OLD MANS HOME OF PHILADELPHIA: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- OLD MANS HOME OF PHILADELPHIA (EIN 23-1352250)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-09-12
- IRS object ID
- 202332559349300143
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-09-12T16:36:16-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 311543240 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ MHM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 CONSHOHOCKEN STATE ROAD STE | AddressLine1Txt |
| Address Line2 | 2-600 | AddressLine2Txt |
| City | WEST CONSHOHOCKEN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 194282908 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231352250 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OLD MAN'S HOME OF PHILADELPHIA | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A SAUNDERS HOUSE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OLDM | BusinessNameControlTxt |
| Phone | 6106585100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 LANCASTER AVENUE | AddressLine1Txt |
| City | WYNNEWOOD | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19096 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN FREDERICKS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6105858300 | PhoneNum |
| Signature | 2023-09-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | FREDERICKS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH G SULLIVAN | PreparerPersonNm |
| PTIN | P00360476 | PTIN |
| Phone | 6108622249 | PhoneNum |
| Preparation | 2023-09-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAUNDERS HOUSE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN FREDERICKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 LANCASTER AVENUE | AddressLine1Txt |
| City | WYNNEWOOD | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19096 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,862,442 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAUNDERSHOUSE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1864 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDED SKILLED NURSING AND REHABILIATION SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 270 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,284,081 | PYContributionsGrantsAmt |
| CY Contributions Grants | $649,014 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,290,761 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,197,124 | CYProgramServiceRevenueAmt |
| PY Investment Income | $897,768 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,304 | CYInvestmentIncomeAmt |
| PY Other Revenue | $238,639 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $15,711,249 | PYTotalRevenueAmt |
| CY Total Revenue | $19,862,442 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,133,445 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,363,413 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,151,977 | PYOtherExpensesAmt |
| CY Other Expenses | $6,187,349 | CYOtherExpensesAmt |
| PY Total Expenses | $16,285,422 | PYTotalExpensesAmt |
| CY Total Expenses | $18,550,762 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$574,173 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,311,680 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,896,647 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,287,032 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,335,167 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,371,452 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,561,480 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,915,580 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDED SKILLED NURSING AND REHABILIATION SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,533,108 | ExpenseAmt |
| Revenue | $19,197,124 | RevenueAmt |
| Desc | OUR MISSION TO BE A PREMIER SKILLED NURSING HOME OF 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. | Desc |
| Total Program Service Expenses | $16,533,108 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 270 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAIN LINE SENIOR CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6106585100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 E LANCASTER AVENUE | AddressLine1Txt |
| City | WYNNEWOOD | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19096 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| TIM RUBIN | |||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID R DUGERY | |||||||
| TREASURER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| GORDON MOTT | |||||||
| CHAIRMAN | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KEVIN ROSS | |||||||
| BOARD MEMBER | 10.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| A LOUIS DENTON | |||||||
| VICE CHAIRMAN | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PAUL BOSTON | |||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT BERGEN | |||||||
| SECRETARY | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ELIZABETH ROGAN | |||||||
| AICP | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| ROSELLA HARVEY | |||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| SARA SENIOR | |||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| MARY ANNE M STETZER | |||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SELECT REHABILITATION INC | |||||
| PO BOX 71985 | CHICAGO | IL | 606941985 | THERAPY SVCS - RESIDENTS | $1,043,885 |
| P1 FINANCE | |||||
| PO BOX 922025 | NORCROSS | GA | 300102025 | FINANCIAL SERVICES | $860,544 |
| RN PLUS INC | |||||
| 515 PENNSYLVANIA AVE SUITE 103 | FORT WASHINGTON | PA | 19034 | PROFESSIONAL STAFFING | $787,734 |
| INDEPENDENCE BLUE CROSS | |||||
| PO BOX 8500 | PHILADELPHIA | PA | 19178 | HEALTHCARE | $606,084 |
| US FOODS INC | |||||
| PO BOX 33101 | NEWARK | NJ | 07188 | FOOD - RESIDENTS | $399,738 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $649,014 | AllOtherContributionsAmt |
| Total Contributions | $649,014 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT CARE/ADMIN FEES | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $19,197,124 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,197,124 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,197,124 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,304 | TotalRevenueColumnAmt |
| Exclusion | $16,304 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,862,442 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,197,124 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,304 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,831,619 | TotalAmt |
| Program Services | $9,808,621 | ProgramServicesAmt |
| Management And General | $1,022,998 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $877,522 | TotalAmt |
| Program Services | $856,380 | ProgramServicesAmt |
| Management And General | $21,142 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $654,272 | TotalAmt |
| Program Services | $642,771 | ProgramServicesAmt |
| Management And General | $11,501 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $922,920 | TotalAmt |
| Management And General | $922,920 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,718 | TotalAmt |
| Program Services | $373,248 | ProgramServicesAmt |
| Management And General | $1,470 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,147 | TotalAmt |
| Program Services | $1,284 | ProgramServicesAmt |
| Management And General | $26,863 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,515 | TotalAmt |
| Program Services | $222,515 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,675 | TotalAmt |
| Program Services | $48,675 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,378 | TotalAmt |
| Program Services | $24,378 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,436 | TotalAmt |
| Program Services | $504,436 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,195 | TotalAmt |
| Program Services | $727,195 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NF ASSESSMENT | $1,121,074 | $1,121,074 | |
| MEDICAL/ANCILLARY SERV | $757,204 | $757,204 | |
| UTILITIES/PLANT OPS | $590,589 | $590,589 | |
| FOOD/SUPPLEMENT | $427,610 | $427,507 | $103 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,888 | TotalAmt |
| Program Services | $427,231 | ProgramServicesAmt |
| Management And General | $10,657 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,550,762 | TotalAmt |
| Program Services | $16,533,108 | ProgramServicesAmt |
| Management And General | $2,017,654 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,712,825 | BOYAmt |
| EOY | $616,975 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,544,120 | BOYAmt |
| EOY | $948,462 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,398 | BOYAmt |
| EOY | $91,039 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,940 | BOYAmt |
| EOY | $343,507 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,473,438 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,688,433 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,032,304 | BOYAmt |
| EOY | $6,785,005 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,975,292 | BOYAmt |
| EOY | $10,012,435 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,363,818 | BOYAmt |
| EOY | $1,291,857 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,855,950 | BOYAmt |
| EOY | $4,197,752 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,896,647 | BOYAmt |
| EOY | $24,287,032 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,717,305 | BOYAmt |
| EOY | $1,245,250 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,980 | BOYAmt |
| EOY | $41,247 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $875,964 | BOYAmt |
| EOY | -$3,793 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,716,918 | BOYAmt |
| EOY | $88,748 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,335,167 | BOYAmt |
| EOY | $1,371,452 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,197,662 | BOYAmt |
| EOY | $7,652,342 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,363,818 | BOYAmt |
| EOY | $15,263,238 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,561,480 | BOYAmt |
| EOY | $22,915,580 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,896,647 | BOYAmt |
| EOY | $24,287,032 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,311,680 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $24,990 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $17,430 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $441,733 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $392,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,385,992 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,284,081 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $649,014 | CurrentTaxYearAmt |
| Total | $4,153,341 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,192,021 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,091,709 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,933,203 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,290,761 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,846,138 | CurrentTaxYearAmt |
| Total | $88,353,832 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,633,754 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,484,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,319,195 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,574,842 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,495,152 | CurrentTaxYearAmt |
| Total | $92,507,173 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,625 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,900 | CurrentTaxYearMinus1YearAmt |
| Total | $24,640 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,625 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,900 | CurrentTaxYearMinus1YearAmt |
| Total | $24,640 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $92,482,533 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $207,616 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $293,861 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $247,088 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $133,322 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,304 | CurrentTaxYearAmt |
| Total | $898,191 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $207,616 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $293,861 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $247,088 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $133,322 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,304 | CurrentTaxYearAmt |
| Total | $898,191 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,283 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,036 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $238,639 | CurrentTaxYearMinus1YearAmt |
| Total | $283,588 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,864,653 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,788,721 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,577,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,946,803 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,511,456 | CurrentTaxYearAmt |
| Total | $93,688,952 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98710 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98590 | PublicSupportPY509Pct |
| Investment Income CY | 0.00960 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01290 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, SECTION B., #12 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS REVENUES 2015: 5,863 2016: 27,298 2017: 23,283 2018: 10,630 2019: 11,036 2020: 238,639 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,395,956 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$34,818 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $11,361,138 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,866,115 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,572,869 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $43,028 | AdministrativeExpensesAmt |
| End Year Balance | $11,395,956 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,700,243 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $205,130 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $39,258 | AdministrativeExpensesAmt |
| End Year Balance | $8,866,115 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,377,749 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $341,119 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $18,625 | AdministrativeExpensesAmt |
| End Year Balance | $8,700,243 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,749,615 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $663,342 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $35,208 | AdministrativeExpensesAmt |
| End Year Balance | $8,377,749 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.89000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.11000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,600,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,600,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,575,757 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,610,417 | DepreciationAmt |
| Book Value | $4,965,340 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $412,947 | OtherCostOrOtherBasisAmt |
| Depreciation | $362,071 | DepreciationAmt |
| Book Value | $50,876 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,884,734 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,715,945 | DepreciationAmt |
| Book Value | $168,789 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,785,005 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BENEFICIAL INTEREST IN PERPETUAL TRUSTS | Desc |
| Book Value | $1,291,857 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $1,291,857 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM RELATED PARTY | Desc |
| Book Value | $4,197,752 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,197,752 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| UNCLAIMED PROPERTY | $75,858 |
| P/R WITHHOLDING | $12,813 |
| RESIDENT INSURANCE PAYABLE | $77 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $88,748 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $19,871,128 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $24,990 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $24,990 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,846,138 | RevenueSubtotalAmt |
| Other Revenues Not Included | $16,304 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $16,304 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,862,442 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,550,762 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,550,762 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,550,762 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2017. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| PART I, LINE 7 | KEVIN ROSS RECEIVED A DISCRETIONARY BONUS IN 2020 THAT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II). |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| FORM 990, PART XI, LINE 9: | LOSS ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS 17,430. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRYN MAWR TERRACE | ||||||||||
| 773 E HAVERFORD ROAD | BRYN MAWR | PA | 19010 | 208411287 | NURSING HOME | PA | 501(C)(3) | LINE 10 | MAIN LINE SENIOR CARE | Yes (1) |
| MAIN LINE SENIOR CARE | ||||||||||
| 100 LANCASTER AVENUE | WYNNEWOOD | PA | 19096 | 455110022 | MANAGEMENT SERVICES | PA | 501(C)(3) | LINE 12A, I | 0 | |
| CHAPIN HOME FOR AGED BLIND | ||||||||||
| C/O LEWIS NEILSON JR 7926 QUEEN STR | WYNDMOOR | PA | 19038 | 231365201 | SUPPORTING ORGANIZATION | PA | 501(C)(3) | LINE 12A, I | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |