AMERICAN FAMILY SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AMERICAN FAMILY SERVICES INC (EIN 72-1150472)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201123189349304027
Schema version
2010v3.4
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)
Timestamp2011-11-14T12:29:35-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 - STE 200AddressLine1
CityPLYMOUTH MEETINGCity
StatePAState
ZIP Code19462ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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
Date Signed2011-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH G SULLIVANName
Phone6108622249Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts3646931GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number8588GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.afshealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COMPREHENSIVE NURSING CAREActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees152TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year480ContributionsGrantsPriorYear
Contributions Grants Current Year100ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4059815ProgramServiceRevenuePriorYear
Program Service Revenue CY3638432ProgramServiceRevenueCY
Investment Income Prior Year2578InvestmentIncomePriorYear
Investment Income Current Year229InvestmentIncomeCurrentYear
Other Revenue Prior Year7874OtherRevenuePriorYear
Other Revenue Current Year8170OtherRevenueCurrentYear
Total Revenue Prior Year4070747TotalRevenuePriorYear
Total Revenue Current Year3646931TotalRevenueCurrentYear
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 Year2165087SalariesEtcPriorYear
Salaries Etc Current Year2395658SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2036926OtherExpensePriorYear
Other Expenses Current Year1717063OtherExpensesCurrentYear
Total Expenses Prior Year4202013TotalExpensesPriorYear
Total Expenses Current Year4112721TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-131266RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-465790RevenuesLessExpensesCY
Total Assets BOY3727954TotalAssetsBOY
Total Assets EOY3423094TotalAssetsEOY
Total Liabilities BOY5038009TotalLiabilitiesBOY
Total Liabilities EOY5198939TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1310055NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1775845NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COMPREHENSIVE NURSING CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3673859Expense
Revenue3638432Revenue
DescriptionAMERICAN FAMILY SERVICES WAS FORMED TO ACQUIRE AND OWN A 60 BED NURSING FACILITY AND TO CONSTRUCT AND OWN A 42 BED ASSISTED LIVING FACILITY.Description
Total Program Service Expense3673859TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees152NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledLAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
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

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
PRESIDENT40.0XX01971480
STUART G MURPHY III
TREASURER1.0XX060000
TOM ECHOLS
VICE PRESIDENT1.0XX060000
LOUIS HERRERO
SECRETARY1.0XX060000
CYNTHIA PITTMAN
CFO40.0X01171310
MICHAEL SMITH
CHIEF OPERATING OFFICER40.0X01633380
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs495617TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions100AllOtherContributions
Total Contributions100TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENUEDescription
Total Revenue Column3638432TotalRevenueColumn
Related Or Exempt Function Income3638432RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3638432TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column229TotalRevenueColumn
Exclusion$229ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
VENDING MACHINE4295$4,295
MEALS SOLD724$724
MISCELLANEOUS2536$2,536

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column615TotalRevenueColumn
Exclusion$615ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue8170TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3646931TotalRevenueColumn
Related Or Exempt Function Income3638432RelatedOrExemptFunctionIncome
Exclusion$8,399ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total81051Total
Program Services72402ProgramServices
Management And General8649ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1974904Total
Program Services1764165ProgramServices
Management And General210739ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total176266Total
Program Services157457ProgramServices
Management And General18809ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total163437Total
Program Services145997ProgramServices
Management And General17440ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5457Total
Program Services4875ProgramServices
Management And General582ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45508Total
Program Services40652ProgramServices
Management And General4856ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total93269Total
Program Services83316ProgramServices
Management And General9953ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10486Total
Program Services9367ProgramServices
Management And General1119ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total21971Total
Program Services19627ProgramServices
Management And General2344ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total233698Total
Program Services208760ProgramServices
Management And General24938ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total121950Total
Program Services108937ProgramServices
Management And General13013ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total47474Total
Program Services42408ProgramServices
Management And General5066ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS-15000-13399-1601
OTHER RESIDENT CARE SERVICES48164243024751395
OTHER DIETARY SERVICES25299522599826997
HOUSEKEEPING & LAUNDRY SERVICE23012205562456
UTILITIES & MAINTENANCE21657019346023110

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total178031Total
Program Services159034ProgramServices
Management And General18997ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4112721Total
Program Services3673859ProgramServices
Management And General438862ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY215713BOY
EOY54978EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY363844BOY
EOY310414EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3967BOY
EOY2346EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24015BOY
EOY23499EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3857867LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2051215LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1868188BOY
EOY1806652EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY343062BOY
EOY347806EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY909165BOY
EOY877399EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3727954BOY
EOY3423094EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY351556BOY
EOY404020EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3585000BOY
EOY3580000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY980000BOY
EOY965000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY121453BOY
EOY249919EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5038009BOY
EOY5198939EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1310055BOY
EOY-1775845EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1310055BOY
EOY-1775845EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3727954BOY
EOY3423094EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-465790ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year480CurrentTaxYearMinus1Year
Current Tax Year100CurrentTaxYear
Total765Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3281171CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3588769CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3864624CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4059815CurrentTaxYearMinus1Year
Current Tax Year3638432CurrentTaxYear
Total18432811Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3281201CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3588824CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3864724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4060295CurrentTaxYearMinus1Year
Current Tax Year3638532CurrentTaxYear
Total18433576Total
FieldValueIRS element (for citing)
Public Support Total50918433576PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13653CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11092CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3523CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2578CurrentTaxYearMinus1Year
Current Tax Year229CurrentTaxYear
Total31075Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13653CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11092CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3523CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2578CurrentTaxYearMinus1Year
Current Tax Year229CurrentTaxYear
Total31075Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2461029CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years436448CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71091CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7874CurrentTaxYearMinus1Year
Current Tax Year8170CurrentTaxYear
Total2984612Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5755883CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4036364CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3939338CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4070747CurrentTaxYearMinus1Year
Current Tax Year3646931CurrentTaxYear
Total21449263Total
FieldValueIRS element (for citing)
Public Support Percentage5090.85940PublicSupportPercentage509
Prior Year Support Percentage0.85421PriorYearSupportPercentage
Investment Income Percentage0.00145InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00219PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2998643OtherCostOrOtherBasis
Depreciation1487114Depreciation
Book Value1511529BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis82778OtherCostOrOtherBasis
Depreciation80064Depreciation
Book Value2714BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis618835OtherCostOrOtherBasis
Depreciation484039Depreciation
Book Value134796BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1806652TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING FEES277929
GOODWILL530715
RESIDENT FUNDS67255
DEPOSITS1500
FieldValueIRS element (for citing)
Total Book Value Other Assets877399TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTY$174,493
RESIDENT FUNDS$67,255
ESTIMATED THIRD PARTY PAYOR$8,171
FieldValueIRS element (for citing)
Total Of Amounts249919TotalOfAmounts
Total Revenue3646931TotalRevenue
Total Expenses4112721TotalExpenses
Excess Or Deficit For Year-465790ExcessOrDeficitForYear
Other$530,118OtherAmount
Total Adjustments530118TotalAdjustments
Excess Or Deficit Per FS64328ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt55675499TotRevenueEtcAuditedFinclStmt
Other Revenues52028568OtherRevenues
Revenue Not Rptd F99052028568RevenueNotRptdF990
Revenue Subtotal3646931RevenueSubtotal
Total Revenue Per Form9903646931TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt55611171TotExpensesEtcAuditedFinclStmt
Other Expenses Included51498450OtherExpensesIncluded
Expenses Not Rptd F99051498450ExpensesNotRptdF990
Expenses Subtotal4112721ExpensesSubtotal
Total Expenses Per Form9904112721TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48SCHEDULE D, PART X, LINE 2FINANCIAL STATEMENT DISCLOSURE: 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.
OTHER REVENUE RECONCILING ITEMSSCHEDULE D, PART XII, LINE 2DREVENUE ITEMS EARNED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES..............$54,421,735 LESS ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS..(2,393,167) TOTAL TO SCH. D, PART XII, LINE 2D.........................$52,028,568
OTHER EXPENSE RECONCILING ITEMSSCHEDULE D, PART XIII, LINE 2DEXPENSE ITEMS INCURRED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES..............$54,336,853 LESS ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS..(2,838,403) TOTAL TO SCH. D, PART XIII, LINE 2D........................$51,498,450
OTHER CHANGE IN NET ASSETS RECONCILING ITEMSSCHEDULE D, PART XI, LINE 8REVENUES EARNED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES.........$54,421,735 EXPENSES INCURRED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES.........(54,336,853) ELIMINATING ENTRIES IN FINANCIAL STATEMENTS: REVENUES...................................................(2,393,167) EXPENSES....................................................2,838,403 NET OTHER DIFFERENCES IN CHANGES IN NET ASSETS PER FINANCIAL STATEMENTS...................................................$530,118

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD T DASPIT SR
01971480197148181405
MICHAEL SMITH
01633380163338166893

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
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds3585000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2007YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCESS OF REVIEW OF FORM 990990 page 6 line 10The 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.
MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICYFORM 990 PAGE 6 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.
PROCESS OF DETERMINING COMPENSATIONFORM 990 PAGE 6 LINE 15CThe compensation of the person is reviewed and approved by independent compensation committee of the Organization, made up of independent board members.
AVAILABILITY OF INFORMATION TO THE PUBLIC990 PAGE 6 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
FOUNDATION HEALTH SERVICES INC
PO BOX 40213BATON ROUGELA70835581745788healthcareLA501c3publicNA
BLUEBONNET HEALTHCARE INC
PO Box 40018BATON ROUGELA70835781187099HEALTHCARELA501c3PUBLICFHS
Ravenwood Healthcare Inc
PO Box 40018Baton RougeLA70835721325018HEALTHCAREMD501c3publicFHS
HUNTINGDON NURSING CENTER INC
PO Box 40018BATON ROUGELA70835541759925HEALTHCAREVA501c3publicFHS
Carrollwood Health Foundation Inc
PO Box 40018Baton RougeLA70825721241847finclservicesFL501c3publicFHS
Magnolia Healthcare Inc
PO Box 40018Baton RougeLA70835HEALTHCAREMS501c3PUBLICFHS
ROCK GLEN HEALTHCARE INC
PO Box 40018BATON ROUGELA70835721277793HEALTHCAREMD501c3publicFHS
COLONIAL HEALTHCARE INC
PO Box 40018BATON ROUGELA70835721432537INACTIVEMA501c3PUBLICFHS
FieldValueIRS element (for citing)
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Foundation Health Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeE, L,TransactionType
Amount Involved215717AmountInvolved

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