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Nonprofiteer
← HOOSIER CARE II INC

Form 990 for tax year 2022

Filed by HOOSIER CARE II INC.

Totals

Total revenue
$8,158,530
Total expenses
$6,899,400
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$8,143,270
Investment income
$0
Other revenue
$15,260
Total assets, end of year
$2,579,858
Total liabilities, end of year
$502,817
Net assets or fund balances, end of year
$2,077,041
Program services expenses (Part IX)
$5,926,789
Management and general expenses
$972,611
Fundraising expenses
$0
Program service expenses (Part III)
$5,926,789

Program services were 85.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Patient Service Revenue

    total $8,143,270 · related or exempt $8,143,270

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: Refunds/Rebates

    total $15,030 · related or exempt $15,030

  • 11b · Other revenue: Miscellaneous Revenue

    total $230 · related or exempt $230

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $15,260

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $2,453,784 · program services $2,230,664 · management and general $223,120

  • 8 · Pension plan contributions

    total $13,769 · program services $12,517 · management and general $1,252

  • 9 · Other employee benefits

    total $456,664 · program services $412,007 · management and general $44,657

  • 10 · Payroll taxes

    total $202,317 · program services $184,181 · management and general $18,136

  • 11a · Fees: management

    total $449,516 · management and general $449,516

  • 11b · Fees: legal

    total $16,086 · management and general $16,086

  • 11c · Fees: accounting

    total $27,938 · management and general $27,938

  • 11g · Fees: other

    total $1,675,079 · program services $1,646,306 · management and general $28,773 · fundraising $0

  • 12 · Advertising and promotion

    total $1,789 · management and general $1,789

  • 13 · Office expenses

    total $40,692 · program services $20,660 · management and general $20,032

  • 14 · Information technology

    total $63,407 · management and general $63,407

  • 16 · Occupancy

    total $452,741 · program services $449,982 · management and general $2,759

  • 17 · Travel

    total $8,429 · program services $3,817 · management and general $4,612

  • 19 · Conferences, conventions and meetings

    total $15,282 · program services $2,345 · management and general $12,937

  • 23 · Insurance

    total $40,778 · management and general $40,778

  • 24a · Other expenses: Medical Records/Supplies/Equipment

    total $672,494 · program services $657,223 · management and general $15,271

  • 24b · Other expenses: Revenue Assessment Fees

    total $239,886 · program services $239,886

  • 24c · Other expenses: Provision for doubtful accounts

    total $65,604 · program services $65,604

  • 24d · Other expenses: Penalties

    total $3,145 · program services $1,597 · management and general $1,548

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $137,852 · end of year $141,406

  • 4 · Accounts receivable

    beginning of year $2,740,779 · end of year $2,127,638

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $50,125

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $58,030 · end of year $260,689

  • 17 · Accounts payable and accrued expenses

    beginning of year $118,750 · end of year $471,209

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $31,608

  • 27 · Net assets without donor restrictions

    beginning of year $2,817,911 · end of year $2,077,041

Mission and programs · 2022

Mission

The organization Provides RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY.

  • THE ORGANIZATION OPERATES INTERMEDIATE AND SKILLED-CARE NURSING HOME FACILITIES FOR THE CARE OF ELDERLY PATIENTS.

    Expenses $5,926,789 · Revenue $8,158,530

As filed on the 2022 return.

Listed in Part VII

  • Douglass Smith

    Director/President

    Total calculated
    $514,502
    From this org
    $0
    From related orgs
    $481,362
    Other
    $33,140
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $481,362 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $20,940 related
    Filer's total
    $0 + $514,502 related

  • Jim Ridenour

    Director/Chairman

    Total calculated
    $136,250
    From this org
    $0
    From related orgs
    $136,250
    Other
    $0
    Hours/week
    0.1 + 11.9 related

  • Jo Ann Corbitt

    Director

    Total calculated
    $83,250
    From this org
    $0
    From related orgs
    $83,250
    Other
    $0
    Hours/week
    0.1 + 6.9 related

  • John G Foos

    DIRECTOR

    Total calculated
    $77,500
    From this org
    $0
    From related orgs
    $77,500
    Other
    $0
    Hours/week
    0.1 + 6.9 related

  • Laura Hawken

    Director

    Total calculated
    $64,250
    From this org
    $0
    From related orgs
    $64,250
    Other
    $0
    Hours/week
    0.1 + 6.9 related

  • Stephen F Wood Jr

    DIRECTOR

    Total calculated
    $75,000
    From this org
    $0
    From related orgs
    $75,000
    Other
    $0
    Hours/week
    0.1 + 6.9 related

  • Andrea Barach

    VP AND CORPORATE SECRETARY

    Total calculated
    $293,233
    From this org
    $0
    From related orgs
    $273,577
    Other
    $19,656
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $273,577 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $10,821 related
    Nontaxable benefits
    $0 + $8,835 related
    Filer's total
    $0 + $293,233 related

  • Christopher Louder

    VP Finance

    Total calculated
    $234,920
    From this org
    $0
    From related orgs
    $201,072
    Other
    $33,848
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $201,072 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,622 related
    Nontaxable benefits
    $0 + $25,226 related
    Filer's total
    $0 + $234,920 related

  • Dawn Imel

    DIRECTOR OF NURSING

    Total calculated
    $109,535
    From this org
    $106,173
    From related orgs
    $0
    Other
    $3,362
    Hours/week
    40

  • John E Gillmor

    Former Director

    Total calculated
    $54,100
    From this org
    $0
    From related orgs
    $54,100
    Other
    $0
    Hours/week
    0 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $54,100 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $54,100 related

  • Stephen F Wood Sr

    Former Director

    Total calculated
    $56,000
    From this org
    $0
    From related orgs
    $56,000
    Other
    $0
    Hours/week
    0 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $56,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $56,000 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Severance or change-of-control payment
INTERESTED PERSON: DAWN IMEL AMOUNT: $7,125 TERMS: COMPENSATION PAID AS A RESULT OF A SEVERANCE AGREEMENT

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • GATE MANOR HOUSING GP LLC

    C Corporation · AFFORDABLE HOUSING PROJECTS · TN

    Directly controlled by NA

  • KNOXVILLE HOUSING PORTFOLIO GP LLC

    C Corporation · AFFORDABLE HOUSING PROJECTS · TN

    Directly controlled by NA

  • JACKSON HOUSING PORTFOLIO GP LLC

    C Corporation · AFFORDABLE HOUSING PROJECTS · TN

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
27 March 2024
IRS schema version
2022v5.0
Source object
202430879349300233

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