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MAGNOLIA MANOR OF COLUMBUS INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MAGNOLIA MANOR OF COLUMBUS INC (EIN 20-8034409)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-10
IRS object ID
201120419349301557
Schema version
2009v1.7
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)
Timestamp2011-02-10T15:34:17-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-02-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRick AlibozekName
Phone4784648000Phone
Date Prepared2011-02-08DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts19134628GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees543TotalNbrEmployees
Total Nbr Volunteers230TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18033229ProgramServiceRevenuePriorYear
Program Service Revenue CY18926848ProgramServiceRevenueCY
Investment Income Prior Year541InvestmentIncomePriorYear
Investment Income Current Year293InvestmentIncomeCurrentYear
Other Revenue Prior Year135939OtherRevenuePriorYear
Other Revenue Current Year207487OtherRevenueCurrentYear
Total Revenue Prior Year18169709TotalRevenuePriorYear
Total Revenue Current Year19134628TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10175672SalariesEtcPriorYear
Salaries Etc Current Year8904802SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9654035OtherExpensePriorYear
Other Expenses Current Year10682270OtherExpensesCurrentYear
Total Expenses Prior Year19829707TotalExpensesPriorYear
Total Expenses Current Year19587072TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1659998RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-452444RevenuesLessExpensesCY
Total Assets BOY20386835TotalAssetsBOY
Total Assets EOY20518520TotalAssetsEOY
Total Liabilities BOY25658439TotalLiabilitiesBOY
Total Liabilities EOY26242568TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5271604NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5724048NetAssetsOrFundBalancesEOY
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
Expense16797908Expense
Revenue19134335Revenue
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.Description
Total Program Service Expense16797908TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees543NumberOfEmployees
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
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Cecil Abarr
Board member1.00X000
Dr Hal Brady
Board member1.00X000
James R Buchanan Jr
Chairman1.00X000X
John Gill
Vice Chairman1.00X000
Ann Harris
Board member1.00X000
Mark Johnson
Board member1.00X000
Eloise Paschal
Secretary1.00X000X
Hon J Taylor Phillips
Board member1.00X000
Bob Reinhardt
Board member1.00X000
Edie Vinson
Board member1.00X000
George E Youmans
Board member1.00X000
Dr Connie Blanchard
Board member1.00X000
Wayne Johnson
Board member1.00X000
Mark Todd
President5.0001843135323X
Hill Fort
Senior Vice President of5.0001460328450X
Diane Wade
Senior Vice President of5.000954236832X
Jerry Vick
Senior Vice President of5.0001361087946X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs561876TotalReportableCompFrmRltdOrgs
Total Other Compensation28551TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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
One Thousand Beverly WayFort SmithAR72919Therapy932838
Global Personnel Services Inc
1127 Brown AvenueColumbusGA31906Contract nursing564660
Sodexo Inc
PO Box 536922AtlantaGA30353Dietary consulting327488
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 Paym6230001525618015256180
Routine Room/Board62300036706683670668
FieldValueIRS element (for citing)
Total Program Service Revenue18926848TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column293TotalRevenueColumn
Exclusion$293ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Share of Pharmacy vent900099155980155980
Food Sale Revenue6230002486324863
Beauty Shop Revenue9000992023220232

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column6412TotalRevenueColumn
Related Or Exempt Function Income6412RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue207487TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19134628TotalRevenueColumn
Related Or Exempt Function Income19134335RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$293ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7241462Total
Program Services6696113ProgramServices
Management And General545349ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total33150Total
Program Services27886ProgramServices
Management And General5264ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1033995Total
Program Services985626ProgramServices
Management And General48369ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total596195Total
Program Services552175ProgramServices
Management And General44020ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38921Total
Management And General38921ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total21106Total
Management And General21106ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total48059Total
Management And General48059ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total34968Total
Management And General34968ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2042417Total
Program Services2042417ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total18467Total
Program Services9896ProgramServices
Management And General8571ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1382Total
Management And General1382ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1031690Total
Program Services1031690ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total292618Total
Management And General292618ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contracted Services25104572510457
Supplies16186911618691
Georgia Provider Fee10914391091439
Raw Food782173782173
Bad debt expense442745442745

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total707137Total
Program Services98039ProgramServices
Management And General609098ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19587072Total
Program Services16797908ProgramServices
Management And General2789164ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY72913BOY
EOY91504EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY39588EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2206305BOY
EOY3081512EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY19871BOY
EOY17912EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY48006BOY
EOY50677EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20581941LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3594755LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17834503BOY
EOY16987186EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY205237BOY
EOY250141EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20386835BOY
EOY20518520EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1122888BOY
EOY1593456EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1750BOY
EOY1333EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY20388196BOY
EOY19673745EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4145605BOY
EOY4974034EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25658439BOY
EOY26242568EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5271604BOY
EOY-5724048EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5271604BOY
EOY-5724048EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20386835BOY
EOY20518520EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
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 Minus3 Years8993883CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17929270CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17962317CurrentTaxYearMinus1Year
Current Tax Year18926848CurrentTaxYear
Total63812318Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years8993883CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17929270CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17962317CurrentTaxYearMinus1Year
Current Tax Year18926848CurrentTaxYear
Total63812318Total

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 Total50963812318PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years283CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1140CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year541CurrentTaxYearMinus1Year
Current Tax Year293CurrentTaxYear
Total2257Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years283CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1140CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year541CurrentTaxYearMinus1Year
Current Tax Year293CurrentTaxYear
Total2257Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years145049CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years244155CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year115616CurrentTaxYearMinus1Year
Current Tax Year207487CurrentTaxYear
Total712307Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years9139215CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18174565CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18078474CurrentTaxYearMinus1Year
Current Tax Year19134628CurrentTaxYear
Total64526882Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis165000OtherCostOrOtherBasis
Depreciation688Depreciation
Book Value164312BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis189213OtherCostOrOtherBasis
Depreciation54215Depreciation
Book Value134998BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20227728OtherCostOrOtherBasis
Depreciation3539852Depreciation
Book Value16687876BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16987186TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Sponsoring OrganizationDescription
Amount$4,974,034Amount
FieldValueIRS element (for citing)
Total Of Amounts4974034TotalOfAmounts

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 (2 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
018431300000005323018963600
Hill Fort
014603200000008450015448200

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
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 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 Board of Directors establishes the CEO's salary based on industry norms and compensation studies for other similar type organizations. The CEO establishes the salary for Senior Vice Presidents of Operations and Finance.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents and conflict of interest policy available to the public upon request. The Organization does not receive audited financial statements.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1Legal Domicile Foreign CountryLegalDomicileForeignCountry
Magnolia Manor Inc
2001 South Lee StreetAmericusGA31709580911706Management and operation of long-term care and retirement facilitiesGA501(c)(3)Line 9N/A
Magnolia Manor of Macon Supportive Housing Inc
2001 South Lee StreetAmericusGA31709311651955HUD Supportive housing facilityGA501(c)(3)Line 9Magnolia Manor Inc
Magnolia Manor of Marion County Inc
2001 South Lee StreetAmericusGA31709201220860Lease and operation of a long-term care facilityGA501(c)(3)Line 9Magnolia 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 9Magnolia Manor Inc
Magnolia Manor of Macon Inc
2001 South Lee StreetAmericusGA31709261311379Operation of an assisted living facilityGA501(c)(3)Line 9Magnolia Manor Inc
MMI Assurance Ltd
2001 South Lee StreetAmericusGA31709Captive insurance companyMagnolia Manor IncCJ

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 Income155980ShareOfTotalIncome
Share Of EOY Assets185506ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
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 Org1PurchaseOfAssetsFromOtherOrg
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 Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Georgia Pharmacy Ventures LLCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeGTransactionType
Amount Involved613472AmountInvolved