SAMARITAN HEALTHCARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN HEALTHCARE INC (EIN 25-1527663)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-04-17
IRS object ID
201821099349300707
Schema version
2016v3.0
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)
Return2018-04-17T00:00:00-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Tilly Virchow Krause LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 Stanwix StreetAddressLine1Txt
CityPittsburghCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

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
Signature2018-03-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian R Lenart EAPreparerPersonNm
PTINP00289136PTIN
Phone4126976400PhoneNum
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.140.44.123IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-03-08IPDt
IP Tm12:43:51IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id20CD8FEEB8FE7C72EDC53ECAF3E958E9DD06E9E0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$799,005GrossReceiptsAmt
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 Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$717,603PYProgramServiceRevenueAmt
CY Program Service Revenue$710,261CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$38,998PYOtherRevenueAmt
CY Other Revenue$48,490CYOtherRevenueAmt
PY Total Revenue$756,601PYTotalRevenueAmt
CY Total Revenue$758,751CYTotalRevenueAmt
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$52,407PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,273CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$639,435PYOtherExpensesAmt
CY Other Expenses$601,675CYOtherExpensesAmt
PY Total Expenses$691,842PYTotalExpensesAmt
CY Total Expenses$617,948CYTotalExpensesAmt
PY Revenues Less Expenses$64,759PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$140,803CYRevenuesLessExpensesAmt
Total Assets BOY$3,028,443TotalAssetsBOYAmt
Total Assets EOY$3,085,967TotalAssetsEOYAmt
Total Liabilities BOY$3,003,573TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,920,294TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,870NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$165,673NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTH CARE SERVICES TO THE ELDERLY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$445,270ExpenseAmt
Grant$0GrantAmt
Revenue$710,261RevenueAmt
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$445,270TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
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
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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
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

FieldValueIRS element (for citing)
PersonJeffrey CarrawayPersonNm
Phone7247422246PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11323 Freedom RoadAddressLine1Txt
CityCranberry TownshipCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16066ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 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 OFFICER1.0040.00Yes (X)Yes (X)$0$343,578$34,469
Susan Q DiGirolamo
TREASURER (Retired 6/2/2017)1.0040.00Yes (X)Yes (X)$0$160,488$27,890
DONNA VAN KIRK
SECRETARY1.0040.00Yes (X)Yes (X)$0$148,855$27,254
DAVID WOLFE
CHAIRMAN1.001.00Yes (X)Yes (X)$0$0$0
MARK TRAUMAN
BOARD MEMBER1.001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$652,921TotReportableCompRltdOrgAmt
Total Other Compensation$89,613TotalOtherCompensationAmt
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$128,302CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SVC. REVENUEDesc
Business623000BusinessCd
Total Revenue Column$710,261TotalRevenueColumnAmt
Related Or Exempt Func Income$710,261RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$710,261TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$56,424RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$40,254RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$16,170RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,170TotalRevenueColumnAmt
Exclusion$16,170ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$32,320TotalRevenueColumnAmt
Exclusion$32,320ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$32,320OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$758,751TotalRevenueColumnAmt
Related Or Exempt Func Income$710,261RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,490ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,309TotalAmt
Program Services$4,618ProgramServicesAmt
Management And General$9,691ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$85TotalAmt
Program Services$85ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$825TotalAmt
Program Services$725ProgramServicesAmt
Management And General$100ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,054TotalAmt
Program Services$1,054ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$67,341TotalAmt
Management And General$67,341ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$209,260TotalAmt
Program Services$208,733ProgramServicesAmt
Management And General$527ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,002TotalAmt
Management And General$8,002ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,182TotalAmt
Program Services$4,033ProgramServicesAmt
Management And General$4,149ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$68,250TotalAmt
Program Services$68,250ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,555TotalAmt
Management And General$1,555ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$54,849TotalAmt
Management And General$54,849ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$79,528TotalAmt
Program Services$53,937ProgramServicesAmt
Management And General$25,591ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,479TotalAmt
Program Services$11,479ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MAINTENANCE$91,187$90,358$829$0
Bad Debt$1,760$1,760$0$0
MISCELLANEOUS$282$238$44$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$617,948TotalAmt
Program Services$445,270ProgramServicesAmt
Management And General$172,678ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$250BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$115,050BOYAmt
EOY$163,758EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,606BOYAmt
EOY$13,069EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,392BOYAmt
EOY$15,240EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,320,371LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$782,675LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,539,941BOYAmt
EOY$2,537,696EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$356,204BOYAmt
EOY$356,204EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,028,443BOYAmt
EOY$3,085,967EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,840BOYAmt
EOY$38,649EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,851,588BOYAmt
EOY$1,721,353EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,129,145BOYAmt
EOY$1,160,292EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,003,573BOYAmt
EOY$2,920,294EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,870BOYAmt
EOY$165,673EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,870BOYAmt
EOY$165,673EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,028,443BOYAmt
EOY$3,085,967EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$140,803ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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$644,552CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$672,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$680,946CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$717,603CurrentTaxYearMinus1YearAmt
Current Tax Year$710,261CurrentTaxYearAmt
Total$3,425,588TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$644,552CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$672,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$680,946CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$717,603CurrentTaxYearMinus1YearAmt
Current Tax Year$710,261CurrentTaxYearAmt
Total$3,425,588TotalAmt

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$3,425,588PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,804CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,480CurrentTaxYearMinus1YearAmt
Current Tax Year$56,424CurrentTaxYearAmt
Total$280,320TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,804CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,480CurrentTaxYearMinus1YearAmt
Current Tax Year$56,424CurrentTaxYearAmt
Total$280,320TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,524CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,444CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,078CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,213CurrentTaxYearMinus1YearAmt
Current Tax Year$32,320CurrentTaxYearAmt
Total$146,579TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$729,431CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$760,474CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$763,281CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$800,296CurrentTaxYearMinus1YearAmt
Current Tax Year$799,005CurrentTaxYearAmt
Total$3,852,487TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88920PublicSupportCY509Pct
Public Support PY5090.88670PublicSupportPY509Pct
Investment Income CY0.07280InvestmentIncomeCYPct
Investment Income PY0.07400InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,258,745OtherCostOrOtherBasisAmt
Depreciation$753,541DepreciationAmt
Book Value$2,505,204BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,242OtherCostOrOtherBasisAmt
Depreciation$29,134DepreciationAmt
Book Value$15,108BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,384OtherCostOrOtherBasisAmt
Book Value$17,384BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,537,696TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescAFFILIATE RECEIVABLESDesc
Book Value$356,204BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$356,204TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
AFFILIATE PAYABLES$1,105,341
OTHER CURRENT LIABILITIES$54,951
FieldValueIRS element (for citing)
Total Liability$1,160,292TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationSamaritan 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, 2017 and 2016.ExplanationTxt

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$343,578$0$0$0$0$0$7,950$0$26,519$0$378,047$0$0
Susan Q DiGirolamo
TREASURER (Retired 6/2/2017)$0$160,488$0$0$0$0$0$4,815$0$23,075$0$188,378$0$0
DONNA VAN KIRK
SECRETARY$0$148,855$0$0$0$0$0$4,376$0$22,878$0$176,109$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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.
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 11gOther Professional Fees: Program service expenses 208,733. Management and general expenses 527. Fundraising expenses 0. Total expenses 209,260.
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 2CNO CHANGE IN OVERSIGHT PROCESS IN THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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 DBA LUTHERAN SENIORLIFE ST JOHN COMMUNITY
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066250969478SKILLED NURSING AND PERSONAL CARE FACILITY SERVING MORE THAN 300 RESIDENTSPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
PASSAVANT RETIREMENT & HEALTH CENTER DBA LUTHERAN SENIORLIFE PASSAVANT COM
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066250986051PROVIDER OF RESIDENTIAL, PERSONAL CARE AND SKILLED NURSING CARE TO ELDERSPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
LUTHER COURT INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251527660TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
LUTHERAN SENIORLIFE FOUNDATION
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251705233ORGANIZATION THAT PROMOTES THE CHARITABLE INTERESTS OF ITS EXEMPT AFFILIATESPA501(c)(3)Line 7Yes (1)LUTHERAN SENIORLIFE
LAS GERIATRIC CARE SERVICES INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251738347PROVIDER OF MEDICAL GERIATRIC THERAPY SERVICES TO ITS EXEMPT AFFILIATESPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
VIECARE BEAVER LLC DBA LIFE BEAVER AND LAWRENCE COUNTIES
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066260363509PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(c)(3)Line 7Yes (1)LUTHERAN SENIORLIFE
VIECARE BUTLER LLC DBA LIFE BUTLER COUNTY
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066208512169PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
MARS HOLDINGS INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251883384PROVIDER OF DEMENTIA ASSISTED LIVING AND RESIDENTIALPA501(c)(3)Line 12a, IYes (1)LUTHERAN SENIORLIFE
VIECARE INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066205900922PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
BEHOME PARTNERS
1323 FREEDOM ROADcRANBERRY TOWNSHIPPA16066202932676Provider of home health services in skilled nursing, therapy, & private dutyPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
VISITING NURSES ASSOCIATION OF BUTLER COUNTY INC
154 HINDMAN ROADBUTLERPA16001237040715TO OPTIMIZE HEALTH & INDEPENDENCE, & KEEP RESIDENTS OF OUR COMMUNITY HEALTHYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
HOSPICE SERVICES INC
154 HINDMAN ROADBUTLERPA16001251468529TO PROVIDE COMPASSIONATE, QUALITY CARE FOR PEOPLE WITH LIFE-LIMITING ILLNESSPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
VALLEY CARE ASSOCIATION
650 CHERRINGTON PARKWAYMOON TOWNSHIPPA15108251349943TO PROVIDE DAY CARE SERVICES FOR OLDER ADULTS TO ENHANCE QUALITY OF LIFEPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
THE LUTHERAN SERVICE SOCIETY OF W PA
440 LINCOLN AVENUEPITTSBURGHPA15202250965419PROVIDE PROGRAMS AND SERVICES FOR PEOPLE TO LEAD INDEPENDENT DIGNIFIED LIVESPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
VIECARE ARMSTRONG LLC DBA LIFE ARMSTRONG COUNTY
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066463692084PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
CHIPPEWA LUTHERAN HOUSING CORPORATION
440 LINCOLN AVENUEpITTSBURGHPA15202208314767TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
GIRARD LUTHERAN HOUSING CORPORATION
440 LINCOLN AVENUEpITTSBURGHPA15202030596955TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
JAMESTOWN LUTHERAN HOUSING CORPORATION
440 LINCOLN AVENUEpITTSBURGHPA15202208315015TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
LUTHERAN HOUSING CORPORATION OF OIL CITY
440 LINCOLN AVENUEpITTSBURGHPA15202251699268TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
STONEBORO DEVELOPMENT CORPORATION
440 LINCOLN AVENUEpITTSBURGHPA15202251419863TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN SENIORLIFE
TITUSVILLE SENIOR HOUSING CORPORATION
440 LINCOLN AVENUEpITTSBURGHPA15202270115829TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(c)(3)Line 10Yes (1)LUTHERAN 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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