MAGNOLIA MANOR INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR INC (EIN 58-0911706)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-12-03
IRS object ID
201203389349300210
Schema version
2011v1.2
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)
Timestamp2012-12-03T12:30:34-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2012-11-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRick AlibozekName
PTINP00108158PTIN
Phone4784648000Phone
Date Prepared2012-11-29DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts35469081GrossReceipts
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 Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees625TotalNbrEmployees
Total Nbr Volunteers450TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1121185ContributionsGrantsPriorYear
Contributions Grants Current Year1566557ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22616924ProgramServiceRevenuePriorYear
Program Service Revenue CY22230184ProgramServiceRevenueCY
Investment Income Prior Year1084818InvestmentIncomePriorYear
Investment Income Current Year1615808InvestmentIncomeCurrentYear
Other Revenue Prior Year2126027OtherRevenuePriorYear
Other Revenue Current Year2085650OtherRevenueCurrentYear
Total Revenue Prior Year26948954TotalRevenuePriorYear
Total Revenue Current Year27498199TotalRevenueCurrentYear
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 Year12484383SalariesEtcPriorYear
Salaries Etc Current Year12529988SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year166313TotalFundrsngExpCurrentYear
Other Expense Prior Year12543963OtherExpensePriorYear
Other Expenses Current Year12437355OtherExpensesCurrentYear
Total Expenses Prior Year25028346TotalExpensesPriorYear
Total Expenses Current Year24967343TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1920608RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2530856RevenuesLessExpensesCY
Total Assets BOY49562947TotalAssetsBOY
Total Assets EOY49026226TotalAssetsEOY
Total Liabilities BOY26266756TotalLiabilitiesBOY
Total Liabilities EOY24614444TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23296191NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24411782NetAssetsOrFundBalancesEOY
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
Expense19314528Expense
Revenue23697984Revenue
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 Expense19314528TotalProgramServiceExpense
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 Activities0FundraisingActivities
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 With109677NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees625NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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
Own WebsiteXOwnWebsite

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 (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
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
J Taylor Phillips
Board member1.00X000
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
Mark R Todd
President/CEO40.0022384609976X
Jerry Vick
SVP Finance40.0016476908771X
Hill Fort
SVP Operations40.0017678409025X
Diane Wade
SVP Marketing40.0010778907288X
FieldValueIRS element (for citing)
Total Reportable Comp From Org673188TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation35060TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Southern Rehabilitation Professional In
PO Box 1066AmericusGA31709Therapy services506612
Magnolia Manor Pharmacy
PO Box 988HawkinsvilleGA31036Pharmaceuticals and consultation354870
Simply Elegant Landscaping
1517 S Lee St Apt CAmericusGA31709Lawn maintenance and landscaping187031
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions1566557AllOtherContributions
Total Contributions1566557TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Routine Room/Board6230001332636613326366
Medicare/Medicaid Paym62300086603588660358
Service Coordinator623000119169119169
Infirmary Revenue6230006113461134
Miscellaneous6230003790537905

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column25252TotalRevenueColumn
Related Or Exempt Function Income25252RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue22230184TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column427658TotalRevenueColumn
Exclusion$427,658ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9159032Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7970882Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1188150Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1188150TotalRevenueColumn
Exclusion$1,188,150ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Management services re90009912049651204965
Food Sale Revenue623000389057$389,057
Durable Medical equipm623000154350154350

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column337278TotalRevenueColumn
Related Or Exempt Function Income108485RelatedOrExemptFunctionIncome
Exclusion$228,793ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2085650TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27498199TotalRevenueColumn
Related Or Exempt Function Income23697984RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,233,658ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total708338Total
Management And General708338ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9292118Total
Program Services7537863ProgramServices
Management And General1696391ManagementAndGeneral
Fundraising57864Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total187839Total
Program Services95368ProgramServices
Management And General91361ManagementAndGeneral
Fundraising1110Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1568896Total
Program Services1259785ProgramServices
Management And General300231ManagementAndGeneral
Fundraising8880Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total772797Total
Program Services598215ProgramServices
Management And General169913ManagementAndGeneral
Fundraising4669Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total94994Total
Management And General94994ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75624Total
Management And General75624ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total359518Total
Management And General324117ManagementAndGeneral
Fundraising35401Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total165329Total
Management And General153817ManagementAndGeneral
Fundraising11512Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total235899Total
Management And General231927ManagementAndGeneral
Fundraising3972Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2425244Total
Program Services2420024ProgramServices
Management And General5220ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total120406Total
Program Services8428ProgramServices
Management And General106222ManagementAndGeneral
Fundraising5756Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total763Total
Management And General763ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total857055Total
Program Services855296ProgramServices
Management And General1759ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1577029Total
Program Services1340152ProgramServices
Management And General236877ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total445803Total
Program Services7357ProgramServices
Management And General438446ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contracted Services17675911767591
Supplies16669511666951
Raw Food14186571418657
Contracted Services596959596959

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total629533Total
Program Services338841ProgramServices
Management And General253543ManagementAndGeneral
Fundraising37149Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24967343Total
Program Services19314528ProgramServices
Management And General5486502ManagementAndGeneral
Fundraising166313Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY424689BOY
EOY206111EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5487977BOY
EOY7004254EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY16037BOY
EOY14998EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2996439BOY
EOY3122590EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY50861BOY
EOY53543EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY72971BOY
EOY72538EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis56034225LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec34226025LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22881396BOY
EOY21808200EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12551848BOY
EOY12183914EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY314670BOY
EOY269998EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4766059BOY
EOY4290080EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49562947BOY
EOY49026226EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2386282BOY
EOY2043180EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY111869BOY
EOY87228EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20949022BOY
EOY20298555EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2764782BOY
EOY2137468EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY54801BOY
EOY48013EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26266756BOY
EOY24614444EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19880476BOY
EOY21001383EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY559736BOY
EOY550810EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2855979BOY
EOY2859589EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23296191BOY
EOY24411782EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49562947BOY
EOY49026226EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2530856ReconcilationRevenueExpenses
Reconcilation Other Changes-1415265ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years2350921CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1426195CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1509300CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1121185CurrentTaxYearMinus1Year
Current Tax Year1566557CurrentTaxYear
Total7974158Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23003795CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22270317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22076648CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22616924CurrentTaxYearMinus1Year
Current Tax Year22230184CurrentTaxYear
Total112197868Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25354716CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23696512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23585948CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23738109CurrentTaxYearMinus1Year
Current Tax Year23796741CurrentTaxYear
Total120172026Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1658540CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years724440CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years951813CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year480000CurrentTaxYearMinus1Year
Current Tax Year405000CurrentTaxYear
Total4219793Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1658540CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years724440CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years951813CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year480000CurrentTaxYearMinus1Year
Current Tax Year405000CurrentTaxYear
Total4219793Total
FieldValueIRS element (for citing)
Public Support Total509115952233PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years496652CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years451027CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years414379CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year371750CurrentTaxYearMinus1Year
Current Tax Year427658CurrentTaxYear
Total2161466Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years496652CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years451027CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years414379CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year371750CurrentTaxYearMinus1Year
Current Tax Year427658CurrentTaxYear
Total2161466Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1978079CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2090034CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1864767CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2126027CurrentTaxYearMinus1Year
Current Tax Year2229045CurrentTaxYear
Total10287952Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27829447CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26237573CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25865094CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26235886CurrentTaxYearMinus1Year
Current Tax Year26453444CurrentTaxYear
Total132621444Total
FieldValueIRS element (for citing)
Public Support Percentage5090.87430PublicSupportPercentage509
Prior Year Support Percentage0.86410PriorYearSupportPercentage
Investment Income Percentage0.01630InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01600PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Balance11910141BeginningOfYearBalance
Contributions3610Contributions
Investment Earnings Or Losses47595InvestmentEarningsOrLosses
Other Expenditures275621OtherExpenditures
Administrative Expenses47942AdministrativeExpenses
End Of Year Balance11637783EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.75430BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.24570PermanentEndowmentEOYBalance
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 Basis44433124OtherCostOrOtherBasis
Depreciation25141217Depreciation
Book Value19291907BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10306933OtherCostOrOtherBasis
Depreciation9084808Depreciation
Book Value1222125BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis113116OtherCostOrOtherBasis
Book Value113116BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21808200TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Deferred loan costs291381
Reserve for replacement324605
Intercompany receivable3674094
FieldValueIRS element (for citing)
Total Book Value Other Assets4290080TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAnnuity PayableDescription
Amount$48,013Amount
FieldValueIRS element (for citing)
Total Of Amounts48013TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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: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 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)

Base 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
223846000004477054990233822000
Jerry Vick
164769000003295054760173540000
Hill Fort
176784000003536054890185809000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 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 18The Organization makes its Form 990 available for public inspection on its website.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy and audited financial statements available upon request.
Form 990, Part XI, line 5:Change in unrealized gains on investment securities -1,415,265. Total to Form 990, Part XI, Line 5: -1,415,265.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 Income63328ShareOfTotalIncome
Share Of EOY Assets246788ShareOfEOYAssets
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
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 TypeQTransactionType
Method Of Amt DeterminationPremiums paidMethodOfAmtDetermination

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