2011-02-10T15:34:17-06:00 2010-06-30 Mauldin & Jenkins LLC P O Box 1877 Macon GA 312021877 990 2009-07-01 208034409 Magnolia Manor of Columbus 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 19134628 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 13 543 230 0 0 0 18033229 18926848 541 293 135939 207487 18169709 19134628 0 0 10175672 8904802 0 0 9654035 10682270 19829707 19587072 -1659998 -452444 20386835 20518520 25658439 26242568 -5271604 -5724048 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 16797908 19134335 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. 16797908 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 33 0 543 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 0 1 1 GA X The Organization 2299249352 2001 South Lee Street Americus GA 31709 X Cecil Abarr 1.00 X 0 0 0 Dr Hal Brady 1.00 X 0 0 0 James R Buchanan Jr 1.00 X X 0 0 0 John Gill 1.00 X 0 0 0 Ann Harris 1.00 X 0 0 0 Mark Johnson 1.00 X 0 0 0 Eloise Paschal 1.00 X 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 E 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 5.00 X 0 184313 5323 Hill Fort 5.00 X 0 146032 8450 Diane Wade 5.00 X 0 95423 6832 Jerry Vick 5.00 X 0 136108 7946 0 561876 28551 0 0 1 0 Aegis Therapies Inc One Thousand Beverly Way Fort Smith AR 72919 Therapy 932838 Global Personnel Services Inc 1127 Brown Avenue Columbus GA 31906 Contract nursing 564660 Sodexo Inc PO Box 536922 Atlanta GA 30353 Dietary consulting 327488 3 Medicare/Medicaid Paym 623000 15256180 15256180 Routine Room/Board 623000 3670668 3670668 18926848 293 293 Share of Pharmacy vent 900099 155980 155980 Food Sale Revenue 623000 24863 24863 Beauty Shop Revenue 900099 20232 20232 6412 6412 207487 19134628 19134335 0 293 7241462 6696113 545349 33150 27886 5264 1033995 985626 48369 596195 552175 44020 38921 38921 21106 21106 48059 48059 34968 34968 2042417 2042417 18467 9896 8571 1382 1382 1031690 1031690 292618 292618 Contracted Services 2510457 2510457 Supplies 1618691 1618691 Georgia Provider Fee 1091439 1091439 Raw Food 782173 782173 Bad debt expense 442745 442745 707137 98039 609098 19587072 16797908 2789164 0 72913 91504 39588 2206305 3081512 19871 17912 48006 50677 20581941 3594755 17834503 16987186 205237 250141 20386835 20518520 1122888 1593456 1750 1333 20388196 19673745 4145605 4974034 25658439 26242568 X -5271604 -5724048 -5271604 -5724048 20386835 20518520 X 0 0 0 X 8993883 17929270 17962317 18926848 63812318 8993883 17929270 17962317 18926848 63812318 0 0 0 63812318 283 1140 541 293 2257 283 1140 541 293 2257 145049 244155 115616 207487 712307 9139215 18174565 18078474 19134628 64526882 X 165000 688 164312 189213 54215 134998 20227728 3539852 16687876 16987186 Due to Sponsoring Organization 4974034 4974034 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. The contents of the 990 were presented and explained to the members of the Executive Committee for their review and approval. 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. The CEO establishes the salary for Senior Vice Presidents of Operations and Finance. 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. 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 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 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 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 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 MMI Assurance Ltd 2001 South Lee Street Americus GA 31709 Captive insurance company CJ Magnolia Manor Inc 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 155980 185506 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 Georgia Pharmacy Ventures LLC G 613472