2017-03-15T05:24:56-05:00 2016-06-30 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2015-07-01 251201255 Grove Manor GROV 7244587800 435 N BROAD STREET GROVE CITY PA 16127 GERALD EICHER BOARD PRESIDENT 7244587800 2017-03-05 1 Joseph G Sullivan P00360476 6108622249 2015 2021-01-29 14:40:06Z GERALD EICHER 435 N BROAD STREET GROVE CITY PA 16127 16009341 0 X www.grovemanornursing.com X 1971 PA CARING FOR THE ELDERLY, INFIRMED, DISABLED INDIVIDUALS IN NEED OF PERSONAL OR SKILLED CARE 12 12 407 75 0 0 0 12500 15780509 15485031 142879 271082 39351 218611 15962739 15987224 0 0 0 0 8436524 8491881 0 0 0 7700865 7593992 16137389 16085873 -174650 -98649 38395788 38741475 13829573 13950809 24566215 24790666 TO OFFER QUALITY AND HOLISTIC CARE TO OUR ILL AND AGED RESIDENTS, ANDTO PROVIDE THEM A LOVING AND COMPASSIONATE ENVIRONMENT, ATTENDINGCAREFULLY TO THEIR PHYSICAL, SPIRITUAL, AND EMOTIONAL NEEDS. 0 0 14426106 15575881 GROVE MANOR OPERATES TWO SKILLED CARE NURSING FACILITIES WITH 159OPERATIONAL BEDS AND THREE PERSONAL CARE FACILITIES WITH A TOTAL OF95 UNITS. THE FACILITIES PROVIDE HOUSING AND CARE FOR AGED, INFIRMEDAND DISABLED PERSONS. 14426106 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 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 0 0 0 0 0 0 1 47 0 1 407 1 0 0 0 0 0 0 0 0 0 0 X 12 12 1 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X COMPLETE HEALTHCARE RESOURCES - EASTERN INC 2153255723 200 DRYDEN ROAD SUITE 3100 DRESHER PA 190251048 X ANGELA J PRATHER DIRECTOR 1.00 X 0 0 0 CAROL SHOUP SECRETARY 1.00 X X 0 0 0 DORIS SPARKS DIRECTOR 1.00 X 0 0 0 DR ROBERT GUY 1ST VICE PRESIDENT 1.00 X X 0 0 0 GERALD EICHER PRESIDENT 1.00 X X 0 0 0 HENRY EDWARDS DIRECTOR 1.00 X 0 0 0 JANET M UPDYKE DIRECTOR 1.00 X 0 0 0 JOSEPH V WINGROVE JR DIRECTOR 1.00 X 0 0 0 MICHAEL PECK TREASURER 1.00 X X 0 0 0 MICHELLE SNYDER DIRECTOR 1.00 X 0 0 0 PASTOR BETH DUNLAP 2ND VICE PRESIDENT 1.00 X X 0 0 0 WILLIAM T DUNLAP DIRECTOR 1.00 X 0 0 0 michelle baker executive director 40.00 X 0 0 0 nancy iandimarino executive director 40.00 X 0 0 0 arlene runzo regional dir. of ops. 40.00 X 0 0 0 0 0 0 0 0 0 0 MARDEN REHABILITATION ASSOCIATES INC 200 PUTNAM ST STE 800 PO BOX 941 MARIETTA OH 45750 SPEECH, PHYSICAL, AND OCCUPATIONAL THERA 1466941 COMPLETE HEALTHCARE SERVICES 200 DRYDEN ROAD STE 3100 DRESHER PA 19025 MANAGEMENT SERVICES 1012830 SYSCO FOOD SERVICES - PITTSBURGH 1 WHITNEY DRIVE PO BOX 1000 HARMONY PA 16037 FOOD AND DIETARY SUPPLIES 381703 COMMUNITY DRUGS CO PO BOX 951748 CLEVELAND OH 44193 PERSCRIPTION AND OTC DRUGS 292352 MCKESSON MEDICAL PO BOX 204786 DALLAS TX 75320 MEDICAL SUPPLIES 235454 9 X 12500 12500 12500 NURSING / PERSONAL CARE 623000 15485031 15485031 15485031 293199 293199 22117 -22117 -22117 -22117 MISCELLANEOUS 900099 127761 127761 recovery of bad debts 900099 90850 90850 218611 15987224 15575881 0 398843 X 6733254 6472416 260838 176025 169206 6819 1097154 989710 107444 485448 467817 17631 586365 586365 20051 18046 2005 32352 29117 3235 2185188 1966669 218519 47287 43620 3667 1058795 927630 131165 69618 66137 3481 1256881 1131193 125688 90020 74272 15748 10296 10296 969027 872124 96903 175676 158108 17568 FOOD PURCHASES 591321 568414 22907 ALL OTHER EXPENSES 328374 295228 33146 REPAIRS AND MAINTENANCE 171365 164727 6638 1376 1376 16085873 14426106 1659767 0 7550 7550 2120144 1801833 1871481 1849346 130450 219754 27634766 14605136 12909152 13029630 20199273 20786414 925067 925067 232671 121881 38395788 38741475 1414105 1984871 368840 330422 12046628 11565612 0 69904 13829573 13950809 X 24566215 24790666 24566215 24790666 38395788 38741475 -98649 323100 0 X X 0 1 X 1 0 X 9500 89987 12500 111987 16844474 16794969 17195198 15780509 15485031 82100181 16853974 16794969 17285185 15780509 15497531 82212168 0 0 0 82212168 565780 529482 406195 142879 293199 1937535 565780 529482 406195 142879 293199 1937535 56196 72819 79111 39351 127761 375238 17475950 17397270 17770491 15962739 15918491 84524941 0.97260 0.97030 0.02290 0.02590 X SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: 2011 AMOUNT: $ 56,196. 2012 AMOUNT: $ 72,819. 2013 AMOUNT: $ 79,111. 2014 AMOUNT: $ 39,351 2015 AMOUNT: $ 127,761. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 524300 524300 22390209 11396580 10993629 669648 468412 201236 3519930 2740144 779786 530679 530679 13029630 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 69904 69904 X 16219474 323100 323100 15896374 90850 90850 15987224 15995023 0 15995023 90850 90850 16085873 Part X, Line 2: The Corporation is a not-for-profit corporation and has been recognized as tax-exempt from federal and state income taxes under Section 501(c)(3) of the Internal Revenue Code, and the Pennsylvania Business Corporation Law of 1988, known as the Nonprofit Organizations Law and, accordingly, no provision for income taxes has been provided. The Corporation accounts for the effect of any uncertain tax positions based on a "more likely than not" threshold applied to the recognition of the tax positions being sustained based on the technical merits of the position under scrutiny by the applicable taxing authority. If a tax position or positions are deemed to result in uncertainties of those positions, the unrecognized tax benefit is estimated based on a "cumulative probability assessment" that aggregates the estimated tax liability for all uncertain tax positions. Interest and penalties assessed, if any, are accrued as income tax expense. The Corporation has identified its tax status as a tax-exempt entity as a tax position; however, the Corporation has determined that such tax position does not result in an uncertainty requiring recognition. The Corporation believes it is no longer subject to income tax examinations for years prior to June 30, 2013. Part XI, Line 4b - Other Adjustments: recovery of bad debts 90,850. Part XII, Line 4b - Other Adjustments: recovery of bad debts 90,850. A GROVE CITY AREA HOSPITAL AUTHORITY 251201255 NONEAVAIL 2015-12-22 5995000 RETIRE SERIES 2010 REVENUE BOND 0 0 0 B GROVE CITY AREA HOSPITAL AUTHORITY 251201255 NONEAVAIL 2016-01-26 5995000 RETIRE SERIES 2010 REVENUE BOND 0 0 0 A 138681 5995000 68341 5995000 2015 0 0 1 1 B 133521 5995000 91023 5995000 2016 0 0 1 1 A 0 0 0 1 1 0 0 0 0 B 0 0 0 1 1 0 0 0 0 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: GROVE CITY AREA HOSPITAL AUTHORITY (F) DESCRIPTION OF PURPOSE: RETIRE SERIES 2010 REVENUE BONDS Form 990, Part VI, Section A, line 2 BOARD MEMBER, BETH DUNLAP IS THE DAUGTHER OF 1ST VICE PRESIDENT, WILLIAM DUNLAP. Form 990, Part VI, Section A, line 3 The Corporation entered into a management agreement, effective April 1, 2015, with Complete Healthcare Resources - Eastern, Inc. TO PROVIDE FINANCIAL AND ACCOUNTING SERVICES AND SUPERVISE THE DAY-TO-DAY OPERATIONS. Form 990, Part VI, Section A, line 4 In 2015 Grove Manor made an ammendment to their bylaws regarding their investment policy. Form 990, Part VI, Section B, line 11 A FINAL DRAFT OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS. Form 990, Part VI, Section B, line 12c GROVE MANOR DISTRIBUTES A "CONFLICT OF INTEREST" POLICY TO EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMLPOYEE FOR THEM TO SIGN AND RETURN. COMPLIANCE IS UNDERSTOOD TO BE SELF MONITORING. IT IS UNDERSTOOD THAT THERE IS A LEGAL AND MORAL IMPERATIVE TO REVEAL ANYTHING OR ANY TRANSACTION THAT COULD BE DEEMED TO BE IN CONFLICT WITH GROVE MANOR'S OPERATION AND FINANCIAL BUSINESS MATTERS. Form 990, Part VI, Section B, line 15 GROVE MANOR IS MANAGED BY COMPLETE HEALTHCARE RESOURCES, A FOR-PROFIT MANAGEMENT COMPANY. GROVE MANOR HAS THREE OFFICIAL EMPLOYEES AS STAFF ASSIGNED TO GROVE MANOR THAT ARE EMPLOYEES OF THE MANAGEMENT COMPANY. THE CONTRACTED MANAGEMENT FEE IS REVIEWED YEARLY BY THE BOARD OF DIRECTORS. THE CENTERS STAY ABREAST OF SALARIES THROUGH THEIR PROFESSIONAL ORGANIZATIONS AND COMMUNICATION WITH LOCAL CONTACTS/COMPETITORS. ADDITIONALY, BY BEING AWARE OF OPENINGS IN THE AREA, NURSING HOME ADMINISTRATOR BECOMES FAMILIAR WITH MARKET RATES. THE BOARDS FOR EACH ORGANIZATION DIRECT THE ANNUAL PERCENTAGE INCREASE AND EXTENDICARE COMPENSATION GUDIELINES ARE USED FOR NURSING HOME ADMINISTRATOR AND DIRECTOR OF NURSING. Form 990, Part VI, Section C, line 19 the organization will provide, upon in-person, verbal, or written request, documents relating to the governance, conflict of interest policy, and financial statements to the public. Form 990, Part IX, line 11g other professionals: Program service expenses 1,966,669. Management and general expenses 218,519. Fundraising expenses 0. Total expenses 2,185,188. Form 990, Part XII, Line 2c: The process for oversight of the audited financial statements has not changed from the prior year.