2018-05-09T11:15:00-05:00 2017-06-30 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2016-07-01 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 2018-05-08 1 Joseph G Sullivan P00360476 6108622249 2016 2022-09-23 18:48:47Z X SAUNDERS HOUSE KEVIN ROSS 100 Lancaster Avenue Wynnewood PA 19096 20494871 0 X www.saundershouse.org X 1864 PA PROVIDED SKILLED NURSING AND REHABILIATION SERVICES TO MORE THAN 400 OLDER ADULTS. 12 11 415 46 0 0 377795 331427 19383155 19458818 386775 257878 5863 27298 20153588 20075421 0 0 0 0 11050793 10906527 0 0 0 7911805 8172012 18962598 19078539 1190990 996882 21058102 23374702 4456772 5236796 16601330 18137906 PROVIDED SKILLED NURSING AND REHABILITATION SERVICES TO MORE THAN 400 OLDER ADULTS. 0 0 16908680 19486116 It is the mission of Saunders House to be a premier skilled nursing home 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. 16908680 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 19 0 1 415 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 X kevin ross President & ceo 10.00 40.00 X X 0 322630 38429 ELISSA TOPOL RN CRNP CHAIrMAN 2.00 X X 0 0 0 Phil Robinson bOARD MEMBER 2.00 X 0 0 0 DAVID R DUGERY bOARD MEMBER 2.00 X 0 0 0 A LOUIS DENTON TREASURER 2.00 X X 0 0 0 Kelly Nester BOARD MEMBER 2.00 X 0 0 0 JOHN H MANTAS CPA seCRETARY 2.00 X X 0 0 0 MARY ANNE M STETZER 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 SHEILA GIBSON BOARD MEMBER 2.00 X 0 0 0 DAVIS PEARSON Emeritus 2.00 X 0 0 0 SARA S SENIOR Emeritus 2.00 X 0 0 0 Marianne Harkin BOARD MEMBER 2.00 X 0 0 0 Robert Bergen Vice Chairman 2.00 X X 0 0 0 GORDON MOTT BOARD MEMBER 2.00 X 0 0 0 Kristen Fee CFO 10.00 40.00 X 0 142680 13311 susan irrgang executive director 40.00 X 170540 0 0 MARILYN KERR DIRECTOR OF NURSING 10.00 40.00 X 125602 0 0 CHARLYANNE NESTER DIRECTOR OF CLINICAL REMBURSENT 30.00 10.00 X 82271 27424 0 378413 492734 51740 2 0 1 0 Select Rehab PO BOX 809056 Chicago IL 606809056 Therapy Svcs - residents 4195391 Millennium Pharmacy PO Box 409251 ATLANTA GA 30384 Pharmacy - residents 1390783 US Foods PO BOX 33101 Newark NJ 07188 Food - residents 897741 McKesson PO BOX 630693 Cincinnati OH 45263 Medical Suppies 484233 HEALTHCARE SERVICES GROUP INC Total 3220 TILLMAN DR STE 300 Bensalem PA 19020 resident service support 320419 17 331427 331427 RESIDENT CARE/ADMIN FEES 623000 19458818 19458818 19458818 257962 257962 419366 419450 -84 -84 -84 other income 623000 27298 27298 27298 20075421 19486116 0 257878 X 170540 170540 8571583 7861536 710047 38362 33015 5347 1293894 1113561 180333 832148 772234 59914 835432 718996 116436 231382 199134 32248 24871 21405 3466 29942 29942 3263248 2793212 470036 39162 39162 6447 6447 154424 101947 52477 879011 569912 309099 7004 7004 604384 520149 84235 36530 31439 5091 SUPPLIES 1627744 1599555 28189 BAD DEBT EXPENSE 389402 389402 DUES AND SUBSCRIPTIONS 41206 6196 35010 EMPLOYEE TRAINING 1823 1823 19078539 16908680 2169859 0 2393751 2402455 100416 100523 12500 0 3270516 3872739 23206 23206 321516 383858 24415287 16950427 7174055 7464860 5420389 6634283 1142048 1115332 2226 0 1197479 1377446 21058102 23374702 1692304 1652780 57766 65254 2547858 3403734 121397 77581 37447 37447 4456772 5236796 X 15459282 17022574 1142048 1115332 16601330 18137906 21058102 23374702 X 996882 566410 -26716 X 0 1 X 1 0 X 302796 330701 281450 377795 331427 1624169 19189499 19220173 19686707 19383155 19458818 96938352 19492295 19550874 19968157 19760950 19790245 98562521 5800 5800 0 5800 5800 98556721 168973 89801 278657 225465 257962 1020858 168973 89801 278657 225465 257962 1020858 2574 13469 5863 27298 49204 19663842 19640675 20260283 19992278 20075505 99632583 0.98920 0.98640 0.01020 0.00850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6562437 500000 723333 36166 7749615 6428083 300000 -155998 9648 6562437 6114776 300000 22044 8737 6428083 5281825 861864 28913 6114776 4379631 902194 5281825 0.86000 0.14000 0.00000 1 0 1600000 1600000 13509889 8612949 4896940 365430 316959 48471 8851609 8020519 831090 88359 88359 7464860 DUE FROM RELATED PARTY 1294960 ESTIMATED THIRD PARTY SETTLEMENTS 46254 accrued interest 36232 1377446 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, 2014. X X X 0 0 0 0 0 0 0 0 0 kevin ross President & ceo 0 322630 0 0 0 0 0 0 0 38429 0 361059 0 0 Kristen Fee CFO 0 142680 0 0 0 0 0 0 0 13311 0 155991 0 0 susan irrgang executive director 170540 0 0 0 0 0 0 0 0 0 170540 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. REASON FOR AMENDED RETURN EX-OFFICIO MEMBER, FIRAS SAIDI WAS UNINTENTIONALLY LEFT OFF PART VII, PAGE 7 IN THE ORIGINAL FILING. Form 990, Part IX, line 11g OUTSIDE SERVICES: Program service expenses 2,793,212. Management and general expenses 470,036. Fundraising expenses 0. Total expenses 3,263,248. Form 990, Part XI, line 9: LOSS ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS -26,716. BRYN MAWR TERRACE 773 E Haverford Road BRYN MAWR PA 19010 208411287 NURSING HOME PA 501(c)(3) Line 10 MAIN LINE SENIOR CARE 0 MAIN LINE SENIOR CARE 100 LANCASTER AVENUE WYNNEWOOD PA 19096 455110022 MANAGEMENT SERVICES PA 501(c)(3) Line 10 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0