2011-02-10T15:34:17-06:00 2010-06-30 Mauldin & Jenkins LLC P O Box 1877 Macon GA 312021877 990 2009-07-01 201364957 Magnolia Manor of St Simons Inc MAGN 2299249352 2001 South Lee Street Americus GA 31709 Mark Todd 2299249352 2011-02-08 1 Rick Alibozek 4784648000 2011-02-08 X 2009 2016-02-24 21:20:13Z Mark Todd 2001 South Lee Street Americus GA 31709 8821255 0 X www.magnoliamanor.com X 2004 GA 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. 13 13 205 32 0 0 0 9479609 8742718 677 204 80671 78333 9560957 8821255 0 0 4370293 4069860 0 0 5544253 5757035 9914546 9826895 -353589 -1005640 1564762 1888915 1852980 3182773 -288218 -1293858 The Corporation is organized to provide long-term care to the sick and elderly in a spiritual setting through the operation of a 125-bed long-term care facility and a 94-bed retirement community. 0 0 8386624 8821051 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. 8386624 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 25 0 205 1 0 0 0 0 0 0 0 0 0 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 GA X Magnolia Manor Inc 2299249352 2001 South Lee Street Americus GA 31709 X Cecil Abarr 1.00 X 0 0 0 Dr Hal Brady 1.00 X 0 0 0 James R Buchanan Jr 1.00 X X 0 0 0 John Gill 1.00 X 0 0 0 Ann Harris 1.00 X 0 0 0 Mark Johnson 1.00 X 0 0 0 Eloise Paschal 1.00 X X 0 0 0 Hon J Taylor Phillips 1.00 X 0 0 0 Bob Reinhardt 1.00 X 0 0 0 Edie Vinson 1.00 X 0 0 0 George Youmans Sr 1.00 X 0 0 0 Dr Connie Blanchard 1.00 X 0 0 0 Wayne Johnson 1.00 X 0 0 0 Mark Todd 3.00 X 0 184313 5323 Jerry Vick 3.00 X 0 136108 7946 Hill Fort 3.00 X 0 146032 8450 Diane Wade 3.00 X 0 95423 6832 0 561876 28551 0 0 1 0 Aegis Therapies Inc One Thousand Beverly Way Fort Smith AR 72919 Therapy services 659215 Sterigen LLC 1769 Plains Highway Dawson GA 39842 Laundry 358434 2 Medicare/Medicaid Paym 623000 4834948 4834948 Routine Room/Board 623000 3907770 3907770 8742718 204 204 Share of earning in Ph 900099 49257 49257 Miscellaneous 900099 21696 21696 Beauty Shop Revenue 623000 5812 5812 1568 1568 78333 8821255 8821051 0 204 3368983 3037840 331143 25975 20718 5257 415188 392853 22335 259714 234061 25653 19586 19586 27436 27436 68500 68500 1915 1915 1980642 1980642 13194 5097 8097 3020 3020 67300 67300 125123 125123 Contracted Services 1411245 1403659 7586 Supplies 637589 607800 29789 Raw Food 402106 402106 Georgia Provider fee 379926 379926 Management Fees 352141 352141 267312 234548 32764 9826895 8386624 1440271 0 27100 83084 5753 848998 1173377 18110 21203 190316 136451 635169 245114 415426 390055 64812 78992 1564762 1888915 932441 884337 858300 548600 62239 1749836 1852980 3182773 X -288218 -1293858 -288218 -1293858 1564762 1888915 X 0 0 0 X 8178751 8612118 9962768 9479609 8742718 44975964 8178751 8612118 9962768 9479609 8742718 44975964 0 0 0 44975964 5130 7145 3850 677 204 17006 5130 7145 3850 677 204 17006 99129 154622 95350 80671 78333 508105 8283010 8773885 10061968 9560957 8821255 45501075 0.98850 0.98500 0.00040 0.00060 X 401719 142422 259297 233450 102692 130758 390055 Due to Sponsoring organization and related entities 1749836 1749836 X 0 0 0 0 0 0 0 0 0 Mark Todd 0 184313 0 0 0 0 0 0 0 5323 0 189636 0 0 Hill Fort 0 146032 0 0 0 0 0 0 0 8450 0 154482 0 0 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. 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 Board of Directors establishes the CEO's salary based on industry norms and compensation studies for other similar type organizations. The CEO establishes compensation levels for other members of management. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy and Form 990 available to the public upon request. 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