2017-01-16T00:00:00-06:00 2015-12-31 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2015-01-01 721304946 Magnolia Healthcare Inc MAGN 2257530864 PO Box 40018 Baton Rouge LA 70835 Cynthia Pittman CFO 2257530864 2017-01-17 1 Joseph G Sullivan P00360476 6108622249 2015 2021-01-29 14:40:06Z RICHARD T DASPIT SR 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 20639728 0 X WWW.MHIHEALTH.ORG X 1995 MS TO PROVIDE COMPREHENSIVE NURSING CARE SERVICES. 4 4 465 0 0 0 0 0 20253504 20424428 53647 72186 564734 143114 20871885 20639728 0 0 0 0 10549332 10380015 0 0 0 9919565 10196387 20468897 20576402 402988 63326 14705857 13774111 24314806 23319734 -9608949 -9545623 TO SERVE THE HEALTH AND REHABILITATION NEEDS OF THE COMMUNITY AND TO IMPROVE THE QUALITY OF LIFE FOR EACH PATIENT, RESIDENT, FAMILY MEMBER, VISITOR AND CO-WORKER. 0 0 16922930 20424428 OWN AND OPERATE FOUR NURSING HOMES TOTALING 296 BEDS IN VARIOUSLOCATIONS. IN 2015, THERE WERE APPROXIMATELY 85,300 RESIDENT DAYS. 16922930 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 20 0 1 465 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 LA X CYNTHIA PITTMAN 2257530864 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 RICHARD T DASPIT SR PRESIDENT 40.00 X X 0 214603 5359 STUART G MURPHY III TREASURER 1.00 X X 0 6000 0 THOMAS ECHOLS VICE PRESIDENT 1.00 X X 0 5000 0 LOUIS HERRERO SECRETARY 1.00 X X 0 6000 0 A D Buffington Director 1.00 X X 0 0 0 CYNTHIA PITTMAN CFO 40.00 X 0 143572 5359 Chris Peeler CHIEF OPERATING OFFICER 40.00 X 0 161463 5359 Gwendolyn Brown Nurse Consultant 40.00 X 102078 0 4813 Michael Smith Chief Compliance Officer 40.00 X 0 145531 5359 102078 682169 26249 1 0 1 0 FOUNDATION HEALTH SERVICES INC PO BOX 40213 BATON ROUGE LA 708350213 FINANCIAL MGMT. 2694954 RELIANT MANAGEMENT GROUP RELIANT REHABILITATION 6860 DALLAS PLANO TX 75024 THERAPY 1492402 US FOODS INC 3682 COLLECTION CENTER DR CHICAGO IL 60693 FOOD VENDOR 445979 APOTHECARE LLC PO BOX 919 MEADVILLE MS 39653 PHARMACY SERVICE 444202 Lockard & Williams PO Box 1688 Pascagoula MS 39568 Insurance Broker 103139 5 RESIDENT SERVICES 623000 20424428 20424428 20424428 72186 72186 misc income 623000 143114 143114 143114 20639728 20424428 0 215300 X 8245231 7418573 826658 1503878 1342381 161497 630906 567897 63009 14426 14426 93913 93913 4009530 3126209 883321 63758 63758 1095686 1055582 40104 2052835 874627 1178208 68920 4048 64872 1695 1695 468183 415117 53066 provider fees - bed tax 1160037 1160037 OTHER RESIDENT CARE SER 567662 567662 other g&a 208945 208945 BAD DEBT 181167 181167 209630 209630 20576402 16922930 3653472 0 700325 596380 2265912 1505738 367259 332595 10099798 7425392 3030721 2674406 4127085 4102720 3697371 3637103 517184 925169 14705857 13774111 2218049 2408498 10710000 10125000 140841 140242 687708 645942 6195351 6160049 4362857 3840003 24314806 23319734 X -9608949 -9545623 -9608949 -9545623 14705857 13774111 63326 0 X X 0 1 X 1 0 X 21484578 21948407 20576268 20253504 20424428 104687185 21484578 21948407 20576268 20253504 20424428 104687185 0 0 0 104687185 110239 127305 391066 53647 72186 754443 110239 127305 391066 53647 72186 754443 24448 293779 24035 564734 143114 1050110 21619265 22369491 20991369 20871885 20639728 106491738 0.98310 0.98390 0.00710 0.00740 X 0 1 X 201199 201199 6997279 5230219 1767060 629111 515101 114010 2272209 1680072 592137 2674406 ASSETS WHOSE USE IS LIMITED 3962709 C Investment in LTC Employers Ins Co 140011 C 4102720 deposits 57019 est third part settlements 819019 ar-other 49131 925169 DUE TO RELATED PARTIES 574934 SUBORDINATED ACCRUED INTEREST 3179876 other payable 85193 3840003 X 20639728 0 20639728 0 20639728 20576402 0 20576402 0 20576402 Part IV, Line 2b: The escrow account liability offsets the resident trust fund established on behalf of the facility's residents. Part X, Line 2: MHI 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. MHI 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. MHI has identified its tax status as a tax-exempt entity as a tax position; however, MHI has determined that such tax position does not result in an uncertainty requiring recognition. MHI believes it is no longer subject to income tax examinations for years prior to December 31, 2012. 0 0 0 0 0 0 0 0 0 RICHARD T DASPIT SR PRESIDENT 0 214603 0 0 0 0 0 0 0 5359 0 219962 0 0 Chris Peeler CHIEF OPERATING OFFICER 0 161463 0 0 0 0 0 0 0 5359 0 166822 0 0 Michael Smith Chief Compliance Officer 0 145531 0 0 0 0 0 0 0 5359 0 150890 0 0 Form 990, Schedule J, Part II WAGES WERE PAID BY FOUNDATION HEALTH SERVICES, INC. TO THE FOLLOWING: - RICHARD T. DASPIT, SR.: $214,603 - CHRIS PEELER: $161,463 - Michael Smith: $145,531 Form 990, Part VI, Section B, line 11 The Form 990 is completed annually and copies are provided to the entire governing board as well as the president of the organization. At that time the president reviews the Form 990 with the board members. Any necessary changes are then updated on the form. Once all necessary changes are made and the president is in agreement with the board members on the finished Form 990, it is signed by the CFO, dated and submitted by the filing deadline. A copy of the approved Form 990 is provided to all of the officers, directors and trustees before the return is filed. Form 990, Part VI, Section B, line 12c The organization promulgates its Conflict of Interest policy to assure continued commitment to the integrity of its exempt purpose. To provide enforcement of the policy, a written disclosure of the policy is distributed to the employees and board. Form 990, Part VI, Section B, line 15 The compensation of the person is reviewed and approved by independent compensation committee of the Organization, made up of independent board members. Form 990, Part VI, Section C, line 19 The organization will provide, upon in-person verbal or written request, documents relating to the governance, conflicts of interest and financial statements available to the public. Form 990, Part IX, line 11g Other professional fees: Program service expenses 3,126,209. Management and general expenses 883,321. Fundraising expenses 0. Total expenses 4,009,530. 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. Foundation Health Services Inc PO BOX 40213 BATON ROUGE LA 70835 581745788 HEALTHCARE LA 501(c)(3) Line 9 N/A 0 BLUEBONNET HEALTHCARE INC PO Box 40018 Baton Rouge LA 70835 721187099 HEALTHCARE LA 501(c)(3) Line 9 FHS 0 ROCK GLEN HEALTHCARE INC PO Box 40018 BATON ROUGE LA 70835 721277793 HEALTHCARE MD 501(c)(3) Line 9 FHS 0 AMERICAN FAMILY SERVICES INC PO Box 40018 BATON ROUGE LA 70835 721150472 HEALTHCARE LA 501(c)(3) Line 9 FHS 0 HUNTINGDON NURSING CENTER INC PO Box 40018 BATON ROUGE LA 70835 541759925 HEALTHCARE VA 501(c)(3) Line 9 FHS 0 Carrollwood Health Foundation Inc PO Box 40018 Baton Rouge LA 70825 721241847 Financial Services/Healthcare FL 501(c)(3) Line 11a, I FHS 0 Ravenwood Healthcare Inc PO Box 40018 Baton Rouge LA 70835 721325018 HEALTHCARE MD 501(c)(3) Line 9 FHS 0 COLONIAL HEALTHCARE INC PO Box 40018 BATON ROUGE LA 70835 721432537 INACTIVE MA 501(c)(3) Line 9 FHS 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0