2019-05-03T14:50:55-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 20 STANWIX STREET PITTSBURGH PA 15222 990 2017-07-01 251527663 SAMARITAN HEALTHCARE INC SAMA 7247422246 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 JEFFREY CARRAWAY CHIEF FINANCIAL OFFICER 7247422246 2019-03-20 1 BRIAN R LENART EA P00289136 4126976400 X 38.140.44.123 2019-03-20 09:07:00 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 17526E37094213D746F397C282E1624873085213 2017 2019-02-21 02:37:17Z DAVID J FENOGLIETTO 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 802631 0 X WWW.LUTHERANSENIORLIFE.ORG X 1986 PA PROVIDE HEALTH CARE SERVICES TO THE ELDERLY. 4 1 0 1 0 0 0 0 710261 709882 0 0 48490 52832 758751 762714 0 0 0 0 16273 47616 0 0 0 601675 606372 617948 653988 140803 108726 3085967 3103002 2920294 2828603 165673 274399 PROVIDE HEALTH CARE SERVICES TO THE ELDERLY. 0 0 511844 0 709882 PROVIDE 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. 511844 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 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 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 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 DONNA VAN KIRK SECRETARY 1.00 40.00 X X 0 154464 28746 DAVID WOLFE CHAIRMAN [RETIRED 1/31/2018] 1.00 1.00 X X 0 0 0 MARK TRAUMAN BOARD MEMBER 1.00 1.00 X 0 0 0 JEFFREY L CARRAWAY TREASURER [STARTED 7/17/2017] 1.00 40.00 X X 0 87313 11580 SUSAN Q DIGIROLAMO TREASURER - FORMER 0.00 0.00 X 0 103583 17359 0 691861 89879 0 1 1 0 MORRISON MANAGEMENT SPECIALISTS 100 SOUTHCREST DRIVE STOCKBRIDGE GA 30281 DINING 191900 1 RESIDENT SVC. REVENUE 623000 709882 709882 709882 56424 39917 16507 16507 16507 OTHER INCOME 900099 36325 36325 36325 762714 709882 0 52832 X 42601 2400 40201 1713 1713 3302 3302 61948 61948 1643 1643 291 291 9133 9133 1000 1000 7772 5172 2600 69303 69303 735 94 641 52472 52472 93154 58020 35134 11334 11334 RESIDENT CHARGES 195205 195205 0 0 MAINTENANCE 101372 101135 237 0 MISCELLANEOUS 1010 918 92 0 653988 511844 142144 0 163758 225457 13069 8603 15240 15292 3391979 894749 2537696 2497230 356204 356420 3085967 3103002 38649 48118 1721353 1590408 1160292 1190077 2920294 2828603 X 165673 274399 165673 274399 3085967 3103002 108726 0 X X 0 1 X 1 0 X 672226 680946 717603 710261 709882 3490918 672226 680946 717603 710261 709882 3490918 0 0 0 3490918 55804 56257 56480 56424 56424 281389 55804 56257 56480 56424 56424 281389 32444 26078 26213 32320 36325 153380 760474 763281 800296 799005 802631 3925687 0.88930 0.88920 0.07170 0.07280 X 3215164 850187 2364977 80690 8875 71815 79630 35687 43943 16495 16495 2497230 AFFILIATE RECEIVABLES 356420 356420 AFFILIATE PAYABLES 1138225 OTHER CURRENT LIABILITIES 51852 1190077 X PART X, LINE 2: SAMARITAN HEALTHCARE, INC. 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. 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 DONNA VAN KIRK SECRETARY 0 154464 0 0 0 0 0 4761 0 23985 0 183210 0 0 SUSAN Q DIGIROLAMO TREASURER - 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 15 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 7: SAMARITAN 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. FORM 990, PART XII, LINE 2C NO CHANGE IN OVERSIGHT PROCESS IN THE CURRENT YEAR. 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 ST JOHN LUTHERAN CARE CENTER DBA LUTHERAN SENIORLIFE ST JOHN COMMUNITY 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 250969478 SKILLED NURSING AND PERSONAL CARE FACILITY SERVING MORE THAN 300 RESIDENTS 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 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 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 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 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 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 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 COUNTY INC 154 HINDMAN ROAD BUTLER PA 16001 237040715 TO 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 0 0 0 0