HOSPITAL AUTHORITY OF MARION COUNTY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL AUTHORITY OF MARION COUNTY (EIN 58-0969711)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-08-23
IRS object ID
201302359349300010
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-23T09:26:53-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1STUDSTILL HAUGABOOK & HUDGINS LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1131 THOMAS DRIVEAddressLine1
CityAMERICUSCity
StateGAState
ZIP Code317095530ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN580969711EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTHORITY OF MARION COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone2296492542Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 262AddressLine1
CityBUENA VISTACity
StateGAState
ZIP Code31803ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLLOYD HINESName
TitleCHAIRMANTitle
Phone2296492542Phone
Date Signed2013-08-21DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameC BENJAMIN HAUGABOOKName
Phone2299243475Phone
Date Prepared2013-08-21DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLLOYD HINESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 197AddressLine1
CityBUENA VISTACity
StateGAState
ZIP Code31803ZIPCode
FieldValueIRS element (for citing)
Gross Receipts608510GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionGOVT.TypeOfOrgOtherDescription
Year Formation1969YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A NURSING HOME FOR MARION COUNTY, GEORGIA RESIDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year517060ContributionsGrantsPriorYear
Contributions Grants Current Year540119ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year13047InvestmentIncomePriorYear
Investment Income Current Year14391InvestmentIncomeCurrentYear
Other Revenue Prior Year32089OtherRevenuePriorYear
Other Revenue Current Year32088OtherRevenueCurrentYear
Total Revenue Prior Year562196TotalRevenuePriorYear
Total Revenue Current Year586598TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year565060GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY558119GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3200SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4144OtherExpensePriorYear
Other Expenses Current Year21065OtherExpensesCurrentYear
Total Expenses Prior Year572404TotalExpensesPriorYear
Total Expenses Current Year579184TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-10208RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7414RevenuesLessExpensesCY
Total Assets BOY1339600TotalAssetsBOY
Total Assets EOY1347014TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1339600NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1347014NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A NURSING HOME FOR MARION COUNTY, GEORGIA RESIDENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18000Expense
Grants18000Grants
DescriptionTHE HOSPITAL AUTHORITY OF MARION COUNTY SUPPORTS MARION COUNTY'S EMERGENCY MEDICAL SERVICE AND HELPS PROVIDE FUNDS FOR TRAINING.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense540119Expense
Grants540119Grants
DescriptionTHE HOSPITAL AUTHORITY RECEIVED 257,774 FROM THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH AND PROVIDED THAT SAME AMOUNT TO MAGNOLIA MANOR OF MARION COUNTY.Description
FieldValueIRS element (for citing)
Total Program Service Expense558119TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCAROLYN MOYENamePerson
Telephone Number2296497870TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 262AddressLine1
CityBUENA VISTACity
StateGAState
ZIP Code31803ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DENNIS PARKER
SECRETARY2.00XX100000
LLOYD HINES
DIRECTOR1.00X50000
CAROLYN MOYE
VICE-CHAIRMA1.00XX50000
WAYNE CHALKLEY
CHAIRMAN1.00XX50000
KEN SINGLETON
TREASURER1.00XX45000
WALTER HICKS
DIRECTOR1.00X45000
BILLY POWELL
DIRECTOR1.00X45000
ROBBIE MCCORKLE
DIRECTOR1.00X40000
SONYA FAULK
DIRECTOR1.00X35000
FieldValueIRS element (for citing)
Total Reportable Comp From Org4600TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants540119GovernmentGrants
Total Contributions540119TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14391TotalRevenueColumn
Exclusion$14,391ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real54000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real21912Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real32088Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column32088TotalRevenueColumn
Related Or Exempt Function Income32088RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column586598TotalRevenueColumn
Related Or Exempt Function Income32088RelatedOrExemptFunctionIncome
Exclusion$14,391ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total558119Total
Program Services558119ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4600Total
Management And General4600ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11728Total
Management And General11728ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2990Total
Management And General2990ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1200Total
Management And General1200ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total390Total
Management And General390ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionFLOWERSDescription
Total157Total
Management And General157ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total579184Total
Program Services558119ProgramServices
Management And General21065ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY906026BOY
EOY935274EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1697499LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1437240LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY282171BOY
EOY260259EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY151403BOY
EOY151481EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1339600BOY
EOY1347014EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY1339600BOY
EOY1347014EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1339600BOY
EOY1347014EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1339600BOY
EOY1347014EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses7414ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Governmental Unit170b1 AvXGovernmentalUnit170b1Av

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7655OtherCostOrOtherBasis
Book Value7655BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1329121OtherCostOrOtherBasis
Depreciation1076517Depreciation
Book Value252604BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis360723OtherCostOrOtherBasis
Depreciation360723Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings260259TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
SCHOLARSHIP LOAN-DAN SINGLETON150000
ACCRUED INTEREST RECEIVABLE1481
FieldValueIRS element (for citing)
Total Book Value Other Assets151481TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt586598TotRevenueEtcAuditedFinclStmt
Revenue Subtotal586598RevenueSubtotal
Total Revenue Per Form990586598TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt579184TotExpensesEtcAuditedFinclStmt
Expenses Subtotal579184ExpensesSubtotal
Total Expenses Per Form990579184TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
MARION COUNTY EMS
117 BAKER STREETBUENA VISTAGA3180358600086018000FOR COUNTY EMS
MAGNOLIA MANOR OF MARION CO INC
349 GENEVA ROADBUENA VISTAGA31803201220860540119FOR NURSING HOME501(C)

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE I, PAGE 4, PART IVReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION MAINTAINS RECORDS OF AMOUNTS OF ASSISTANCE. GRANTS ARE AWARDED TO THE TWO MAJOR RECIPIENTS OF THE ORGANIZATION'S PROGRAM SERVICES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE CHAIRMAN OF THE HOSPITAL AUTHORITY REVIEWS AND SIGNS THE ORGANIZATION'S TAX RETURN BEFORE IT IS FILED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 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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