2019-03-30T08:02:46-05:00 2018-06-30 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2017-07-01 231352250 OLD MAN'S HOME OF PHILADELPHIA D/B/A SAUNDERS HOUSE OLDM 6106585100 100 LANCASTER AVENUE WYNNEWOOD PA 19096 KEVIN ROSS PRESIDENT & CEO 6105258300 2019-03-25 1 JOSEPH G SULLIVAN P00360476 6108622249 96.90.32.117 2019-03-25 14:51:33 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 56971691821012DDD9905C946DE3CC28305BB2C4 2017 2019-02-21 02:37:17Z SAUNDERS HOUSE KEVIN ROSS 100 LANCASTER AVENUE WYNNEWOOD PA 19096 20710455 0 X WWW.SAUNDERSHOUSE.ORG X 1864 PA PROVIDED SKILLED NURSING AND REHABILIATION SERVICES. 12 11 387 85 0 0 331427 441733 19458818 19192021 257878 195925 27298 23283 20075421 19852962 0 0 0 0 10906527 11265872 0 0 0 8172012 7742210 19078539 19008082 996882 844880 23374702 23980166 5236796 4526823 18137906 19453343 PROVIDED SKILLED NURSING AND REHABILIATION SERVICES. 0 0 16321959 19215304 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. 16321959 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 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 12 0 1 387 1 0 0 0 0 0 0 0 0 0 0 X 12 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X X MAIN LINE SENIOR CARE 6106585100 100 E LANCASTER AVENUE WYNNEWOOD PA 19096 TIM RUBIN BOARD MEMBER 2.00 X 0 0 0 DAVID R DUGERY BOARD MEMBER 2.00 X 0 0 0 DAVIS PEARSON EMERITUS 2.00 X 0 0 0 DONNA STERNBERG BOARD MEMBER 2.00 X 0 0 0 FIRAS SAIDI EX-OFFICIO BOARD MEMBER 2.00 X 0 0 0 GORDON MOTT VICE CHAIRMAN 2.00 X X 0 0 0 KEVIN ROSS PRESIDENT & CEO 10.00 30.00 X X 0 317501 24491 LIZ ROGAN BOARD MEMBER 2.00 X 0 0 0 MARY ANNE M STETZER EMERITUS 2.00 X 0 0 0 PHIL ROBINSON SECRETARY 2.00 X X 0 0 0 ROBERT BERGEN CHAIRMAN 2.00 X X 0 0 0 SARA S SENIOR EMERITUS 2.00 X 0 0 0 SHEILA GIBSON BOARD MEMBER 2.00 X 0 0 0 MARIANNE HARKIN BOARD MEMBER 2.00 X 0 0 0 A LOUIS DENTON TREASURER 2.00 X X 0 0 0 KRISTEN FEE CFO 10.00 30.00 X 0 160105 11468 SUSAN IRRGANG EXECUTIVE DIRECTOR 40.00 X 174950 0 6540 LORI MARKUSFELD DIRECTOR OF FUND DEVELOPMENT 20.00 20.00 X 127644 0 99 BELINDA DUVAL EMPLOYEE 40.00 X 102636 0 119 MARILYN KERR DIRECTOR OF NURSING 40.00 X 136420 0 986 CHARLYANNE NESTER DIRECTOR OF CLINICAL REMBU 40.00 X 114293 0 1143 655943 477606 44846 5 0 1 0 SELECT REHAB PO BOX 809056 CHICAGO IL 606809056 THERAPY SVCS - RESIDENTS 2255788 MILLENNIUM PHARMACY PO BOX 409251 ATLANTA GA 30384 PHARMACY - RESIDENTS 485076 US FOODS PO BOX 33101 NEWARK NJ 07188 FOOD - RESIDENTS 423702 MCKESSON PO BOX 630693 CINCINNATI OH 45263 MEDICAL SUPPIES 231935 CONTRACT PHARMACY SERVICES 125 TITUS AVENUE WARRINGTON PA 18976 PHARMACY - RESIDENTS 204048 8 441733 441733 RESIDENT CARE/ADMIN FEES 623000 19192021 19192021 19192021 207616 207616 845802 857493 -11691 -11691 -11691 OTHER INCOME 623000 23283 23283 23283 19852962 19215304 0 195925 X 192849 192849 9100049 8302779 797270 40135 35129 5006 1111989 1003131 108858 820850 759585 61265 832757 832757 91065 91065 3700 3700 35208 35208 3549894 3365050 184844 29469 1503 27966 84672 13005 71667 134910 134910 963651 677959 285692 772 772 576185 498581 77604 44911 44911 SUPPLIES 970523 947045 23478 BAD DEBT 385524 385524 DUES AND SUBSCRIPTIONS 38969 4137 34832 19008082 16321959 2686123 0 2402455 2778349 100523 100630 3872739 3172348 23206 35920 383858 341836 24853206 17482564 7464860 7370642 6634283 7211999 1115332 1165750 1377446 1802692 23374702 23980166 1652780 1587155 65254 38484 3403734 2810059 77581 53678 37447 37447 5236796 4526823 X 17022574 18287593 1115332 1165750 18137906 19453343 23374702 23980166 X 844880 420139 50418 X 0 1 X 1 0 X 330701 281450 377795 331427 441733 1763106 19220173 19686707 19383155 19458818 19192021 96940874 19550874 19968157 19760950 19790245 19633754 98703980 5800 7600 13400 0 5800 7600 13400 98690580 89801 278657 225465 257962 207616 1059501 89801 278657 225465 257962 207616 1059501 13469 5863 27298 23283 69913 19640675 20260283 19992278 20075505 19864653 99833394 0.98860 0.98920 0.01060 0.01020 X SCHEDULE A, PART III, SECTION B., #12 MISCELLANEOUS REVENUES 2014: 13,469 2015: 5,863 2016: 27,298 2017: 23,283 7749615 663342 35208 8377749 6562437 500000 723333 36166 7749615 6428083 300000 -155998 9648 6562437 6114776 300000 22044 8737 6428083 5281825 861864 28913 6114776 0.86000 0.14000 1 0 1600000 1600000 13598017 8733596 4864421 370305 328586 41719 9191754 8420382 771372 93130 93130 7370642 DUE FROM RELATED PARTY 1706949 ESTIMATED THIRD PARTY SETTLEMENTS 95743 1802692 UNCLAIMED PROPERTY 37447 37447 X 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 X, LINE 2: THE ORGANIZATION IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INERNAL REVENUE CODE, AS AMENDED, AND STATE INCOME TAXES UNDER THE NOT-FOR-PROFIT CORPORATION LAWS OF THE COMMONWEALTH OF PENNSYLVANIA. ACCORDINGLY, NO PROVISION FOR INCOME TAXES FOR THE ORGANIZATION HAS BEEN PROVIDED. THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZD TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS, AS A TAX-EXEMPT ENTITY, AS A TAX POSITION. THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2015. X X X 0 0 0 0 0 0 0 0 0 KEVIN ROSS PRESIDENT & CEO 0 317501 0 0 0 0 0 1311 0 23180 0 341992 0 0 KRISTEN FEE CFO 0 160105 0 0 0 0 0 1510 0 9958 0 171573 0 0 SUSAN IRRGANG EXECUTIVE DIRECTOR 174950 0 0 0 0 0 612 0 5928 0 181490 0 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 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 IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 3,365,050. MANAGEMENT AND GENERAL EXPENSES 184,844. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,549,894. FORM 990, PART XI, LINE 9: GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS 50,418. BRYN MAWR TERRACE 773 E HAVERFORD ROAD BRYN MAWR PA 19010 208411287 NURSING HOME PA 501(C)(3) LINE 11 MAIN LINE SENIOR CARE 0 MAIN LINE SENIOR CARE 100 LANCASTER AVENUE WYNNEWOOD PA 19096 455110022 MANAGEMENT SERVICES PA 501(C)(3) LINE 11 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0