2012-05-10T12:58:03-05:00 2011-06-30 REZNICK GROUP PC 500 EAST PRATT STREET SUITE 200 BALTIMORE MD 212023100 990 2010-07-01 621486857 HIGHLAND HEALTH SYSTEM INC HIGH 6152522305 1600 DIVISION STREET Suite 700 NASHVILLE TN 37203 JOHN GILLMORE 2012-05-09 PHILIP H CORNBLATT CPA 4107834900 2010 2016-02-24 21:20:13Z X LEWIS F WOOD JR 1600 Division St Suite 700 Nashville TN 37203 9033208 false 5138 X N/A X 1992 PA THE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY 4 0 143 0 0 0 0 8690594 8485272 101423 336737 143181 211199 8935198 9033208 0 0 0 0 4511459 4517047 0 0 0 4530083 4473225 9041542 8990272 -106344 42936 7563572 7620141 7792305 7955714 -228733 -335573 THE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY. false false 8807370 8905556 OPERATED A 97 BED INTERMEDIATE AND SKILLED-CARE NURSING FACILITY FOR THE CARE OF ELDERLY PATIENTS. 8807370 true false false false false false false false false true false false true false false 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 143 true false false false false false false false false false false X 4 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 1.0 X X 0 66250 0 STEPHEN F WOOD 0.3 X X 0 252800 0 JOHN G FOOS 0.35 X X 0 62250 0 JOHN GILLMOR 0.25 X X 0 85250 0 LEWIS F WOOD JR 6.0 X 0 536925 0 CYNTHIA WOOD 0.5 X 0 0 0 0 1003475 0 0 false true false GENESIS ELDERCARE NETWORK SERVICES 101 EAST STATE STREET KENNETT SQUARE PA 19348 MANAGEMENT 4697043 GENESIS REHABILITATION SERVICES PO Box 7247-6524 PHILADELPHIA PA 19170 REHAB SERVICES 640164 MEDLINE INDUSTRIES INC Po Box 382075 PITTSBURGH PA 15251 NURSING SUPPLIES 126198 OMNICARE PO Box 715276 COLUMBUS OH 43271 PHARMACEUTICALS 413805 US FOOD SERVICE WEST VIRGINIA PO Box 644540 PITTSBURGH PA 15264 FOOD & DIETARY 151110 5 0 PATIENT SERVICE 8485272 8485272 8485272 127651 127651 0 0 209086 209086 0 0 0 MISC. REVENUE 16598 16598 HOOSIER CARE INVESTMENTS, LLC - OTHER INCOME 194601 194601 211199 9033208 8696471 336737 0 0 0 0 0 0 4517047 4517047 0 0 0 0 0 399274 399274 0 0 69764 69764 0 0 20300 0 20300 0 0 0 105796 105796 0 0 0 0 0 0 0 0 0 0 576295 576295 0 0 0 313010 313010 0 0 150999 150999 0 0 CONTRACT SERVICES 739677 739677 0 0 SUPPLIES AND OTHER EXPENSES 778346 778346 0 0 AMORTIZATION 16420 16420 0 0 BAD DEBT 95583 95583 0 0 HOOSIER CARE INVESTMENTS, LLC 162602 0 162602 0 1045159 1045159 0 8990272 8807370 182902 0 1118772 780005 1427704 1864191 826039 872829 39749 36496 82734 49985 8610603 5454527 3417134 3156076 651440 860559 7563572 7620141 1582611 2006717 26751 29898 5410779 5146935 772164 772164 7792305 7955714 X -228733 -335573 -228733 -335573 7563572 7620141 X 42936 -149776 X false true true X X false false false 8862911 8987050 8422135 8690594 8485272 43447962 8862911 8987050 8422135 8690594 8485272 43447962 43447962 29239 57181 82601 101423 127651 398095 29239 57181 82601 101423 127651 398095 199054 214491 111328 143181 211199 879253 9091204 9258722 8616064 8935198 8824122 44725310 0.97144 0.97405 0.00890 0.00665 X 81548 81548 6906102 4132571 2773531 1434406 1171016 263390 188547 150940 37607 3156076 DUE FROM THIRD PARTY PAYOR 424 FINANCING FEES, NET OF AMORT 112895 INVESTMENTS, LLC 726257 DUE FROM AFFILIATE 20583 OTHER ASSETS 400 860559 9033208 8990272 42936 -107014 -107014 -64078 8763592 8763592 269616 269616 9033208 8827670 8827670 162602 162602 8990272 SUPPLEMENTAL FINANCIAL STATEMENTS PART XI, LINE 8/PART XII, LINE 4B/PART XIII, LINE 4B FROM HOOSIER CARE INVESTMENTS, LLC X X X X false false false false false false false false false STEPHEN F WOOD 0 252800 0 0 0 0 0 0 0 0 0 252800 LEWIS F WOOD JR 0 536925 0 0 0 0 0 0 0 0 0 536925 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 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 & 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 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 & 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. STATEMENT OF FUNCTIONAL EXPENSES 990, PART IX, 24F TOTAL PROG SERV MGMT & GEN FUNDRAISING ---------- --------- ---------- ----------- ADMINISTRATIVE 207,260 207,260 NONE NONE MAINTENANCE 34,818 34,818 NONE NONE MEDICAID ASSESSMENT 609,068 609,068 NONE NONE REAL ESTATE TAXES 84,078 84,078 NONE NONE UTILITIES 109,935 109,935 NONE NONE ---------- --------- ---------- ----------- TOTAL 1,045,159 1,045,159 NONE NONE reconciliation of net assets Part XI line 5 Hoosier Care Investments LLC - book/tax difference - (149,776) 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 TITLE:VP/TREASURER HOURS:19 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN G. FOOS TITLE:VP/DIRECTOR 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:LEWIS F. WOOD, JR. TITLE:CEO HOURS:38 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CYNTHIA WOOD TITLE:ASSISTANT SECRETARY HOURS:8 HOOSIER CARE INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 311262572 NURSING HOME IN 501(C)(3) 9 NA HOOSIER CARE II INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 311274121 NURSING HOME IN 501(C)(3) 9 HOOSIER CARE HOOSIER CARE III INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 621459304 NURSING HOME DE 501(C)(3) 9 HOOSIER CARE HOOSIER care PROPERTIES INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 200377349 NURSING HOME IN 501(C)(3) 9 HOOSIER CARE CLAREMONT HEALTH SYSTEMS INC 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 621486858 NURSING HOME NJ 501(C)(3) 9 HOOSIER CARE VICTORIA HEALTH CORPORATION 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 621518645 NURSING HOME NJ 501(C)(3) 9 HOOSIER CARE DELAWARE HEALTH CORPORATION 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 621548336 NURSING HOME DE 501(C)(3) 9 HOOSIER CARE BIRCHWOOD SENIOR HOUSING CORPORATION 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 204800428 sr housing DE 501(C)(3) 9 HOOSIER CARE CLEVELAND SENIOR HOUSING CORPORATION 1600 DIVISION STREET STE 700 NASHVILLE TN 37203 264739076 SR HOUSING TN 501(C)(3) 9 HOOSIER CARE HOOSIER CARE INVESTMENTS LLC 1600 DIVISION STREET STE 700 Nashville TN 37203 200479449 INVESTMENT DE HOOSIER CARE related 368233 726583 false 126822 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 67511