2012-10-26T09:30:30-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 610 WGERMANTOWN PIKESTE 400 PLYMOUTH MTG PA 19462 990 2011-01-01 231352227 SIMPSON HOUSE INC SIMP 6106600112 150 MONUMENT ROAD NO 105 BALA CYNWYD PA 19004 JAMES J KONISZEWSKI 6106600112 2012-10-23 1 JAMES D WATSON P01450300 2156433900 2011 2016-02-24 21:20:13Z KIM WILLIAMS 150 MONUMENT ROAD NO 105 BALA CYNWYD PA 19004 22463503 0 X WWW.SIMPSONHOUSE.ORG X 1865 PA SIMPSON HOUSE, INC. OPERATES A CONTINUING CARE RETIREMENT COMMUNITY. 10 8 336 286 0 0 476345 561191 17958024 19405080 363228 295000 69184 28020 18866781 20289291 0 0 0 0 11325096 11471998 0 0 0 7496294 8314540 18821390 19786538 45391 502753 34529688 33875460 9496509 9058708 25033179 24816752 X SIMPSON HOUSE IS DEDICATED TO MEETING THE NEEDS OF SENIORS IN THE COMMUNITY. THROUGH CAREFUL OVERSIGHT, WE STRIVE TO DELIVER THE HIGHEST QUALITY OF SERVICE WITH A SENSE OF WARMTH, FRIENDLINESS, INDIVIDUAL PRIDE AND INTEGRITY. WE ARE COMMITTED TO OFFERING OUR RESIDENTS AND STAFF OPPORTUNITIES FOR PERSONAL GROWTH AND SPIRITUAL ENRICHMENT. 0 0 17429128 19405080 SIMPSON HOUSE, INC. OPERATES A CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF RESIDENTIAL LIVING UNITS, ASSISTED LIVING BEDS AND NURSING BEDS. 17429128 1 1 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 10 0 1 336 1 0 0 0 0 0 0 0 0 0 0 X 10 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X JAMES J KONISZEWSKI 6106600112 150 MONUMENT ROAD STE 105 BALA CYNWYD PA 19004 MARY BAMFORD 1.00 X X 0 0 0 KIM WILLIAMS 1.00 X X 0 230002 52970 MILDRED LILLY 1.00 X 0 0 0 REV ALFRED T DAY III 1.00 X 0 0 0 GILBERT ROWE 1.00 X 0 0 0 DOROTHY THOMAS 1.00 X 0 0 0 SIGMUND B KAHN MD 1.00 X 0 0 0 REV THOMAS MARSH 1.00 X 0 0 0 ROSANN SMITH 40.00 X 110188 0 13747 JAMES J KONISZEWSKI 1.00 X 0 212318 20639 SUDHAKARAN GOPALAN 40.00 X 125490 0 13705 RICHARD COYLE 40.00 X 101552 0 3096 ROBBE HEALEY 40.00 X 0 132765 11238 GLORIA BORING 40.00 X 101372 0 9909 438602 575085 125304 4 1 1 0 MORRISON SENIOR DINING PO BOX 102289 ATLANTA GA 30368 RESIDENT DINING 1565495 KEYSTONE HEALTH PLAN EAST PO BOX 70250 PHILADELPHIA PA 19176 EMPLOYEE HEALTHCARE 1561391 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 RESIDENT THERAPY 827694 FLAT IRON CAPITAL PO BOX 8500 PHILADELPHIA PA 19178 INSURANCE 329758 MILLENNIUM PHARMACY SYSTEMS INC 100 EAST KENSINGER DRIVE 500 CRANBERRY TWP PA 16066 PHARMACY 279777 11 73850 487341 561191 NET RESIDENT SRV REV 623000 18878450 18878450 AMORT OF ENTRANCE FEES 623000 526630 526630 19405080 304890 304890 2140202 2150092 -9890 -9890 -9890 0 73850 24120 -24120 -24120 FOOD SERVICE REVENUE 623000 14970 14970 VENDING AND TELEPHONE 623000 4690 4690 GIFT SHOP REVENUE 623000 4590 4590 27890 27890 52140 20289291 19405080 0 323020 111281 111281 8715549 8715549 238350 238350 1750038 1750038 656780 656780 1835860 1835860 58970 58970 27490 27490 15390 15390 99560 99560 52780 52780 297540 230690 66850 854280 854280 36790 36790 19290 19290 259280 259280 1210260 1210260 199220 199220 THERAPY 930260 930260 RAW FOOD 833060 833060 NURSING SUPPLIES 587940 587940 MAINTANENCE SUPPLIES 223790 223790 772780 718710 54070 19786538 17429128 2357410 0 782536 884380 3153219 3697360 102559 66050 33994150 23679970 10904627 10314180 7504751 7363370 12081996 11550120 34529688 33875460 1573767 1874968 2935058 2670310 4740427 4369690 247257 143740 9496509 9058708 X 14480392 14294644 165219 163040 10387568 10359068 25033179 24816752 34529688 33875460 X 502753 -719180 X X 0 1 1 X 0 X 404334 807545 711983 476345 454790 2854997 17260784 17825125 17554658 17958024 19405080 90003671 17665118 18632670 18266641 18434369 19859870 92858668 165331 534373 363834 226979 189163 1479680 0 165331 534373 363834 226979 189163 1479680 91378988 446702 240900 192234 285421 304890 1470147 446702 240900 192234 285421 304890 1470147 89889 29707 46923 20260 52140 238919 18201709 18903277 18505798 18740050 20216900 94567734 0.96630 0.98000 0.01550 0.01700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 350000 350000 25622320 16963664 8658656 7816690 6716306 1100384 205140 205140 10314180 SECURITIES AND OTHER INVESTMENTS 7363370 F 7363370 DEFERRED FINANCING FEES 14350 BENEFICIAL INTEREST TRUST 5681050 DUE FROM RELATED PARTY 5798960 DEPOSITS 55760 11550120 20289291 19786538 502753 -201750 -517430 -719180 -216427 19594231 34410 34410 19559821 729470 729470 20289291 19810658 24120 24120 19786538 0 19786538 PART IV, LINE 2B: SIMPSON HOUSE RECEIVES FUNDS ON BEHALF OF SOME OF ITS RESIDENTS REPRESENTING RETIREMENT PAYMENTS, SSI AND OTHER BENEFITS. THE FUNDS ARE HELD IN SEPARATE ACCOUNTS AND ARE USED TO PAY THE RESIDENTS' PORTION OF THEIR MONTHLY ROOM AND BOARD, MONTHLY PERSONAL NEEDS AND INSURANCE COVERAGE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: VALUATION GAIN 10,290. VALUATIONS GAIN(LOSS) BENEFICIAL INTEREST IN PERPETUAL TRUSTS -527,720. TOTAL TO SCHEDULE D, PART XI, LINE 8: -517,430. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS 24,120. VALUATION GAIN 10,290. PART XII, LINE 4B - OTHER ADJUSTMENTS: VALUATION GAIN(LOSS) BENEFICIAL INTEREST IN PERPETUAL TRUSTS 527,720. UNREALIZED LOSS ON INVESTMENTS 201,750. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS 24,120. SCHEDULE D, PART VI: OTHER LAND, BUILDINGS, AND EQUIPMENT IS CONSTRUCTION IS PROCESS WHICH WILL NOT BE DEPRECIATED UNTIL THE ASSETS ARE PUT INTO USE. THE PROJECT IS IN THE PRELIMIARY DEVELOPMENTAL STAGES. EMBRACING LIFE DINNER 73850 73850 24120 73850 73850 24120 24120 -24120 X X X 0 0 0 0 0 0 0 0 0 KIM WILLIAMS 0 230002 0 0 0 0 0 35700 0 17270 0 282972 0 0 JAMES J KONISZEWSKI 0 202318 0 10000 0 0 0 12535 0 8104 0 232957 0 0 GLORIA BORING 101372 0 0 0 0 0 2027 0 7882 0 111281 0 0 0 ALEX BORING SON OF GLORIA BORING- EX-EXECUTIVE DIRECTOR 38376 SALARY 0 FORM 990, PART VI, SECTION A, LINE 2 GLORIA BORING IS THE EXECUTIVE DIRECTOR FOR SIMPSON HOUSE AND HER SON, ALEX BORING, ALSO WORKS FOR THE FACILITIY AS A MEDICAL SUPPLY MANAGER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE CORPORATION SHALL BE SIMPSON SENIOR SERVICES. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE RESERVED POWERS TO APPOINT AND REMOVE ALL MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME OTHER THAN THE BISHOP. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL HAVE RESERVED POWERS TO APPOINT AND REMOVE ALL MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME OTHER THAN THE BISHOP, APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORP. OR BY-LAWS, APPROVE ANNUAL CAPITAL BUDGET, APPROVE SALE, LEASE, OR TRANSFER OF ANY ASSETS, APPROVE INDEBTEDNESS GREATER THAN $50,000, AND APPROVE ANY MERGER, DISSOLUTION, ETC OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. ONCE APPROVED, THE FORM 990 IS SENT TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR REVIEW AND APPROVAL. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER WILL THEN FORWARD A COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS AND MEMBERS OF THE BOARD ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. ALL SIGNIFICANT NEW CONTRACTS ARE SUBJECT TO BOARD APPROVAL. ONGOING CONTRACTS ARE REVIEWED FOR ANY KNOWN POTENTIAL CONFLICT OF INTEREST. IF A CONFLICT ARISES, LEVEL AT WHICH THE DETERMINATION OF A CONFLICT OF INTEREST EXISTS IS DETERMINED AT THE BOARD LEVEL. CONFLICTS OF INTERESTS ARE REVIEWED AT THE BOARD LEVEL. ANY INDIVIDUAL WITH A CONFLICT OF INTEREST IS ABSTAINED FROM BOARD DISCUSSIONS AND DECISIONS WHERE ANY CONFLICT WOULD BE PRESENT. FORM 990, PART VI, SECTION B, LINE 15 A SUB-COMMITTEE OF THE BOARD OF DIRECTORS WHICH IS APPOINTED BY THE BOARD CHAIR HAS THE SPECIFIC DUTY OF ANNUALLY EVALUATING THE PERFORMANCE OF THE CHIEF EXECUTIVE OF THE ORGANIZATION, INCLUDING DETERMINING HIS ANNUAL COMPENSATION. A COMPETENT SALARY SURVEY IS USED TO BENCHMARK COMPENSATION FOR THE POSITION UTILIZING PANPHA, AAHSA AND CEMO SALARY SURVEYS AND OTHER STUDIES. IN ADDITION, THE GUIDE STAR WEBSITE IS UTILIZED TO RESEARCH THE SALARY OF SIMILAR POSITIONS AT SIMILAR SIZED ORGANIZATIONS IN THE LOCAL MARKET AREA. THE CHIEF FINANCIAL OFFER AND THE EXECUTIVE DIRECTORS SALARIES OF EACH COMMUNITY ARE DETERMINED BY THE PRESIDENT & CEO OF SSS ON AN ANNUAL BASIS. THE PRESIDENT & CEO REVIEWS THE ANNUAL PERFORMANCE OF THESE INDIVIDUALS RELATIVE TO THEIR POSITION DESCRIPTIONS. THE OPERATING BUDGETS, INCLUDING SALARY INCREASES, OF EACH COMMUNITY ARE PRESENTED TO THE BOARD FOR THEIR APPROVAL ON AN ANNUAL BASIS. THE PROCESS WAS LAST UNDERTAKEN IN 2010. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -201,750. VALUATION GAIN 10,290. VALUATIONS GAIN(LOSS) BENEFICIAL INTEREST IN PERPETUAL TRUSTS -527,720. TOTAL TO FORM 990, PART XI, LINE 5: -719,180. AUDITED FINANCIAL STATEMENTS FORM 990, PART XI LINES 2C THE FINANCIAL STATEMENTS OF SIMPSON HOUSE, INC. WERE AUDITED BY INDEPENDENT AUDITORS ON A CONSOLIDATED BASIS WITH RELATED ORGANIZATIONS. ON LINE 2C, THE RELATED ORGANIZATIONS DO HAVE A COMMITTEE THAT ASSUMES RESPONSBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SIMPSON SENIOR SERVICES 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 232948991 MANAGES AFFILIATES THAT PROVIDE RESIDENCE AND HEALTHCARE FOR THE ELDERLY PA 501(C)3 11B SIMPSON SENIOR SERVICES 0 SIMPSON MEADOWS 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 232948992 CCRC PROVIDING HEALTHCARE, HOUSING, AND OTHER RELATED SERVICES TO RESIDENTS PA 501(C)3 9 SIMPSON SENIOR SERVICES 0 JENNER'S POND 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 231548106 CCRC PROVIDING HEALTHCARE, HOUSING, AND OTHER RELATED SERVICES TO RESIDENTS PA 501(C)3 9 SIMPSON SENIOR SERVICES 0 THIRD CENTURY SERVICES 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 232948457 PROVIDES SUPPORTIVE SERVICES TO FACILITIES PROVIDING CARE TO THE ELDERLY PA 501(C)3 11B SIMPSON SENIOR SERVICES 0 SIMPSON GLEN 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 232960640 CCRC PROVIDING HEALTHCARE, HOUSING, AND OTHER RELATED SERVICES TO RESIDENTS PA 501(C)3 9 SIMPSON SENIOR SERVICES 0 SIMPSON MID-TOWN 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 233089337 PROVIDES HOUSING FOR ELDERLY, LOW INCOME RESIDENTS PA 501(C)3 9 SIMPSON SENIOR SERVICES 0 SIMPSON HOUSE FOUNDATION 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 232320545 RECEIVE AND ADMINISTER FUNDS FOR CHARITABLE WORKS OF SIMPSON HOUSE, INC. PA 501(C)3 11B SIMPSON SENIOR SERVICES 0 NARBERTH ADULT CARE SERVICES 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 232948458 PROVIDES ADULT DAY CARE SERVICES AND HEALTHCARE TO THE ELDERLY PA 501(C)3 9 SIMPSON SENIOR SERVICES 0 SIMPSON GARDENS LP 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 412069202 REAL ESTATE RENTAL PROPERTY PA N/A N/A 0 0 SIMPSON GARDENS HOUSING CORP 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 412069201 ECONOMIC DEVELOPMENT OF LOW INCOME HOUSING PA SIMPSON SENIOR SERVICES C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0