AMERICAN FAMILY SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
AMERICAN FAMILY SERVICES INC (EIN 72-1150472)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201213199349305696
Schema version
2011v1.2
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)
Timestamp2012-11-14T15:31:09-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN311543240EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1401 PLYMOUTH ROAD SUITE 200AddressLine1
CityPLYMOUTH MEETINGCity
StatePAState
ZIP Code19462ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN721150472EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN FAMILY SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone2257530864Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 40018AddressLine1
CityBATON ROUGECity
StateLAState
ZIP Code70835ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCYNTHIA PITTMANName
TitleCFOTitle
Phone2257530864Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH G SULLIVANName
PTINP00360476PTIN
Phone6108622249Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD T DASPIT SRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line117617 S HARRELLS FERRY ROADAddressLine1
CityBATON ROUGECity
StateLAState
ZIP Code70816ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3790112GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number8588GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.AFSHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COMPREHENSIVE NURSING CARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees157TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year100ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3638432ProgramServiceRevenuePriorYear
Program Service Revenue CY3780523ProgramServiceRevenueCY
Investment Income Prior Year229InvestmentIncomePriorYear
Investment Income Current Year30InvestmentIncomeCurrentYear
Other Revenue Prior Year8170OtherRevenuePriorYear
Other Revenue Current Year9559OtherRevenueCurrentYear
Total Revenue Prior Year3646931TotalRevenuePriorYear
Total Revenue Current Year3790112TotalRevenueCurrentYear
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 Year2395658SalariesEtcPriorYear
Salaries Etc Current Year2377072SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1717063OtherExpensePriorYear
Other Expenses Current Year1851109OtherExpensesCurrentYear
Total Expenses Prior Year4112721TotalExpensesPriorYear
Total Expenses Current Year4228181TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-465790RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-438069RevenuesLessExpensesCY
Total Assets BOY3355839TotalAssetsBOY
Total Assets EOY3262741TotalAssetsEOY
Total Liabilities BOY5131684TotalLiabilitiesBOY
Total Liabilities EOY5476655TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1775845NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2213914NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COMPREHENSIVE NURSING CARE SERVICESMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3760136Expense
Revenue3780523Revenue
DescriptionAMERICAN 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 Expense3760136TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees157NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledLAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCYNTHIA PITTMANNamePerson
Telephone Number2257530864TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line117617 S HARRELLS FERRY ROADAddressLine1
CityBATON ROUGECity
StateLAState
ZIP Code70816ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RICHARD T DASPIT SR
PRESIDENT40.00XX01801000
G STUART MURPHY III
TREASURER1.00XX060000
THOMAS ECHOLS
VICE PRESIDENT1.00XX060000
LOUIS HERRERO
SECRETARY1.00XX060000
CYNTHIA PITTMAN
CFO40.00X01151950
MICHAEL SMITH
CHIEF OPERATING OFFICER40.00X01594720
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs472767TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENDescription
Business Code623000BusinessCode
Total Revenue Column3780523TotalRevenueColumn
Related Or Exempt Function Income3780523RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3780523TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30TotalRevenueColumn
Exclusion$30ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
VENDING MACHINE6230003526$3,526
MEALS SOLD6230003248$3,248
MISCELLANEOUS6230001912$1,912

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column873TotalRevenueColumn
Exclusion$873ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue9559TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3790112TotalRevenueColumn
Related Or Exempt Function Income3780523RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,589ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2001177Total
Program Services1779653ProgramServices
Management And General221524ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total214433Total
Program Services190696ProgramServices
Management And General23737ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total161462Total
Program Services143589ProgramServices
Management And General17873ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total787Total
Program Services700ProgramServices
Management And General87ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54379Total
Program Services48359ProgramServices
Management And General6020ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total226198Total
Program Services201159ProgramServices
Management And General25039ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1457Total
Program Services1296ProgramServices
Management And General161ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4213Total
Program Services3747ProgramServices
Management And General466ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total164968Total
Program Services146707ProgramServices
Management And General18261ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total23700Total
Program Services21076ProgramServices
Management And General2624ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total231649Total
Program Services206006ProgramServices
Management And General25643ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total123118Total
Program Services109489ProgramServices
Management And General13629ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total48880Total
Program Services43469ProgramServices
Management And General5411ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER RESIDENT CARE SER52952647090958617
OTHER DIETARY SERVICES24149221476026732
ALL OTHER EXPENSES65325580947231
BAD DEBTS57122507996323

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total78295Total
Program Services69628ProgramServices
Management And General8667ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4228181Total
Program Services3760136ProgramServices
Management And General468045ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY54978BOY
EOY7315EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY310414BOY
EOY262030EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2346BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23499BOY
EOY22642EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3874566LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2174335LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1806652BOY
EOY1700231EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY347806BOY
EOY362205EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY810144BOY
EOY908318EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3355839BOY
EOY3262741EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY404020BOY
EOY360444EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3580000BOY
EOY3570000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY965000BOY
EOY950000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY182664BOY
EOY596211EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5131684BOY
EOY5476655EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1775845BOY
EOY-2213914EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1775845BOY
EOY-2213914EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3355839BOY
EOY3262741EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-438069ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years480CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100CurrentTaxYearMinus1Year
Total735Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3588769CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3864624CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4059815CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3638432CurrentTaxYearMinus1Year
Current Tax Year3780523CurrentTaxYear
Total18932163Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3588824CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3864724CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4060295CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3638532CurrentTaxYearMinus1Year
Current Tax Year3780523CurrentTaxYear
Total18932898Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50918932898PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11092CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3523CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year229CurrentTaxYearMinus1Year
Current Tax Year30CurrentTaxYear
Total17452Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11092CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3523CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year229CurrentTaxYearMinus1Year
Current Tax Year30CurrentTaxYear
Total17452Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years436448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71091CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7874CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8170CurrentTaxYearMinus1Year
Current Tax Year9559CurrentTaxYear
Total533142Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4036364CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3939338CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4070747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3646931CurrentTaxYearMinus1Year
Current Tax Year3790112CurrentTaxYear
Total19483492Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97170PublicSupportPercentage509
Prior Year Support Percentage0.85940PriorYearSupportPercentage
Investment Income Percentage0.00090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00140PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: VENDING REVENUE MEAL REVENUE MISCELLANEOUS BARBER & BEAUTY FORGIVENESS OF DEBT LEGAL SETTLEMENTGeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis157613OtherCostOrOtherBasis
Book Value157613BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3009007OtherCostOrOtherBasis
Depreciation1588365Depreciation
Book Value1420642BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis83514OtherCostOrOtherBasis
Depreciation82230Depreciation
Book Value1284BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis624432OtherCostOrOtherBasis
Depreciation503740Depreciation
Book Value120692BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1700231TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionASSETS WHOSE USE IS LIMITEDDescription
Book Value362205BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities362205TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING FEES258572
GOODWILL530715
DEPOSITS1500
ESTIMATED THIRD PARTY SETTLEMENT117531
FieldValueIRS element (for citing)
Total Book Value Other Assets908318TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTYDescription
Amount$596,211Amount
FieldValueIRS element (for citing)
Total Of Amounts596211TotalOfAmounts
Total Revenue3790112TotalRevenue
Total Expenses4228181TotalExpenses
Excess Or Deficit For Year-438069ExcessOrDeficitForYear
Other-$3,548,392OtherAmount
Total Adjustments-3548392TotalAdjustments
Excess Or Deficit Per FS-3986461ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt53937866TotRevenueEtcAuditedFinclStmt
Other Revenues50147754OtherRevenues
Revenue Not Rptd F99050147754RevenueNotRptdF990
Revenue Subtotal3790112RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903790112TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt57924327TotExpensesEtcAuditedFinclStmt
Other Expenses Included53696146OtherExpensesIncluded
Expenses Not Rptd F99053696146ExpensesNotRptdF990
Expenses Subtotal4228181ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904228181TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 8 - OTHER ADJUSTMENTS:REVENUES EARNED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES 52,600,064. EXPENSES INCURRED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES -56,745,120. ELIMINATING ENTRIES IN FINANCIAL STATEMENTS: REVENUES -2,452,310. EXPENSES 3,048,974. TOTAL TO SCHEDULE D, PART XI, LINE 8: -3,548,392.
PART XII, LINE 2D - OTHER ADJUSTMENTS:REVENUES EARNED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL PURPOSES 52,600,064. LESS ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -2,452,310.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES INCURRED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES 56,745,120. LESS ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -3,048,974.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

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 OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD T DASPIT SR
018010000000000018010000
MICHAEL SMITH
015947200000000015947200

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationWAGES WERE PAID BY FOUNDATION HEALTH SERVICES, INC. TO THE FOLLOWING INDIVIDUALS: - RICHARD T. DASPIT, SR. $180,100 - MICHAEL SMITH $159,472Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDUSTRIAL DEVELOPMENT AUTHORITY OF ACCOMACK VABusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2007-03-01DateIssued
Issue Price3585000IssuePrice
Description Of PurposeREFINANCE OF ORIGINAL BOND DEBTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired10000AmountRetired
Amount Bond Defeased3570000AmountBondDefeased
Total Proceeds3585000TotalProceeds
Capital Expenditures3585000CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 PRESIDENT, 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 12CTHE 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 15THE 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 19THE 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 2CFOR 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
FOUNDATION HEALTH SERVICES INC
PO BOX 40213BATON ROUGELA70835581745788HEALTHCARELA501(C)(3)LINE 9N/A0
BLUEBONNET HEALTHCARE INC
PO BOX 40018BATON ROUGELA70835781187099HEALTHCARELA501(C)(3)LINE 91FHS
RAVENWOOD HEALTHCARE INC
PO BOX 40018BATON ROUGELA70835721325018HEALTHCAREMD501(C)(3)LINE 91FHS
HUNTINGDON NURSING CENTER INC
PO BOX 40018BATON ROUGELA70835541759925HEALTHCAREVA501(C)(3)LINE 91FHS
CARROLLWOOD HEALTH FOUNDATION INC
PO BOX 40018BATON ROUGELA70825721241847FINCLSERVICESHEALTHCAREFL501(C)(3)LINE 11A, I1FHS
MAGNOLIA HEALTHCARE INC
PO BOX 40018BATON ROUGELA70835721304946HEALTHCAREMS501(C)(3)LINE 91FHS
ROCK GLEN HEALTHCARE INC
PO BOX 40018BATON ROUGELA70835721277793HEALTHCAREMD501(C)(3)LINE 91FHS
COLONIAL HEALTHCARE INC
PO BOX 40018BATON ROUGELA70835721432537INACTIVEMA501(C)(3)LINE 91FHS
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
FOUNDATION HEALTH SERVICES INC
E65000FMV
FOUNDATION HEALTH SERVICES INC
L4000FMV
FOUNDATION HEALTH SERVICES INC
N472767FMV
FOUNDATION HEALTH SERVICES INC
O13758FMV

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