2024-11-12T15:10:30-06:00 2023-12-31 540504608 BROWN EDWARDS & COMPANY LLP 1909 FINANCIAL DRIVE HARRISONBURG VA 22801 990 2023-01-01 550547603 PENDLETON MANOR INC PEND 3043582322 PO BOX 700 FRANKLIN WV 26807 GREG BOWERS PRESIDENT 3043582322 2024-11-11 1 1 JAMES R FRIES P01320612 5404346736 2024-11-11 2023 2024-10-15 13:58:12Z GREG BOWERS PO BOX 700 FRANKLIN WV 26807 10804963 0 X WWW.PENDLETONMANOR.ORG X 1974 WV OUR MISSION IS TO SHARE GOD'S WORD IN LOVE AND DEED BY PROVIDING SHELTER AND SUPPORTIVE SERVICES TO OLDER PERSONS AND OTHERS IN NEED BELIEVING THAT IN CHRIST'S LOVE, EVERYONE IS SOMEONE. 9 9 182 20 0 0 62713 40389 10546084 10763834 -6923 740 0 0 10601874 10804963 0 0 0 0 5537852 6219212 0 0 0 4509178 5593580 10047030 11812792 554844 -1007829 2245443 2256876 582701 1305443 1662742 951433 OUR MISSION IS TO BUILD A STRONGER COMMUNITY BY IMPROVING AND ENRICHING THE LIVES OF THOSE WHO HAVE EXCEPTIONAL PHYSICAL, DEVELOPMENTAL OR FINANCIAL CHALLENGES. 0 0 10101207 10772223 PROVIDE INTERMEDIATE AND SKILLED CARE NURSING SERVICES FOR ELDERLY PATIENTS; 91 BEDS AVAILABLE, 24,634 PATIENT DAYS PROVIDED IN 2023. ALSO PROVIDING APARTMENT LIVING, HOME HEALTH, AND OUTPATIENT THERAPY SERVICES FOR THE COMMUNITY. 10101207 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 1 0 0 0 1 28 0 1 182 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 0 1 1 0 0 X KRISTY WATSON 3043582322 PO BOX 700 FRANKLIN WV 26807 GREG BOWERS PRESIDENT 0.50 X X 0 0 0 LYNN VANDEVANDER VICE PRESIDENT 0.50 X X 0 0 0 MARSHALL HARPER TREASURER 0.50 X X 0 0 0 PATRICIA SITES SECRETARY 0.50 X X 0 0 0 KAREN STEVENS DIRECTOR 0.50 X 0 0 0 CARA MITCHELL DIRECTOR 0.50 X 0 0 0 KENNETH HARPER DIRECTOR 0.50 X 0 0 0 ANN BENNETT DIRECTOR 0.50 X 0 0 0 CARY A HEVENER DIRECTOR 0.50 X 0 0 0 RANDALL KROPP ADMINISTRATOR 40.00 X 135294 0 16927 KRISTY WATSON CFO 40.00 X 46154 0 0 181448 0 16927 1 0 1 0 MAS MEDICAL STAFFING 135 CANAL STREET SUITE 200 MANCHESTER NH 03101 AGENCY NURSES 1121274 ODYSSEY REHABILITATION 415 BENEDUM DRIVE BRIDGEPORT WV 26330 REHABILITATION SERVICES 884739 UNITED HEALTHCARE 990 BREN RD E MINNETONKA MN 55343 EMPLOYEE GROUP HEALTH INSURANCE 558334 247 MEDICAL BILLING 2028 E BEN WHITE BLVD AUSTIN TX 78741 THIRD PARTY BILLING PROVIDER 203227 IT DECISIONS 3200 HANOVER RD JOHNSON CITY TN 37604 TECHNOLOGY HARDWARE PROVIDER AND SERVICE 120987 7 40389 40389 PATIENT SERVICE REVENUE 623000 10289916 10289916 SPECIAL CARE SERVICES 623000 439662 439662 34256 34256 10763834 740 740 10804963 10763834 0 740 X 4773778 3957443 816335 167403 138776 28627 903177 748730 154447 374854 310752 64102 140801 140801 1088 1088 97233 97233 2747239 2664822 82417 9091 91 9000 27244 27244 652006 652006 4576 595 3981 1593 1593 53531 53531 83006 83006 SUPPLIES 899079 830415 68664 TAXES AND LICENSES 555287 505931 49356 PATIENT SERVICES 146837 146837 TRANSPORTATION 62359 62359 112610 82450 30160 11812792 10101207 1711585 0 100 100 753261 186997 1067939 1627124 22999 29121 75813 20525 1199425 860397 325331 339028 0 53981 2245443 2256876 549884 645386 3180 35975 19958 17602 9679 606480 582701 1305443 X 1658364 926437 4378 24996 1662742 951433 2245443 2256876 X -1007829 296520 X X 1 X 0 1 0 X 31528 44646 71139 62713 32000 242026 10390017 10991046 11054909 10509875 10729578 53675425 65625 57405 44207 36209 42645 246091 10487170 11093097 11170255 10608797 10804223 54163542 5300 5250 10575 40389 61514 0 5300 5250 10575 40389 61514 54102028 93 316 523 740 1672 93 316 523 740 1672 10487170 11093190 11170571 10609320 10804963 54165214 0.99880 0.99950 0.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 960100 764118 195982 239325 96279 143046 339028 RESIDENT TRUST FUNDS 9038 ACCRUED LIABILITIES 597442 606480 0 0 0 0 0 0 0 0 0 RANDALL KROPP ADMINISTRATOR 135294 0 0 0 0 0 0 0 16927 0 152221 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY HAS BEEN HIRED BY PENDLETON MANOR TO PROVIDE MANAGEMENT SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ADMINISTRATOR AND THE BOARD OF DIRECTORS, AND THE FINANCIAL DATA ARE VERIFIED BY THE ACCOUNTING DEPARTMENT AND MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT-OF-INTEREST POLICY IS REVIEWED PERIODICALLY BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A THE WAGE FOR THE ADMINISTRATOR IS SET BY THE MANAGING AGENCY - EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,664,822. MANAGEMENT AND GENERAL EXPENSES 82,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,747,239. FORM 990, PART XI, LINE 9: TRANSFER TO PENDLETON, INC. TRANSFER TO PENDLETON APARTMENTS, INC. TRANSFER FROM PENDLETON VILLAGE, INC. PASSTHROUGH OF CONTRIBUTIONS TO PENDLETON VILLAGE -3,480. TRANFER FROM PENDLETON VILLAGE 300,000. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PENDLETON APARTMENTS INC PO BOX 700 FRANKLIN WV 26807 311130225 TO PROVIDE HOUSING TO ELDERLY PERSONS WV 501(C)(3) LINE 10 PENDLETON VILLAGE INC 0 PENDLETON VILLAGE INC PO BOX 700 FRANKLIN WV 26807 261339734 ACT AS MANAGEMENT COMPANY FOR THE OTHER ENTITIES WV 501(C)(3) LINE 12B, II N/A 0 THE PENDLETON INC PO BOX 700 FRANKLIN WV 26807 261339779 REAL ESTATE AND EQUIPMENT HOLDING COMPANY FOR RELATED ORGANIZATIONS. WV 501(C)(2) PENDLETON VILLAGE INC 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 THE PENDLETON INC B CASH PENDLETON APARTMENTS INC B CASH PENDLETON VILLAGE INC C 300000 CASH THE PENDLETON INC K CASH