SAMARITAN HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN HEALTHCARE INC (EIN 25-1527663)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-06-10
IRS object ID
202031629349301028
Schema version
2018v3.1
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

FieldValueIRS element (for citing)
Return2020-06-10T11:02:06-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1KL GATES CENTER 210 SIXTH AVE SUITEAddressLine1Txt
Address Line2200AddressLine2Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251527663EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAMABusinessNameControlTxt
Phone7247422246PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11323 FREEDOM ROADAddressLine1Txt
CityCRANBERRY TOWNSHIPCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16066ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFFREY CARRAWAYPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7247422246PhoneNum
Signature2020-05-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRYAN SANTARELLAPreparerPersonNm
PTINP02069285PTIN
Phone4124710200PhoneNum
Preparation2020-05-28PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-28IPDt
IP Tm15:56:00IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD73DD419434AD86791BAD4D174710EE2F5735302AtSubmissionCreationDeviceId
At Submission Filing Device IdD72093BDFC36259A78957D4C2CC1F8450D87A0C3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID J FENOGLIETTOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11323 FREEDOM ROADAddressLine1Txt
CityCRANBERRY TOWNSHIPCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16066ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$805,115GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LUTHERANSENIORLIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH CARE SERVICES TO THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$709,882PYProgramServiceRevenueAmt
CY Program Service Revenue$715,198CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$52,832PYOtherRevenueAmt
CY Other Revenue$48,195CYOtherRevenueAmt
PY Total Revenue$762,714PYTotalRevenueAmt
CY Total Revenue$763,393CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$47,616PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$51,715CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$606,372PYOtherExpensesAmt
CY Other Expenses$600,272CYOtherExpensesAmt
PY Total Expenses$653,988PYTotalExpensesAmt
CY Total Expenses$651,987CYTotalExpensesAmt
PY Revenues Less Expenses$108,726PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$111,406CYRevenuesLessExpensesAmt
Total Assets BOY$3,103,002TotalAssetsBOYAmt
Total Assets EOY$3,091,262TotalAssetsEOYAmt
Total Liabilities BOY$2,828,603TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,705,457TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$274,399NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$385,805NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTH CARE SERVICES TO THE ELDERLY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$423,371ExpenseAmt
Revenue$715,198RevenueAmt
DescPROVIDE PROGRAMS OF EXCELLENCE WHICH ENHANCE THE QUALITY OF LIFE AND LIFE SATISFACTION OF OLDER ADULTS WITHIN CARING COMMUNITIES. DEVELOPMENT OF CONDOMINIUM UNITS AND FACILITY MANAGEMENT FOR SENIOR COMMUNITIES.Desc
Total Program Service Expenses$423,371TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFFREY CARRAWAYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7247422246PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11323 FREEDOM ROADAddressLine1Txt
CityCRANBERRY TOWNSHIPCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16066ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DAVID J FENOGLIETTO
CHIEF EXECUTIVE OFFICER1.0050.00Yes (X)Yes (X)$0$350,505$35,934
DONNA VAN KIRK
SECRETARY1.0040.00Yes (X)Yes (X)$0$171,212$29,153
MARK TRAUMAN
BOARD MEMBER1.001.00Yes (X)$0$0$0
JEFFREY L CARRAWAY
TREASURER1.0040.00Yes (X)Yes (X)$0$197,337$29,231
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$719,054TotReportableCompRltdOrgAmt
Total Other Compensation$94,318TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MORRISON MANAGEMENT SPECIALISTSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 SOUTHCREST DRIVEAddressLine1Txt
CitySTOCKBRIDGECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30281ZIPCd
FieldValueIRS element (for citing)
ServicesDININGServicesDesc
Compensation$142,923CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICE REVENDesc
Business623000BusinessCd
Total Revenue Column$715,198TotalRevenueColumnAmt
Related Or Exempt Func Income$715,198RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$715,198TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$57,104RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$41,722RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$15,382RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,382TotalRevenueColumnAmt
Exclusion$15,382ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$32,813TotalRevenueColumnAmt
Exclusion$32,813ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$32,813OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$763,393TotalRevenueColumnAmt
Related Or Exempt Func Income$715,198RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,195ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$46,441TotalAmt
Management And General$46,441ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,344TotalAmt
Management And General$1,344ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$489TotalAmt
Management And General$489ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,441TotalAmt
Management And General$3,441ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$64,201TotalAmt
Management And General$64,201ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,298TotalAmt
Management And General$3,298ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$825TotalAmt
Management And General$825ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,843TotalAmt
Program Services$4,032ProgramServicesAmt
Management And General$8,811ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,974TotalAmt
Management And General$1,974ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,053TotalAmt
Program Services$5,243ProgramServicesAmt
Management And General$6,810ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$62,032TotalAmt
Program Services$61,783ProgramServicesAmt
Management And General$249ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,271TotalAmt
Program Services$30ProgramServicesAmt
Management And General$1,241ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$53,871TotalAmt
Program Services$11,130ProgramServicesAmt
Management And General$42,741ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$112,057TotalAmt
Program Services$80,926ProgramServicesAmt
Management And General$31,131ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,326TotalAmt
Program Services$11,826ProgramServicesAmt
Management And General$1,500ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RESIDENT CHARGES$163,396$162,038$1,358
MAINTENANCE$87,438$86,625$813
BAD DEBT$8,672$8,672

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,015TotalAmt
Program Services-$262ProgramServicesAmt
Management And General$3,277ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$651,987TotalAmt
Program Services$423,371ProgramServicesAmt
Management And General$228,616ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$225,457BOYAmt
EOY$260,647EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,603BOYAmt
EOY$8,382EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,292BOYAmt
EOY$14,930EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,476,714LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,025,728LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,497,230BOYAmt
EOY$2,450,986EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$356,420BOYAmt
EOY$356,317EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,103,002BOYAmt
EOY$3,091,262EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$48,118BOYAmt
EOY$28,859EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,590,408BOYAmt
EOY$1,459,524EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,190,077BOYAmt
EOY$1,217,074EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,828,603BOYAmt
EOY$2,705,457EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$274,399BOYAmt
EOY$385,805EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$274,399BOYAmt
EOY$385,805EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,103,002BOYAmt
EOY$3,091,262EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$111,406ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$680,946CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$717,603CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$710,261CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$709,882CurrentTaxYearMinus1YearAmt
Current Tax Year$715,198CurrentTaxYearAmt
Total$3,533,890TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$680,946CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$717,603CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$710,261CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$709,882CurrentTaxYearMinus1YearAmt
Current Tax Year$715,198CurrentTaxYearAmt
Total$3,533,890TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$3,533,890PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,257CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,480CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,424CurrentTaxYearMinus1YearAmt
Current Tax Year$57,104CurrentTaxYearAmt
Total$282,689TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,257CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,480CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,424CurrentTaxYearMinus1YearAmt
Current Tax Year$57,104CurrentTaxYearAmt
Total$282,689TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,078CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,213CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,325CurrentTaxYearMinus1YearAmt
Current Tax Year$32,813CurrentTaxYearAmt
Total$153,749TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$763,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$800,296CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$799,005CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$802,631CurrentTaxYearMinus1YearAmt
Current Tax Year$805,115CurrentTaxYearAmt
Total$3,970,328TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.89010PublicSupportCY509Pct
Public Support PY5090.88930PublicSupportPY509Pct
Investment Income CY0.07120InvestmentIncomeCYPct
Investment Income PY0.07170InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,215,164OtherCostOrOtherBasisAmt
Depreciation$947,165DepreciationAmt
Book Value$2,267,999BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$179,652OtherCostOrOtherBasisAmt
Depreciation$30,644DepreciationAmt
Book Value$149,008BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,200OtherCostOrOtherBasisAmt
Depreciation$47,919DepreciationAmt
Book Value$32,281BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,698OtherCostOrOtherBasisAmt
Book Value$1,698BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,450,986TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescAFFILIATE RECEIVABLESDesc
Book Value$356,317BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$356,317TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
AFFILIATE PAYABLES$1,158,904
OTHER CURRENT LIABILITIES$58,170
FieldValueIRS element (for citing)
Total Liability$1,217,074TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID J FENOGLIETTO
CHIEF EXECUTIVE OFFICER$0$350,505$0$0$0$0$0$8,250$0$27,684$0$386,439$0$0
DONNA VAN KIRK
SECRETARY$0$171,212$0$0$0$0$0$5,278$0$23,875$0$200,365$0$0
JEFFREY L CARRAWAY
TREASURER$0$197,337$0$0$0$0$0$2,618$0$26,613$0$226,568$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BPROVIDED A COPY OF THE FINAL FORM 990 TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED FROM ALL BOARD MEMBERS AND EXECUTIVES. BOARD MEMBERS SHALL DISCLOSE TO THE EXECUTIVE COMMITTEE BOARD MEMBERSHIP ON, A SUBSTANTIAL FINANCIAL INTEREST IN, OR EMPLOYMENT OF THE BOARD MEMBER OR A RELATIVE OF THE BOARD MEMBER BY ANY ORGANIZATION DOING BUSINESS WITH LUTHERAN SENIORLIFE. THE EXECUTIVE COMMITTEE SHALL DETERMINE WHETHER AN UNACCEPTABLE CONFLICT OF INTEREST EXISTS AND ARRANGE WITH THE MEMBER TO CEASE ANY INAPPROPRIATE ACTIVITY. MATTERS LEFT UNSETTLED AFTER REVIEW OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD FOR APPROPRIATE ACTION.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE OF THE LUTHERAN SENIORLIFE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE REVIEW IN JULY. MARKET BASED COMPENSATION INFORMATION IS CONDUCTED ANNUALLY FROM INFORMATION COMPILED BY EXTERNAL SOURCES. THE BOARD THEN DETERMINES THE COMPENSATION FOR THE CEO.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND TAX FORMS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE.
FORM 990, PART IX, LINE 7SAMARITAN HEALTHCARE, INC. DOES NOT EMPLOY ANY INDIVIDUALS. THE SALARIES AND BENEFITS REPORTED IN PART IX OF FORM 990 REPRESENT REIMBURSEMENT FOR SERVICES PROVIDED BY EMPLOYEES OF THE PARENT ORGANIZATION, LUTHERAN SENIORLIFE (EIN: 25-1527666). LUTHERAN SENIORLIFE REPORTS ALL SALARIES AND TAXES ON ITS FORM 941.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LUTHERAN SENIORLIFE
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251527666TO PROVIDE SUPPORT AND MANAGEMENT TO EXEMPT AFFILIATESPA501(C)(3)LINE 12A, IN/A0
ST JOHN LUTHERAN CARE CENTER
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066250969478SKILLED NURSING AND PERSONAL CARE FACILITY SERVICING MORE THAN 300 RESIDENTSPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
LUTHER COURT INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251527660TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
PASSAVANT RETIREMENT AND HEALTH CENTER
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066250986051PROVIDER OF RESIDENTIAL, PERSONAL CARE AND SKILLED NURSING CARE TO ELDERSPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
LAS GERIATRIC CARE SERVICES INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251738347PROVIDER OF MEDICAL GERIATRIC THERAPY SERVICES TO ITS EXEMPT AFFILIATESPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
LUTHERAN SENIORLIFE FOUNDATION
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251705233ORGANIZATION THAT PROMOTOES THE CHARITABLE INTERESTS OF ITS EXEMPT AFFILIATEPA501(C)(3)LINE 70LUTHERAN SENIORLIFE
VIECARE INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066255900922PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
VIECARE BEAVER LLC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066260363509PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
VIECARE BUTLER LLC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066208512169PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
MARS HOLDINGS INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251883384PROVIDER OF DEMENTIA ASSISTED LIVING AND RESIDENTAL.PA501(C)(3)LINE 12A, I0LUTHERAN SENIORLIFE
BEHOME PARTNERS
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066202932676PROVIDER OF HOME HEALTH SERVICES IN SKILLED NURSING, THERAPY & PRIVATE DUTYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
VISITING NURSES ASSOCIATION OF BUTLER COUNTY INC
154 HINDMAN ROADBUTLERPA16001237040715TO OPTIMIZE HEALTH AND INDEPENDENCE AND TO KEEP RESIDENTS OF OUR COMMUNITYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
HOSPICE SERVICES INC
154 HINDMAN ROADBUTLERPA16001251468529TO PROVIDE COMPASSIONATE, QUALITY CARE FOR PEOPLE WITH LIFE-LIMITING ILLNESSPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
VALLEY CARE ASSOCIATION
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251349943TO PROVIDE DAY CARE SERVICES FOR OLDER AULTS TO ENHANCE QUALITY OF LIFEPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
THE LUTHERAN SERVICE SOCIETY OF W PA
440 LINCOLN AVENUEPITTSBURGHPA15202250965419PROVIDE PROGRAMS AND SERVICES FOR PEOPLE TO LEAD INDEPENDENT DIGNIFIED LIVESPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
VIECARE ARMSTRONG LLC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066463692084PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
CHIPPEWA LUTHERAN HOUSING CORP
440 LINCOLN AVENUEPITTSBURGHPA15202208314767TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
GIRARD LUTHERAN HOUSING CORPORATION
440 LINCOLN AVENUEPITTSBURGHPA15202030596955TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
JAMESTOWN LUTHERAN HOUSING CORPORATION
440 LINCOLN AVENUEPITTSBURGHPA15202208315015TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
LUTHERAN HOUSING CORP OF OIL CITY
440 LINCOLN AVENUEPITTSBURGHPA15202251699268TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE
TITUSVILLE SENIOR HOUSING CORPORATION
440 LINCOLN AVENUEPITTSBURGHPA15202270115829TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(C)(3)LINE 100LUTHERAN SENIORLIFE

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1TIMON PROPERTY DEVELOPMENT COMPANYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11323 FREEDOM ROADAddressLine1Txt
CityCRANBERRY TOWNSHIPCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16066ZIPCd
FieldValueIRS element (for citing)
EIN205133658EIN
Primary ActivitiesPROVIDER OF SENIOR HOUSINGPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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