2023-05-15T13:01:08-05:00 2022-06-30 390859910 BAKER TILLY US LLP 20 STANWIX STREET PITTSBURGH PA 15222 990 2021-07-01 251201255 GROVE MANOR GROV 7244587800 435 N BROAD STREET GROVE CITY PA 16127 DR ROBERT GUY JR PRESIDENT 7244587800 2023-05-15 1 DR ROBERT GUY JR XXX-XX-XXXX BRIAN R LENART EA P00289136 4126976400 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z DR ROBERT GUY JR 435 N BROAD STREET GROVE CITY PA 16127 15904067 0 X WWW.GROVEMANORNURSING.COM X 1971 PA CARING FOR THE ELDERLY, INFIRMED, DISABLED INDIVIDUALS IN NEED OF PERSONAL OR SKILLED CARE. 5 5 407 5 0 0 4197323 1035742 15275522 15841050 48462 43817 490356 -1027532 20011663 15893077 0 0 0 0 10713142 9919568 0 0 0 8937156 11086055 19650298 21005623 361365 -5112546 38510469 33459674 13701716 13825641 24808753 19634033 TO OFFER QUALITY AND HOLISTIC CARE TO OUR ILL AND AGED RESIDENTS, AND TO PROVIDE FOR THEM A LOVING AND COMPASSIONATE ENVIRONMENT, ATTENDING CAREFULLY TO THEIR PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS. 0 0 18276400 0 15841050 GROVE MANOR OPERATES THREE FACILITIES: GROVE MANOR, A 59-BED SKILLED NURSING FACILITY AND A 40-UNIT ASSISTED LIVING FACILITY LOCATED IN GROVE CITY, PENNSYLVANIA; THE CARING PLACE, A 100-BED SKILLED NURSING FACILITY AND A 40-UNIT ASSISTED LIVING FACILITY LOCATED IN FRANKLIN, PENNSYLVANIA; AND WOODCREST SENIOR LIVING COMMUNITY, LLC AND WOODCREST ASSISTED LIVING, LP (COLLECTIVELY REFERRED TO AS "WOODCREST"), A 13-UNIT INDEPENDENT SENIOR LIVING FACILITY LOCATED IN SCOTTDALE, PENNSYLVANIA. THE CORPORATION PROVIDES HOUSING AND CARE FOR AGED, INFIRMED AND DISABLED PERSONS. 18276400 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 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 0 0 0 1 0 0 0 1 57 0 1 407 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X THE ORGANIZATION 7244587800 435 N BROAD STREET GROVE CITY PA 16127 DR ROBERT GUY JR PRESIDENT 1.00 1.00 X X 0 0 0 ELIZABETH DUNLAP 1ST VICE PRESIDENT 1.00 1.00 X X 0 0 0 MICHAEL PECK TREASURER 1.00 1.00 X X 0 0 0 MICHELLE SNYDER DIRECTOR 1.00 1.00 X X 0 0 0 DORIS SPARKS DIRECTOR 1.00 1.00 X 0 0 0 PAULA K NOTARFRANCISCO CHIEF EXECUTIVE OFFICER 40.00 1.00 X 165796 0 26041 TERRI L GABANY ADMINISTRATOR 40.00 1.00 X 130621 0 15545 ROGER P WILSON EXTERNAL MARKETER 40.00 0.00 X 134615 0 9286 431032 0 50872 3 0 1 0 ADVANTAGECARE REHABILITATION INC 5035 CLAIRTON BOULEVARD PITTSBURGH PA 15236 THERAPY 1414531 BAKER TILLY US LLP PO BOX 7398 MADISON WI 53707 ACCOUNTING 654002 PRIME TIME HEALTHCARE LLC 15380 WEIR STREET OMAHA NE 68137 THERAPY 604465 QUICKLINK STAFFING SOLUTIONS LLC PO BOX 674804 DALLAS TX 75267 STAFFING 512249 SNAPMEDTECH INC DBA SNAPNURSE PO BOX 200352 DALLAS TX 75320 THERAPY 508501 8 15000 1020742 1035742 RESIDENT SERVICE REVENUE 623000 14455719 14455719 PA NURSING HOME ASSESSMENT 623000 1385331 1385331 15841050 52537 52537 4381 0 4381 4381 4381 2270 0 10990 2270 -10990 -8720 -8720 OTHER OPERATING REVENUES 623000 96647 96647 MISCELLANEOUS REVENUE 623000 15121 15121 LOSS ON EXTINGUISHMENT OF DEBT 623000 -71143 -71143 -1072538 -1072538 -1031913 15893077 15841050 0 -983715 X 172911 148185 24726 7744389 6638146 1106243 209757 179762 29995 1203905 1031746 172159 588606 436383 152223 90227 90227 521985 521985 5118 5118 3260456 2786410 474046 20518 20518 46318 46318 193506 193506 608473 608473 118054 118054 385329 385329 1714418 1714418 318121 318121 PA NURSING HOME ASSESSM 1304940 1304940 0 0 DIETARY SUPPLIES 717728 717728 0 0 NURSING & ADMINISTRATIV 520456 472228 48228 0 BAD DEBT 502709 0 502709 0 757699 737429 20270 21005623 18276400 2729223 0 3853913 1797193 1440687 1210602 213856 195608 141794 250870 30147596 17705963 13322449 12441633 2495784 2468371 740053 16301933 15095397 38510469 33459674 1208007 1646625 23598 6000 8247914 4088451 12069810 133746 103206 13701716 13825641 X 24808753 19634033 24808753 19634033 38510469 33459674 -5112546 -62174 0 X 0 1 X 1 0 X 18885 21078 84871 4197323 1035742 5357899 17978965 19079639 19417856 15275522 15841050 87593032 17997850 19100717 19502727 19472845 16876792 92950931 0 0 0 92950931 444651 403325 293458 48462 56918 1246814 444651 403325 293458 48462 56918 1246814 96424 67068 454203 490356 -1031913 76138 18538925 19571110 20250388 20011663 15901797 94273883 0.98600 0.97150 0.01320 0.01640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1143749 1143749 20935596 11402658 9532938 7114873 5568649 1546224 953378 734656 218722 12441633 DUE FROM RELATED PARTY 39132 INVESTMENT IN SUBSIDIARY 15056265 15095397 ENTRANCE FEE 103206 103206 15836775 -62174 -62174 15898949 5118 -10990 -5872 15893077 21011495 10990 10990 21000505 5118 5118 21005623 PART XI, LINE 4B - OTHER ADJUSTMENTS: OTHER LOSSES -10,990. 0 0 0 0 0 0 0 0 0 PAULA K NOTARFRANCISCO CHIEF EXECUTIVE OFFICER 164796 0 1000 0 0 0 26000 0 41 0 191837 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 GROVE MANOR ENTERED INTO AN AGREEMENT WITH BAKER TILLY US, LLP TO PROVIDE FINANCIAL, PAYROLL AND ACCOUNTING SERVICES. FORM 990, PART VI, SECTION A, LINE 7A THE BYLAWS PROVIDE THAT ALL DIRECTORS OF GROVE MANOR CORPORATION ARE APPOINTED BY A THIRD PARTY, THAT BEING THE ADMINISTRATIVE COUNCIL OF THE ALLEGHENY CONFERENCE OF THE CHURCHES OF GOD, GENERAL CONFERENCE. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS PROVIDE THAT CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION ARE RESERVED FOR THE ADMINISTRATIVE COUNCIL OF THE ALLEGHENY CONFERENCE OF THE CHURCHES OF GOD, GENERAL CONFERENCE. FORM 990, PART VI, SECTION B, LINE 11B 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 EMPLOYEE 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 COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. THE CENTERS STAY ABREAST OF SALARIES THROUGH THEIR PROFESSIONAL ORGANIZATIONS AND COMMUNICATION WITH LOCAL CONTACTS/COMPETITORS. ADDITIONALLY, 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 GUIDELINES 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 PROFESSIONAL FEE: PROGRAM SERVICE EXPENSES 1,960,660. MANAGEMENT AND GENERAL EXPENSES 217,617. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,178,277. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 825,750. MANAGEMENT AND GENERAL EXPENSES 256,429. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,082,179. GROVE MANOR FOUNDATION 435 NORTH BROAD STREET GROVE CITY PA 16127 832534858 FUNDRAISING PA 501(C)(3) LINE 12A, I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0