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MAGNOLIA MANOR OF MARION COUNTY INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF MARION COUNTY INC (EIN 20-1220860)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-02-25
IRS object ID
202120569349301682
Schema version
2019v5.2
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

FieldValueIRS element (for citing)
Return2021-02-25T19:14:53-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201220860EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAGNOLIA MANOR OF MARION COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMAGNBusinessNameControlTxt
Phone2299249352PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 SOUTH LEE STREETAddressLine1Txt
CityAMERICUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31709ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK TODDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2299249352PhoneNum
Signature2021-02-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2021-02-18PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK TODDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 SOUTH LEE STREETAddressLine1Txt
CityAMERICUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31709ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,992,179GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MAGNOLIAMANOR.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE CORPORATION IS ORGANIZED TO PROVIDE LONG-TERM CARE TO THE SICK AND ELDERLY IN A SPIRITUAL SETTING THROUGH THE OPERATION OF A 70-BED SKILLED NURSING FACILITY LOCATED IN BUENA VISTA, GEORGIA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee100TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$6,523,137PYProgramServiceRevenueAmt
CY Program Service Revenue$6,890,423CYProgramServiceRevenueAmt
PY Investment Income$16,306PYInvestmentIncomeAmt
CY Investment Income$9,294CYInvestmentIncomeAmt
PY Other Revenue$89,724PYOtherRevenueAmt
CY Other Revenue$92,462CYOtherRevenueAmt
PY Total Revenue$6,629,167PYTotalRevenueAmt
CY Total Revenue$6,992,179CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,769,704PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,927,340CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,925,305PYOtherExpensesAmt
CY Other Expenses$1,933,601CYOtherExpensesAmt
PY Total Expenses$4,695,009PYTotalExpensesAmt
CY Total Expenses$4,860,941CYTotalExpensesAmt
PY Revenues Less Expenses$1,934,158PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,131,238CYRevenuesLessExpensesAmt
Total Assets BOY$8,033,963TotalAssetsBOYAmt
Total Assets EOY$8,416,004TotalAssetsEOYAmt
Total Liabilities BOY$2,995,412TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,044,280TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,038,551NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,371,724NetAssetsOrFundBalancesEOYAmt
MissionTHE CORPORATION IS ORGANIZED TO PROVIDE LONG-TERM CARE TO THE SICK AND ELDERLY IN A SPIRITUAL SETTING THROUGH THE OPERATION OF A 70-BED SKILLED NURSING FACILITY LOCATED IN BUENA VISTA, GEORGIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,251,878ExpenseAmt
Revenue$6,895,773RevenueAmt
DescPROVIDED LONG-TERM CARE FOR THE SICK AND ELDERLY IN A SPIRITUAL SETTING IN A 70-BED SKILLED NURSING FACILITY. THE ORGANIZATION PROVIDED 21,414 PATIENT DAYS OF SERVICE DURING THE YEAR.Desc
Total Program Service Expenses$4,251,878TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee100EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCOTT ADKINSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2299315907PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 SOUTH LEE STREETAddressLine1Txt
CityAMERICUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31709ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARK JOHNSON
BOARD OF TRUSTEE CHAIRMAN1.005.00Yes (X)Yes (X)$0$0$0
CHUCK REEVES
BOARD OF TRUSTEE VICE CHAIRMAN1.005.00Yes (X)Yes (X)$0$0$0
JEAN WHEELER
BOARD OF TRUSTEE SECRETARY1.005.00Yes (X)Yes (X)$0$0$0
HAL WEATHERS
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
EDIE VINSON
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
WILL PETERSON
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
ANN HARRIS
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
RUSS CARREKER
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
JAMES BUCHANAN JR
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
CHARLES SHEFFIELD
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
ED COLLIER
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
MARK TODD
CEO4.0056.00Yes (X)$0$325,094$19,881
SCOTT ADKINS
CFO4.0056.00Yes (X)$0$189,065$30,589
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$514,159TotReportableCompRltdOrgAmt
Total Other Compensation$50,470TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYM623000$6,401,597$6,401,597
ROUTINE ROOM/BOARD623000$413,077$413,077
STIMULUS REVENUE623000$75,749$75,749
FieldValueIRS element (for citing)
Total Program Service Revenue$6,890,423TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,294TotalRevenueColumnAmt
Exclusion$9,294ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARE OF AFFILATE INVE900099$81,719$81,719
MISCELLANEOUS INCOME900099$5,393$5,393
CAFETERIA SALES623000$5,350$5,350
FieldValueIRS element (for citing)
Other Revenue Total$92,462OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,992,179TotalRevenueColumnAmt
Related Or Exempt Func Income$6,895,773RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$96,406ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,403,312TotalAmt
Program Services$2,277,825ProgramServicesAmt
Management And General$125,487ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$38,543TotalAmt
Program Services$34,266ProgramServicesAmt
Management And General$4,277ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$313,804TotalAmt
Program Services$299,478ProgramServicesAmt
Management And General$14,326ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$171,681TotalAmt
Program Services$162,354ProgramServicesAmt
Management And General$9,327ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$254,959TotalAmt
Management And General$254,959ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,476TotalAmt
Management And General$13,476ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$145,462TotalAmt
Program Services$101,306ProgramServicesAmt
Management And General$44,156ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,303TotalAmt
Management And General$5,303ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$114,090TotalAmt
Program Services$63,138ProgramServicesAmt
Management And General$50,952ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,418TotalAmt
Management And General$5,418ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$218,519TotalAmt
Program Services$218,519ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,986TotalAmt
Program Services$15,842ProgramServicesAmt
Management And General$7,144ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$119,770TotalAmt
Program Services$119,770ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$177,728TotalAmt
Program Services$177,728ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$85,489TotalAmt
Program Services$19,308ProgramServicesAmt
Management And General$66,181ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAID PROVIDER FEE$359,853$359,853
RAW FOOD$168,641$168,641
SUPPLIES$98,517$98,517
DRUGS$74,693$74,693

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$68,697TotalAmt
Program Services$60,640ProgramServicesAmt
Management And General$8,057ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,860,941TotalAmt
Program Services$4,251,878ProgramServicesAmt
Management And General$609,063ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$39,676BOYAmt
EOY$216,282EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,025,417BOYAmt
EOY$2,034,642EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$228,783BOYAmt
EOY$355,508EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,345BOYAmt
EOY$4,506EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$252BOYAmt
EOY$2,085EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,635,854LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$683,849LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,123,932BOYAmt
EOY$3,952,005EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$117,367BOYAmt
EOY$132,787EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,494,191BOYAmt
EOY$1,718,189EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,033,963BOYAmt
EOY$8,416,004EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$264,856BOYAmt
EOY$379,759EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$241,910EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,730,556BOYAmt
EOY$2,422,611EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,995,412BOYAmt
EOY$3,044,280EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,038,551BOYAmt
EOY$5,371,724EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,038,551BOYAmt
EOY$5,371,724EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,033,963BOYAmt
EOY$8,416,004EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,131,238ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,798,065OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,794,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,660,763CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,855,700CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,526,047CurrentTaxYearMinus1YearAmt
Current Tax Year$6,895,773CurrentTaxYearAmt
Total$29,732,406TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,794,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,660,763CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,855,700CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,526,047CurrentTaxYearMinus1YearAmt
Current Tax Year$6,895,773CurrentTaxYearAmt
Total$29,732,406TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,732,406PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,265CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,883CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,130CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,306CurrentTaxYearMinus1YearAmt
Current Tax Year$9,294CurrentTaxYearAmt
Total$37,878TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,265CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,883CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,130CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,306CurrentTaxYearMinus1YearAmt
Current Tax Year$9,294CurrentTaxYearAmt
Total$37,878TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,967CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,007CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$90,931CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,814CurrentTaxYearMinus1YearAmt
Current Tax Year$87,112CurrentTaxYearAmt
Total$374,831TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,827,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,740,653CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,955,761CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,629,167CurrentTaxYearMinus1YearAmt
Current Tax Year$6,992,179CurrentTaxYearAmt
Total$30,145,115TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98630PublicSupportCY509Pct
Public Support PY5090.98770PublicSupportPY509Pct
Investment Income CY0.00130InvestmentIncomeCYPct
Investment Income PY0.00110InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,646,760OtherCostOrOtherBasisAmt
Depreciation$333,776DepreciationAmt
Book Value$3,312,984BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$618,246OtherCostOrOtherBasisAmt
Depreciation$294,778DepreciationAmt
Book Value$323,468BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$370,848OtherCostOrOtherBasisAmt
Depreciation$55,295DepreciationAmt
Book Value$315,553BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,952,005TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$45,644
DUE FROM RELATED ORGANIZATIONS$1,672,545
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,718,189TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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, 2020 AND 2019.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARK TODD
CEO$0$325,094$0$0$0$0$0$11,785$0$8,096$0$344,975$0$0
SCOTT ADKINS
CFO$0$188,558$0$0$0$507$0$7,953$0$22,636$0$219,654$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationONE KEY EMPLOYEE IS ALSO A MEMBER OF THE CLERGY. AS PART OF THEIR COMPENSATION AGREED UPON THROUGH THE SOUTH GA CONFERENCE, HOUSING ALLOWANCE IS INCLUDED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CREVIEWED AT QUARTERLY COMPLIANCE COMMITTEE MEETINGS AND ANNUALLY AT BOARD OF DIRECTORS MEETING.
FORM 990, PART VI, SECTION B, LINE 15ATHE CEO IS PAID ENTIRELY FROM A RELATED TAX-EXEMPT 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 18THE ORGANIZATION MAKES IT FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST AT THE MAGNOLIA MANOR, INC. CORPORATE OFFICE IN AMERICUS, GEORGIA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE MAGNOLIA MANOR, INC. CORPORATE OFFICE IN AMERICUS, GEORGIA.
FORM 990, PART XI, LINE 9:CHANGE IN DUE TO/FROM INTERCOMPANY ACCOUNTS -1,798,065.
FORM 990. PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
MAGNOLIA MANOR INC
2001 S LEE STREETAMERICUSGA31709580911706ELDERLY AFFORDABLE LONG-TERM CARE AND ASSISTED LIVINGGA501(C)(3)LINE 100
MAGNOLIA MANOR OF ST SIMONS INC
2255 FREDENCA RDST SIMMONS ISLANDGA31522201364957ELDERLY AFFORDABLE LONG-TERM CARE AND ASSISTED LIVINGGA501(C)(3)LINE 100
MAGNOLIA MANOR OF MACON SUPPORTIVE HOUSING INC
190 PIERCE AVEMACONGA31204311651955ASSISTED LIVINGGA501(C)(3)LINE 100
MAGNOLIA MANOR OF COLUMBUS INC
2010 WARM SPRINGS RDCOLUMBUSGA31904208034409ELDERLY AFFORDABLE LONG-TERM CARE AND ASSISTED LIVINGGA501(C)(3)LINE 100
MAGNOLIA MANOR OF MACON INC
190 PIERCE AVEMACONGA31204261311379ASSISTED LIVINGGA501(C)(3)LINE 100
MAGNOLIA MANOR OF LIBERTY COUNTY INC
2001 SOUTH LEE STREETAMERICUSGA31709842738089OPERATION OF A NURSING FACILITYGA501(C)(3)LINE 100

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GEORGIA PHARMACY VENTURES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1440 INDUSTRIAL BOULEVARDAddressLine1Txt
CityHAWKINSVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP31036ZIPCd
FieldValueIRS element (for citing)
EIN261918757EIN
Primary ActivitiesPROVISION OF PHARMACY-RELATED PRODUCTS AND SERVICESPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MAGNOLIA MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$2,919,666ShareOfTotalIncomeAmt
Share Of EOY Assets$1,012,848ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.07320OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MMI ASSURANCE LTDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 S LEE STREETAddressLine1Txt
CityAMERICUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31709ZIPCd
FieldValueIRS element (for citing)
EIN981082342EIN
Primary ActivitiesCAPTIVE INSURANCE COMPANYPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd