MAGNOLIA MANOR INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR INC (EIN 58-0911706)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-11-28
IRS object ID
201643339349300329
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-28T15:00:38-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580692043PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Mauldin & Jenkins LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 1877AddressLine1Txt
CityMaconCityNm
State AbbreviationGAStateAbbreviationCd
ZIP312021877ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
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
Signature2016-11-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLinda CortyPreparerPersonNm
PTINP00221297PTIN
Phone4784648000PhoneNum
Preparation2016-11-22PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMark ToddPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 SOUTH LEE STREETAddressLine1Txt
CityAMERICUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31709ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,187,078GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee599TotalEmployeeCnt
Total Volunteers450TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$682,271PYContributionsGrantsAmt
CY Contributions Grants$574,258CYContributionsGrantsAmt
PY Program Service Revenue$26,047,830PYProgramServiceRevenueAmt
CY Program Service Revenue$25,443,517CYProgramServiceRevenueAmt
PY Investment Income$808,272PYInvestmentIncomeAmt
CY Investment Income$1,021,107CYInvestmentIncomeAmt
PY Other Revenue$2,464,134PYOtherRevenueAmt
CY Other Revenue$2,470,882CYOtherRevenueAmt
PY Total Revenue$30,002,507PYTotalRevenueAmt
CY Total Revenue$29,509,764CYTotalRevenueAmt
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$13,290,544PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,578,899CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$349,852CYTotalFundraisingExpenseAmt
PY Other Expenses$13,653,977PYOtherExpensesAmt
CY Other Expenses$13,703,976CYOtherExpensesAmt
PY Total Expenses$26,944,521PYTotalExpensesAmt
CY Total Expenses$28,282,875CYTotalExpensesAmt
PY Revenues Less Expenses$3,057,986PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,226,889CYRevenuesLessExpensesAmt
Total Assets BOY$60,251,499TotalAssetsBOYAmt
Total Assets EOY$64,465,185TotalAssetsEOYAmt
Total Liabilities BOY$24,530,055TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,922,169TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,721,444NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,543,016NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Corporation is organized to provide affordable housing and long-term care and assisted living services to the elderly in a spiritual setting. The Corporation operates a skilled nursing facility, five retirement communities and several additional independent living apartment complexes throughout South and Middle Georgia.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,517,360ExpenseAmt
Revenue$27,866,419RevenueAmt
DescThe Organization provides residential services to the sick and aged in a spiritual setting. The Organization provides these services through the operation of 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$19,517,360TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising 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 Document98IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee599EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 Line1The OrganizationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2299249352PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
James R Buchanan Jr
Board member1.00Yes (X)$0$0$0
Ann Harris
Board member1.00Yes (X)$0$0$0
Mark Johnson
Chairman1.00Yes (X)$0$0$0Yes (X)
Russ Carreker
Board member1.00Yes (X)$0$0$0
Edie Vinson
Board member1.00Yes (X)$0$0$0
Jean Wheeler
Secretary1.00Yes (X)$0$0$0Yes (X)
Chuck Reeves
Vice Chairman1.00Yes (X)$0$0$0Yes (X)
Schley Gatewood Jr
Board member1.00Yes (X)$0$0$0
Hal Weathers
Board member1.00Yes (X)$0$0$0
Robert Beckum
Board member1.00Yes (X)$0$0$0
Will Peterson
Board member1.00Yes (X)$0$0$0
Cindy Higdon
Board member1.00Yes (X)$0$0$0
Mark R Todd
President/CEO16.00$220,531$0$7,970Yes (X)24.00
Scott Adkins
SVP Finance16.00$137,919$0$8,205Yes (X)24.00
Hillery Fort
SVP Operations16.00$166,053$0$8,467Yes (X)24.00
Susie Fussell
Facility Administrator40.00$109,856$0$6,899Yes (X)
Diane Harrison
SVP Of Human Resources16.00$145,513$0$5,60024.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$779,872TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$37,141TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
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 Rehabilitation
1013 Riverburch ParkwayDaltonGA30721Therapy services$533,903
Southern Rehabilitation Professional In
PO Box 1066AmericusGA31709Therapy services$433,530
Magnolia Manor Pharmacy
PO Box 988HawkinsvilleGA31036Pharmaceuticals and consultation$381,696
ATC Healthcare Services
25393 Network PlaceChicagoIL60673Nursing contract services$224,027
Metz Culinary Management
Two Woodward DrDallasPA18612Dietary management services$211,831
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
All Other Contributions$574,258AllOtherContributionsAmt
Total Contributions$574,258TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Routine Room/Board623000$16,886,196$16,886,196
Medicare/Medicaid Payments623000$8,354,798$8,354,798
Service Coordinator623000$126,955$126,955
Infirmary Revenue623000$49,775$49,775
Housekeeping Revenue623000$13,003$13,003

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,790TotalRevenueColumnAmt
Related Or Exempt Func Income$12,790RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$25,443,517TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$556,274TotalRevenueColumnAmt
Exclusion$556,274ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,982,500SecuritiesAmt
Other$135,087OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,551,566SecuritiesAmt
Other$101,188OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$430,934SecuritiesAmt
Other$33,899OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$464,833TotalRevenueColumnAmt
Exclusion$464,833ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$72,540FundraisingGrossIncomeAmt
Fundraising Direct Expenses$24,560FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,980TotalRevenueColumnAmt
Exclusion$47,980ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management fee revenue900099$1,784,628$1,784,628
Food Sale Revenue623000$366,669$366,669
Durable Medical equipment623000$109,428$109,428

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$162,177TotalRevenueColumnAmt
Related Or Exempt Func Income$162,177RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,422,902OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,509,764TotalRevenueColumnAmt
Related Or Exempt Func Income$27,866,419RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,069,087ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$879,430TotalAmt
Program Services$224,096ProgramServicesAmt
Management And General$630,434ManagementAndGeneralAmt
Fundraising$24,900FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,516,208TotalAmt
Program Services$7,635,093ProgramServicesAmt
Management And General$2,763,940ManagementAndGeneralAmt
Fundraising$117,175FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$182,623TotalAmt
Program Services$80,494ProgramServicesAmt
Management And General$100,140ManagementAndGeneralAmt
Fundraising$1,989FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,140,671TotalAmt
Program Services$1,671,308ProgramServicesAmt
Management And General$450,034ManagementAndGeneralAmt
Fundraising$19,329FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$859,967TotalAmt
Program Services$607,905ProgramServicesAmt
Management And General$241,363ManagementAndGeneralAmt
Fundraising$10,699FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,329TotalAmt
Management And General$118,329ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$81,256TotalAmt
Management And General$81,256ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,215,833TotalAmt
Program Services$2,401,623ProgramServicesAmt
Management And General$814,210ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$460,166TotalAmt
Management And General$375,416ManagementAndGeneralAmt
Fundraising$84,750FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$201,577TotalAmt
Management And General$181,326ManagementAndGeneralAmt
Fundraising$20,251FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$296,523TotalAmt
Management And General$296,523ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,858,909TotalAmt
Program Services$2,851,765ProgramServicesAmt
Management And General$7,144ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$209,144TotalAmt
Program Services$14,175ProgramServicesAmt
Management And General$183,180ManagementAndGeneralAmt
Fundraising$11,789FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$19,060TotalAmt
Program Services$17,460ProgramServicesAmt
Management And General$1,600ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,543,728TotalAmt
Program Services$320,894ProgramServicesAmt
Management And General$1,222,834ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$523,660TotalAmt
Management And General$523,660ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Supplies$1,942,465$1,739,337$148,973$54,155
Raw Food$1,404,100$1,404,100
Repairs & Maintenance$427,915$331,664$96,251
Bad debt expense$171,818$171,818

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$229,493TotalAmt
Program Services$45,628ProgramServicesAmt
Management And General$179,050ManagementAndGeneralAmt
Fundraising$4,815FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,282,875TotalAmt
Program Services$19,517,360ProgramServicesAmt
Management And General$8,415,663ManagementAndGeneralAmt
Fundraising$349,852FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$892,611BOYAmt
EOY$541,774EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,106,193BOYAmt
EOY$24,212,444EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,325BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,203,975BOYAmt
EOY$5,517,953EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$51,378BOYAmt
EOY$57,607EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$251,005BOYAmt
EOY$19,150EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$57,814,135LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,949,451LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,808,954BOYAmt
EOY$17,864,684EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,576,202BOYAmt
EOY$14,196,801EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$296,469BOYAmt
EOY$700,860EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,061,387BOYAmt
EOY$1,353,912EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$60,251,499BOYAmt
EOY$64,465,185EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,588,482BOYAmt
EOY$3,574,635EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$106,561BOYAmt
EOY$128,036EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,784,175BOYAmt
EOY$20,409,174EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,004,089BOYAmt
EOY$988,378EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,748BOYAmt
EOY$1,821,946EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,530,055BOYAmt
EOY$26,922,169EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,416,049BOYAmt
EOY$34,009,915EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,434,673BOYAmt
EOY$658,291EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,870,722BOYAmt
EOY$2,874,810EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,721,444BOYAmt
EOY$37,543,016EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$60,251,499BOYAmt
EOY$64,465,185EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,226,889ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$548,437NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,143,120OtherChangesInNetAssetsAmt
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 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$1,566,557CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$950,422CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,064,909CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$682,271CurrentTaxYearMinus1YearAmt
Current Tax Year$574,258CurrentTaxYearAmt
Total$4,838,417TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,230,184CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,043,170CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,842,514CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,974,568CurrentTaxYearMinus1YearAmt
Current Tax Year$27,846,743CurrentTaxYearAmt
Total$122,937,179TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,796,741CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,993,592CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,907,423CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,656,839CurrentTaxYearMinus1YearAmt
Current Tax Year$28,421,001CurrentTaxYearAmt
Total$127,775,596TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$405,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$355,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$545,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,588CurrentTaxYearMinus1YearAmt
Current Tax Year$34,394CurrentTaxYearAmt
Total$1,367,982TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$405,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$355,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$545,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,588CurrentTaxYearMinus1YearAmt
Current Tax Year$34,394CurrentTaxYearAmt
Total$1,367,982TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$126,407,614PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$427,658CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$373,180CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$319,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$435,153CurrentTaxYearMinus1YearAmt
Current Tax Year$574,965CurrentTaxYearAmt
Total$2,130,915TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$427,658CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$373,180CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$319,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$435,153CurrentTaxYearMinus1YearAmt
Current Tax Year$574,965CurrentTaxYearAmt
Total$2,130,915TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,229,045CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,163,114CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,514,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,621,312CurrentTaxYearMinus1YearAmt
Current Tax Year$464,833CurrentTaxYearAmt
Total$9,992,413TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,453,444CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,529,886CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,741,491CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,713,304CurrentTaxYearMinus1YearAmt
Current Tax Year$29,460,799CurrentTaxYearAmt
Total$139,898,924TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.90360PublicSupportCY509Pct
Public Support PY5090.88740PublicSupportPY509Pct
Investment Income CY0.01520InvestmentIncomeCYPct
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 bhalf. 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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,910,141BeginningYearBalanceAmt
Contributions$3,610ContributionsAmt
Investment Earnings Or Losses$47,595InvestmentEarningsOrLossesAmt
Other Expenditures$275,621OtherExpendituresAmt
Administrative Expenses$47,942AdministrativeExpensesAmt
End Year Balance$11,637,783EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.77860BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.22140PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,180,221OtherCostOrOtherBasisAmt
Book Value$1,180,221BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,318,940OtherCostOrOtherBasisAmt
Depreciation$30,250,988DepreciationAmt
Book Value$15,067,952BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,314,974OtherCostOrOtherBasisAmt
Depreciation$9,698,463DepreciationAmt
Book Value$1,616,511BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,864,684TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Annuity Payable$46,748
Intercompany Payables$1,775,198
FieldValueIRS element (for citing)
Total Liability$1,821,946TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Endowment funds are held for the intended use of furthering the Organization's mission.
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 Forms 990, Return of Organizations Exempt from Income Tax, in the U.S. federal jurisdiction and with the State of Georgia. This form is open for public inspection. The Organization believes that it has appropriate support for all tax positions taken and, as such, does not have any uncertain tax positions that are material to the financial statements. As of June 30, 2016, tax years that remain subject to examination by taxing authorities begin with 2011. Tax returns for 2012, 2013, 2014 and 2015 remain open to examination by taxing authorities. Management believes that all positions taken in those returns would be sustained if examined by taxing authorities.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Quail HuntEvent1Nm
Gross Receipts Event1$23,100GrossReceiptsEvent1Amt
Gross Revenue Event1$23,100GrossRevenueEvent1Amt
Non Cash Prizes Event1$600NonCashPrizesEvent1Amt
Rent Facility Costs Event1$5,909RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$1,944OtherDirectExpensesEvent1Amt
Event25K run/walkEvent2Nm
Gross Receipts Event2$21,955GrossReceiptsEvent2Amt
Gross Revenue Event2$21,955GrossRevenueEvent2Amt
Other Direct Expenses Event2$4,909OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$27,485GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$27,485GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$726NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$2,682RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$3,255FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$4,535OthDirectExpnssOtherEventsAmt
Gross Receipts Total$72,540GrossReceiptsTotalAmt
Gross Revenue Total Events$72,540GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,326NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,591RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$3,255FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$11,388OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$24,560DirectExpenseSummaryEventsAmt
Net Income Summary$47,980NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark R Todd
President/CEO$220,531$0$0$0$0$0$3,434$0$4,536$0$228,501$0$0$0
Hillery Fort
SVP Operations$166,053$0$0$0$0$0$2,723$0$5,744$0$174,520$0$0$0
Diane Harrison
SVP Of Human Resources$145,513$0$0$0$0$0$0$0$5,600$0$151,113$0$0$0

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
Substantial Completion2013SubstantialCompletionYr
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
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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: Americus and Sumter County Hospital Authority Date the Rebate Computation was Performed: 06/30/2014ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The Form 990 is reviewed by the Organization's President and Senior Vice President for Finance prior to filing. The contents of the Form 990 are made available to the members of the Executive Committee for their review, and management responds to any questions.
Form 990, Part VI, Section B, line 12cBoard members in general and the Finance Committee in particular are aware of potential conflicts of interest and consider these potential conflicts in making decisions.
Form 990, Part VI, Section B, line 15aThe 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 11gDietary Contract Services: Program service expenses 128,054. Management and general expenses 0. Fundraising expenses 0. Total expenses 128,054. Laundry and Housekeeping Contract S : Program service expenses 32,731. Management and general expenses 0. Fundraising expenses 0. Total expenses 32,731. Plant Contract Services : Program service expenses 1,044,911. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,044,911. Resident Care Contract Services : Program service expenses 1,195,927. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,195,927. Administrative Contract Services: Program service expenses 0. Management and general expenses 814,210. Fundraising expenses 0. Total expenses 814,210.
Form 990, Part XI, line 9:Intercompany forgiveness of debt 1,143,120.
Form 990, Part XII, Line 2cReview of audited financial statements - The process for reviewing the audited financial statements has not changed from the prior period.

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
MMI Assurance Ltd
2001 South Lee StreetAmericusGA31709Captive insurance companyYes (1)CJMagnolia Manor Inc
Magnolia Manor of Macon Inc
2001 South Lee StreetAmericusGA31709261311379Operation of an assisted living facilityGA501(c)(3)Line 90

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$104,746ShareOfTotalIncomeAmt
Share Of EOY Assets$268,316ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.30000OwnershipPct
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
Involved$365,910InvolvedAmt
Method Of Amount DeterminationPremiums paidMethodOfAmountDeterminationTxt

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