MAGNOLIA MANOR INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR INC (EIN 58-0911706)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-01
IRS object ID
201841219349300404
Schema version
2016v3.0
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)
Return2018-05-01T06:12:31-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Begin2016-07-01TaxPeriodBeginDt

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
Signature2018-05-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.25.12.224IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-01IPDt
IP Tm06:04:50IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id083993E8E059FCB3C563BE1594239D73DD9572BDAtSubmissionCreationDeviceId
At Submission Filing Device Id3C4A73C7F70BFF54BAAC11A85090BDFB39FC8B01AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$34,176,480GrossReceiptsAmt
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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee645TotalEmployeeCnt
Total Volunteers442TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$574,258PYContributionsGrantsAmt
CY Contributions Grants$569,496CYContributionsGrantsAmt
PY Program Service Revenue$25,443,517PYProgramServiceRevenueAmt
CY Program Service Revenue$26,938,077CYProgramServiceRevenueAmt
PY Investment Income$1,021,107PYInvestmentIncomeAmt
CY Investment Income$1,187,035CYInvestmentIncomeAmt
PY Other Revenue$2,470,882PYOtherRevenueAmt
CY Other Revenue$5,442,071CYOtherRevenueAmt
PY Total Revenue$29,509,764PYTotalRevenueAmt
CY Total Revenue$34,136,679CYTotalRevenueAmt
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$14,578,899PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,181,250CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$234,481CYTotalFundraisingExpenseAmt
PY Other Expenses$13,703,976PYOtherExpensesAmt
CY Other Expenses$14,817,669CYOtherExpensesAmt
PY Total Expenses$28,282,875PYTotalExpensesAmt
CY Total Expenses$30,998,919CYTotalExpensesAmt
PY Revenues Less Expenses$1,226,889PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,137,760CYRevenuesLessExpensesAmt
Total Assets BOY$64,465,185TotalAssetsBOYAmt
Total Assets EOY$72,512,578TotalAssetsEOYAmt
Total Liabilities BOY$26,922,169TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,110,334TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$37,543,016NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$42,402,244NetAssetsOrFundBalancesEOYAmt
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$23,147,917ExpenseAmt
Revenue$31,371,397RevenueAmt
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$23,147,917TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other 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 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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document83IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee645EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
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)
Phone2299249352PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK JOHNSON
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
CHUCK REEVES
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JEAN WHEELER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
HAL WEATHERS
TRUSTEE1.00Yes (X)$0$0$0
EDIE VINSON
TRUSTEE1.00Yes (X)$0$0$0
WILL PETERSON
TRUSTEE1.00Yes (X)$0$0$0
ANN HARRIS
TRUSTEE1.00Yes (X)$0$0$0
SCHLEY GATEWOOD JR
TRUSTEE1.00Yes (X)$0$0$0
RUSS CARREKER
TRUSTEE1.00Yes (X)$0$0$0
JAMES BUCHANAN JR
TRUSTEE1.00Yes (X)$0$0$0
MARK TODD
PRESIDENT/CEO40.00Yes (X)$263,763$0$12,415
SCOTT ADKINS
VP OF FINANCE/CFO40.00Yes (X)$164,633$0$23,024
HILLERY FORT
VP OF OPERATIONS40.00$197,159$0$14,398Yes (X)
DIANE HARRISON
VP OF HUMAN RESOURCES40.00$171,381$0$21,072Yes (X)
JAMES BROADNAX
VP OF INFORMATION SYSTEMS40.00$101,810$0$11,028Yes (X)
SUSAN FUSSELL
ADMINISTRATOR40.00$130,175$0$9,010Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,028,921TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$90,947TotalOtherCompensationAmt
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
MAGNOLIA MANOR REHABILIATION
1013 RIVERBURCH PARKWAYDALTONGA30721THERAPY SERVICES$624,642
PICKLE CONSTRUCTION LLC
904 S MLK BLVD SUITE AAMERICUSGA31719MAINTENANCE/REPAIRS/RENOVATIONS$287,117
ATC HEALTHCARE SERVICES
25393 NETWORK PLACECHICAGOIL60673NURSING CONTRACT SERVICES$234,455
MAULDIN & JENKINS
300 MULBERRY ST SUITE 300MACONGA31202FINANCIAL AUDITING SERVICES$214,578
METZ CULINARY MANAGEMENT
TWO WOODWARD DRIVEDALLASPA18612DIETARY SERVICES$214,524
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
All Other Contributions$569,496AllOtherContributionsAmt
Total Contributions$569,496TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROUTINE ROOM/BOARD623000$18,395,927$18,395,927
MEDICARE/MEDICAID PAYMENT623000$8,542,150$8,542,150
FieldValueIRS element (for citing)
Total Program Service Revenue$26,938,077TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$482,542TotalRevenueColumnAmt
Exclusion$482,542ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$704,355SecuritiesAmt
Other$138OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$704,355SecuritiesAmt
Other$138OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$704,493TotalRevenueColumnAmt
Exclusion$704,493ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$93,092FundraisingGrossIncomeAmt
Fundraising Direct Expenses$39,801FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,291TotalRevenueColumnAmt
Exclusion$53,291ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MANAGEMENT FEE REVENUE900099$3,749,536$3,749,536
MISCELLANEOUS INCOME900099$683,634$683,634
CAFETERIA SALES623000$351,306$351,306

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$604,304TotalRevenueColumnAmt
Related Or Exempt Func Income$332,478RelatedOrExemptFuncIncomeAmt
Exclusion$271,826ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,388,780OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,136,679TotalRevenueColumnAmt
Related Or Exempt Func Income$31,371,397RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,195,786ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,012,824TotalAmt
Management And General$1,012,824ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,066,505TotalAmt
Program Services$9,562,307ProgramServicesAmt
Management And General$2,401,018ManagementAndGeneralAmt
Fundraising$103,180FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$224,168TotalAmt
Program Services$168,965ProgramServicesAmt
Management And General$53,568ManagementAndGeneralAmt
Fundraising$1,635FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,975,131TotalAmt
Program Services$1,693,387ProgramServicesAmt
Management And General$270,566ManagementAndGeneralAmt
Fundraising$11,178FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$902,622TotalAmt
Program Services$662,014ProgramServicesAmt
Management And General$232,562ManagementAndGeneralAmt
Fundraising$8,046FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,823,887TotalAmt
Program Services$602,772ProgramServicesAmt
Management And General$1,221,115ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$271,222TotalAmt
Management And General$271,222ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,820TotalAmt
Management And General$57,820ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,102,988TotalAmt
Program Services$1,721,070ProgramServicesAmt
Management And General$381,918ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$274,500TotalAmt
Management And General$274,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,130,297TotalAmt
Program Services$594,622ProgramServicesAmt
Management And General$436,077ManagementAndGeneralAmt
Fundraising$99,598FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,840TotalAmt
Management And General$2,840ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,834,455TotalAmt
Program Services$1,834,455ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$302,903TotalAmt
Program Services$90,255ProgramServicesAmt
Management And General$201,804ManagementAndGeneralAmt
Fundraising$10,844FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,292,757TotalAmt
Program Services$1,292,757ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,656,041TotalAmt
Program Services$1,656,041ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$704,731TotalAmt
Program Services$187,637ProgramServicesAmt
Management And General$517,094ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RAW FOOD$1,384,474$1,384,474
SUPPLIES$1,275,642$994,049$281,593
DRUGS$398,214$398,214
MEDICAL SUPPLIES$195,297$195,297

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$109,601TotalAmt
Program Services$109,601ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$30,998,919TotalAmt
Program Services$23,147,917ProgramServicesAmt
Management And General$7,616,521ManagementAndGeneralAmt
Fundraising$234,481FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$541,774BOYAmt
EOY$1,028,398EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,212,444BOYAmt
EOY$19,448,352EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,517,953BOYAmt
EOY$1,178,304EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$57,607BOYAmt
EOY$55,144EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,150BOYAmt
EOY$37,685EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$59,770,351LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$41,514,774LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,864,684BOYAmt
EOY$18,255,577EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,196,801BOYAmt
EOY$22,107,627EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$700,860BOYAmt
EOY$514,920EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$888,997EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,353,912BOYAmt
EOY$8,997,574EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$64,465,185BOYAmt
EOY$72,512,578EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,574,635BOYAmt
EOY$8,448,264EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$128,036BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,409,174BOYAmt
EOY$20,374,179EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$988,378BOYAmt
EOY$657,370EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,821,946BOYAmt
EOY$630,521EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,922,169BOYAmt
EOY$30,110,334EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,009,915BOYAmt
EOY$39,117,434EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$658,291BOYAmt
EOY$410,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,874,810BOYAmt
EOY$2,874,810EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,543,016BOYAmt
EOY$42,402,244EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,465,185BOYAmt
EOY$72,512,578EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,137,760ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$678,331NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,043,137OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$950,422CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,064,909CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$682,271CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$574,258CurrentTaxYearMinus1YearAmt
Current Tax Year$662,588CurrentTaxYearAmt
Total$3,934,448TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,043,170CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,842,514CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,974,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,846,743CurrentTaxYearMinus1YearAmt
Current Tax Year$31,371,397CurrentTaxYearAmt
Total$132,078,392TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year$93,092CurrentTaxYearAmt
Total$93,092TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,993,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,907,423CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,656,839CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,421,001CurrentTaxYearMinus1YearAmt
Current Tax Year$32,127,077CurrentTaxYearAmt
Total$136,105,932TotalAmt

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$136,105,932PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$373,180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$319,959CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$435,153CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$574,965CurrentTaxYearMinus1YearAmt
Current Tax Year$482,542CurrentTaxYearAmt
Total$2,185,799TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$373,180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$319,959CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$435,153CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$574,965CurrentTaxYearMinus1YearAmt
Current Tax Year$482,542CurrentTaxYearAmt
Total$2,185,799TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,163,114CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,514,109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,621,312CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$464,833CurrentTaxYearMinus1YearAmt
Current Tax Year$955,460CurrentTaxYearAmt
Total$8,718,828TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,529,886CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,741,491CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,713,304CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,460,799CurrentTaxYearMinus1YearAmt
Current Tax Year$33,565,079CurrentTaxYearAmt
Total$147,010,559TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92580PublicSupportCY509Pct
Public Support PY5090.90360PublicSupportPY509Pct
Investment Income CY0.01490InvestmentIncomeCYPct
Investment Income PY0.01410InvestmentIncomePYPct
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$48,000OtherActivitiesAmt
Total Lobbying Expenditures$48,000TotalLobbyingExpendituresAmt
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$12,985,452BeginningYearBalanceAmt
Investment Earnings Or Losses$953,617InvestmentEarningsOrLossesAmt
End Year Balance$13,939,069EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,316,404BeginningYearBalanceAmt
Contributions$3,860ContributionsAmt
Investment Earnings Or Losses$312,988InvestmentEarningsOrLossesAmt
Other Expenditures$327,522OtherExpendituresAmt
Administrative Expenses$50,232AdministrativeExpensesAmt
End Year Balance$13,255,498EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,381,680BeginningYearBalanceAmt
Contributions$3,677ContributionsAmt
Investment Earnings Or Losses$1,363,802InvestmentEarningsOrLossesAmt
Other Expenditures$383,623OtherExpendituresAmt
Administrative Expenses$49,132AdministrativeExpensesAmt
End Year Balance$13,316,404EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,637,783BeginningYearBalanceAmt
Contributions$3,596ContributionsAmt
Investment Earnings Or Losses$1,071,652InvestmentEarningsOrLossesAmt
Other Expenditures$285,646OtherExpendituresAmt
Administrative Expenses$45,705AdministrativeExpensesAmt
End Year Balance$12,381,680EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.79380BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.20620PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,190,221OtherCostOrOtherBasisAmt
Book Value$1,190,221BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,449,056OtherCostOrOtherBasisAmt
Depreciation$29,796,904DepreciationAmt
Book Value$13,652,152BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,652,156OtherCostOrOtherBasisAmt
Depreciation$10,038,023DepreciationAmt
Book Value$1,614,133BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,478,918OtherCostOrOtherBasisAmt
Depreciation$1,679,847DepreciationAmt
Book Value$1,799,071BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,255,577TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INDENTURE AGREEMENT$2,049,736
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS$105,221
OTHER RECEIVABLES$3,807,873
SECURITY DEPOSITS$554
HUD INTERCOMPANY PAYABLES$3,034,190
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,997,574TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED ORGANIZATIONSDesc
Amt$630,521Amt
FieldValueIRS element (for citing)
Total Liability$630,521TotalLiabilityAmt
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 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, 2017 and 2016.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1LOGS 5K WALK/RUNEvent1Nm
Gross Receipts Event1$26,910GrossReceiptsEvent1Amt
Gross Revenue Event1$26,910GrossRevenueEvent1Amt
Non Cash Prizes Event1$112NonCashPrizesEvent1Amt
Entertainment Event1$668EntertainmentEvent1Amt
Other Direct Expenses Event1$2,847OtherDirectExpensesEvent1Amt
Event2JOHN GILL MEMORIAL QUAIL HUNTEvent2Nm
Gross Receipts Event2$25,400GrossReceiptsEvent2Amt
Gross Revenue Event2$25,400GrossRevenueEvent2Amt
Rent Facility Costs Event2$11,750RentFacilityCostsEvent2Amt
Food And Beverage Event2$1,425FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$1,230OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$40,782GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$40,782GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$7,391NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$10,680RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$3,048FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$650OthDirectExpnssOtherEventsAmt
Gross Receipts Total$93,092GrossReceiptsTotalAmt
Gross Revenue Total Events$93,092GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$7,503NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$22,430RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$4,473FoodAndBeverageTotalEventsAmt
Entertainment Total Events$668EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,727OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$39,801DirectExpenseSummaryEventsAmt
Net Income Summary$53,291NetIncomeSummaryAmt

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
PRESIDENT/CEO$263,763$0$0$0$0$0$5,172$0$7,243$0$276,178$0$5,172$0
SCOTT ADKINS
VP OF FINANCE/CFO$164,633$0$0$0$0$0$3,549$0$19,475$0$187,657$0$3,549$0
HILLERY FORT
VP OF OPERATIONS$197,159$0$0$0$0$0$4,037$0$10,361$0$211,557$0$4,037$0
DIANE HARRISON
VP OF HUMAN RESOURCES$166,394$0$4,987$0$0$0$3,289$0$17,783$0$192,453$0$3,289$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1aFormAndLineReferenceDesc
ExplanationOne key employee is also a member of the Clergy. As part of their compensation agrred 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
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
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
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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 XI, line 9:CHANGE IN DUE TO/FROM INTERCOMPANY ACCOUNTS 1,043,137.
Form 990, Part XII, Line 2c:THE 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 OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MAGNOLIA MANOR OF COLUMBUS INC
2001 SOUTH LEE STREETAMERICUSGA31709208034409OPERATION OF (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 ST SIMONS INC
2001 SOUTH LEE STREETAMERICUSGA31709201364957LEASE AND OPERATION OF A LONG-TERM CARE FACILITY AND A RETIREMENT COMMUNITYGA501(c)(3)Line 90
MAGNOLIA MANOR OF MACON INC
2001 SOUTH LEE STREETAMERICUSGA31709261311379OPERATION OF AN ASSISTED LIVING FACILITYGA501(c)(3)Line 90
MMI ASSURANCE LTD
2001 SOUTH LEE STREETAMERICUSGA31709CAPTIVE 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$181,293ShareOfTotalIncomeAmt
Share Of EOY Assets$335,254ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.25580OwnershipPct
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

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