2017-05-15T06:22:32-05:00 2016-06-30 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2015-07-01 208411287 BRYN MAWR TERRACE BRYN 6105258300 773 E HAVERFORD ROAD BRYN MAWR PA 19010 KEVIN ROSS PRESIDENT & CEO 6105258300 2017-05-12 1 JOSEPH G SULLIVAN P00360476 6108622249 2015 2021-01-29 14:40:06Z KEVIN ROSS 773 E HAVERFORD ROAD BRYN MAWR PA 19010 12815256 0 X WWW.BRYNMAWRTERRACE.ORG X 2007 PA PROVIDE SKILLED NURSING, REHABILIATION, AND PERSONAL CARE SERVICES. 12 11 234 0 0 0 82022 90764 12315203 12670269 2988 3073 305125 51150 12705338 12815256 0 0 0 0 6541952 6643094 0 0 0 5477252 5500786 12019204 12143880 686134 671376 14437689 14254447 10581763 9727145 3855926 4527302 PROVIDE SKILLED NURSING, REHABILITATION, AND PERSONAL CARE SERVICES. 0 0 10701897 12721419 PROVIDED SKILLED NURSING, REHABILITATION, AND PERSONAL CARE SERVICES TO MORE THAN 400 OLDER ADULTS. 10701897 1 1 0 0 0 0 0 0 1 0 1 0 0 0 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 1 234 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 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 300531 0 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 BETHANN SCHAFFZIN KAGAN 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 KRISTEN FEE CFO 0.00 40.00 X 0 13446 0 CHARLES THORNE FORMER CFO 0.00 40.00 X 0 151394 0 COLLIN TIERNEY EXECUTIVE DIRECTOR 40.00 X 165368 0 0 ELIZABETH CUPITT DIRECTOR OF NURSING 40.00 X 113514 0 0 278882 465371 0 2 0 1 0 SELECT REHAB PO BOX 809056 CHICAGO IL 606809056 THERAPY SVCS - RESIDENTS 1687316 GRANE SUPPLY PO BOX 558 PITTSBURGH PA 15230 PHARMACY - RESIDENTS 320253 US FOODS PO BOX 33101 NEWARK NJ 071880101 FOOD - RESIDENTS 204413 SHELLYS MEDICATION SVCS PO BOX 809056 CHICAGO IL 606809056 PHARMACY - RESIDENTS 136196 MCKESSON PO BOX 630693 CINCINNATI OH 452630693 MEDICAL SUPPLIES 123131 7 90764 90764 RESIDENT CARE/ADMINISTRATIVE FEES 623000 12670269 12670269 12670269 3073 3073 OTHER INCOME 623000 51150 51150 51150 12815256 12721419 0 3073 X 164436 164436 5130680 4494703 635977 22336 19828 2508 814944 754613 60331 510698 446549 64149 586144 481905 104239 30768 25296 5472 18275 15025 3250 1969592 1778234 191358 155725 128031 27694 3841 225 3616 80045 44121 35924 1020728 839203 181525 452582 372096 80486 18850 15498 3352 SUPPLIES 969411 940305 29106 BAD DEBTS 174371 174371 DUES & SUBSCRIPTIONS 14618 6082 8536 5836 1376 4460 12143880 10701897 1441983 0 1783405 1108502 17800 1105924 1806289 32951 24001 210100 187368 13875742 2946700 11225492 10929042 46092 113550 33725 67895 14437689 14254447 1541834 1010298 118215 85000 3951 3401 7902599 7522950 45308 37292 969856 1068204 10581763 9727145 X 3855926 4527302 3855926 4527302 14437689 14254447 671376 0 X X 0 1 X 1 0 X 52414 14942 50588 82022 90764 290730 11177041 10817258 11276587 12276904 12670269 58218059 11229455 10832200 11327175 12358926 12761033 58508789 0 0 0 58508789 6438 2203 1741 2988 3073 16443 6438 2203 1741 2988 3073 16443 38299 51150 89449 11235893 10834403 11328916 12400213 12815256 58614681 0.99820 0.99960 0.00030 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3312684 3312684 8911612 1788283 7123329 228882 210079 18803 1422564 948338 474226 10929042 DUE TO AFFILIATE 1060892 UNCLAIMED PROPERTY 7312 1068204 X 32521525 19706269 19706269 12815256 0 12815256 31093506 18949626 18949626 12143880 0 12143880 PART IV, LINE 2B: THE ORGANIZATION INCLUDED A RESIDENT TRUST LIABLITY ACCOUNT BALANCE ON FORM 990, PART X, LINE 21 TO REPRESENT A CUSTODIAL ACCOUNT LIABILITY. PART X, LINE 2: THE ORGANIZATION IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, 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 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 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE ITEMS EARNED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION 21,200,541. FOR FINANCIAL STATEMENT PURPOSES LESS: ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -1,494,272. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSE ITEMS INCURRED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZTION 20,443,898. FOR FINANCIAL STATEMENT PURPOSES LESS: ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -1,494,272. PART XII, LINE 4B - OTHER ADJUSTMENTS: OTHER ADJUSTMENTS X X X 0 0 0 0 0 0 0 0 0 KEVIN ROSS PRESIDENT & CEO 0 266090 0 34441 0 0 0 0 0 0 0 300531 0 0 CHARLES THORNE FORMER CFO 0 151394 0 0 0 0 0 0 0 0 0 151394 0 0 COLLIN TIERNEY EXECUTIVE DIRECTOR 150574 0 14794 0 0 0 0 0 0 0 165368 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 11 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 ITNEREST AND FINANCIAL STATEMENTS TO THE PUBLIC. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,778,234. MANAGEMENT AND GENERAL EXPENSES 191,358. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,969,592. SAUNDERS HOUSE 100 LANCASTER AVENUE WYNNEWOOD PA 19096 231352250 NURSING HOME PA 501(C)(3) LINE 9 MAIN LINE SENIOR CARE 0 MAIN LINE SENIOR CARE 100 LANCASTER AVENUE WYNNEWOOD PA 19096 455110022 MANAGEMENT SERVICES PA 501(C)(3) LINE 9 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0