MAGNOLIA MANOR INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR INC (EIN 58-0911706)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-04
IRS object ID
201440359349300204
Schema version
2012v2.1
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)
Timestamp2014-02-04T07:06:44-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN580692043EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 1877AddressLine1
CityMaconCity
StateGAState
ZIP Code312021877ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN580911706EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAGNOLIA MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAGNNameControl
Phone2299249352Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMark ToddName
TitlePresidentTitle
Phone2299249352Phone
Date Signed2014-01-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRick AlibozekName
PTINP00108158PTIN
Phone4784648000Phone
Date Prepared2014-01-30DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark ToddNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12001 SOUTH LEE STREETAddressLine1
CityAMERICUSCity
StateGAState
ZIP Code31709ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29036086GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.magnoliamanor.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionThe 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 .ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees650TotalNbrEmployees
Total Nbr Volunteers450TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1566557ContributionsGrantsPriorYear
Contributions Grants Current Year950422ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22230184ProgramServiceRevenuePriorYear
Program Service Revenue CY22043170ProgramServiceRevenueCY
Investment Income Prior Year1615808InvestmentIncomePriorYear
Investment Income Current Year890083InvestmentIncomeCurrentYear
Other Revenue Prior Year2085650OtherRevenuePriorYear
Other Revenue Current Year2244137OtherRevenueCurrentYear
Total Revenue Prior Year27498199TotalRevenuePriorYear
Total Revenue Current Year26127812TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12529988SalariesEtcPriorYear
Salaries Etc Current Year12940969SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year219693TotalFundrsngExpCurrentYear
Other Expense Prior Year12437355OtherExpensePriorYear
Other Expenses Current Year12840238OtherExpensesCurrentYear
Total Expenses Prior Year24967343TotalExpensesPriorYear
Total Expenses Current Year25781207TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2530856RevenuesLessExpensesPriorYear
Revenues Less Expenses CY346605RevenuesLessExpensesCY
Total Assets BOY49026226TotalAssetsBOY
Total Assets EOY51896694TotalAssetsEOY
Total Liabilities BOY24614444TotalLiabilitiesBOY
Total Liabilities EOY24060795TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24411782NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27835899NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19789873Expense
Revenue23629045Revenue
DescriptionThe 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.Description
Total Program Service Expense19789873TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109684NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees650NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1The OrganizationBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2299249352TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
Connie Blanchard
Board member1.00X000
James R Buchanan Jr
Board member1.00X000
Ann Harris
Board member1.00X000
Mark Johnson
Chairman1.00X000X
Eloise Paschal
Secretary1.00X000X
John Stephens
Board member1.00X000
Edie Vinson
Board member1.00X000
Jean Wheeler
Board member1.00X000
Chuck Reeves
Board member1.00X000
Kip Smith
Board member1.00X000
Hal Weathers
Board member1.00X000
Robert Beckum
Board member1.00X000
Shane Green
Board member1.00X000
Cindy Higdon
Board member1.00X000
Mark R Todd
President/CEO16.00225000010520X24.00
Jerry Vick
SVP Finance16.0016677709356X24.00
Hill Fort
SVP Operations16.0018023309625X24.00
Diane Wade
SVP Marketing16.0010969207882X24.00
Susie Fussell
Facility Administrator40.0011953808182X
FieldValueIRS element (for citing)
Total Reportable Comp From Org801240TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation45565TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Southern Rehabilitation Professional In
PO Box 1066AmericusGA31709Therapy services438202
Magnolia Manor Pharmacy
PO Box 988HawkinsvilleGA31036Pharmaceuticals and consultation304989
Simply Elegant Landscaping
1517 S Lee St Apt CAmericusGA31709Lawn maintenance and landscaping179550
PARKERS HEATING & AIR CONDITIONING
PO BOX 476AMERICUSGA31709AIR CONDITIONING REPAIRS/SERVICING107313
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions950422AllOtherContributions
Total Contributions950422TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Routine Room/Board6230001391515313915153
Medicare/Medicaid Payments62300079350997935099
Service Coordinator623000110132110132
Infirmary Revenue6230005780157801
Cablevision6230001268612686

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column12299TotalRevenueColumn
Related Or Exempt Function Income12299RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue22043170TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column373180TotalRevenueColumn
Exclusion$373,180ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3420418Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2903515Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities516903Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column516903TotalRevenueColumn
Exclusion$516,903ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events33113GrossIncomeFundraisingEvents
Fundraising Direct Expenses4759FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column28354TotalRevenueColumn
Exclusion$28,354ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Management fee revenue90009913718641371864
Food Sale Revenue623000387503$387,503
Durable Medical equipment623000132486132486

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column323930TotalRevenueColumn
Related Or Exempt Function Income81525RelatedOrExemptFunctionIncome
Exclusion$242,405ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2215783TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26127812TotalRevenueColumn
Related Or Exempt Function Income23629045RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,548,345ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total719085Total
Program Services191420ProgramServices
Management And General506396ManagementAndGeneral
Fundraising21269Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9486521Total
Program Services7619141ProgramServices
Management And General1788406ManagementAndGeneral
Fundraising78974Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total142002Total
Program Services72451ProgramServices
Management And General65964ManagementAndGeneral
Fundraising3587Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1806002Total
Program Services1489510ProgramServices
Management And General303964ManagementAndGeneral
Fundraising12528Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total787359Total
Program Services598115ProgramServices
Management And General183027ManagementAndGeneral
Fundraising6217Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total134811Total
Management And General134811ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75726Total
Management And General75726ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total717168Total
Management And General679069ManagementAndGeneral
Fundraising38099Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total180943Total
Management And General173792ManagementAndGeneral
Fundraising7151Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total293280Total
Management And General289135ManagementAndGeneral
Fundraising4145Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2242321Total
Program Services2235888ProgramServices
Management And General6433ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total149375Total
Program Services23489ProgramServices
Management And General118983ManagementAndGeneral
Fundraising6903Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2137Total
Management And General2137ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total945826Total
Program Services944226ProgramServices
Management And General1600ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1557501Total
Program Services1327802ProgramServices
Management And General229699ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total459803Total
Program Services9747ProgramServices
Management And General450056ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contracted Services18747681874768
Supplies16313671631367
Raw Food13964621396462
Contracted Services549278549278

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total629472Total
Program Services375487ProgramServices
Management And General213165ManagementAndGeneral
Fundraising40820Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25781207Total
Program Services19789873ProgramServices
Management And General5771641ManagementAndGeneral
Fundraising219693Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY206111BOY
EOY371558EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7004254BOY
EOY6443453EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY14998BOY
EOY13298EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3122590BOY
EOY3391595EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY53543BOY
EOY51683EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY72538BOY
EOY107461EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis56561221LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec35778830LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21808200BOY
EOY20782391EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12183914BOY
EOY13211883EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY269998BOY
EOY262020EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4290080BOY
EOY7261352EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49026226BOY
EOY51896694EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2043180BOY
EOY2541186EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY87228BOY
EOY72486EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20298555BOY
EOY19607629EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2137468BOY
EOY1792746EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY48013BOY
EOY46748EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24614444BOY
EOY24060795EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21001383BOY
EOY23941066EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY550810BOY
EOY1031648EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2859589BOY
EOY2863185EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24411782BOY
EOY27835899EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49026226BOY
EOY51896694EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses346605ReconcilationRevenueExpenses
Reconciliation Unrealized Invest692928ReconciliationUnrealizedInvest
Reconcilation Other Changes2384584ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1426195CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1509300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1121185CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1566557CurrentTaxYearMinus1Year
Current Tax Year950422CurrentTaxYear
Total6573659Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22270317CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22076648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22616924CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22230184CurrentTaxYearMinus1Year
Current Tax Year22043170CurrentTaxYear
Total111237243Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23696512CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23585948CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23738109CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23796741CurrentTaxYearMinus1Year
Current Tax Year22993592CurrentTaxYear
Total117810902Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years724440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years951813CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years480000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year405000CurrentTaxYearMinus1Year
Current Tax Year355000CurrentTaxYear
Total2916253Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years724440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years951813CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years480000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year405000CurrentTaxYearMinus1Year
Current Tax Year355000CurrentTaxYear
Total2916253Total
FieldValueIRS element (for citing)
Public Support Total509114894649PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years451027CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years414379CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years371750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year427658CurrentTaxYearMinus1Year
Current Tax Year373180CurrentTaxYear
Total2037994Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years451027CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years414379CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years371750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year427658CurrentTaxYearMinus1Year
Current Tax Year373180CurrentTaxYear
Total2037994Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2090034CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1864767CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2126027CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2229045CurrentTaxYearMinus1Year
Current Tax Year2163114CurrentTaxYear
Total10472987Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26237573CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25865094CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26235886CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26453444CurrentTaxYearMinus1Year
Current Tax Year25529886CurrentTaxYear
Total130321883Total
FieldValueIRS element (for citing)
Public Support Percentage5090.88160PublicSupportPercentage509
Prior Year Support Percentage0.87430PriorYearSupportPercentage
Investment Income Percentage0.01560InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01630PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part II, Line 12, Explanation of Other Income: Management service fees - 2008 Amount: $ 1,261,839. 2009 Amount: $ 990,248. 2010 Amount: $ 1,170,945. 2011 Amount: $ 1,204,965. 2012 Amount: $ 1,371,864. Service Coordinator - 2008 Amount: $ 107,216. 2009 Amount: $ 98,631. 2011 Amount: $ 119,169. Employee cafeteria - 2008 Amount: $ 365,616. 2009 Amount: $ 370,249. 2010 Amount: $ 377,167. 2011 Amount: $ 389,057. 2012 Amount: $ 387,503. Beauty shop - 2008 Amount: $ 129,791. 2009 Amount: $ 145,921. 2010 Amount: $ 143,571. 2011 Amount: $ 138,551. 2012 Amount: $ 130,782. Miscellaneous - 2010 Amount: $ 80,982. 2011 Amount: $ 80,664. Laundry revenue - 2008 Amount: $ 33,096. 2009 Amount: $ 30,201. 2010 Amount: $ 31,375. 2011 Amount: $ 26,699. 2012 Amount: $ 31,224. Wellness Center revenue - 2008 Amount: $ 76,845. 2009 Amount: $ 69,186. Vending machine commissions - 2008 Amount: $ 2,726. 2009 Amount: $ 1,965. 2010 Amount: $ 548. 2011 Amount: $ 607. Cable TV charges - 2008 Amount: $ 12,318. 2009 Amount: $ 13,862. 2011 Amount: $ 12,613. Telephone revenue - 2008 Amount: $ 74. 2009 Amount: $ 3. Nurse Aide Training payments - 2008 Amount: $ 5,182. 2010 Amount: $ 10,932. 2011 Amount: $ 14,536. 2012 Amount: $ 21,233. Gift shop revenue - Guest apartment fees - 2008 Amount: $ 23,535. 2009 Amount: $ 32,170. 2010 Amount: $ 26,799. 2011 Amount: $ 15. Housekeeping revenue - 2008 Amount: $ 14,173. 2009 Amount: $ 13,817. Resident activities - 2011 Amount: $ 9,650. Office rental - Other fees - Rebates and refunds - 2011 Amount: $ 14,841. Share of Joint venture income - 2008 Amount: $ 57,623. 2009 Amount: $ 98,514. 2010 Amount: $ 116,103. 2011 Amount: $ 63,328. 2012 Amount: $ 88,022. Durable Medical equipment - 2010 Amount: $ 167,605. 2011 Amount: $ 154,350. 2012 Amount: $ 132,486.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance11637783BeginningOfYearBalance
Contributions3596Contributions
Investment Earnings Or Losses1071652InvestmentEarningsOrLosses
Other Expenditures285646OtherExpenditures
Administrative Expenses45705AdministrativeExpenses
End Of Year Balance12381680EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance11910141BeginningOfYearBalance
Contributions3610Contributions
Investment Earnings Or Losses47595InvestmentEarningsOrLosses
Other Expenditures275621OtherExpenditures
Administrative Expenses47942AdministrativeExpenses
End Of Year Balance11637783EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10761618BeginningOfYearBalance
Investment Earnings Or Losses1475621InvestmentEarningsOrLosses
Other Expenditures278065OtherExpenditures
Administrative Expenses49033AdministrativeExpenses
End Of Year Balance11910141EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10160681BeginningOfYearBalance
Contributions4860Contributions
Investment Earnings Or Losses929723InvestmentEarningsOrLosses
Other Expenditures287880OtherExpenditures
Administrative Expenses45766AdministrativeExpenses
End Of Year Balance10761618EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.76880BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.23120PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1181052OtherCostOrOtherBasis
Book Value1181052BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis44497273OtherCostOrOtherBasis
Depreciation26466340Depreciation
Book Value18030933BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10548755OtherCostOrOtherBasis
Depreciation9312490Depreciation
Book Value1236265BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis334141OtherCostOrOtherBasis
Book Value334141BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20782391TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Deferred loan costs470970
Intercompany receivable6467167
Cash - Repair & Replacement323215
FieldValueIRS element (for citing)
Total Book Value Other Assets7261352TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAnnuity PayableDescription
Amount$46,748Amount
FieldValueIRS element (for citing)
Total Of Amounts46748TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:Endowment funds are held for the intended use of furthering the Organization's mission.
Description of Uncertain Tax Positions Under FIN 48:Part X, Line 2:It is the Corporation's policy to account for any uncertainties in income tax law in accordance with FASB ASC 740-10 "Accounting for Uncertainty in Income Taxes." ASC 740-10 clarifies the accounting for uncertain income tax positions and requires that the Corporation recognize the impact of such a tax position in its financial statements if, upon ultimate settlement, that position is more likely than not to be sustained. Management has evaluated the Corporation's tax positions and concluded that the Corporation has maintained its tax-exempt status and has taken no uncertain tax positions that require adjustment of the financial statements.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event15K Walk/runNameOfEvent1
Gross Receipts Event122400GrossReceiptsEvent1
Gross Revenue Event122400GrossRevenueEvent1
Non Cash Prizes Event11189NonCashPrizesEvent1
Other Direct Expenses Event12281OtherDirectExpensesEvent1
Name Of Event2Dinner eventNameOfEvent2
Gross Receipts Event210713GrossReceiptsEvent2
Gross Revenue Event210713GrossRevenueEvent2
Food And Beverage Event2837FoodAndBeverageEvent2
Other Direct Expenses Event2452OtherDirectExpensesEvent2
Gross Receipts Total33113GrossReceiptsTotal
Gross Revenue Total Events33113GrossRevenueTotalEvents
Non Cash Prizes Total Events1189NonCashPrizesTotalEvents
Food And Beverage Total Events837FoodAndBeverageTotalEvents
Other Direct Expenses Total Events2733OtherDirectExpensesTotalEvents
Direct Expense Summary Events4759DirectExpenseSummaryEvents
Net Income Summary28354NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mark R Todd
President/CEO225000000004500060200235520000
Jerry Vick
SVP Finance166777000003336060200176133000
Hill Fort
SVP Operations180233000003605060200189858000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 other similar type organizations.
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 2,384,584.Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2cThe process for reviewing the audited financial statements has not changed from the prior period.Review of Audited Financial Statements

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgLegal Domicile Foreign CountryLegalDomicileForeignCountry
Magnolia Manor of Columbus Inc
2001 South Lee StreetAmericusGA31709208034409Operation of (2) nursing facilities and a retirement facilityGA501(c)(3)Line 9Magnolia Manor Inc0
Magnolia Manor of Macon Supportive Housing Inc
2001 South Lee StreetAmericusGA31709311651955HUD Supportive Housing FacilityGA501(c)(3)Line 9Magnolia Manor Inc0
Magnolia Manor of Marion County Inc
2001 South Lee StreetAmericusGA31709201220860Lease and operation of a long-term care facilityGA501(c)(3)Line 9Magnolia Manor Inc0
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 9Magnolia Manor Inc0
MMI Assurance Ltd
2001 South Lee StreetAmericusGA31709Captive insurance companyMagnolia Manor Inc1CJ
Magnolia Manor of Macon Inc
2001 South Lee StreetAmericusGA31709261311379Operation of an assisted living facilityGA501(c)(3)Line 9Magnolia Manor Inc0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Georgia Pharmacy Ventures LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1440 Industrial BoulevardAddressLine1
CityHawkinsvilleCity
StateGAState
ZIP Code31036ZIPCode
FieldValueIRS element (for citing)
EIN261918757EIN
Primary ActivityProvides pharmacy related products and services to Magnolia Manor residentsPrimaryActivity
Legal Domicile StateGALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Magnolia Manor IncBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income88022ShareOfTotalIncome
Share Of EOY Assets203026ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.30000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1MMI Assurance LtdBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeRTransactionType
Amount Involved606318AmountInvolved
Method Of Amt DeterminationPremiums paidMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.