AMERICAN FAMILY SERVICES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- AMERICAN FAMILY SERVICES INC (EIN 72-1150472)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201303199349300220
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T06:37:02-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311543240 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ MHM LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 PLYMOUTH ROAD SUITE 200 | AddressLine1 |
| City | PLYMOUTH MEETING | City |
| State | PA | State |
| ZIP Code | 19462 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721150472 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN FAMILY SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AMER | NameControl |
| Phone | 2257530864 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40018 | AddressLine1 |
| City | BATON ROUGE | City |
| State | LA | State |
| ZIP Code | 70835 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CYNTHIA PITTMAN | Name |
| Title | CFO | Title |
| Phone | 2257530864 | Phone |
| Date Signed | 2013-11-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH G SULLIVAN | Name |
| PTIN | P00360476 | PTIN |
| Phone | 6108622249 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD T DASPIT SR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17617 S HARRELLS FERRY ROAD | AddressLine1 |
| City | BATON ROUGE | City |
| State | LA | State |
| ZIP Code | 70816 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3873957 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 8588 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AFSHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | LA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE COMPREHENSIVE NURSING CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 153 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 22643 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3780523 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3843648 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 30 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1141 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9559 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6525 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3790112 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3873957 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2377072 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2232729 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1851109 | OtherExpensePriorYear |
| Other Expenses Current Year | 1894368 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4228181 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4127097 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -438069 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -253140 | RevenuesLessExpensesCY |
| Total Assets BOY | 3262741 | TotalAssetsBOY |
| Total Assets EOY | 3361561 | TotalAssetsEOY |
| Total Liabilities BOY | 5476655 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5828615 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -2213914 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -2467054 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE COMPREHENSIVE NURSING CARE SERVICES | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3672755 | Expense |
| Revenue | 3843648 | Revenue |
| Description | AMERICAN FAMILY SERVICES WAS FORMED TO ACQUIRE AND OWN A 60 BEDNURSING FACILITY AND TO CONSTRUCT AND OWN A 42 BED ASSISTED LIVINGFACILITY. | Description |
| Total Program Service Expense | 3672755 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 153 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | LA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CYNTHIA PITTMAN | NamePerson |
| Telephone Number | 2257530864 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17617 S HARRELLS FERRY ROAD | AddressLine1 |
| City | BATON ROUGE | City |
| State | LA | State |
| ZIP Code | 70816 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| RICHARD T DASPIT SR | ||||||
| PRESIDENT | 40.00 | X | X | 0 | 200839 | 5376 |
| G STUART MURPHY III | ||||||
| TREASURER | 1.00 | X | X | 0 | 6000 | 0 |
| THOMAS ECHOLS | ||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 6000 | 0 |
| LOUIS HERRERO | ||||||
| SECRETARY | 1.00 | X | X | 0 | 6000 | 0 |
| CYNTHIA PITTMAN | ||||||
| CFO | 40.00 | X | 0 | 118584 | 5376 | |
| MICHAEL SMITH | ||||||
| CHIEF OPERATING OFFICER | 40.00 | X | 0 | 165044 | 5376 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 502467 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 16128 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 22643 | AllOtherContributions |
| Total Contributions | 22643 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENT SERVICE REVEN | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 3843648 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3843648 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3843648 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1141 | TotalRevenueColumn |
| Exclusion | $1,141 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| VENDING MACHINE | 623000 | 3026 | $3,026 |
| MISCELLANEOUS | 623000 | 1725 | $1,725 |
| MEALS SOLD | 623000 | 930 | $930 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 844 | TotalRevenueColumn |
| Exclusion | $844 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6525 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3873957 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3843648 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $7,666 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1897228 | Total |
| Program Services | 1688367 | ProgramServices |
| Management And General | 208861 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177303 | Total |
| Program Services | 157784 | ProgramServices |
| Management And General | 19519 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158198 | Total |
| Program Services | 140782 | ProgramServices |
| Management And General | 17416 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 498 | Total |
| Program Services | 443 | ProgramServices |
| Management And General | 55 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43986 | Total |
| Program Services | 39144 | ProgramServices |
| Management And General | 4842 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 236014 | Total |
| Program Services | 210032 | ProgramServices |
| Management And General | 25982 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 892 | Total |
| Program Services | 794 | ProgramServices |
| Management And General | 98 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2823 | Total |
| Program Services | 2512 | ProgramServices |
| Management And General | 311 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151463 | Total |
| Program Services | 134789 | ProgramServices |
| Management And General | 16674 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33380 | Total |
| Program Services | 29705 | ProgramServices |
| Management And General | 3675 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230553 | Total |
| Program Services | 205172 | ProgramServices |
| Management And General | 25381 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121103 | Total |
| Program Services | 107771 | ProgramServices |
| Management And General | 13332 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58967 | Total |
| Program Services | 52475 | ProgramServices |
| Management And General | 6492 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| OTHER RESIDENT CARE SER | 598423 | 532544 | 65879 |
| OTHER DIETARY SERVICES | 243183 | 216412 | 26771 |
| ALL OTHER EXPENSES | 62157 | 55314 | 6843 |
| UTILITIES & MAINTENANCE | 49332 | 43901 | 5431 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61594 | Total |
| Program Services | 54814 | ProgramServices |
| Management And General | 6780 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4127097 | Total |
| Program Services | 3672755 | ProgramServices |
| Management And General | 454342 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7315 | BOY |
| EOY | 123999 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262030 | BOY |
| EOY | 357095 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22642 | BOY |
| EOY | 14473 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3912007 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2295438 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1700231 | BOY |
| EOY | 1616569 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 362205 | BOY |
| EOY | 411229 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 908318 | BOY |
| EOY | 838196 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3262741 | BOY |
| EOY | 3361561 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 360444 | BOY |
| EOY | 474283 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3570000 | BOY |
| EOY | 3545000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 950000 | BOY |
| EOY | 935000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 596211 | BOY |
| EOY | 874332 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5476655 | BOY |
| EOY | 5828615 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2213914 | BOY |
| EOY | -2467054 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2213914 | BOY |
| EOY | -2467054 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3262741 | BOY |
| EOY | 3361561 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -253140 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 100 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 480 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 100 | CurrentTaxYearMinus2Years |
| Current Tax Year | 22643 | CurrentTaxYear |
| Total | 23323 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3864624 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4059815 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3638432 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3780523 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3843648 | CurrentTaxYear |
| Total | 19187042 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3864724 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4060295 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3638532 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3780523 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3866291 | CurrentTaxYear |
| Total | 19210365 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 19210365 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3523 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2578 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 229 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 30 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1141 | CurrentTaxYear |
| Total | 7501 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3523 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2578 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 229 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 30 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1141 | CurrentTaxYear |
| Total | 7501 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 71091 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7874 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8170 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9559 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6525 | CurrentTaxYear |
| Total | 103219 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3939338 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4070747 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3646931 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3790112 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3873957 | CurrentTaxYear |
| Total | 19321085 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99430 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97170 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00040 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00090 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: VENDING REVENUE MEAL REVENUE MISCELLANEOUS BARBER BEAUTY FORGIVENESS OF DEBT LEGAL SETTLEMENT | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 157613 | OtherCostOrOtherBasis |
| Book Value | 157613 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3043727 | OtherCostOrOtherBasis |
| Depreciation | 1691939 | Depreciation |
| Book Value | 1351788 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 83514 | OtherCostOrOtherBasis |
| Depreciation | 82682 | Depreciation |
| Book Value | 832 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 627153 | OtherCostOrOtherBasis |
| Depreciation | 520817 | Depreciation |
| Book Value | 106336 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1616569 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ASSETS WHOSE USE IS LIMITED | Description |
| Book Value | 411229 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 411229 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED FINANCING FEES | 239215 |
| GOODWILL | 530715 |
| DEPOSITS | 1500 |
| ESTIMATED THIRD PARTY SETTLEMENT | 66766 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 838196 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO RELATED PARTY | Description |
| Amount | $874,332 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 874332 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 51896233 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 48022276 | OtherRevenues |
| Revenue Not Rptd F990 | 48022276 | RevenueNotRptdF990 |
| Revenue Subtotal | 3873957 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 3873957 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 58034454 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 53907357 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 53907357 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4127097 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4127097 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | AFS IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. AFS ACCOUNTS FOR THE EFFECTS OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION OF THE TAX POSITIONS 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. AFS HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, AFS HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUES EARNED BY OTHER ORGANIZATIONS COMBINED WITH THE 50,672,777. ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES LESS ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -2,650,501. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES INCURRED BY OTHER ORGANIZATIONS COMBINED WITH THE 57,590,015. ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES LESS ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -3,682,658. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD T DASPIT SR | ||||||||||||||
| PRESIDENT | 0 | 200839 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5376 | 0 | 206215 | 0 | 0 |
| MICHAEL SMITH | ||||||||||||||
| CHIEF OPERATING OFFICER | 0 | 165044 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5376 | 0 | 170420 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | IdentifierIdentifier | ExplanationExplanation |
|---|---|---|
| PART I, LINE 3 | ||
| PART III | SUPPLEMENTAL INFORMATION | WAGES WERE PAID BY FOUNDATION HEALTH SERVICES, INC. TO THE FOLLOWING INDIVIDUALS: - RICHARD T. DASPIT, SR. $200,839 - MICHAEL SMITH $165,044 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDUSTRIAL DEVELOPMENT AUTHORITY OF ACCOMACK VA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Issued | 2007-03-01 | DateIssued |
| Issue Price | 3585000 | IssuePrice |
| Description Of Purpose | REFINANCE OF ORIGINAL BOND DEBT | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 40000 | AmountRetired |
| Amount Bond Defeased | 3545000 | AmountBondDefeased |
| Total Proceeds | 3585000 | TotalProceeds |
| Capital Expenditures | 3585000 | CapitalExpenditures |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 OF DIRECTORS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE INDIVIDUAL IS APPROVED BY AN 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 | FOR THE CURRENT YEAR, THERE HAS BEEN NO CHANGE TO THE AUDIT OVERSIGHT PROCESS OR THE SELECTION OF INDEPENDENT ACCOUNTANTS. | AUDIT OVERSIGHT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 781187099 | HEALTHCARE | LA | 501(C)(3) | LINE 9 | 1 | FHS | |
| RAVENWOOD HEALTHCARE INC | |||||||||||
| PO BOX 40018 | BATON ROUGE | LA | 70835 | 721325018 | HEALTHCARE | MD | 501(C)(3) | LINE 9 | 1 | FHS | |
| HUNTINGDON NURSING CENTER INC | |||||||||||
| PO BOX 40018 | BATON ROUGE | LA | 70835 | 541759925 | HEALTHCARE | VA | 501(C)(3) | LINE 9 | 1 | FHS | |
| CARROLLWOOD HEALTH FOUNDATION INC | |||||||||||
| PO BOX 40018 | BATON ROUGE | LA | 70825 | 721241847 | FINCLSERVICESHEALTHCARE | FL | 501(C)(3) | LINE 11A, I | 1 | FHS | |
| MAGNOLIA HEALTHCARE INC | |||||||||||
| PO BOX 40018 | BATON ROUGE | LA | 70835 | 721304946 | HEALTHCARE | MS | 501(C)(3) | LINE 9 | 1 | FHS | |
| ROCK GLEN HEALTHCARE INC | |||||||||||
| PO BOX 40018 | BATON ROUGE | LA | 70835 | 721277793 | HEALTHCARE | MD | 501(C)(3) | LINE 9 | 1 | FHS | |
| COLONIAL HEALTHCARE INC | |||||||||||
| PO BOX 40018 | BATON ROUGE | LA | 70835 | 721432537 | INACTIVE | MA | 501(C)(3) | LINE 9 | 1 | FHS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FOUNDATION HEALTH SERVICES INC | ||
| E | 85000 | FMV |
| FOUNDATION HEALTH SERVICES INC | ||
| M | 3000 | FMV |
| FOUNDATION HEALTH SERVICES INC | ||
| O | 502467 | FMV |
| FOUNDATION HEALTH SERVICES INC | ||
| P | 9993 | FMV |
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