2024-05-08T07:55:03-05:00 2023-06-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-07-01 208034409 MAGNOLIA MANOR OF COLUMBUS INC MAGN 2299249352 2001 SOUTH LEE STREET AMERICUS GA 31709 MARK TODD PRESIDENT 2299249352 2024-05-07 1 MARK TODD XXX-XX-XXXX 0 AMY BIBBY P00445891 8282542254 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARK TODD 2001 SOUTH LEE STREET AMERICUS GA 31709 22266402 0 X WWW.MAGNOLIAMANOR.COM X 2007 GA THE CORPORATE IS ORGANIZED TO PROVIDE LONG-TERM CARE AND PERSONAL CARE SERVICES TO THE SICK AND ELDERLY IN A SPIRITUAL SETTING THROUGH THE OPERATION OF 376 LONG-TERM CARE BEDS AND 44 PERSONAL CARE BEDS ON A SINGLE CAMPUS LOCATED IN COLUMBUS, GEORGIA. 14 14 329 1 0 0 0 0 21148541 21285618 112 287 1339192 980497 22487845 22266402 0 0 0 0 10948447 10847575 0 0 0 8949626 11877774 19898073 22725349 2589772 -458947 42915912 41334497 20762861 20178206 22153051 21156291 THE CORPORATION IS ORGANIZED TO PROVIDE LONG-TERM CARE AND PERSONAL CARE SERVICES TO THE SICK AND ELDERLY IN A SPIRITUAL SETTING THROUGH THE OPERATION OF 376 LONG-TERM CARE BEDS AND 44 PERSONAL CARE BEDS ON A SINGLE CAMPUS LOCATED IN COLUMBUS, GEORGIA. 0 0 19391555 21437761 PROVIDED LONG-TERM CARE AND PERSONAL CAR SERVICES IN A SPIRITUAL SETTING. THE CORPORATION HAS TWO NURSING FACILITIES WITH A COMBINED 376 BEDS, ALONG WITH A 44-BED PERSONAL CARE FACILITY. THE CORPORATION PROVIDED APPROXIMATELY 78,427 DAYS OF SERVICE DURING THE YEAR. 19391555 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 18 0 1 329 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 GA X THE ORGANIZATION 2299315907 2001 SOUTH LEE STREET AMERICUS GA 31709 MARK JOHNSON BOARD OF TRUSTEE CHAIRMAN 1.00 6.00 X X 0 0 0 CHUCK REEVES BOARD OF TRUSTEE VICE CHAIRMAN 1.00 6.00 X X 0 0 0 JEAN WHEELER BOARD OF TRUSTEE SECRETARY 1.00 6.00 X X 0 0 0 HAL WEATHERS BOARD TRUSTEE 1.00 6.00 X 0 0 0 EDIE VINSON BOARD TRUSTEE 1.00 6.00 X 0 0 0 WILL PETERSON BOARD TRUSTEE 1.00 6.00 X 0 0 0 ANN HARRIS BOARD TRUSTEE 1.00 6.00 X 0 0 0 CHARLES PRYOR BOARD TRUSTEE 1.00 6.00 X 0 0 0 GEORGE YOUMANS JR BOARD TRUSTEE 1.00 6.00 X 0 0 0 CHARLES SHEFFIELD BOARD TRUSTEE 1.00 6.00 X 0 0 0 ED COLLIER BOARD TRUSTEE 1.00 6.00 X 0 0 0 TY TURNER BOARD TRUSTEE 1.00 6.00 X 0 0 0 PETE CATES BOARD TRUSTEE 1.00 6.00 X 0 0 0 RICK WHALEY BOARD TRUSTEE 1.00 6.00 X 0 0 0 MARK TODD CEO 10.00 50.00 X 0 340665 9957 DAVID CHARTER CFO 10.00 50.00 X 0 130915 6461 DARON BUTLER FACILITY ADMINISTRATOR 40.00 X 146644 0 0 DEBORAH LAWHORN FACILITY ADMINISTRATOR 40.00 X 128059 0 0 FELISHA WRIGHT LPN UNIT MANAGER 40.00 X 114724 0 0 CHELSEA WILLIAMS RN NURSE SUPERVISOR 40.00 X 113046 0 0 502473 471580 16418 4 0 1 0 LEADERSTAT L-4234 COLUMBUS OH 432604234 CONTRACT AGENCY NURSING 402066 1 MEDICARE/MEDICAID PAYMENTS 623000 18548433 18548433 ROUTINE ROOM/BOARD 623000 2737185 2737185 21285618 155 155 132 0 132 132 132 MISCELLANEOUS INCOME 900099 668390 668390 SHARE OF PHARMACY VENTURE INCOME 900099 159964 159964 MANAGEMENT SERVICE FEES 623000 122741 122741 29402 29402 980497 22266402 21437761 0 828641 X 8780464 8125944 654520 104339 90697 13642 1335026 1247303 87723 627746 578763 48983 1240975 134576 1106399 90917 90917 3706304 3502502 203802 61465 61465 251548 84903 166645 41215 41215 631490 631490 15362 7706 7656 392443 392443 783121 737541 45580 948390 167497 780893 MEDICAID PROVIDER FEE 1166070 1166070 RAW FOOD 921295 921295 BAD DEBT EXPENSE 617329 617329 MEDICAL SUPPLIES 561973 561973 447877 423523 24354 22725349 19391555 3333794 0 457354 276995 1038937 1274582 1048344 1002764 24355 46561 13469 7569 22893151 7818432 15316314 15074719 111934 129698 24905205 23521609 42915912 41334497 1571188 1639037 15091139 17217707 920027 799320 3180507 522142 20762861 20178206 X 22153051 21156291 22153051 21156291 42915912 41334497 X -458947 -537813 X X 0 1 X 1 0 X 26247456 27793210 25009682 21312764 21437761 121800873 26247456 27793210 25009682 21312764 21437761 121800873 0 0 0 121800873 61530 65116 9841 109 155 136751 61530 65116 9841 109 155 136751 580707 543005 618081 1175081 828354 3745228 26889693 28401331 25637604 22487954 22266270 125682852 0.96910 0.97230 0.00110 0.00160 X 1904912 1904912 17986278 5821289 12164989 2708519 1942285 766234 293442 54858 238584 15074719 DUE FROM RELATED ORGANIZATION 23487425 OTHER RECEIVABLE 16332 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 17852 23521609 X PART X, LINE 2: THE CORPORATION AND CERTAIN OF ITS AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SEC. 501(C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, A PROVISION FOR INCOME TAXES HAS NOT BEEN MADE ON THE FINANCIAL STATEMENTS. GEORGIA PHARMACY VENTURES, LLC FILES AS A PARTNERSHIP. THE CORPORATION FILES ITS FORM 990, RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAX, IN THE U.S. FEDERAL JURISDICTION AND WITH THE STATE OF GEORGIA. THIS FORM IS OPEN FOR PUBLIC INSPECTION. THE CORPORATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ALL TAX POSITIONS TAKEN, AND THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2023 AND 2022. X 0 0 0 0 0 0 0 0 0 MARK TODD CEO 0 340665 0 0 0 0 0 0 0 9957 0 350622 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS ELECTRONICALLY PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C REVIEWED AT QUARTERLY COMPLIANCE COMMITTEE MEETINGS AND ANNUALLY AT BOARD OF DIRECTORS MEETING. FORM 990, PART VI, SECTION B, LINE 15A THE CEO IS PAID ENTIRELY FROM A RELATED SECTION 501(C)(3) ORGANIZATION. THE BOARD OF TRUSTEES ESTABLISHES THE CEO'S SALARY BASED ON INDUSTRY NORMS AND COMPENSATION STUDIES FOR SIMILAR TYPE ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S CORPORATE OFFICE IN AMERICUS, GEORGIA. 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 AT THE ORGANIZATION'S CORPORATE OFFICE IN AMERICUS, GEORGIA. THE ORGANIZATION DOES NOT RECEIVE SEPARATE AUDITED FINANCIAL STATEMENTS. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,464,171. MANAGEMENT AND GENERAL EXPENSES 65,455. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,529,626. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 38,331. MANAGEMENT AND GENERAL EXPENSES 138,347. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,678. FORM 990, PART XI, LINE 9: CHANGE IN DUE TO/FROM INTERCOMPANY ACCOUNTS -537,813. FORM 990. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED 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 10 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 10 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 10 0 MAGNOLIA MANOR OF ST SIMMONS 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 10 0 MAGNOLIA MANOR OF MACON INC 2001 SOUTH LEE STREET AMERICUS GA 31709 261311379 OPERATION OF A RETIREMENT FACILITY GA 501(C)(3) LINE 10 0 MAGNOLIA MANOR OF LIBERTY COUNTY INC 2001 SOUTH LEE STREET AMERICUS GA 31709 842738089 OPERATION OF A NURSING FACILITY GA 501(C)(3) LINE 10 0 GEORGIA PHARMACY VENTURES 440 INDUSTRIAL BOULEVARD HAWKINSVILLE GA 31036 261918757 PROVIDES PHARMACY RELATED PRODUCTS AND SERVICES TO MAGNOLIA MANOR RESIDENTS GA N/A 0 0 MMI ASSURANCE LTD 2001 SOUTH LEE STREET AMERICUS GA 31709 981082342 CAPTIVE INSURANCE COMPANY CJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0