVICES INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 452449379 sr hsg & svcs NV 501(C)(3) 11 HOOSIER CARE false HOOSIER CARE INVESTMENTS LLC 1600 DIVISION STREET STE 700 Nashville TN 37203 200479449 INVESTMENT DE HOOSIER CARE RELATED 124999 851256 false false 0.20000 false false false false false false false false false false false false false false true false false false Hoosier care investments llc o 68400 cash