FURP.ORG / PUBLIC DATA EXPLORER

DELAWARE HEALTH CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DELAWARE HEALTH CORPORATION (EIN 62-1548336)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-10
IRS object ID
201241319349301959
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)
Timestamp2012-05-10T12:52:20-05:00Timestamp
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)
EIN621548336EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELAWARE HEALTH CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDELANameControl
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 Receipts29343362GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number5138GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING CARE SERVICES FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees357TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27032074ProgramServiceRevenuePriorYear
Program Service Revenue CY28811566ProgramServiceRevenueCY
Investment Income Prior Year102878InvestmentIncomePriorYear
Investment Income Current Year337196InvestmentIncomeCurrentYear
Other Revenue Prior Year557123OtherRevenuePriorYear
Other Revenue Current Year194600OtherRevenueCurrentYear
Total Revenue Prior Year27692075TotalRevenuePriorYear
Total Revenue Current Year29343362TotalRevenueCurrentYear
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 Year14775071SalariesEtcPriorYear
Salaries Etc Current Year15715538SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12601963OtherExpensePriorYear
Other Expenses Current Year13092425OtherExpensesCurrentYear
Total Expenses Prior Year27377034TotalExpensesPriorYear
Total Expenses Current Year28807963TotalExpensesCurrentYear
Revenues Less Expenses Prior Year315041RevenuesLessExpensesPriorYear
Revenues Less Expenses CY535399RevenuesLessExpensesCY
Total Assets BOY18536395TotalAssetsBOY
Total Assets EOY18753820TotalAssetsEOY
Total Liabilities BOY25643642TotalLiabilitiesBOY
Total Liabilities EOY25605020TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7107247NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-6851200NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION WAS FORMED TO PROVIDE RESIDENTIAL AND NURSING CARE SERVICES FOR THE ELDERLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense28571761Expense
Revenue28811566Revenue
DescriptionOPERATION OF INTERMEDIATE AND SKILLED-CARE NURSING HOME FACILITIES FOR THE CARE OF ELDERLY PATIENTS. HARBOR HEALTHCARE IS A 179 BED FACILITY AND PARKVIEW NURSING CENTER IS A 150 BED FACILITY.Description
Total Program Service Expense28571761TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 StmtfalseConsolidatedAuditFinancialStmt
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 Employees357NumberOfEmployees
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
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
PRESIDENT/DIRECTOR0.2XX0662500
STEPHEN F WOOD
VP/TREAS./DIRECTOR1.6XX02528000
JOHN G FOOS
VP/DIRECTOR0.35XX0622500
JOHN GILLMOR
VP/SEC./DIRECTOR0.7XX0852500
LEWIS F WOOD JR
CEO6.0X05369250
cynthia wood
DIRECTOR0.5X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1003475TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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
LONG TERM CARE CORP
150 Onix DriveKENNETT SQUAREPA19348MANAGEMENT1614442
REHAB DYNAMICS
150 Onix DriveKENNETT SQUAREPA19348THERAPY SERVICES1946356
HEALTHCARE SERVICES GROUP
3220 TILMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING925500
NEW CASTLE PHARMACY
263 QUIGLEY BLVDNEW CASTLEDE19720PHARMACY SERVICES858058
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE2879623628796236
BAD DEBT RECOVERY1533015330
FieldValueIRS element (for citing)
Total Program Service Revenue28811566TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column128111TotalRevenueColumn
Exclusion$128,111ExclusionAmount

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)
Securities209085Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities209085Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column209085TotalRevenueColumn
Exclusion$209,085ExclusionAmount

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 INVESTMENT LLCDescription
Total Revenue Column194600TotalRevenueColumn
Related Or Exempt Function Income194600RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue194600TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29343362TotalRevenueColumn
Related Or Exempt Function Income29006166RelatedOrExemptFunctionIncome
Exclusion$337,196ExclusionAmount

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15715538Total
Program Services15715538ProgramServices
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)
Total1063376Total
Program Services1063376ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total134954Total
Program Services134954ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73601Total
Program Services0ProgramServices
Management And General73601ManagementAndGeneral
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)
Total208000Total
Program Services208000ProgramServices
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)
Total1606677Total
Program Services1606677ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total581580Total
Program Services581580ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES4523634452363400
SUPPLIES AND OTHER EXPENSES4300189430018900
TAXES AND INSURANCE39317339317300
AMORTIZATION EXPENSE446404464000
HOOSIER CARE INVESTMENTS16260101626010

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28807963Total
Program Services28571761ProgramServices
Management And General236202ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2027223BOY
EOY2076729EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1413906BOY
EOY1358058EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY583439BOY
EOY491408EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13718085LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3479371LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10122522BOY
EOY10238714EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4389305BOY
EOY4588911EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18536395BOY
EOY18753820EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2274758BOY
EOY2591406EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY35460BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY21870668BOY
EOY21550858EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1462756BOY
EOY1462756EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25643642BOY
EOY25605020EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7107247BOY
EOY-6851200EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7107247BOY
EOY-6851200EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18536395BOY
EOY18753820EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses535399ReconcilationRevenueExpenses
Reconcilation Other Changes-279352ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

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

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24726192CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27479700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27570879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27032074CurrentTaxYearMinus1Year
Current Tax Year28811566CurrentTaxYear
Total135620411Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24726192CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27479700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27570879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27032074CurrentTaxYearMinus1Year
Current Tax Year28811566CurrentTaxYear
Total135620411Total
FieldValueIRS element (for citing)
Public Support Total509135620411PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years152945CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years183276CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years102571CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year102878CurrentTaxYearMinus1Year
Current Tax Year128111CurrentTaxYear
Total669781Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years152945CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years183276CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years102571CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year102878CurrentTaxYearMinus1Year
Current Tax Year128111CurrentTaxYear
Total669781Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years501941CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years704647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years470678CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year557123CurrentTaxYearMinus1Year
Current Tax Year194600CurrentTaxYear
Total2428989Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25381078CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28367623CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28144128CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27692075CurrentTaxYearMinus1Year
Current Tax Year29134277CurrentTaxYear
Total138719181Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97766PublicSupportPercentage509
Prior Year Support Percentage0.97520PriorYearSupportPercentage
Investment Income Percentage0.00483InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00515PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis1137000OtherCostOrOtherBasis
Book Value1137000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10382025OtherCostOrOtherBasis
Depreciation2352854Depreciation
Book Value8029171BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1744520OtherCostOrOtherBasis
Depreciation1008079Depreciation
Book Value736441BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis454540OtherCostOrOtherBasis
Depreciation118438Depreciation
Book Value336102BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10238714TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
GOODWILL, NET OR AMORT1248818
FINANCING FEES, NET OF AMORT955332
REPLACEMENT RESERVES451469
ESCROW DEPOSITS332036
HOOSIER CARE INVESTMENT LLC1601256
FieldValueIRS element (for citing)
Total Book Value Other Assets4588911TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED INTERESTDescription
Amount$1,462,756Amount
FieldValueIRS element (for citing)
Total Of Amounts1462756TotalOfAmounts

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 F WOOD
0252800000000000252800
LEWIS F WOOD JR
0536925000000000536925

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 A, LINES 11A DRAFT OF FORM 990 IS REVIEWED & AUTHORIZED BY A MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
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.
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 5THERE IS A PRIOR PERIOD ADJUSTMENT IN YEAR END 6/30/2011 TO ADJUST THE INVESTMENT ACCOUNT OF HOOSIER CARE INVESTMENT, LLC TO REFLECT THE K-1 EQUITY BALANCE AT 6/30/2011.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRUCE P. HUTSON TITLE:PRESIDENT/DIRECTOR HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHEN F. WOOD TITLE:VP/TREAS./DIRECTOR HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN G. FOOS TITLE:VP/DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN GILLMOR TITLE:VP/SEC./DIRECTOR HOURS:6
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:DIRECTOR HOURS:8

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Parkview Nursing Center Co LLC
1600 DIVISION STREET STE 700NASHVILLETN37203621548336nursing homeDE12990255122908DELAWARE HEA
harbor healthcare center co LLC
1600 DIVISION STREET STE 700NASHVILLETN37203621548336nursing homeDE11345467057957DELAWARE HEA

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOOSIER CARE INC
1600 DIVISION STREET STE 700NASHVILLETN37203311262572NURSING HOMEIN501(c)(3)9NA
HOOSIER CARE II INC
1600 DIVISION STREET STE 700NASHVILLETN37203311274121NURSING HOMEIN501(c)(3)9HOOSIER CARE
HOOSIER CARE III INC
1600 DIVISION STREET STE 700NASHVILLETN37203621459304NURSING HOMEDE501(c)(3)9HOOSIER CARE
HOOSIER care PROPERTIES INC
1600 DIVISION STREET STE 700NASHVILLETN37203200377349NURSING HOMEIN501(c)(3)9HOOSIER CARE
VICTORIA HEALTH CORPORATION
1600 DIVISION STREET STE 700KENNETT SQUAREPA19348621518645NURSING HOMENJ501(c)(3)9HOOSIER CARE
HIGHLAND HEALTH SYSTEMS INC
1600 DIVISION STREET STE 700NASHVILLETN37203621486857NURSING HOMEPA501(c)(3)9HOOSIER CARE
BIRCHWOOD SENIOR HOUSING CORPORATION
1600 DIVISION STREET STE 700NASHVILLETN37203204800428sr housingDE501(c)(3)9HOOSIER CARE
CLAREMONT HEALTH SYSTEM INC
1600 DIVISION STREET STE 700NASHVILLETN37203621486858NURSING HOMENJ501(c)(3)9HOOSIER CARE
CLEVELAND SENIOR HOUSING CORPORATION
1600 DIVISION STREET STE 700NASHVILLETN37203264739076SR HOUSINGTN501(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 STREET SUITE 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 Income368234ShareOfTotalIncome
Share Of EOY Assets1601583ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.20000PercentageOwnership
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 OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1hoosier care investments llcBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeoTransactionType
Amount Involved115122AmountInvolved