2020-11-16T13:54:00-06:00 2019-12-31 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2019-01-01 721304946 MAGNOLIA HEALTHCARE INC MAGN 2257530864 PO BOX 40018 BATON ROUGE LA 70835 RICHARD T DASPIT SR PRESIDENT 2257530864 2020-11-16 1 JOSEPH G SULLIVAN P00360476 6108622249 209.190.191.202 2020-11-16 13:25:12 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 56971691821012DDD9905C946DE3CC28305BB2C4 2019 2021-01-29 14:40:06Z RICHARD T DASPIT SR 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 21603539 0 X WWW.MHIHEALTH.ORG X 1995 MS TO PROVIDE COMPREHENSIVE NURSING CARE SERVICES. 3 0 600 0 0 0 0 5000 20560283 21322391 127000 132933 111139 138165 20798422 21598489 0 0 0 0 10843785 11388225 0 0 0 9801026 10158712 20644811 21546937 153611 51552 13331499 12942609 22161123 21720681 -8829624 -8778072 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 19450484 21322391 OWN AND OPERATE FOUR NURSING HOMES TOTALING 292 BEDS IN VARIOUSLOCATIONS. IN 2019, THERE WERE APPROXIMATELY 87,000 RESIDENT DAYS. 19450484 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 20 0 1 600 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 LA X X RICHARD DASPIT SR 2257530864 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 RICHARD T DASPIT SR PRESIDENT 10.00 40.00 X X 0 223232 5493 LOUIS HERRERO SECRETARY 10.00 40.00 X X 0 6000 0 G STUART MURPHY III TREASURER 10.00 40.00 X X 0 6000 0 RICHARD DASPIT JR CIO 5.00 40.00 X 0 93444 5619 CYNTHIA GAYLE CHIEF OPERATING OFFICER 10.00 40.00 X 0 109518 5493 LONNIE PEELER CHIEF OPERATING OFFICER 10.00 40.00 X 0 178434 5493 BRANDON HOLLEMAN CHIEF FINANCIAL OFFICER 10.00 40.00 X 0 126664 5767 VICKY PILKINGTON MD CHIEF MEDICAL DIRECTOR 40.00 X 223747 0 0 SUSAN STEEN DON 40.00 X 115813 0 5013 MARJORIE GUTHRIE ADMINISTRATOR 40.00 X 115806 0 5013 GWENDOLYN BROWN DON 40.00 X 114006 0 4623 JOHN NCDANIALS ADMINISTRATOR 40.00 X 103737 0 1292 ANITA PEEK DIRECTOR OF CLINICAL SERVICES 40.00 X 126112 0 5013 799221 743292 48819 6 0 1 0 NEXUS THERAPY MANAGEMENT 2113 GOVERNMENT STREET STE L OCEAN SPRINGS MS 39564 THERAPY 1586900 MISSISSIPPI DIVISION OF MEDICAID 550 HIGH STREET SUITE 1000 JACKSON MS 39201 BED TAXES 1210021 US FOOD 3682 COLLECTION CENTER DRIVE CHICAGO IL 60693 FOOD SUPPLY 534010 APOTHECARE LLC PO BOX 919 MEADVILLE MS 39653 PHARMACY SERVICE 436416 MCKESSON MEDICAL PO BOX 630693 CINCINNATI OH 45263 MEDICAL SUPPLIES 351528 6 5000 5000 RESIDENT SERVICES 623000 21322391 21322391 21322391 137983 137983 5050 -5050 -5050 -5050 MISCELLANEOUS INCOME 623000 138165 138165 138165 21598489 21322391 0 271098 X 9582750 9464935 117815 1071682 925341 146341 733793 647215 86578 22623 22623 93623 93623 3438010 3095642 342368 123614 123614 157684 29366 128318 1466135 1212539 253596 112555 63158 49397 1964 1964 592527 521458 71069 315406 277575 37831 BED TAX 1217948 1217948 SUPPLIES 1193013 1049920 143093 OTHER RESIDENT CARE SER 836967 836967 BAD DEBT 386819 386819 199824 108420 91404 21546937 19450484 2096453 0 1997195 1538246 1163116 1119126 393003 403765 10964568 9141771 2045953 1822797 3888848 3993594 3054468 2901745 788916 1163336 13331499 12942609 2309727 1890521 7678184 6943455 600922 595000 6003874 6107902 5568416 6183803 22161123 21720681 X -8829624 -8778072 -8829624 -8778072 13331499 12942609 51552 0 X 0 1 X 1 0 X 5000 5000 20424428 19074849 20334923 20560283 21322391 101716874 20424428 19074849 20334923 20560283 21327391 101721874 0 0 0 101721874 72186 103411 109153 128453 137983 551186 72186 103411 109153 128453 137983 551186 143114 140142 123276 111139 138165 655836 20639728 19318402 20567352 20799875 21603539 102928896 0.98830 0.98480 0.00540 0.00460 X PART III, SECTION B, LINE 12 2015 MISCELLANEOUS INCOME: $143,114 2016 MISCELLANEOUS INCOME: $140,142 2017 MISCELLANEOUS INCOME: $123,276 2018 MISCELLANEOUS INCOME: $111,139 2019 MISCELLANEOUS INCOME: $143,165 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 121312 17643 138955 0 201199 201199 7450456 6390124 1060332 798777 670806 127971 2514136 2080841 433295 1822797 ASSETS WHOSE USE IS LIMITED 3993594 C 3993594 DEPOSITS 5151 EST THIRD PART SETTLEMENTS 942592 ACCOUNTS RECEIVABLE-OTHER 215593 1163336 SUBORDINATED ACCRUED INTEREST 3849276 OTHER PAYABLE 86953 DUE TO AFFILIATES 2247574 6183803 X 28116420 6517931 6517931 21598489 0 21598489 23414745 1867808 1867808 21546937 0 21546937 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 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, 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUES EARNED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES 10,943,648. LESS ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -4,425,717. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES INCURRED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES 3,184,920. LESS ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -1,317,112. 0 0 0 0 0 0 0 0 0 RICHARD T DASPIT SR PRESIDENT 0 223232 0 0 0 0 0 0 0 5493 0 228725 0 0 LONNIE PEELER CHIEF OPERATING OFFICER 0 178434 0 0 0 0 0 0 0 5493 0 183927 0 0 VICKY PILKINGTON MD CHIEF MEDICAL DIRECTOR 223747 0 0 0 0 0 0 0 0 0 223747 0 0 0 FORM 990, SCHEDULE J, PART II WAGES WERE PAID BY FOUNDATION HEALTH SERVICES, INC. TO THE FOLLOWING: - RICHARD DASPIT, SR.: $223,232 - LONNIE L. PEELER-SMITH: $178,434 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 COMPENSATION OF THE PERSON 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 3,095,642. MANAGEMENT AND GENERAL EXPENSES 342,368. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,438,010. 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) LINE 11 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