Civic Intelligence

Clayton General Foundation Inc

990 • Fiscal year 2016 • EIN 58-1983516

Jul 01, 2015 to Jun 30, 2016 • Filed on May 11, 2017

11 Upper Riverdale Rd SWRiverdale, GA 30274

(770) 991-8010

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

27th percentile

0.01x

Higher debt load relative to assets than 27% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

86th percentile

1.09x

Higher debt load relative to revenue than 86% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

4th percentile

-97%

Higher net margin than 4% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

35th percentile

$1,500

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 7.8% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

25th percentile

-4.1%

Faster asset growth than 25% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

1st percentile

-94%

Faster revenue growth than 1% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Down

$1,486,125

Down $62,931 (-4.1%) from 2015

Net Assets

Down

$1,465,125

Down $7,177 (-0.5%) from 2015

Liabilities

Down

$21,000

Down $55,754 (-73%) from 2015

Revenue

Down

$19,181

Down $309,901 (-94%) from 2015

Expenses

Down

$37,740

Down $630,166 (-94%) from 2015

Net Income

Up

-$18,559

Up $320,265 (+95%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$3.0M$2.0M$1.0M$0Assets 2010: $2,432,661Liabilities 2010: $169,489Net Assets 2010: $2,263,1722010Assets 2011: $2,197,205Liabilities 2011: $86,591Net Assets 2011: $2,110,6142011Assets 2012: $2,312,510Liabilities 2012: $99,177Net Assets 2012: $2,213,3332012Assets 2013: $1,693,555Liabilities 2013: $82,503Net Assets 2013: $1,611,0522013Assets 2014: $1,770,905Liabilities 2014: $85,829Net Assets 2014: $1,685,0762014Assets 2015: $1,549,056Liabilities 2015: $76,754Net Assets 2015: $1,472,3022015Assets 2016: $1,486,125Liabilities 2016: $21,000Net Assets 2016: $1,465,1252016Assets 2017: $1,551,587Liabilities 2017: $0Net Assets 2017: $1,551,5872017Assets 2018: $388,461Liabilities 2018: $0Net Assets 2018: $388,4612018

Highlighted filing

2016

Assets$1,486,125
Liabilities$21,000
Net Assets$1,465,125

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500K-$1.0MExpenses 2010: $866,7772010Revenue 2011: $950,775Expenses 2011: $1,142,108Net Income 2011: -$191,3332011Expenses 2012: $770,5002012Revenue 2013: $714,863Expenses 2013: $1,337,093Net Income 2013: -$622,2302013Revenue 2014: $249,745Expenses 2014: $530,277Net Income 2014: -$280,5322014Revenue 2015: $329,082Expenses 2015: $667,906Net Income 2015: -$338,8242015Revenue 2016: $19,181Expenses 2016: $37,740Net Income 2016: -$18,5592016Revenue 2017: $18,025Expenses 2017: $420Net Income 2017: $17,6052017Revenue 2018: $16,360Expenses 2018: $5,896Net Income 2018: $10,4642018

Highlighted filing

2016

Revenue$19,181
Expenses$37,740
Net Income-$18,559
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 11, 2017
Return Version
2015v3.0
Gross Receipts
$19,181
Mission and Program Overview

Mission

Fundraising for clayton general, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,546,826$1,485,836▼ $60,990
Prepaid Expenses and Deferred Charges$1,936$0▼ $1,936
Land, Buildings, and Equipment, Net$294$253▼ $41
Total Assets$1,549,056$1,486,125▼ $62,931
Other Assets Total$0$36▲ $36
Liabilities
Other Liabilities$35,254$0▼ $35,254
Deferred Revenue$41,500$21,000▼ $20,500
Total Liabilities$76,754$21,000▼ $55,754
Net Assets / Fund Balance
Unrestricted Net Assets$1,472,302$1,465,125▼ $7,177
Total Net Assets Fund Balance$1,472,302$1,465,125▼ $7,177
Total Liabilities and Net Assets / Fund Balance$1,549,056$1,486,125▼ $62,931

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$253$47,504$47,757

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$301,406---$301,406
2015$301,406---$301,406
2014$301,406---$301,406
2013$372,459$266,774-$337,827$301,406
2012$472,743$545,633-$645,917$372,459
Compensation and Service Providers

Employees

NameTitleOtherTotal
James AdamsChairman$1,500$1,500
Andrea S CallawayBoard Member (until 2016)$1,400$1,400

Board Members and Trustees

NameTitle
Glynda B KingChairman (until 2016)
Kenneth M PalmerVice Chairman (until 2016)
COYLITIA WILLIAMSON-O'NEALBoard Member (until 2016)
Carol MontesinosBoard Member (until 2016)
Donald W Mcmillian Jr DvmBoard Member (until 2016)
Donna Jackson PhdBoard Member (until 2016)
Dorothy Y CochranBoard Member (until 2016)
Lycynthia BaskinBoard Member (until 2016)
Pandora PalmerBoard Member (until 2016)
Peggy WilsonBoard Member (until 2016)
Reverend Charles W GrantBoard Member (until 2016)
Timothy Brown MdBoard Member (until 2016)
Zel ThorneBoard Member (until 2016)
Kim RyanCEO (until Feb 2016)
George E Hoffman JrCFO (until Feb 2016)
Norma WhiteSecretary (until 2016)
James O WatkinsTreasurer (until 2016)
Revenue and Support

Revenue Composition

Contributions and Grants
$6,061
Program Service Revenue
$0
Investment Income
$13,120
Other Revenue
$0
All Other Contributions
$6,061
Change in Net Assets
$-18,559
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Total Fundraising Expense$37,740
Salaries, Compensation, and Employee Benefits$27,102
Other Expenses$10,638
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages--$24,254$24,254
Fees for Services Other--$6,185$6,185
Office Expenses--$2,466$2,466
Payroll Taxes--$2,070$2,070
Occupancy--$1,936$1,936
Pension Plan Contributions--$778$778
Depreciation Depletion--$41$41
Travel--$10$10
Total Functional Expenses$0$0$37,740$37,740
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
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The organization hired and delegated management duties to emory healthcare. Emory healthcare provided the ceo, kim ryan, and cfo, george hoffman. The ceo was compensated $225,282 and the cfo was compensated $203,428.

Form 990, Part VI, Section A, Line 6

The foundation has one member, clayton general, inc.

Form 990, Part VI, Section A, Line 7A

Clayton general, inc. Appoints the trustees and elects the officers of the foundation.

Form 990, Part VI, Section A, Line 7B

The governing board's decisions are subject to approval by the parent board, clayton general, inc. The following actions require approval: -expenditures in excess of $2,000,000 -acquisition of or affiliation with any other entity that would be in conflict with a strategic plan of any srhs entity -amendment of governing documents -filing for bankruptcy -adoption of any budgets -the acquisition, sale, transfer, or disposition of any assets of the organization

Form 990, Part VI, Section B, Line 11

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 dicussed 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, remove the conflict, or they move forward with the transaction if specific facts are present. If the latter situation takes place, then the member is excluded from discussions and the vote for that transaction.

Form 990, Part VI, Section B, Line 15

The compensation committee of the srhs board of directors authorizes the compensation package of executives utilizing the vha georgia survey of executive compensation and other appropriate surveys. The survey is reviwed to ensure competitive wages and benefits for the ceo, cfo, other officers, and key employees.

Form 990, Part VI, Section C, Line 19

The clayton general, inc.'s (the parent and supported organization) board of directors 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 Foundation Inc
EIN
58-1983516
Phone
7709918010
Address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274

Signing Officer

Name
James Adams
Title
President
Phone
7709918010
Signed
2017-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Adams
Formed
1992
Legal Domicile
Ga
Voting Board Members
1
Independent Board Members
1
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

Form 990, Part IX, Line 11G

Purchased services: program service expenses 0. Management and general expenses 0. Fundraising expenses 6,185. Total expenses 6,185.

FORM 990, PART XI, LINE 9:

Equity transfer - bankruptcy 49,965.

Financial Statement Notes

PART V, LINE 4:

The foundation has historically and to date received no donor-restricted endowment funds, and does nto maintain any board-designated endowments. Nevertheless, the foundation's board has interpreted georgia's state prudent management of instiutional funds act (spmifa) as requiring the fair value of the original gift as of the gift date of the donor-restricted endowment funds, absent explicit donor stipulations to the contrary.

Raw XML AppendixShowing 400 of 610 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/ActivityOrMissionDesc0FUNDRAISING FOR CLAYTON GENERAL, INC.
IRS990/AllOtherContributionsAmt06061
IRS990/AnnualDisclosureCoveredPrsnInd01
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/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt06061
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt013120
IRS990/CYOtherExpensesAmt010638
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-18559
IRS990/CYSalariesCompEmpBnftPaidAmt027102
IRS990/CYTotalExpensesAmt037740
IRS990/CYTotalFundraisingExpenseAmt037740
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt019181
IRS990/DecisionsSubjectToApprovaInd01
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DeferredRevenueGrp/BOYAmt041500
IRS990/DeferredRevenueGrp/EOYAmt021000
IRS990/DelegationOfMgmtDutiesInd01
IRS990/DepreciationDepletionGrp/FundraisingAmt041
IRS990/DepreciationDepletionGrp/TotalAmt041
IRS990/Desc0CLAYTON GENERAL FOUNDATION, INC. SOLICITS FUNDS, GRANTS, AND CONTRIBUTIONS TO SUPPORT AND ADVANCE THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PROGRAMS OF CLAYTON COUNTY HOSPITAL AUTHORITY AND CLAYTON GENERAL, INC.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd01
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesOtherGrp/FundraisingAmt06185
IRS990/FeesForServicesOtherGrp/TotalAmt06185
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt64.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt743.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt843.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt81.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt91.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt101.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt111.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt121.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt131.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt141.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt151.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt161.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt171.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt181.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd12X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd13X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd14X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd15X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd16X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OfficerInd6X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt130
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt140
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt150
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt160
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt170
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt180
IRS990/Form990PartVIISectionAGrp/PersonNm0GLYNDA B KING
IRS990/Form990PartVIISectionAGrp/PersonNm1KENNETH M PALMER
IRS990/Form990PartVIISectionAGrp/PersonNm2NORMA WHITE
IRS990/Form990PartVIISectionAGrp/PersonNm3JAMES O WATKINS
IRS990/Form990PartVIISectionAGrp/PersonNm4LYCYNTHIA BASKIN
IRS990/Form990PartVIISectionAGrp/PersonNm5TIMOTHY BROWN MD
IRS990/Form990PartVIISectionAGrp/PersonNm6DOROTHY Y COCHRAN
IRS990/Form990PartVIISectionAGrp/PersonNm7REVEREND CHARLES W GRANT
IRS990/Form990PartVIISectionAGrp/PersonNm8DONNA JACKSON PHD
IRS990/Form990PartVIISectionAGrp/PersonNm9DONALD W MCMILLIAN JR DVM
IRS990/Form990PartVIISectionAGrp/PersonNm10COYLITIA WILLIAMSON-O'NEAL
IRS990/Form990PartVIISectionAGrp/PersonNm11PANDORA PALMER
IRS990/Form990PartVIISectionAGrp/PersonNm12ZEL THORNE
IRS990/Form990PartVIISectionAGrp/PersonNm13PEGGY WILSON
IRS990/Form990PartVIISectionAGrp/PersonNm14ANDREA S CALLAWAY
IRS990/Form990PartVIISectionAGrp/PersonNm15CAROL MONTESINOS
IRS990/Form990PartVIISectionAGrp/PersonNm16JAMES ADAMS
IRS990/Form990PartVIISectionAGrp/PersonNm17KIM RYAN
IRS990/Form990PartVIISectionAGrp/PersonNm18GEORGE E HOFFMAN JR
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt141400
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt161500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRMAN (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt10BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt14BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt15BOARD MEMBER (UNTIL 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt17CEO (UNTIL FEB 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt18CFO (UNTIL FEB 2016)
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01992
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt012641
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt012641
IRS990/GrossReceiptsAmt019181
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt01
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0479
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0479
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt047504
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0294
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0253
IRS990/LandBldgEquipCostOrOtherBssAmt047757
IRS990/LegalDomicileStateCd0GA
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0FUNDRAISING FOR CLAYTON GENERAL, INC.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt01472302
IRS990/NetAssetsOrFundBalancesEOYAmt01465125
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt012641
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt012641
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-38583
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/FundraisingAmt01936
IRS990/OccupancyGrp/TotalAmt01936
IRS990/OfficeExpensesGrp/FundraisingAmt02466
IRS990/OfficeExpensesGrp/TotalAmt02466
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt00
IRS990/OtherAssetsTotalGrp/EOYAmt036
IRS990/OtherChangesInNetAssetsAmt049965
IRS990/OtherLiabilitiesGrp/BOYAmt035254
IRS990/OtherLiabilitiesGrp/EOYAmt00
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt024254
IRS990/OtherSalariesAndWagesGrp/TotalAmt024254
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/FundraisingAmt02070
IRS990/PayrollTaxesGrp/TotalAmt02070
IRS990/PensionPlanContributionsGrp/FundraisingAmt0778
IRS990/PensionPlanContributionsGrp/TotalAmt0778
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt01936
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0JAMES ADAMS
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0363542
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0549519
IRS990/PYInvestmentIncomeAmt020507
IRS990/PYOtherExpensesAmt029191
IRS990/PYOtherRevenueAmt0-54967
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-338824
IRS990/PYSalariesCompEmpBnftPaidAmt089196
IRS990/PYTotalExpensesAmt0667906
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0329082
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-18559
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt01546826
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01485836
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/MajorityDirTrstSupportedOrgInd01
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0581955423
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0CLAYTON GENERAL INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0301406
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0301406
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0301406
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0301406
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0301406
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0301406
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0372459
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt0266774
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0301406
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/OtherExpendituresAmt0337827
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0472743
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt0545633
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0372459
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/OtherExpendituresAmt0645917
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt0253
IRS990ScheduleD/EquipmentGrp/DepreciationAmt047504
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt047757
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION HAS HISTORICALLY AND TO DATE RECEIVED NO DONOR-RESTRICTED ENDOWMENT FUNDS, AND DOES NTO MAINTAIN ANY BOARD-DESIGNATED ENDOWMENTS. NEVERTHELESS, THE FOUNDATION'S BOARD HAS INTERPRETED GEORGIA'S STATE PRUDENT MANAGEMENT OF INSTIUTIONAL FUNDS ACT (SPMIFA) AS REQUIRING THE FAIR VALUE OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUNDS, ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0253
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HIRED AND DELEGATED MANAGEMENT DUTIES TO EMORY HEALTHCARE. EMORY HEALTHCARE PROVIDED THE CEO, KIM RYAN, AND CFO, GEORGE HOFFMAN. THE CEO WAS COMPENSATED $225,282 AND THE CFO WAS COMPENSATED $203,428.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION HAS ONE MEMBER, CLAYTON GENERAL, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CLAYTON GENERAL, INC. APPOINTS THE TRUSTEES AND ELECTS THE OFFICERS OF THE FOUNDATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE GOVERNING BOARD'S DECISIONS ARE SUBJECT TO APPROVAL BY THE PARENT BOARD, CLAYTON GENERAL, INC. THE FOLLOWING ACTIONS REQUIRE APPROVAL: -EXPENDITURES IN EXCESS OF $2,000,000 -ACQUISITION OF OR AFFILIATION WITH ANY OTHER ENTITY THAT WOULD BE IN CONFLICT WITH A STRATEGIC PLAN OF ANY SRHS ENTITY -AMENDMENT OF GOVERNING DOCUMENTS -FILING FOR BANKRUPTCY -ADOPTION OF ANY BUDGETS -THE ACQUISITION, SALE, TRANSFER, OR DISPOSITION OF ANY ASSETS OF THE ORGANIZATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE 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/ExplanationTxt5THE CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS AND SENIOR MANAGEMENT. ANY POTENTIAL CONFLICT IS DICUSSED 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, REMOVE THE CONFLICT, OR THEY MOVE FORWARD WITH THE TRANSACTION IF SPECIFIC FACTS ARE PRESENT. IF THE LATTER SITUATION TAKES PLACE, THEN THE MEMBER IS EXCLUDED FROM DISCUSSIONS AND THE VOTE FOR THAT TRANSACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE COMPENSATION COMMITTEE OF THE SRHS BOARD OF DIRECTORS AUTHORIZES THE COMPENSATION PACKAGE OF EXECUTIVES UTILIZING THE VHA GEORGIA SURVEY OF EXECUTIVE COMPENSATION AND OTHER APPROPRIATE SURVEYS. THE SURVEY IS REVIWED TO ENSURE COMPETITIVE WAGES AND BENEFITS FOR THE CEO, CFO, OTHER OFFICERS, AND KEY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE CLAYTON GENERAL, INC.'S (THE PARENT AND SUPPORTED ORGANIZATION) BOARD OF DIRECTORS 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/ExplanationTxt8PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 6,185. TOTAL EXPENSES 6,185.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9EQUITY TRANSFER - BANKRUPTCY 49,965.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd01
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd2N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0208774854

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings