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MAGNOLIA MANOR OF ST SIMONS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF ST SIMONS INC (EIN 20-1364957)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-01
IRS object ID
201811219349300301
Schema version
2016v3.0
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)
Return2018-05-01T06:12:31-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201364957EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAGNOLIA MANOR OF ST SIMONS 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
Signature2018-05-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.25.12.224IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-01IPDt
IP Tm06:04:14IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id083993E8E059FCB3C563BE1594239D73DD9572BDAtSubmissionCreationDeviceId
At Submission Filing Device Id3C4A73C7F70BFF54BAAC11A85090BDFB39FC8B01AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$11,282,820GrossReceiptsAmt
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 RESIDENTIAL AND LONG-TERM CARE SERVICES TO THE SICK AND ELDERLY IN A SPIRTUAL SETTING. THE MISSION IS ACCOMPLISHED THROUGH THE OPERATION OF A 125-BED LONG TERM CARE FACILITY AND A 94-UNIT RETIREMENT COMMUNITY LOCATED ON ST. SIMON'S ISLAND, GEORGIA.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee206TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$10,940,983PYProgramServiceRevenueAmt
CY Program Service Revenue$11,104,834CYProgramServiceRevenueAmt
PY Investment Income$592PYInvestmentIncomeAmt
CY Investment Income$872CYInvestmentIncomeAmt
PY Other Revenue$70,351PYOtherRevenueAmt
CY Other Revenue$177,114CYOtherRevenueAmt
PY Total Revenue$11,011,926PYTotalRevenueAmt
CY Total Revenue$11,282,820CYTotalRevenueAmt
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$4,375,660PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,004,457CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,828,047PYOtherExpensesAmt
CY Other Expenses$6,377,785CYOtherExpensesAmt
PY Total Expenses$11,203,707PYTotalExpensesAmt
CY Total Expenses$11,382,242CYTotalExpensesAmt
PY Revenues Less Expenses-$191,781PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$99,422CYRevenuesLessExpensesAmt
Total Assets BOY$1,133,540TotalAssetsBOYAmt
Total Assets EOY$1,419,852TotalAssetsEOYAmt
Total Liabilities BOY$3,167,588TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,969,498TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,034,048NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,549,646NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE CORPORATION IS ORGANIZED TO PROVIDE RESIDENTIAL AND LONG-TERM CARE SERVICES TO THE SICK AND ELDERLY IN A SPIRITUAL SETTING. THE MISSION IS ACCOMPLISHED THROUGH THE OPERATION OF A 125-BED LONG-TERM CARE FACILITY AND A 94-UNIT RETIREMENT COMMUNITY LOCATED ON ST. SIMON'S ISLAND, GEORGIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,893,141ExpenseAmt
Revenue$11,152,136RevenueAmt
DescTHE CORPORATION PROVIDED RESIDENTIAL SERVICES TO THE SICK AND AGED THROUGH THE OPERATION OF A 125-BED LONG TERM CARE FACILITY AND A 94-BED RETIREMENT COMMUNITY LOCATED IN ST. SIMONS, GEORGIA. THE CORPORATION PROVIDED APPROXIMATELY 70,000 PATIENT DAYS OF SERVICE DURING THE YEAR.Desc
Total Program Service Expenses$9,893,141TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee206EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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)
Phone2299249352PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
MARK JOHNSON
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
CHUCK REEVES
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JEAN WHEELER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
HAL WEATHERS
TRUSTEE1.00Yes (X)$0$0$0
EDIE VINSON
TRUSTEE1.00Yes (X)$0$0$0
WILL PETERSON
TRUSTEE1.00Yes (X)$0$0$0
ANN HARRIS
TRUSTEE1.00Yes (X)$0$0$0
SCHLEY GATEWOOD JR
TRUSTEE1.00Yes (X)$0$0$0
RUSS CARREKER
TRUSTEE1.00Yes (X)$0$0$0
JAMES BUCHANAN JR
TRUSTEE1.00Yes (X)$0$0$0
MARK TODD
PRESIDENT/CEO2.00Yes (X)$0$263,763$12,41538.00
SCOTT ADKINS
SVP FINANCE2.00Yes (X)$0$164,633$23,02438.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$428,396TotReportableCompRltdOrgAmt
Total Other Compensation$35,439TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
METZ CULINARY MANAGEMENT
TWO WOODWARD DRIVEDALLASPA18612DIETARY SERVICES$1,270,878
MAGNOLIA MANOR REHABILITATION
1013 RIVERBURCH PARKWAYDALTONGA30721THERAPY SERVICES$431,140
PRO INSPECTION CONSULTING SERVICES
120 RIVERVIEW DRST SIMONS ISLANDGA31522MAINTENANCE/REPAIRS SERVICES$100,350
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROUTINE ROOM/BOARD623000$5,583,044$5,583,044
MEDICARE/MEDICAID PAYMENTS623000$5,521,790$5,521,790
FieldValueIRS element (for citing)
Total Program Service Revenue$11,104,834TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$872TotalRevenueColumnAmt
Exclusion$872ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARE OF GPV INTEREST900099$129,020$129,020
RESIDENT FEES623000$32,500$32,500
CAFETERIA SALES623000$11,562$11,562

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,032TotalRevenueColumnAmt
Related Or Exempt Func Income$3,240RelatedOrExemptFuncIncomeAmt
Exclusion$792ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$177,114OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,282,820TotalRevenueColumnAmt
Related Or Exempt Func Income$11,152,136RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$130,684ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,120,634TotalAmt
Program Services$3,722,248ProgramServicesAmt
Management And General$398,386ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$40,223TotalAmt
Program Services$33,331ProgramServicesAmt
Management And General$6,892ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$560,556TotalAmt
Program Services$511,451ProgramServicesAmt
Management And General$49,105ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$283,044TotalAmt
Program Services$251,967ProgramServicesAmt
Management And General$31,077ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$579,864TotalAmt
Management And General$579,864ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,534TotalAmt
Management And General$22,534ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,207,262TotalAmt
Program Services$1,165,532ProgramServicesAmt
Management And General$41,730ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$45,896TotalAmt
Management And General$45,896ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$214,817TotalAmt
Program Services$101,111ProgramServicesAmt
Management And General$113,706ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$382TotalAmt
Management And General$382ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,858,344TotalAmt
Program Services$1,858,344ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,509TotalAmt
Program Services$8,825ProgramServicesAmt
Management And General$3,684ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$386TotalAmt
Management And General$386ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,870TotalAmt
Program Services$4,870ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$71,569TotalAmt
Program Services$71,569ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$455,429TotalAmt
Program Services$297,572ProgramServicesAmt
Management And General$157,857ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAID PROVIDER FEE$602,553$602,553
RAW FOOD$517,665$517,665
SUPPLIES$310,127$272,525$37,602
DRUGS$230,543$230,543

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$243,035TotalAmt
Program Services$243,035ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,382,242TotalAmt
Program Services$9,893,141ProgramServicesAmt
Management And General$1,489,101ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$38,202BOYAmt
EOY$44,454EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$481,975BOYAmt
EOY$693,560EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,965BOYAmt
EOY$7,821EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$128,558BOYAmt
EOY$29,758EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,103,839LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$723,324LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$393,796BOYAmt
EOY$380,515EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$78,044BOYAmt
EOY$161,944EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$101,800EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,133,540BOYAmt
EOY$1,419,852EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$851,857BOYAmt
EOY$655,297EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,315,731BOYAmt
EOY$2,314,201EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,167,588BOYAmt
EOY$2,969,498EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,034,048BOYAmt
EOY-$1,549,646EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,034,048BOYAmt
EOY-$1,549,646EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,133,540BOYAmt
EOY$1,419,852EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$99,422ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$583,824OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
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$10,799,223CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,423,247CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,991,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,940,983CurrentTaxYearMinus1YearAmt
Current Tax Year$11,152,136CurrentTaxYearAmt
Total$54,306,865TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,799,223CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,423,247CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,991,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,940,983CurrentTaxYearMinus1YearAmt
Current Tax Year$11,152,136CurrentTaxYearAmt
Total$54,306,865TotalAmt

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$54,306,865PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$651CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$916CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$683CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$592CurrentTaxYearMinus1YearAmt
Current Tax Year$872CurrentTaxYearAmt
Total$3,714TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$651CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$916CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$683CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$592CurrentTaxYearMinus1YearAmt
Current Tax Year$872CurrentTaxYearAmt
Total$3,714TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$68,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,563CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,351CurrentTaxYearMinus1YearAmt
Current Tax Year$129,812CurrentTaxYearAmt
Total$391,773TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,868,664CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,490,726CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,048,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,011,926CurrentTaxYearMinus1YearAmt
Current Tax Year$11,282,820CurrentTaxYearAmt
Total$54,702,352TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99280PublicSupportCY509Pct
Public Support PY5090.99400PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$305,301OtherCostOrOtherBasisAmt
Depreciation$231,016DepreciationAmt
Book Value$74,285BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$600,206OtherCostOrOtherBasisAmt
Depreciation$337,855DepreciationAmt
Book Value$262,351BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$198,332OtherCostOrOtherBasisAmt
Depreciation$154,453DepreciationAmt
Book Value$43,879BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$380,515TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN GA PHARM VENTURES LLC$135,796C
INVESTMENT IN MAGNOLIA MANOR REHAB$26,148C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$161,944TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescSECURITY DEPOSITSDesc
Book Value$101,800BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$101,800TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED ORGANIZATIONDesc
Amt$2,314,201Amt
FieldValueIRS element (for citing)
Total Liability$2,314,201TotalLiabilityAmt
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, 2017 and 2016.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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
PRESIDENT/CEO$0$263,763$0$0$0$0$0$5,172$0$7,243$0$276,178$0$15,600
SCOTT ADKINS
SVP FINANCE$0$164,633$0$0$0$0$0$3,549$0$19,475$0$187,657$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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 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 18THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S CORPORATE OFFICE IN AMERICUS, GEORGIA.
Form 990, Part IX, line 11gCONTRACT SERVICES: Program service expenses 1,119,859. Management and general expenses 19,970. Fundraising expenses 0. Total expenses 1,139,829. OUTSIDE SERVICES: Program service expenses 45,673. Management and general expenses 21,760. Fundraising expenses 0. Total expenses 67,433.
Form 990, Part XI, line 9:CHANGE IN DUE TO/FROM INTERCOMPANY ACCOUNTS 583,824.
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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MAGNOLIA MANOR INC
2001 SOUTH LEE STREETAMERICUSGA31709580911706MANAGEMENT AND OPERATION OF LONG-TERM CARE AND RETIREMENT FACILITIESGA501(c)(3)Line 90
MAGNOLIA MANOR OF COLUMBUS INC
2001 SOUTH LEE STREETAMERICUSGA31709208034409OPERATION OF TWO (2) NURSING FACILITIES AND A RETIREMENT FACILITYGA501(c)(3)Line 90
MAGNOLIA MANOR OF MACON SUPPORTIVE HOUSING INC
2001 SOUTH LEE STREETAMERICUSGA31709311651955HUD SUPPORTIVE HOUSING FACILITYGA501(c)(3)Line 90
MAGNOLIA MANOR OF MARION COUNTY INC
2001 SOUTH LEE STREETAMERICUSGA31709201220860LEASE AND OPERATION OF A LONG-TERM CARE FACILITYGA501(c)(3)Line 90
MAGNOLIA MANOR OF MACON INC
2001 SOUTH LEE STREETAMERICUSGA31709261311379OPERATION OF AN ASSISTED LIVING FACILITYGA501(c)(3)Line 90
MMI ASSURANCE LTD
2001 SOUTH LEE STREETAMERICUSGA31709981082342CAPITVE INSURANCE COMPANYYes (1)CJMAGNOLIA MANOR INC

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 ActivitiesPROVIDES PHARMACY RELATED PRODUCTS AND SERVICES TO MAGNOLIA MANOR RESIDENTSPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$90,868ShareOfTotalIncomeAmt
Share Of EOY Assets$168,037ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.12820OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd