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MAGNOLIA MANOR OF MARION COUNTY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF MARION COUNTY INC (EIN 20-1220860)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-12-20
IRS object ID
201243559349300404
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)
Timestamp2012-12-20T09:03:08-06:00Timestamp
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)
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 Signed2012-12-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRick AlibozekName
PTINP00108158PTIN
Phone4784648000Phone
Date Prepared2012-12-17DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts4433352GrossReceipts
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 Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees86TotalNbrEmployees
Total Nbr Volunteers28TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4191696ProgramServiceRevenuePriorYear
Program Service Revenue CY4354128ProgramServiceRevenueCY
Investment Income Prior Year772InvestmentIncomePriorYear
Investment Income Current Year870InvestmentIncomeCurrentYear
Other Revenue Prior Year102026OtherRevenuePriorYear
Other Revenue Current Year78354OtherRevenueCurrentYear
Total Revenue Prior Year4294494TotalRevenuePriorYear
Total Revenue Current Year4433352TotalRevenueCurrentYear
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 Year1748267SalariesEtcPriorYear
Salaries Etc Current Year1801890SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1416690OtherExpensePriorYear
Other Expenses Current Year1392968OtherExpensesCurrentYear
Total Expenses Prior Year3164957TotalExpensesPriorYear
Total Expenses Current Year3194858TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1129537RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1238494RevenuesLessExpensesCY
Total Assets BOY5192603TotalAssetsBOY
Total Assets EOY6429227TotalAssetsEOY
Total Liabilities BOY255647TotalLiabilitiesBOY
Total Liabilities EOY253777TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4936956NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6175450NetAssetsOrFundBalancesEOY
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
Expense2536457Expense
Revenue4416650Revenue
DescriptionProvided long-term care for the sick and elderly in a spiritual setting in a 70-bed skilled nursing facility. The Organization provided 21,445 patient days of service during the year.Description
Total Program Service Expense2536457TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees86NumberOfEmployees
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 (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
James R Buchanan Jr
Trustee0.00X000
Eloise Paschal
Secretary0.00X000X
Ann Harris
Trustee0.00X000
Mark Johnson
Chairman0.00X000X
Hon J Taylor Phillips
Trustee0.00X000
Edie Vinson
Trustee0.00X000
Dr Connie Blanchard
Trustee0.00X000
John Stephens
Trustee0.00X000
Jean Wheeler
Trustee0.00X000
Chuck Reeves
Trustee0.00X000
Kip Smith
Trustee0.00X000
Mark Todd
President/CEO40.0002238469976X
Jerry Vick
SVP Finance40.0001647698771X
Hill Fort
SVP Operations40.0001767849025X
Diane Wade
SVP Marketing40.0001077897288X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs673188TotalReportableCompFrmRltdOrgs
Total Other Compensation35060TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Integra Rehabilitation Co IncBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11013 Riverburch Parkway Ste 2AddressLine1
CityDaltonCity
StateGAState
ZIP Code30721ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesRehabilitation ServicesDescriptionOfServices
Compensation104128Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare/Medicaid Paym62300041158284115828
Routine Room/Board623000238300238300
FieldValueIRS element (for citing)
Total Program Service Revenue4354128TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column870TotalRevenueColumn
Exclusion$870ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real56243Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real56243Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column56243TotalRevenueColumn
Related Or Exempt Function Income56243RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Share of LLC investmen90009915832$15,832
Food Sale Revenue62300050085008
Miscellaneous62300012711271
FieldValueIRS element (for citing)
Total Other Revenue22111TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4433352TotalRevenueColumn
Related Or Exempt Function Income4416650RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$16,702ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1438395Total
Program Services1302584ProgramServices
Management And General135811ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total33703Total
Program Services31493ProgramServices
Management And General2210ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total216960Total
Program Services207360ProgramServices
Management And General9600ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total112832Total
Program Services102366ProgramServices
Management And General10466ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9144Total
Management And General9144ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2155Total
Management And General2155ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total18974Total
Management And General18974ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1440Total
Management And General1440ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total310501Total
Program Services310501ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total5796Total
Program Services3189ProgramServices
Management And General2607ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17828Total
Program Services17828ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total53596Total
Management And General53596ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Georgia Provider Fee271911271911
Contracted Services198206198206
Supplies192555192555
Raw Food132888132888

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total177974Total
Program Services37487ProgramServices
Management And General140487ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3194858Total
Program Services2536457ProgramServices
Management And General658401ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY67515BOY
EOY42013EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY221220BOY
EOY181076EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4290BOY
EOY4981EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9810BOY
EOY8678EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis270564LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec45513LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY155601BOY
EOY225051EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY44386BOY
EOY33218EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4689781BOY
EOY5934210EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5192603BOY
EOY6429227EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY255647BOY
EOY253777EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY255647BOY
EOY253777EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4936956BOY
EOY6175450EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4936956BOY
EOY6175450EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5192603BOY
EOY6429227EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1238494ReconcilationRevenueExpenses
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 Years3791163CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3633828CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3813848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4191696CurrentTaxYearMinus1Year
Current Tax Year4354128CurrentTaxYear
Total19784663Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3791163CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3633828CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3813848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4191696CurrentTaxYearMinus1Year
Current Tax Year4354128CurrentTaxYear
Total19784663Total

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 Total50919784663PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years63218CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57012CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years61821CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67241CurrentTaxYearMinus1Year
Current Tax Year57113CurrentTaxYear
Total306405Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years63218CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57012CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years61821CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67241CurrentTaxYearMinus1Year
Current Tax Year57113CurrentTaxYear
Total306405Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4888CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5227CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30524CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32934CurrentTaxYearMinus1Year
Current Tax Year22111CurrentTaxYear
Total95684Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3859269CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3696067CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3906193CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4291871CurrentTaxYearMinus1Year
Current Tax Year4433352CurrentTaxYear
Total20186752Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98010PublicSupportPercentage509
Prior Year Support Percentage0.97850PriorYearSupportPercentage
Investment Income Percentage0.01520InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01650PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5500OtherCostOrOtherBasis
Depreciation1650Depreciation
Book Value3850BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis265064OtherCostOrOtherBasis
Depreciation43863Depreciation
Book Value221201BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings225051TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionRelated party accounts receivableDescription
Book Value5934210BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets5934210TotalBookValueOtherAssets

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 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)

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 ReferenceReturnReferenceExplanationExplanation
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 18The Organization will make its Form 1023 and Form 990 available to the public upon request at the Magnolia Manor, Inc. Corporate office in Americus, Georgia.
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 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 (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
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 9Magnolia Manor Inc0
Magnolia Manor of Macon Supportive Housing Inc
190 Pierce AveMaconGA31204311651955HUD supportive housingGA501(c)(3)Line 9Magnolia Manor Inc0
Magnolia Manor of Columbus Inc
2010 Warm Springs RdColumbusGA31904208034409Elderly affordable long-term care and assisted livingGA501(c)(3)Line 9Magnolia Manor Inc0
Magnolia Manor of Macon Inc
190 Pierce AveMaconGA31204261311379Elderly assisted livingGA501(c)(3)Line 9Magnolia Manor Inc0

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 Income15832ShareOfTotalIncome
Share Of EOY Assets49358ShareOfEOYAssets
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 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