2021-03-19T18:27:27-05:00 2020-06-30 430765316 RUBINBROWN LLP ONE NORTH BRENTWOOD SAINT LOUIS MO 63105 990 2019-07-01 430679177 MANOR GROVE INC MANO 3149650864 711 SOUTH KIRKWOOD ROAD ST LOUIS MO 63122 GEORGE ROLBY PRESIDENT 3149650864 2021-03-19 1 ARIANA N WARREN P01441395 3142903300 2019 2022-09-23 18:48:47Z HAROLD LUTZ 711 SOUTH KIRKWOOD ROAD ST LOUIS MO 63122 11123523 0 X WWW.MANORGROVE.COM X 1907 MO TO PRESERVE THE QUALITY OF LIFE & PROVIDE EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. 12 12 294 22 0 0 10111 416346 9453698 9143116 221493 211720 24959 21443 9710261 9792625 0 0 0 0 5971983 5820391 0 0 0 3831196 4383333 9803179 10203724 -92918 -411099 13404069 13985470 1047410 2108295 12356659 11877175 X TO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. WE RECOGNIZE THAT GOOD PEOPLE MAKE THE DIFFERENCE AND ARE THE KEY TO PROVIDING QUALITY CARE TO RESIDENTS WHO COME TO US FOR LONG-TERM CARE. WE ASSIST RESIDENTS IN ACHIEVING THEIR HIGHEST POSSIBLE LEVEL OF PHYSICAL, PSYCHOSOCIAL AND SPIRITUAL POTENTIAL, ALWAYS WORKING TO PROTECT AND ENHANCE THEIR DIGNITY. WE SEEK TO CONTINUALLY IMPROVE THE SERVICES WE PROVIDE TO STAY CURRENT WITH THE CHANGING ENVIRONMENT AND TO MAINTAIN A HOME-LIKE ATMOSPHERE FOR OUR FAMILY OF RESIDENTS. 0 0 8913514 9143116 OWNING AND OPERATING A LICENSED 117-BED SKILLED NURSING FACILITY LOCATED IN ST. LOUIS, MISSOURI. RENOVATIONS FROM FISCAL YEAR 2008 ADDED A THERAPY ROOM AND MODIFIED 14 ROOMS FOR MEDICARE RESIDENTS. MANOR GROVE'S HOME-LIKE ENVIRONMENT ASSURES PEACE OF MIND FOR RESIDENTS AND THEIR FAMILIES. IN 2015, A NEW PARKING LOT WAS ADDED ON THE NORTH-WEST SIDE OF THE MAIN BUILDING TO ACCOMODATE PARKING NEEDS OF FAMILY MEMBERS AND EMPLOYEES. IN 2017, THE RENOVATION OF THE SECOND FLOOR TOOK PLACE WHICH MADE THE SECOND FLOOR MUCH MORE ATTRACTIVE AND COMFORTABLE TO THE CURRENT AND PROSPECTIVE RESIDENTS. IN 2018, A NEW NURSES CALL SYSTEM WAS INSTALLED ON THE SECOND FLOOR. IN 2019-2020, A NEW GENERATOR WAS PUT IN PLACE. 8913514 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 61 0 294 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 1 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 1 1 X ROZA KOYEN 3149650864 711 SOUTH KIRKWOOD ROAD ST LOUIS MO 63122 GEORGE ROLBY PRESIDENT 3.00 X X 0 0 0 CAROL EILER VICE PRESIDENT 1.00 X X 0 0 0 SHEILA EATON SECRETARY 3.00 X X 0 0 0 PHIL ROUSH TREASURER 1.00 X X 0 0 0 JIM WIRE CONTROLLER 1.00 X X 0 0 0 LUKE BAUMSTARK MEMBER 1.00 X 0 0 0 BOB BRUCKNER MEMBER 1.00 X 0 0 0 DIANE KEEFE MEMBER 1.00 X 0 0 0 DR ANNA NAUMOVICH MEMBER 1.00 X 0 0 0 E LEE POTTS MEMBER 1.00 X 0 0 0 ANNE ROEHM MEMBER 2.00 X 0 0 0 HARDY WASHINGTON JR MEMBER 1.00 X 0 0 0 ROZA KOYEN ACCOUNTANT 40.00 X 60431 0 10625 BARBARA ERRICO ADMINISTRATOR 40.00 X 83546 0 7441 HAROLD LUTZ ADMINISTRATOR 40.00 X 30701 0 1401 174678 0 19467 0 0 0 0 ALLIANCE REHAB STL LLC DBA SYBRIA REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60666 THERAPY 339275 US FOODSERVICE PO BOX 504854 ST LOUIS MO 63150 FOOD 289251 MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE IL 600554400 MEDICAL SUPPLIES 204846 PHARMACY CORPORATION OF AMERICA PO BOX 409251 ATLANTA GA 303849251 PRESCRIPTIONS 192407 KEVIN DEPEW DBA SILVERBACK VIDEO LLC 2342 CENTERLINE INSUSTRIAL DR ST LOUIS MO 63146 MARKETING 120979 10 406417 9929 416346 ELDERLY CARE 623000 9143116 9143116 9143116 143339 143339 46800 46673 127 127 127 1352606 1284225 68381 68381 68381 MISCELLANEOUS INCOME 900099 15990 15990 TRANSPORTATION INCOME 900099 5326 5326 21316 9792625 9143116 0 233163 X 198259 37015 161244 4572138 4308215 263923 42614 5129 37485 659208 561674 97534 348172 318018 30154 22688 4329 18359 84289 84289 40613 40613 1212809 1212809 150103 150103 377805 345232 32573 256192 252862 3330 714 714 7671 3898 3773 3907 3907 447794 441973 5821 264872 251504 13368 MEDICAID NFRA TAX 427396 427396 SERVICE CONTRACTS 337977 37111 300866 FOOD SERVICE EXPENSES 314491 314491 PHARMACY AND SUPPLEMENT 164237 164237 269775 227621 42154 10203724 8913514 1290210 0 6816 143528 834076 1770710 404376 394156 49889 54346 74443 105012 14847319 8484191 6516353 6363128 5210623 4846506 307493 308084 13404069 13985470 610969 693396 15319 5906 328358 288550 92764 1120443 1047410 2108295 X 12346072 11873691 10587 3484 12356659 11877175 13404069 13985470 -411099 -68385 0 X X 0 1 X 1 0 X 62872 45974 22224 10111 416346 557527 9048910 9359302 9172972 9453698 9143116 46177998 16172 27600 27600 44453 46800 162625 9127954 9432876 9222796 9508262 9606262 46898150 0 0 0 46898150 634467 102525 165262 180340 143339 1225933 634467 102525 165262 180340 143339 1225933 8444 -20759 27598 28326 21316 64925 9770865 9514642 9415656 9716928 9770917 48189008 0.97320 0.97340 0.02540 0.02560 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 8,444. 2016 AMOUNT: $ -20,759. 2017 AMOUNT: $ 27,598. 2018 AMOUNT: $ 28,326. 2019 AMOUNT: $ 21,316. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 418080 418080 12148511 6917847 5230664 1173956 760880 413076 1106772 805464 301308 6363128 CAPITAL LEASE OBLIGATION 69616 PAYROLL PROTECTION PROGRAM LOAN 1050827 1120443 9679720 -68385 -3907 -72292 9752012 40613 40613 9792625 10159204 0 10159204 40613 3907 44520 10203724 PART IV, LINE 2B: SECURITY DEPOSITS HELD ON BEHALF OF RESIDENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTEREST EXPENSE -3,907. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE 3,907. FORM 990, PART VI, SECTION A, LINE 4 DURING THE YEAR ENDED JUNE 30, 2020, TWO SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS. THE FIRST WAS TO REMOVE THE TREASURER POSITION ON THE BOARD, FOR WHICH THE DUTIES WILL NOW BE PERFORMED BY THE CONTROLLER. THE SECOND CHANGE REDUCED THE REQUIRED RANGE OF THE NUMBER OF BOARD MEMBERS FROM 12-20, TO 9-15. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT MAY ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ADMINISTRATOR WILL REVIEW THE PREPARED FORM 990. THE BOARD WILL REVIEW AND APPROVE THE 990 DURING THEIR FIRST MEETING AFTER THE 990 HAS BEEN PREPARED. BOARD MEMBERS WILL BE ABLE TO VOICE ANY COMMENTS OR CONCERNS, DECIDE IF ANY CHANGES NEED TO BE MADE. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS OF THE BOARD ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. IF THE ADMINISTRATOR OR THE BOARD MEMBER SUSPECTS A CONFLICT OF INTEREST, IT IS DISCLOSED AT THE NEXT BOARD MEETING. THE BOARD MEMBERS DISCUSS THE ISSUES AND ACCEPT OR DENY THE TRANSACTION. THE DISCLOSURE, DISCUSSION, AND DECISION HAPPEN BEFORE THE TRANSACTION OCCURS. NO RESTRICTIONS HAVE BEEN IMPOSED SO FAR. FORM 990, PART VI, SECTION B, LINE 15A MANAGEMENT REVIEWS COMPENSATION TO VERIFY AMOUNTS ARE COMPARABLE TO OTHER ENTITIES IN THE SAME REGION AND SIZE AMONG OTHER FACTORS. BOARD OF DIRECTORS REVIEW AND APPROVE COMPENSATION FOR THE ADMINISTRATOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, THEIR CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B: INVESTMENT IN SCN, INC. THE ORGANIZATION ADOPTED A POLICY IN 2015 FOR THE MONITORING OF THIS INVESTMENT. DURING THE 2011 TAX YEAR SCN, INC. CONVERTED FROM A NON PROFIT ORGANIZATION TO A FOR PROFIT ORGANIZATION WITH FIVE MEMBERS, ALL OF WHICH ARE 501(C)(3) ORGANIZATIONS. SCN, INC. HAS BEEN ORGANIZED TO ENABLE ITS MEMBERS TO TAKE ADVANTAGE OF GROUP DISCOUNTS WHEN PURCHASING SUPPLIES AND SERVICES NEEDED FOR OPERATION OF THEIR NURSING HOME AND SKILLED-NURSING FACILITIES. FORM 990, PART IX, LINE 11G THERAPY SERVICES: PROGRAM SERVICE EXPENSES 336,664. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 336,664. PROFESSIONAL NURSING: PROGRAM SERVICE EXPENSES 876,145. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 876,145. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS METHOD OF SUPERVISING THE AUDIT IN THE LAST YEAR.