2012-05-14T08:37:11-05:00 2011-06-30 Mauldin & Jenkins LLC P O Box 1877 Macon GA 312021877 990 2010-07-01 208034409 Magnolia Manor of Columbus 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 20273376 0 X www.magnoliamanor.com X 2007 GA The Corporation is organized to provide long-term care and assisted living services to the sick and elderly in a spiritual setting through the operation of 376 long-term care beds and 44 assisted living beds on a single campus located in Columbus, Georgia. 13 13 540 243 0 0 0 0 18926848 19838078 293 2555 207487 432743 19134628 20273376 0 0 0 0 8904802 8957646 0 0 0 10682270 11495977 19587072 20453623 -452444 -180247 20518520 19738506 26242568 25642801 -5724048 -5904295 The Corporation is organized to provide long-term care and assisted living services to the sick and elderly in a spiritual setting through the operation of 376 long-term care beds and 44 assisted living beds on a single campus located in Columbus, Georgia. 0 0 17318739 19838078 Provided long-term care and assisted living services in a spiritual setting. The Corporation has two nursing facilities with a combined 376 beds, along with a 44-bed assisted living facility. 17318739 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 25 0 540 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 Cecil Abarr 1.00 X 0 0 0 James R Buchanan Jr 1.00 X 0 0 0 John Gill 1.00 X 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 Hon J Taylor Phillips 1.00 X 0 0 0 Chuch Reeves 1.00 X 0 0 0 Edie Vinson 1.00 X 0 0 0 John Stephens 1.00 X 0 0 0 Dr Connie Blanchard 1.00 X 0 0 0 Jean Wheeler 1.00 X 0 0 0 Kip Smith X 0 0 0 Mark Todd 5.00 X 0 188813 8740 Hill Fort 5.00 X 0 149598 7897 Jerry Vick 5.00 X 0 139431 7614 Angela Rose 40.00 X 122016 0 7116 122016 477842 31367 1 0 1 0 Aegis Therapies Inc PO Box 8103 Fort Smith AR 72919 Therapy services 1599463 Magnolia Manor Pharmacy PO Box 988 Hawkinsville GA 31036 Pharmaceuticals and consultations 602692 Honeywell International Inc 12490 Collections Center Dr Chicago IL 60693 HVAC equipment maintenance 279864 3 Medicare/Medicaid Paym 623000 16095810 16095810 Routine Room/Board 623000 3742268 3742268 19838078 2555 2555 Share of Pharmacy vent 900099 183829 183829 Management services fe 900099 180078 180078 Food Sale Revenue 623000 31436 31436 37400 37400 432743 20273376 19838078 0 435298 7377547 6809095 568452 9103 5560 3543 972580 924891 47689 598416 552955 45461 41057 41057 31199 31199 46689 46689 2522 2522 2008706 2008706 18241 6668 11573 967 967 1042778 1042778 290344 290344 Contracted Services 3597232 3597232 Supplies 1593829 1593829 Georgia Provider Fee 1165671 1165671 Raw Food 714826 714826 Management Fees 700195 700195 241721 62199 179522 20453623 17318739 3134884 0 91504 354671 39588 3081512 2979432 17912 19535 50677 47531 20693760 4637532 16987186 16056228 250141 281109 20518520 19738506 1593456 3216838 1333 1083 19673745 17552146 4974034 4872734 26242568 25642801 X -5724048 -5904295 -5724048 -5904295 20518520 19738506 -180247 0 X X 0 1 1 X 0 X 8993883 17929270 17962317 18926848 19838078 83650396 8993883 17929270 17962317 18926848 19838078 83650396 0 0 0 83650396 283 1140 541 293 2555 4812 283 1140 541 293 2555 4812 145049 244155 115616 207487 252666 964973 9139215 18174565 18078474 19134628 20093299 84620181 0.98850 0.00010 X 165000 4813 160187 301032 81482 219550 20227728 4551237 15676491 16056228 Due to Sponsoring Organization 4872734 4872734 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 B, line 11 The Form 990 was reviewed by the Organization's President and Senior Vice President for Finance prior to filing. The contents of the 990 were made available to the members of the Executive Committee for their review. 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 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 18 The Organization makes its Form 990 available to the public upon request. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents and conflict of interest policy available to the public upon request. The Organization does not receive audited financial statements. Review of Financial Statements Form 990, Part XII, Line 2c There was no change in the process for the review of financial statements from the prior year. Magnolia Manor Inc 2001 South Lee Street Americus GA 31709 580911706 Management and operation of long-term care and retirement facilities GA 501(c)(3) Line 9 N/A 0 Magnolia Manor of Macon Supportive Housing Inc 2001 South Lee Street Americus GA 31709 311651955 HUD Supportive housing facility GA 501(c)(3) Line 9 Magnolia Manor Inc 0 Magnolia Manor of Marion County Inc 2001 South Lee Street Americus GA 31709 201220860 Lease and operation of a long-term care facility GA 501(c)(3) Line 9 Magnolia Manor Inc 0 Magnolia Manor of St Simons Inc 2001 South Lee Street Americus GA 31709 201364957 Lease and operation of a long-term care facility and a retirement community GA 501(c)(3) Line 9 Magnolia Manor Inc 0 Magnolia Manor of Macon Inc 2001 South Lee Street Americus GA 31709 261311379 Operation of an assisted living facility GA 501(c)(3) Line 9 Magnolia Manor Inc 0 Georgia Pharmacy Ventures 440 Industrial Boulevard Hawkinsville GA 31036 261918757 Provides pharmacy related products and services to Magnolia Manor residents GA Magnolia Manor Inc Related 183829 525731 0 0 0.47500 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1