2017-01-16T00:00:00-06:00 2015-12-31 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2015-01-01 541759925 Huntingdon Nursing Center Inc HUNT 2257530864 PO Box 40018 Baton Rouge LA 70835 cynthia pittman cfo 2257530864 2017-01-17 1 Joseph G Sullivan P00360476 6108622249 2015 2021-01-29 14:40:06Z RICHARD T DASPIT SR 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 12910387 0 X X 1995 VA TO PROVIDE COMPREHENSIVE NURSING CARE SERVICES X 3 3 169 0 0 0 1436 195 8968848 2600058 16 8921919 2213 581 8972513 11522753 0 0 0 0 4983112 1594163 0 0 0 5601348 1403600 10584460 2997763 -1611947 8524990 3233042 645480 13629279 2516727 -10396237 -1871247 X TO PROVIDE COMPREHENSIVE NURSING CARE SERVICES 0 1 2696073 2600058 Huntingdon Nursing Center, Inc. operated two nursing homes with approximately 141 beds for nursing and personal care until the facilities were sold in April and May 2015. 2696073 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 6 0 1 169 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 LA X CYNTHIA PITTMAN 2257530864 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 G STUART MURPHY III TREASURER 1.00 X X 0 6000 0 THOMAS ECHOLS VICE PRESIDENT 1.00 X X 0 5000 0 LOUIS HERRERO SECRETARY 1.00 X X 0 6000 0 RICHARD T DASPIT SR PRESIDENT 40.00 X X 0 214603 5369 CYNTHIA PITTMAN CFO 40.00 X 0 143572 5369 chris peeler CHIEF OPERATING OFFICER 40.00 X 0 161463 5369 Michael Smith Chief Compliance Officer 40.00 X 0 145531 5369 0 682169 21476 0 0 1 0 HUNTINGDON NURSING CENTER 1229 Warm Springs Ave HUNTINGDON PA 16652 medical services 1851932 JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVE HUNTINGDON PA 16652 medical services 808558 RELIANT MANAGEMENT GROUP PO BOX 671181 DALLAS TX 75267 management services 512644 HUNTINGDON NURSING CENTER INC 1229 WARM SPrings Ave HUNTINGDON PA 16652 MEdical services 301328 SYNERTX 7540 NORTH 19TH AVE PHOENIX AZ 85021 THERAPY 171481 9 195 195 PROGRAM SERVICE REVENUE 623000 2600058 2600058 2600058 10309553 1387634 8921919 8921919 8921919 miscellaneous revenue 623000 581 581 581 11522753 2600058 0 8922500 1216733 1138839 77894 227992 220069 7923 149438 137923 11515 168619 113270 55349 26739 26739 255205 254481 724 3832 3832 39600 39600 275390 260950 14440 3796 3524 272 1114 1114 42083 37848 4235 28670 28670 provider fees 294629 294629 LICENSE AND FEES 59167 59167 MEDICAL SUPPLIES 57918 57918 PHARMACY SUPPLIES 50302 50302 96536 96536 2997763 2696073 301690 0 476224 193306 812975 436815 142190 0 0 1429719 0 222978 0 141907 0 7049 15359 3233042 645480 4815009 2373030 5325000 450000 3039270 143697 13629279 2516727 X -10396237 -1871247 -10396237 -1871247 3233042 645480 8524990 0 X X 0 1 X 1 0 X 438 62265 9396 1436 195 73730 7827103 8231353 7587795 8968848 2600058 35215157 7827541 8293618 7597191 8970284 2600253 35288887 0 0 0 35288887 395 4 48 16 0 463 395 4 48 16 463 15316 14768 10946 2213 581 43824 7843252 8308390 7608185 8972513 2600834 35333174 0.99870 0.99860 0.00000 0.00010 X part iii, line # 12 2011 Miscellaneous income : 15,316 2012 Miscellaneous income : 14,768 2013 Miscellaneous income : 10,946 2014 Miscellaneous income : 2,213 2015 Miscellaneous income : 581 0 est third party settlements 143697 143697 X Part X, Line 2: FHS, its subsidiaries, and its affiliates have been recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. No provision for income taxes has been provided for federal and state income tax purposes. FHS, its subsidiaries, and its affiliates account for the effects of any uncertain tax positions based on a "more likely than not" threshold applied to the recognition of that tax position being sustained based on the technical merits of the position under scrutiny by the applicable taxing authority. If a tax position or positions are deemed to result in uncertainties of those positions, the unrecognized tax benefit is estimated based on a "cumulative probability assessment" that aggregates the estimated tax liability for all uncertain tax positions. Interest and penalties assessed, if any, are accrued as income tax expense. FHS, its subsidiaries, and its affiliates have identified their tax status as tax-exempt entities as a tax position; however, FHS, its subsidiaries, and its affiliates have determined that such tax position does not result in an uncertainty requiring recognition. FHS, its subsidiaries, and its affiliates believe they are no longer subject to income tax examinations for years prior to December 31, 2012. 0 0 0 0 0 0 0 0 0 RICHARD T DASPIT SR PRESIDENT 0 214603 0 0 0 0 0 0 0 5369 0 219972 0 0 chris peeler CHIEF OPERATING OFFICER 0 161463 0 0 0 0 0 0 0 5369 0 166832 0 0 Michael Smith Chief Compliance Officer 0 145531 0 0 0 0 0 0 0 5369 0 150900 0 0 FORM 990, SCHEDULE J, PART II WAGES WERE PAID BY FOUNDATION HEALTH SERVICES, INC. TO THE FOLLOWING: - RICHARD T. DASPIT, SR.: $214,603 - Chris Peeler.: $161,463 - Michael Smith: $145,531 all real property and personal property associated with huntingdon nursing c 2015-04-01 8910660 appraisals Huntingdon SNF LLC 2071 Flatbush Ave Suite 22 Brooklyn NY 11234 all real and personal property associated with friendly nursing center 2015-05-01 1480937 appraisals K&K Healthcare LLC 2071 Flatbush Ave Suite 22 brooklyn NY 11234 0 0 0 0 Form 990, Part III, line 3 Huntingdon Nursing Center, Inc. owned and operated the Huntingdon and Friendly nursing centers in Pennsylvania, providing low-cost, long-term care for patients until the facilities were sold in April 2015. Since the sale, Huntingdon Nursing Center, Inc. has continued to collect outstanding AR and pay outstanding obligations. Form 990, Part VI, Section B, line 11 The Form 990 is completed annually and copies are provided to the entire governing board as well as the president of the organization. At that time the president reviews the Form 990 with the board members. Any necessary changes are then updated on the form. Once all necessary changes are made and the president is in agreement with the board members on the finished Form 990, it is signed by the CFO, dated and submitted by the filing deadline. A copy of the approved Form 990 is provided to all of the officers, directors and trustees before the return is filed. Form 990, Part VI, Section B, line 12c The organization promulgates its Conflict of Interest policy to assure continued commitment to the integrity of its exempt purpose. To provide enforcement of the policy, a written disclosure of the policy is distributed to the employees and board. Form 990, Part VI, Section B, line 15 The compensation of the person is reviewed and approved by independent compensation committee of the Organization, made up of independent board members. Form 990, Part VI, Section C, line 19 The organization will provide, upon in-person verbal or written request, documents relating to the governance, conflicts of interest and financial statements available to the public. Form 990, Part XII, Line 2c: The process for selecting and overseeing the auditors has not changed from the prior year. FOUNDATION HEALTH SERVICES INC PO Box 40213 BATON ROUGE LA 70835 581745788 HEALTHCARE LA 501(c)(3) Line 9 N/A 0 BLUEBONNET HEALTHCARE INC PO Box 40018 Baton Rouge LA 70835 721187099 HEALTHCARE LA 501(c)(3) Line 9 FHS 0 ROCK GLEN HEALTHCARE INC PO Box 40018 BATON ROUGE LA 70835 721277793 HEALTHCARE MD 501(c)(3) Line 9 FHS 0 AMERICAN FAMILY SERVICES INC PO Box 40018 BATON ROUGE LA 70835 721150472 HEALTHCARE LA 501(c)(3) Line 9 FHS 0 RAVENWOOD HEALTHCARE INC PO Box 40018 Baton Rouge LA 70835 721325018 HEALTHCARE MD 501(c)(3) Line 9 FHS 0 Carrollwood Health Foundation Inc PO Box 40018 Baton Rouge LA 70825 721241847 financial services/healthcare LA 501(c)(3) Line 11a, I FHS 0 MAGNOLIA HEALTHCARE INC PO Box 40018 BATON ROUGE LA 70825 721304946 HEALTHCARE MS 501(c)(3) Line 9 FHS 0 COLONIAL HEALTHCARE INC PO Box 40018 BATON ROUGE LA 70835 721432537 INACTIVE MA 501(c)(3) Line 9 FHS 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0