2014-02-04T07:06:44-06:00 2013-06-30 580692043 Mauldin & Jenkins LLC P O Box 1877 Macon GA 312021877 990 2012-07-01 580911706 MAGNOLIA MANOR INC MAGN 2299249352 2001 SOUTH LEE STREET AMERICUS GA 31709 Mark Todd 2299249352 2014-01-30 1 Rick Alibozek P00108158 4784648000 2014-01-30 X 2012 2015-11-30 17:44:51Z Mark Todd 2001 SOUTH LEE STREET AMERICUS GA 31709 29036086 0 X www.magnoliamanor.com X 1962 GA The 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 . 14 14 650 450 0 0 1566557 950422 22230184 22043170 1615808 890083 2085650 2244137 27498199 26127812 0 0 0 0 12529988 12940969 0 0 219693 12437355 12840238 24967343 25781207 2530856 346605 49026226 51896694 24614444 24060795 24411782 27835899 X The 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. 0 0 19789873 23629045 The 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. 19789873 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 84 0 1 650 1 0 1 CJ 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 GA X The Organization 2299249352 2001 SOUTH LEE STREET AMERICUS GA 31709 Connie Blanchard 1.00 X 0 0 0 James R Buchanan Jr 1.00 X 0 0 0 Ann Harris 1.00 X 0 0 0 Mark Johnson 1.00 X X 0 0 0 Eloise Paschal 1.00 X X 0 0 0 John Stephens 1.00 X 0 0 0 Edie Vinson 1.00 X 0 0 0 Jean Wheeler 1.00 X 0 0 0 Chuck Reeves 1.00 X 0 0 0 Kip Smith 1.00 X 0 0 0 Hal Weathers 1.00 X 0 0 0 Robert Beckum 1.00 X 0 0 0 Shane Green 1.00 X 0 0 0 Cindy Higdon 1.00 X 0 0 0 Mark R Todd 16.00 24.00 X 225000 0 10520 Jerry Vick 16.00 24.00 X 166777 0 9356 Hill Fort 16.00 24.00 X 180233 0 9625 Diane Wade 16.00 24.00 X 109692 0 7882 Susie Fussell 40.00 X 119538 0 8182 801240 0 45565 5 0 1 0 Southern Rehabilitation Professional In PO Box 1066 Americus GA 31709 Therapy services 438202 Magnolia Manor Pharmacy PO Box 988 Hawkinsville GA 31036 Pharmaceuticals and consultation 304989 Simply Elegant Landscaping 1517 S Lee St Apt C Americus GA 31709 Lawn maintenance and landscaping 179550 PARKERS HEATING & AIR CONDITIONING PO BOX 476 AMERICUS GA 31709 AIR CONDITIONING REPAIRS/SERVICING 107313 4 950422 950422 Routine Room/Board 623000 13915153 13915153 Medicare/Medicaid Payments 623000 7935099 7935099 Service Coordinator 623000 110132 110132 Infirmary Revenue 623000 57801 57801 Cablevision 623000 12686 12686 12299 12299 22043170 373180 373180 3420418 2903515 516903 516903 516903 33113 4759 28354 28354 Management fee revenue 900099 1371864 1371864 Food Sale Revenue 623000 387503 387503 Durable Medical equipment 623000 132486 132486 323930 81525 242405 2215783 26127812 23629045 0 1548345 719085 191420 506396 21269 9486521 7619141 1788406 78974 142002 72451 65964 3587 1806002 1489510 303964 12528 787359 598115 183027 6217 134811 134811 75726 75726 717168 679069 38099 180943 173792 7151 293280 289135 4145 2242321 2235888 6433 149375 23489 118983 6903 2137 2137 945826 944226 1600 1557501 1327802 229699 459803 9747 450056 Contracted Services 1874768 1874768 Supplies 1631367 1631367 Raw Food 1396462 1396462 Contracted Services 549278 549278 629472 375487 213165 40820 25781207 19789873 5771641 219693 206111 371558 7004254 6443453 14998 13298 3122590 3391595 53543 51683 72538 107461 56561221 35778830 21808200 20782391 12183914 13211883 269998 262020 4290080 7261352 49026226 51896694 2043180 2541186 87228 72486 20298555 19607629 2137468 1792746 48013 46748 24614444 24060795 X 21001383 23941066 550810 1031648 2859589 2863185 24411782 27835899 49026226 51896694 X 346605 692928 2384584 X X 0 1 X 1 1 1 X 1426195 1509300 1121185 1566557 950422 6573659 22270317 22076648 22616924 22230184 22043170 111237243 23696512 23585948 23738109 23796741 22993592 117810902 724440 951813 480000 405000 355000 2916253 0 724440 951813 480000 405000 355000 2916253 114894649 451027 414379 371750 427658 373180 2037994 451027 414379 371750 427658 373180 2037994 2090034 1864767 2126027 2229045 2163114 10472987 26237573 25865094 26235886 26453444 25529886 130321883 0.88160 0.87430 0.01560 0.01630 X Schedule 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11637783 3596 1071652 285646 45705 12381680 11910141 3610 47595 275621 47942 11637783 10761618 1475621 278065 49033 11910141 10160681 4860 929723 287880 45766 10761618 0.76880 0.23120 0 0 1181052 1181052 44497273 26466340 18030933 10548755 9312490 1236265 334141 334141 20782391 Deferred loan costs 470970 Intercompany receivable 6467167 Cash - Repair & Replacement 323215 7261352 Annuity Payable 46748 46748 X 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. 5K Walk/run 22400 22400 1189 2281 Dinner event 10713 10713 837 452 33113 33113 1189 837 2733 4759 28354 X 0 0 0 0 0 0 0 0 0 Mark R Todd 225000 0 0 0 0 0 4500 0 6020 0 235520 0 0 0 Jerry Vick 166777 0 0 0 0 0 3336 0 6020 0 176133 0 0 0 Hill Fort 180233 0 0 0 0 0 3605 0 6020 0 189858 0 0 0 Form 990, Part VI, Section B, line 11 The 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 12c Board 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 15a The 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 19 The 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Intercompany forgiveness of debt 2,384,584. Review of Audited Financial Statements Form 990, Part XII, Line 2c The process for reviewing the audited financial statements has not changed from the prior period. 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