2018-05-02T06:23:35-05:00 2017-06-30 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2016-07-01 208411287 Bryn Mawr Terrace BRYN 6105258300 773 E Haverford Road Bryn Mawr PA 19010 KEVIN ROSS PRESIDENT & CEO 6105258300 2018-04-27 1 Joseph G Sullivan P00360476 6108622249 96.90.32.117 2018-04-27 07:54:57 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 41D956D32CA61617543D07F6F4F00E7B5FB0E8BD 2016 2021-01-29 14:40:06Z KEVIN ROSS 773 E Haverford Road Bryn Mawr PA 19010 11547423 0 X WWW.BRYNMAWRTERRACE.ORG X 2007 PA PROVIDE SKILLED NURSING, REHABILIATION, AND PERSONAL CARE SERVICES. 11 10 213 18 0 0 90764 22275 12670269 11438593 3073 7599 51150 78956 12815256 11547423 0 0 0 0 6643094 6257515 0 0 0 5500786 5285240 12143880 11542755 671376 4668 14251046 15152641 9723744 10620671 4527302 4531970 PROVIDE SKILLED NURSING, REHABILITATION, AND PERSONAL CARE SERVICES. 0 0 9833300 11517549 PROVIDED SKILLED NURSING, REHABILITATION, AND PERSONAL CARE SERVICES TO MORE THAN 400 OLDER ADULTS. 9833300 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 10 0 1 213 1 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 1 0 PA X X MAIN LINE SENIOR CARE 6106585100 100 E LANCASTER AVENUE WYNNEWOOD PA 19096 KEVIN ROSS President & CEO 20.00 20.00 X X 0 322630 38429 DAVID R DUGERY BOARD MEMBER 2.00 X 0 0 0 ELISSA TOPOL RN CRNP CHAIR 2.00 X X 0 0 0 A LOUIS DENTON TREASURER 2.00 X X 0 0 0 JOHN H MANTAS CPA Secretary 2.00 X X 0 0 0 DONNA STERNBERG BOARD MEMBER 2.00 X 0 0 0 SHEILA GIBSON BOARD MEMBER 2.00 X 0 0 0 Robert E Bergen Vice CHAIRMAN 2.00 X X 0 0 0 Kelly Nestor RN Board MEMBER 2.00 X 0 0 0 Phillip D Robinson Board MEMBER 2.00 X 0 0 0 David Fox MD BoarD MEMBER 2.00 X 0 0 0 Mary Anne Stetzer Emeritus 2.00 X 0 0 0 Davis Pearson Emeritus 2.00 X 0 0 0 Sara Senior Emeritus 2.00 X 0 0 0 Marianne Harkin BoarD MEMBER 40.00 X 0 0 0 Gordon Mott BoarD MEMBER 40.00 X 0 0 0 Kristen Fee cfo 1.00 40.00 X 0 142680 13311 Collin Tierney Executive Director 40.00 X 163742 0 0 CHARLYANNE NESTER DIRECTOR OF CLINICAL reimbursement 10.00 30.00 X 27424 82271 0 Mark Mason HR Director 40.00 X 100444 0 0 291610 547581 51740 2 0 1 0 Select Rehabilitation Inc PO Box 809056 Chicago IL 606809056 Therapy Svcs - residents 2800327 Grane Supply PO Box 558 Pittsburgh PA 15230 Pharmacy - residents 825442 US Foods PO Box 33101 Newark NJ 071880101 Food - residents 385595 McKesson PO Box 630693 Cincinnati OH 452630693 Medical Supplies 281258 Pocono Produce Co Total RT 191 Chipperfied Dr Stroudsburg PA 183600669 Food - residents 203734 9 22275 22275 RESIDENT CARE/ADMINISTRATIVE FEES 623000 11438593 11438593 11438593 7599 7599 Other Income 623000 78956 78956 78956 11547423 11517549 0 7599 X 174625 174625 4876522 4118428 758094 26094 22178 3916 691470 587692 103778 488804 415443 73361 561242 477009 84233 10954 9310 1644 11742 9980 1762 1935786 1645252 290534 97693 83031 14662 43913 37322 6591 83844 71260 12584 987258 839087 148171 3603 3603 461690 392398 69292 28593 24302 4291 SUPPLIES 908029 771749 136280 BAD DEBTS 149149 149149 0 employee training 1744 1482 262 11542755 9833300 1709455 0 1105101 1460519 17800 17800 1806289 1219894 24001 24001 131305 270300 13972399 3354133 10929042 10618266 113550 312237 123958 1229624 14251046 15152641 1010298 715451 85000 263700 7522950 8369878 37292 28717 1068204 1242925 9723744 10620671 X 4527302 4531970 4527302 4531970 14251046 15152641 4668 0 X 0 1 X 1 0 X 14942 50588 82022 90764 22275 260591 10817258 11276587 12276904 12670269 11438393 58479411 10832200 11327175 12358926 12761033 11460668 58740002 5100 5100 0 5100 5100 58734902 2203 1741 2988 3073 7599 17604 2203 1741 2988 3073 7599 17604 38299 51150 78956 168405 10834403 11328916 12400213 12815256 11547223 58926011 0.99680 0.99820 0.00030 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3312684 3312684 8977197 2159993 6817204 245908 214253 31655 1436610 979887 456723 10618266 Estimated third party payor settlements 121175 Assets whose use is limited 1052386 Security deposits 56063 1229624 due to affiliate 1235613 Unclaimed Property 7312 1242925 X 11547423 0 11547423 0 11547423 11542755 0 11542755 0 11542755 Part X, Line 2: The Organization is recognized as exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code, as amended, and from state income taxes under the Not-for-Profit Corporation Laws of the Commonwealth of Pennsylvania. Accordingly, no provision for income taxes for the Organiztion 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 unrecognized tax benefit is estimated on a "cumulative probability assessment" that aggregates the estimated tax liability for 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 Collin Tierney Executive Director 163742 0 0 0 0 0 0 0 0 0 163742 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, 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 BRYN MAWR TERRACE 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 ANNUALY WITH EACH BOARD MEMBER. BOARD MEMBERS ARE EXPECTED TO IDENIFY ANY CONFLICTS OR POTENTIAL CONFLICTS AND MUST SIGN THE DOCUMENT. Form 990, Part VI, Section B, line 15 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, MADE A DECISION AND REVIEWED THAT DECISION WITH THE BOARD MEMBERS. Form 990, Part VI, Section C, line 19 THE ORGANIZATION WILL PROVIDE, UP 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 1,645,252. Management and general expenses 290,534. Fundraising expenses 0. Total expenses 1,935,786. SAUNDERS HOUSE 100 LANCASTER AVENUE WYNNEWOOD PA 19096 231352250 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