GEORGIA REHABILITATION INSTITUTE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GEORGIA REHABILITATION INSTITUTE INC (EIN 58-1705662)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201431349349306413
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T15:21:54-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560574444 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1029 GREENE STREET | AddressLine1 |
| City | AUGUSTA | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581705662 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGIA REHABILITATION INSTITUTE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GEOR | NameControl |
| Phone | 7068238779 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 523 13TH ST | AddressLine1 |
| City | AUGUSTA | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID C DUGAN | Name |
| Title | CFO | Title |
| Phone | 7064341240 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ELIZABETH MORRISON | Name |
| PTIN | P00231389 | PTIN |
| Phone | 7067243557 | Phone |
| Date Prepared | 2014-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID C DUGAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 523 13TH ST | AddressLine1 |
| City | AUGUSTA | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 48612384 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WRH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | MEDICAL REHABILITATION FOLLOWING TEMPORARY ILLNESS, INJURY, OR LIFE-CHANGING DISABILITY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 291 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 176209 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 161609 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 21162803 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 14497421 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 89445 | InvestmentIncomePriorYear |
| Investment Income Current Year | 21897436 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 21428457 | TotalRevenuePriorYear |
| Total Revenue Current Year | 36556466 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 14202079 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11968307 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7283897 | OtherExpensePriorYear |
| Other Expenses Current Year | 4947636 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21485976 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16915943 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -57519 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 19640523 | RevenuesLessExpensesCY |
| Total Assets BOY | 17281789 | TotalAssetsBOY |
| Total Assets EOY | 25820698 | TotalAssetsEOY |
| Total Liabilities BOY | 14351154 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2967154 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2930635 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22853544 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WALTON REHABILITATION HOSPITAL RESTORES ABILITY, HOPE, AND INDEPENDENCE TO PEOPLE WHO NEED MEDICAL REHABILITATION AND/OR COMMUNITY SUPPORT FOLLOWING TEMPORARY ILLNESS, INJURY, OR A LIFE-CHANGING DISABILITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 13742537 | Expense |
| Revenue | 14497421 | Revenue |
| Description | CHOOSING WHERE TO RECEIVE YOUR HEALTH CARE IS AN IMPORTANT DECISION. PATIENTS WHO CHOOSE TO COME TO WALTON REHABILITATION HEALTH SYSTEM BENEFIT FROM OUR CONTINUUM OF CARE IN REHABILITATION, WHICH INCLUDES:A SPECIALIZED REHABILITATION HOSPITAL ACCREDITED IN REHABILITATION WITH A SPECIALTY CERTIFICATION IN STROKE, OFFERING STATE-OF-THE-ART CARE PROVIDED BY COMPASSIONATE, HIGHLY-TRAINED HEALTH CARE PROFESSIONALS IN THE AREAS OF STROKES, BRAIN INJURY, SPINAL CORD INJURY, AMPUTATION, ORTHOPEDIC REHABILITATION AND GENERAL REHABILITATION;OUTPATIENT THERAPY CENTERS IN AUGUSTA AND AIKEN, STAFFED BY DEDICATED THERAPISTS USING THE LATEST EQUIPMENT AND THERAPIES, INCLUDING THE AREA'S ONLY HEATED AQUATIC THERAPY POOL;PHYSICIAN SERVICES WITH FELLOWSHIP-TRAINED SPECIALISTS TO MANAGE PAIN, HEADACHE, OTHER MUSCULOSKELETAL CONDITIONS, AS WELL AS FOLLOW-UP CARE FOR SURVIVORS OF STROKE, BRAIN INJURY AND SPINAL CORD INJURY;A TRANSITIONAL LIVING CENTER THAT ASSISTS BRAIN INJURY AND STROKE SURVIVORS IN RELEARNING ACTIVITIES OF DAILY LIVING AS THEY TRANSITION FROM HOSPITAL TO HOME;COMMUNITY SERVICES, INCLUDING SUPPORT GROUPS, SPORTS AND LEISURE PROGRAMS, HARRISON HEIGHTS ASSISTED AND INDEPENDENT LIVING, AS WELL AS ACCESSIBLE/AFFORDABLE HOUSING;OTHER SPECIALIZED SERVICES, INCLUDING WOUND CARE AND INFUSION.AS A CENTER OF EXCELLENCE IN REHABILITATION, WALTON EXCELS IN PROVIDING HIGH-QUALITY CARE TO PATIENTS, SUCCESSFUL OUTCOMES AND CUTTING-EDGE TECHNOLOGY. OUR EXTENSIVE REHABILITATION SERVICES ARE OFFERED TO TREAT A WIDE RANGE OF CONDITIONS. REGARDLESS OF YOUR CONDITION, WE ENSURE YOU WILL BE PLEASED WITH THE CARE YOU RECEIVE FROM OUR EXPERT TEAM OF MEDICAL PROFESSIONALS WHO WILL WORK WITH YOU TO DEVELOP A TREATMENT PLAN AND HELP YOU MEET YOUR REHABILITATION GOALS.WALTON TAKES MORE MEDICALLY COMPLEX REHAB PATIENTS THAN THE NATIONAL AVERAGE, OUR DISCHARGE TO HOME RATE OF MORE THAN 70% IS HIGHER THAN THE NATIONAL AVERAGE, AND OUR FUNCTIONAL INDEX MEASURE (FIM) SCORES ARE EXCELLENT WHICH RESULT IN BETTER FUNCTIONAL INDEPENDENCE FOR THE PATIENTS. | Description |
| Total Program Service Expense | 13742537 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 1 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 34 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 291 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL A HARRELL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7068238779 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 523 13TH ST | AddressLine1 |
| City | AUGUSTA | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| THOMAS BLANCHARD III | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| NORMAN CHUTKAN MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BROCK DANIELS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DON HOWARD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DONALD SHAPIRO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RHETT N SINCLAIR | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PRESTON SIZEMORE SR | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BRENT SMITH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT TAYLOR | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DENNIS B SKELLEY | |||||||
| PRESIDENT/CEO | 40.00 | 225220 | 0 | 78821 | X | ||
| MICHAEL A HARRELL | |||||||
| CFO | 40.00 | 139912 | 0 | 22242 | X | ||
| ROBERT ORSINI | |||||||
| COO | 40.00 | 98721 | 0 | 12783 | X | ||
| R PERNA | |||||||
| PHYSICIAN | 40.00 | 101282 | 0 | 10172 | X | ||
| JENNIFER YANG | |||||||
| PHYSICIAN | 40.00 | 151262 | 0 | 15687 | X | ||
| JEREMY HERTZA | |||||||
| DIR BEHAVIORAL MEDICINE | 40.00 | 133252 | 0 | 20631 | X | ||
| JOHN NICHOLSON | |||||||
| PHYSICIAN | 40.00 | 168764 | 0 | 22270 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1018413 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 182606 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNIVERSITY HOSPITAL | |||||
| 1350 WALTON WAY | AUGUSTA | GA | 30910 | LAB SERVICE | 218047 |
| MEDICAL STAFFING NETWORK | |||||
| PO BOX 203000 | DALLAS | TX | 75320 | NURSING STAFF | 202254 |
| BIO-MEDICAL APPLICATIONS | |||||
| P O BOX 101518 | ATLANTA | GA | 30392 | DIALYSIS | 166282 |
| NEURORESTORATIVE | |||||
| 10150 HIGHLAND MANOR DR | TAMPA | FL | 33361 | THERAPY SERVICES | 148592 |
| AUGUSTA REHAB ASSOC | |||||
| 630 13TH STREET | AUGUSTA | GA | 30901 | PHYSICIAN SERVICES | 111500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Government Grants | 161609 | GovernmentGrants |
| Total Contributions | 161609 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | 14047323 | 14047323 |
| OTHER PROG SERV REVENUE | 621110 | 416983 | 416983 |
| CAFETERIA AND VENDING | 722210 | 33115 | 33115 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 14497421 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 83367 | TotalRevenueColumn |
| Exclusion | $83,367 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 869987 | Securities |
| Other | 33000000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 849632 | Securities |
| Other | 11206286 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20355 | Securities |
| Other | 21793714 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21814069 | TotalRevenueColumn |
| Exclusion | $21,814,069 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36556466 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14497421 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $21,897,436 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457853 | Total |
| Management And General | 457853 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7905355 | Total |
| Program Services | 6643071 | ProgramServices |
| Management And General | 1262284 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2920467 | Total |
| Program Services | 2614221 | ProgramServices |
| Management And General | 306246 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 684632 | Total |
| Program Services | 647546 | ProgramServices |
| Management And General | 37086 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30174 | Total |
| Program Services | 30174 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65575 | Total |
| Program Services | 65575 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 361640 | Total |
| Program Services | 302451 | ProgramServices |
| Management And General | 59189 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 580580 | Total |
| Program Services | 573030 | ProgramServices |
| Management And General | 7550 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51048 | Total |
| Program Services | 25537 | ProgramServices |
| Management And General | 25511 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14891 | Total |
| Program Services | 736 | ProgramServices |
| Management And General | 14155 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 304816 | Total |
| Program Services | 304816 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 711761 | Total |
| Program Services | 711761 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 850938 | 8678 | 842260 |
| ADMINISTRATIVE & GENERA | 490045 | 490045 | |
| SUPPLIES AND MINOR EQ | 477785 | 316513 | 161272 |
| COSTS OF GOODS SOLD ALL | 460962 | 460962 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 547421 | Total |
| Program Services | 547421 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16915943 | Total |
| Program Services | 13742537 | ProgramServices |
| Management And General | 3173406 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57663 | BOY |
| EOY | 362819 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5299378 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 944529 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4072117 | BOY |
| EOY | 1163578 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57075 | BOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 574684 | BOY |
| EOY | 130679 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5055652 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2700368 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9027073 | BOY |
| EOY | 2355284 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2548648 | BOY |
| EOY | 16508960 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17281789 | BOY |
| EOY | 25820698 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1790733 | BOY |
| EOY | 2967154 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11266000 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1294421 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14351154 | BOY |
| EOY | 2967154 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2930635 | BOY |
| EOY | 22853544 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2930635 | BOY |
| EOY | 22853544 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17281789 | BOY |
| EOY | 25820698 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 19640523 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 28111 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 254275 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 450854 | OtherCostOrOtherBasis |
| Book Value | 450854 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4022872 | OtherCostOrOtherBasis |
| Depreciation | 2142677 | Depreciation |
| Book Value | 1880195 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 581926 | OtherCostOrOtherBasis |
| Depreciation | 557691 | Depreciation |
| Book Value | 24235 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2355284 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT | 16262743 |
| OTHER ASSETS | 246217 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 16508960 | TotalBookValueOtherAssets |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE SYSTEM HAS EVALUATED THE EFFECT OF GAAP ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THAT BECAME EFFECTIVE IN PRIOR YEARS. THE SYSTEM (EXCLUSIVE OF WALTON INNOVATIONS) IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON UNRELATED BUSINESS INCOME. MANAGEMENT BELIEVES THAT THE SYSTEM CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2013. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED THE SYSTEM HAD NO UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2013. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 467154 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 467154 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02400 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 615443 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 394235 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 221208 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01200 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1082597 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 394235 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 688362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03600 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1082597 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 394235 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 688362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03600 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $291,116 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 8463034 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 7146397 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1316637 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALTON REHABILITATION HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 523 13TH STREET | AddressLine1 |
| City | AUGUSTA | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | REHABILITATION HOSPITAL | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALTON REHABILITATION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Provided On Admission | X | ProvidedOnAdmission |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 0 | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISON HEIGHTS | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3648 WALTON WAY EXTENSION | AddressLine1 |
| City | AUGUSTA | City |
| State | GA | State |
| ZIP Code | 30909 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | ASSISTED LIVING HOME | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (4 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART II: 1 | ||
| PART III, LINE 8: PART 1, LINE 3C - N/A1. PART 1, LINE 7, COLUMM (F) = $207,691PART 1, LINE 7, WORKSHEET 2, RATIO OF PATIENT CARE COSTS TO CHARGES WAS BASED ON TOTAL EXPENSES NET OF BAD DEBT, LESS OTHER REVENUE FROM THE AUDITED FINANCIAL STATEMENT. THE ADJUSTED PATIENT CARE COST WAS DIVIDED BY THE GROSS PATIENT CHARGES.PART III, LINE 4, BAD DEBT AT COST WAS BASED ON THE MEDICARE COST REPORT CHARGES CONVERTED TO COST BASED ON THE WORKSHEET 2 RATIO, LESS THE DIRECT REIMBURSEMENT FROM MEDICAID.PART III, LINE 8 - THE MEDICARE COST REPORT WITH ACTUAL DATA WAS USED TO SHOW THE REVENUE RECEIVED AND COSTS AS COMPUTED BY THE MEDICARE COST REPORT, COST TO CHARGE FORMULAS, AND SPECIFIC GUIDELINE ALLOCATIONS.PART III, LINE 9B - THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY FROM THE STATE OF GEORGIA CERTIFICATE OF NEEDS DATA; REFERRAL AND FEEDBACK TRENDS FROM LOCAL HOSPITALS; PHYSICIAN FEEDBACK; AND DATA COLLECTED FROM AGENCIES AND ORGANIZATIONS ON INDIVIDUALS WITH PHYSICAL DISABILITIES. | ||
| PART III, LINE 9B: 2. THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY FROM THE STATE OF GEORGIA CERTIFICATE OF NEEDS DATA; REFERRAL AND FEEDBACK TRENDS FROM LOCAL HOSPITALS; PHYSICIAN FEEDBACK; AND DATA COLLECTED FROM AGENCIES AND ORGANIZATIONS ON INDIVIDUALS WITH PHYSICAL DISABILITIES.3. THE HOSPITAL PROVIDES PATIENT EDUCATION FOR AVAILABILITY FOR ASSISTANCE DURING THE PRE-ADMISSIONS PROCESS AND UPON ADMISSION. A PATIENT INFORMATION BOOKLET IS PROVIDED, AND THE ADMISSIONS REPRESENTATIVE VERBALLY EXPLAINS THE BILLING PROCESS. A CASE MANAGER IS ALSO AVAILABLE TO ASSIST THE PATIENT WITH COORDINATING BILLING ISSUES. A PATIENT ACCOUNT REPRESENTATIVE IS ASSIGNED TO EVERY PATIENT ACCOUNT FOR FOLLOW-UP OR TO PROVIDE ASSISTANCE.4. GRI RESIDES IN RICHMOND COUNTY, GEORGIA, SERVING OVER 539,000 WITHIN A 90-MILE RADIUS. IN 2008, THE DEPARTMENT OF COMMUNITY HEALTH ISSUED A GEORGIA HEALTH DISPARITIES REPORT, WHICH LISTED RICHMOND COUNTY AS HAVING 53% BLACK, 44% WHITE, AND THE REMAINING 3% MOSTLY HISPANIC WITH SOME ASIANS AND AMERICAN INDIANS. APPROXIMATELY 19% OF THE POPULATION IS BELOW THE FEDERAL POVERTY GUIDELINES; 7.5% OF THE ADULT POPULATION COMPLETING LESS THAN THE 9TH GRADE; 9.2% OF THE ADULT POPULATION IS UNEMPLOYED; AND APPROXIMATELY 18% ARE UNINSURED.5. THE GRI GOVERNING BOARD MEMBERS ARE COMPRISED OF CITIZENS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS. GRI BOARD MEMBERS ARE ACTIVE IN THE COMMUNITY AND ARE FOCUSED ON IMPROVING THE HEALTH AND WELFARE OF INDIVIDUALS WITH DISABILITIES IN THE COMMUNITY. OVER 70% OF THE PATIENTS RETURN HOME TO LIVE INDEPENDENTLY. THERE ARE ALSO MANY OTHER SUPPORT PROGRAMS TO ENSURE MAXIMUM INDEPENDENCE IS OBTAINED; RESIDENTIAL COMMUNITY RE-ENTRY; ASSISTED LIVING; DAY TREATMENT COMMUNITY RE-ENTRY; SPORTS AND LEISURE PROGRAMS FOR THE DISABLED; A WEEK-LONG CAMP IS PROVIDED FOR PEDIATRICS WITH BRAIN INJURIES; AS WELL AS SUPPORT GROUPS FOR INDIVIDUALS WITH STROKES AND AMPUTEES. THE ORGANIZATION ALSO HAS A MEDICAL STAFF TO MONITOR AND IMPROVE PATIENT CARE. ALL SURPLUS FUNDS ARE REINVESTED BACK INTO CAPITAL IMPROVEMENTS TO BENEFIT THE PATIENTS OR SUPPORT THE OPERATIONS THAT PROVIDE THOSE SERVICES.6. N/A | ||
| GA,SC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENNIS B SKELLEY | ||||||||||||||
| PRESIDENT/CEO | 225220 | 0 | 0 | 0 | 0 | 0 | 7210 | 0 | 71611 | 0 | 304041 | 0 | 0 | 0 |
| MICHAEL A HARRELL | ||||||||||||||
| CFO | 139912 | 0 | 0 | 0 | 0 | 0 | 5398 | 0 | 16844 | 0 | 162154 | 0 | 0 | 0 |
| JENNIFER YANG | ||||||||||||||
| PHYSICIAN | 151262 | 0 | 0 | 0 | 0 | 0 | 5272 | 0 | 10415 | 0 | 166949 | 0 | 0 | 0 |
| JEREMY HERTZA | ||||||||||||||
| DIR BEHAVIORAL MEDICINE | 133252 | 0 | 0 | 0 | 0 | 0 | 5000 | 0 | 15631 | 0 | 153883 | 0 | 0 | 0 |
| JOHN NICHOLSON | ||||||||||||||
| PHYSICIAN | 168764 | 0 | 0 | 0 | 0 | 0 | 6400 | 0 | 15870 | 0 | 191034 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEVELOPMENT AUTHORITY OF RICHMOND COUNTY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 581309430 | IssuerEIN |
| Date Issued | 2007-12-31 | DateIssued |
| Issue Price | 9565000 | IssuePrice |
| Description Of Purpose | SPONSORSHIP DISTRIBUTION AND COVENANT NOT TO COMPETE | DescriptionOfPurpose |
| Defeased | 1 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Bond Defeased | 9565000 | AmountBondDefeased |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 1 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCH K, PART 1, | Identifier |
| Return Reference | DEFEASANCE OF BOND | ReturnReference |
| Explanation | DURING THE YEAR ENDED JUNE 30, 2013, THE GEORGIA REHABILITATION INSTITUTE, INC. PAID IN FULL THE OBLIGATION TOTALING $9,565,000 WHICH WAS PAID DIRECTLY FROM THE PROCEEDS OF THE SALE OF THE HOSPITALS. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PRESTON SIZEMORE | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BOARD MEMBER | Relationship |
| Amount Of Transaction | 100605 | AmountOfTransaction |
| Description Of Transaction | PRESTON SIZMORE HAS A BUSINESS RELATIONSHIP WITH SIZEMORE, INC. THE ORGANIZATION PAID SIZEMORE, INC FOR SECURITY SERVICES. AN INDEPENDENT EXPENSE REDUCTION CONSULTANT AND RFP'S CONFIRMED THIS ARRANGEMENT WAS THE LOW-COST PROVIDER FOR SERVICE. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule N IRS990ScheduleN
Disposition Table DispositionTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | BUILDING AND EQUIPMENTS | DescriptionOfAsset |
| Date Of Distribution | 2013-04-01 | DateOfDistribution |
| FMV Of Asset | 33000000 | FMVOfAsset |
| Method Of FMV Determination | AUDITED FINANCIAL STATEMENT | MethodOfFMVDetermination |
| EIN | 461318969 | EIN |
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHSOUTH CORPORATE OFFICE | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3660 GRANDVIEW PARKWAY SUITE | AddressLine1 |
| City | BIRMINGHAM | City |
| State | AL | State |
| ZIP Code | 35243 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2 |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2 |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2 |
| Receive Compensation2 | 0 | ReceiveCompensation2 |
Form990 Schedule N Part III Form990ScheduleNPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCH N, PART II | Identifier |
| Return Reference | SALE OF THE HOSPITAL | ReturnReference |
| Explanation | IN MARCH 2013, GEORGIA REHABILITATIONS INSTITUTE, INC. (GRI) ENTERED INTO ASSET PURCHASE AGREEMENT TO SELL ALL OF THE ASSETS OF THE HOSPITAL. GRI DECIDED TO SELL THE HOSPITAL PRIMARILY BECAUSE IT HAS INCURRED SIGNIFICANT OPERATING LOSSES IN EACH OF THE LAST THREE YEARS AND BECAUSE OF THE ECONOMIC OUTLOOK OF THE HEALTHCARE INDUSTRY. THE FINAL SALE WAS CONSUMMATED ON APRIL 1, 2013. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | AN INDEPENDENT ACCOUNTING FIRM COMPLETES AN AUDIT OF THE CORPORATION AND THEN PREPARES THE FORM 990 WITH ASSISTANCE FROM THE ACCOUNTING DEPARTMENT STAFF. THE CONTROLLER REVIEWS A PRELIMINARY DRAFT OF THE FORM 990 FOR ACCURACY AND THE FINAL DOCUMENTS ARE REVIEWED BY THE CFO BEFORE SIGNING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT AT ORIENTATION. ALL QUESTIONABLE ISSUES ARE REVIEWED BY THE CFO/CORPORATE COMPLIANCE OFFICER. IF FURTHER REVIEW IS NEEDED, THE PRESIDENT/CEO WILL RESOLVE. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PERFORMS AN ANNUAL REVIEW OF THE CEO AND EXECUTIVE COMPENSATION PLANS AFTER THE HUMAN RESOURCES DIRECTOR PERFORMS A COMPENSATION ANALYSIS TO ENSURE SALARIES ARE COMPARABLE WITH OTHER HEALHCARE ORGANIZATIONS IN THE AREA. | |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OR ACCOUNTING OFFICE. | |
| FORM 990, PART XI, LINE 9: | GAIN ON BOND DERIVATIVE 254,275. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PAGE 11 | ORGANIZATION'S FINANCE COMMITTEE AND BOARD OF DIRECTORS ASSUME THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. | AUDIT COMMITTEE |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| WALTON FOUNDATION FOR INDEPENDENCE INC | |||||||||
| 1355 INDEPENDENCE DRIVE | AUGUSTA | GA | 30901 | 582408395 | RAISING FUND FOR HOSPITAL | GA | 501 (C)(3) | 7 | 0 |
| WALTON TECHNOLOGIES INC | |||||||||
| 1355 INDEPENDENCE DRIVE | AUGUSTA | GA | 30901 | 412067189 | RESEARCH SUPPORT FOR CLINICAL TRIALS, ASSISTIVE TECHNOLOGY DEVELOPMENT | GA | 501 (C)(3) | LINE 11A, I | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALTON INNOVATIONS INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 523 13TH STREET | AddressLine1 |
| City | AUGUSTA | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260539414 | EIN |
| Primary Activity | BUSINESS SUPPORT | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
| Type Of Entity | C | TypeOfEntity |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| WALTON FOUNDATION FOR INDEPENDENCE | ||
| S | 30964 | AUDITED FINANCIAL STATEMENT |
| WALTON INNOVATION | ||
| S | 609143 | AUDITED FINANCIAL STATEMENT |