2021-12-08T10:38:16-06:00 2020-12-31 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2020-01-01 721304946 MAGNOLIA HEALTHCARE INC MAGN 2257530864 PO BOX 40018 BATON ROUGE LA 70835 RICHARD T DASPIT SR PRESIDENT 2257530864 2021-12-07 1 RICHARD DASPIT SR 999009999 BRENDA L BOOTH P01342395 6177610600 2021-12-07 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z RICHARD T DASPIT SR 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 24897536 0 X WWW.MHIHEALTH.ORG X 1995 MS TO PROVIDE COMPREHENSIVE NURSING CARE SERVICES. 3 2 687 0 0 0 5000 2880406 21322391 21477946 132933 23368 138165 515546 21598489 24897266 0 0 0 0 11388225 12169660 0 0 0 10158712 10676359 21546937 22846019 51552 2051247 12942609 14643848 21720681 21370673 -8778072 -6726825 TO SERVE THE HEALTH AND REHABILITATION NEEDS OF THE COMMUNITY AND TO IMPROVE THE QUALITY OF LIFE FOR EACH PATIENT, RESIDENT, FAMILY MEMBER, VISITOR AND CO-WORKER. 0 0 20148734 21477946 OWN AND OPERATE FOUR NURSING HOMES TOTALING 292 BEDS IN VARIOUSLOCATIONS. IN 2020, THERE WERE APPROXIMATELY 82,500 RESIDENT DAYS. 20148734 1 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 22 0 1 687 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 LA X X RICHARD DASPIT SR 2257530864 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 RICHARD T DASPIT SR PRESIDENT 1.00 39.00 X X 0 231679 5523 LOUIS HERRERO SECRETARY 1.00 9.00 X X 0 7000 0 G STUART MURPHY III TREASURER 1.00 9.00 X X 0 7000 0 RICHARD DASPIT JR CIO 1.00 39.00 X 0 100686 5672 LONNIE PEELER CHIEF OPERATING OFFICER 1.00 39.00 X 0 187960 5521 BRANDON HOLLEMAN CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 135708 5155 VICKY PILKINGTON MD CHIEF MEDICAL DIRECTOR 1.00 39.00 X 230431 0 0 SCOTT MATTHEWS ADMINISTRATOR 1.00 39.00 X 107991 0 4044 GWENDOLYN BROWN DON 1.00 39.00 X 113387 0 4623 JOHN NCDANIALS ADMINISTRATOR 1.00 39.00 X 115322 0 5103 ANITA PEEK DIRECTOR OF CLINICAL SERVICES 1.00 39.00 X 107091 0 4207 TASHA MOSLEY ADMINISTRATOR 1.00 39.00 X 118295 0 51 792517 670033 39899 6 0 1 0 NEXUS THERAPY MANAGEMENT 2113 GOVERNMENT STREET STE L OCEAN SPRINGS MS 39564 THERAPY 1575763 MCKESSON MEDICAL PO BOX 630693 CINCINNATI OH 45263 MEDICAL SUPPLIES 601096 US FOOD 3682 COLLECTION CENTER DRIVE CHICAGO IL 60693 FOOD SUPPLY 580444 APOTHECARE LLC PO BOX 919 MEADVILLE MS 39653 PHARMACY SERVICE 569778 4 2880406 2880406 RESIDENT SERVICES 623000 21477946 21477946 21477946 23638 23638 270 -270 -270 -270 MISCELLANEOUS INCOME 623000 515546 515546 515546 24897266 21477946 0 538914 X 10398467 10179413 219054 991851 861674 130177 779342 684837 94505 41263 41263 90737 90737 3916083 3239489 676594 129890 129890 168823 29517 139306 1419071 1046102 372969 110390 51200 59190 694411 547178 147233 349927 275734 74193 BED TAX 1158530 1158530 OTHER RESIDENT CARE SER 957977 957977 COVID EXPENSES 683486 683486 SUPPLIES 455412 358853 96559 500359 74744 425615 22846019 20148734 2697285 0 1538246 3171417 1119126 1326982 403765 445626 11556590 9529887 1822797 2026703 3993594 4007027 2901745 2596299 1163336 1069794 12942609 14643848 1890521 1917206 1910410 6943455 6166348 595000 595000 6107902 5875524 6183803 4906185 21720681 21370673 X -8778072 -6726825 -8778072 -6726825 12942609 14643848 2051247 0 X 0 1 X 1 0 X 5000 2880406 2885406 19074849 20334923 20560283 21322391 21477946 102770392 19074849 20334923 20560283 21327391 24358352 105655798 0 0 0 105655798 103411 109153 128453 137983 23638 502638 103411 109153 128453 137983 23638 502638 140142 123276 111139 138165 515546 1028268 19318402 20567352 20799875 21603539 24897536 107186704 0.98570 0.98830 0.00470 0.00540 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2016 AMOUNT: $ 140,142. 2017 AMOUNT: $ 123,276. 2018 AMOUNT: $ 111,139. 2019 AMOUNT: $ 138,165. 2020 AMOUNT: $ 515,546. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 138955 113156 252111 0 201199 201199 7456822 6632128 824694 832367 717228 115139 3066202 2180531 885671 2026703 ASSETS WHOSE USE IS LIMITED 4007027 C 4007027 DEPOSITS 5151 EST THIRD PART SETTLEMENTS 387529 ACCOUNTS RECEIVABLE-OTHER 677114 1069794 SUBORDINATED ACCRUED INTEREST 4016627 DUE TO AFFILIATES 889558 4906185 X 24897266 0 24897266 0 24897266 22846019 0 22846019 0 22846019 PART IV, LINE 1B: AS A CONVENIENCE TO ITS RESIDENTS, MAGNOLIA WILL HOLD THE PERSONAL FUNDS OF THE RESIDENTS ALLOWING THEM TO MAKE PURCHASES FOR GOODS AND SERVICES WITHIN AND OUTSIDE OF THE MAGNOLIA COMMUNITY. PART X, LINE 2: MHI IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. MHI ACCOUNTS FOR THE EFFECTS OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. MHI HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, MHI HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. MHI BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2017. 0 0 0 0 0 0 0 0 0 RICHARD T DASPIT SR PRESIDENT 0 231679 0 0 0 0 0 0 0 5523 0 237202 0 0 VICKY PILKINGTON MD CHIEF MEDICAL DIRECTOR 230431 0 0 0 0 0 0 0 0 0 230431 0 0 0 LONNIE PEELER CHIEF OPERATING OFFICER 0 187960 0 0 0 0 0 0 0 5521 0 193481 0 0 FORM 990, PART VI, SECTION A, LINE 2 RICHARD T. DASPIT, SR., PRESIDENT, AND RICHARD DASPIT, JR., CHIEF INFORMATION OFFICER, ARE FATHER AND SON, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 3 MAGNOLIA HEALTHCARE HAS AN AGREEEMENT WITH FOUNDATION HEALTH SERVICES, INC., SOLE MEMBER OF MAGNOLIA HEALTHCARE, TO PROVIDE MANAGEMENT SERVICES INCLUDING FINANCIAL AND ACCOUNTING SUPPORT SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS COMPLETED ANNUALLY AND COPIES ARE PROVIDED TO THE ENTIRE GOVERNING BOARD AS WELL AS THE PRESIDENT OF THE ORGANIZATION. AT THAT TIME THE PRESIDENT REVIEWS THE FORM 990 WITH THE BOARD MEMBERS. ANY NECESSARY CHANGES ARE THEN UPDATED ON THE FORM. ONCE ALL NECESSARY CHANGES ARE MADE AND THE PRESIDENT IS IN AGREEMENT WITH THE BOARD MEMBERS ON THE FINISHED FORM 990, IT IS SIGNED BY THE PRESIDENT, DATED AND SUBMITTED BY THE FILING DEADLINE. A COPY OF THE APPROVED FORM 990 IS PROVIDED TO ALL OF THE OFFICERS, DIRECTORS AND TRUSTEES BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION PROMULGATES ITS CONFLICT OF INTEREST POLICY TO ASSURE CONTINUED COMMITMENT TO THE INTEGRITY OF ITS EXEMPT PURPOSE. TO PROVIDE ENFORCEMENT OF THE POLICY, A WRITTEN DISCLOSURE OF THE POLICY IS DISTRIBUTED TO THE EMPLOYEES AND BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS OF THE ORGANIZATION ARE PAID BY A RELATED PARTY, FOUNDATION HEALTH SERVICES. THE COMPENSATION OF THE OFFICERS IS REVIEWED AND APPROVED BY INDEPENDENT COMPENSATION COMMITTEE OF THE ORGANIZATION, MADE UP OF INDEPENDENT BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE, UPON IN-PERSON VERBAL OR WRITTEN REQUEST, DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,831,495. MANAGEMENT AND GENERAL EXPENSES 676,594. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,508,089. FINANCIAL SERVICES FEE: PROGRAM SERVICE EXPENSES 1,035,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,035,870. CONSULTANT - RELATED PARTY: PROGRAM SERVICE EXPENSES 372,124. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 372,124. FOUNDATION HEALTH SERVICES INC PO BOX 40213 BATON ROUGE LA 70835 581745788 HEALTHCARE LA 501(C)(3) LINE 11 N/A 0 BLUEBONNET HEALTHCARE INC PO BOX 40018 BATON ROUGE LA 70835 721187099 HEALTHCARE LA 501(C)(3) LINE 11 FHS 0 ROCK GLEN HEALTHCARE INC PO BOX 40018 BATON ROUGE LA 70835 721277793 HEALTHCARE MD 501(C)(3) PF FHS 0 AMERICAN FAMILY SERVICES INC PO BOX 40018 BATON ROUGE LA 70835 721150472 HEALTHCARE LA 501(C)(3) LINE 11 FHS 0 HUNTINGDON NURSING CENTER INC PO BOX 40018 BATON ROUGE LA 70835 541759925 HEALTHCARE VA 501(C)(3) LINE 11 FHS 0 CARROLLWOOD HEALTH FOUNDATION INC PO BOX 40018 BATON ROUGE LA 70825 721241847 FINANCIAL SERVICES/HEALTHCARE FL 501(C)(3) LINE 12B, II FHS 0 COLONIAL HEALTHCARE INC PO BOX 40018 BATON ROUGE LA 70835 721432537 INACTIVE MA 501(C)(3) LINE 11 FHS 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0