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MAGNOLIA MANOR OF COLUMBUS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF COLUMBUS INC (EIN 20-8034409)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-01-11
IRS object ID
201310119349300406
Schema version
2011v1.2
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)
Timestamp2013-01-11T09:11:51-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN208034409EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Magnolia Manor of Columbus 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 Signed2013-01-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRick AlibozekName
PTINP00108158PTIN
Phone4784648000Phone
Date Prepared2013-01-02DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts18212565GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.magnoliamanor.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionThe 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees534TotalNbrEmployees
Total Nbr Volunteers245TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19838078ProgramServiceRevenuePriorYear
Program Service Revenue CY18034588ProgramServiceRevenueCY
Investment Income Prior Year2555InvestmentIncomePriorYear
Investment Income Current Year2306InvestmentIncomeCurrentYear
Other Revenue Prior Year432743OtherRevenuePriorYear
Other Revenue Current Year175671OtherRevenueCurrentYear
Total Revenue Prior Year20273376TotalRevenuePriorYear
Total Revenue Current Year18212565TotalRevenueCurrentYear
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 Year8957646SalariesEtcPriorYear
Salaries Etc Current Year8893589SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11495977OtherExpensePriorYear
Other Expenses Current Year10229955OtherExpensesCurrentYear
Total Expenses Prior Year20453623TotalExpensesPriorYear
Total Expenses Current Year19123544TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-180247RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-910979RevenuesLessExpensesCY
Total Assets BOY19738506TotalAssetsBOY
Total Assets EOY22243402TotalAssetsEOY
Total Liabilities BOY25642801TotalLiabilitiesBOY
Total Liabilities EOY29058676TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5904295NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-6815274NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15872934Expense
Revenue18210259Revenue
DescriptionProvided 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. The Corporation provided approximately 110,000 days of service during the year.Description
Total Program Service Expense15872934TotalProgramServiceExpense
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees534NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
James R Buchanan Jr
Trustee0.00X000
Ann Harris
Trustee0.00X000
Mark Johnson
Chairman0.00X000X
Eloise Paschal
Secretary0.00X000X
Hon J Taylor Phillips
Trustee0.00X000
Chuck Reeves
Trustee0.00X000
Edie Vinson
Trustee0.00X000
John Stephens
Trustee0.00X000
Dr Connie Blanchard
Trustee0.00X000
Jean Wheeler
Trustee0.00X000
Kip Smith
Trustee0.00X000
Mark Todd
President/CEO40.0002238469976X
Diane Wade
SVP Marketing40.0001077897288X
Jerry Vick
SVP Finance40.0001647698771X
Hill Fort
SVP Operations40.0001767849025X
Angela Rose
Administrator40.0012001607650X
FieldValueIRS element (for citing)
Total Reportable Comp From Org120016TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs673188TotalReportableCompFrmRltdOrgs
Total Other Compensation42710TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Aegis Therapies Inc
PO Box 8103Fort SmithAR72919Therapy1381450
Honeywell International Inc
12490 Collections Center DrChicagoIL60693HVAC equipment maintenance292993
Magnolia Manor Pharmacy
PO Box 988HawkinsvilleGA31036Pharmaceuticals and consultations111438
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare/Medicaid Paym6230001443302614433026
Routine Room/Board62300036015623601562
FieldValueIRS element (for citing)
Total Program Service Revenue18034588TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2306TotalRevenueColumn
Exclusion$2,306ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Share of Pharmacy vent900099100269100269
Beauty Shop Revenue9000993353933539
Food Sale Revenue6230002547925479

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column16384TotalRevenueColumn
Related Or Exempt Function Income16384RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue175671TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18212565TotalRevenueColumn
Related Or Exempt Function Income18210259RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,306ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7178651Total
Program Services6574087ProgramServices
Management And General604564ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total132248Total
Program Services115148ProgramServices
Management And General17100ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total990356Total
Program Services933006ProgramServices
Management And General57350ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total592334Total
Program Services544723ProgramServices
Management And General47611ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40816Total
Management And General40816ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total51612Total
Management And General51612ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total49569Total
Management And General49569ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total641Total
Management And General641ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1615548Total
Program Services1615548ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total22875Total
Program Services7787ProgramServices
Management And General15088ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2159Total
Management And General2159ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total658103Total
Program Services658103ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total309871Total
Management And General309871ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contracted Services32676013267601
Supplies13788881378888
Georgia Provider Fee11764471176447
Management Fees719981719981

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total935844Total
Program Services778043ProgramServices
Management And General157801ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19123544Total
Program Services15872934ProgramServices
Management And General3250610ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY354671BOY
EOY109626EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2979432BOY
EOY1869304EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY19535BOY
EOY21620EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY47531BOY
EOY47465EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20498699LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec576029LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16056228BOY
EOY19922670EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY281109BOY
EOY210379EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY62338EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19738506BOY
EOY22243402EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3216838BOY
EOY2762529EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1083BOY
EOY1583EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17552146BOY
EOY21095811EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4872734BOY
EOY5198753EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25642801BOY
EOY29058676EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5904295BOY
EOY-6815274EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5904295BOY
EOY-6815274EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19738506BOY
EOY22243402EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-910979ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years17929270CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17962317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18926848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19838078CurrentTaxYearMinus1Year
Current Tax Year18034588CurrentTaxYear
Total92691101Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17929270CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17962317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18926848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19838078CurrentTaxYearMinus1Year
Current Tax Year18034588CurrentTaxYear
Total92691101Total

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 Total50992691101PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1140CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years541CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2555CurrentTaxYearMinus1Year
Current Tax Year2306CurrentTaxYear
Total6835Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1140CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years541CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2555CurrentTaxYearMinus1Year
Current Tax Year2306CurrentTaxYear
Total6835Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years244155CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115616CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years207487CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year252666CurrentTaxYearMinus1Year
Current Tax Year175671CurrentTaxYear
Total995595Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18174565CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18078474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19134628CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20093299CurrentTaxYearMinus1Year
Current Tax Year18212565CurrentTaxYear
Total93693531Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98930PublicSupportPercentage509
Prior Year Support Percentage0.98850PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1800000OtherCostOrOtherBasis
Book Value1800000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16772636OtherCostOrOtherBasis
Depreciation390297Depreciation
Book Value16382339BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1743207OtherCostOrOtherBasis
Depreciation185732Depreciation
Book Value1557475BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis182856OtherCostOrOtherBasis
Book Value182856BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19922670TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to/from related partiesDescription
Amount$5,198,753Amount
FieldValueIRS element (for citing)
Total Of Amounts5198753TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationIt is the Corporation'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 Corporation 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 Corporation's tax positions and concluded that the Corporation 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)

Base 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
022384600000447705499023382200
Jerry Vick
016476900000329505476017354000
Hill Fort
017678400000353605489018580900

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 3Management functions are performed by Magnolia Manor, Inc., a related Section 501(c)(3) organization. Magnolia Manor, Inc. is related through common management and governing board.
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. 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 12cBoard 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 15aThe 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 18The Organization makes its Form 1023 and Form 990 available to the public upon request at the Organization's Corporate office in Americus, Georgia.
Form 990, Part VI, Section C, line 19The 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 XII, Line 2cThere was no change in the process for the review of financial statements from the prior year.Review of Financial Statements

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Magnolia Manor Inc
2001 South Lee StreetAmericusGA31709580911706Management and operation of long-term care and retirement facilitiesGA501(c)(3)Line 9N/A0
Magnolia Manor of Macon Supportive Housing Inc
2001 South Lee StreetAmericusGA31709311651955HUD Supportive housing facilityGA501(c)(3)Line 90Magnolia Manor Inc
Magnolia Manor of Marion County Inc
2001 South Lee StreetAmericusGA31709201220860Lease and operation of a long-term care facilityGA501(c)(3)Line 90Magnolia Manor Inc
Magnolia Manor of St Simons Inc
2001 South Lee StreetAmericusGA31709201364957Lease and operation of a long-term care facility and a retirement communityGA501(c)(3)Line 90Magnolia Manor Inc
Magnolia Manor of Macon Inc
2001 South Lee StreetAmericusGA31709261311379Operation of a retirement facilityGA501(c)(3)Line 90Magnolia Manor Inc

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Georgia Pharmacy VenturesBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1440 Industrial BoulevardAddressLine1
CityHawkinsvilleCity
StateGAState
ZIP Code31036ZIPCode
FieldValueIRS element (for citing)
EIN261918757EIN
Primary ActivityProvides pharmacy related products and services to Magnolia Manor residentsPrimaryActivity
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 Income100269ShareOfTotalIncome
Share Of EOY Assets312599ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.47500PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Org1OtherTransferFromOtherOrg