2012-05-14T08:38:19-05:00 2011-06-30 Mauldin & Jenkins LLC P O Box 1877 Macon GA 312021877 990 2010-07-01 580911706 MAGNOLIA MANOR 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 29933230 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 . 13 13 630 450 0 0 1509300 1121185 22270744 22616924 338007 1084818 1895527 2126027 26013578 26948954 0 0 0 0 12162625 12484383 0 0 235287 12841939 12543963 25004564 25028346 1009014 1920608 47560510 49562947 27725824 26266756 19834686 23296191 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 19697315 24078763 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. 19697315 1 1 0 0 0 0 0 0 0 1 1 0 0 1 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 82 0 630 1 0 1 CJ 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 Connie Blanchard 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 John Stephens 1.00 X 0 0 0 Edie Vinson 1.00 X 0 0 0 Jean Wheeler 1.00 X 0 0 0 Chuch Reeves 1.00 X 0 0 0 Kip Smith 1.00 X 0 0 0 Mark R Todd 40.00 X 188813 0 8740 Jerry Vick 40.00 X 139431 0 7614 Hill Fort 40.00 X 149598 0 7897 477842 0 24251 3 0 1 0 Southern Rehabilitation Professional In PO Box 1066 Americus GA 31709 Therapy services 418510 Magnolia Manor Pharmacy PO Box 988 Hawkinsville GA 31036 Pharmaceuticals and consultation 358599 Simply Elegant Landscaping 1517 S Lee St Apt C Americus GA 31709 Lawn maintenance and landscaping 179550 3 1121185 1121185 Routine Room/Board 623000 13010001 13010001 Medicare/Medicaid Paym 623000 9430466 9430466 Service Coordinator 623000 95061 95061 Infirmary Revenue 623000 55590 55590 Cablevision 623000 12556 12556 13250 13250 22616924 371750 371750 3197344 500000 2967162 17114 230182 482886 713068 713068 Management services re 900099 1170945 1170945 Food Sale Revenue 623000 377167 377167 Durable Medical equipm 623000 167605 167605 410310 123289 287021 2126027 26948954 24078763 0 1749006 502093 502093 9597529 7869377 1662703 65449 160603 84316 75541 746 1430444 1163143 258465 8836 793714 630253 158366 5095 112878 112878 73482 73482 433210 339616 93594 158303 146882 11421 218548 215561 2987 2563229 2558922 4307 107981 14676 85728 7577 587 587 882826 882826 1587097 1334659 252438 415809 7357 408452 Contracted Services 1721876 1721876 Supplies 1704791 1704791 Raw Food 1393973 1393973 Contracted Services 583649 583649 Bad debt expense 280635 280635 305089 50511 214996 39582 25028346 19697315 5095744 235287 299720 424689 3730751 5487977 16037 16037 3037539 2996439 500000 58493 50861 65495 72971 55564241 32682845 24104941 22881396 10925357 12551848 295111 314670 4527066 4766059 47560510 49562947 2296570 2386282 111836 111869 21559060 20949022 3705707 2764782 52651 54801 27725824 26266756 X 16573338 19880476 405369 559736 2855979 2855979 19834686 23296191 47560510 49562947 X 1920608 1540897 X X 0 1 1 X 1 1 X 1955711 2350921 1426195 1509300 1121185 8363312 23470674 23003795 22270317 22076648 22616924 113438358 25426385 25354716 23696512 23585948 23738109 121801670 929183 1658540 724440 951813 480000 4743976 0 929183 1658540 724440 951813 480000 4743976 117057694 428733 496652 451027 414379 371750 2162541 428733 496652 451027 414379 371750 2162541 3445807 1978079 2090034 1864767 2126027 11504714 29300925 27829447 26237573 25865094 26235886 135468925 0.86410 0.87880 0.01600 0.01680 X Schedule A, Part II, Line 12, Explanation of Other Income: Management service fees Service Coordinator Employee cafeteria Beauty shop Miscellaneous Laundry revenue Wellness Center revenue Miscellaneous Vending machine commissions Cable TV charges Telephone revenue Nurse Aide Training payments Gift shop revenue Guest apartment fees Housekeeping revenue Resident activities Office rental Other fees Rebates and refunds Share of Joint venture income Durable Medical equipment RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10761618 1475621 278065 49033 11910141 10160681 4860 929723 287880 45766 10761618 0.76020 0.23980 0 0 1181052 1181052 44311265 23803268 20507997 10071924 8879577 1192347 22881396 Deferred loan costs 294575 Reserve for replacement 297317 Intercompany receivable 4174167 4766059 Annuity Payable 54801 54801 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. X 0 0 0 0 0 0 0 0 0 Mark R Todd 188813 0 0 0 0 0 3776 0 4964 0 197553 0 0 0 Hill Fort 149598 0 0 0 0 0 2992 0 4905 0 157495 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 18 The Organization makes its Form 990 available for public inspection upon request. 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Change in unrealized gains on investment securities 1,540,897. Total to Form 990, Part XI, Line 5: 1,540,897. 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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