2012-05-14T08:40:07-05:00 2011-06-30 Mauldin & Jenkins LLC P O Box 1877 Macon GA 312021877 990 2010-07-01 201220860 Magnolia Manor of Marion County Inc MAGN 2299249352 2001 South Lee Street Americus GA 31709 Mark Todd 2299249352 2012-05-09 1 Rick Alibozek 4784648000 2012-05-09 X 2010 2016-02-24 21:20:13Z Mark Todd 2001 South Lee Street Americus GA 31709 4294494 0 X www.magnoliamanor.com X 2004 GA The Corporation is organized to provide long-term care to the sick and elderly in a spiritual setting through a 70-bed skilled nursing facility located in Marion County, Georgia. 13 13 83 28 0 0 0 0 3813848 4191696 465 772 91880 102026 3906193 4294494 0 0 0 0 1613310 1748267 0 0 0 1164916 1416690 2778226 3164957 1127967 1129537 4031791 5192603 224372 255647 3807419 4936956 The Corporation is organized to provide long-term care to the sick and elderly in a spiritual setting through a 70-bed skilled nursing facility located in Marion County, Georgia. 0 0 2518556 4258165 Provided long-term care for the sick and elderly in a spiritual setting in a 70-bed skilled nursing facility. 2518556 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 7 0 83 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 GA X Magnolia Manor Inc 2299249352 2001 South Lee Street Americus GA 31709 James R Buchanan Jr 0.00 X 0 0 0 John Gill 0.00 X X 0 0 0 Eloise Paschal 0.00 X X 0 0 0 Cecil Abarr 0.00 X 0 0 0 Ann Harris 0.00 X 0 0 0 Mark Johnson 0.00 X X 0 0 0 Hon J Taylor Phillips 0.00 X 0 0 0 Edie Vinson 0.00 X 0 0 0 Dr Connie Blanchard 0.00 X 0 0 0 John Stephens 0.00 X 0 0 0 Jean Wheeler 0.00 X 0 0 0 Chuch Reeves 0.00 X 0 0 0 Kip Smith 0.00 X 0 0 0 Mark Todd 40.00 X 0 188813 8740 Jerry Vick 40.00 X 0 139431 7614 Hill Fort 40.00 X 0 149598 7897 0 477842 24251 0 0 1 0 Integra Rehabilitation Co Inc 1013 Riverburch Parkway Ste 2 Dalton GA 30721 Rehabilitation Services 101194 1 Medicare/Medicaid Paym 623000 3912068 3912068 Routine Room/Board 623000 279628 279628 4191696 772 772 66469 66469 66469 66469 Share of LLC investmen 900099 29026 29026 Food Sale Revenue 623000 4802 4802 Rebates and refunds 900099 1729 1729 35557 4294494 4258165 0 36329 1433620 1293584 140036 12931 11254 1677 189380 181423 7957 112336 101537 10799 9335 9335 1685 1685 12985 12985 7393 7393 323809 323809 6509 2909 3600 10 10 9105 9105 50217 50217 Georgia Provider Fee 272220 272220 Contracted Services 215984 215984 Supplies 214446 214446 Raw Food 126286 126286 Management Fees 101216 101216 65490 38219 27271 3164957 2518556 646401 0 69786 67515 222165 221220 3387 4290 9835 9810 183286 27685 107316 155601 39496 44386 3579806 4689781 4031791 5192603 224272 255647 100 224372 255647 X 3807419 4936956 3807419 4936956 4031791 5192603 1129537 0 X X 0 1 0 X 0 X 3400732 3791163 3633828 3813848 4191696 18831267 3400732 3791163 3633828 3813848 4191696 18831267 0 0 0 18831267 67571 63218 57012 61821 67241 316863 67571 63218 57012 61821 67241 316863 7015 4888 19630 30524 35557 97614 3475318 3859269 3710470 3906193 4294494 19245744 0.97850 0.97900 0.01650 0.01740 X 5500 1283 4217 177786 26402 151384 155601 Due from Sponsoring Organization and other related entities 4689781 4689781 Description of Uncertain Tax Positions Under FIN 48: Part X: 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. X 0 0 0 0 0 0 0 0 0 Mark Todd 0 188813 0 0 0 0 0 3776 0 4964 0 197553 0 0 Hill Fort 0 149598 0 0 0 0 0 2992 0 4905 0 157495 0 0 Form 990, Part VI, Section A, line 3 Magnolia Manor, Inc., a related tax-exempt organization, provided certain management services to the Corporation. Form 990, Part VI, Section B, line 11 The Form 990 was reviewed by the Organization's President and Senior Vice President for Finance prior to filing. A copy of the Form 990 was also provided to all members of the Executive Committee of the Board of Trustees for their review and approval. Form 990, Part VI, Section B, line 12c Board members in general and Finance Committee members in particular are aware of potential conflicts and consider these potential conflicts in making decisions. Form 990, Part VI, Section B, line 15a The Board of Directors 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 to the public upon request. Form 990, Part XII, Line 2c The process has not changed from the prior year. Magnolia Manor Inc 2001 S Lee Street Americus GA 31709 580911706 Elderly affordable long-term care and assisted living GA 501(c)(3) Line 9 None 0 Magnolia Manor of St Simons Inc 2255 Frederica Rd St Simons Island GA 31522 201364957 Elderly affordable long-term care and assisted living GA 501(c)(3) Line 9 Magnolia Manor Inc 0 Magnolia Manor of Macon Supportive Housing Inc 190 Pierce Ave Macon GA 31204 311651955 HUD supportive housing GA 501(c)(3) Line 9 Magnolia Manor Inc 0 Magnolia Manor of Columbus Inc 2010 Warm Springs Rd Columbus GA 31904 208034409 Elderly affordable long-term care and assisted living GA 501(c)(3) Line 9 Magnolia Manor Inc 0 Magnolia Manor of Macon Inc 190 Pierce Ave Macon GA 31204 261311379 Elderly assisted living GA 501(c)(3) Line 9 Magnolia Manor Inc 0 Georgia Pharmacy Ventures LLC 440 Industrial Boulevard Hawkinsville GA 31036 261918757 Provision of pharmacy-related products and services GA Magnolia Manor Inc Related 29026 83010 0 0 0.07500 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1