2011-02-11T08:43:40-06:00 2010-06-30 Mauldin & Jenkins LLC P O Box 1877 Macon GA 312021877 990 2009-07-01 580911706 MAGNOLIA MANOR INC MAGN 2299249352 2001 SOUTH LEE STREET AMERICUS GA 31709 Mark Todd 2299249352 2011-02-10 1 Rick Alibozek 4784648000 2011-02-10 X 2009 2016-02-24 21:20:13Z Mark Todd 2001 SOUTH LEE STREET AMERICUS GA 31709 29603377 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 thoroughout South and Middle Georgia. 13 13 602 450 0 0 1426195 1509300 22480869 22270744 -241125 338007 1879482 1895527 25545421 26013578 0 0 12947202 12162625 0 220628 12849828 12841939 25797030 25004564 -251609 1009014 47171463 47560510 29844288 27725824 17327175 19834686 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 through South and Middle Georgia. 0 0 19727503 24166271 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 238 long-term skilled nursing beds, a 30-bed unit dedicated to serving those residents suffering from Alzheimer's and approximately 600 assisted living and independent living beds in several facilities throughout the state of Georgia. 19727503 1 1 0 0 0 0 0 0 1 1 1 0 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 1 1 0 1 95 0 602 1 0 1 CJ 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 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 Youmans Sr 1.00 X 0 0 0 Wayne Johnson 1.00 X 0 0 0 Dr Connie Blanchard 1.00 X 0 0 0 Mark R Todd 40.00 X 184313 0 5323 Jerry Vick 40.00 X 136108 0 7946 Diane Wade 40.00 X 95423 0 6832 Hill Fort 40.00 X 146032 0 8450 561876 0 28551 3 0 1 0 Southern Rehabilitation Professional In PO Box 1066 Americus GA 31709 Therapy 448945 Simply Elegant Landscaping 1769 Plains Highway Dawson GA 39842 Landscaping 181125 2 1509300 1509300 Routine Room/Board 623000 13354287 13354287 Medicare/Medicaid Paym 623000 8722361 8722361 Service Coordinator 623000 98631 98631 Wellness Center revenu 623000 69186 69186 Housekeeping Revenue 623000 13817 13817 12462 12462 22270744 414379 414379 3513427 3589799 -76372 -76372 -76372 Management services re 900099 918603 918603 Food Sale Revenue 623000 370249 370249 Durable medical equipm 623000 226256 226256 380419 380419 1895527 26013578 24166271 0 338007 590427 590427 9101098 7527990 1492666 80442 213672 119405 92922 1345 1497556 1210770 275065 11721 759872 599826 153740 6306 56684 56684 70447 70447 428260 360855 67405 177575 167092 10483 207398 204663 2735 2579334 2573285 6049 89616 7087 72408 10121 715 715 913852 913852 1776542 1434325 342217 416077 8610 407467 Supplies 1771471 1771471 Contracted Services 1739300 1739300 Raw Food 1390187 1390187 Contracted Services 569214 569214 Bad debt expense 339114 339114 316153 92281 193802 30070 25004564 19727503 5056433 220628 217880 299720 2949008 3730751 82221 16037 3110666 3037539 500000 500000 108760 58493 137882 65495 55200660 31095719 29035340 24104941 8939967 10925357 267250 295111 1822489 4527066 47171463 47560510 2538931 2296570 80411 111836 22063426 21559060 5096554 3705707 64966 52651 29844288 27725824 X 13753339 16573338 722717 405369 2851119 2855979 17327175 19834686 47171463 47560510 X 0 1 1 X 1 1 X 2487919 1955711 2350921 1426195 1509300 9730046 24966884 23470674 23003795 22270317 22076648 115788318 27454803 25426385 25354716 23696512 23585948 125518364 789586 929183 1583540 724440 723480 4750229 0 789586 929183 1583540 724440 723480 4750229 120768135 514838 428733 496652 451027 414379 2305629 514838 428733 496652 451027 414379 2305629 3445807 1978079 2090034 2091023 9604943 27969641 29300925 27829447 26237573 26091350 137428936 0.87880 0.89520 0.01680 0.01630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10160681 4860 929723 287880 45766 10761618 11688570 200 -1157019 328386 42684 10160681 0.73460 0.26540 0 0 1200016 1200016 44260161 22444616 21815545 9740483 8651103 1089380 24104941 Deferred loan costs 324201 Reserve for replacement 270055 Intercompany receivable 3932810 4527066 Annuity Payable 52651 52651 26013578 25004564 1009014 1498497 1498497 2507511 26013578 0 26013578 0 26013578 25004564 0 25004564 0 25004564 Part V, Line 4: Description of Intended Use of Endowment Funds: Endowment funds are held for the intended use of furthering the Organization's mission. Part X: Description of Uncertain Tax Positions Under FIN 48: The Financial Accounting Standards Board issued new guidance on accounting for uncertainty in income taxes. The Corporation adopted this new guidance for the year ended June 30, 2010. Management evaluated the Corporation's tax positions and concluded that the Corporation had taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. X 0 0 0 0 0 0 0 0 0 Mark R Todd 184313 0 0 0 0 0 0 0 5323 0 189636 0 0 0 Hill Fort 146032 0 0 0 0 0 0 0 8450 0 154482 0 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 Form 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 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 Review of Financial information by those charged with Governance Neither the method of financial statement review by those charged with governance nor the selection process changed from the prior year. 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