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 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 2017-05-12 1 JOSEPH G SULLIVAN P00360476 6108622249 2015 2021-01-29 14:40:06Z SAUNDERS HOUSE KEVIN ROSS 100 LANCASTER AVENUE WYNNEWOOD PA 19096 21156830 0 X WWW.SAUNDERSHOUSE.ORG X 1864 PA PROVIDED SKILLED NURSING AND REHABILIATION SERVICES TO MORE THAN 400 OLDER ADULTS. 13 12 392 0 0 0 281450 377795 19673238 19383155 251798 386775 13469 5863 20219955 20153588 0 0 0 0 10979479 11050793 0 0 0 8185420 7911805 19164899 18962598 1055056 1190990 18470174 21129463 2526961 4528133 15943213 16601330 PROVIDED SKILLED NURSING AND REHABILITATION SERVICES TO MORE THAN 400 OLDER ADULTS. 0 0 17231505 19389018 TO OWN AND OPERATE A SKILLED NURSING FACILITY PROVIDING CARE TO THE ELDERLY. 17231505 1 1 0 0 0 0 0 0 1 1 1 0 1 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 15 0 1 392 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 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 KEVIN ROSS PRESIDENT & CEO 10.00 40.00 X X 0 300531 0 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 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 KRISTEN FEE CFO 10.00 40.00 X 0 13446 0 CHARLES THORNE FROMER CFO 10.00 40.00 X 0 151394 0 SUSAN IRRGANG EXECUTIVE DIRECTOR 10.00 40.00 X 159258 0 0 MARILYN KERR DIRECTOR OF NURSING 10.00 40.00 X 124405 0 0 283663 465371 0 2 0 1 0 SELECT REHAB 100 E LANCASTER AVE WYNEWOOD PA 19096 THERAPY SVCS - RESIDENTS 2213596 MILLENNIUM PHARMACY 100 E LANCASTER AVE WYNEWOOD PA 19096 PHARMACY - RESIDENTS 731142 US FOODS 100 E LANCASTER AVE WYNEWOOD PA 19096 FOOD - RESIDENTS 435112 MCKESSON 2 TWOSOME DRIVE MOORESTOWN NJ 08057 MEDICAL SUPPIES 299204 LAW OFFICES OF BRIAN DIETRICH 610 SENTRY PARKWAY BLUE BELL PA 19422 LEGAL SVCS - RESIDENT 176368 7 377795 377795 RESIDENT CARE/ADMIN FEES 623000 19383155 19383155 19383155 225465 225465 1164552 1003242 161310 161310 161310 OTHER INCOME 623000 5863 5863 5863 20153588 19389018 0 386775 X 158236 158236 9136288 8479446 656842 26561 22080 4481 808551 649272 159279 921157 864108 57049 912166 776592 135574 251749 214332 37417 30840 26256 4584 3030031 2803227 226804 28342 28342 31444 31354 90 207101 87605 119496 741878 631614 110264 8609 8609 548595 467058 81537 29157 24823 4334 SUPPLIES 1656677 1602709 53968 BAD DEBT EXPENSE 354780 354780 0 DUES AND SUBSCRIPTIONS 44430 6052 38378 EMPLOYEE TRAINING 19978 18988 990 16028 12973 3055 18962598 17231505 1731093 0 3132025 2465112 100317 100416 12500 3439091 3270516 23206 23206 224989 321516 23520099 16346044 4371286 7174055 5187508 5420389 1240575 1142048 2226 2226 748951 1197479 18470174 21129463 2164507 1750070 61214 71361 2547858 182393 121397 118847 37447 2526961 4528133 X 14702638 15459282 1240575 1142048 15943213 16601330 18470174 21129463 X 1190990 -434346 -98527 X X 0 1 X 1 0 X 314459 302796 330701 281450 377795 1607201 18390898 19189499 19220173 19686707 19383155 95870432 18705357 19492295 19550874 19968157 19760950 97477633 0 0 0 97477633 81627 168973 89801 278657 225465 844523 81627 168973 89801 278657 225465 844523 480000 2574 13469 5863 501906 19266984 19663842 19640675 20260283 19992278 98824062 0.98640 0.97720 0.00850 0.00940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 6428083 300000 -155998 9648 6562437 6114776 300000 22044 8737 6428083 5281825 861864 28913 6114776 4379631 902194 5281825 4517945 -138314 4379631 0.83000 0.17000 0.00000 1 0 1600000 1600000 13013637 8427471 4586166 8535142 7613782 921360 371320 304791 66529 7174055 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1142048 F 1142048 DUE FROM RELATED PARTY 1043086 ESTIMATED THIRD PARTY SETTLEMENTS 154393 1197479 UNCLAIMED PROPERTY 37447 37447 X 32521525 -434346 12815256 12380910 20140615 12973 12973 20153588 31093506 12143881 12143881 18949625 12973 12973 18962598 PART IV, LINE 2B: THE ESCROW ACCOUNT LIABILITY OFFSETS THE RESIDENT TRUST FUND ESTABLISHED ON BEHALF OF THE FACILITY'S RESIDENTS. 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 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 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 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE ITEMS EARNED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES 14,309,528. LESS: ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -1,494,272. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSED INVESTMENT FEES 12,973. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSE ITEMS INCURRED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATIO FOR FINANCIAL STATEMENT PURPOSES 13,638,153. LESS: ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -1,494,272. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSED INVESTMENT FEES 12,973. 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 FROMER CFO 0 151394 0 0 0 0 0 0 0 0 0 151394 0 0 SUSAN IRRGANG EXECUTIVE DIRECTOR 154258 0 5000 0 0 0 0 0 0 0 159258 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 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 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 2,803,227. MANAGEMENT AND GENERAL EXPENSES 226,804. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,030,031. FORM 990, PART XI, LINE 9: LOSS ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS -98,527. BRYN MAWR TERRACE 773 E HAVERFORD ROAD BRYN MAWR PA 19010 208411287 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0