FURP.ORG / PUBLIC DATA EXPLORER

MAGNOLIA MANOR INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR INC (EIN 58-0911706)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-02-25
IRS object ID
202140569349300429
Schema version
2019v5.2
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)
Return2021-02-25T19:14:53-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN580911706EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAGNOLIA MANOR 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
Signature2021-02-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2021-02-25PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$34,954,276GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MAGNOLIAMANOR.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE CORPORATION IS ORGANIZED TO PROVIDE AFFORDABLE HOUSING AND LONG-TERM CARE AND ASSISTED LIVING TO THE ELDERLY IN A SPIRITUAL SETTING. THE CORPORATION OPERATES A LONG-TERM CARE FACILITY, FIVE RETIREMENT COMMUNITIES AND SEVERAL MORE INDEPENDENT LIVING APARTMENT COMPLEXES THROUGHOUT SOUTH AND MIDDLE GEORGIA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee796TotalEmployeeCnt
Total Volunteers390TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$465,143PYContributionsGrantsAmt
CY Contributions Grants$892,585CYContributionsGrantsAmt
PY Program Service Revenue$26,410,892PYProgramServiceRevenueAmt
CY Program Service Revenue$27,426,561CYProgramServiceRevenueAmt
PY Investment Income$1,217,624PYInvestmentIncomeAmt
CY Investment Income$1,210,748CYInvestmentIncomeAmt
PY Other Revenue$5,146,738PYOtherRevenueAmt
CY Other Revenue$5,390,358CYOtherRevenueAmt
PY Total Revenue$33,240,397PYTotalRevenueAmt
CY Total Revenue$34,920,252CYTotalRevenueAmt
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$16,239,109PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,488,935CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$664,016CYTotalFundraisingExpenseAmt
PY Other Expenses$15,162,321PYOtherExpensesAmt
CY Other Expenses$15,964,473CYOtherExpensesAmt
PY Total Expenses$31,401,430PYTotalExpensesAmt
CY Total Expenses$32,453,408CYTotalExpensesAmt
PY Revenues Less Expenses$1,838,967PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,466,844CYRevenuesLessExpensesAmt
Total Assets BOY$92,366,466TotalAssetsBOYAmt
Total Assets EOY$116,561,990TotalAssetsEOYAmt
Total Liabilities BOY$41,826,985TotalLiabilitiesBOYAmt
Total Liabilities EOY$60,504,779TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$50,539,481NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$56,057,211NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE CORPORATION IS ORGANIZED TO PROVIDE AFFORDABLE HOUSING AND LONG-TERM CARE AND ASSISTED LIVING TO THE ELDERLY IN A SPIRITUAL SETTING. THE CORPORATION OPERATES A LONG-TERM CARE FACILITY, FIVE RETIREMENT COMMUNITIES AND SEVERAL MORE INDEPENDENT LIVING APARTMENT COMPLEXES THROUGHOUT SOUTH AND MIDDLE GEORGIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,417,462ExpenseAmt
Revenue$32,272,783RevenueAmt
DescTHE ORGANIZATION PROVIDES RESIDENTIAL SERVICES TO THE SICK AND AGED IN A SPIRITUAL SETTING. THE ORGANIZATION PROVIDES THESE SERVICES THROUGH THE OPERATION AND LONG-TERM CARE AND ASSISTED AND INDEPENDENT LIVING FACILITIES. THE ORGANIZATION OPERATES 268 LONG-TERM SKILLED NURSING BEDS AND APPROXIMATELY 600 ASSISTED LIVING AND INDEPENDENT LIVING BEDS IN SEVERAL FACILITIES THROUGHOUT THE STATE OF GEORGIA.Desc
Total Program Service Expenses$24,417,462TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document103IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee796EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCOTT ADKINSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2299315907PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK JOHNSON
BOARD OF TRUSTEE CHAIRMAN1.005.00Yes (X)Yes (X)$0$0$0
CHUCK REEVES
BOARD OF TRUSTEE VICE CHAIRMAN1.005.00Yes (X)Yes (X)$0$0$0
JEAN WHEELER
BOARD OF TRUSTEE SECRETARY1.005.00Yes (X)Yes (X)$0$0$0
HAL WEATHERS
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
EDIE VINSON
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
WILL PETERSON
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
ANN HARRIS
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
RUSS CARREKER
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
JAMES BUCHANAN JR
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
CHARLES SHEFFIELD
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
ED COLLIER
BOARD TRUSTEE1.005.00Yes (X)$0$0$0
MARK TODD
CEO40.0020.00Yes (X)$325,094$0$19,881
HILLERY FORT
COO40.0020.00Yes (X)$223,391$0$31,976
SCOTT ADKINS
CFO40.00Yes (X)$189,065$0$30,589
DIANE HARRISON
VP OF HUMAN RESOURCES40.00$179,213$0$26,425Yes (X)
STEPHEN VINSON
VP OF COMMUNICATIONS40.00$135,659$0$0Yes (X)
BARBARA MITCHELL
VP OF CLINICAL40.00$134,227$0$11,934Yes (X)
SUSAN FUSSELL
NURSING HOME ADMINISTRATOR40.00$109,483$0$10,799Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,296,132TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$131,604TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PIEDMONT CONSTRUCTION
107 GATEWAY DR SUITE BMACONGA31210CONSTRUCTION SERVICES$360,092
ACCOUNTABLE HEALTHCARE STAFFING
PO BOX 732800DALLASIL606756773NURSING CONTRACT SERVICES$359,005
SOLUTION ADVISORS
12425 28TH STREET N SUITE 100ST PETERSBURGFL33716CONSULTING$301,943
PICKLE CONSTRUCTION LLC
904 S MLK BLVD SUITE AAMERICUSGA31719MAINTENANCE/REPAIRS/RENOVATIONS$291,455
SIMPLY ELEGANT LANDSCAPING
314 N SPRING CREEK CIRCLECOBBGA31735LAWN SERVICES$212,766
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Fundraising$77,854FundraisingAmt
All Other Contributions$814,731AllOtherContributionsAmt
Total Contributions$892,585TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROUTINE ROOM/BOARD623000$16,735,793$16,735,793
MEDICARE/MEDICAID PAYMENT623000$9,801,937$9,801,937
STIMULUS OPERATING REVENUE623000$888,831$888,831
FieldValueIRS element (for citing)
Total Program Service Revenue$27,426,561TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$986,923TotalRevenueColumnAmt
Exclusion$986,923ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$14,790RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$14,790RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,790TotalRevenueColumnAmt
Related Or Exempt Func Income$14,790RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$223,392SecuritiesAmt
Other$433OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$223,392SecuritiesAmt
Other$433OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$223,825TotalRevenueColumnAmt
Exclusion$223,825ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$43,561FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$77,854ContriRptFundraisingEventAmt
Fundraising Direct Expenses$33,476FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,085TotalRevenueColumnAmt
Exclusion$10,085ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$501GrossSalesOfInventoryAmt
Cost Of Goods Sold$548CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$47TotalRevenueColumnAmt
Related Or Exempt Func Income-$47RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MANAGEMENT FEE REVENUE900099$4,265,486$4,265,486
CAFETERIA SALES623000$333,457$333,457
SHARE OF PARTNERSHIP INCOME900099$257,214$257,214

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$509,373TotalRevenueColumnAmt
Related Or Exempt Func Income$232,536RelatedOrExemptFuncIncomeAmt
Exclusion$276,837ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,365,530OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,920,252TotalRevenueColumnAmt
Related Or Exempt Func Income$32,272,783RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,754,884ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,036,935TotalAmt
Management And General$1,036,935ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,293,500TotalAmt
Program Services$9,805,607ProgramServicesAmt
Management And General$2,117,598ManagementAndGeneralAmt
Fundraising$370,295FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$265,598TotalAmt
Program Services$170,412ProgramServicesAmt
Management And General$88,842ManagementAndGeneralAmt
Fundraising$6,344FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,976,920TotalAmt
Program Services$1,591,452ProgramServicesAmt
Management And General$342,431ManagementAndGeneralAmt
Fundraising$43,037FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$915,982TotalAmt
Program Services$681,519ProgramServicesAmt
Management And General$208,676ManagementAndGeneralAmt
Fundraising$25,787FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,841,199TotalAmt
Program Services$508,216ProgramServicesAmt
Management And General$1,332,983ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$153,003TotalAmt
Management And General$153,003ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,032TotalAmt
Management And General$64,032ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,303,249TotalAmt
Program Services$3,773,598ProgramServicesAmt
Management And General$524,495ManagementAndGeneralAmt
Fundraising$5,156FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$140,431TotalAmt
Program Services$8,114ProgramServicesAmt
Management And General$117,572ManagementAndGeneralAmt
Fundraising$14,745FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total-$135,838TotalAmt
Program Services-$761,158ProgramServicesAmt
Management And General$495,807ManagementAndGeneralAmt
Fundraising$129,513FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$48,564TotalAmt
Program Services$5,680ProgramServicesAmt
Management And General$28,056ManagementAndGeneralAmt
Fundraising$14,828FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,834,476TotalAmt
Program Services$1,834,476ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$274,433TotalAmt
Program Services$83,107ProgramServicesAmt
Management And General$160,189ManagementAndGeneralAmt
Fundraising$31,137FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,265,884TotalAmt
Program Services$1,265,884ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,106,812TotalAmt
Program Services$2,106,812ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$759,588TotalAmt
Program Services$281,058ProgramServicesAmt
Management And General$478,530ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
RAW FOOD$1,286,488$1,286,488
SUPPLIES$1,161,054$915,099$222,781$23,174
DRUGS$396,772$396,772
BAD DEBT EXPENSE$244,236$244,236

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$220,090TotalAmt
Program Services$220,090ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$32,453,408TotalAmt
Program Services$24,417,462ProgramServicesAmt
Management And General$7,371,930ManagementAndGeneralAmt
Fundraising$664,016FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$817,583BOYAmt
EOY$2,082,476EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,587,937BOYAmt
EOY$26,262,394EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$960,369BOYAmt
EOY$556,296EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$1,325,745EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$48,024BOYAmt
EOY$47,555EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$65,530BOYAmt
EOY$57,733EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$77,778,180LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$46,897,179LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,542,695BOYAmt
EOY$30,881,001EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$34,662,878BOYAmt
EOY$35,338,648EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$501,966BOYAmt
EOY$511,680EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$784,503BOYAmt
EOY$735,066EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,394,981BOYAmt
EOY$18,763,396EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$92,366,466BOYAmt
EOY$116,561,990EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,170,607BOYAmt
EOY$6,260,824EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,753,981BOYAmt
EOY$5,280,929EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,931,331BOYAmt
EOY$6,718,962EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$18,389,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,971,066BOYAmt
EOY$23,855,064EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,826,985BOYAmt
EOY$60,504,779EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,310,117BOYAmt
EOY$52,786,765EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,229,364BOYAmt
EOY$3,270,446EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,539,481BOYAmt
EOY$56,057,211EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$92,366,466BOYAmt
EOY$116,561,990EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,466,844ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$423,418NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,627,468OtherChangesInNetAssetsAmt
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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$574,258CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$662,588CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$613,356CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$465,143CurrentTaxYearMinus1YearAmt
Current Tax Year$936,146CurrentTaxYearAmt
Total$3,251,491TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,846,743CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,371,397CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,358,303CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,066,514CurrentTaxYearMinus1YearAmt
Current Tax Year$27,426,561CurrentTaxYearAmt
Total$149,069,518TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$93,092CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,116CurrentTaxYearMinus1YearAmt
Total$279,651TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,421,001CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,127,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,073,102CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,616,773CurrentTaxYearMinus1YearAmt
Current Tax Year$28,362,707CurrentTaxYearAmt
Total$152,600,660TotalAmt

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$152,600,660PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$574,965CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$482,542CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$717,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$724,244CurrentTaxYearMinus1YearAmt
Current Tax Year$986,923CurrentTaxYearAmt
Total$3,486,117TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$574,965CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$482,542CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$717,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$724,244CurrentTaxYearMinus1YearAmt
Current Tax Year$986,923CurrentTaxYearAmt
Total$3,486,117TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$464,833CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$955,460CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,056,905CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$439,718CurrentTaxYearMinus1YearAmt
Current Tax Year$534,051CurrentTaxYearAmt
Total$3,450,967TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,460,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,565,079CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,847,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,780,735CurrentTaxYearMinus1YearAmt
Current Tax Year$29,883,681CurrentTaxYearAmt
Total$159,537,744TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95650PublicSupportCY509Pct
Public Support PY5090.94680PublicSupportPY509Pct
Investment Income CY0.02190InvestmentIncomeCYPct
Investment Income PY0.01840InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$60,382OtherActivitiesAmt
Total Lobbying Expenditures$60,382TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ENTERED INTO A CONTRACT WITH A LAW FIRM TO PERFORM LOBBYING ON THEIR BEHALF. NO DIRECT LOBBYING PAYMENTS WERE MADE TO ANY SPECIFIC CANDIDATE.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,661,573BeginningYearBalanceAmt
Investment Earnings Or Losses$261,746InvestmentEarningsOrLossesAmt
Administrative Expenses$183,600AdministrativeExpensesAmt
End Year Balance$4,739,719EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,464,076BeginningYearBalanceAmt
Investment Earnings Or Losses$361,358InvestmentEarningsOrLossesAmt
Administrative Expenses$163,861AdministrativeExpensesAmt
End Year Balance$4,661,573EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,939,069BeginningYearBalanceAmt
End Year Balance$13,939,069EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,985,452BeginningYearBalanceAmt
Investment Earnings Or Losses$953,617InvestmentEarningsOrLossesAmt
End Year Balance$13,939,069EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,255,498BeginningYearBalanceAmt
Contributions$4,088ContributionsAmt
Investment Earnings Or Losses$119,712InvestmentEarningsOrLossesAmt
Other Expenditures$345,045OtherExpendituresAmt
Administrative Expenses$48,801AdministrativeExpensesAmt
End Year Balance$12,985,452EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,713,049OtherCostOrOtherBasisAmt
Book Value$1,713,049BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,590,858OtherCostOrOtherBasisAmt
Depreciation$33,980,272DepreciationAmt
Book Value$19,610,586BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,145,421OtherCostOrOtherBasisAmt
Depreciation$11,132,156DepreciationAmt
Book Value$2,013,265BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,328,852OtherCostOrOtherBasisAmt
Depreciation$1,784,751DepreciationAmt
Book Value$7,544,101BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,881,001TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INDENTURE AGREEMENT$2,147,255
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS$24,365
OTHER RECEIVABLES$13,156,454
HUD INTERCOMPANY PAYABLES$3,435,322
FieldValueIRS element (for citing)
Total Book Value Other Assets$18,763,396TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED ORGANIZATIONSDesc
Amt$23,855,064Amt
FieldValueIRS element (for citing)
Total Liability$23,855,064TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT FUNDS ARE HELD TO PROVIDE SUPPORT OF OPERATIONS AND PATIENT SUPPORT. FOR FY 2020, THE BEGINNING BALANCE HAS BEEN RESTATED TO MATCH CURRENT ENDOWMENT FUNDS.
PART X, LINE 2:THE 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, 2020 AND 2019.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Specific Services ProvidedINVESTMENT IN CAPTIVE INSURANCE.LIST 74 _ 2BENJAMIN.HARRISON@DHG.COM - 01/08/20 09:09 AM WORKSHEET SCHEDULE F - STATEMENT OF ACTIVITIES OUTSIDE THE U.S. AUDIT FIN - TOTAL ASSETS _ 3590736SpecificServicesProvidedTxt
Region Total Expenditures$4,086,031RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$4,086,031SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$4,086,031TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1JOHN BATTS MEMORIAL GOLF CLASSICEvent1Nm
Gross Receipts Event1$35,300GrossReceiptsEvent1Amt
Charitable Contri Event1$22,425CharitableContriEvent1Amt
Gross Revenue Event1$12,875GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,750NonCashPrizesEvent1Amt
Rent Facility Costs Event1$6,383RentFacilityCostsEvent1Amt
Food And Beverage Event1$2,546FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$2,180OtherDirectExpensesEvent1Amt
Event2JOHN GILL MEMORIAL QUAIL HUNTEvent2Nm
Gross Receipts Event2$30,450GrossReceiptsEvent2Amt
Charitable Contri Event2$10,795CharitableContriEvent2Amt
Gross Revenue Event2$19,655GrossRevenueEvent2Amt
Non Cash Prizes Event2$545NonCashPrizesEvent2Amt
Rent Facility Costs Event2$13,500RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$3,860OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$55,665GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$44,634CharitableContriOtherEventsAmt
Gross Revenue Other Events$11,031GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$530NonCashPrizesOtherEventsAmt
Food And Beverage Other Events$2,182FoodAndBeverageOtherEventsAmt
Gross Receipts Total$121,415GrossReceiptsTotalAmt
Charitable Contributions Tot$77,854CharitableContributionsTotAmt
Gross Revenue Total Events$43,561GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$2,825NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$19,883RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$4,728FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$6,040OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,476DirectExpenseSummaryEventsAmt
Net Income Summary$10,085NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
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 (4 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
CEO$325,094$0$0$0$0$0$11,785$0$8,096$0$344,975$0$0$0
HILLERY FORT
COO$223,237$0$0$0$154$0$9,340$0$22,636$0$255,367$0$0$0
SCOTT ADKINS
CFO$188,558$0$0$0$507$0$7,953$0$22,636$0$219,654$0$0$0
DIANE HARRISON
VP OF HUMAN RESOURCES$179,213$0$0$0$0$0$3,789$0$22,636$0$205,638$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationONE KEY EMPLOYEE (STEPHEN VINSON) IS ALSO A MEMBER OF THE CLERGY. AS PART OF THEIR COMPENSATION AGREED UPON THROUGH THE SOUTH GA CONFERENCE, HOUSING ALLOWANCE IS PAID FOR.ExplanationTxt

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$20,818,202IssuePriceAmt
PurposeREFINANCE EXISTING DEBTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$20,818,202TotalProceedsAmt
In Reserve Fund$2,138,038InReserveFundAmt
Issuance Costs From Proceeds$860,334IssuanceCostsFromProceedsAmt
Credit Enhancement$267,545CreditEnhancementAmt
Capital Expenditures$19,763,862CapitalExpendituresAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 13AGA
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS ELECTRONICALLY PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CREVIEWED AT QUARTERLY COMPLIANCE COMMITTEE MEETINGS AND ANNUALLY AT BOARD OF DIRECTORS MEETING.
FORM 990, PART VI, SECTION B, LINE 15ATHE 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 UPON REQUEST AT THE ORGANIZATION'S OFFICE LOCATED IN AMERICUS, GEORGIA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE LOCATED IN AMERICUS, GEORGIA.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,685,426. MANAGEMENT AND GENERAL EXPENSES 213,086. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,898,512. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 55,490. MANAGEMENT AND GENERAL EXPENSES 311,409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 366,899. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 32,682. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 5,156. TOTAL EXPENSES 37,838.
FORM 990, PART XI, LINE 9:CHANGE IN DUE TO/FROM INTERCOMPANY ACCOUNTS 2,627,468.
FORM 990, PART XII, LINE 2CTHE 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 OrganizationControlledOrganizationInd
MAGNOLIA MANOR OF COLUMBUS INC
2001 SOUTH LEE STREETAMERICUSGA31709208034409OPERATION OF (2) NURSING FACILITIES AND A RETIREMENT FACILITYGA501(C)(3)LINE 100
MAGNOLIA MANOR OF MACON SUPPORTIVE HOUSING INC
2001 SOUTH LEE STREETAMERICUSGA31709311651955HUD SUPPORTIVE HOUSING FACILITYGA501(C)(3)LINE 100
MAGNOLIA MANOR OF MARION COUNTY INC
2001 SOUTH LEE STREETAMERICUSGA31709201220860LEASE AND OPERATION OF A LONG-TERM CARE FACILITYGA501(C)(3)LINE 100
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 100
MAGNOLIA MANOR OF MACON INC
2001 SOUTH LEE STREETAMERICUSGA31709261311379OPERATION OF AN ASSISTED LIVING FACILITYGA501(C)(3)LINE 100
MAGNOLIA MANOR OF LIBERTY COUNTY INC
2001 SOUTH LEE STREETAMERICUSGA31709842738089OPERATION OF A NURSING FACILITYGA501(C)(3)LINE 100

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$2,919,666ShareOfTotalIncomeAmt
Share Of EOY Assets$1,012,848ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.25960OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MMI ASSURANCE LTDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 SOUTH LEE STREETAddressLine1Txt
CityAMERICUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31709ZIPCd
FieldValueIRS element (for citing)
EIN981082342EIN
Primary ActivitiesCAPTIVE INSURANCE COMPANYPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MAGNOLIA MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$1,298,040ShareOfTotalIncomeAmt
Share Of EOY Assets$4,086,031ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MMI ASSURANCE LTDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt