2013-11-15T08:54:46-06:00 2013-06-30 580692043 MAULDIN & JENKINS LLC P O BOX 1877 MACON GA 312021877 990 2012-07-01 580586001 AG RHODES HEALTH & REHAB ATLANTA AGRH 4046886731 350 BOULEVARD SE ATLANTA GA 30312 DAVID PERDUE 4046886731 2013-11-15 1 RICK ALIBOZEK P00108158 4784648000 2013-11-11 X 2012 2015-11-30 17:44:51Z DAVID PERDUE 9161 LIBERTY MILLS ROAD SOMRESET VA 22972 11869393 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. 11 11 250 110 0 0 299649 261313 11109181 11579191 -2110 -3086 22485 27744 11429205 11865162 1629806 0 0 0 6855733 6812107 0 0 0 4650250 4721451 13135789 11533558 -1706584 331604 5631517 5824905 923665 785449 4707852 5039456 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 OFTHEIR 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 9363614 11602704 THE ORGANIZATION OWNS AND OPERATES A 138-BED SKILLED NURSING FACILITY IN ATLANTA, GEORGIA AND PROVIDED SKILLED AND INTERMEDIATE NURSING HOME SERVICES TOTALING 46,634 CERTIFIED BED DAYS. 9363614 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 7 0 250 1 0 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 DEKE CATEAU 4046886731 350 BOULEVARD SE ATLANTA GA 30312 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 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 5.00 X 0 0 0 ALBERT K BLACKWELDER 40.00 X 0 286820 9276 JERRY PATTON 40.00 X 0 167938 12935 DEKE CATEAU 40.00 X 169397 0 12766 BAHAA BARSOUM 40.00 X 116436 0 13445 NDUBUISI AKOBUNDU 38.80 X 110488 0 12783 396321 454758 61205 3 0 1 0 MORRISON MANAGEMENT SPECIALISTS 4721 MORRISON DR STE 300 MOBILE AL 36609 DIETARY SERVICES 1103247 COVENTRY HEALTH CARE OF GA INC PO BOX 6502 CAROL STREAM IL 60197 HEALTH INSURANCE 580417 AG RHODES HEALTH & REHAB MGMT 2801 BUFORD HWY STE 500 ATLANTA GA 30329 MANAGEMENT SERVICES 550503 UNITED PHARMACY SERVICES PO BOX 1627 TOCCOA GA 30577 PHARMACY SUPPLIES 387494 MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE IL 60055 SUPPLIES 263532 5 261313 261313 MEDICARE AND MEDICAID PAYMENTS 623000 9817098 9817098 PRIVATE REVENUE 623000 1762093 1762093 11579191 1145 1145 4231 -4231 -4231 -4231 MEAL REVENUE 623000 14847 14847 DEFERRED RENTAL INCOME 623000 10000 10000 CABLE TV CHARGES 623000 2650 2650 247 247 27744 11865162 11602704 0 1145 182163 182163 5507777 5092399 415378 83266 77469 5797 599820 563229 36591 439081 396447 42634 550503 550503 41752 41752 29000 29000 11561 11561 69558 69558 308152 308152 8017 8017 9533 9533 1204 25 1179 265685 265685 88872 88872 CONTRACTED SERVICES 1343572 1343572 PROGRAM SUPPLIES 902371 902371 GEORGIA PROVIDER FEE 709562 709562 BAD DEBT EXPENSE 97652 97652 284457 134450 150007 11533558 9363614 2169944 0 297035 918071 1433610 1225857 21356 31640 7799873 4150536 3879516 3649337 5631517 5824905 832136 705449 90000 1529 0 0 80000 923665 785449 X 4707852 5039456 4707852 5039456 5631517 5824905 331604 0 X X 0 1 X 1 0 X 1825494 643764 261173 299649 261313 3291393 11839701 10181080 10977021 11109181 11579191 55686174 13665195 10824844 11238194 11408830 11840504 58977567 1426355 634620 211508 290184 242725 2805392 0 1426355 634620 211508 290184 242725 2805392 56172175 34981 22174 11781 10961 11145 91042 34981 22174 11781 10961 11145 91042 9014 12485 17744 39243 13700176 10847018 11258989 11432276 11869393 59107852 0.95030 0.93160 0.00150 0.00220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19076 19076 5751431 2718485 3032946 2029366 1432051 597315 3649337 DEFERRED RENT 80000 80000 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IT IS THE ORGANIZATION'S POLICY TO ACCOUNT FOR ANY 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 HAD MAINTAINED ITS TAX-EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. 1 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 DEKE CATEAU 138559 0 6641 0 24197 0 3490 0 9276 0 182163 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 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 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. BECAME THE DE FACTO CEO OF THE ORGANIZATION STARTING IN FEBRUARY 2013. 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. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE AND SELECTED MEMBERS OF THE BOARD OF MANAGERS MEET WITH THE INDEPENDENT AUDITOR TO REVIEW AND DISCUSS 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 NONE 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 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 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 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 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0