MAGNOLIA MANOR OF COLUMBUS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MAGNOLIA MANOR OF COLUMBUS INC (EIN 20-8034409)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-11
- IRS object ID
- 202331319349306688
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-11T15:48:50-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208034409 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAGNOLIA MANOR OF COLUMBUS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAGN | BusinessNameControlTxt |
| Phone | 2299249352 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 SOUTH LEE STREET | AddressLine1Txt |
| City | AMERICUS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31709 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK TODD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2299249352 | PhoneNum |
| Signature | 2023-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARK | PersonFirstNm |
| Person Last | TODD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2023-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK TODD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 SOUTH LEE STREET | AddressLine1Txt |
| City | AMERICUS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31709 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,487,845 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MAGNOLIAMANOR.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | THE CORPORATE IS ORGANIZED TO PROVIDE LONG-TERM CARE AND PERSONAL CARE SERVICES TO THE SICK AND ELDERLY IN A SPIRITUAL SETTING THROUGH THE OPERATION OF 376 LONG-TERM CARE BEDS AND 44 PERSONAL CARE BEDS ON A SINGLE CAMPUS LOCATED IN COLUMBUS, GEORGIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 340 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,829,145 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,148,541 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,852 | PYInvestmentIncomeAmt |
| CY Investment Income | $112 | CYInvestmentIncomeAmt |
| PY Other Revenue | $788,766 | PYOtherRevenueAmt |
| CY Other Revenue | $1,339,192 | CYOtherRevenueAmt |
| PY Total Revenue | $25,627,763 | PYTotalRevenueAmt |
| CY Total Revenue | $22,487,845 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,020,319 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,948,447 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,887,288 | PYOtherExpensesAmt |
| CY Other Expenses | $8,949,626 | CYOtherExpensesAmt |
| PY Total Expenses | $20,907,607 | PYTotalExpensesAmt |
| CY Total Expenses | $19,898,073 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,720,156 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,589,772 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,495,688 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,915,912 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,438,077 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,762,861 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,057,611 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,153,051 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE CORPORATION IS ORGANIZED TO PROVIDE LONG-TERM CARE AND PERSONAL CARE SERVICES TO THE SICK AND ELDERLY IN A SPIRITUAL SETTING THROUGH THE OPERATION OF 376 LONG-TERM CARE BEDS AND 44 PERSONAL CARE BEDS ON A SINGLE CAMPUS LOCATED IN COLUMBUS, GEORGIA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,787,106 | ExpenseAmt |
| Revenue | $21,312,764 | RevenueAmt |
| Desc | PROVIDED LONG-TERM CARE AND PERSONAL CAR SERVICES IN A SPIRITUAL SETTING. THE CORPORATION HAS TWO NURSING FACILITIES WITH A COMBINED 376 BEDS, ALONG WITH A 44-BED PERSONAL CARE FACILITY. THE CORPORATION PROVIDED APPROXIMATELY 72,926 DAYS OF SERVICE DURING THE YEAR. | Desc |
| Total Program Service Expenses | $16,787,106 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 340 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2299315907 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 SOUTH LEE STREET | AddressLine1Txt |
| City | AMERICUS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31709 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARK JOHNSON | ||||||||
| BOARD OF TRUSTEE CHAIRMAN | 1.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHUCK REEVES | ||||||||
| BOARD OF TRUSTEE VICE CHAI | 1.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEAN WHEELER | ||||||||
| BOARD OF TRUSTEE SECRETARY | 1.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HAL WEATHERS | ||||||||
| BOARD TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| EDIE VINSON | ||||||||
| BOARD TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| WILL PETERSON | ||||||||
| BOARD TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| ANN HARRIS | ||||||||
| BOARD TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES PRYOR | ||||||||
| BOARD TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE YOUMANS JR | ||||||||
| BOARD TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES SHEFFIELD | ||||||||
| BOARD TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| ED COLLIER | ||||||||
| BOARD TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| TY TURNER | ||||||||
| BOARD TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK TODD | ||||||||
| CEO | 10.00 | 50.00 | Yes (X) | $0 | $322,190 | $9,766 | ||
| SCOTT ADKINS | ||||||||
| CFO | 10.00 | 50.00 | Yes (X) | $0 | $196,338 | $25,741 | ||
| DARON BUTLER | ||||||||
| COLUMBUS WEST ADMINISTRATO | 40.00 | $143,314 | $0 | $9,086 | Yes (X) | |||
| DEBORAH LAWHORN | ||||||||
| COLUMBUS EAST ADMINISTRATO | 40.00 | $125,253 | $0 | $3,716 | Yes (X) | |||
| FELECIA SHAW | ||||||||
| ASST. DON | 40.00 | $102,817 | $0 | $9,086 | Yes (X) | |||
| CHELSEA WILLIAMS | ||||||||
| RN SUPERVISOR | 40.00 | $101,384 | $0 | $9,086 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $472,768 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $518,528 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $66,481 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PITTMAN WALLER ROOFING CO | |||||
| 527 HILLCREST INDUSTRIAL BLVD | MACON | GA | 31204 | MAINTENANCE | $278,929 |
| ALL PRO MATERIALS & SERVICES | |||||
| PO BOX 1045 | FORTSON | GA | 31808 | MAINTENANCE | $126,237 |
| MEDICAL SOLUTIONS LLC | |||||
| PO BOX 310737 | DES MOINES | IA | 50331 | CONTRACT NURSE AGENCY | $116,158 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 623000 | $17,892,088 | $17,892,088 |
| ROUTINE ROOM/BOARD | 623000 | $2,796,098 | $2,796,098 |
| STIMULUS REVENUE | 900099 | $460,355 | $460,355 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,148,541 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109 | TotalRevenueColumnAmt |
| Exclusion | $109 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3 | TotalRevenueColumnAmt |
| Exclusion | $3 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $1,040,548 | $1,040,548 | |
| MANAGEMENT SERVICE FEES | 623000 | $134,576 | $134,576 | |
| SHARE OF PHARMACY VENTURE INCOME | 901101 | $134,421 | $134,421 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,647 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,647 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,339,192 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,487,845 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,312,764 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,175,081 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,893,003 | TotalAmt |
| Program Services | $8,231,369 | ProgramServicesAmt |
| Management And General | $661,634 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,726 | TotalAmt |
| Program Services | $94,395 | ProgramServicesAmt |
| Management And General | $13,331 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,313,436 | TotalAmt |
| Program Services | $1,252,958 | ProgramServicesAmt |
| Management And General | $60,478 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,282 | TotalAmt |
| Program Services | $584,526 | ProgramServicesAmt |
| Management And General | $49,756 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,186,132 | TotalAmt |
| Program Services | $134,576 | ProgramServicesAmt |
| Management And General | $1,051,556 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,647 | TotalAmt |
| Management And General | $83,647 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,428,097 | TotalAmt |
| Program Services | $1,248,955 | ProgramServicesAmt |
| Management And General | $179,142 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,448 | TotalAmt |
| Management And General | $64,448 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,634 | TotalAmt |
| Program Services | $55,339 | ProgramServicesAmt |
| Management And General | $165,295 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,039 | TotalAmt |
| Management And General | $35,039 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $576,887 | TotalAmt |
| Program Services | $576,887 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,003 | TotalAmt |
| Program Services | $3,543 | ProgramServicesAmt |
| Management And General | $17,460 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $586,742 | TotalAmt |
| Program Services | $586,742 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $754,414 | TotalAmt |
| Program Services | $754,414 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $802,156 | TotalAmt |
| Program Services | $105,014 | ProgramServicesAmt |
| Management And General | $697,142 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAID PROVIDER FEE | $1,048,986 | $1,048,986 |
| RAW FOOD | $780,271 | $780,271 |
| MEDICAL SUPPLIES | $606,446 | $606,446 |
| DRUGS | $280,756 | $280,756 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,968 | TotalAmt |
| Program Services | $441,929 | ProgramServicesAmt |
| Management And General | $32,039 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,898,073 | TotalAmt |
| Program Services | $16,787,106 | ProgramServicesAmt |
| Management And General | $3,110,967 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $382,863 | BOYAmt |
| EOY | $457,354 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,719 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,711,756 | BOYAmt |
| EOY | $1,038,937 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,093,924 | BOYAmt |
| EOY | $1,048,344 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,915 | BOYAmt |
| EOY | $24,355 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,558 | BOYAmt |
| EOY | $13,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,397,204 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,080,890 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,770,713 | BOYAmt |
| EOY | $15,316,314 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,613 | BOYAmt |
| EOY | $111,934 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,329,627 | BOYAmt |
| EOY | $24,905,205 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,495,688 | BOYAmt |
| EOY | $42,915,912 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,651,211 | BOYAmt |
| EOY | $1,571,188 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,591,649 | BOYAmt |
| EOY | $15,091,139 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $989,888 | BOYAmt |
| EOY | $920,027 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,205,329 | BOYAmt |
| EOY | $3,180,507 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,438,077 | BOYAmt |
| EOY | $20,762,861 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,057,611 | BOYAmt |
| EOY | $22,153,051 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,057,611 | BOYAmt |
| EOY | $22,153,051 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,495,688 | BOYAmt |
| EOY | $42,915,912 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,589,772 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$54,057 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$440,275 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,194,042 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,247,456 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,793,210 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,009,682 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,312,764 | CurrentTaxYearAmt |
| Total | $125,557,154 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,194,042 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,247,456 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,793,210 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,009,682 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,312,764 | CurrentTaxYearAmt |
| Total | $125,557,154 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $125,557,154 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,943 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,530 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $65,116 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,841 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $109 | CurrentTaxYearAmt |
| Total | $200,539 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,943 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,530 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $65,116 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,841 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $109 | CurrentTaxYearAmt |
| Total | $200,539 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $457,306 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $580,707 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $543,005 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $618,081 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,175,081 | CurrentTaxYearAmt |
| Total | $3,374,180 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,715,291 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,889,693 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,401,331 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,637,604 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,487,954 | CurrentTaxYearAmt |
| Total | $129,131,873 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97230 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97850 | PublicSupportPY509Pct |
| Investment Income CY | 0.00160 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00210 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,904,912 | OtherCostOrOtherBasisAmt |
| Book Value | $1,904,912 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,599,326 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,267,025 | DepreciationAmt |
| Book Value | $12,332,301 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,639,743 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,773,810 | DepreciationAmt |
| Book Value | $865,933 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $253,223 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,055 | DepreciationAmt |
| Book Value | $213,168 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,316,314 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED ORGANIZATION | $24,289,221 |
| INDENTURE AGREEMENT | $223,681 |
| OTHER RECEIVABLE | $368,891 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $23,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $24,905,205 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CORPORATION AND CERTAIN OF ITS AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SEC. 501(C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, A PROVISION FOR INCOME TAXES HAS NOT BEEN MADE ON THE FINANCIAL STATEMENTS. GEORGIA PHARMACY VENTURES, LLC FILES AS A PARTNERSHIP. THE CORPORATION FILES ITS FORM 990, RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAX, IN THE U.S. FEDERAL JURISDICTION AND WITH THE STATE OF GEORGIA. THIS FORM IS OPEN FOR PUBLIC INSPECTION. THE CORPORATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ALL TAX POSITIONS TAKEN, AND THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2022 AND 2021. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK TODD | ||||||||||||||
| CEO | $0 | $322,030 | $0 | $160 | $0 | $0 | $0 | $0 | $0 | $9,766 | $0 | $331,956 | $0 | $0 |
| SCOTT ADKINS | ||||||||||||||
| CFO | $0 | $196,176 | $0 | $162 | $0 | $0 | $0 | $0 | $0 | $25,741 | $0 | $222,079 | $0 | $0 |
| DARON BUTLER | ||||||||||||||
| COLUMBUS WEST ADMINISTRATO | $143,314 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,086 | $0 | $152,400 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICUS AND SUMTER COUNTY HOSPITAL AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 586000058 | BondIssuerEIN |
| CUSIP | 030695DL1 | CUSIPNum |
| Bond Issued | 2013-05-15 | BondIssuedDt |
| Issue Price | $35,385,246 | IssuePriceAmt |
| Purpose | REFINANCING EXISTING DEBT | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $14,567,044 | TotalProceedsAmt |
| In Reserve Fund | $1,472,158 | InReserveFundAmt |
| Issuance Costs From Proceeds | $570,386 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $187,209 | CreditEnhancementAmt |
| Capital Expenditures | $13,829,295 | CapitalExpendituresAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS ELECTRONICALLY PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING THE RETURN WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | REVIEWED AT QUARTERLY COMPLIANCE COMMITTEE MEETINGS AND ANNUALLY AT BOARD OF DIRECTORS MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CEO IS PAID ENTIRELY FROM A RELATED SECTION 501(C)(3) ORGANIZATION. THE BOARD OF TRUSTEES ESTABLISHES THE CEO'S SALARY BASED ON INDUSTRY NORMS AND COMPENSATION STUDIES FOR SIMILAR TYPE ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S CORPORATE OFFICE IN AMERICUS, GEORGIA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S CORPORATE OFFICE IN AMERICUS, GEORGIA. THE ORGANIZATION DOES NOT RECEIVE SEPARATE AUDITED FINANCIAL STATEMENTS. |
| FORM 990, PART XI, LINE 9: | CHANGE IN DUE TO/FROM INTERCOMPANY ACCOUNTS -440,275. |
| FORM 990. PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MAGNOLIA MANOR INC | |||||||||
| 2001 SOUTH LEE STREET | AMERICUS | GA | 31709 | 580911706 | MANAGEMENT AND OPERATION OF LONG-TERM CARE AND RETIREMENT FACILITIES | GA | 501(C)(3) | LINE 10 | 0 |
| MAGNOLIA MANOR OF MACON SUPPORTIVE HOUSING INC | |||||||||
| 2001 SOUTH LEE STREET | AMERICUS | GA | 31709 | 311651955 | HUD SUPPORTIVE HOUSING FACILITY | GA | 501(C)(3) | LINE 10 | 0 |
| MAGNOLIA MANOR OF MARION COUNTY INC | |||||||||
| 2001 SOUTH LEE STREET | AMERICUS | GA | 31709 | 201220860 | LEASE AND OPERATION OF A LONG-TERM CARE FACILITY | GA | 501(C)(3) | LINE 10 | 0 |
| MAGNOLIA MANOR OF ST SIMMONS INC | |||||||||
| 2001 SOUTH LEE STREET | AMERICUS | GA | 31709 | 201364957 | LEASE AND OPERATION OF A LONG-TERM CARE FACILITY AND A RETIREMENT COMMUNITY | GA | 501(C)(3) | LINE 10 | 0 |
| MAGNOLIA MANOR OF MACON INC | |||||||||
| 2001 SOUTH LEE STREET | AMERICUS | GA | 31709 | 261311379 | OPERATION OF A RETIREMENT FACILITY | GA | 501(C)(3) | LINE 10 | 0 |
| MAGNOLIA MANOR OF LIBERTY COUNTY INC | |||||||||
| 2001 SOUTH LEE STREET | AMERICUS | GA | 31709 | 842738089 | OPERATION OF A NURSING FACILITY | GA | 501(C)(3) | LINE 10 | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGIA PHARMACY VENTURES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 440 INDUSTRIAL BOULEVARD | AddressLine1Txt |
| City | HAWKINSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261918757 | EIN |
| Primary Activities | PROVIDES PHARMACY RELATED PRODUCTS AND SERVICES TO MAGNOLIA MANOR RESIDENTS | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MMI ASSURANCE LTD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 SOUTH LEE STREET | AddressLine1Txt |
| City | AMERICUS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31709 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 981082342 | EIN |
| Primary Activities | CAPTIVE INSURANCE COMPANY | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |