FURP.ORG / PUBLIC DATA EXPLORER

HOOSIER CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOOSIER CARE INC (EIN 31-1262572)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-10
IRS object ID
201211319349301481
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-10T12:08:31-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1REZNICK GROUP PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 EAST PRATT STREET SUITE 200AddressLine1
CityBALTIMORECity
StateMDState
ZIP Code212023100ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311262572EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOOSIER CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOOSNameControl
Phone6152522305Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 DIVISION STREET SUITE 700AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code37203ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN GILLMOREName
TitleOFFICERTitle
Date Signed2012-05-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NamePHILIP H CORNBLATT CPAName
Phone4107834900Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonLEWIS F WOOD JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 Division St Suite 700AddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36629635GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number5138GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionProvide residential and nursing services for elderly and provide care to pediatric patientsActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees757TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year162500ContributionsGrantsPriorYear
Contributions Grants Current Year4880340ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30627991ProgramServiceRevenuePriorYear
Program Service Revenue CY31083606ProgramServiceRevenueCY
Investment Income Prior Year89968InvestmentIncomePriorYear
Investment Income Current Year448162InvestmentIncomeCurrentYear
Other Revenue Prior Year155198OtherRevenuePriorYear
Other Revenue Current Year217527OtherRevenueCurrentYear
Total Revenue Prior Year31035657TotalRevenuePriorYear
Total Revenue Current Year36629635TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18159682SalariesEtcPriorYear
Salaries Etc Current Year18343748SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12034183OtherExpensePriorYear
Other Expenses Current Year11839189OtherExpensesCurrentYear
Total Expenses Prior Year30193865TotalExpensesPriorYear
Total Expenses Current Year30182937TotalExpensesCurrentYear
Revenues Less Expenses Prior Year841792RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6446698RevenuesLessExpensesCY
Total Assets BOY41434556TotalAssetsBOY
Total Assets EOY49790062TotalAssetsEOY
Total Liabilities BOY33878853TotalLiabilitiesBOY
Total Liabilities EOY35861998TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7555703NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13928064NetAssetsOrFundBalancesEOY
Mission DescriptionProvide residential and nursing services for elderly and provide care to pediatric patientsMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense29182972Expense
Revenue31083606Revenue
DescriptionOPERATION OF INTERMEDIATE AND SKILLED-CARE NURSING HOME FACILITIES FOR THE CARE OF ELDERLY PATIENTS. OVER 380 PATIENTS WERE PROVIDED CARE DURING THE FISCAL YEAR.Description
Total Program Service Expense29182972TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees757NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN GILLMORNamePerson
Telephone Number6152522305TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 DIVISION ST SUITE 700AddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BRUCE P HUTSON
PRESIDENT1.2XX0662500
STEPHEN WOOD
VICE PRESIDENT3.3XX02528000
JOHN E GILLMOR
VP/SECRETARY0.75XX0852500
JOHN G FOOS
VICE PRESIDENT0.95XX0622500
LEWIS F WOOD JR
CEO6.0X1795253574000
CYNTHIA WOOD
ASSISTANT SECRETARY0.5X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org179525TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs823950TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Medical Rehabiliation Centers INC
535 W Second Street Suite 105LEXINGTONKY40508Management/consult3144296
TMCS INC
2418 W SPRINGFIELDCHAMPAIGNIL61821NURSING SERVICES307696
MICHAEL KINDER SONS INC
PO Box 10572FORT WAYNEIN46853construction2344640
DUANE MORRIS LLP
30 SOUTH 17TH STREETPHILADELPHIAPA19103LEGAL160030
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations4843640RelatedOrganizations
All Other Contributions36700AllOtherContributions
Total Contributions4880340TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICEDescription
Total Revenue Column31083606TotalRevenueColumn
Related Or Exempt Function Income31083606RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue31083606TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column214446TotalRevenueColumn
Exclusion$214,446ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities233716Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities233716Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column233716TotalRevenueColumn
Exclusion$233,716ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionHOOSIER CARE INVESTMENTS, LLCDescription
Total Revenue Column217527TotalRevenueColumn
Related Or Exempt Function Income217527RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue217527TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36629635TotalRevenueColumn
Related Or Exempt Function Income31301133RelatedOrExemptFunctionIncome
Exclusion$448,162ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total179525Total
Program Services179525ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18164223Total
Program Services18164223ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2038800Total
Program Services2038800ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total289510Total
Program Services289510ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total144218Total
Program Services0ProgramServices
Management And General144218ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total-31164Total
Program Services-31164ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2280906Total
Program Services2280906ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total763512Total
Program Services763512ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACT SERVICES1160416116041600
SUPPLIES AND OTHER EXPENSES2769126276912600
REVENUE ASSESSMENT FEES1365874136587400
CORPORATE GENERAL & ADMIN.67402906740290
AMORTIZATION818978189700

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total302065Total
Program Services120347ProgramServices
Management And General181718ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30182937Total
Program Services29182972ProgramServices
Management And General999965ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY905447BOY
EOY1364248EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3628611BOY
EOY6386133EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY187215BOY
EOY116738EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis28275354LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13748570LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12216862BOY
EOY14526784EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY24496421BOY
EOY27396159EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY41434556BOY
EOY49790062EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1502557BOY
EOY1752887EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27282525BOY
EOY26780986EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3634795BOY
EOY5713009EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1458976BOY
EOY1615116EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33878853BOY
EOY35861998EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7555703BOY
EOY13928064EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7555703BOY
EOY13928064EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41434556BOY
EOY49790062EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6446698ReconcilationRevenueExpenses
Reconcilation Other Changes-74337ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years200000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years117604CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167668CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year220214CurrentTaxYearMinus1Year
Current Tax Year4880340CurrentTaxYear
Total5585826Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27893304CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29235329CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30817340CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30627991CurrentTaxYearMinus1Year
Current Tax Year31083606CurrentTaxYear
Total149657570Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28093304CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29352933CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30985008CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30848205CurrentTaxYearMinus1Year
Current Tax Year35963946CurrentTaxYear
Total155243396Total
FieldValueIRS element (for citing)
Public Support Total509155243396PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years344799CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years247290CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years237049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year89968CurrentTaxYearMinus1Year
Current Tax Year214446CurrentTaxYear
Total1133552Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years344799CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years247290CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years237049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year89968CurrentTaxYearMinus1Year
Current Tax Year214446CurrentTaxYear
Total1133552Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years120495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years239314CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105980CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year155198CurrentTaxYearMinus1Year
Current Tax Year217527CurrentTaxYear
Total838514Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28558598CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29839537CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31328037CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31093371CurrentTaxYearMinus1Year
Current Tax Year36395919CurrentTaxYear
Total157215462Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98746PublicSupportPercentage509
Prior Year Support Percentage0.98749PriorYearSupportPercentage
Investment Income Percentage0.00721InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00724PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2369013OtherCostOrOtherBasis
Book Value2369013BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16430176OtherCostOrOtherBasis
Depreciation7935800Depreciation
Book Value8494376BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis335541OtherCostOrOtherBasis
Depreciation335541Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4041697OtherCostOrOtherBasis
Depreciation3364879Depreciation
Book Value676818BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5098927OtherCostOrOtherBasis
Depreciation2112350Depreciation
Book Value2986577BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14526784TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescriptionBook ValueBookValue
AGENCY FUNDS388417
BOND ESCROWS2782165
OPERATING RESERVE FUND674617
DEPRECIATION RESERVE470674
REVENUE RESERVE FUND335814
ACCUM. AMORT.2476939
DUE FROM HOOSIER CARE II10461423
CARE INVESTMENTS LLC48800
INVESTMENT-HOOSIER CARE LLC8372924
DEBT ISSUANCE COST (NET)1384386
FieldValueIRS element (for citing)
Total Book Value Other Assets27396159TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED WAGES$1,012,284
AGENCY FUNDS$388,417
ACCRUED INTEREST$214,415
FieldValueIRS element (for citing)
Total Of Amounts1615116TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
STEPHEN WOOD
0252800000000000252800
LEWIS F WOOD JR
17952535740000000000179525357400

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNANCE, MANAGEMENT & DISCLOSUREPART VI, SECTION A, LINE 10A DRAFT OF FORM 990 IS REVIEWED AND AUTHORIZED BY A MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
GOVERNANCE, MANAGEMENT & DISCLOSUREPART VI SECTION A LINE 2RELATIONSHIP SCHEDULE --------------------- NAME OF OFFICER, DIRECTOR, ETC: STEPHEN WOOD NAME OF RELATED ENTITY: LEWIS F. WOOD, JR CYNTHIA WOOD TITLE OR ROLE: CEO/TREASURER RELATIONSHIP: BROTHER/SISTER-IN-LAW NAME OF OFFICER, DIRECTOR, ETC: LEWIS F. WOOD, JR NAME OF RELATED ENTITY: CYNTHIA WOOD STEPHEN WOOD TITLE OR ROLE: TREASURER/VP RELATIONSHIP: WIFE/BROTHER NAME OF OFFICER, DIRECTOR, ETC: CYNTHIA WOOD NAME OF RELATED ENTITY: LEWIS F. WOOD, JR STEPHEN WOOD TITLE OR ROLE: CEO/VP RELATIONSHIP: HUSBAND/BROTHER-IN-LAW
GOVERNANCE, MANAGEMENT & DISCLOSUREPART VI SECTION B LINE 15COMPENSATION 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 & DISCLOSUREPART VI SECTION C LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S OFFICE DURING REGULAR BUSINESS HOURS UPON REQUEST.
STATEMENT OF FUNCTIONAL EXPENSESPART IX, LINE 24(F): ALL OTHER EXPENSESTOTAL PROG SERV MGMT & GEN FUNDRAISING ---------- --------- ---------- ----------- BAD DEBTS -14,524 -14,524 NONE NONE HOOSIER CARE INV., LLC 181,718 NONE 181,718 NONE OTHER EXPENSES 134,871 134,871 NONE NONE ---------- --------- ---------- ----------- TOTAL 302,065 120,347 181,718 NONE
COMPENSATION OF OFFICERSPART VII, SECTION A, AVERAGE HOURS PER WEEKTHE OFFICERS AND DIRECTORS DO NOT KEEP DETAILED TIME RECORDS OF HOURS SPENT FOR THIS AND RELATED ENTITIES. HOWEVER, THROUGH DISCUSSIONS WITH EACH, AN ESTIMATE HAS BEEN MADE OF THE TIME THEY SPENT ON MATTERS OF THIS ENTITY AND ITS RELATED CHARITABLE ENTITIES. THERE ARE ten RELATED CHARITABLE ENTITIES FOR WHICH THE OFFICERS AND DIRECTORS PROVIDE SERVICES. OFTEN BOARD MEETINGS AND OTHER WORK INVOLVES MATTERS FOR SEVERAL OR ALL OF THESE ENTITIES.
GOVERNANCE, MANAGEMENT & DISCLOSUREPart VI Section B Line 12The board members annually certify that they are aware of the conflict of interest policy and have no conflicts of interest.
reconciliation of net assetspart Xi line 5prior period adjustment from Hoosier Care Investments LLC - (74,337)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRUCE P HUTSON TITLE:PRESIDENT HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHEN WOOD TITLE:VICE PRESIDENT HOURS:16
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN E GILLMOR TITLE:VP/SECRETARY HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN G FOOS TITLE:VICE PRESIDENT HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEWIS F. WOOD, JR. TITLE:CEO HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CYNTHIA WOOD TITLE:ASSISTANT SECRETARY HOURS:8

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HOOSIER HOUSING INVESTMENTS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 DIVISION STREETSTE 700AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
EIN204885249EIN
Primary ActivitiesinvestmentPrimaryActivities
Legal Domicile StateTNLegalDomicileState
Total Income43381TotalIncome
EOY Assets4879152EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOOSIER CAREBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOOSIER CARE II INC
1600 DIVISION STREET STE 700NASHVILLETN37203311274121NURSING HOMEKY501(C)(3)9HOOSIER CARE
CLAREMONT HEALTH SYSTEMS INC
1600 DIVISION STREET STE 700NASHVILLETN37203621486858NURSING HOMENJ501(C)(3)9HOOSIER CARE
VICTORIA HEALTH CORPORATION
1600 DIVISION STREET STE 700NASHVILLETN37203621518645NURSING HOMENJ501(C)(3)9HOOSIER CARE
DELAWARE HEALTH CORPORATION
1600 DIVISION STREET STE 700NASHVILLETN37203621548336NURSING HOMEDE501(C)(3)9HOOSIER CARE
HOOSIER CARE III INC
1600 DIVISION STREET STE 700NASHVILLETN37203621459304NURSING HOMEDE501(C)(3)9HOOSIER CARE
HIGHLAND HEALTH SYSTEMS INC
1600 DIVISION STREET STE 700NASHVILLETN37203621486857NURSING HOMEPA501(C)(3)9HOOSIER CARE
HOOSIER care PROPERTIES INC
1600 DIVISION STREET STE 700NASHVILLETN37203200377349NURSING HOMEIN501(C)(3)9HOOSIER CARE
BIRCHWOOD SENIOR HOUSING CORPORATION
1600 DIVISION STREET STE 700NASHVILLETN37203204800428NURSING HOMEDE501(C)(3)9HOOSIER CARE

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HOOSIER CARE INVESTMENTS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 DIVISION STREETSTE 700AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
EIN200479449EIN
Primary ActivityINVESTMENTPrimaryActivity
Legal Domicile StateDELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOOSIER CAREBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income411615ShareOfTotalIncome
Share Of EOY Assets8372924ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.40000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HOOSIER CARE INVESTMENTS LLC
E5086609
HOOSIER CARE II INC
D10461424
HOOSIER CARE INVESTMENTS LLC
D48807
HOOSIER CARE INVESTMENTS LLC
o674029