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MAGNOLIA MANOR OF COLUMBUS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF COLUMBUS INC (EIN 20-8034409)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-11-28
IRS object ID
201603339349300735
Schema version
2015v2.1
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)
Return2016-11-28T15:00:38-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580692043PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Mauldin & Jenkins LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 1877AddressLine1Txt
CityMaconCityNm
State AbbreviationGAStateAbbreviationCd
ZIP312021877ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN208034409EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Magnolia Manor of Columbus 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
Signature2016-11-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLinda CortyPreparerPersonNm
PTINP00221297PTIN
Phone4784648000PhoneNum
Preparation2016-11-22PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$21,390,793GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.magnoliamanor.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionThe Corporation is organized to provide long-term care and personal care services to the sick and elderly in a spiritual setting through the operation of 376 long-term care beds and 44 personal care beds on a single campus located in Columbus, Georgia.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee481TotalEmployeeCnt
Total Volunteers245TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$21,720,404PYProgramServiceRevenueAmt
CY Program Service Revenue$20,883,839CYProgramServiceRevenueAmt
PY Investment Income$69,563PYInvestmentIncomeAmt
CY Investment Income$227,597CYInvestmentIncomeAmt
PY Other Revenue$237,226PYOtherRevenueAmt
CY Other Revenue$255,565CYOtherRevenueAmt
PY Total Revenue$22,027,193PYTotalRevenueAmt
CY Total Revenue$21,367,001CYTotalRevenueAmt
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$9,328,720PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,006,131CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,864,408PYOtherExpensesAmt
CY Other Expenses$9,952,316CYOtherExpensesAmt
PY Total Expenses$20,193,128PYTotalExpensesAmt
CY Total Expenses$19,958,447CYTotalExpensesAmt
PY Revenues Less Expenses$1,834,065PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,408,554CYRevenuesLessExpensesAmt
Total Assets BOY$22,226,288TotalAssetsBOYAmt
Total Assets EOY$22,705,400TotalAssetsEOYAmt
Total Liabilities BOY$23,756,924TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,900,760TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,530,636NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$195,360NetAssetsOrFundBalancesEOYAmt
MissionThe Corporation is organized to provide long-term care and personal care services to the sick and elderly in a spiritual setting through the operation of 376 long-term care beds and 44 personal care beds on a single campus located in Columbus, Georgia.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$17,278,824ExpenseAmt
Revenue$21,139,404RevenueAmt
DescProvided long-term care and personal care services in a spiritual setting. The Corporation has two nursing facilities with a combined 376 beds, along with a 44-bed personal care facility. The Corporation provided approximately 100,000 days of service during the year.Desc
Total Program Service Expenses$17,278,824TotalProgramServiceExpensesAmt
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 BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee481EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 Line1The OrganizationBusinessNameLine1Txt
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 (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
James R Buchanan Jr
Trustee0.00Yes (X)$0$0$0
Ann Harris
Trustee0.00Yes (X)$0$0$0
Mark Johnson
Chairman0.00Yes (X)$0$0$0Yes (X)
Chuck Reeves
Vice Chairman0.00Yes (X)$0$0$0Yes (X)
Edie Vinson
Trustee0.00Yes (X)$0$0$0
Russ Carreker
Trustee0.00Yes (X)$0$0$0
Schley Gatewood Jr
Trustee0.00Yes (X)$0$0$0
Jean Wheeler
Secretary0.00Yes (X)$0$0$0Yes (X)
Hal Weathers
Trustee0.00Yes (X)$0$0$0
Robert Beckum
Trustee0.00Yes (X)$0$0$0
Will Peterson
Trustee0.00Yes (X)$0$0$0
Cindy Higdon
Trustee0.00Yes (X)$0$0$0
Mark Todd
President/CEO10.00$0$220,531$7,970Yes (X)30.00
Diane Harrison
SVP of Human Resources10.00$0$145,513$5,600Yes (X)30.00
Scott Adkins
SVP Finance10.00$0$137,919$8,205Yes (X)30.00
Hillery Fort
SVP Operations10.00$0$166,053$8,467Yes (X)30.00
Mary Walhert
Administrator40.00$102,981$0$6,017Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$102,981TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$670,016TotReportableCompRltdOrgAmt
Total Other Compensation$36,259TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Magnolia Manor Pharmacy
PO Box 988HawkinsvilleGA31036Pharmaceuticals and consultations$548,035
Magnolia Manor Rehabilitation
1013 Riverburch ParkwayDaltonGA30721Therapy services$382,087
Aegis Therapies
PO Box 8103Fort SmithAR72902Therapy services$223,834
Global Personal Services
1127 Brown AveColumbusGA31906Nursing Contract Labor$161,259
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medicare/Medicaid Payments623000$17,712,796$17,712,796
Routine Room/Board623000$3,171,043$3,171,043
FieldValueIRS element (for citing)
Total Program Service Revenue$20,883,839TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,389TotalRevenueColumnAmt
Exclusion$72,389ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$179,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$23,792OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$155,208OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$155,208TotalRevenueColumnAmt
Exclusion$155,208ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Share of Pharmacy venture income900099$165,846$165,846
Food Sale Revenue623000$35,086$35,086
Nurse Aide Training623000$33,991$33,991

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,642TotalRevenueColumnAmt
Related Or Exempt Func Income$20,642RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$255,565OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,367,001TotalRevenueColumnAmt
Related Or Exempt Func Income$21,139,404RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$227,597ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,929,340TotalAmt
Program Services$7,210,533ProgramServicesAmt
Management And General$718,807ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$45,034TotalAmt
Program Services$40,383ProgramServicesAmt
Management And General$4,651ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,429,033TotalAmt
Program Services$1,335,603ProgramServicesAmt
Management And General$93,430ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$602,724TotalAmt
Program Services$549,267ProgramServicesAmt
Management And General$53,457ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$570TotalAmt
Management And General$570ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,972TotalAmt
Management And General$42,972ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,017,466TotalAmt
Program Services$1,884,716ProgramServicesAmt
Management And General$132,750ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,389TotalAmt
Management And General$34,389ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$70,030TotalAmt
Management And General$70,030ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$962TotalAmt
Management And General$962ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$911,833TotalAmt
Program Services$911,833ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,581TotalAmt
Program Services$6,421ProgramServicesAmt
Management And General$9,160ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$882,538TotalAmt
Program Services$882,538ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$640,398TotalAmt
Program Services$640,398ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$369,407TotalAmt
Management And General$369,407ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$1,626,869$1,595,041$31,828
Medicaid Provider fee$1,461,216$1,461,216
Management Fees$1,008,096$1,008,096
Raw Food$673,457$673,457

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$196,532TotalAmt
Program Services$87,418ProgramServicesAmt
Management And General$109,114ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,958,447TotalAmt
Program Services$17,278,824ProgramServicesAmt
Management And General$2,679,623ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$169,354BOYAmt
EOY$104,549EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,472,158BOYAmt
EOY$1,543,563EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,492,785BOYAmt
EOY$1,663,502EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,357BOYAmt
EOY$11,548EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$55,161BOYAmt
EOY$5,244EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,829,819LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,094,498LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,257,925BOYAmt
EOY$17,735,321EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$252,292BOYAmt
EOY$247,139EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY-$16,219BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$534,475BOYAmt
EOY$1,394,534EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,226,288BOYAmt
EOY$22,705,400EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,360,294BOYAmt
EOY$1,729,786EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$417BOYAmt
EOY$1,417EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,128,616BOYAmt
EOY$14,128,616EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,329,087BOYAmt
EOY$7,040,941EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$938,510BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,756,924BOYAmt
EOY$22,900,760EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,530,636BOYAmt
EOY-$195,360EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,530,636BOYAmt
EOY-$195,360EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,226,288BOYAmt
EOY$22,705,400EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,408,554ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$73,278OtherChangesInNetAssetsAmt
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$18,034,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,863,235CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,450,343CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,094,178CurrentTaxYearMinus1YearAmt
Current Tax Year$20,883,839CurrentTaxYearAmt
Total$97,326,183TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,034,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,863,235CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,450,343CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,094,178CurrentTaxYearMinus1YearAmt
Current Tax Year$20,883,839CurrentTaxYearAmt
Total$97,326,183TotalAmt

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$97,326,183PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,306CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,577CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69,563CurrentTaxYearMinus1YearAmt
Current Tax Year$72,389CurrentTaxYearAmt
Total$202,562TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,306CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,577CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69,563CurrentTaxYearMinus1YearAmt
Current Tax Year$72,389CurrentTaxYearAmt
Total$202,562TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$175,671CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$214,377CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$215,010CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$237,647CurrentTaxYearMinus1YearAmt
Current Tax Year$255,565CurrentTaxYearAmt
Total$1,098,270TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,212,565CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,079,339CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,721,930CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,401,388CurrentTaxYearMinus1YearAmt
Current Tax Year$21,211,793CurrentTaxYearAmt
Total$98,627,015TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98680PublicSupportCY509Pct
Public Support PY5090.98740PublicSupportPY509Pct
Investment Income CY0.00210InvestmentIncomeCYPct
Investment Income PY0.00140InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,768,405OtherCostOrOtherBasisAmt
Book Value$1,768,405BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,893,023OtherCostOrOtherBasisAmt
Depreciation$2,252,597DepreciationAmt
Book Value$14,640,426BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,168,391OtherCostOrOtherBasisAmt
Depreciation$841,901DepreciationAmt
Book Value$1,326,490BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,735,321TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Deferred loan costs$486,070
Due from related parties$908,464
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,394,534TotalBookValueOtherAssetsAmt
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 persuant to Sec. 501(c)(3) of the Internal Revenue Code. Georgia Pharmacy Ventures, LLC files as a Partnership. The Corporation files its Forms 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 Organization believes that it has appropriate support for all tax positions taken and, as such, does not have any uncertain tax positions that are material to the financial statements. Management believes that all positions taken in those returns would be sustained if examined by taxing authorities.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (3 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$220,531$0$0$0$0$0$3,434$0$4,536$0$228,501$0$0
Diane Harrison
SVP of Human Resources$0$145,513$0$0$0$0$0$0$0$5,600$0$151,113$0$0
Hillery Fort
SVP Operations$0$166,053$0$0$0$0$0$2,723$0$5,744$0$174,520$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Americus and Sumter County Hospital AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN586000058BondIssuerEIN
CUSIP030695DL1CUSIPNum
Bond Issued2013-08-15BondIssuedDt
Issue Price$35,385,246IssuePriceAmt
PurposeRefinance existing debtPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$14,567,044TotalProceedsAmt
In Reserve Fund$1,472,158InReserveFundAmt
Issuance Costs From Proceeds$570,386IssuanceCostsFromProceedsAmt
Credit Enhancement$187,209CreditEnhancementAmt
Capital Expenditures$13,829,295CapitalExpendituresAmt
Substantial Completion2013SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: Americus and Sumter County Hospital Authority Date the Rebate Computation was Performed: 06/30/2014ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The Form 990 was reviewed by the Organization's CEO and Senior Vice President for Finance prior to filing. The contents of the Form 990 were presented and explained to the members of the Executive Committee for their review and approval.
Form 990, Part VI, Section B, line 12cBoard members in general and the Finance Committee in particular are aware of potential conflicts of interest and consider these potential conflicts in making decisions.
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 and conflict of interest policy available to the public upon request at the Organization's Corporate office in Americus, Georgia. The Organization does not receive separate audited financial statements.
Form 990, Part IX, line 11gDietary Contract Services : Program service expenses 387,818. Management and general expenses 0. Fundraising expenses 0. Total expenses 387,818. Plant Contract Services : Program service expenses 303,837. Management and general expenses 0. Fundraising expenses 0. Total expenses 303,837. Laundry and Housekeeping Contract Services: Program service expenses 175,473. Management and general expenses 0. Fundraising expenses 0. Total expenses 175,473. Resident Care Contract Services : Program service expenses 1,017,588. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,017,588. Administrative Contract Services: Program service expenses 0. Management and general expenses 132,750. Fundraising expenses 0. Total expenses 132,750.
Form 990, Part XI, line 9:Transfer from related company - forgiveness of debt -73,278.
Form 990, Part XII, Line 2cReview of financial statements - There was no change in the process for the review of the audited financial statements 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 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 St Simons Inc
2001 South Lee StreetAmericusGA31709201364957Lease and operation of a long-term care facility and a retirement communityGA501(c)(3)Line 90
Magnolia Manor of Macon Inc
2001 South Lee StreetAmericusGA31709261311379Operation of a retirement facilityGA501(c)(3)Line 90
MMI Assurance Ltd
2001 South 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 VenturesBusinessNameLine1Txt

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

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$165,846ShareOfTotalIncomeAmt
Share Of EOY Assets$424,833ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.47500OwnershipPct
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 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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Magnolia Manor IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeMTransactionTypeTxt
Involved$1,008,096InvolvedAmt
Method Of Amount DeterminationAmount chargedMethodOfAmountDeterminationTxt