Form 990 for tax year 2022
Filed by HEALTH SYSTEMS REAL ESTATE INC.
Totals
- Total revenue
- $14,111,077
- Total expenses
- $9,726,921
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $14,005,454
- Investment income
- $105,623
- Other revenue
- $0
- Total assets, end of year
- $150,483,789
- Total liabilities, end of year
- $31,183,663
- Net assets or fund balances, end of year
- $119,300,126
- Program services expenses (Part IX)
- $9,726,921
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $9,726,921
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: SERVICE REVENUES
total $14,005,454 · related or exempt $14,005,454
-
3 · Investment income
total $105,623 · excluded $105,623
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $566,669 · program services $566,669
-
7 · Other salaries and wages
total $839,070 · program services $839,070
-
8 · Pension plan contributions
total $51,576 · program services $51,576
-
9 · Other employee benefits
total $134,461 · program services $134,461
-
10 · Payroll taxes
total $99,139 · program services $99,139
-
11b · Fees: legal
total $241,412 · program services $241,412
-
11c · Fees: accounting
total $21,000 · program services $21,000
-
16 · Occupancy
total $36,144 · program services $36,144
-
20 · Interest
total $1,070,838 · program services $1,070,838
-
22 · Depreciation, depletion and amortization
total $4,771,420 · program services $4,771,420
-
23 · Insurance
total $24,438 · program services $24,438
-
24a · Other expenses: CONTRACTED SERVICES
total $671,787 · program services $671,787
-
24b · Other expenses: SUPPORT SERVICE FEES
total $426,046 · program services $426,046
-
24c · Other expenses: TAXES
total $326,325 · program services $326,325
-
24d · Other expenses: TRAVEL
total $283,237 · program services $283,237
-
24e · All other expenses
total $163,359 · program services $163,359
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $497,678 · end of year $539,643
-
4 · Accounts receivable
beginning of year $85,438 · end of year $320,910
-
10a · Land, buildings and equipment: cost or other basis
$179,180,500
-
10b · Land, buildings and equipment: accumulated depreciation
$46,777,232
-
10c · Land, buildings and equipment, net
beginning of year $124,527,593 · end of year $132,403,268
-
14 · Intangible assets
end of year $13,898,078
-
15 · Other assets
beginning of year $4,096,448 · end of year $3,321,890
-
17 · Accounts payable and accrued expenses
beginning of year $239,387 · end of year $220,001
-
20 · Tax-exempt bond liabilities
beginning of year $7,397,000 · end of year $6,808,000
-
23 · Secured mortgages and notes payable
beginning of year $8,581,463 · end of year $24,155,662
-
27 · Net assets without donor restrictions
beginning of year $112,989,307 · end of year $119,300,126
Mission and programs · 2022
Mission
TO FINANCE, ACQUIRE, LEASE, MAINTAIN AND OWN SKILLED NURSING FACILITIES AND OTHER REAL ESTATE AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.
-
FINANCED, ACQUIRED, LEASED, MAINTAINED, DEVELOPED AND OWNED SKILLED NURSING FACILITIES AND OTHER REAL ESTATE AS A MEMBER OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.
Expenses $9,726,921
As filed on the 2022 return.
Listed in Part VII
-
Ronnie RollinsRONNIE ROLLINS
PRESIDENT, D
- Total calculated
- $867,002
- From this org
- $0
- From related orgs
- $838,044
- Other
- $28,958
- Hours/week
- 4 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $822,844 related
- Bonus
- not reported
- Other
- not reported + $15,200 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $28,958 related
- Filer's total
- not reported + $867,002 related
-
Lorraine T TaylorLORRAINE T TAYLOR
SECRETARY
- Total calculated
- $771,185
- From this org
- $0
- From related orgs
- $746,048
- Other
- $25,137
- Hours/week
- 4 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $731,274 related
- Bonus
- not reported
- Other
- not reported + $14,774 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $25,137 related
- Filer's total
- not reported + $771,185 related
-
Angela HammackANGELA HAMMACK
CORPORATE SE
- Total calculated
- $309,351
- From this org
- $0
- From related orgs
- $290,941
- Other
- $18,410
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $279,741 related
- Bonus
- not reported
- Other
- not reported + $11,200 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $18,410 related
- Filer's total
- not reported + $309,351 related
-
Edward S NelsonEDWARD S NELSON
SENIOR VP
- Total calculated
- $263,236
- From this org
- $242,882
- From related orgs
- $0
- Other
- $20,354
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $229,470
- Bonus
- not reported
- Other
- $13,412
- Deferred
- not reported
- Nontaxable benefits
- $20,354
- Filer's total
- $263,236
-
Teresa MoodyTERESA MOODY
PRESIDENT
- Total calculated
- $238,912
- From this org
- $0
- From related orgs
- $218,891
- Other
- $20,021
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $206,516 related
- Bonus
- not reported
- Other
- not reported + $12,375 related
- Deferred
- not reported
- Nontaxable benefits
- not reported + $20,021 related
- Filer's total
- not reported + $238,912 related
-
Stephen BushSTEPHEN BUSH
VP- ENGINEER
- Total calculated
- $170,913
- From this org
- $159,693
- From related orgs
- $0
- Other
- $11,220
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $148,143
- Bonus
- not reported
- Other
- $11,550
- Deferred
- not reported
- Nontaxable benefits
- $11,220
- Filer's total
- $170,913
-
Laura KennedyLAURA KENNEDY
VICEPRESIDEN
- Total calculated
- $132,520
- From this org
- $116,346
- From related orgs
- $0
- Other
- $16,174
- Hours/week
- 40
-
Paul A CablePAUL A CABLE
DIRECTOR
- Total calculated
- $24,000
- From this org
- $0
- From related orgs
- $24,000
- Other
- $0
- Hours/week
- 4 + 1 related
-
Joseph A WallJOSEPH A WALL
CHAIRMAN
- Total calculated
- $24,000
- From this org
- $0
- From related orgs
- $24,000
- Other
- $0
- Hours/week
- 4 + 1 related
-
Kathryn DennisKATHRYN DENNIS
DIRECTOR
- Total calculated
- $24,000
- From this org
- $0
- From related orgs
- $24,000
- Other
- $0
- Hours/week
- 0 + 4 related
Schedule J breakdown matched by us
- Base
- not reported + $24,000 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported + $24,000 related
-
Herbert M Ponder JrHERBERT M PONDER JR
DIRECTOR
- Total calculated
- $12,000
- From this org
- $0
- From related orgs
- $12,000
- Other
- $0
- Hours/week
- 0 + 4 related
Schedule J breakdown matched by us
- Base
- not reported + $12,000 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported + $12,000 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Form 990 of other organizations
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501C · CLINICAL & · GA
Directly controlled by CHSI
-
COMMUNITY HEALTH FOUNDATION INC
501C · FINANCIAL · GA
Directly controlled by CHSI
-
501C · SUPPORT SE · GA
Directly controlled by NA
-
COMMUNITY REHABILITATION SERVICES
501C · REHABILITA · GA
Directly controlled by CHSI
-
501C · OPERATION · GA
Directly controlled by CHSI
-
501C · OPERATION · GA
Directly controlled by CHSI
-
501C · TRANS · GA
Directly controlled by CHSI
-
COMMUNITY ANCILLARY SERVICES INC
501C · PHAR · GA
Directly controlled by CHSI
-
501C · OPERATION · GA
Directly controlled by CHSI
-
501C · HOSPICE · GA
Directly controlled by CHSI
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
REAL ESTAT · GA · income $343,836 · assets $2,210,146
Directly controlled by NA
-
REAL ESTAT · GA · income $252,864 · assets $1,455,005
Directly controlled by NA
-
ZEBULON ROAD PROPERTIES LLC
REAL ESTAT · GA · income $875,676 · assets $9,486,593
Directly controlled by NA
-
COWETA COUNTY LTC LLC
REAL ESTAT · GA · income $956,616 · assets $11,794,516
Directly controlled by NA
-
RICHMOND COUNTY LTC LLC
REAL ESTAT · GA · income $800,232 · assets $3,699,667
Directly controlled by NA
-
BIBB COUNTY LTC LLC
REAL ESTAT · GA · assets $2,758,814
Directly controlled by NA
-
NEWNAN LTC LLC
REAL ESTAT · GA · income $477,912 · assets $4,178,210
Directly controlled by NA
-
RICHMOND COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $18,000 · assets $1,242,382
Directly controlled by NA
-
LUMPKIN COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $105,623 · assets $2,459,700
Directly controlled by NA
-
BARTOW COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $561,228 · assets $2,469,975
Directly controlled by NA
-
BULLOCH COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $237,072 · assets $4,386,828
Directly controlled by NA
-
DOUGHERTY COUNTY HOLDINGS LLC
REA ESTAT · GA · income $1,740,024 · assets $11,793,314
Directly controlled by NA
-
DOUGHERTY COUNTY HOLDINGS II LLC
REAL ESTAT · GA · assets $707,275
Directly controlled by NA
-
DEKALB COUNTY HOLDINGS LLC
REAL ESTAT · GA
Directly controlled by NA
-
REAL ESTAT · GA · income $220,272 · assets $3,175,309
Directly controlled by NA
-
RICHMOND COUNTY HOLDINGS II LLC
REAL ESTAT · GA · income $800,232 · assets $9,696,025
Directly controlled by NA
-
TOOMBS COUNTY LTC LLC
REAL ESTAT · GA · income $837,132 · assets $8,823,478
Directly controlled by NA
-
FLOYD COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $370,116 · assets $2,953,015
Directly controlled by NA
-
HEALTH CARE RE HOLDINGS LLC
REAL ESTAT · GA · income $823,008 · assets $7,754,395
Directly controlled by NA
-
COWETA COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $328,176 · assets $2,669,077
Directly controlled by NA
-
FRANKLIN COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $642,036 · assets $3,886,037
Directly controlled by NA
-
HART COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $239,424 · assets $3,272,616
Directly controlled by NA
-
HART COUNTY HOLDINGS II LLC
REAL ESTAT · GA · assets $2,345,432
Directly controlled by NA
-
MADISON COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $335,760 · assets $3,195,198
Directly controlled by NA
-
WHITFIELD COUNTY HOLDINGS LLC
REAL ESTAT · GA
Directly controlled by NA
-
OCONEE COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $565,380 · assets $4,714,129
Directly controlled by NA
-
OCONEE COUNTY HOLDINGS II LLC
REAL ESTAT · GA · assets $227,650
Directly controlled by NA
-
HEALTH SYSTEMS DEVELOPMENT
REAL ESTAT · GA · income $1,182,012 · assets $85,629
Directly controlled by NA
-
ZEBULON ROAD HOLDINGS LLC
REAL ESTAT · GA · assets $1,107,047
Directly controlled by NA
-
DISTRIBUTION WAREHOUSE
REAL ESTAT · GA · income $174,612 · assets $286,907
Directly controlled by NA
-
HANCOCK COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $45,876 · assets $557,820
Directly controlled by NA
-
TERRELL COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $45,918 · assets $4,439,456
Directly controlled by NA
-
PUTNAM COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $183,347 · assets $5,924,783
Directly controlled by NA
-
LEE COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $49,568 · assets $7,111,758
Directly controlled by NA
-
TOOMBS COUNTY HOLDINGS LLC
REAL ESTAT · GA · income $95,090 · assets $9,924,200
Directly controlled by NA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
COMMUNITY HEALTH VENTURES INC
C CORP · RISK MGMT. · GA
Directly controlled by CHSI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 11 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202401349349303835
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