2017-12-11T14:57:51-06:00 2017-06-30 430765316 RubinBrown LLP One North Brentwood Saint Louis MO 63105 990 2016-07-01 430679177 Manor Grove Inc MANO 3149650864 711 South Kirkwood Road St Louis MO 63122 George Rolby Board President 3149650864 2017-12-11 1 John E Butler P00325554 3142903300 12.219.218.18 2017-12-11 10:14:20 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1C4CBC63CB38A79D905D5D782F958D4264BAACFA 2016 2017-02-10 21:41:12Z George Rolby 711 SOUTH KIRKWOOD RD ST LOUIS MO 63122 9538672 0 X WWW.MANORGROVE.COM X 1907 MO TO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. 12 12 221 22 0 0 58402 45974 9048910 9359302 634467 102525 -89689 -81586 9652090 9426215 0 0 0 0 5864200 6191430 0 0 0 2917024 2975232 8781224 9166662 870866 259553 13034038 13661213 1001164 1053773 12032874 12607440 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 7760568 9338543 Owning and operating a licensed 117-bed skilled nursing facilitylocated in St. Louis, Missouri. Renovations from fiscal year 2008added a therapy room and modified 14 rooms for Medicare residents.Manor Grove's home-like environment assures peace of mind forresidents and their families. In 2015, a new parking lot was added on the north-west side of the main building to accomodate parking needsof family members and employees. In 2017, the renovation of the secondfloor took place which made the second floor much more attractive and comfortable to the current and prospective residents. 7760568 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 54 0 1 221 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 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 1.00 X X 0 0 0 LUKE BAUMSTARK VICE PRESIDENT 1.00 X X 0 0 0 SHEILA EATON SECRETARY 1.00 X X 0 0 0 STEVE DODSON TREASURER 1.00 X X 0 0 0 BOB GRUENEWALD CONTROLLER 1.00 X X 0 0 0 BOB BRUCKNER MEMBER 1.00 X 0 0 0 DIANE KEEFE MEMBER 1.00 X 0 0 0 MILLIE MOULDER MEMBER 1.00 X 0 0 0 ANNE ROEHM MEMBER 1.00 X 0 0 0 PAUL ROBERTS MEMBER 1.00 X 0 0 0 DR CHARLES TADROS MEMBER 1.00 X 0 0 0 E Lee Potts MEMBER 1.00 X 0 0 0 ROSE LANKFORD ADMINISTRATOR 40.00 X 89613 0 8546 ROZA KOYEN ACCOUNTANT 40.00 X 55951 0 9531 145564 0 18077 0 0 0 0 US FOOD SERVICEALLEN DIVISION PO BOX 504854 ST LOUIS MO 63150 FOOD & SUPPLIES 238440 MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE IL 60055 MEDICAL SUPPLIES & EQUIPMENT 193424 ACCOUNTABLE HEALTHCARE STAFFING 2200 W PORT PLAZA SUITE 323 ST LOUIS MO 63146 NURSING STAFFING 191889 ALLIANCE REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 THERAPY 181503 JCARRINGTON GROUP 655 CRAIG RD SUITE 252 ST LOUIS MO 63141 MARKETING 145578 6 33901 12073 53960 45974 ELDERLY CARE 623000 9359302 9359302 9359302 102525 102525 27600 19691 7909 7909 7909 24030 33901 92766 -68736 -68736 -20759 -20759 -20759 9426215 9338543 0 41698 170537 170537 4719030 4460232 258798 39588 7918 31670 557887 491031 66856 704388 398144 306244 9010 1802 7208 75277 15055 60222 43374 41861 1513 140193 49644 90549 59432 46835 12597 188 38 150 251596 239016 12580 1454 1288 166 10461 7655 2806 422831 414375 8456 194943 38988 155955 SUPPLIES 656700 656700 CONTRACTED SERVICES 413694 412449 1245 RENTAL AND MAINTENANCE 303894 119556 184338 FOOD 283771 283771 108414 74210 34204 9166662 7760568 1406094 0 8909 7823 1630685 1328817 208784 292813 43605 50262 104507 95843 13880488 7370839 6704139 6509649 4010262 5051303 323147 324703 13034038 13661213 582864 630684 0 14289 418300 408800 1001164 1053773 X 0 0 0 0 0 0 12032874 12607440 13034038 13661213 X 259553 315013 X X 0 1 X 1 0 X 39771 49265 45169 62872 70004 267081 8541310 8909838 9001935 9048910 9359302 44861295 63386 40987 35434 16172 27600 183579 8644467 9000090 9082538 9127954 9456906 45311955 15120 7441 7203 6217 6272 42253 0 15120 7441 7203 6217 6272 42253 45269702 80718 115427 137653 634467 102525 1070790 80718 115427 137653 634467 102525 1070790 10867 10867 88895 14097 1748 8444 -20759 92425 8824947 9129614 9221939 9770865 9538672 46486037 0.97380 0.97320 0.02300 0.02230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 418080 418080 11404676 5999486 5405190 1049315 619310 430005 1008417 752043 256374 6509649 9783034 315013 41806 356819 9426215 0 9426215 9208468 41806 41806 9166662 0 9166662 Part IV, Line 2b: Security Deposits held on behalf of residents Part XI, Line 2d - Other Adjustments: SPECIAL EVENT EXPENDITURES REPORTED AS EXPENSE ON THE FINANCIAL STATEMENTS 41,806. Part XII, Line 2d - Other Adjustments: SPECIAL EVENT EXPENDITURES OFFSET AGAINST REVENUE ON FORM 990, SECTION VIII LINE 8B 41,806. SOUP'S ON 57931 33901 24030 5479 52200 35087 57931 33901 24030 5479 52200 35087 92766 -68736 JENNIFER LANKFORD FAMILY RELATIONSHIP WITH ROSE LANKFORD, ADMINISTRATOR 3089 EMPLOYMENT 0 Bob Borders Family RELATIONSHIP WITH ROSE LANKFORD, ADMINISTRATOR 34397 Contractor 0 X Event Food 29 50960 Fair Market Value X Piano 1 3000 Fair Market Value 0 0 0 Part I, Column (b): Non-cash contributions are recorded by the number of contributions received. 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 HAS MADE GOVERNING DOCUMENTS, THEIR CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Part VI, Section B, Question 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 XI, line 9: UNREALIZED GAINS 315,013. Part XII line 2c The organization has not changed its method of supervising the audit in the last year.