2021-11-15T13:22:10-06:00 2020-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-01-01 231352227 SIMPSON HOUSE INC SIMP 6106600112 150 MONUMENT ROAD NO 202 BALA CYNWYD PA 19004 KEN FRANIAK CFO 6106600112 2021-11-15 1 KEN FRANIAK 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CAROL MCKINLEY 150 MONUMENT ROAD NO 202 BALA CYNWYD PA 19004 20128770 0 X WWW.SIMPSONHOUSE.ORG X 1865 PA TO OPERATE A CONTINUING CARE RETIREMENT COMMUNITY. 8 7 288 14 0 0 632398 685461 20406433 16329030 314829 1194744 26361 1919535 21380021 20128770 514 0 0 0 12318048 12190326 0 0 0 13604417 13277597 25922979 25467923 -4542958 -5339153 54929425 51709975 58168481 60583857 -3239056 -8873882 X SIMPSON HOUSE IS DEDICATED TO MEETING THE NEEDS OF SENIORS IN OUR COMMUNITY. THROUGH CAREFUL OVERSIGHT, WE STRIVE TO DELIVER THE HIGHEST QUALITY OF SERVICE WITH A SENSE OF WARMTH, FRIENDLINESS, INDIVIDUAL PRIDE, AND INTEREGRITY. CONTINUED ON SCHEDULE O. WE ARE COMMITTED TO OFFERING OUR RESIDENTS AND STAFF OPPORTUNITIES FOR PERSONAL GROWTH AND SPIRITUAL ENRICHMENT. 0 0 22449711 0 18024653 SIMPSON HOUSE OPERATES A CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF 110 RESIDENTIAL LIVING UNITS, 56 PERSONAL CARE SUITES AND LICENSED FOR 142 SKILLED NURSING BEDS, CURRENTLY RIGHT SIZED TO 54 SKILLED NURSING BEDS.BENEVOLENT CARE PROVIDED DURING THE YEAR 2020 WAS APPROXIMATELY $2,425,000. 22449711 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 288 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X KEN FRANIAK CFO 6106600112 150 MONUMENT ROAD NO 202 BALA CYNWYD PA 19004 REV JAMES D ANDERMAN CHAIR 1.00 5.00 X X 0 0 0 MICHELLE GOLLAPALLI VICE CHAIR 1.00 5.00 X X 0 0 0 BRAD DAGGERT SECRETARY 1.00 5.00 X X 0 0 0 JANIS MOORE CAMPBELL PHD IMMEDIATE PAST CHAIR 1.00 5.00 X X 0 0 0 CAROL MCKINLEY PHD PRESIDENT/CEO (BEG. 03/2020) 1.00 39.00 X X 0 316283 25167 KIM W WILLIAMS PRESIDENT/CEO (UNTIL 03/2020) 1.00 39.00 X X 0 319068 25167 REV DAVID W BROWN DIRECTOR 1.00 5.00 X 0 0 0 RICK HELLBERG DIRECTOR 1.00 5.00 X 0 0 0 MEREDITH OKENQUIST DIRECTOR 1.00 5.00 X 0 0 0 MARK AGUILAR CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 300357 32080 DOUG FLASHER CHIEF OPERATING OFFICER 1.00 39.00 X 0 284721 13760 BONNIE CHANDLER CORPORATE CONTROLLER 1.00 39.00 X 0 150221 11526 RICHARD COYLE EXECUTIVE DIRECTOR 40.00 X 188385 0 2585 SUSAN ARGENTIERI HEALTH CARE ADMINISTRATOR 40.00 X 131767 0 19046 SUDHAKARAN GOPALAN HOUSE SUPERVISOR 40.00 X 128110 0 10817 AMMINI DINAMANY HOUSE SUPERVISOR 40.00 X 116239 0 10667 JEFFREY MORRIS DIRECTOR OF NURSING 40.00 X 112991 0 29405 SUMATHY PRABHAKARAN NURSING SUPERVISOR 40.00 X 101815 0 24810 779307 1370650 205030 9 0 1 0 UNIDINE LIFESTYLES PO BOX 102289 ATLANTA GA 30368 DIETARY/HOUSEKEEPING SERVICES 1822669 SIMPSON SENIOR SERVICES 150 MONUMENT ROAD SUITE 105 BALA CYNWYD PA 19004 MANAGEMENT SERVICES 1534675 FUNCTIONAL PATHWAYS 10133 SHERILL BLVD KNOXVILLE TN 379323347 REHABILITATION SERVICES 1199036 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 606941985 REHABILITATION SERVICES 233733 B BLAIR CORPORATION 94 LOUISE DR IVYLAND PA 18974 UNIT UPGRADING SERVICES 233588 8 685461 685461 NET RESIDENT SERVICE REVENUE 623000 15603013 15603013 AMORTIZATION OF ENTRANCE FEES 623000 726017 726017 16329030 16123 16123 1178621 0 1178621 1178621 1178621 COVID RELIEF FUNDING 900099 1695623 1695623 NURSING LICENSE FEE 900099 120000 120000 INSURANCE PROCEEDS 900099 37982 37982 65930 65930 1919535 20128770 18024653 0 1418656 214529 214529 9277378 8689928 587450 330076 317464 12612 1356942 1102228 254714 1011401 844246 167155 1901589 848588 1053001 71383 71383 30558 30558 1335 1335 24830 24830 1630974 1553849 77125 247661 247661 159944 110437 49507 166708 166708 953430 953430 14288 14024 264 24568 22365 2203 1909002 1909002 2980246 2980246 FOOD/NUTRITION 859363 859363 BAD DEBT EXPENSE 848796 848796 MEDICAL SUPPLIES 549807 549807 COVID-19 EXPENSES 293704 293704 609411 552234 57177 25467923 22449711 3018212 0 14734 3500 1979177 685169 2305844 1993230 256865 244198 69226335 36569534 34469135 32656801 9100424 8905041 6803246 7222036 54929425 51709975 2397772 2819393 6310532 5739271 43901676 43547090 359454 293902 5199047 8184201 58168481 60583857 X -15844963 -23726247 12605907 14852365 -3239056 -8873882 54929425 51709975 X -5339153 -443106 147433 X 0 1 X 1 0 X 738249 529906 525756 632398 2381084 4807393 21936790 20097555 20050316 20406433 16329030 98820124 22675039 20627461 20576072 21038831 18710114 103627517 0 0 0 103627517 134651 144063 204706 147295 16123 646838 134651 144063 204706 147295 16123 646838 45791 42132 63494 57774 223912 433103 22855481 20813656 20844272 21243900 18950149 104707458 0.98970 0.99040 0.00620 0.00740 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BARBER BEAUTY REVENUE - 2016 AMOUNT: $ 22,097. 2017 AMOUNT: $ 16,794. 2018 AMOUNT: $ 15,982. 2019 AMOUNT: $ 17,493. 2020 AMOUNT: $ 15,360. FOOD SERVICE REVENUE - 2016 AMOUNT: $ 10,612. 2017 AMOUNT: $ 6,104. 2018 AMOUNT: $ 4,378. 2019 AMOUNT: $ 7,436. GIFT SHOP REVENUE - 2016 AMOUNT: $ 8,934. 2017 AMOUNT: $ 1,853. 2018 AMOUNT: $ 370. 2019 AMOUNT: $ 2,267. 2020 AMOUNT: $ 4,539. ALL OTHER REVENUE - 2016 AMOUNT: $ 4,148. 2017 AMOUNT: $ 6,018. 2018 AMOUNT: $ 2,741. 2019 AMOUNT: $ 7,611. 2020 AMOUNT: $ 37,229. AMORTIZATION REVENUE - 2017 AMOUNT: $ 11,363. 2018 AMOUNT: $ 8,520. 2019 AMOUNT: $ 8,520. 2020 AMOUNT: $ 8,520. OPTIONS REVENUE - 2018 AMOUNT: $ 31,503. 2019 AMOUNT: $ 14,447. 2020 AMOUNT: $ 282. INSURANCE PROCEEDS - 2020 AMOUNT: $ 37,982. NURSING LICENSE FEE - 2020 AMOUNT: $ 120,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1335 1335 0 PART II-B, LINE 1: SIMPSON HOUSE PAYS MEMBERSHIP DUES TO LEADINGAGE PA, A PORTION OF WHICH IS USED FOR LOBBYING PURPOSES. 0 1 X 350000 350000 56570773 27701998 28868775 10111404 8867536 1243868 2194158 2194158 32656801 BENEFICIAL INTEREST IN PERPETUAL AND OTHER TRUSTS 7166277 DEPOSITS 55759 7222036 ANNUITIES PAYABLE 144226 DUE TO AFFILIATES 6529566 DEPOSITS 705472 REFUNDABLE ENTRANCE FEE 272810 INTEREST RATE SWAP AGREEMENTS 532127 8184201 19795115 -443106 109451 -333655 20128770 0 20128770 25429941 0 25429941 37982 37982 25467923 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -271,357. CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST IN TRUSTS 418,790. INSURANCE PROCEEDS NETTED AGAINST EXPENSES ON FINANCIALS -37,982. PART XII, LINE 4B - OTHER ADJUSTMENTS: INSURANCE PROCEEDS NETTED AGAINST EXPENSES ON FINANCIALS 37,982. 0 1 0 0 0 0 0 0 0 KIM W WILLIAMS PRESIDENT/CEO (UNTIL 03/2020) 0 133085 0 0 0 185983 0 0 0 25167 0 344235 0 185983 CAROL MCKINLEY PHD PRESIDENT/CEO (BEG. 03/2020) 0 303783 0 12500 0 0 0 0 0 25167 0 341450 0 0 MARK AGUILAR CHIEF FINANCIAL OFFICER 0 288619 0 11738 0 0 0 0 0 32080 0 332437 0 0 DOUG FLASHER CHIEF OPERATING OFFICER 0 271721 0 13000 0 0 0 0 0 13760 0 298481 0 0 RICHARD COYLE EXECUTIVE DIRECTOR 187015 0 0 0 1370 0 0 0 2585 0 190970 0 0 0 BONNIE CHANDLER CORPORATE CONTROLLER 0 150221 0 0 0 0 0 0 0 11526 0 161747 0 0 SUSAN ARGENTIERI HEALTH CARE ADMINISTRATOR 131767 0 0 0 0 0 0 0 19046 0 150813 0 0 0 PART I, LINE 3 SIMPSON SENIOR SERVICES, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B THE PRESIDENT/CEO PARTICIPATES IN A 457(F) DEFERRED COMPENSATION/RETIREMENT PLAN. DURING 2020, THERE WERE NO CONTRIBUTIONS TO THE PLAN BUT THERE WERE DISTRIBUTIONS OF $185,983 FROM THE PLAN. A CHESTER COUNTY HEALTH AND EDUCATION FACILITIES AUTHORITY 232265260 166579EW9 2015-12-23 21126411 SEE PART VI 0 0 0 B CHESTER COUNTY HEALTH AND EDUCATION FACILITIES AUTHORITY 232265260 165579GQ0 2019-12-30 25648182 SEE PART VI 0 0 0 A 1622853 21126411 2000000 278812 9172912 9057858 1 0 0 1 B 25648182 572572 590321 19588951 4796337 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 1 CITIZEN'S BANK 5.000000000000 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART I, BOND ISSUES: BOND A (A) ISSUER NAME: CHESTER COUNTY HEALTH AND EDUCATION FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUNDING OF OUTSTANDING GENERAL OBLIGATION BONDS OF 2010, ISSUANCE COSTS, AND CAPITAL PROJECTS. BOND B (A) ISSUER NAME: CHESTER COUNTY HEALTH AND EDUCATION FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUNDING OF OUTSTANDING GENERAL OBLIGATION BONDS OF 2016, ESTABLSHMENT OF A DEBT SERVICE RESESRVE FUND, ISSUANCE COSTS, AND CAPITAL PROJECTS INCLUDING THE REFURBISHMENT OF INDEPENDENT LIVING UNITS. SCHEDULE K, PART I, BOND ISSUES: THE SERIES 2019 BOND WAS ISSUED TO THE OBLIGATED GROUP AND REPORTED ON EACH ENTITY'S APPLICABLE FORM 990 SCHEDULE K WITH THE FOLLOWING ISSUANCE PRICES: SIMPSON HOUSE (EIN 23-1352227) - $25,648,182 SIMPSON MEADOWS (EIN 23-2948992) - $255,022 JENNER'S POND (EIN 23-1548106) - $5,337,848 TOTAL ISSUANCE - $31,241,052 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. 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, TO APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BY-LAWS, TO APPROVE THE ANNUAL BUDGETS, TO APPROVE ANY SALE, LEASE, OR TRANSFER OF ASSETS, TO APPROVE INDEBTEDNESS GREATER THAN $50,000, AND TO APPROVE ANY MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO. ONCE APPROVED, THE FORM 990 IS SENT TO THE PRESIDENT/CEO FOR REVIEW AND APPROVAL. THE PRESIDENT/CEO WILL THEN FORWARD A COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. 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. CONFLICTS OF INTEREST ARE REVIEWED AT THE BOARD LEVEL. ANY INDIVIDUAL WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM BOARD DISCUSSIONS AND DECISIONS WHERE ANY CONFLICT WOULD BE PRESENT. ON AN ANNUAL BASIS ALL DIRECTORS AND OFFICERS SIGN OFF ON A CONFLICT OF INTEREST STATEMENT AFFIRMING THAT THEY HAVE RECEIVED, UNDERSTAND, AND COMPLY WITH THE CONFLICT OF INTEREST POLICY. THEY MUST ALSO DISCLOSE ANY POTENTIAL CONFLICTS WITH SIMPSON RELATED TO FINANCIAL INTERESTS, TRANSACTIONS, OR RELATIONSHIPS (BUSINESS OR FAMILY AFFILIATES). FORM 990, PART VI, SECTION B, LINE 15 A SUB-COMMITTEE OF THE BOARD OF DIRECTORS OF SIMPSON SENIOR SERVICES (SSS), A RELATED ORGANIZATION, WHICH IS APPOINTED BY THE BOARD CHAIR OF SSS HAS THE SPECIFIC DUTY OF ANNUALLY EVALUATING THE PERFORMANCE OF THE PRESIDENT/CEO OF THE ORGANIZATION, INCLUDING DETERMINING HIS ANNUAL COMPENSATION. A COMPETENT SALARY SURVEY IS USED TO BENCHMARK COMPENSATION FOR THE POSITION UTILIZING LEADING AGE PA, LEADING AGE NATIONAL 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 CFO, COO, 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. 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. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -271,357. CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST IN TRUSTS 418,790. SIMPSON SENIOR SERVICES 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 232948991 MANAGES AFFILIATES THAT PROVIDE RESIDENCE AND HEALTHCARE TO THE ELDERLY PA 501(C)(3) LINE 12C, III-FI N/A 0 SIMPSON MEADOWS 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 232948992 CONTINUING CARE RETIREMENT COMMUNITY PA 501(C)(3) LINE 10 SIMPSON SENIOR SERVICES 0 JENNER'S POND INC 2000 GREENBRIAR LANE WEST GROVE PA 19390 231548106 CONTINUING CARE RETIREMENT COMMUNITY PA 501(C)(3) LINE 10 SIMPSON SENIOR SERVICES 0 THIRD CENTURY SERVICES 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 232948457 PROVIDE MAINTENANCE & OPERATIONAL SUPPORT TO CCRC AFFILIATES PA 501(C)(3) LINE 12B, II SIMPSON SENIOR SERVICES 0 SIMPSON GLEN 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 232960640 CONTINUING CARE RETIREMENT COMMUNITY PA 501(C)(3) LINE 10 SIMPSON SENIOR SERVICES 0 SIMPSON MID-TOWN 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 233089337 PROVIDES HOUSING FOR ELDERLY AND LOW INCOME RESIDENTS PA 501(C)(3) LINE 10 SIMPSON SENIOR SERVICES 0 SIMPSON HOUSE FOUNDATION 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 232320545 RECEIVE AND ADMINISTER FUNDS FOR THE CHARITABLE WORKS OF AFFILIATES PA 501(C)(3) LINE 12B, II SIMPSON SENIOR SERVICES 0 NARBERTH ADULT CARE SERVICES 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 232948458 PROVIDE ADULT DAY CARE AND HEALTHCARE TO THE ELDERLY PA 501(C)(3) PF SIMPSON SENIOR SERVICES 0 SIMPSON FOUNDATION 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 454731794 CHARITABLE, LITERARY, SCIENTIFIC, RELIGIOUS & EDUCATION FOR ELDERLY PA 501(C)(3) LINE 10 SIMPSON SENIOR SERVICES 0 SIMPSON GARDENS LP 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 412069202 ECONOMIC DEVELOPMENT FOR LOW INCOME HOUSING PA N/A 0 0 SIMPSON SENIOR HOUSING II LP 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 833278445 ECONOMIC DEVELOPMENT FOR LOW INCOME HOUSING PA N/A 0 0 SIMPSON GARDENS HOUSING CORP 150 MONUMENT ROAD SUITE 202 BALA CYNWYD PA 19004 412069201 ECONOMIC DEVELOPMENT OF LOW INCOME HOUSING PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0