2011-02-10T15:34:17-06:00 2010-06-30 Mauldin & Jenkins LLC P O Box 1877 Macon GA 312021877 990 2009-07-01 201220860 Magnolia Manor of Marion County Inc MAGN 2299249352 2001 South Lee Street Americus GA 31709 Mark Todd 2299249352 2011-02-08 1 Rick Alibozek 4784648000 2011-02-08 X 2009 2016-02-24 21:20:13Z Mark Todd 2001 South Lee Street Americus GA 31709 3906193 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 the operation of a 70-bed skilled nursing facility. 13 13 83 15 0 0 0 3633828 3813848 769 465 75873 91880 3710470 3906193 0 0 1815867 1613310 0 0 1266619 1164916 3082486 2778226 627984 1127967 3007976 4031791 328524 224372 2679452 3807419 The Corporation is organized to provide long-term care to the sick and elderly in a spiritual setting through the operation of a 70-bed skilled nursing facility. 0 0 2191735 3905728 Provided long-term care for the sick and elderly in a spiritual setting in a 70-bed skilled nursing facility. 2191735 1 0 0 0 0 0 0 0 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 1 10 0 83 1 0 0 0 0 0 0 0 0 0 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 GA X Magnolia Manor Inc 2299249352 2001 South Lee Street Americus GA 31709 X James R Buchanan Jr 1.00 X X 0 0 0 John Gill 1.00 X 0 0 0 Eloise Paschal 1.00 X X 0 0 0 Cecil Abarr 1.00 X 0 0 0 Dr Hal Brady 1.00 X 0 0 0 Ann Harris 1.00 X 0 0 0 Mark Johnson 1.00 X 0 0 0 Hon J Taylor Phillips 1.00 X 0 0 0 Bob Reinhardt 1.00 X 0 0 0 Edie Vinson 1.00 X 0 0 0 George Youmans 1.00 X 0 0 0 Dr Connie Blanchard 1.00 X 0 0 0 Wayne Johnson 1.00 X 0 0 0 Mark Todd 3.00 X 0 184313 5323 Hill Fort 3.00 X 0 146032 8450 Diane Wade 3.00 X 0 95423 6832 Jerry Vick 3.00 X 0 136108 7946 0 561876 28551 0 0 1 0 0 Medicare/Medicaid Paym 623000 3608684 3608684 Routine Room/Board 623000 205164 205164 3813848 465 465 61356 61356 61356 61356 Share of income from P 900099 24628 24628 Food Sale Revenue 623000 3640 3640 Miscellaneous 900099 2256 2256 30524 3906193 3905728 0 465 1299608 1167579 132029 16446 14220 2226 197687 188998 8689 99569 89407 10162 8717 8717 835 835 11622 11622 305886 305886 5411 2660 2751 7093 7093 50529 50529 Georgia Provider fee 225591 225591 Supplies 161794 156117 5677 Contracted Services 113424 109834 3590 Raw Food 112006 112006 Management Fees 110824 110824 51184 37935 13249 2778226 2191735 586491 0 67460 69786 188710 222165 3393 3387 9413 9835 125896 18580 105825 107316 32406 39496 2600769 3579806 3007976 4031791 327686 224272 838 100 328524 224372 X 2679452 3807419 2679452 3807419 3007976 4031791 X 0 0 0 X 3191476 3400732 3791163 3633828 3813848 17831047 3191476 3400732 3791163 3633828 3813848 17831047 0 0 0 17831047 67356 67571 63218 57012 61821 316978 67356 67571 63218 57012 61821 316978 4198 7015 4888 19630 30524 66255 3263030 3475318 3859269 3710470 3906193 18214280 0.97900 0.01740 X 5500 917 4583 120396 17663 102733 107316 Due from Sponsoring Organization and other related entities 3579806 3579806 X 0 0 0 0 0 0 0 0 0 Mark Todd 0 184313 0 0 0 0 0 0 0 5323 0 189636 0 0 Hill Fort 0 146032 0 0 0 0 0 0 0 8450 0 154482 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. A copy of the Form 990 was also provided to all members 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 in particular are aware of potential conflicts and consider these potential conflicts in making decisions. Form 990, Part VI, Section B, line 15 The Board of Directors establishes the CEO's salary based on industry norms and compensation studies for other similar type organizations. The CEO establishes compensation levels for other members of management. 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 XI, 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 Magnolia Manor of St Simons Inc 2001 S Lee Street Americus GA 31709 201364957 Elderly affordable long-term care and assisted living GA 501(c)(3) Line 9 Magnolia Manor Inc Magnolia Manor of Macon Supportive Housing Inc 2001 S Lee Street Americus GA 31709 311651955 HUD supportive housing GA 501(c)(3) Line 9 Magnolia Manor Inc Magnolia Manor of Columbus Inc 2001 S Lee Street Americus GA 31709 208034409 Elderly affordable long-term care and assisted living GA 501(c)(3) Line 9 Magnolia Manor Inc Magnolia Manor of Macon Inc 2001 S Lee Street Americus GA 31709 261311379 Elderly assisted living GA 501(c)(3) Line 9 Magnolia Manor Inc MMI Assurance Ltd 2001 S Lee Street Americus GA 31709 Captive insurance company CJ Magnolia Manor Inc Georgia Pharmacy Ventures LLC 440 Industrial Boulevard Hawkinsville GA 31036 261918757 Provision of pharmacy-related products and services GA Magnolia Manor Inc Related 24628 69565 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 Georgia Pharmacy Ventures L 36058 Magnolia Manor Inc Q 774093 Magnolia Manor of St Simons Inc Q 80500 Magnolia Manor of Columbus Inc Q 124444