MAGNOLIA MANOR INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR INC (EIN 58-0911706)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-17
IRS object ID
201413219349301676
Schema version
2013v3.0
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)
Return2014-11-17T09:19:39-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580692043PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Mauldin & Jenkins LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 1877AddressLine1
CityMaconCity
StateGAState
ZIP Code312021877ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN580911706EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAGNOLIA MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMAGNBusinessNameControlTxt
Phone2299249352PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 SOUTH LEE STREETAddressLine1
CityAMERICUSCity
StateGAState
ZIP Code31709ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMark ToddPersonNm
Person TitlePresidentPersonTitleTxt
Phone2299249352PhoneNum
Signature2014-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRick AlibozekPreparerPersonNm
PTINP00108158PTIN
Phone4784648000PhoneNum
Preparation2014-11-10PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMark ToddPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 SOUTH LEE STREETAddressLine1
CityAMERICUSCity
StateGAState
ZIP Code31709ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$33,857,922GrossReceiptsAmt
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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee608TotalEmployeeCnt
Total Volunteers450TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$950,422PYContributionsGrantsAmt
CY Contributions Grants$1,064,909CYContributionsGrantsAmt
PY Program Service Revenue$22,043,170PYProgramServiceRevenueAmt
CY Program Service Revenue$24,842,514CYProgramServiceRevenueAmt
PY Investment Income$890,083PYInvestmentIncomeAmt
CY Investment Income$1,327,830CYInvestmentIncomeAmt
PY Other Revenue$2,244,137PYOtherRevenueAmt
CY Other Revenue$1,179,102CYOtherRevenueAmt
PY Total Revenue$26,127,812PYTotalRevenueAmt
CY Total Revenue$28,414,355CYTotalRevenueAmt
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$12,940,969PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,583,691CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$337,309CYTotalFundraisingExpenseAmt
PY Other Expenses$12,840,238PYOtherExpensesAmt
CY Other Expenses$13,513,239CYOtherExpensesAmt
PY Total Expenses$25,781,207PYTotalExpensesAmt
CY Total Expenses$26,096,930CYTotalExpensesAmt
PY Revenues Less Expenses$346,605PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,317,425CYRevenuesLessExpensesAmt
Total Assets BOY$51,896,694TotalAssetsBOYAmt
Total Assets EOY$55,702,649TotalAssetsEOYAmt
Total Liabilities BOY$24,060,795TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,889,023TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,835,899NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$30,813,626NetAssetsOrFundBalancesEOYAmt
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$19,799,429ExpenseAmt
Revenue$26,603,257RevenueAmt
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$19,799,429TotalProgramServiceExpensesAmt
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 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 Activities0FundraisingActivitiesInd
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 Document105IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee608EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
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 OrganizationBusinessNameLine1
FieldValueIRS element (for citing)
Phone2299249352PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 SOUTH LEE STREETAddressLine1
CityAMERICUSCity
StateGAState
ZIP Code31709ZIPCode

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 OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Connie Blanchard
Board member1.00Yes (X)$0$0$0
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)
Eloise Paschal
Secretary1.00Yes (X)$0$0$0Yes (X)
John Stephens
Board member1.00Yes (X)$0$0$0
Edie Vinson
Board member1.00Yes (X)$0$0$0
Jean Wheeler
Board member1.00Yes (X)$0$0$0
Chuck Reeves
Vice Chairman1.00Yes (X)$0$0$0Yes (X)
Kip Smith
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
Shane Green
Board member1.00Yes (X)$0$0$0
Cindy Higdon
Board member1.00Yes (X)$0$0$0
Mark R Todd
President/CEO16.00$226,923$0$9,963Yes (X)24.00
Jerry Vick
SVP Finance16.00$168,477$0$8,795Yes (X)24.00
Hill Fort
SVP Operations16.00$182,231$0$9,070Yes (X)24.00
Diane Wade
SVP Marketing16.00$108,604$0$7,526Yes (X)24.00
Susie Fussell
Facility Administrator40.00$123,059$0$7,886Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$809,294TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$43,240TotalOtherCompensationAmt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Southern Rehabilitation Professional In
PO Box 1066AmericusGA31709Therapy services$630,155
Magnolia Manor Pharmacy
PO Box 988HawkinsvilleGA31036Pharmaceuticals and consultation$267,409
Dixon Hughes Goodman LLP
PO BOX 602828CharlotteNC28260Accounting$250,629
Simply Elegant Landscaping
1517 S Lee St Apt CAmericusGA31709Lawn maintenance and landscaping$184,039
D2 Architecture LLC
2001 N Lamar St Suite 450DallasTX75202Architecture design$162,315
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,064,909AllOtherContributionsAmt
Total Contributions$1,064,909TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Routine Room/Board623000$15,731,050$15,731,050
Medicare/Medicaid Payments623000$8,992,552$8,992,552
Service Coordinator623000$93,403$93,403
Cablevision623000$12,753$12,753
Housekeeping Revenue623000$11,556$11,556

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,200TotalRevenueColumnAmt
Related Or Exempt Func Income$1,200RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$24,842,514TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$319,959TotalRevenueColumnAmt
Exclusion$319,959ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,451,438SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,443,567SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,007,871SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,007,871TotalRevenueColumnAmt
Exclusion$1,007,871ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Management fee revenue900099$1,483,679$1,483,679
Food Sale Revenue623000$396,141$396,141
Durable Medical equipment623000$139,391$139,391

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$840,109TotalRevenueColumnAmt
Related Or Exempt Func Income$137,673RelatedOrExemptFuncIncomeAmt
Exclusion-$977,782ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,179,102OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,414,355TotalRevenueColumnAmt
Related Or Exempt Func Income$26,603,257RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$746,189ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$721,589TotalAmt
Program Services$192,685ProgramServicesAmt
Management And General$507,495ManagementAndGeneralAmt
Fundraising$21,409FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,363,395TotalAmt
Program Services$7,500,890ProgramServicesAmt
Management And General$1,705,010ManagementAndGeneralAmt
Fundraising$157,495FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$138,894TotalAmt
Program Services$65,108ProgramServicesAmt
Management And General$72,631ManagementAndGeneralAmt
Fundraising$1,155FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,576,063TotalAmt
Program Services$1,237,624ProgramServicesAmt
Management And General$323,240ManagementAndGeneralAmt
Fundraising$15,199FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$783,750TotalAmt
Program Services$586,033ProgramServicesAmt
Management And General$185,678ManagementAndGeneralAmt
Fundraising$12,039FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$108,112TotalAmt
Management And General$108,112ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$78,694TotalAmt
Management And General$78,694ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$800,394TotalAmt
Management And General$744,824ManagementAndGeneralAmt
Fundraising$55,570FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$196,737TotalAmt
Management And General$186,535ManagementAndGeneralAmt
Fundraising$10,202FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$253,940TotalAmt
Management And General$251,649ManagementAndGeneralAmt
Fundraising$2,291FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,122,940TotalAmt
Program Services$3,115,461ProgramServicesAmt
Management And General$7,479ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$156,034TotalAmt
Program Services$8,867ProgramServicesAmt
Management And General$124,290ManagementAndGeneralAmt
Fundraising$22,877FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,295TotalAmt
Management And General$21,295ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$41,093TotalAmt
Program Services$39,493ProgramServicesAmt
Management And General$1,600ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,542,525TotalAmt
Program Services$1,462,309ProgramServicesAmt
Management And General$80,216ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$549,378TotalAmt
Program Services$7,796ProgramServicesAmt
Management And General$541,582ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Contracted Services$1,930,065$1,930,065
Supplies$1,632,597$1,632,597
Raw Food$1,426,717$1,426,717
Contracted Services$707,190$707,190

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$945,528TotalAmt
Program Services$593,784ProgramServicesAmt
Management And General$312,672ManagementAndGeneralAmt
Fundraising$39,072FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,096,930TotalAmt
Program Services$19,799,429ProgramServicesAmt
Management And General$5,960,192ManagementAndGeneralAmt
Fundraising$337,309FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$371,558BOYAmt
EOY$389,580EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,443,453BOYAmt
EOY$2,855,768EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,298BOYAmt
EOY$5,150EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,391,595BOYAmt
EOY$7,527,970EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$51,683BOYAmt
EOY$53,612EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$107,461BOYAmt
EOY$421,801EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$56,667,811LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,902,909LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,782,391BOYAmt
EOY$19,764,902EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,211,883BOYAmt
EOY$14,658,097EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$262,020BOYAmt
EOY$282,761EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,261,352BOYAmt
EOY$9,743,008EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$51,896,694BOYAmt
EOY$55,702,649EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,541,186BOYAmt
EOY$2,441,278EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$72,486BOYAmt
EOY$132,078EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,607,629BOYAmt
EOY$21,139,175EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,792,746BOYAmt
EOY$1,129,744EOYAmt

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,060,795BOYAmt
EOY$24,889,023EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,941,066BOYAmt
EOY$26,726,346EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,031,648BOYAmt
EOY$1,220,418EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,863,185BOYAmt
EOY$2,866,862EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,835,899BOYAmt
EOY$30,813,626EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,896,694BOYAmt
EOY$55,702,649EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,317,425ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$629,858NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$30,444OtherChangesInNetAssetsAmt
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$1,509,300CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,121,185CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,566,557CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$950,422CurrentTaxYearMinus1YearAmt
Current Tax Year$1,064,909CurrentTaxYearAmt
Total$6,212,373TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,076,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,616,924CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,230,184CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,043,170CurrentTaxYearMinus1YearAmt
Current Tax Year$24,842,514CurrentTaxYearAmt
Total$113,809,440TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,585,948CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,738,109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,796,741CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,993,592CurrentTaxYearMinus1YearAmt
Current Tax Year$25,907,423CurrentTaxYearAmt
Total$120,021,813TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$951,813CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$480,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$405,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$355,000CurrentTaxYearMinus1YearAmt
Current Tax Year$545,000CurrentTaxYearAmt
Total$2,736,813TotalAmt

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$951,813CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$480,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$405,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$355,000CurrentTaxYearMinus1YearAmt
Current Tax Year$545,000CurrentTaxYearAmt
Total$2,736,813TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$117,285,000PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$414,379CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$371,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$427,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$373,180CurrentTaxYearMinus1YearAmt
Current Tax Year$319,959CurrentTaxYearAmt
Total$1,906,926TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$414,379CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$371,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$427,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$373,180CurrentTaxYearMinus1YearAmt
Current Tax Year$319,959CurrentTaxYearAmt
Total$1,906,926TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,864,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,126,027CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,229,045CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,163,114CurrentTaxYearMinus1YearAmt
Current Tax Year$2,514,109CurrentTaxYearAmt
Total$10,897,062TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,865,094CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,235,886CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,453,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,529,886CurrentTaxYearMinus1YearAmt
Current Tax Year$28,741,491CurrentTaxYearAmt
Total$132,825,801TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88300PublicSupportCY509Pct
Public Support PY5090.88160PublicSupportPY509Pct
Investment Income CY0.01440InvestmentIncomeCYPct
Investment Income PY0.01560InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationManagement service fees - 2009 Amount: $ 990,248. 2010 Amount: $ 1,170,945. 2011 Amount: $ 1,204,965. 2012 Amount: $ 1,371,864. 2013 Amount: $ 1,483,680. Service Coordinator - 2009 Amount: $ 98,631. 2011 Amount: $ 119,169. 2013 Amount: $ 93,403. Employee cafeteria - 2009 Amount: $ 370,249. 2010 Amount: $ 377,167. 2011 Amount: $ 389,057. 2012 Amount: $ 387,503. 2013 Amount: $ 396,141. Beauty shop - 2009 Amount: $ 145,921. 2010 Amount: $ 143,571. 2011 Amount: $ 138,551. 2012 Amount: $ 130,782. 2013 Amount: $ 121,023. Miscellaneous - 2010 Amount: $ 80,982. 2011 Amount: $ 80,664. 2013 Amount: $ 91,108. Laundry revenue - 2009 Amount: $ 30,201. 2010 Amount: $ 31,375. 2011 Amount: $ 26,699. 2012 Amount: $ 31,224. 2013 Amount: $ 31,787. Wellness Center revenue - 2009 Amount: $ 69,186. Vending machine commissions - 2009 Amount: $ 1,965. 2010 Amount: $ 548. 2011 Amount: $ 607. Cable TV charges - 2009 Amount: $ 13,862. 2011 Amount: $ 12,613. Telephone revenue - 2009 Amount: $ 3. Nurse Aide Training payments - 2010 Amount: $ 10,932. 2011 Amount: $ 14,536. 2012 Amount: $ 21,233. 2013 Amount: $ 0. Guest apartment fees - 2009 Amount: $ 32,170. 2010 Amount: $ 26,799. 2011 Amount: $ 15. Housekeeping revenue - 2009 Amount: $ 13,817. 2013 Amount: $ 11,556. Resident activities - 2011 Amount: $ 9,650. 2013 Amount: $ 4,121. Rebates and refunds - 2011 Amount: $ 14,841. 2013 Amount: $ 24,610. Share of Joint venture income - 2009 Amount: $ 98,514. 2010 Amount: $ 116,103. 2011 Amount: $ 63,328. 2012 Amount: $ 88,022. 2013 Amount: $ 92,741. Durable Medical equipment - 2010 Amount: $ 167,605. 2011 Amount: $ 154,350. 2012 Amount: $ 132,486. 2013 Amount: $ 139,391. Room Rentals - 2013 Amount: $ 24,548.ExplanationTxt

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,761,618BeginningYearBalanceAmt
Investment Earnings Or Losses$1,475,621InvestmentEarningsOrLossesAmt
Other Expenditures$278,065OtherExpendituresAmt
Administrative Expenses$49,033AdministrativeExpensesAmt
End Year Balance$11,910,141EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,160,681BeginningYearBalanceAmt
Contributions$4,860ContributionsAmt
Investment Earnings Or Losses$929,723InvestmentEarningsOrLossesAmt
Other Expenditures$287,880OtherExpendituresAmt
Administrative Expenses$45,766AdministrativeExpensesAmt
End Year Balance$10,761,618EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.78470BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.21530PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,181,052OtherCostOrOtherBasisAmt
Book Value$1,181,052BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,745,219OtherCostOrOtherBasisAmt
Depreciation$27,747,545DepreciationAmt
Book Value$16,997,674BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,445,759OtherCostOrOtherBasisAmt
Depreciation$9,155,364DepreciationAmt
Book Value$1,290,395BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$295,781OtherCostOrOtherBasisAmt
Book Value$295,781BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$19,764,902TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Deferred loan costs$1,074,277
Intercompany receivable$8,321,224
Cash - Repair & Replacement$347,507
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,743,008TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescAnnuity PayableDesc
Amt$46,748Amt
FieldValueIRS element (for citing)
Total Liability$46,748TotalLiabilityAmt
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 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.

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$226,923$0$0$0$0$0$4,538$0$5,425$0$236,886$0$0$0
Jerry Vick
SVP Finance$168,477$0$0$0$0$0$3,370$0$5,425$0$177,272$0$0$0
Hill Fort
SVP Operations$182,231$0$0$0$0$0$3,645$0$5,425$0$191,301$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 AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN586000058BondIssuerEIN
CUSIP030695DL1CUSIPNum
Bond Issued2013-08-15BondIssuedDt
Issue Price$35,385,246IssuePriceAmt
PurposeRefinance existing debtPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$385,000RetiredAmt
Total Proceeds$35,385,246TotalProceedsAmt
In Reserve Fund$1,084,384InReserveFundAmt
Issuance Costs From Proceeds$707,705IssuanceCostsFromProceedsAmt
Credit Enhancement$454,754CreditEnhancementAmt
Capital Expenditures$33,593,157CapitalExpendituresAmt
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
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

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 (7 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 XI, line 9:Intercompany forgiveness of debt 30,444.
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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
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 LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1440 Industrial BoulevardAddressLine1
CityHawkinsvilleCity
StateGAState
ZIP Code31036ZIPCode
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 IncBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$92,741ShareOfTotalIncomeAmt
Share Of EOY Assets$200,056ShareOfEOYAssetsAmt
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 LtdBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$379,284InvolvedAmt
Method Of Amount DeterminationPremiums paidMethodOfAmountDeterminationTxt

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