MAGNOLIA MANOR OF ST SIMONS INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MAGNOLIA MANOR OF ST SIMONS INC (EIN 20-1364957)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-02-04
- IRS object ID
- 201420359349300702
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-04T07:05:41-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580692043 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mauldin & Jenkins LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 1877 | AddressLine1 |
| City | Macon | City |
| State | GA | State |
| ZIP Code | 312021877 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201364957 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Magnolia Manor of St Simons Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MAGN | NameControl |
| Phone | 2299249352 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 South Lee Street | AddressLine1 |
| City | Americus | City |
| State | GA | State |
| ZIP Code | 31709 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mark Todd | Name |
| Title | President | Title |
| Phone | 2299249352 | Phone |
| Date Signed | 2014-01-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rick Alibozek | Name |
| PTIN | P00108158 | PTIN |
| Phone | 4784648000 | Phone |
| Date Prepared | 2014-01-27 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Mark Todd | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 South Lee Street | AddressLine1 |
| City | Americus | City |
| State | GA | State |
| ZIP Code | 31709 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10868664 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.magnoliamanor.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | The Corporation is organized to provide residential and long-term care services to the sick and elderly in a spirtual setting. The mission is accomplished through the operation of a 125-bed long term care facility and a 94-unit retirement community located on St. Simon's Island, Georgia. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 269 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 9687096 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10799223 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 542 | InvestmentIncomePriorYear |
| Investment Income Current Year | 651 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 53963 | OtherRevenuePriorYear |
| Other Revenue Current Year | 68790 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 9741601 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10868664 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4589504 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4733525 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5999996 | OtherExpensePriorYear |
| Other Expenses Current Year | 6511813 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10589500 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11245338 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -847899 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -376674 | RevenuesLessExpensesCY |
| Total Assets BOY | 1938235 | TotalAssetsBOY |
| Total Assets EOY | 2048283 | TotalAssetsEOY |
| Total Liabilities BOY | 4590623 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3161995 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -2652388 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1113712 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The Corporation is organized to provide residential and long-term care services to the sick and elderly in a spiritual setting. The mission is accomplished through the operation of a 125-bed long-term care facility and a 94-unit retirement community located on St. Simon's Island, Georgia. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 9443545 | Expense |
| Revenue | 10799223 | Revenue |
| Description | The Corporation provided residential services to the sick and aged through the operation of a 125-bed long term care facililty and a 94-bed retirement community located in St. Simons, Georgia. The Corporation provided over 45,000 patient days of service during the year. | Description |
| Total Program Service Expense | 9443545 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 61 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 269 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Organization | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2299249352 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 South Lee Street | AddressLine1 |
| City | Americus | City |
| State | GA | State |
| ZIP Code | 31709 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated |
|---|---|---|---|---|---|---|---|
| James R Buchanan Jr | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Ann Harris | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Mark Johnson | |||||||
| Chairman | 0.00 | X | 0 | 0 | 0 | X | |
| Eloise Paschal | |||||||
| Secretary | 0.00 | X | 0 | 0 | 0 | X | |
| Edie Vinson | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Dr Connie Blanchard | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| John Stephens | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Jean Wheeler | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Chuck Reeves | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Kip Smith | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Hal Weathers | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Robert Beckum | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Shane Green | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Cindy Higdon | |||||||
| Trustee | 0.00 | X | 0 | 0 | 0 | ||
| Mark Todd | |||||||
| President/CEO | 6.00 | 0 | 225000 | 10520 | X | 34.00 | |
| Jerry Vick | |||||||
| SVP Finance | 6.00 | 0 | 166777 | 9356 | X | 34.00 | |
| Hill Fort | |||||||
| SVP Operations | 6.00 | 0 | 180233 | 9625 | X | 34.00 | |
| Diane Wade | |||||||
| SVP Marketing | 6.00 | 0 | 109692 | 7882 | X | 34.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 681702 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 37383 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Aegis Therapies Inc | |||||
| PO Box 8103 | Fort Smith | AR | 72919 | Therapy services | 881929 |
| Magnolia Manor Pharmacy | |||||
| PO Box 988 | Hawkinsville | GA | 31036 | Pharmaceutical and Consultation | 263434 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medicare/Medicaid Payments | 623000 | 6370085 | 6370085 |
| Routine Room/Board | 623000 | 4429138 | 4429138 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10799223 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 651 | TotalRevenueColumn |
| Exclusion | $651 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Share of earning in GPV | 900099 | 44011 | $44,011 |
| Miscellaneous | 900099 | 14419 | $14,419 |
| Food Sale Revenue | 623000 | 5296 | $5,296 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5064 | TotalRevenueColumn |
| Exclusion | $5,064 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 68790 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10868664 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10799223 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $69,441 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3813899 | Total |
| Program Services | 3455722 | ProgramServices |
| Management And General | 358177 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18479 | Total |
| Program Services | 11292 | ProgramServices |
| Management And General | 7187 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 585686 | Total |
| Program Services | 555960 | ProgramServices |
| Management And General | 29726 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 315461 | Total |
| Program Services | 288040 | ProgramServices |
| Management And General | 27421 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20502 | Total |
| Management And General | 20502 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13661 | Total |
| Management And General | 13661 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68409 | Total |
| Management And General | 68409 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11302 | Total |
| Management And General | 11302 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2096582 | Total |
| Program Services | 2096582 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13387 | Total |
| Program Services | 11034 | ProgramServices |
| Management And General | 2353 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179 | Total |
| Management And General | 179 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63498 | Total |
| Program Services | 63498 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135978 | Total |
| Management And General | 135978 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Contracted Services | 1393258 | 1393258 | |
| Supplies | 764762 | 764762 | |
| Georgia Provider Fee | 628471 | 628471 | |
| Raw Food | 476545 | 476545 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 825279 | Total |
| Program Services | 326852 | ProgramServices |
| Management And General | 498427 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11245338 | Total |
| Program Services | 9443545 | ProgramServices |
| Management And General | 1801793 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36061 | BOY |
| EOY | 36795 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1300092 | BOY |
| EOY | 1419494 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10255 | BOY |
| EOY | 8282 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139174 | BOY |
| EOY | 147443 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 809115 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 435292 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 386217 | BOY |
| EOY | 373823 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66436 | BOY |
| EOY | 62446 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1938235 | BOY |
| EOY | 2048283 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 777983 | BOY |
| EOY | 822827 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3812640 | BOY |
| EOY | 2339168 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4590623 | BOY |
| EOY | 3161995 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2652388 | BOY |
| EOY | -1113712 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2652388 | BOY |
| EOY | -1113712 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1938235 | BOY |
| EOY | 2048283 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -376674 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1915350 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9479609 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8742718 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9368528 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9687096 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10799223 | CurrentTaxYear |
| Total | 48077174 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9479609 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8742718 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9368528 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9687096 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10799223 | CurrentTaxYear |
| Total | 48077174 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 48077174 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 677 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 204 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1286 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 542 | CurrentTaxYearMinus1Year |
| Current Tax Year | 651 | CurrentTaxYear |
| Total | 3360 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 677 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 204 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1286 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 542 | CurrentTaxYearMinus1Year |
| Current Tax Year | 651 | CurrentTaxYear |
| Total | 3360 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 80671 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 78333 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 70619 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 53963 | CurrentTaxYearMinus1Year |
| Current Tax Year | 68790 | CurrentTaxYear |
| Total | 352376 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9560957 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8821255 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9440433 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9741601 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10868664 | CurrentTaxYear |
| Total | 48432910 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99270 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99190 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00010 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00010 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | Schedule A, Part II, Line 12, Explanation of Other Income: Resident fees - Vending machine commissions - 2008 Amount: $ 171. Rebates refunds - 2010 Amount: $ 2,856. Employee cafeteria sales - 2008 Amount: $ 4,118. 2009 Amount: $ 1,567. 2010 Amount: $ 2,044. 2011 Amount: $ 3,324. 2012 Amount: $ 5,296. Laundry services - 2008 Amount: $ 100. Beauty shop revenue - 2008 Amount: $ 860. 2009 Amount: $ 5,812. 2010 Amount: $ 5,600. 2011 Amount: $ 7,002. 2012 Amount: $ 5,064. Miscellaneous - 2008 Amount: $ 46,610. 2009 Amount: $ 21,697. 2010 Amount: $ 2,068. 2011 Amount: $ 11,973. 2012 Amount: $ 14,419. Share of joint venture - 2008 Amount: $ 28,812. 2009 Amount: $ 49,257. 2010 Amount: $ 58,051. 2011 Amount: $ 31,664. 2012 Amount: $ 44,011. | GeneralExplanation |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 436067 | OtherCostOrOtherBasis |
| Depreciation | 257224 | Depreciation |
| Book Value | 178843 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 373048 | OtherCostOrOtherBasis |
| Depreciation | 178068 | Depreciation |
| Book Value | 194980 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 373823 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Intercompany Payable | Description |
| Amount | $2,339,168 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2339168 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | 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 Organization believes it has appropriate support for all tax positions taken and, as such, does not have any uncertain tax positions that are material to the financial statements. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Todd | ||||||||||||||
| President/CEO | 0 | 225000 | 0 | 0 | 0 | 0 | 0 | 4500 | 0 | 6020 | 0 | 235520 | 0 | 0 |
| Jerry Vick | ||||||||||||||
| SVP Finance | 0 | 166777 | 0 | 0 | 0 | 0 | 0 | 3336 | 0 | 6020 | 0 | 176133 | 0 | 0 |
| Hill Fort | ||||||||||||||
| SVP Operations | 0 | 180233 | 0 | 0 | 0 | 0 | 0 | 3605 | 0 | 6020 | 0 | 189858 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 3 | Magnolia Manor, Inc., a related Section 501(c)(3) organization, provided certain management services to the Organization. | |
| 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 prior to filing. | |
| 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 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 other similar type organizations. | |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request at the Organization's Corporate office in Americus, Georgia. | |
| Form 990, Part XI, line 9: | Intercompany transfer - forgiveness of debt 1,915,350. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XII, Line 2c | The process for the review of the audited financial statements has not changed from the prior year. | Review of Financial Statements |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | ||
| Magnolia Manor of Columbus Inc | ||||||||||||
| 2001 South Lee Street | Americus | GA | 31709 | 208034409 | Operation of two (2) nursing facilities and a retirement facility | GA | 501(c)(3) | Line 9 | 0 | None | ||
| 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 | 0 | None | ||
| 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 | 0 | None | ||
| 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 | 0 | None | ||
| MMI Assurance Ltd | ||||||||||||
| 2001 South Lee Street | Americus | GA | 31709 | 981082342 | Captive Insurance Company | 0 | Magnolia Manor Inc | CJ | ||||
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Georgia Pharmacy Ventures LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 440 Industrial Boulevard | AddressLine1 |
| City | Hawkinsville | City |
| State | GA | State |
| ZIP Code | 31036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261918757 | EIN |
| Primary Activity | Provides pharmacy related products and services to Magnolia Manor residents | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Magnolia Manor Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | 44011 | ShareOfTotalIncome |
| Share Of EOY Assets | 101513 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.15000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |