FURP.ORG / PUBLIC DATA EXPLORER

MAGNOLIA MANOR OF MARION COUNTY INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF MARION COUNTY INC (EIN 20-1220860)
Tax period
2014-07-01 to 2015-06-30
Filed
2015-11-16
IRS object ID
201503209349309385
Schema version
2014v5.0
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)
Return2015-11-16T14:08:34-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201220860EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Magnolia Manor of Marion County 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
Signature2015-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLinda CortyPreparerPersonNm
PTINP00221297PTIN
Phone4784648000PhoneNum
Preparation2015-11-12PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

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$4,937,934GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.magnoliamanor.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionThe Corporation is organized to provide long-term care to the sick and elderly in a spiritual setting through operation of a 70-bed skilled nursing facility located in Buena Vista, Georgia.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee94TotalEmployeeCnt
Total Volunteers28TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,631,778PYProgramServiceRevenueAmt
CY Program Service Revenue$4,908,711CYProgramServiceRevenueAmt
PY Investment Income$845PYInvestmentIncomeAmt
CY Investment Income$1,106CYInvestmentIncomeAmt
PY Other Revenue$48,831PYOtherRevenueAmt
CY Other Revenue$28,117CYOtherRevenueAmt
PY Total Revenue$4,681,454PYTotalRevenueAmt
CY Total Revenue$4,937,934CYTotalRevenueAmt
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$1,844,774PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,932,958CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,642,778PYOtherExpensesAmt
CY Other Expenses$1,773,339CYOtherExpensesAmt
PY Total Expenses$3,487,552PYTotalExpensesAmt
CY Total Expenses$3,706,297CYTotalExpensesAmt
PY Revenues Less Expenses$1,193,902PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,231,637CYRevenuesLessExpensesAmt
Total Assets BOY$3,175,308TotalAssetsBOYAmt
Total Assets EOY$1,658,051TotalAssetsEOYAmt
Total Liabilities BOY$323,815TotalLiabilitiesBOYAmt
Total Liabilities EOY$298,691TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,851,493NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,359,360NetAssetsOrFundBalancesEOYAmt
MissionThe Corporation is organized to provide long-term care to the sick and elderly in a spiritual setting through the operation of a 70-bed skilled nursing facility located in Buena Vista, Georgia.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,327,740ExpenseAmt
Revenue$4,904,082RevenueAmt
DescProvided long-term care for the sick and elderly in a spiritual setting in a 70-bed skilled nursing facility. The Organization provided 21,477 patient days of service during the year.Desc
Total Program Service Expenses$3,327,740TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Liabilities0ReportOtherLiabilitiesInd
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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee94EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
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 (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
James R Buchanan Jr
Trustee0.00Yes (X)$0$0$0
Eloise Paschal
Secretary0.00Yes (X)$0$0$0Yes (X)
Ann Harris
Trustee0.00Yes (X)$0$0$0
Mark Johnson
Chairman0.00Yes (X)$0$0$0Yes (X)
Edie Vinson
Trustee0.00Yes (X)$0$0$0
Hal Weathers
Trustee0.00Yes (X)$0$0$0
Jean Wheeler
Trustee0.00Yes (X)$0$0$0
Chuck Reeves
Vice Chairman0.00Yes (X)$0$0$0Yes (X)
Schley Gatewood Jr
Trustee0.00Yes (X)$0$0$0
Robert Beckum
Trustee0.00Yes (X)$0$0$0
Will Peterson
Trustee0.00Yes (X)$0$0$0
Cindy Higdon
Trustee0.00Yes (X)$0$0$0
Russ Carreker
Trustee0.00Yes (X)$0$0$0
Mark Todd
President/CEO4.00$0$240,500$11,545Yes (X)36.00
Scott Adkins
SVP Finance4.00$0$146,140$7,974Yes (X)36.00
Hill Fort
SVP Operations4.00$0$189,039$10,516Yes (X)36.00
Diane Wade
SVP Marketing4.00$0$109,418$8,877Yes (X)36.00
James Griffith
SVP of Information Systems4.00$0$101,692$8,620Yes (X)36.00
Jerry Vick
Former SVP Finance4.00$0$111,063$5,58936.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$897,852TotReportableCompRltdOrgAmt
Total Other Compensation$53,121TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Core Roofing SystemsBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11360 Union Hill Rd Suite 11BAddressLine1Txt
CityAlpharettaCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30004ZIPCd
FieldValueIRS element (for citing)
ServicesRoof repairsServicesDesc
Compensation$142,319CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medicare/Medicaid Paym623000$4,571,255$4,571,255
Routine Room/Board623000$337,456$337,456
FieldValueIRS element (for citing)
Total Program Service Revenue$4,908,711TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,106TotalRevenueColumnAmt
Exclusion$1,106ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Share of LLC investmen900099$21,427$21,427
Miscellaneous623000$3,370$3,370
Food Sale Revenue623000$3,320$3,320
FieldValueIRS element (for citing)
Other Revenue Total$28,117OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,937,934TotalRevenueColumnAmt
Related Or Exempt Func Income$4,915,401RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$22,533ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,525,287TotalAmt
Program Services$1,415,722ProgramServicesAmt
Management And General$109,565ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,758TotalAmt
Program Services$18,655ProgramServicesAmt
Management And General$2,103ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$267,710TotalAmt
Program Services$257,062ProgramServicesAmt
Management And General$10,648ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$119,203TotalAmt
Program Services$110,744ProgramServicesAmt
Management And General$8,459ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,636TotalAmt
Management And General$9,636ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,874TotalAmt
Management And General$3,874ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,521TotalAmt
Management And General$23,521ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,442TotalAmt
Management And General$1,442ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$275,939TotalAmt
Program Services$275,939ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,183TotalAmt
Program Services$5,992ProgramServicesAmt
Management And General$6,191ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$45,532TotalAmt
Program Services$45,532ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$64,197TotalAmt
Program Services$64,197ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Georgia Provider Fee$368,730$368,730
Contracted Services$255,903$255,903
Supplies$243,460$243,460
Management Fees$165,420$165,420

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$303,502TotalAmt
Program Services$265,804ProgramServicesAmt
Management And General$37,698ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,706,297TotalAmt
Program Services$3,327,740ProgramServicesAmt
Management And General$378,557ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$130,662BOYAmt
EOY$116,057EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,812,775BOYAmt
EOY$113,199EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,225BOYAmt
EOY$5,439EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,558BOYAmt
EOY$12,820EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$572,470LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$144,208LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$271,915BOYAmt
EOY$428,262EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$36,408BOYAmt
EOY$39,835EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$911,765BOYAmt
EOY$942,439EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,175,308BOYAmt
EOY$1,658,051EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$323,815BOYAmt
EOY$298,691EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$323,815BOYAmt
EOY$298,691EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,851,493BOYAmt
EOY$1,359,360EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,851,493BOYAmt
EOY$1,359,360EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,175,308BOYAmt
EOY$1,658,051EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,231,637ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$2,723,770OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,191,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,354,128CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,806,252CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,631,778CurrentTaxYearMinus1YearAmt
Current Tax Year$4,897,392CurrentTaxYearAmt
Total$22,881,246TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,191,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,354,128CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,806,252CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,631,778CurrentTaxYearMinus1YearAmt
Current Tax Year$4,897,392CurrentTaxYearAmt
Total$22,881,246TotalAmt

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$22,881,246PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$67,241CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,163CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,958CurrentTaxYearMinus1YearAmt
Current Tax Year$1,106CurrentTaxYearAmt
Total$193,581TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$67,241CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,163CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,958CurrentTaxYearMinus1YearAmt
Current Tax Year$1,106CurrentTaxYearAmt
Total$193,581TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,934CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,111CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,718CurrentTaxYearMinus1YearAmt
Current Tax Year$28,183CurrentTaxYearAmt
Total$161,941TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,291,871CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,433,352CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,903,410CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,681,454CurrentTaxYearMinus1YearAmt
Current Tax Year$4,926,681CurrentTaxYearAmt
Total$23,236,768TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98470PublicSupportCY509Pct
Public Support PY5090.98120PublicSupportPY509Pct
Investment Income CY0.00830InvestmentIncomeCYPct
Investment Income PY0.01140InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationEmployee cafeteria sales - 2010 Amount: $ 4,803. 2011 Amount: $ 5,008. 2012 Amount: $ 3,945. 2013 Amount: $ 3,320. 2014 Amount: $ 3,320. Share of income from joint venture - 2010 Amount: $ 26,402. 2011 Amount: $ 15,832. 2012 Amount: $ 22,005. 2013 Amount: $ 23,185. 2014 Amount: $ 21,493. Miscellaneous receipts - 2010 Amount: $ 1,729. 2011 Amount: $ 1,271. 2012 Amount: $ 9,045. 2013 Amount: $ 17,213. 2014 Amount: $ 3,370.ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$218,601OtherCostOrOtherBasisAmt
Depreciation$20,053DepreciationAmt
Book Value$198,548BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$353,869OtherCostOrOtherBasisAmt
Depreciation$124,155DepreciationAmt
Book Value$229,714BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$428,262TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRelated party accounts receivableDesc
Book Value$942,439BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$942,439TotalBookValueOtherAssetsAmt
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 persuant to Sec. 501(c)(3) of the Internal Revenue Code. 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, 2015, tax years that remain subject to examination by taxing authorities begin with 2011. Tax returns for 2011, 2012, 2013 and 2014 remain open to examination by taxing authorities. Management believes that all positions taken in those returns would be sustained if examined by taxing authorities.ExplanationTxt

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 (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$0$240,500$0$0$0$0$0$4,810$0$6,735$0$252,045$0$0
Scott Adkins
SVP Finance$0$146,140$0$0$0$0$0$2,923$0$5,051$0$154,114$0$0
Hill Fort
SVP Operations$0$189,039$0$0$0$0$0$3,781$0$6,735$0$199,555$0$0
Jerry Vick
Former SVP Finance$0$111,063$0$0$0$0$0$2,221$0$3,368$0$116,652$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The Form 990 was reviewed by the Organization's President and Senior Vice President for Finance prior to filing. A copy of Form 990 was also provided to all members of the Executive of the Board of Trustees for their review and approval.
Form 990, Part VI, Section B, line 12cBoard members in general and Finance Committee members in particular are aware of potential conflicts and consider these potential conflicts in making decisions.
Form 990, Part VI, Section B, line 15aThe CEO is paid entirely from a related tax-exempt organization. The 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 to the public upon request at the Magnolia Manor, Inc. Corporate office in Americus, Georgia.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at the Magnolia Manor, Inc. Corporate office in Americus, Georgia.
Form 990, Part XI, line 9:Transfers from related parties - forgiveness of debt -2,723,770.
Form 990, Part XII, Line 2cReview of financial statements - The process for the review and oversight of the audit process and audited financial statements 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 Inc
2001 S Lee StreetAmericusGA31709580911706Elderly affordable long-term care and assisted livingGA501(c)(3)Line 90
Magnolia Manor of St Simons Inc
2255 Frederica RdSt Simons IslandGA31522201364957Elderly affordable long-term care and assisted livingGA501(c)(3)Line 90
Magnolia Manor of Macon Supportive Housing Inc
190 Pierce AveMaconGA31204311651955Assisted LivingGA501(c)(3)Line 90
Magnolia Manor of Columbus Inc
2010 Warm Springs RdColumbusGA31904208034409Elderly affordable long-term care and assisted livingGA501(c)(3)Line 90
Magnolia Manor of Macon Inc
190 Pierce AveMaconGA31204261311379Assisted LivingGA501(c)(3)Line 90
MMI Assurance Ltd
2001 S Lee StreetAmericusGA31709981082342Captive 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 ActivitiesProvision of pharmacy-related products and servicesPrimaryActivitiesTxt
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$21,493ShareOfTotalIncomeAmt
Share Of EOY Assets$54,276ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.07500OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
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 Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Magnolia Manor IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeMTransactionTypeTxt
Involved$165,420InvolvedAmt
Method Of Amount DeterminationAmounts chargedMethodOfAmountDeterminationTxt