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MAGNOLIA MANOR OF ST SIMONS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF ST SIMONS INC (EIN 20-1364957)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-11-28
IRS object ID
201613339349300431
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)
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
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$11,011,926GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee199TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$10,991,276PYProgramServiceRevenueAmt
CY Program Service Revenue$10,940,983CYProgramServiceRevenueAmt
PY Investment Income$683PYInvestmentIncomeAmt
CY Investment Income$592CYInvestmentIncomeAmt
PY Other Revenue$56,257PYOtherRevenueAmt
CY Other Revenue$70,351CYOtherRevenueAmt
PY Total Revenue$11,048,216PYTotalRevenueAmt
CY Total Revenue$11,011,926CYTotalRevenueAmt
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$4,398,644PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,375,660CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,645,593PYOtherExpensesAmt
CY Other Expenses$6,828,047CYOtherExpensesAmt
PY Total Expenses$11,044,237PYTotalExpensesAmt
CY Total Expenses$11,203,707CYTotalExpensesAmt
PY Revenues Less Expenses$3,979PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$191,781CYRevenuesLessExpensesAmt
Total Assets BOY$1,489,582TotalAssetsBOYAmt
Total Assets EOY$1,133,540TotalAssetsEOYAmt
Total Liabilities BOY$3,267,267TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,167,588TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,777,685NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,034,048NetAssetsOrFundBalancesEOYAmt
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$9,679,164ExpenseAmt
Revenue$11,011,334RevenueAmt
DescThe Corporation provided residential services to the sick and aged through the operation of a 125-bed long term care facililty 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$9,679,164TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
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 Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee199EmployeeCnt
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)
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)
Chuck Reeves
Vice Chairman0.00Yes (X)$0$0$0Yes (X)
Will Peterson
Trustee0.00Yes (X)$0$0$0
Hal Weathers
Trustee0.00Yes (X)$0$0$0
Robert Beckum
Trustee0.00Yes (X)$0$0$0
Cindy Higdon
Trustee0.00Yes (X)$0$0$0
Mark Todd
President/CEO6.00$0$220,531$7,970Yes (X)34.00
Scott Adkins
SVP Finance6.00$0$137,919$8,205Yes (X)34.00
Hillery Fort
SVP Operations6.00$0$166,053$8,467Yes (X)34.00
Diane Harrison
SVP of Human Resources6.00$0$145,513$5,600Yes (X)34.00
Jackie Crisp
Administrator40.00$102,117$0$9,040Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$102,117TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$670,016TotReportableCompRltdOrgAmt
Total Other Compensation$39,282TotalOtherCompensationAmt
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
Metz Culinary Managment
Two Woodland DrDallasPA18612Dietary Management$1,255,040
Magnolia Manor Rehabilitation
1013 Riverburch ParkwayDaltonGA30721Therapy services$286,556
Magnolia Manor Pharmacy
PO Box 988HawkinsvilleGA31036Pharmaceutical and Consultation$193,267
Aegis Therapies Inc
PO Box 8103Fort SmithAR72919Therapy services$136,575
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medicare/Medicaid Payments623000$6,108,749$6,108,749
Routine Room/Board623000$4,832,196$4,832,196
Miscellaneous623000$38$38
FieldValueIRS element (for citing)
Total Program Service Revenue$10,940,983TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$592TotalRevenueColumnAmt
Exclusion$592ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Share of earning in GPV900099$52,373$52,373
Food Sale Revenue623000$11,701$11,701
Beauty Shop Revenue623000$6,052$6,052

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$225TotalRevenueColumnAmt
Related Or Exempt Func Income$225RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$70,351OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,011,926TotalRevenueColumnAmt
Related Or Exempt Func Income$11,011,334RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$592ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,455,767TotalAmt
Program Services$3,077,353ProgramServicesAmt
Management And General$378,414ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$32,450TotalAmt
Program Services$25,299ProgramServicesAmt
Management And General$7,151ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$613,223TotalAmt
Program Services$570,150ProgramServicesAmt
Management And General$43,073ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$274,220TotalAmt
Program Services$244,235ProgramServicesAmt
Management And General$29,985ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$110,000TotalAmt
Management And General$110,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,588TotalAmt
Management And General$21,588ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,503,688TotalAmt
Program Services$1,462,440ProgramServicesAmt
Management And General$41,248ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$51,205TotalAmt
Management And General$51,205ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$66,244TotalAmt
Management And General$66,244ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7TotalAmt
Management And General$7ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,180,251TotalAmt
Program Services$2,180,251ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,881TotalAmt
Program Services$5,422ProgramServicesAmt
Management And General$7,459ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$77,939TotalAmt
Program Services$77,939ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$156,380TotalAmt
Management And General$156,380ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$759,504$728,255$31,249
Medicaid provider fee$626,373$626,373
Management Fees$537,960$537,960
Raw Food$515,588$515,588

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$208,439TotalAmt
Program Services$165,859ProgramServicesAmt
Management And General$42,580ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,203,707TotalAmt
Program Services$9,679,164ProgramServicesAmt
Management And General$1,524,543ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$71,085BOYAmt
EOY$38,202EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$785,496BOYAmt
EOY$481,975EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,770BOYAmt
EOY$12,965EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$145,072BOYAmt
EOY$128,558EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,045,551LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$651,755LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$394,488BOYAmt
EOY$393,796EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$79,671BOYAmt
EOY$78,044EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,489,582BOYAmt
EOY$1,133,540EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,039,416BOYAmt
EOY$851,857EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,227,851BOYAmt
EOY$2,315,731EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,267,267BOYAmt
EOY$3,167,588EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,777,685BOYAmt
EOY-$2,034,048EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,777,685BOYAmt
EOY-$2,034,048EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,489,582BOYAmt
EOY$1,133,540EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$191,781ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$64,582OtherChangesInNetAssetsAmt
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$9,687,096CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,799,223CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,423,247CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,991,276CurrentTaxYearMinus1YearAmt
Current Tax Year$10,940,983CurrentTaxYearAmt
Total$52,841,825TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,687,096CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,799,223CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,423,247CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,991,276CurrentTaxYearMinus1YearAmt
Current Tax Year$10,940,983CurrentTaxYearAmt
Total$52,841,825TotalAmt

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$52,841,825PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$542CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$651CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$916CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$683CurrentTaxYearMinus1YearAmt
Current Tax Year$592CurrentTaxYearAmt
Total$3,384TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$542CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$651CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$916CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$683CurrentTaxYearMinus1YearAmt
Current Tax Year$592CurrentTaxYearAmt
Total$3,384TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,963CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$68,790CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,563CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,257CurrentTaxYearMinus1YearAmt
Current Tax Year$70,351CurrentTaxYearAmt
Total$315,924TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,741,601CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,868,664CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,490,726CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,048,216CurrentTaxYearMinus1YearAmt
Current Tax Year$11,011,926CurrentTaxYearAmt
Total$53,161,133TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99400PublicSupportCY509Pct
Public Support PY5090.99380PublicSupportPY509Pct
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$486,693OtherCostOrOtherBasisAmt
Depreciation$363,572DepreciationAmt
Book Value$123,121BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$558,858OtherCostOrOtherBasisAmt
Depreciation$288,183DepreciationAmt
Book Value$270,675BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$393,796TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInvestment in GA PharmacyDesc
Book Value$78,044BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$78,044TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescIntercompany PayableDesc
Amt$2,315,731Amt
FieldValueIRS element (for citing)
Total Liability$2,315,731TotalLiabilityAmt
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
Hillery Fort
SVP Operations$0$166,053$0$0$0$0$0$2,723$0$5,744$0$174,520$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

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 prior to filing.
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, 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 11gDietary Contracted Services : Program service expenses 670,493. Management and general expenses 0. Fundraising expenses 0. Total expenses 670,493. Laundry and Housekeeping Contract Services : Program service expenses 11,106. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,106. Plant Contract Services : Program service expenses 279,548. Management and general expenses 0. Fundraising expenses 0. Total expenses 279,548. Resident Care Contract Services : Program service expenses 501,293. Management and general expenses 0. Fundraising expenses 0. Total expenses 501,293. Administrative Contract Services : Program service expenses 0. Management and general expenses 41,248. Fundraising expenses 0. Total expenses 41,248.
Form 990, Part XI, line 9:Transfer to related party - forgiveness of debt -64,582.
Form 990, Part XII, Line 2cReview of financial statements - The process for the review of the audited financial statements 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 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 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$52,373ShareOfTotalIncomeAmt
Share Of EOY Assets$134,158ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.15000OwnershipPct
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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Magnolia Manor IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeMTransactionTypeTxt
Involved$537,960InvolvedAmt
Method Of Amount DeterminationAmount chargedMethodOfAmountDeterminationTxt