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MAGNOLIA MANOR OF MARION COUNTY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF MARION COUNTY INC (EIN 20-1220860)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-04
IRS object ID
201400359349300800
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-04T07:06:23-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN580692043EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Mauldin & Jenkins LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 1877AddressLine1
CityMaconCity
StateGAState
ZIP Code312021877ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201220860EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Magnolia Manor of Marion County IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAGNNameControl
Phone2299249352Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 South Lee StreetAddressLine1
CityAmericusCity
StateGAState
ZIP Code31709ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark ToddName
TitlePresidentTitle
Phone2299249352Phone
Date Signed2014-01-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRick AlibozekName
PTINP00108158PTIN
Phone4784648000Phone
Date Prepared2014-01-30DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark ToddNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12001 South Lee StreetAddressLine1
CityAmericusCity
StateGAState
ZIP Code31709ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4903410GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.magnoliamanor.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionThe Corporation is organized to provide long-term care to the sick and elderly in a spiritual setting through a 70-bed skilled nursing facility located in Buena Vista, Georgia.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees87TotalNbrEmployees
Total Nbr Volunteers28TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4354128ProgramServiceRevenuePriorYear
Program Service Revenue CY4806252ProgramServiceRevenueCY
Investment Income Prior Year870InvestmentIncomePriorYear
Investment Income Current Year807InvestmentIncomeCurrentYear
Other Revenue Prior Year78354OtherRevenuePriorYear
Other Revenue Current Year96351OtherRevenueCurrentYear
Total Revenue Prior Year4433352TotalRevenuePriorYear
Total Revenue Current Year4903410TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1801890SalariesEtcPriorYear
Salaries Etc Current Year1788575SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1392968OtherExpensePriorYear
Other Expenses Current Year1585927OtherExpensesCurrentYear
Total Expenses Prior Year3194858TotalExpensesPriorYear
Total Expenses Current Year3374502TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1238494RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1528908RevenuesLessExpensesCY
Total Assets BOY6429227TotalAssetsBOY
Total Assets EOY1818024TotalAssetsEOY
Total Liabilities BOY253777TotalLiabilitiesBOY
Total Liabilities EOY257088TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6175450NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1560936NetAssetsOrFundBalancesEOY
Mission DescriptionThe Corporation is organized to provide long-term care to the sick and elderly in a spiritual setting through a 70-bed skilled nursing facility located in Buena Vista, Georgia.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2610229Expense
Revenue4880598Revenue
DescriptionProvided long-term care for the sick and elderly in a spiritual setting in a 70-bed skilled nursing facility. The Organization provided 21,473 patient days of service during the year.Description
Total Program Service Expense2610229TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees87NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1The OrganizationBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2299249352TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12001 South Lee StreetAddressLine1
CityAmericusCity
StateGAState
ZIP Code31709ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelated
James R Buchanan Jr
Trustee0.00X000
Eloise Paschal
Secretary0.00X000X
Ann Harris
Trustee0.00X000
Mark Johnson
Chairman0.00X000X
John Stephens
Trustee0.00X000
Edie Vinson
Trustee0.00X000
Dr Connie Blanchard
Trustee0.00X000
Hal Weathers
Trustee0.00X000
Jean Wheeler
Trustee0.00X000
Chuck Reeves
Trustee0.00X000
Kip Smith
Trustee0.00X000
Robert Beckum
Trustee0.00X000
Shane Green
Trustee0.00X000
Cindy Higdon
Trustee0.00X000
Mark Todd
CEO4.00022500010520X36.00
Jerry Vick
SVP Finance4.0001667779356X36.00
Hill Fort
SVP Operations4.0001802339625X36.00
Diane Wade
SVP Marketing4.0001096927882X36.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs681702TotalReportableCompFrmRltdOrgs
Total Other Compensation37383TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare/Medicaid Paym62300044554614455461
Routine Room/Board623000350791350791
FieldValueIRS element (for citing)
Total Program Service Revenue4806252TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column807TotalRevenueColumn
Exclusion$807ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real61356Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real61356Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column61356TotalRevenueColumn
Related Or Exempt Function Income61356RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Share of LLC investmen90009922005$22,005
Miscellaneous62300090459045
Food Sale Revenue62300039453945
FieldValueIRS element (for citing)
Total Other Revenue34995TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4903410TotalRevenueColumn
Related Or Exempt Function Income4880598RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$22,812ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1436204Total
Program Services1323394ProgramServices
Management And General112810ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total15214Total
Program Services13161ProgramServices
Management And General2053ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total221530Total
Program Services213410ProgramServices
Management And General8120ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total115627Total
Program Services106790ProgramServices
Management And General8837ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9133Total
Management And General9133ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7583Total
Management And General7583ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total23901Total
Management And General23901ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2642Total
Management And General2642ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total306073Total
Program Services306073ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total3899Total
Program Services2074ProgramServices
Management And General1825ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total24805Total
Program Services24805ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total55005Total
Management And General55005ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Georgia Provider Fee375195375195
Contracted Services244963244963
Supplies207549207549
Raw Food132122132122

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total193057Total
Program Services35888ProgramServices
Management And General157169ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3374502Total
Program Services2610229ProgramServices
Management And General764273ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY42013BOY
EOY49162EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY181076BOY
EOY625729EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4981BOY
EOY5182EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8678BOY
EOY10847EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis270564LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec70318LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY225051BOY
EOY200246EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY33218BOY
EOY31223EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5934210BOY
EOY895635EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6429227BOY
EOY1818024EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY253777BOY
EOY257088EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY253777BOY
EOY257088EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6175450BOY
EOY1560936EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6175450BOY
EOY1560936EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6429227BOY
EOY1818024EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1528908ReconcilationRevenueExpenses
Reconcilation Other Changes-6143422ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3633828CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3813848CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4191696CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4354128CurrentTaxYearMinus1Year
Current Tax Year4806252CurrentTaxYear
Total20799752Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3633828CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3813848CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4191696CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4354128CurrentTaxYearMinus1Year
Current Tax Year4806252CurrentTaxYear
Total20799752Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50920799752PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61821CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67241CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57113CurrentTaxYearMinus1Year
Current Tax Year62163CurrentTaxYear
Total305350Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61821CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67241CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57113CurrentTaxYearMinus1Year
Current Tax Year62163CurrentTaxYear
Total305350Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30524CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32934CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22111CurrentTaxYearMinus1Year
Current Tax Year34995CurrentTaxYear
Total125791Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3696067CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3906193CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4291871CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4433352CurrentTaxYearMinus1Year
Current Tax Year4903410CurrentTaxYear
Total21230893Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97970PublicSupportPercentage509
Prior Year Support Percentage0.98010PriorYearSupportPercentage
Investment Income Percentage0.01440InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01520PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part II, Line 12, Explanation of Other Income: Vending commission - 2008 Amount: $ 427. Employee cafeteria sales - 2008 Amount: $ 2,881. 2009 Amount: $ 3,640. 2010 Amount: $ 4,803. 2011 Amount: $ 5,008. 2012 Amount: $ 3,945. Share of income from joint venture - 2008 Amount: $ 1,777. 2009 Amount: $ 24,628. 2010 Amount: $ 26,402. 2011 Amount: $ 15,832. 2012 Amount: $ 22,005. Miscellaneous receipts - 2008 Amount: $ 142. 2009 Amount: $ 2,256. 2010 Amount: $ 1,729. 2011 Amount: $ 1,271. 2012 Amount: $ 9,045.GeneralExplanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5500OtherCostOrOtherBasis
Depreciation2017Depreciation
Book Value3483BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis265064OtherCostOrOtherBasis
Depreciation68301Depreciation
Book Value196763BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings200246TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionRelated party accounts receivableDescription
Book Value895635BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets895635TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationIt is the Organization'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 Organization 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 Organization's tax positions and concluded that the Organization has maintained its tax-exempt status and has taken no uncertain tax positions that require adjustment of the financial statements.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mark Todd
CEO022500000000450006020023552000
Jerry Vick
SVP Finance016677700000333606020017613300
Hill Fort
SVP Operations018023300000360506020018985800

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 3Magnolia Manor, Inc., a related Section 501(c)(3) organization, provided certain management services to the Organization.
Form 990, Part VI, Section B, line 11The 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 Executive Committee of the Board of Trustees for their review and approval.
Form 990, Part VI, Section B, line 12cBoard members in general and Finance Committee members in particular are aware of potential conflicts and consider these potential conflicts in making decisions.
Form 990, Part VI, Section B, line 15aThe CEO is paid entirely from a related tax-exempt organization. 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 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at the Magnolia Manor, Inc. Corporate office in Americus, Georgia.
Form 990, Part XI, line 9:Forgiveness of intercompany debt -6,143,422.Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2cThe process for the review and oversight of the audit process and audited financial statements has not changed from the prior year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgLegal Domicile Foreign CountryLegalDomicileForeignCountry
Magnolia Manor Inc
2001 S Lee StreetAmericusGA31709580911706Elderly affordable long-term care and assisted livingGA501(c)(3)Line 9None0
Magnolia Manor of St Simons Inc
2255 Frederica RdSt Simons IslandGA31522201364957Elderly affordable long-term care and assisted livingGA501(c)(3)Line 9None0
Magnolia Manor of Macon Supportive Housing Inc
190 Pierce AveMaconGA31204311651955HUD Supportive HousingGA501(c)(3)Line 9None0
Magnolia Manor of Columbus Inc
2010 Warm Springs RdColumbusGA31904208034409Elderly affordable long-term care and assisted livingGA501(c)(3)Line 9None0
Magnolia Manor of Macon Inc
190 Pierce AveMaconGA31204261311379Elderly Assisted LivingGA501(c)(3)Line 9None0
MMI Assurance Ltd
2001 S Lee StreetAmericusGA31709981082342Captive Insurance CompanyMagnolia Manor Inc1CJ

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Georgia Pharmacy Ventures LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1440 Industrial BoulevardAddressLine1
CityHawkinsvilleCity
StateGAState
ZIP Code31036ZIPCode
FieldValueIRS element (for citing)
EIN261918757EIN
Primary ActivityProvision of pharmacy-related products and servicesPrimaryActivity
Legal Domicile StateGALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Magnolia Manor IncBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income22006ShareOfTotalIncome
Share Of EOY Assets50757ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.07500PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg