2026-05-14T21:39:16-05:00 2025-06-30 430765316 RUBINBROWN LLP 7676 FORSYTH BLVD SUITE 2100 SAINT LOUIS MO 63105 990 2024-07-01 430679177 MANOR GROVE INC MANO 3149650864 117 NORTH KIRKWOOD ROAD 203 ST LOUIS MO 63122 JIM WIRE CONTROLLER 3149650864 2026-05-14 1 1 KIMBERLY A RYAN P00829977 3142903300 2024 2025-03-06 01:10:19Z X MICHAEL O'DAE 117 NORTH KIRKWOOD ROAD 203 ST LOUIS MO 63122 13552232 0 X WWW.MANORGROVE.COM X 1907 MO TO PRESERVE THE QUALITY OF LIFE & PROVIDE EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. 10 10 194 11 0 0 5850 21913 10645893 10848851 238494 160810 35043 129402 10925280 11160976 0 0 0 0 7222929 7263096 0 0 0 5159922 5195620 12382851 12458716 -1457571 -1297740 8403583 6930720 1210686 1109648 7192897 5821072 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 11099425 10848851 OWNING AND OPERATING A LICENSED 117-BED SKILLED NURSING FACILITY LOCATED IN ST. LOUIS, MISSOURI. RENOVATIONS FROM FISCAL YEAR 2008 ADDED A THERAPY ROOM AND MODIFIED 14 ROOMS FOR MEDICARE RESIDENTS. MANOR GROVE'S HOME-LIKE ENVIRONMENT ASSURES PEACE OF MIND FOR RESIDENTS AND THEIR FAMILIES. IN 2015, A NEW PARKING LOT WAS ADDED ON THE NORTH-WEST SIDE OF THE MAIN BUILDING TO ACCOMODATE PARKING NEEDS OF FAMILY MEMBERS AND EMPLOYEES. IN 2017, THE RENOVATION OF THE SECOND FLOOR TOOK PLACE WHICH MADE THE SECOND FLOOR MUCH MORE ATTRACTIVE AND COMFORTABLE TO THE CURRENT AND PROSPECTIVE RESIDENTS. IN 2018, A NEW NURSES CALL SYSTEM WAS INSTALLED ON THE SECOND FLOOR. IN 2019-2020, A NEW GENERATOR WAS PUT IN PLACE. IN 2020-2021, THE ELEVATOR SYSTEM WAS UPGRADED. IN THE CHANGING LANDSCAPE OF COVID, WE HAVE PUT ESSENTIAL EFFORTS AND RESOURCES INTO KEEPING STAFF, VISITORS AND RESIDENTS AS SAFE AS POSSIBLE. WITH PURCHASES OF STATE OF THE ART EQUIPMENT WE HAVE BEEN ABLE TO KEEP OUR INFECTION RATES LOW AND PRODUCTIVITY HIGH. WE PLAN TO CONTINUE THESE EFFORTS, ALWAYS LOOKING FOR NEW OPPORTUNITIES TO BETTER OUR VACCINATION, TESTING AND TREATMENT METHODS. 11099425 1 1 0 0 0 0 0 0 0 0 1 1 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 0 0 0 0 1 84 0 1 194 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 1 1 X EILEEN LAMBERT 3149650864 117 NORTH KIRKWOOD ROAD SUITE 203 ST LOUIS MO 63122 CAROL EILER PRESIDENT 3.00 X X 0 0 0 GEORGE ROLBY VICE PRESIDENT 1.00 X X 0 0 0 SHEILA EATON SECRETARY 3.00 X X 0 0 0 JIM WIRE CONTROLLER 4.00 X X 0 0 0 JASON APPEL MEMBER 1.00 X 0 0 0 CHRISTINA CAPIZZI MEMBER 2.00 X 0 0 0 MARK GUNBY MEMBER (AS OF 7/2024) 3.00 X 0 0 0 DIANE KEEFE MEMBER 1.00 X 0 0 0 E LEE POTTS MEMBER 1.00 X 0 0 0 ANNE ROEHM MEMBER 3.00 X 0 0 0 HARDY WASHINGTON MEMBER 1.00 X 0 0 0 ALAN WAREDBA AWARE CONSULTING ADMINISTRATOR (AS OF 10/2024) 40.00 X 24450 0 0 JENNIFER MCCALLON ADMINISTRATOR (RESIGNATION 12/2024) 40.00 X 108662 0 15278 ROZA KOYEN ACCOUNTANT 40.00 X 68428 0 16813 EARNESTINE DECASUAL-SMITH NURSE 54.00 X 127766 0 0 RAYNA WALKER NURSE 74.00 X 106782 0 12893 JUDITH WHITE AIDE 95.00 X 149402 0 13958 FATIMA ZIADI AIDE 90.00 X 133436 0 3336 718926 0 62278 5 0 1 0 INTEGRITY HEALTH GROUP PO BOX 4729 WINTER PARK FL 32793 STAFFING 782569 VEESHIFT LLC 411 BLVD OF THE AMERICAS LAKEWOOD NJ 08701 STAFFING 581812 ALLIANCE REHAB STL LLC 7125 JANES AVE STE 300 WOODRIDGE IL 60517 THERAPY 308143 FORVIS MAZARS LLP PO BOX 200870 DALLAS TX 75320 CONSULTING 142850 4 21913 21913 ELDERLY CARE 623000 10848851 10848851 10848851 39171 39171 2512895 2384440 6816 128455 -6816 121639 121639 MISCELLANEOUS INCOME 621300 116226 116226 TRANSPORTATION INCOME 480000 13176 13176 129402 11160976 10848851 0 290212 X 214653 214653 5794451 5611241 183210 45745 15877 29868 761594 700719 60875 446653 419000 27653 11836 533 11303 128058 128058 13097 13097 1992798 1992309 489 121354 31 121323 114129 80634 33495 345719 341502 4217 5100 4311 789 8617 6017 2600 3672 3672 434366 428719 5647 170782 168562 2220 SERVICE CONTRACTS 535573 69680 465893 MEDICAID NFRA TAX 422973 422973 FOOD SERVICE EXPENSES 361622 361622 OTHER NURSING COSTS 194663 194663 331261 281032 50229 12458716 11099425 1359291 0 10209 4499 468676 491710 472340 527373 95060 108677 105369 107697 14454767 9804221 4992089 4650546 1811494 591872 448346 448346 8403583 6930720 789570 778663 13356 17368 308260 239762 99500 73855 1210686 1109648 X 7189694 5817869 3203 3203 7192897 5821072 8403583 6930720 -1297740 -74085 0 X X 0 0 0 X 350919 1902048 11161 5850 21913 2291891 7970277 8042713 9726869 10645893 10848851 47234603 29200 10250 39450 8350396 9955011 9738030 10651743 10870764 49565944 6828 7332 9066 20389 43615 0 6828 7332 9066 20389 43615 49522329 147083 161744 114024 68314 39171 530336 147083 161744 114024 68314 39171 530336 9376 61382 9185 35043 129402 244388 8506855 10178137 9861239 10755100 11039337 50340668 0.98370 0.98360 0.01050 0.01290 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 9,376. 2021 AMOUNT: $ 61,382. 2022 AMOUNT: $ 9,185. 2023 AMOUNT: $ 35,043. 2024 AMOUNT: $ 129,402. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 347080 347080 11864427 8157958 3706469 1375948 923523 452425 867312 722740 144572 4650546 INVESTMENT IN JOINT VENTURE 448346 C 448346 CAPITAL LEASE OBLIGATION 73855 73855 PART IV, LINE 2B: SECURITY DEPOSITS HELD ON BEHALF OF RESIDENTS. X 0 0 0 0 0 0 0 0 0 JUDITH WHITE AIDE 149402 0 0 0 0 0 3735 0 10223 0 163360 0 0 0 PART I, LINE 3 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 A, LINE 8B THERE ARE NO COMMITTEES THAT MAY ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS. 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, AND 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. FORM 990, PART VI, SECTION B, LINE 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 IX, LINE 11G THERAPY SERVICES: PROGRAM SERVICE EXPENSES 300,009. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300,009. PROFESSIONAL NURSING: PROGRAM SERVICE EXPENSES 1,630,915. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,630,915. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 61,385. MANAGEMENT AND GENERAL EXPENSES 489. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,874. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.