2024-05-15T16:37:27-05:00 2023-06-30 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2022-07-01 231352250 OLD MAN'S HOME OF PHILADELPHIA D/B/A SAUNDERS HOUSE OLDM 6106585100 PO BOX 26804 COLLEGEVILLE PA 19426 MARK HENRY CFO 6106585100 2024-05-15 1 MARK HENRY XXX-XX-XXXX 1 AMY A O'LOUGHLIN P00869687 6022646835 2024-05-15 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X SAUNDERS HOUSE JOHN FREDERICKS PO BOX 26804 COLLEGEVILLE PA 19426 21250472 0 X N/A X 1864 PA PROVIDED SKILLED NURSING AND REHABILIATION SERVICES. 11 10 215 10 0 0 649014 0 19197124 4003913 16304 17246559 0 0 19862442 21250472 0 31367138 0 0 12363413 4065602 0 0 0 6187349 3938355 18550762 39371095 1311680 -18120623 24287032 7035479 1371452 3291434 22915580 3744045 X PROVIDED SKILLED NURSING AND REHABILIATION SERVICES. 0 1 36695172 31367138 4003913 OUR MISSION TO BE A PREMIER SKILLED NURSING HOME OF CHOICE FOR SHORT-TERM REHABILITATION AND LONG-TERM CARE ON THE MAIN LINE. AS A NOT-FOR-PROFIT PROVIDER, OUR PURPOSE IS TO SERVE THE COMMUNITY BY PROVIDING QUALITY CARE AND SERVICES AND TO USE OUR RESOURCES IN A COST-EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER. WE STRIVE TO ACCOMPLISH THIS IN AN ENVIRONMENT THAT IS RESPECTFUL OF RESIDENTS AND STAFF.THESE OPERATIONS WILL CONTINUE WITH A NEW OWNER. SAUNDERS HOUSE SOLD ITS FACILITIES TO A QUALIFIED BUYER. THE BUYER WILL CONTINUE THE MISSION OF PROVIDING CARE TO PHILADELPHIA SENIORS. THE PROCEEDS FROM THE SALE WERE USED TO FUND SAUNDERS HOUSE FOUNDATION WHOSE MISSION IS TO PROVIDE GRANTS TO ORGANIZATIONS PROVIDING SERVICES TO SENIORS. 36695172 1 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 215 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X MAIN LINE SENIOR CARE 6106585100 PO BOX 26804 COLLEGEVILLE PA 19426 TIM RUBIN BOARD MEMBER 1.00 3.00 X 0 0 0 DAVID R DUGERY TREASURER 1.00 3.00 X 0 0 0 GORDON MOTT CHAIRMAN 1.00 3.00 X X 0 0 0 KEVIN ROSS BOARD MEMBER 10.00 3.00 X X 0 403384 25788 A LOUIS DENTON VICE CHAIRMAN 1.00 3.00 X X 0 0 0 PAUL BOSTON BOARD MEMBER 1.00 3.00 X 0 0 0 ROBERT BERGEN SECRETARY 1.00 3.00 X X 0 0 0 ELIZABETH ROGAN AICP 1.00 3.00 X 0 0 0 ROSELLA HARVEY BOARD MEMBER 1.00 3.00 X 0 0 0 SARA SENIOR BOARD MEMBER 1.00 3.00 X 0 0 0 MARY ANNE M STETZER BOARD MEMBER 1.00 3.00 X 0 0 0 MARK HENRY CFO 10.00 3.00 X 0 225680 0 0 629064 25788 0 0 1 0 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 606941985 THERAPY SVCS - RESIDENTS 1043885 RN PLUS INC 515 PENNSYLVANIA AVE SUITE 103 FORT WASHINGTON PA 19034 PROFESSIONAL STAFFING 787734 P1 FINANCE PO BOX 922025 NORCROSS GA 300102025 FINANCIAL SERVICES 774489 INDEPENDENCE BLUE CROSS PO BOX 8500 PHILADELPHIA PA 19178 HEALTHCARE 707103 US FOODS INC PO BOX 33101 NEWARK NJ 07188 FOOD - RESIDENTS 399738 6 RESIDENT CARE/ADMIN FE 623000 4003913 4003913 4003913 46327 46327 17200232 0 17200232 17200232 17200232 21250472 4003913 0 17246559 31367138 31367138 3609316 2150959 1458357 296342 38902 257440 159944 148272 11672 943730 943730 1182286 1182109 177 2209 409 1800 165856 165856 22288 22288 169646 169646 233961 233961 NF ASSESSMENT 310269 310269 MEDICAL/ANCILLARY SERV 238860 238860 UTILITIES/PLANT OPS 232946 232946 FOOD/SUPPLEMENT 167967 167967 268337 265590 2747 39371095 36695172 2675923 0 616975 2027236 948462 -606424 91039 84398 343507 1761735 7431 1 6785005 7430 10012435 2418561 1291857 1291857 4197752 50686 24287032 7035479 1245250 2996294 41247 16672 -3793 88748 278468 1371452 3291434 X 7652342 -9131610 15263238 12875655 22915580 3744045 24287032 7035479 X -18120623 -1050912 X 0 0 0 X 392521 1385992 1284081 649014 3711608 19091709 16933203 13290761 19846138 4003913 73165724 19484230 18319195 14574842 20495152 4003913 76877332 6515 6625 3900 17040 0 6515 6625 3900 17040 76860292 293861 247088 133322 16304 46327 736902 293861 247088 133322 16304 46327 736902 10630 11036 238639 260305 19788721 18577319 14946803 20511456 4050240 77874539 0.98700 0.98710 0.00950 0.00960 X SCHEDULE A, PART III, SECTION B., #12 MISCELLANEOUS REVENUES 2015: 5,863 2016: 27,298 2017: 23,283 2018: 10,630 2019: 11,036 2020: 238,639 11361138 15517413 26878551 11395956 -34818 11361138 8866115 2572869 43028 11395956 8700243 205130 39258 8866115 8377749 341119 18625 8700243 1 0 7431 1 7430 7430 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1291857 F 1291857 P/R WITHHOLDING 83717 RESIDENT INSURANCE PAYABLE 2515 MANAGED CARE REFUND 75858 PAYROLL CLEARING 116378 278468 PART V, LINE 4: UNDER THE TERMS OF PERPETUAL TRUSTS HELD AND ADMINISTERED BY A THIRD-PARTY, THE ORGANIZATION IS THE BENEFICIARY OF INCOME EARNED BY THOSE TRUSTS' ASSETS IN PERPETUITY. THE ORGANIZATION RECORDS ANY INCOME RECEIVED FROM THE TRUSTS IN THE PERIOD AS UNRESTRICTED. BOARD DESIGNATED FUNDS CONSIST OF AN ENDOWMENT OF FUNDS HELD IN AN INVESTMENT PROGRAM WHICH PRIMARILY INVESTS IN MUTUAL FUND SECURITIES. THE ORGANIZATION MAY SPEND THE ACCUMULATED INVESTMENT INCOME REINVESTED FOR ENDOWMENT PURPOSES AT THE DISCRETION OF THE BOARD OF DIRECTORS. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1 SAUNDERS HOUSE FOUNDATION PO BOX 26804 52 W 3RD AVENUE COLLEGEVILLE PA 19426 873569932 501(C)(3) 0 26878551 FAIR MARKET VALUE PUBLICLY TRADED SECURITIES CREATION OF THE SAUNDERS HOUSE FOUNDATION BRYN MAWR TERRACE 773 E HAVERFORD ROAD BRYN MAWR PA 19010 208411287 501(C)(3) 0 4488587 BOOK VALUE FORGIVENESS OF DEBT FORGIVENESS OF DEBT 2 PART I, LINE 2: GRANTS WERE MADE TO RELATED ORGANIZATIONS, NO MONITORING WAS CONSIDERED NECESSARY. X X X 0 0 0 0 0 0 0 0 0 KEVIN ROSS BOARD MEMBER 0 403384 0 0 0 0 0 0 0 25788 0 429172 0 0 MARK HENRY CFO 0 225680 0 0 0 0 0 0 0 0 0 225680 0 0 PART I, LINE 3 THE ORGANIZATION USED CONVERGE, AN INDEPENDENT CONTRACTOR, TO CONDUCT A REVIEW OF KEY EMPLOYEE COMPENSATION WITH ASSISTANCE FROM COMPENSATION CONSULTING ALTERNATIVES, INC. THEY COMPILE AND ANALYZE DATA FROM SEVERAL HEALTHCARE SURVEY SOURCES. THIS DATA WAS PROVIDED TO THE BOARD CHAIR WHO REVIEWED IT, ASKED QUESTIONS, MADE A DECISION AND REVIEWED THAT DECISION WITH THE BOARD MEMBERS. FORM 990, PART III, LINE 3 SAUNDERS HOUSE SOLD ITS FACILITIES TO A QUALIFIED BUYER. THE BUYER WILL CONTINUE THE MISSION OF PROVIDING CARE TO PHILADELPHIA SENIORS. THE PROCEEDS FROM THE SALE WERE USED TO FUND SAUNDERS HOUSE FOUNDATION WHOSE MISSION IS TO PROVIDE GRANTS TO ORGANIZATIONS PROVIDING SERVICES TO SENIORS. FORM 990, PART VI, SECTION A, LINE 3 MAIN LINE SENIOR CARE, A NOT-FOR-PROFIT CORPORATION, IS THE CONTROLLING ENTITY OF OLD MAN'S HOME OF PHILADELPHIA DBA SAUNDERS HOUSE AND PROVIDES MANAGEMENT AND OVERSIGHT SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DISTRIBUTED AND REVIEWED BY ALL BOARD MEMBERS PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY EACH BOARD MEMBER. THE BOARD MEMBERS ARE EXPECTED TO IDENTIFY ANY CONFLICTS OR POTENTIAL CONFLICTS AND MUST SIGN THE CONFLICT OF INTEREST DOCUMENT. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION USED CONVERGE, AN INDEPENDENT CONTRACTOR, TO CONDUCT A REVIEW OF THE KEY EMPLOYEE COMPENSATION WITH ASSISTANCE FROM COMPENSATION CONSULTATING ALTERNATIVES, INC. THEY COMPILE AND ANALYZE THE DATA FROM SEVERAL HEALTHCARE SURVEY SOURCES. THIS DATA WAS PROVIDED TO THE BOARD CHAIR WHO REVEIWED IT, MADE A DECISION AND REVIEWED THE DECISION WITH THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE, UPON IN-PERSON, VERBAL OR WRITTEN REQUEST, DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS TO THE PUBLIC. FORM 990, PART XI, LINE 9: TRANSFER OF PERMANENTLY RESTRICTED NET ASSETS -1,050,912. BRYN MAWR TERRACE 773 E HAVERFORD ROAD BRYN MAWR PA 19010 208411287 NURSING HOME PA 501(C)(3) LINE 10 MAIN LINE SENIOR CARE 1 MAIN LINE SENIOR CARE 100 LANCASTER AVENUE WYNNEWOOD PA 19096 455110022 MANAGEMENT SERVICES PA 501(C)(3) LINE 12A, I 0 CHAPIN HOME FOR AGED BLIND C/O LEWIS NEILSON JR 7926 QUEEN STR WYNDMOOR PA 19038 231365201 SUPPORTING ORGANIZATION PA 501(C)(3) LINE 12A, I 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0