2019-05-03T14:47:08-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 20 STANWIX STREET PITTSBURGH PA 15222 990 2017-07-01 250969478 ST JOHN LUTHERAN CARE CENTER D/B/A ST JOHN COMMUNITY STJO 7247422246 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 JEFFREY CARRAWAY CHIEF FINANCIAL OFFICER 7247422246 2019-03-19 1 BRIAN R LENART EA P00289136 4126976400 X 12.207.72.3 2019-03-19 13:45:55 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 17526E37094213D746F397C282E1624873085213 2017 2019-02-21 02:37:17Z DAVID J FENOGLIETTO 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 21440202 0 X WWW.LUTHERANSENIORLIFE.ORG X 1893 PA OPERATION OF A SKILLED NURSING AND PERSONAL CARE FACILITY PROVIDING FAITH-BASED SERVICES TO ELDERS. 3 0 345 115 0 0 30662 94729 18497621 20431887 459384 670951 318135 242635 19305802 21440202 0 0 0 0 9999648 10804681 0 0 0 11314428 12435827 21314076 23240508 -2008274 -1800306 17273362 18406336 12093288 14726933 5180074 3679403 X ST. JOHN SPECIALTY CARE CENTER OPERATES A CCRC WHICH INCLUDES SKILLED NURSING, PERSONAL CARE, ASSISTED LIVING, AND INDEPENDENT LIVING TO ELDERS IN WESTERN PENNSYLVANIA. 0 0 20263416 0 20431887 ST. JOHN SPECIALTY CARE CENTER IS A 501(C) (3) SKILLED NURSING AND PERSONAL CARE FACILITY WITH A MORE THAN 100-YEAR HISTORY OF PROVIDING FAITH-BASED, NOT-FOR-PROFIT SERVICES TO ELDERS IN WESTERN PENNSYLVANIA. ST. JOHN RECEIVED THE CONTINUING CARE RETIREMENT COMMUNITY DESIGNATION FROM THE PENNSYLVANIA DEPARTMENT OF INSURANCE IN DECEMBER OF 2008. IN 2014, ST. JOHN SPECIALTY CARE CENTER STARTED DOING BUSINESS AS ST. JOHN COMMUNITY TO REFLECT THE CONTINUING CARE RETIREMENT COMMUNITY IT HAS BECOME. ST. JOHN COMMUNITY IS LOCATED ON A SCENIC 24-ACRE CAMPUS IN MARS PA., AND CURRENTLY SERVES OVER 300 RESIDENTS. LICENSED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH AND PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE AS A NURSING CARE FACILITY, ST. JOHN SPECIALTY CARE CENTER OFFERS SHORT TERM REHABILITATION, SKILLED NURSING CARE, LONG TERM CARE, DEMENTIA CARE AND SUB-ACUTE CARE. ST. JOHN SPECIALTY CARE CENTER SPECIALIZES IN DEMENTIA CARE AND IS ONE OF FEW LONG TERM CARE FACILITIES IN SOUTHWESTERN PENNSYLVANIA TO PROVIDE VENTILATOR CARE, OFFERING 24 HOUR RESPIRATORY SERVICES TO ITS VENTILATOR AND TRACHEOSTOMY PATIENTS.IN THE FISCAL YEAR ENDING JUNE 30, 2018, ST. JOHN PROVIDED 73,358 DAYS OF NURSING CARE. MEDICAID COVERED 35,117 OF THOSE DAYS WHICH IS 47% OF TOTAL RESIDENT DAYS. ST. JOHN PROVIDED 5,653 7 DAYS OF CARE IN OUR PERSONAL CARE UNIT. A BENEVOLENT CARE PROGRAM IS AVAILABLE AT ST. JOHN TO PROVIDE ASSISTANCE TO INDIVIDUALS IN PERSONAL CARE WHO HAVE OUTLIVED THEIR PERSONAL RESOURCES. ST. JOHN PROVIDED BENEVOLENT CARE FOR A TOTAL OF $61,867 FOR PERSONAL CARE RESIDENTS IN FISCAL YEAR 2018.ROSECREST IS A 30-BED ASSISTED LIVING RESIDENCE FOR RESIDENTS IN NEED OF MEMORY SUPPORT. THIS STATE-OF-THE ART, LICENSED ASSISTED LIVING RESIDENCE HAS PROVIDED 10,205 DAYS OF ASSISTED LIVING CARE IN THE YEAR ENDING JUNE 30, 2018. THE BENEVOLENT CARE PROGRAM PROVIDED A TOTAL OF $61,867 OF BENEVOLENT CARE IN THE YEAR ENDING JUNE 30, 2018. OVERBROOK POINTE, A 53-UNIT INDEPENDENT LIVING APARTMENT BUILDING FOR SENIORS HAS BEEN OPEN SINCE SEPTEMBER OF 2013. OVERBROOK POINTE ENDED THE FISCAL YEAR WITH 50 APARTMENTS OCCUPIED. OVERBROOK POINTE OFFERS A VARIETY OF APARTMENT STYLES AND AMENITIES FOR AN ACTIVE LIFESTYLE. ST. JOHN COMMUNITY OFFERS A HOST OF LIVING OPTIONS, FROM INDEPENDENT LIVING TO SUB-ACUTE CARE, TO ALLOW OLDER ADULTS TO LIVE AN ABUNDANT LIFE IN A SETTING THAT PROMOTES WELLNESS AND INDEPENDENCE. 20263416 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 14 0 1 345 1 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X JEFFREY CARRAWAY 7247422246 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 DAVID J FENOGLIETTO CHIEF EXECUTIVE OFFICER 1.00 40.00 X X 0 346501 32194 JEFFREY L CARRAWAY CFO (STARTED 07/17/2017) 1.00 40.00 X X 0 87313 11580 DAVE GRITZER EXECUTIVE DIRECTOR 1.00 40.00 X X 0 110838 9035 LINETTE TURNER RN 40.00 0.00 X 160770 0 22681 KAREN RUSSELL EXECUTIVE DIRECTOR - FORMER 0.00 0.00 X 125922 0 15274 SUSAN Q DIGIROLAMO CFO - FORMER 0.00 0.00 X 0 103583 17359 286692 648235 108123 2 1 1 0 MORRISON MANAGEMENT SPECIALISTS 100 SOUTHCREST DRIVE STOCKBRIDGE GA 30281 PROFESSIONAL SERVICES 1108342 PROVIDENCE PHARMACY SERVICES 615 NORTH PIKE ROAD CABOT PA 16023 PHARMACEUTICAL 773236 CORPORATE PAYMENT SYSTEMS PO BOX 790428 ST LOUIS MO 63179 SUPPLIES 423296 3 94729 94729 PATIENT SERVICE REVENUE 623000 19129184 19129184 PA NURSING HOME ASSESSMENT 623000 1302703 1302703 20431887 519813 519813 151138 0 151138 151138 151138 ANCILLARY 623000 242635 242635 242635 21440202 20431887 0 913586 X 6743287 6519006 224281 79091 79091 3330254 3269525 60729 652049 630362 21687 1662224 1662224 36944 36944 50044 50044 3870228 3746505 123723 1542 1542 244998 59586 185412 104292 104292 807943 748868 59075 3211 3211 694 694 438889 438889 594974 594974 197129 197129 MEDICAL 1320480 1320480 0 0 FOOD 1113025 1112722 303 0 MAINTENANCE & EQUIPMENT 678521 663446 15075 0 NURSING HOME ASSESSMENT 539361 539361 0 0 771328 343472 427856 23240508 20263416 2977092 0 1300 689 3105888 3780 1634 2967378 3453089 143837 220121 139008 138732 24270967 20165188 4327703 4105779 5955808 9707467 628660 778825 17273362 18406336 1804786 1486989 9903173 9703602 385329 3536342 12093288 14726933 X 4584144 3181958 379308 280823 216622 216622 5180074 3679403 17273362 18406336 X -1800306 331028 -31393 X X 0 1 X 1 1 1 X 121981 197588 202722 30662 94729 647682 24646042 23704698 20436081 18497621 20431887 107716329 24768023 23902286 20638803 18528283 20526616 108364011 0 0 0 108364011 29699 183015 259784 173637 519813 1165948 29699 183015 259784 173637 519813 1165948 130185 544989 360741 318135 242635 1596685 24927907 24630290 21259328 19020055 21289064 111126644 0.97510 0.97760 0.01050 0.00590 X 8070 8070 15212243 12918597 2293646 2220057 1599204 620853 6737151 5647387 1089764 93446 93446 4105779 RESIDENT FUNDS 58737 AFFILIATE PAYABLES 3472240 DUE TO THIRD PARTY PAYOR 5365 3536342 X 21739837 331028 -31393 299635 21440202 0 21440202 23240508 0 23240508 0 23240508 PART X, LINE 2: ST. JOHN ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD AT JUNE 30, 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: LIQUIDATION OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -31,393. X 0 0 0 0 0 0 0 0 0 DAVID J FENOGLIETTO CHIEF EXECUTIVE OFFICER 0 346501 0 0 0 0 0 4269 0 27925 0 378695 0 0 LINETTE TURNER RN 160770 0 0 0 0 0 0 0 22681 0 183451 0 0 0 KAREN RUSSELL EXECUTIVE DIRECTOR - FORMER 125922 0 0 0 0 0 1698 0 13576 0 141196 0 0 0 SUSAN Q DIGIROLAMO CFO - FORMER 0 103583 0 0 0 0 0 3089 0 14270 0 120942 0 0 FORM 990, PART VI, SECTION B, LINE 11B PROVIDED A COPY OF THE FINAL FORM 990 TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED FROM ALL BOARD MEMBERS AND EXECUTIVES. FORM 990, PART VI, SECTION B, LINE 15A THE 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 19 GOVERNING DOCUMENTS AND TAX FORMS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,262,489. MANAGEMENT AND GENERAL EXPENSES 62,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,324,764. STAFF FEES: PROGRAM SERVICE EXPENSES 2,484,016. MANAGEMENT AND GENERAL EXPENSES 1,465. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,485,481. PAYROLL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 59,983. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,983. FORM 990, PART XI, LINE 9: LIQUIDATION OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -31,393. FORM 990, PART XI, LINE 2C: THE AUDIT COMMITTEE OF THE LUTHERAN SENIORLIFE BOARD OF DIRECTORS MAKES THE SELECTION OF THE INDEPENDENT AUDIT FIRM, AND MEETS WITH THE AUDIT TEAM PRIOR TO AND AT THE CONCLUSION OF THE AUDIT FOR A DETAILED REVIEW OF THE STATEMENTS AND FINDINGS. THE AUDIT COMMITTEE MAKES RECOMMENDATION TO THE BOARD TO ACCEPT THE AUDIT. LUTHERAN SENIORLIFE 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251527666 TO PROVIDE SUPPORT AND MANAGEMENT TO EXEMPT AFFILIATES PA 501(C)(3) LINE 12A, I N/A 0 LUTHER COURT INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251527660 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 PASSAVANT RETIREMENT & HEALTH CENTER DBA LUTHERAN SENIORLIFE PASSAVANT COM 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 250986051 PROVIDER OF RESIDENTIAL, PERSONAL CARE AND SKILLED NURSING CARE TO ELDERS PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 LAS GERIATRIC CARE SERVICES INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251738347 PROVIDER OF MEDICAL GERIATRIC THERAPY SERVICES TO ITS EXEMPT AFFILIATES PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 LUTHERAN SENIORLIFE FOUNDATION 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251705233 ORGANIZATION THAT PROMOTES THE CHARITABLE INTERESTS OF ITS EXEMPT AFFILIATES PA 501(C)(3) LINE 7 LUTHERAN SENIORLIFE 1 SAMARITAN HEALTH CARE INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251527663 TO PROVIDE HEALTH CARE SERVICES TO THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 VIECARE INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 205900922 PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 VIECARE BEAVER LLC DBA LIFE BEAVER AND LAWRENCE COUNTIES 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 260363509 PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 VIECARE BUTLER LLC DBA LIFE BUTLER COUNTY 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 208512169 PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 MARS HOLDINGS INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251883384 PROVIDER OF DEMENTIA ASSISTED LIVING AND RESIDENTIAL PA 501(C)(3) LINE 12A, I LUTHERAN SENIORLIFE 1 BEHOME PARTNERS 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 202932676 PROVIDER OF HOME HEALTH SERVICES IN SKILLED NURSING, THERAPY, & PRIVATE DUTY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 VISITING NURSES ASSOCIATION OF BUTLER INC 154 HINDMAN ROAD BUTLER PA 16001 237040715 OPTIMIZE HEALTH & INDEPENDENCE, & KEEP RESIDENTS OF OUR COMMUNITY HEALTHY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 HOSPICE SERVICES INC 154 HINDMAN ROAD BUTLER PA 16001 251468529 TO PROVIDE COMPASSIONATE, QUALITY CARE FOR PEOPLE WITH LIFE-LIMITING ILLNESS PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 VALLEY CARE ASSOCIATION 650 CHERRINGTON PARKWAY MOON TOWNSHIP PA 15108 251349943 TO PROVIDE DAY CARE SERVICES FOR OLDER ADULTS TO ENHANCE QUALITY OF LIFE PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 THE LUTHERAN SERVICE SOCIETY OF W PA 440 LINCOLN AVENUE PITTSBURGH PA 15202 250965419 PROVIDE PROGRAMS AND SERVICES FOR PEOPLE TO LEAD INDEPENDENT DIGNIFIED LIVES PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 VIECARE ARMSTRONG LLC DBA LIFE ARMSTRONG COUNTY 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 463692084 PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 CHIPPEWA LUTHERAN HOUSING CORPORATION 440 LINCOLN AVENUE PITTSBURGH PA 15202 208314767 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 GIRARD LUTHERAN HOUSING CORPORATION 440 LINCOLN AVENUE PITTSBURGH PA 15202 030596955 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 JAMESTOWN LUTHERAN HOUSING CORPORATION 440 LINCOLN AVENUE PITTSBURGH PA 15202 208315015 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 LUTHERAN HOUSING CORPORATION OF OIL CITY 440 LINCOLN AVENUE PITTSBURGH PA 15202 251699268 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 STONEBORO DEVELOPMENT CORPORATION 440 LINCOLN AVENUE PITTSBURGH PA 15202 251419863 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 TITUSVILLE SENIOR HOUSING CORPORATION 440 LINCOLN AVENUE PITTSBURGH PA 15202 270115829 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 1 TIMON PROPERTY DEVELOPMENT COMPANY 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 205133658 PROVIDER OF SENIOR HOUSING PA N/A C 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0