2018-04-17T00:00:00-05:00 2017-06-30 390859910 Baker Tilly Virchow Krause LLP 20 Stanwix Street Pittsburgh PA 15222 990 2016-07-01 250986051 Passavant Retirement and Health Center d/b/a Lutheran SeniorLife Passavant Com PASS 7247422246 1323 Freedom Road Cranberry Township PA 16066 Jeffrey Carraway CHIEF FINANCIAL OFFICER 7247422246 2018-03-28 1 Brian R Lenart EA P00289136 4126976400 X 38.140.44.123 2018-03-28 16:07:41 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 20CD8FEEB8FE7C72EDC53ECAF3E958E9DD06E9E0 2016 2021-01-29 14:40:06Z DAVID J FENOGLIETTO 1323 Freedom Road Cranberry Township PA 16066 27956910 0 X www.LUTHERANSENIORLIFE.org X 1905 PA CONTINUING CARE RETIREMENT COMMUNITY PROVIDING FAITH-BASED NON PROFIT SERVICES TO ELDERS. 5 3 419 337 0 0 474673 1135952 24503460 24202319 -74558 826833 1240120 1722262 26143695 27887366 0 0 0 0 12349410 12240139 0 0 0 15943738 16639507 28293148 28879646 -2149453 -992280 100337718 99804075 78365425 76108777 21972293 23695298 X Passavant Retirement Community is a 501(c)(3) continuing care retirement community with a 100+ year history of providing faith-based, non profit services to elders in Western Pennsylvania. 0 0 22905256 0 24659454 Lutheran SeniorLife Passavant Community is a 501(c) (3) Life Plan community with a 110+ year history of providing faith-based, non profit services to elders in Western Pennsylvania. Located on 42 acres in Zelienople, PA, Passavant Community is one of Lutheran SeniorLife's communities dedicated to providing opportunities for Abundant Life to elders. We provide a complete continuum of care including residential living in cottages, villas and apartments; personal care in two venues; long term nursing, short term rehabilitation, memory care and adult day care. Our Abundant Life Center accommodates 102 elders either requiring short term skilled rehabilitation services or needing long term nursing services. The nursing community is designed in a household model with 6 nursing households. Each household has accommodations for 17 residents. This life affirming environment affords residents privacy in 96 private rooms and three (3) semi-private suites. Each household is also appointed with a full service kitchen and dining room along with a family room and access to the outdoors. We continue our work to transform our culture to one that is truly person-directed, where residents direct the course of their day. Each elder's voice is honored and we continually evaluate our practices and adapt our processes to better meet their needs. Passavant Community provides service to personal care residents in two different venuesin Newhaven Court and in the Abundant Life Center. Newhaven Court has 92 apartments built in a neighborhood model and the Abundant Life Center has two households, one of which is specifically designed for individuals needing memory support. We offer varied options for individuals wanting to live residentially from apartments to cottages. The newest residential offering is within the Abundant Life Center which houses 20 apartments attached to numerous community life offerings from the fitness center to varied dining venues. Construction on ten (10) new cottages was completed this fiscal year and all ten (10) are occupied. Many of the residents are active volunteers both on the campus as well as in the community at large. They teach classes, facilitate programs and provide valuable input in operational decisions that affect them directly. We continue to experience growth in our Adult Day Program known as My Day Out. We have approximately 40 individuals enrolled and continue to be an alternative care site for Lutheran SeniorLife's LIFE Butler program as well as a provider through the Area Agency on Aging. This program affords us the opportunity to serve individuals in the surrounding community. The medical clinic on campus serves residents through primary care physicians and specialists. Guided by its faith-based non-profit mission, residents accepted into Passavant Community's continuum of care are not asked to leave should they outlive their resources. In FY 2017, Passavant Community provided support of $1,150,601 through its Benevolent Care program. 22905256 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 419 1 0 0 0 0 0 0 0 0 0 0 X 5 3 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 LAURA ROY EXECUTIVE DIRECTOR 40.00 0.00 X X 144548 0 19432 DR ERIC D KOFMEHL BOARD MEMBER 1.00 0.00 X 0 0 0 REV ROBERT MUSSER BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLES E SNYDER BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID J FENOGLIETTO CHIEF EXECUTIVE OFFICER 1.00 40.00 X X 0 343578 34469 SUSAN Q DIGIROLAMO CFO (Retired 6/2/2017) 1.00 40.00 X X 0 160488 27890 144548 504066 81791 1 0 1 0 MORRISON MANAGEMENT SPECIALISTS 100 SOUTHCREST DRIVE STOCKBRIDGE GA 30281 DINING 1031064 1 1135952 1135952 PATIENT SERVICE REVENUE 623000 10731793 10731793 Resident Service Revenue 623000 6921117 6921117 Personal Care Revenue 623000 6549409 6549409 24202319 313491 313491 176479 69544 106935 106935 106935 512992 350 0 0 512992 350 513342 513342 MISCELLANEOUS 900099 1158192 1158192 NURSING HOME ASSESSMENT 623000 457135 457135 1615327 27887366 24659454 0 2091960 X 167263 156711 10552 8130201 7617302 512899 150595 136059 14536 3064319 2845023 219296 727761 681850 45911 1822613 1822613 94286 94286 48697 48697 3993518 3872058 121460 20132 225 19907 251022 172528 78494 83523 83523 1812264 1743026 69238 6737 2487 4250 9750 6543 3207 2114281 2114281 4165312 4141491 23821 386859 10555 376304 RESIDENT 820354 730978 89376 0 MAINTENANCE & EQUIPMENT 660052 633108 26944 0 NURSING HOME ASSESSMENT 238185 0 238185 0 TRAINING & RECRUITMENT 45007 5640 39367 0 66915 66149 766 28879646 22905256 5974390 0 2825 0 518721 0 21042 0 1626246 2316344 71612 83345 181043 178881 105500522 32285117 74618556 73215405 18660752 19935659 1380641 1100322 3256280 2974119 100337718 99804075 1671881 1567837 6283847 7353999 55090202 52766013 15319495 14420928 78365425 76108777 X 19337312 20920456 404574 472512 2230407 2302330 21972293 23695298 100337718 99804075 X -992280 2634649 80636 X X 0 1 X 1 0 X 289898 199693 228215 474673 1135952 2328431 23053990 21911646 22621068 24503460 24202319 116292483 23343888 22111339 22849283 24978133 25338271 118620914 0 0 0 118620914 121102 262133 388028 326359 489970 1587592 121102 262133 388028 326359 489970 1587592 1294866 1196643 1269497 1187174 1615327 6563507 24759856 23570115 24506808 26491666 27443568 126772013 0.93570 0.93900 0.01250 0.01180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 125757 125757 80137734 18371808 61765926 16952963 9685288 7267675 8037762 4228021 3809741 246306 246306 73215405 Funds held for residents 83475 AFFILIATE PAYABLES 1843562 REFUNDABLE ADVANCE FEES 11149145 DERIVATIVE FINANCIAL INSTRUMENT - INTEREST RATE SWAP AGREEMENT 1287896 RESIDENT SECURITY DEPOSITS 56850 14420928 X 30672195 2634649 80636 2715285 27956910 -69544 -69544 27887366 28949190 69544 69544 28879646 0 28879646 Part X, Line 2: Passavant 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. Part XI, Line 2d - Other Adjustments: VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 71,923. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 8,713. Part XI, Line 4b - Other Adjustments: rental expenses -69,544. Part XII, Line 2d - Other Adjustments: RENTAL EXPENSEs 69,544. X 0 0 0 0 0 0 0 0 0 LAURA ROY EXECUTIVE DIRECTOR 144548 0 0 0 0 0 4254 0 15178 0 163980 0 0 0 DAVID J FENOGLIETTO CHIEF EXECUTIVE OFFICER 0 343578 0 0 0 0 0 7950 0 26519 0 378047 0 0 SUSAN Q DIGIROLAMO CFO (Retired 6/2/2017) 0 160488 0 0 0 0 0 4815 0 23075 0 188378 0 0 A BUTLER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY SERIES 2012A 2012-02-24 47000000 Finance Capital Expenditures 0 0 0 B BUTLER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY SERIES 2012B 2012-02-24 13832842 Refinance Loans 0 0 0 A 47000000 50000 46500000 0 0 1 0 B 13832842 13832842 0 0 1 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 1 B 1 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 AGENCY STAFF - NURSING: Program service expenses 1,044,707. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,044,707. DINING SERVICE: Program service expenses 0. Management and general expenses 13,930. Fundraising expenses 0. Total expenses 13,930. RESPIRATORY THERAPY: Program service expenses 857,552. Management and general expenses 0. Fundraising expenses 0. Total expenses 857,552. CONSULTING: Program service expenses 0. Management and general expenses 22,579. Fundraising expenses 0. Total expenses 22,579. Payroll: Program service expenses 0. Management and general expenses 84,951. Fundraising expenses 0. Total expenses 84,951. Other Professional Fees: Program service expenses 1,969,799. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,969,799. Form 990, Part XI, line 9: VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 71,923. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 8,713. FORM 990, PART XII, LINE 2C NO CHANGE IN OVERSIGHT PROCESS IN THE CURRENT YEAR. 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