HOSPITAL AUTHORITY OF MARION COUNTY: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL AUTHORITY OF MARION COUNTY (EIN 58-0969711)
Tax period
2014-07-01 to 2015-06-30
Filed
2015-09-25
IRS object ID
201512689349300516
Schema version
2014v5.0
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)
Return2015-09-25T10:45:21-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN274393280PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1STUDSTILL HAUGABOOK & 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 Begin2014-07-01TaxPeriodBeginDt

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
Phone2296492542PhoneNum

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
Phone2296492542PhoneNum
Signature2015-09-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonC BENJAMIN HAUGABOOKPreparerPersonNm
PTINP01014776PTIN
Phone2299243475PhoneNum
Preparation2015-09-25PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLLOYD HINESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1297 LIBERTY RDAddressLine1Txt
CityMAUKCityNm
State AbbreviationGAStateAbbreviationCd
ZIP310583505ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$703,466GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
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$557,143PYContributionsGrantsAmt
CY Contributions Grants$639,968CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$5,840PYInvestmentIncomeAmt
CY Investment Income$6,798CYInvestmentIncomeAmt
PY Other Revenue$34,175PYOtherRevenueAmt
CY Other Revenue$36,714CYOtherRevenueAmt
PY Total Revenue$597,158PYTotalRevenueAmt
CY Total Revenue$683,480CYTotalRevenueAmt
PY Grants And Similar Paid$573,643PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$657,968CYGrantsAndSimilarPaidAmt
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$21,668PYOtherExpensesAmt
CY Other Expenses$10,400CYOtherExpensesAmt
PY Total Expenses$595,311PYTotalExpensesAmt
CY Total Expenses$668,368CYTotalExpensesAmt
PY Revenues Less Expenses$1,847PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,112CYRevenuesLessExpensesAmt
Total Assets BOY$1,181,078TotalAssetsBOYAmt
Total Assets EOY$1,150,184TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,181,078NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,150,184NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE A NURSING HOME AND MEDICAL CARE FOR MARION COUNTY, GEORGIA RESIDENTS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$18,000ExpenseAmt
Grant$18,000GrantAmt
DescTHE HOSPITAL AUTHORITY OF MARION COUNTY SUPPORTS MARION COUNTY'S EMERGENCY MEDICAL SERVICE AND HELPS PROVIDE FUNDS FOR TRAINING.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$639,968ExpenseAmt
Grant$639,968GrantAmt
DescTHE HOSPITAL AUTHORITY RECEIVED 557,143 FROM THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH AND PROVIDED THAT SAME AMOUNT TO MAGNOLIA MANOR OF MARION COUNTY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$657,968TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document1IRPDocumentCnt
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
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
KEN SINGLETON
TREASURER1.00Yes (X)Yes (X)$800$0$0
DENNIS PARKER
SECRETARY1.00Yes (X)Yes (X)$400$0$0
LLOYD HINES
CHAIRMAN1.00Yes (X)Yes (X)$300$0$0
ROBBIE MCCORKLE
DIRECTOR1.00Yes (X)$200$0$0
WALTER HICKS
DIRECTOR1.00Yes (X)$200$0$0
DEBBY FORD
DIRECTOR1.00Yes (X)$200$0$0
WAYNE CHALKLEY
DIRECTOR1.00Yes (X)$200$0$0
BUDDY POWELL
DIRECTOR1.00Yes (X)$200$0$0
SONYA FAULK
VICE CHAIRMA1.00Yes (X)$150$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,650TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$639,968GovernmentGrantsAmt
Total Contributions$639,968TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,798TotalRevenueColumnAmt
Exclusion$6,798ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$56,700RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$19,986RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$36,714RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,714TotalRevenueColumnAmt
Related Or Exempt Func Income$36,714RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$683,480TotalRevenueColumnAmt
Related Or Exempt Func Income$36,714RelatedOrExemptFuncIncomeAmt
Exclusion$6,798ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$657,968TotalAmt
Program Services$657,968ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,650TotalAmt
Management And General$2,650ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,100TotalAmt
Management And General$3,100ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,650TotalAmt
Management And General$4,650ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$668,368TotalAmt
Program Services$657,968ProgramServicesAmt
Management And General$10,400ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$799,429BOYAmt
EOY$820,161EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,699,406LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,482,971LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$238,347BOYAmt
EOY$216,435EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$143,301BOYAmt
EOY$113,588EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,181,078BOYAmt
EOY$1,150,184EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,181,078BOYAmt
EOY$1,150,184EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,181,078BOYAmt
EOY$1,150,184EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,181,078BOYAmt
EOY$1,150,184EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$15,112ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$46,006OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$1,329,121OtherCostOrOtherBasisAmt
Depreciation$1,120,341DepreciationAmt
Book Value$208,780BookValueAmt

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$216,435TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
SCHOLARSHIP LOAN-DAN SINGLETON$107,500
ACCRUED INTEREST RECEIVABLE$6,088
FieldValueIRS element (for citing)
Total Book Value Other Assets$113,588TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$683,480TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$683,480RevenueSubtotalAmt
Total Revenue Per Form990$683,480TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$670,294TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,926OtherExpensesIncludedAmt
Expenses Not Reported$1,926ExpensesNotReportedAmt
Expenses Subtotal$668,368ExpensesSubtotalAmt
Total Expenses Per Form990$668,368TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XII, LINE 2DFormAndLineReferenceDesc
ExplanationBOOK / TAX DEPRECIATION DIFFERENCE 1,926ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtIRC SectionIRCSectionDesc
MARION COUNTY EMS
117 BAKER STREETBUENA VISTAGA31803586000860$18,000FOR COUNTY EMS
MAGNOLIA MANOR OF MARION CO INC
349 GENEVA ROADBUENA VISTAGA31803201220860$639,968FOR NURSING HOME501(C)

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 (4 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.
FORM 990, PART XI, LINE 9BOOK / TAX DEPRECIATION DIFFERENCE -1,926
FORM 990, PART XI, LINE 9FORGIVENESS OF DEBT 30,000 MARION FAMILY MEDICINE PC 14,080

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