2024-05-15T15:46:20-05:00 2023-06-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2022-07-01 580593384 ATLANTA ASSOCIATION FOR CONVALESCENT AGED PERSONS INC ATLA 4047942477 1821 ANDERSON AVE NW ATLANTA GA 303141897 BETH LAXTON EXECUTIVE DIRECTOR 4047942477 2024-05-15 1 BETH LAXTON XXX-XX-XXXX 0 ROSS CANNON P01358934 7709558600 2024-05-15 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z BETH LAXTON 1821 ANDERSON AVE NW ATLANTA GA 303141897 14963913 0 X N/A X 1947 GA THE ORGANIZATION WAS FOUNDED FOR THE PURPOSE OF PROVIDING MORE EFFECTIVE CARE FOR THE SICK AND THE HOMELESS. THE ORGANIZATION ACCOMPLISHES THIS GOAL BY OPERATING A 206-BED LONG-TERM CARE FACILITY AND PROVIDING LONG-TERM NURSING HOME CARE AND REHABILITATION SERVICES TO THE ELDERLY IN FULTON COUNTY, GEORGIA, REGARDLESS OF THE ABILITY TO PAY. 12 12 176 30 0 0 967182 1548779 14131362 13347413 93814 60529 67314 7192 15259672 14963913 0 0 0 0 6719477 5840195 0 0 0 6993254 7623664 13712731 13463859 1546941 1500054 9115469 9417144 3837304 1424121 5278165 7993023 X THE ORGANIZATION WAS FOUNDED FOR THE PURPOSE OF PROVIDING MORE EFFECTIVE CARE FOR THE SICK AND THE HOMELESS. THE ORGANIZATION ACCOMPLISHES THIS GOAL BY OPERATING A 206-BED LONG-TERM CARE FACILITY AND PROVIDING LONG-TERM NURSING HOME CARE AND REHABILITATION SERVICES TO THE ELDERLY IN FULTON COUNTY, GEORGIA, REGARDLESS OF THE ABILITY TO PAY. 0 0 10090563 13347413 SADIE G MAYS HEALTH & REHABILITATION CENTER OFFERS LONG-TERM NURSING CARE AND OTHER ANCILLARY SERVICES TO THE FULTON COUNTY, ATLANTA COMMUNITY THROUGH THE OPERATION OF A 206-BED LONG-TERM CARE FACILITY. DURING THE FISCAL YEAR ENDED JUNE 30, 2023, SADIE G. MAYS HEALTH & REHABILITATION CENTER PROVIDED 53,253 PATIENT DAYS OF CARE. 10090563 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 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 0 0 0 0 1 0 0 176 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 GA X PRUITT HEALTH 6785336300 1626 JEURGENS CT NORCROSS GA 30093 MR SAMUEL BACOTE III CHAIR 1.00 X X 0 0 0 MR PETE HAYLEY SECRETARY & TREASURER 1.00 X X 0 0 0 MR ALTON P MYERS BOARD MEMBER 1.00 X 0 0 0 MR DAVID BRAND BOARD MEMBER 1.00 X 0 0 0 DR DARRYL J TOOKES BOARD MEMBER 1.00 X 0 0 0 MR JEFFREY TOMPKINS BOARD MEMBER 1.00 X 0 0 0 MR TYRONE RACHAL BOARD MEMBER 1.00 X 0 0 0 DR MARSHALYN YEARGIN-ALLSOPP BOARD MEMBER 1.00 X 0 0 0 MS VALERIE GOLDSTON BOARD MEMBER 1.00 X 0 0 0 MS RIMANI C KELSEY-ROGERS BOARD MEMBER 1.00 X 0 0 0 MS PATRISE PERKINS-HOOKER BOARD MEMBER 1.00 X 0 0 0 MR EDWARD M CURTIS BOARD MEMBER 1.00 X 0 0 0 BETH LAXTON EXECUTIVE DIRECTOR 40.00 X 178657 0 9395 178657 0 9395 1 0 1 1 PRUITT HEALTH 1626 JEURGENS CT NORCROSS GA 30306 MANAGEMENT SERVICES 834750 1 630125 918654 1548779 MEDICARE/MEDICAID PAYMENTS 623000 11629963 11629963 NURSING HOME PATIENT CARE REVENUE 623000 1717450 1717450 13347413 60529 60529 NON-PATIENT MEALS 900099 3986 3986 REFUNDS, REIMBURSEMENTS, ETC. 900099 3206 3206 7192 14963913 13347413 0 67721 X 4986824 4346839 639985 31348 25855 5493 437520 391890 45630 384503 337057 47446 834750 834750 181401 181401 155003 155003 3501521 3231918 269603 40639 40639 206151 21441 184710 303470 303470 3259 2864 395 15827 15827 107223 107223 235684 235684 822514 88981 733533 SUPPLIES 982317 969592 12725 PRESCRIPTION DRUG 129761 129761 DUES AND SUBSCRIPTIONS 38114 38114 EQUIPMENT RENTAL 9427 9427 56603 5211 51392 13463859 10090563 3373296 0 1033671 1544313 2218850 3115274 2488513 868762 219318 270798 10214645 8132205 2070340 2082440 990467 1035842 94310 499715 9115469 9417144 3697843 1222876 139461 201245 3837304 1424121 X 4987328 7702186 290837 290837 5278165 7993023 9115469 9417144 X 1500054 12529 1136098 66177 X 0 0 0 X 246024 1181471 3939595 967182 1548779 7883051 13445502 14497947 12947889 14131362 13347413 68370113 13691526 15679418 16887484 15098544 14896192 76253164 7250 6810 15800 6200 36060 0 7250 6810 15800 6200 36060 76217104 30365 37322 103094 93814 60529 325124 30365 37322 103094 93814 60529 325124 13111 82192 58700 67314 7192 228509 13735002 15798932 17049278 15259672 14963913 76806797 0.99230 0.99260 0.00420 0.00390 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: NON-PATIENT MEALS - 2018 AMOUNT: $ 4,619. 2019 AMOUNT: $ 3,773. 2020 AMOUNT: $ 4,949. 2021 AMOUNT: $ 4,437. 2022 AMOUNT: $ 3,986. REFUNDS REIMBURSEMENTS ETC - 2018 AMOUNT: $ 7,992. 2019 AMOUNT: $ 78,419. 2020 AMOUNT: $ 53,751. 2021 AMOUNT: $ 62,078. 2022 AMOUNT: $ 3,206. VENDING INCOME - 2018 AMOUNT: $ 500. 2021 AMOUNT: $ 799. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 290837 290837 290837 290837 290837 290837 290837 290837 290837 290837 1.00000 0 0 188913 188913 4168057 3266790 901267 267615 164964 102651 5590060 4700451 889609 2082440 CONSTRUCTION IN PROGRESS 499715 499715 THIRD PARTY SETTLEMENT 201245 201245 PART V, LINE 4: ENDOWMENT FUNDS ARE INVESTED SUCH THAT ANY EARNINGS ON SUCH ENDOWMENTS WILL BE AVAILABLE TO ASSIST IN FURTHERING THE ORGANIZATION'S MISSION. 0 0 0 0 0 0 0 0 0 BETH LAXTON EXECUTIVE DIRECTOR 178657 0 0 0 0 0 0 0 9395 0 188052 0 0 0 SCHEDULE J, PART II BETH LAXTON, EXECUTIVE DIRECTOR, RECEIVED COMPENSATION AND BENEFITS TOTALING $188,052, FROM AN UNRELATED ORGANIZATION, SADIE G MAYS LLC EIN 46-3182607, FOR SERVICES PROVIDED TO THE ATLANTA ASSOCIATION FOR CONVALESCENT AGED PERSONS, INC. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES TO PRUITTHEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE ORGANIZATION'S CEO AND DISCUSSED WITH THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C INDIVIDUAL BOARD MEMBERS ARE RESPONSIBLE FOR NOTIFYING THE FULL BOARD ABOUT ANY POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS VOTES ON AND APPROVES THE CEO'S SALARY AND SPENDING ACCOUNTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,231,918. MANAGEMENT AND GENERAL EXPENSES 269,603. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,501,521. FORM 990, PART XI, LINE 9: RECOVERY OF BAD DEBTS 66,177.