Presbyterian SeniorCare at Home Inc

Nonprofit profile at a glance

EIN
273673530
IRS 990 coverage
2011–2025
Forms available
Form 990 2025
Location
Oakmont, PA, USA
Phone
4128266030
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Home Health Care
Affiliation
Christianity

Reported finances

Revenue
$1,999,020
Expenses
$2,729,782
Assets
$424,996
Liabilities
$2,214,516

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

8 people listed

Executive titles in this filing

  • James B Pieffer (Director,President and Cha)

Highest reported compensation

  • James B Pieffer (Director,President and Cha): $513,855 total reported compensation
  • Todd R Boslau (Director and Treasurer): $342,956 total reported compensation
  • Celeste L Golonski (Director): $282,251 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The Organization provides in-home medical services for older or disabled adults to meet health/security needs. Through its Medicare certified Home Health Agency, Presbyterian SeniorCare at Home provides skilled nursing, physical and occupational services, social work services and home health aides. Presbyterian SeniorCare at Home was developed and continues to be operated by Presbyterian SeniorCare.

What it reported doing in 2025

Presbyterian SeniorCare at Home was launched in 2010 to meet the needs of older adults to receive care and services in their home. It sold its private duty service business in 2017, and now provides medical home health services in the home. Presbyterian SeniorCare at Home received Medicare certification in September, 2016 to further enhance choices for care. As an affiliate of Presbyterian SeniorCare, the addition of the Home Health Agency was an important step in enhancing the continuum of care provided through the Presbyterian SeniorCare regional network of offerings in order to meet a complete range of needs.Through its Medicare certified Home Health Agency, Presbyterian SeniorCare at Home provides skilled nursing, physical and occupational services, social work services and home health aides. These services are covered by Medicare for eligible patients who are unable to leave their homes except with great hardship and who need skilled nursing care or therapy to treat existing chronic medical conditions. Presbyterian SeniorCare at Home currently is recognized in UPMC, Highmark and Aetna/Coventry managed care networks.In 2021, Dementia 360, a new program developed by Presbyterian SeniorCare, was transferred to Presbyterian SeniorCare at Home. Dementia 360 provides care coordination assistance to family members and caretakers of those living with dementia. Presbyterian SeniorCare at Home was developed and continues to be operated by Presbyterian SeniorCare.Established on January 25, 1928 in the Commonwealth of Pennsylvania, Presbyterian SeniorCare is a not-for-profit, charitable organization which provides facilities, services and programs for enhancing the quality of life of older adults. Presbyterian Seniorcare gives back to its local communities including providing charitable care to seniors it serves that no longer have the means to pay, has approximately 1,500 team members who serve more than 6,500 older adults annually through 55 communities/service lines across 9 Western Pennsylvania counties, as well through our at home programs of Envisage and Presbyterian SeniorCare Home Health. Presbyterian SeniorCare gives back to its local communities through promotion of health and wellness efforts, education and training programs, financial and in-kind donations, and special projects. Guided by its faith-based not-for-profit mission, Presbyterian SeniorCare provided approximately $3.2 million in benevolent care annually to residents in our personal care/assisted living communities who no longer have the means to pay, and $26.6 million in uncompensated care to residents in our nursing facilities who no longer have the means to pay.

Operating model

Revenue model
Earned-program. 92% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 80
  • Transparency & Controls: 79
  • Accountability: 64
  • Sustainability: 10
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 73.9%; rating input score 74
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 37.5%; rating input score 38; 13th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -36.6%; rating input score 3; 3rd percentile among comparable filings
  • Total-asset coverage ratio: 0.16; rating input score 8; 8th percentile among comparable filings
  • Liabilities to assets ratio: 5.21; rating input score 0; 0th percentile among comparable filings
  • Officer compensation ratio: 4.7%; rating input score 51; 51st percentile among comparable filings

Growth

  • Program expense growth: 3.2% per year; rating input score 100; 28th percentile among comparable filings
  • Revenue growth: 4.7% per year; rating input score 100; 35th percentile among comparable filings
  • Asset growth: 6.7% per year; rating input score 100; 42nd percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 73.9% of spending went to programs
  • Governance: 3 of 8 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $2M in reported program spending
  • Leadership: top reported pay $514K · 8 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $209K reported
  • Consistency: 28 of 28 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2011 to 2025
  • Contacts: How to reach this organization
  • Related organizations: 44 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Accountability: Independent voting board scored 38/100.
  • High — Sustainability: Operating margin scored 3/100.
  • High — Sustainability: Total-asset coverage ratio scored 8/100.
  • High — Sustainability: Liabilities to assets ratio scored 0/100.
  • Review — Sustainability: Officer compensation ratio scored 51/100.