Civic Intelligence

Southern Regional Health System Inc

EIN 58-1955423 • 501(c)3 • Riverdale, GA

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Profile

Clayton general, inc. Exists to serve the communities of the clayton general of the metro atlanta area by improving the health status and qualify of life of its citizens.

11 Upper Riverdale Rd SWRiverdale, GA 30274
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2021

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2021

Net Margin

2nd percentile

-2347%

Higher net margin than 2% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

4th percentile

-100%

Faster revenue growth than 4% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $117,370 (-100%) from 2020

Liabilities

Flat

$0

Flat from 2020

Net Assets

Down

$0

Down $117,370 (-100%) from 2020

Operations
Liabilities / Revenue62nd percentileNet Margin2nd percentile

Revenue

Down

$5,000

Down $1,042,593 (-100%) from 2020

Expenses

Down

$122,370

Down $4,022,210 (-97%) from 2020

Net Income

Up

-$117,370

Up $2,979,617 (+96%) from 2020

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$100M$0-$100MAssets 2010: $167,420,168Liabilities 2010: $122,617,628Net Assets 2010: $44,802,5402010Assets 2011: $162,108,520Liabilities 2011: $106,870,197Net Assets 2011: $55,238,3232011Assets 2012: $161,542,499Liabilities 2012: $133,132,516Net Assets 2012: $28,409,9832012Assets 2013: $157,983,096Liabilities 2013: $140,973,630Net Assets 2013: $17,009,4662013Assets 2014: $134,969,963Liabilities 2014: $146,502,024Net Assets 2014: -$11,532,0612014Assets 2015: $98,561,834Liabilities 2015: $109,842,997Net Assets 2015: -$11,281,1632015Assets 2016: $2,851,286Liabilities 2016: $94,999,896Net Assets 2016: -$92,148,6102016Assets 2017: $2,960,977Liabilities 2017: $95,004,896Net Assets 2017: -$92,043,9192017Assets 2018: $621,342Liabilities 2018: $5,000Net Assets 2018: $616,3422018Assets 2019: $3,214,357Liabilities 2019: $0Net Assets 2019: $3,214,3572019Assets 2020: $117,370Liabilities 2020: $0Net Assets 2020: $117,3702020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2021

Assets$0
Liabilities$0
Net Assets$0
Open 2021 Filing

Operations Trend

Revenue Growth4th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $271,048,1172010Expenses 2011: $267,772,6852011Expenses 2012: $262,518,1542012Expenses 2013: $259,851,1012013Revenue 2014: $238,966,852Expenses 2014: $254,516,843Net Income 2014: -$15,549,9912014Revenue 2015: $225,021,477Expenses 2015: $234,082,227Net Income 2015: -$9,060,7502015Revenue 2016: $115,651,113Expenses 2016: $190,700,756Net Income 2016: -$75,049,6432016Revenue 2017: $469,653Expenses 2017: $510,422Net Income 2017: -$40,7692017Revenue 2018: $1,421,238Expenses 2018: $909,587Net Income 2018: $511,6512018Revenue 2019: $4,924,682Expenses 2019: $2,326,667Net Income 2019: $2,598,0152019Revenue 2020: $1,047,593Expenses 2020: $4,144,580Net Income 2020: -$3,096,9872020Revenue 2021: $5,000Expenses 2021: $122,370Net Income 2021: -$117,3702021

Highlighted filing

2021

Revenue$5,000
Expenses$122,370
Net Income-$117,370
Open 2021 Filing

Filings

Most recent year

2021 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$5,000
Expenses
$122,370
Net income
-$117,370
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.01$0.12$0.12
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.12$0.00$0.12$1.05$4.14$3.10
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.21$0.00$3.21$4.92$2.33$2.60
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.62$0.01$0.62$1.42$0.91$0.51
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.96$95.0$92.0$0.47$0.51$0.04
2016Summary only. Only limited summary data is available for this year.$2.85$95.0$92.1$116$191$75.0
2015Summary only. Only limited summary data is available for this year.$98.6$110$11.3$225$234$9.06
2014Detailed filing. Detailed filing data is available for this year.$135$147$11.5$239$255$15.5
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$158$141$17.0$260
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$162$133$28.4$263
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$162$107$55.2$268
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$167$123$44.8$271
Latest Detailed Filing

The latest 2021 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2020 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Feb 13, 2021
Return Version
2019v5.2
Gross Receipts
$1,047,593
Mission and Program Overview

Mission

Clayton general, inc. Exists to serve the communities of the clayton general of the metro atlanta area by improving the health status and qualify of life of its citizens.

Clayton general, inc. Exists to serve the communities of the southern crescent of the metro atlanta area by improving the health status and quality of life of its citizens.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$3,214,357$117,370▼ $3,096,987
Total Assets$3,214,357$117,370▼ $3,096,987
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,214,357$117,370▼ $3,096,987
Total Net Assets Fund Balance$3,214,357$117,370▼ $3,096,987
Total Liabilities and Net Assets / Fund Balance$3,214,357$117,370▼ $3,096,987
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
-Trustee

Highest Paid Contractors

ContractorServicesLocationCompensation
Scroggins & Williamson PCLegal Services4401 NORTHSIDE PARKWAY STE 450, Atlanta, GA 30327$209,315
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$71
Other Revenue
$1,047,522
Change in Net Assets
$-3,096,987
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,144,580
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$172,857--$172,857
Other Expenses$297$42,746-$297
Office Expenses$53--$53
Total Functional Expenses$4,101,834$42,746$0$4,144,580
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The tax return was prepared by an independent accountant. The completed irs form 990 tax return was provided to the board. Board members reviewed the tax return before it was filed.”

Form 990, Part VI, Section B, Line 12C

“The conflict of interest policy covers all board members and senior management. Any potential conflict is discussed with the board of directors (absent the member with the potential conflict). If it is determined that conflict exists, then the board may have the member either resign or remove the conflict, or they move forward with the transaction if specific facts are present. If the later situation takes place, then the member is excluded from discussions and the vote for that transaction.”

Form 990, Part VI, Section C, Line 19

“The organization complies with the open records law. Upon written request, governing documents deemed accessible to the public under the law can be viewed in the office of the president and chief executive officer.”

Filing and Contact Details

Filer

Filer Name
Clayton General Inc
EIN
58-1955423
Phone
7709918010
Address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274

Signing Officer

Name
Kevin Van De Grift
Title
Liquidating Trustee
Phone
7709918010
Signed
2021-02-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin Van De Grift
Formed
1991
Legal Domicile
Ga
Voting Board Members
1
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Dixon Hughes Goodman Llp
Address
500 RIDGEFIELD COURT, ASHEVILLE, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Part XII, Line 2C

“This process has not changed from prior years.”

Raw XML Appendix351 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0CLAYTON GENERAL, INC. EXISTS TO SERVE THE COMMUNITIES OF THE SOUTHERN CRESCENT OF THE METRO ATLANTA AREA BY IMPROVING THE HEALTH STATUS AND QUALITY OF LIFE OF ITS CITIZENS.
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BackupWthldComplianceInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0THE ORGANIZATION
IRS990/BooksInCareOfDetail/PhoneNum07709918010
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt011 UPPER RIVERDALE RD SW
IRS990/BooksInCareOfDetail/USAddress/CityNm0RIVERDALE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0GA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd030274
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt01
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractorCompensationGrp/CompensationAmt0209315
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt04401 NORTHSIDE PARKWAY STE 450
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0ATLANTA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0GA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd030327
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0SCROGGINS & WILLIAMSON PC
IRS990/ContractorCompensationGrp/ServicesDesc0LEGAL SERVICES
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt071
IRS990/CYOtherExpensesAmt04144580
IRS990/CYOtherRevenueAmt01047522
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-3096987
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt04144580
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt01047593
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0OPERATIONAL ASSETS WERE ACQUIRED BY PRIME HEALTHCARE ON FEBRUARY 2, 2016. THE ORGANIZATION CEASED ACTIVITIES ON THIS DATE AND IS CURRENTLY ENGAGED IN BANKRUPTCY PROCEEDINGS.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt04101834
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt0172857
IRS990/FeesForServicesOtherGrp/TotalAmt0172857
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0GGG PARTNERS LLC
IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd0X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01991
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt01047593
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt071
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt071
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0GA
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0CLAYTON GENERAL, INC. EXISTS TO SERVE THE COMMUNITIES OF THE CLAYTON GENERAL OF THE METRO ATLANTA AREA BY IMPROVING THE HEALTH STATUS AND QUALIFY OF LIFE OF ITS CITIZENS.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt03214357
IRS990/NetAssetsOrFundBalancesEOYAmt0117370
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt03214357
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0117370
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt053
IRS990/OfficeExpensesGrp/TotalAmt053
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0PLAN PAYMENTS
IRS990/OtherExpensesGrp/Desc1U.S. TRUSTEE FEE
IRS990/OtherExpensesGrp/Desc2BANK SERVICE CHARGES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt042746
IRS990/OtherExpensesGrp/ProgramServicesAmt03928627
IRS990/OtherExpensesGrp/ProgramServicesAmt1297
IRS990/OtherExpensesGrp/TotalAmt03928627
IRS990/OtherExpensesGrp/TotalAmt142746
IRS990/OtherExpensesGrp/TotalAmt2297
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0MISC/REFUNDS/REBATES
IRS990/OtherRevenueMiscGrp/ExclusionAmt01047522
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01047522
IRS990/OtherRevenueTotalAmt01047522
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0KEVIN VAN DE GRIFT
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0374
IRS990/PYOtherExpensesAmt02326667
IRS990/PYOtherRevenueAmt04924308
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt02598015
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt02326667
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt04924682
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-3096987
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt03214357
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0117370
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE TAX RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT. THE COMPLETED IRS FORM 990 TAX RETURN WAS PROVIDED TO THE BOARD. BOARD MEMBERS REVIEWED THE TAX RETURN BEFORE IT WAS FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS AND SENIOR MANAGEMENT. ANY POTENTIAL CONFLICT IS DISCUSSED WITH THE BOARD OF DIRECTORS (ABSENT THE MEMBER WITH THE POTENTIAL CONFLICT). IF IT IS DETERMINED THAT CONFLICT EXISTS, THEN THE BOARD MAY HAVE THE MEMBER EITHER RESIGN OR REMOVE THE CONFLICT, OR THEY MOVE FORWARD WITH THE TRANSACTION IF SPECIFIC FACTS ARE PRESENT. IF THE LATER SITUATION TAKES PLACE, THEN THE MEMBER IS EXCLUDED FROM DISCUSSIONS AND THE VOTE FOR THAT TRANSACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION COMPLIES WITH THE OPEN RECORDS LAW. UPON WRITTEN REQUEST, GOVERNING DOCUMENTS DEEMED ACCESSIBLE TO THE PUBLIC UNDER THE LAW CAN BE VIEWED IN THE OFFICE OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PART XII, LINE 2C
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd01
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt0SOUTH REGIONAL HEALTH SYSTEM INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0208774854
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0GA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/OwnershipPct01.00000
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0EQUIPMENT LEASE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0CLAYTON GENERAL SERVICES INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt011 UPPER RIVERDALE RD SW
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0RIVERDALE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0GA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd030274
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd11
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd21
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd31
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd41
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0CLAYTON GENERAL INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1CLAYTON GENERAL INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt2CLAYTON GENERAL INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt3CLAYTON GENERAL INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt4CLAYTON GENERAL INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0CLAYTON GENERAL GROUP INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1CLAYTON GENERAL FOUNDATION INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2SOUTHERN REGIONAL MEDICAL CENTER AUXILIARY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3CLAYTON GENERAL ASC INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt4CLAYTON GENERAL REAL ESTATE INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0581955425
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1581983516
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2582027384
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN3582541044
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN4581955424
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt3501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt4501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd3GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd4GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTHCARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1FUNDRAISING
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2GIFT SHOP AND VOLUNTEER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3HEALTHCARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt4REAL ESTATE MANAGEMENT
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt03
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 11, TYPE II
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt2LINE 11, TYPE II
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt3LINE 11, TYPE II
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt4LINE 11, TYPE II
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt011 UPPER RIVERDALE RD SW
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt111 UPPER RIVERDALE RD SW
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt211 UPPER RIVERDALE RD SW
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt311 UPPER RIVERDALE RD SW
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt411 UPPER RIVERDALE RD SW
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0RIVERDALE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1RIVERDALE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm2RIVERDALE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm3RIVERDALE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm4RIVERDALE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd2GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd3GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd4GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd030274
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd130274
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd230274
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd330274
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd430274
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0GA
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt03214357
IRS990/TotalAssetsEOYAmt0117370
IRS990/TotalAssetsGrp/BOYAmt03214357
IRS990/TotalAssetsGrp/EOYAmt0117370
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt042746
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt04101834
IRS990/TotalFunctionalExpensesGrp/TotalAmt04144580
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt03214357
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0117370
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt04101834
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt01047593
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01047593
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt03214357
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0117370
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt011 UPPER RIVERDALE RD SW
IRS990/USAddress/CityNm0RIVERDALE
IRS990/USAddress/StateAbbreviationCd0GA
IRS990/USAddress/ZIPCd030274
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0WWW.SOUTHERNREGIONAL.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0KEVIN VAN DE GRIFT
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0LIQUIDATING TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum07709918010
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-02-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CLAYTON GENERAL INC
ReturnHeader/Filer/BusinessNameControlTxt0CLAY
ReturnHeader/Filer/EIN0581955423
ReturnHeader/Filer/PhoneNum07709918010
ReturnHeader/Filer/USAddress/AddressLine1Txt011 UPPER RIVERDALE RD SW
ReturnHeader/Filer/USAddress/CityNm0RIVERDALE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd030274
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0560747981
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DIXON HUGHES GOODMAN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0500 RIDGEFIELD COURT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ASHEVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd028806
ReturnHeader/PreparerPersonGrp/PhoneNum08282542254
ReturnHeader/PreparerPersonGrp/PreparationDt02021-02-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0AMY BIBBY
ReturnHeader/ReturnTs02021-02-16T11:42:19-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-07-01
ReturnHeader/TaxPeriodEndDt02020-06-30
ReturnHeader/TaxYr02019

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