HOSPITAL AUTHORITY OF MARION COUNTY: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL AUTHORITY OF MARION COUNTY (EIN 58-0969711)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-11-09
IRS object ID
202143139349300729
Schema version
2020v4.0
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)
Return2021-11-09T07:55:28-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN274393280PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HAUGABOOK & HUDGINS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1131 THOMAS DRIVEAddressLine1Txt
CityAMERICUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317095530ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN580969711EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTHORITY OF MARION COUNTYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 262AddressLine1Txt
CityBUENA VISTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP31803ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLLOYD HINESPersonNm
Person TitleCHAIRMANPersonTitleTxt
Signature2021-10-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLLOYDPersonFirstNm
Person LastHINESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonC BENJAMIN HAUGABOOKPreparerPersonNm
PTINP01014776PTIN
Phone2299243475PhoneNum
Preparation2021-10-22PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLLOYD HINESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11460 POWER STATION RDAddressLine1Txt
CityBUENA VISTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP31803ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$67,078GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization DscGOVT.OtherOrganizationDsc
Formation1969FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO PROVIDE A NURSING HOME AND MEDICAL CARE FOR MARION COUNTY, GEORGIA RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$743,186PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$14,171PYInvestmentIncomeAmt
CY Investment Income$7,543CYInvestmentIncomeAmt
PY Other Revenue$36,632PYOtherRevenueAmt
CY Other Revenue$50,108CYOtherRevenueAmt
PY Total Revenue$793,989PYTotalRevenueAmt
CY Total Revenue$57,651CYTotalRevenueAmt
PY Grants And Similar Paid$832,305PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$86,893CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,868PYOtherExpensesAmt
CY Other Expenses$10,421CYOtherExpensesAmt
PY Total Expenses$842,173PYTotalExpensesAmt
CY Total Expenses$97,314CYTotalExpensesAmt
PY Revenues Less Expenses-$48,184PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$39,663CYRevenuesLessExpensesAmt
Total Assets BOY$979,974TotalAssetsBOYAmt
Total Assets EOY$940,311TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$979,974NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$940,311NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE A NURSING HOME AND MEDICAL CARE FOR MARION COUNTY, GEORGIA RESIDENTS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$82,339ExpenseAmt
Grant$82,339GrantAmt
DescTHE HOSPITAL AUTHORITY OF MARION COUNTY SUPPORTS MARION COUNT'S EMERGENCY MEDICAL SERVICES AND HELPS PROVIDE FUNDS FOR OPERATION AND EQUIPMENTDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,554ExpenseAmt
Grant$4,554GrantAmt
DescTHE HOSPITAL AUTHORITY OF MARION COUNTY SUPPORTS MARION COUNTY'S SENIOR CENTER AND HELPS PROVIDE FUNDS FOR EQUIPMENTDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$86,893TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEN SINGLETONPersonNm
Phone2293891841PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13782 HWY 41 SAddressLine1Txt
Address Line23782 HWY 41 SAddressLine2Txt
CityBUENA VISTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP31803ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LLOYD HINES
CHAIRMAN0.50Yes (X)Yes (X)$400$0$0
CAROL WELLS
DIRECTOR0.50Yes (X)$400$0$0
WAYNE CHALKLEY
DIRECTOR0.20Yes (X)$200$0$0
DENNIS PARKER
SECRETARY0.20Yes (X)Yes (X)$200$0$0
KEN SINGLETON
TREASURER0.25Yes (X)Yes (X)$200$0$0
SONYA FAULK
VICE CHAIRMA0.20Yes (X)$150$0$0
DEBBY FORD
DIRECTOR0.50Yes (X)$150$0$0
BUDDY POWELL
DIRECTOR0.20Yes (X)$150$0$0
ANTHONY MURRAY
DIRECTOR0.20Yes (X)$50$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,900TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,543TotalRevenueColumnAmt
Exclusion$7,543ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$59,535RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$9,427RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$50,108RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,108TotalRevenueColumnAmt
Related Or Exempt Func Income$50,108RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,651TotalRevenueColumnAmt
Related Or Exempt Func Income$50,108RelatedOrExemptFuncIncomeAmt
Exclusion$7,543ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$86,893TotalAmt
Program Services$86,893ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,900TotalAmt
Management And General$1,900ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,790TotalAmt
Management And General$3,790ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,731TotalAmt
Management And General$4,731ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$97,314TotalAmt
Program Services$86,893ProgramServicesAmt
Management And General$10,421ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1BOYAmt
EOY$1EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$873,099BOYAmt
EOY$842,756EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,697,499LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,599,945LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$106,874BOYAmt
EOY$97,554EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$979,974BOYAmt
EOY$940,311EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$979,974BOYAmt
EOY$940,311EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$979,974BOYAmt
EOY$940,311EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$979,974BOYAmt
EOY$940,311EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$39,663ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Governmental UnitYes (X)GovernmentalUnitInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,655OtherCostOrOtherBasisAmt
Book Value$7,655BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,327,214OtherCostOrOtherBasisAmt
Depreciation$1,237,315DepreciationAmt
Book Value$89,899BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$362,630OtherCostOrOtherBasisAmt
Depreciation$362,630DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$97,554TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$57,651TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$57,651RevenueSubtotalAmt
Total Revenue Per Form990$57,651TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$97,314TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$97,314ExpensesSubtotalAmt
Total Expenses Per Form990$97,314TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
MARION COUNTY EMS
117 BAKER STREETBUENA VISTAGA31803586000860GOV$64,339BOOKEQUIPMENTFOR COUNTY EMS
MARION COUNTY EMS
117 BAKER STREETBUENA VISTAGA31803586000860GOV$18,000OPERATING EXPENSES
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 4, PART IVFormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION MAINTAINS RECORDS OF AMOUNTS OF ASSISTANCE. GRANTS ARE AWARDED TO THE MAJOR RECIPIENTS OF THE ORGANIZATION'S PROGRAM SERVICES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE CHAIRMAN OF THE HOSPITAL AUTHORITY REVIEWS AND SIGNS THE ORGANIZATION'S TAX RETURN BEFORE IT IS FILED.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENT, TAX RETURN AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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