2013-11-15T08:54:25-06:00 2013-06-30 580692043 MAULDIN & JENKINS LLC P O BOX 1877 MACON GA 312021877 990 2012-07-01 582189638 AG RHODES HEALTH & REHAB WESLEY WOODS AGRH 4043150900 1819 CLIFTON ROAD ATLANTA GA 30329 DAVID PERDUE 4043150900 2013-11-15 1 RICK ALIBOZEK P00108158 4784648000 2013-11-15 X 2012 2016-03-07 17:11:31Z DAVID PERDUE 9161 LIBERTY MILLS ROAD SOMERSET VA 22972 14493292 0 X WWW.AGRHODES.ORG X 1997 GA THE MISSION OF A.G. RHODES HEALTH & REHAB WESLEY WOODS 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. 11 11 377 250 0 0 1963840 207514 13800386 14273867 -5999 -2039 6142 9778 15764369 14489120 0 0 0 0 8304308 8230701 0 0 0 6383366 5642165 14687674 13872866 1076695 616254 9081188 9342013 5571851 5192770 3509337 4149243 X THE MISSION OF A.G. RHODES HEALTH & REHAB WESLEY WOODS 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 11218863 14279473 THE ORGANIZATION OWNS AND OPERATES A 150-BED SKILLED NURSING FACILITY IN ATLANTA, GEORGIA AND PROVIDED SKILLED AND INTERMEDIATE NURSING HOME SERVICES TOTALING 50,622 CERTIFIED BED DAYS. 11218863 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 0 0 0 1 9 0 377 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X THE ORGANIZATION 4043150900 1819 CLIFTON ROAD ATLANTA GA 30329 DAVID L PERDUE 5.00 X X 0 0 0 ANN BARRETT 5.00 X X 0 0 0 JOHN W WILCOX III 5.00 X X 0 0 0 GEORGE CHASE JR 2.00 X 0 0 0 SAM B HOLLIS 2.00 X 0 0 0 WILLIAM E HUGER III 2.00 X 0 0 0 HERNDON MURRAY 2.00 X 0 0 0 JANE SCHWEERS 2.00 X 0 0 0 JACK SIBLEY 2.00 X 0 0 0 MARGARET STICKNEY 2.00 X 0 0 0 ROBBIN STEED 2.00 X 0 0 0 KRISTIN WHATLEY 2.00 X 0 0 0 ALBERT K BLACKWELDER 40.00 X 0 286820 9276 JERRY PATTON 40.00 X 0 167938 12935 GREGORY T HEATH 40.00 X 186430 0 19737 SYNETHA GILCHRIST 38.80 X 101399 0 1614 AMANDA HARDY 40.00 X 124359 0 10827 CYNTHIA CLIVE 38.80 X 100111 0 8100 KRISTIN BLACKWELDER 40.00 X 128405 0 13107 640704 454758 75596 5 0 1 0 MORRISON MANAGEMENT SPECIALISTS 4721 MORRISON DR MOBILE AL 36609 CONTRACTED DIETARY SERVICES 1111044 AG RHODES HEALTH & REHAB MGMT 2801 BUFORD HWY STE 500 ATLANTA GA 30329 MANAGEMENT SERVICES 693515 COVENTRY HEALTH CARE OF GA INC PO BOX 6502 CAROL STREAM IL 60197 HEALTH INSURANCE 616522 UNITED PHARMACY SERVICES PO BOX 1627 TOCCOA GA 30577 PHARMACY SUPPLIES 589324 MEDLINE DEPT CH 14400 PALATINE IL 60055 SUPPLIES 240390 5 45738 161776 207514 MEDICARE AND MEDICAID PAYMENTS 623000 10725275 10725275 PRIVATE REVENUE 623000 3548592 3548592 14273867 2133 2133 4172 -4172 -4172 -4172 TELEPHONE SERVICE REVENUE 623000 5750 5750 SEQUESTRATION 623000 2956 2956 MEAL REVENUE 623000 629 629 443 443 9778 14489120 14279473 0 2133 206167 206167 6750444 6131097 619347 102192 91118 11074 652108 610792 41316 519790 463804 55986 693515 693515 97593 97593 29000 29000 7814 7814 83381 83381 300921 300921 7802 7802 7066 804 6262 88168 86918 1250 346000 346000 95811 95811 CONTRACTED SERVICES 1582883 1582883 PROGRAM SUPPLIES 1167690 1167690 GEORGIA PROVIDER FEE 683641 683641 CONTRACTED SERVICES 87418 87418 363462 230669 132793 13872866 11218863 2654003 0 928872 1616693 1479976 1273561 172263 190372 10446390 4303787 6368316 6142603 131761 118784 9081188 9342013 2096607 1969071 3411224 3185000 64020 38699 5571851 5192770 X 3509337 4149243 3509337 4149243 9081188 9342013 616254 23652 0 X X 0 1 X 1 0 X 253677 131935 178878 1963840 207514 2735844 13301884 13423611 14236634 13800386 14273867 69036382 13555561 13555546 14415512 15764226 14481381 71772226 244433 122667 170363 1959351 175738 2672552 0 244433 122667 170363 1959351 175738 2672552 69099674 7935 2316 3087 2095 2133 17566 7935 2316 3087 2095 2133 17566 8494 6142 9778 24414 13563496 13557862 14427093 15772463 14493292 71814206 0.96220 0.95820 0.00020 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10225 10225 8626986 3072961 5554025 1809179 1230826 578353 6142603 INTEREST RATE SWAP LIABILITY 38699 38699 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IT IS THE ORGANIZATION'S POLICY TO ACCOUNT FOR UNCERTAINTIES IN INCOME TAX LAW IN ACCORDANCE WITH FASB ASC 740-10 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES". ASC 740-10 CLARIFIES THE ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND REQUIRES THAT THE ORGANIZATION RECOGNIZE THE IMPACT OF SUCH A TAX POSITION IN THEIR FINANCIAL STATEMENTS IF, UPON ULTIMATE SETTLEMENT, THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS MAINTAINED ITS TAX-EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 ALBERT K BLACKWELDER 0 285000 0 0 0 1820 0 0 0 9276 0 296096 0 0 JERRY PATTON 0 145054 0 12884 0 10000 0 4828 0 8107 0 180873 0 0 GREGORY T HEATH 138822 0 12097 0 35511 0 11190 0 8547 0 206167 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 THIS 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 WESLEY WOODS. 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 990. ANY BOARD MEMBER OR MANAGEMENT QUESTIONS ARE ADDRESSED AND ANY PROPOSED CHANGES MADE BEFORE THE FORM 990 IS FILED ELECTRONICALLY WITH THE INTERNAL REVENUE SERVICES 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 ORGANIZATION USES A COMPARISON OF MEDICAID COST REPORT DATA AND LEADING AGE DATA TO ESTABLISH SALARIES. AN INDEPENDENT COMMITTEE OF THE BOARD SETS MANAGEMENT SALARIES. THE CEO OF A.G. RHODES HEALTH & REHAB MANAGEMENT, INC. ACTS AS THE DE FACTO CEO OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. REVIEW OF AUDITED FINANCIAL STATEMENTS FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OF A.G. RHODES HOMES REVIEWS THE FINANCIAL REPORT WITH THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. AG RHODES HEALTH & REHAB ATLANTA 350 BOULEVARD SE ATLANTA GA 30312 580586001 138 BED NURSING HOME-SEPARATE CORPORATION-COMMON BOARDS GA 501(C)(3) LINE 9 NONE 0 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 NONE 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 WESLEY WOODS ATLANTA AND COBB 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 NONE 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 NONE 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0