2014-11-13T08:28:51-06:00 2014-06-30 580692043 Mauldin & Jenkins LLC P O Box 1877 Macon GA 312021877 990 2013-07-01 580586001 AG RHODES HEALTH & REHAB ATLANTA AGRH 4046886731 350 BOULEVARD SE ATLANTA GA 30312 ALBERT BLACKWELDER CEO 4046886731 2014-11-10 1 Rick Alibozek P00108158 4784648000 2014-11-10 X 2013 2015-11-30 17:44:51Z DAVID PERDUE 350 BOULEVARD SE ATLANTA GA 30312 11879879 0 X WWW.AGRHODES.ORG X 1904 GA The mission of A.G. Rhodes Health & Rehab Atlanta is to provide the highest possible standard of quality care to our elderly residents while preserving their dignity, independence, and quality of life. We commit ourselves to care for all who need our services, regardless of their economic status. We believe the primary purpose of our work is to serve our residents, while striving to maintain open lines of communication with their families. We are proud to be caring people caring for people. 13 13 224 110 0 0 261313 424444 11579191 11424979 -3086 -6995 27744 28960 11865162 11871388 0 0 0 0 6812107 7032091 0 0 0 4721451 4700617 11533558 11732708 331604 138680 5824905 6012187 785449 834051 5039456 5178136 X The mission of A.G. Rhodes Health & Rehab Atlanta is to provide the highest possible standard of quality care to our elderly residents while preserving their dignity, independence, and quality of life. We commit ourselves to care for all who need our services, regardless of their economic status. We believe the primary purpose of our work is to serve our residents, while striving to maintain open lines of communication with their families. We are proud to be caring people caring for people. 0 0 9181690 11445448 The Organization owns and operates a 138-bed skilled nursing facility in Atlanta, Georgia and provided skilled and intermediate nursing home services totaling 47,360 certified bed days. 9181690 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 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 1 1 0 0 1 8 0 224 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X AG Rhodes Health & Rehab Management Company 4046363512 2801 Buford Highway Suite 500 Atlanta GA 30329 DAVID L PERDUE CHAIRMAN 5.00 13.00 X X 0 0 0 ANN S BARRETT SECRETARY 5.00 12.00 X X 0 0 0 JOHN W WILCOX III TREASURER 5.00 13.00 X X 0 0 0 GEORGE CHASE JR TRUSTEE 2.00 6.00 X 0 0 0 JOHN R FAZER TRUSTEE 2.00 6.00 X 0 0 0 SAM B HOLLIS TRUSTEE 2.00 6.00 X 0 0 0 WILLIAM E HUGER TRUSTEE 2.00 6.00 X 0 0 0 HERNDON MURRAY TRUSTEE 2.00 6.00 X 0 0 0 MONICA W PARKER TRUSTEE 2.00 6.00 X 0 0 0 JANE SCHWEERS TRUSTEE 2.00 6.00 X 0 0 0 JACK SIBLEY TRUSTEE 2.00 6.00 X 0 0 0 MARGARET STICKNEY TRUSTEE 2.00 6.00 X 0 0 0 ROBBIN STEED TRUSTEE 2.00 6.00 X 0 0 0 ALBERT K BLACKWELDER CEO 1.00 41.00 X 0 297504 13984 DEKE CATEAU ADMINISTRATOR 40.00 X 162724 0 12318 BAHAA BARSOUM DIRECTOR OF NURSING 40.00 X 116877 0 11697 NDUBUISI AKOBUNDU LPN SUPERVISOR 38.80 X 108041 0 5561 387642 297504 43560 3 0 1 0 MORRISON MANAGEMENT SPECIALISTS 4721 MORRISON DR STE 300 MOBILE AL 36609 DIETARY SERVICES 1133030 COVENTRY HEALTH CARE OF GA INC PO BOX 6502 CAROL STREAM IL 60197 HEALTH INSURANCE 633100 MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE IL 60055 SUPPLIES 324714 UNITED PHARMACY SERVICES PO BOX 1627 TOCCOA GA 30577 PHARMACY SUPPLIES 289822 4 423002 1442 424444 Medicare and Medicaid payments 623000 10159015 10159015 Private revenue 623000 1265964 1265964 11424979 1496 1496 8491 -8491 -8491 -8491 Meal revenue 623000 17269 17269 Deferred Rental Income 623000 10000 10000 Cable TV charges 623000 1691 1691 28960 11871388 11445448 0 1496 5855352 5207163 648189 89100 80159 8941 641455 562750 78705 446184 400056 46128 588824 588824 72558 72558 30000 30000 13351 13351 94439 94439 338599 338599 16854 16854 10011 10011 1298 1298 228942 228942 102044 102044 Contracted services 1331569 1331569 Program supplies 877548 877548 Georgia Provider fee 705546 705546 Repairs and Maintenance 76290 76290 212744 78614 134130 11732708 9181690 2551018 0 918071 1167071 1225857 1003971 31640 33911 8091439 4352379 3649337 3739060 0 68174 5824905 6012187 705449 764051 80000 70000 785449 834051 X 5039456 5178136 5039456 5178136 5824905 6012187 138680 0 X X 0 1 X 1 0 X 643764 261173 299649 261313 424444 1890343 10181080 10977021 11109181 11579191 11424979 55271452 10824844 11238194 11408830 11840504 11849423 57161795 634620 211508 290184 242725 423002 1802039 0 634620 211508 290184 242725 423002 1802039 55359756 22174 11781 10961 1145 1496 47557 22174 11781 10961 1145 1496 47557 9014 12485 17744 18960 58203 10847018 11258989 11432276 11859393 11869879 57267555 0.96670 0.95030 0.00080 0.00150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19076 19076 5863339 2834271 3029068 2209024 1518108 690916 3739060 DEFERRED RENT 70000 70000 X Part X, Line 2: The Organization believes that it has appropriate support for all tax positions taken and, as such, does not have any uncertain tax positions that are material to the financial statements. 0 0 0 0 0 0 0 0 0 ALBERT K BLACKWELDER CEO 0 297504 0 0 0 0 0 5929 0 8055 0 311488 0 0 DEKE CATEAU ADMINISTRATOR 139965 0 22759 0 0 0 2990 0 9328 0 175042 0 0 0 Part I, Line 3 The CEO of A.G. Rhodes Health & Rehabilitation Management Company is considered to be the de facto CEO of the Organization. The Board of Trustees of A.G. Rhodes Homes establishes the CEO's compensation. Form 990, Part VI, Section A, line 3 The Organization contracts with A.G. Rhodes Health & Rehab Management, Inc., a related tax-exempt organization, to oversee operational details, in conjunction with the Board of Managers, the Board of Trustees, and the staff of A.G. Rhodes Health & Rehab Atlanta. Form 990, Part VI, Section B, line 11 A draft of the Form 990 for the current year is provided to management, who forwards to a joint committee of the Board of Managers and the Board of Trustees for their review. The joint committee reviews the draft of the Form 990 and discusses any questions with the management team and the firm preparing the Form 990. Any Board member or management questions are addressed and any proposed changes are made before the Form 990 is filed electronically with the Internal Revenue Service upon authorization by the President of the Board of Trustees and/or the CEO. Form 990, Part VI, Section B, line 12c All of the Organization's governing board and management are required to complete a conflict of interest policy statement annually, which are then reviewed for possible conflicts. Any conflicts of interest must be resolved through changes in relationships and/or other compensating controls. Form 990, Part VI, Section B, line 15 The CEO is paid entirely by a related 501(c)(3) organization. The Board of Trustees of that organization approves the CEO's compensation. Form 990, Part VI, Section C, line 18 The Organization makes its Form 990 available to the public upon request at the offices of A.G. Rhodes Health & Rehab Management Company. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents and conflict of interest policy available to the public upon request at the offices of A.G. Rhodes Health & Rehab Management Company. FORM 990, PART XII, LINE 2C Review of audited financial statements - The Audit Committee and selected members of the Board of Managers meet with the independent auditor to review and discuss the audit results. AG RHODES HEALTH & REHAB COBB 900 WYLIE ROAD MARIETTA GA 30067 581945826 130 BED NURSING HOME-SEPARATE CORPORATION-COMMON BOARDS GA 501(c)(3) Line 9 0 AG RHODES HEALTH & REHAB WESLEY WOODS 1819 CLIFTON ROAD ATLANTA GA 30329 582189638 150 BED NURSING HOME-SEPARATE CORPORATION-COMMON BOARDS GA 501(c)(3) Line 9 0 THE FOUNDATION FOR RHODES HOMES INC 2801 BUFORD HIGHWAY SUITE 500 ATLANTA GA 30329 421596185 SUPPORTING ORGANIZATION GA 501(c)(3) Line 11a, I AG RHODES HEALTH & REHAB ATLANTA COBB AND WESLEY WOODS 1 AG RHODES EXTENDACARE INC 2801 BUFORD HIGHWAY SUITE 500 ATLANTA GA 30329 203021911 ADDITIONAL SUPPORT SERVICES FOR THE DISABLED, THE ELDERLY AND THE INDIGENT GA 501(c)(3) Line 9 0 AG RHODES HEALTH & REHAB MANAGEMENT INC 2801 BUFORD HIGHWAY SUITE 500 ATLANTA GA 30329 453723342 MANAGEMENT FOR NOT-FOR-PROFIT NURSING FACILITIES GA 501(c)(3) Line 9 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 The Foundation for Rhodes Homes Inc C 423002 Cash payment