Civic Intelligence

Lanier Health Services Foundation

990EZ • Fiscal year 2013 • EIN 63-1286859

Jul 01, 2012 to Jun 30, 2013 • Filed on May 15, 2014

Organization ProfileWWW.LANIERHOSPITAL.COM
4800 48th Street36854-3666
Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Down

$14,856

Down $702 (-4.5%) from 2012

Net Assets

Down

$4,856

Down $10,702 (-69%) from 2012

Liabilities

$10,000

No earlier filing loaded for comparison.

Revenue And Expenses

Revenue

Down

$2

Down $7 (-78%) from 2012

Expenses

Up

$10,704

Up $4,489 (+72%) from 2012

Net Income

Down

-$10,702

Down $4,496 (-72%) from 2012

Historical Trend

Balance Sheet Trend

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

$30K$20K$10K$0Assets 2011: $21,763Net Assets 2011: $21,7632011Assets 2012: $15,558Net Assets 2012: $15,5582012Assets 2013: $14,856Liabilities 2013: $10,000Net Assets 2013: $4,8562013Assets 2014: $0Net Assets 2014: $02014

Highlighted filing

2013

Assets$14,856
Liabilities$10,000
Net Assets$4,856
Open 2013 Filing

Operations Trend

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

$20K$10K$0-$10K-$20KRevenue 2011: $11Expenses 2011: $1,580Net Income 2011: -$1,5692011Revenue 2012: $9Expenses 2012: $6,215Net Income 2012: -$6,2062012Revenue 2013: $2Expenses 2013: $10,704Net Income 2013: -$10,7022013Revenue 2014: $1Expenses 2014: $4,856Net Income 2014: -$4,8552014

Highlighted filing

2013

Revenue$2
Expenses$10,704
Net Income-$10,702
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2012 to Jun 30, 2013
Signed
May 15, 2014
Return Version
2012v2.3
Mission and Program Overview

Mission

Fundraising and support for the sole member organization chattahoochee valley hospital society.

Filing and Contact Details

Filer

EIN
63-1286859
Raw XML Appendix201 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
CompensationExplanation/Compensation/PersonName0DOUG DEWBERRY
CompensationExplanation/Compensation/PersonName1LUANNE BERLIN
CompensationExplanation/Compensation/PersonName2CHRISTOPHER N ZUDROW
CompensationExplanation/Compensation/PersonName3DAVID ENNIS
CompensationExplanation/Compensation/PersonName4KENNEY KNOX
CompensationExplanation/Compensation/PersonName5KEVIN PIGG
CompensationExplanation/Compensation/PersonName6TERRY BISHOP
CompensationExplanation/Compensation/PersonName7GERALD ANDREWS
CompensationExplanation/Compensation/PersonName8ELINOR CROWDER
CompensationExplanation/Compensation/PersonName9DAVID WILKERSON
CompensationExplanation/Compensation/PersonName10ARVIND P KAMATH MD
IRS990EZ/ActivitiesNotPreviouslyRpt0false
IRS990EZ/CashSavingsAndInvestments/BOY015558
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IRS990EZ/DidOrgFileForm1120POLThisYear0false
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IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation30
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation40
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation50
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation60
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation70
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation80
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation90
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation100
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName0DOUG DEWBERRY
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName1LUANNE BERLIN
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName2CHRISTOPHER N ZUDROW
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName3DAVID ENNIS
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName4KENNEY KNOX
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName5KEVIN PIGG
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName6TERRY BISHOP
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName7GERALD ANDREWS
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName8ELINOR CROWDER
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName9DAVID WILKERSON
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName10ARVIND P KAMATH MD
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title0HOSPITAL CEO
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title1FORMER CHAIR
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title2FORMER VICE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title3DIRECTOR
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title4DIRECTOR
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title5DIRECTOR
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title6DIRECTOR/CHV
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title7DIRECTOR
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title8SECRETARY/TR
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title9VICE CHAIRMA
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title10SECRETARY/TR
IRS990EZ/OperatingSchool0false
IRS990EZ/Organization501c30X
IRS990EZ/OrganizationDissolvedEtc0true
IRS990EZ/OrganizationHadUBI0false
IRS990EZ/OtherExpensesTotal0704
IRS990EZ/PartVIAHghstPaidCntrctProfSer0NONE
IRS990EZ/PartVIOfCompOfHighestPaidEmpl0NONE
IRS990EZ/PrimaryExemptPurpose0FUNDRAISING AND SUPPORT FOR THE SOLE MEMBER ORGANIZATION CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY.
IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom0LANIER HEALTH SERVICES FOUNDATION ("FOUNDATION") IS A NONPROFIT, NONSTOCK CORPORATION AND SUPPORTING ORGANIZATION OF THE CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY ("CVHS"), ITS SOLE MEMBER. ITS PRIMARY PURPOSE IS TO SOLICIT AND RAISE FUNDS AND ENDOWMENTS TO SUPPORT THE ACTIVITIES OF CVHS.
IRS990EZ/ProgramServiceAccomplishment/GrantsAndAllocations010000
IRS990EZ/ProgramServiceAccomplishment/ProgramServiceExpenses010000
IRS990EZ/ProhibitedTaxShelterTrans0false
IRS990EZ/RelatedOrgControlledEntity0false
IRS990EZ/ScheduleBNotRequired0X
IRS990EZ/SubjectToProxyTax0false
IRS990EZ/SumOfTotalLiabilities/EOY010000
IRS990EZ/TanningServicesProvided0false
IRS990EZ/TheBooksAreInCareOf/AddressUS/AddressLine104800 48TH STREET
IRS990EZ/TheBooksAreInCareOf/AddressUS/City0VALLEY
IRS990EZ/TheBooksAreInCareOf/AddressUS/State0AL
IRS990EZ/TheBooksAreInCareOf/AddressUS/ZIPCode0368543666
IRS990EZ/TheBooksAreInCareOf/NamePerson0ELINOR CROWDER
IRS990EZ/TheBooksAreInCareOf/TelephoneNumber03347561428
IRS990EZ/TotalAssets/BOY015558
IRS990EZ/TotalAssets/EOY014856
IRS990EZ/TotalExpenses010704
IRS990EZ/TotalProgramServiceExpenses010000
IRS990EZ/TotalRevenue02
IRS990EZ/TransactionWithControlEntity0false
IRS990EZ/TrnsfrsExemptNonCharRelatedOrg0false
IRS990EZ/WebSite0WWW.LANIERHOSPITAL.COM
IRS990ScheduleA/CertificationCheckbox0X
IRS990ScheduleA/ContribBy35ControlledEntity0false
IRS990ScheduleA/ContribByControllingIndividual0false
IRS990ScheduleA/ContributionByRelatedParty0false
IRS990ScheduleA/GeneralExplanation0THE ORGANIZATION SUPPORTS ITS SOLE MEMBER CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY THROUGH SOLICITATION OF FUNDS AND ENDOWMENTS.
IRS990ScheduleA/SumOfAmounts010000
IRS990ScheduleA/SupportedOrgInformation/Amount010000
IRS990ScheduleA/SupportedOrgInformation/EIN0630288852
IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc0true
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine10CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
IRS990ScheduleA/SupportedOrgInformation/OrganizedInUS0true
IRS990ScheduleA/SupportedOrgInformation/SupportedOrganizationNotified0true
IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization03
IRS990ScheduleA/SupportingOrg509a3Type20X
IRS990ScheduleA/SupportingOrganization509a30X
IRS990ScheduleA/TotalNumberOfSupportedOrgs01
IRS990ScheduleN/AssetsDistributed0false
IRS990ScheduleN/BondLiabilitiesDischarged0false
IRS990ScheduleN/BondsOutstanding0false
IRS990ScheduleN/DirectorOfSuccessor0true
IRS990ScheduleN/DirectorOfSuccessor20true
IRS990ScheduleN/DispositionTable/AddressUS/AddressLine104800 48TH STREET
IRS990ScheduleN/DispositionTable/AddressUS/City0VALLEY
IRS990ScheduleN/DispositionTable/AddressUS/State0AL
IRS990ScheduleN/DispositionTable/AddressUS/ZIPCode0368543666
IRS990ScheduleN/DispositionTable/DateOfDistribution02013-06-30
IRS990ScheduleN/DispositionTable/DescriptionOfAsset0SUPPORT
IRS990ScheduleN/DispositionTable/EIN0630288852
IRS990ScheduleN/DispositionTable/FMVOfAsset010000
IRS990ScheduleN/DispositionTable/IRCSection0501C3
IRS990ScheduleN/DispositionTable/MethodOfFMVDetermination0COST
IRS990ScheduleN/DispositionTable/NameBusiness/BusinessNameLine10CHATTAHOOCHEE VALLEY HOSP SOCIETY
IRS990ScheduleN/EmployeeOfSuccessor0true
IRS990ScheduleN/EmployeeOfSuccessor20true
IRS990ScheduleN/Form990ScheduleNPartIII/Explanation0THE FOUNDATION REIMBURSED ITS SOLE MEMBER CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY CVHS FOR EXPENDITURES RELATED TO A LOCAL TAX REFERENDUM THE COLLECTION OF WHICH WOULD CONTRIBUTE TO THE ONGOING OPERATIONS OF THE HOSPITAL TWO BOARD MEMBERS TERRY BISHOP AND DAVID WILKERSON CONTINUE TO SERVE ON THE CVHS HOSPITAL BOARD DOUG DEWBERRY ALSO A VOTING BOARD MEMBER CONTINUES TO SERVE AS THE HOSPITAL CEO TWO OF THE BOARD MEMBERS LUANNE BERLIN AND ARVIND KAMATH MD WERE VOTING MEMBERS OF CVHS BOARD BUT RESIGNED DURING THE FISCAL YEAR ENDED JUNE 30 2013 NONE OF THE BOARD MEMBERS OR OFFICERS OF THE CORPORATION ARE COMPENSATED BY THE FOUNDATION HOWEVER CVHS COMPENSATES THE CEO FOR HIS POSITION AS THE OFFICER OF THE OVERALL ORGANIZATION
IRS990ScheduleN/Form990ScheduleNPartIII/Identifier0DETAIL
IRS990ScheduleN/Form990ScheduleNPartIII/ReturnReference0SCHEDULE N PART II PAGE 2 LINE 2E
IRS990ScheduleN/LiabilitiesPaid0false
IRS990ScheduleN/OwnerOfSuccessor0false
IRS990ScheduleN/OwnerOfSuccessor20false
IRS990ScheduleN/ReceiveCompensation0false
IRS990ScheduleN/ReceiveCompensation20false
IRS990ScheduleN/RequiredToNotifyAG0false
IRS990ScheduleO/GeneralExplanation/Explanation0CHATTAHOOCHEE VALLEY HOSP SOCIETY GRASSROOT LOBBYING 06/30/2013 4800 48TH STREET VALLEY, AL 36854 10,000 0 0
IRS990ScheduleO/GeneralExplanation/Explanation1EXPENSES D&O INSURANCE 704 TOTAL 704
IRS990ScheduleO/GeneralExplanation/Explanation2DUE TO RELATED PARTIES 0 10,000
IRS990ScheduleO/GeneralExplanation/Explanation3FUNDRAISING AND SUPPORT FOR THE SOLE MEMBER ORGANIZATION CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY.
IRS990ScheduleO/GeneralExplanation/Explanation4LANIER HEALTH SERVICES FOUNDATION ("FOUNDATION") IS A NONPROFIT, NONSTOCK CORPORATION AND SUPPORTING ORGANIZATION OF THE CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY ("CVHS"), ITS SOLE MEMBER. ITS PRIMARY PURPOSE IS TO SOLICIT AND RAISE FUNDS AND ENDOWMENTS TO SUPPORT THE ACTIVITIES OF CVHS.
IRS990ScheduleO/GeneralExplanation/Explanation5HOSPITAL CEO IS COMPENSATED BY THE HOSPITAL.
IRS990ScheduleO/GeneralExplanation/Identifier0GRANTS AND SIMILAR AMTS PAID TO ORGANIZATIONS
IRS990ScheduleO/GeneralExplanation/Identifier1OTHER EXPENSES
IRS990ScheduleO/GeneralExplanation/Identifier2OTHER LIABILITIES
IRS990ScheduleO/GeneralExplanation/Identifier3PRIMARY EXEMPT PURPOSE
IRS990ScheduleO/GeneralExplanation/Identifier4FIRST ACCOMPLISHMENT
IRS990ScheduleO/GeneralExplanation/Identifier5ADDITIONAL INFORMATION
IRS990ScheduleO/GeneralExplanation/ReturnReference0FORM 990-EZ, PART I, LINE 10
IRS990ScheduleO/GeneralExplanation/ReturnReference1FORM 990-EZ, PART I, LINE 16
IRS990ScheduleO/GeneralExplanation/ReturnReference2FORM 990-EZ, PART II, LINE 26
IRS990ScheduleO/GeneralExplanation/ReturnReference3FORM 990-EZ, PART III
IRS990ScheduleO/GeneralExplanation/ReturnReference4FORM 990-EZ, PART III, LINE 28
IRS990ScheduleO/GeneralExplanation/ReturnReference5FORM 990-EZ, PART IV
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/Filer/EIN0631286859
ReturnHeader/Filer/Name/BusinessNameLine10LANIER HEALTH SERVICES FOUNDATION
ReturnHeader/Filer/NameControl0LANI
ReturnHeader/Filer/Phone03347561428
ReturnHeader/Filer/USAddress/AddressLine104800 48TH STREET
ReturnHeader/Filer/USAddress/City0VALLEY
ReturnHeader/Filer/USAddress/State0AL
ReturnHeader/Filer/USAddress/ZIPCode0368543666
ReturnHeader/Officer/AuthorizeThirdParty0true
ReturnHeader/Officer/DateSigned02014-05-15
ReturnHeader/Officer/Name0DAVID WILKERSON
ReturnHeader/Officer/Phone03347561428
ReturnHeader/Officer/Title0VICE CHAIRMAN
ReturnHeader/Preparer/DatePrepared02014-05-13
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10DRAFFIN & TUCKER LLP
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine10PO BOX 71309
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0ALBANY
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0GA
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode0317081309
ReturnHeader/Preparer/Name0JACQUELINE G ATKINS
ReturnHeader/Preparer/Phone02298837878
ReturnHeader/ReturnType0990EZ
ReturnHeader/TaxPeriodBeginDate02012-07-01
ReturnHeader/TaxPeriodEndDate02013-06-30
ReturnHeader/TaxYear02012
ReturnHeader/Timestamp02014-05-14T07:18:27-05:00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2013 • Form 990EZFacts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$14,856
Liabilities
$10,000
Net assets
$4,856
Revenue
$2
Expenses
$10,704
Net income
-$10,702
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$4.86$4.86
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.9$10.0$4.86$0.00$10.7$10.7
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.6$15.6$0.01$6.22$6.21
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$21.8$21.8$0.01$1.58$1.57