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MAGNOLIA MANOR OF MARION COUNTY INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF MARION COUNTY INC (EIN 20-1220860)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-01
IRS object ID
201831219349300403
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)
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
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 Tm06:03:40IPTm
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$5,740,653GrossReceiptsAmt
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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee86TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,794,123PYProgramServiceRevenueAmt
CY Program Service Revenue$5,656,423CYProgramServiceRevenueAmt
PY Investment Income$1,265PYInvestmentIncomeAmt
CY Investment Income$1,883CYInvestmentIncomeAmt
PY Other Revenue$31,967PYOtherRevenueAmt
CY Other Revenue$82,347CYOtherRevenueAmt
PY Total Revenue$4,827,355PYTotalRevenueAmt
CY Total Revenue$5,740,653CYTotalRevenueAmt
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$2,079,686PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,497,501CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,725,231PYOtherExpensesAmt
CY Other Expenses$1,671,338CYOtherExpensesAmt
PY Total Expenses$3,804,917PYTotalExpensesAmt
CY Total Expenses$4,168,839CYTotalExpensesAmt
PY Revenues Less Expenses$1,022,438PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,571,814CYRevenuesLessExpensesAmt
Total Assets BOY$1,787,038TotalAssetsBOYAmt
Total Assets EOY$2,281,141TotalAssetsEOYAmt
Total Liabilities BOY$343,276TotalLiabilitiesBOYAmt
Total Liabilities EOY$288,275TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,443,762NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,992,866NetAssetsOrFundBalancesEOYAmt
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$3,664,007ExpenseAmt
Revenue$5,660,763RevenueAmt
DescPROVIDED LONG-TERM CARE FOR THE SICK AND ELDERLY IN A SPIRITUAL SETTING IN A 70-BED SKILLED NURSING FACILITY. THE ORGANIZATION PROVIDED 21,477 PATIENT DAYS OF SERVICE DURING THE YEAR.Desc
Total Program Service Expenses$3,664,007TotalProgramServiceExpensesAmt
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 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 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 Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee86EmployeeCnt
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 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 OtherYes (1)CompensationProcessOtherInd
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/CEO4.00Yes (X)$0$263,763$12,41536.00
SCOTT ADKINS
SVP FINANCE4.00Yes (X)$0$164,633$23,02436.00
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

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAGNOLIA MANOR REHABILITATIONBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11013 RIVERBURCH PARKWAYAddressLine1Txt
CityDALTONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30721ZIPCd
FieldValueIRS element (for citing)
ServicesTHERAPY SERVICESServicesDesc
Compensation$140,952CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYM623000$5,249,326$5,249,326
ROUTINE ROOM/BOARD623000$407,097$407,097
FieldValueIRS element (for citing)
Total Program Service Revenue$5,656,423TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,883TotalRevenueColumnAmt
Exclusion$1,883ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARE OF AFFILATE INVE900099$75,894$75,894
CAFETERIA SALES623000$4,340$4,340
REBATES AND REFUNDS900099$1,813$1,813

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$300TotalRevenueColumnAmt
Exclusion$300ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$82,347OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,740,653TotalRevenueColumnAmt
Related Or Exempt Func Income$5,660,763RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$79,890ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,015,095TotalAmt
Program Services$1,895,819ProgramServicesAmt
Management And General$119,276ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,885TotalAmt
Program Services$20,586ProgramServicesAmt
Management And General$2,299ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$320,694TotalAmt
Program Services$308,107ProgramServicesAmt
Management And General$12,587ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$138,827TotalAmt
Program Services$130,008ProgramServicesAmt
Management And General$8,819ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$200,928TotalAmt
Management And General$200,928ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,141TotalAmt
Management And General$12,141ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$188,419TotalAmt
Program Services$166,092ProgramServicesAmt
Management And General$22,327ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,773TotalAmt
Management And General$2,773ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$120,243TotalAmt
Program Services$79,157ProgramServicesAmt
Management And General$41,086ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$218,611TotalAmt
Program Services$218,611ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,664TotalAmt
Program Services$9,180ProgramServicesAmt
Management And General$2,484ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$799TotalAmt
Program Services$799ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$51,387TotalAmt
Program Services$51,387ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$77,310TotalAmt
Program Services$12,812ProgramServicesAmt
Management And General$64,498ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAID PROVIDER FEE$393,348$393,348
RAW FOOD$166,237$166,237
SUPPLIES$99,449$83,835$15,614
MEDICAL SUPPLIES$75,154$75,154

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$52,875TotalAmt
Program Services$52,875ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,168,839TotalAmt
Program Services$3,664,007ProgramServicesAmt
Management And General$504,832ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$68,707BOYAmt
EOY$63,352EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$230,518BOYAmt
EOY$330,608EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,421BOYAmt
EOY$4,472EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,877BOYAmt
EOY$377EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$861,666LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$248,081LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$443,146BOYAmt
EOY$613,585EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$39,022BOYAmt
EOY$92,916EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$997,347BOYAmt
EOY$1,175,831EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,787,038BOYAmt
EOY$2,281,141EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$343,276BOYAmt
EOY$288,275EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$343,276BOYAmt
EOY$288,275EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,443,762BOYAmt
EOY$1,992,866EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,443,762BOYAmt
EOY$1,992,866EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,787,038BOYAmt
EOY$2,281,141EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,571,814ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,022,710OtherChangesInNetAssetsAmt
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$4,806,252CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,631,778CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,897,392CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,794,123CurrentTaxYearMinus1YearAmt
Current Tax Year$5,660,763CurrentTaxYearAmt
Total$24,790,308TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,806,252CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,631,778CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,897,392CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,794,123CurrentTaxYearMinus1YearAmt
Current Tax Year$5,660,763CurrentTaxYearAmt
Total$24,790,308TotalAmt

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$24,790,308PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,958CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,106CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,265CurrentTaxYearMinus1YearAmt
Current Tax Year$1,883CurrentTaxYearAmt
Total$72,375TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,958CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,106CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,265CurrentTaxYearMinus1YearAmt
Current Tax Year$1,883CurrentTaxYearAmt
Total$72,375TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,995CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,718CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,967CurrentTaxYearMinus1YearAmt
Current Tax Year$78,007CurrentTaxYearAmt
Total$216,870TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,903,410CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,681,454CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,926,681CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,827,355CurrentTaxYearMinus1YearAmt
Current Tax Year$5,740,653CurrentTaxYearAmt
Total$25,079,553TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98850PublicSupportCY509Pct
Public Support PY5090.98790PublicSupportPY509Pct
Investment Income CY0.00290InvestmentIncomeCYPct
Investment Income PY0.00540InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$218,601OtherCostOrOtherBasisAmt
Depreciation$59,144DepreciationAmt
Book Value$159,457BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$421,240OtherCostOrOtherBasisAmt
Depreciation$188,937DepreciationAmt
Book Value$232,303BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$221,825OtherCostOrOtherBasisAmt
Book Value$221,825BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$613,585TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$1,500
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$11,094
DUE FROM RELATED ORGANIZATIONS$1,163,237
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,175,831TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
Explanationhe 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 (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 15THE 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 -1,022,710.
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 S LEE STREETAMERICUSGA31709580911706ELDERLY AFFORDABLE LONG-TERM CARE AND ASSISTED LIVINGGA501(c)(3)Line 90
MAGNOLIA MANOR OF ST SIMONS INC
2255 FREDENCA RDST SIMMONS ISLANDGA31522201364957ELDERLY AFFORDABLE LONG-TERM CARE AND ASSISTED LIVINGGA501(c)(3)Line 90
MAGNOLIA MANOR OF MACON SUPPORTIVE HOUSING INC
190 PIERCE AVEMACONGA31204311651955ASSISTED LIVINGGA501(c)(3)Line 90
MAGNOLIA MANOR OF COLUMBUS INC
2010 WARM SPRINGS RDCOLUMBUSGA31904208034409ELDERLY AFFORDABLE LONG-TERM CARE AND ASSISTED LIVINGGA501(c)(3)Line 90
MAGNOLIA MANOR OF MACON INC
190 PIERCE AVEMACONGA31204261311379ASSISTED LIVINGGA501(c)(3)Line 90
MMI ASSURANCE LTD
2001 S LEE STREETAMERICUSGA31709981082342CAPTIVE 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 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$51,883ShareOfTotalIncomeAmt
Share Of EOY Assets$95,944ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.07320OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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