2014-01-31T08:26:57-06:00 2013-06-30 430765316 RUBINBROWN LLP ONE NORTH BRENTWOOD SAINT LOUIS MO 63105 990 2012-07-01 430679177 MANOR GROVE INC MANO 3149650864 711 SOUTH KIRKWOOD ROAD ST LOUIS MO 63122 ROSE LANKFORD 3149650864 2014-01-07 1 JOHN E BUTLER P00325554 3142903300 2012 2015-11-30 17:44:51Z ROSE LANKFORD 711 SOUTH KIRKWOOD RD ST LOUIS MO 63122 8723204 0 X WWW.MANORGROVE.COM X 1907 MO TO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. 16 16 248 35 0 0 24842 39771 8498127 8531340 167224 67637 -21763 -45648 8668430 8593100 0 0 0 0 5407693 5680909 0 0 0 2793371 2735995 8201064 8416904 467366 176196 11708671 11922176 1373416 1241966 10335255 10680210 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 7123272 8541310 OWNING AND OPERATING A LICENSED 117-BED SKILLED NURSING FACILITYLOCATED IN ST. LOUIS, MISSOURI. RENOVATIONS FROM FISCAL YEAR 2008ADDED A THERAPY ROOM AS WELL AS 14 ROOMS FOR MEDICARE RESIDENTS.MANOR GROVE'S HOME-LIKE ENVIRONMENT ASSURES PEACE OF MIND FORRESIDENTS AND THEIR FAMILIES. 7123272 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 44 0 1 248 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 0 X ROZA KOYEN 3149650864 711 SOUTH KIRKWOOD ROAD ST LOUIS MO 63122 STEVE DODSON 1.00 X X 0 0 0 TODD CLEVELAND 1.00 X 0 0 0 SHEILA EATON 1.00 X X 0 0 0 CAROL BICKEL 1.00 X 0 0 0 DIANE KEEFE 1.00 X 0 0 0 LARRY KING 1.00 X 0 0 0 MILLIE MOULDER 1.00 X 0 0 0 E LEE POTTS 1.00 X X 0 0 0 BRIAN REINHOLD 1.00 X X 0 0 0 PAUL E ROBERTS 1.00 X X 0 0 0 ANNE ROEHM 1.00 X 0 0 0 SCOTT VOLDING 1.00 X 0 0 0 BOB BRUCKNER 1.00 X 0 0 0 ANNE STUCKEL 1.00 X 0 0 0 BOB GRUENEWALD 1.00 X 0 0 0 GEORGE ROLBY 1.00 X 0 0 0 ROZA KOYEN 40.00 X 48508 0 7639 KAREN MLEDBETTER 40.00 X 86036 0 6628 ROSE LANKFORD 40.00 X 73145 0 7308 207689 0 21575 0 0 0 0 ALLIANCE REHAB 1520 KENSINGTON ROAD OAK BROOK IL 60523 THERAPY 279491 MIDWEST STAFFING SOLUTIONS LLC PO BOX 823461 PHILADELPHIA PA 19182 STAFFING 252554 MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE IL 60055 MEDICAL SUPPLIES 241633 US FOOD SERVICEALLEN DIVISION PO BOX 504854 ST LOUIS MO 63150 FOOD SERVICE 184943 GUIDEONE INSURANCE PO BOX 14599 DES MONIES IA 50306 INSURANCE 162289 5 23290 16481 20800 39771 ELDERLY CARE 623000 8531340 8531340 8531340 67870 67870 62486 49638 12848 12848 12848 900 1133 -233 -233 -233 7795 23290 76667 -68872 -68872 3072 2666 406 406 MISCELLANEOUS 623990 9970 9970 9970 8593100 8541310 0 12019 205680 205680 4330931 4164670 166261 33867 6773 27094 461559 398350 63209 648872 369757 279115 7017 7017 64184 64184 21699 21699 92817 33495 59322 60639 49340 11299 1247 249 998 227967 216569 11398 425 312 113 6820 5798 1022 12120 12120 381648 374015 7633 225082 45016 180066 SUPPLIES 635930 635930 CONTRACTED SERVICES 363596 362591 1005 RENTAL AND MAINTENANCE 258285 111981 146304 FOOD 254956 254956 121563 93470 28093 8416904 7123272 1293632 0 19148 14708 2382050 1814748 228949 293541 32649 39984 178074 68556 13836320 6552601 7493349 7283719 1032032 2086802 319383 319564 23037 554 11708671 11922176 592379 553243 781037 688723 1373416 1241966 X 0 0 0 0 0 0 10335255 10680210 11708671 11922176 X 176196 168759 X 0 1 X 1 0 X 97103 44884 477718 38113 39771 697589 6133094 6573054 8514895 8520002 8541310 38282355 63386 63386 6230197 6617938 8992613 8558115 8644467 39043330 0 393378 393378 393378 393378 38649952 152875 107731 45505 48142 80718 434971 152875 107731 45505 48142 80718 434971 10867 10867 12393 8171 22097 41047 88895 172603 6395465 6733840 9060215 8647304 8824947 39661771 0.97450 0.97260 0.01100 0.01390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 418080 418080 11168231 5064246 6103985 1130847 661077 469770 1119162 827278 291884 7283719 RESIDENT SECRUITY DEPOSITS 446600 LONG TERM NOTES PAYABLE 242123 688723 8808272 168759 58533 227292 8580980 12120 12120 8593100 8463317 58533 58533 8404784 12120 12120 8416904 PART XI, LINE 2D - OTHER ADJUSTMENTS: THIS AMOUNT REPRESENTS SPECIAL EVENT EXPENDITURES REPORTED 55,867. ON THE FINANCIAL STATEMENT AS EXPENSES. THIS AMOUNT REPRESENTS COST OF INVENTORY REPORTED 2,666. ON THE FINANCIAL STATEMENT AS EXPENSES. PART XII, LINE 2D - OTHER ADJUSTMENTS: THIS AMOUNT REPRESENTS SPECIAL EVENT EXPENDITURES REPORTED 55,867. ON THE 990. SECTION VIII, LINE 8B AS PART OF DIRECT EXPENSES. THIS AMOUNT REPRESENTS COST OF INVENTORY REPORTED 2,666. ON THE 990, SECTION VIII, LINE 10B AS PART OF COST OF GOODS SOLD.. SOUP'S ON 31085 23290 7795 4609 20800 51258 31085 23290 7795 4609 20800 51258 76667 -68872 JENNIFER LANKFORD FAMILY RELATIONSHIP WITH ROSE LANKFORD, ADMINISTRATOR AS SHOWN IN PART VII 36537 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11 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. INVESTMENT IN SCN, INC. PART VI, SECTION B QUESTION 16B THE ORGANIZATION DOES NOT CURRENTLY HAVE A POLICY IN PLACE 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 NEEDED FOR OPERATION OF THEIR NURSING HOME AND SKILLED-NURSING FACILITIES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNREALIZED GAINS 168,759.