2017-02-15T12:03:51-06:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 20 STANWIX ST STE 800 PITTSBURGH PA 15222 990 2015-07-01 250969478 ST JOHN LUTHERAN CARE CENTER D/B/A ST JOHN COMMUNITY STJO 7247422246 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 SUSAN Q DIGIROLAMO CHIEF FINANCIAL OFFICER 7247422246 2017-02-06 1 BRIAN R LENART EA P00289136 4126976400 2015 2021-01-29 14:40:06Z DAVID J FENOGLIETTO 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 21266866 0 X WWW.LUTHERANSENIORLIFE.ORG X 1893 PA OPERATION OF A SKILLED NURSING AND PERSONAL CARE FACILITY PROVIDING FAITH-BASED SERVICES TO ELDERS. 3 0 285 57 0 0 197588 202722 23704698 20436081 297969 266702 547399 360361 24747654 21265866 0 0 0 0 12220668 10245776 0 0 0 11507137 11651987 23727805 21897763 1019849 -631897 20002485 19058592 12337668 12252285 7664817 6806307 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 18759597 0 20436081 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, 2016, ST. JOHN PROVIDED 76,441 DAYS OF NURSING CARE. MEDICAID COVERED 43,448 OF THOSE DAYS WHICH IS 57% OF TOTAL RESIDENT DAYS. ST. JOHN PROVIDED 6,154 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 $73,329 FOR PERSONAL CARE RESIDENTS IN FISCAL YEAR 2016.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 10,329 DAYS OF ASSISTED LIVING CARE IN THE YEAR ENDING JUNE 30, 2016. THE BENEVOLENT CARE PROGRAM PROVIDED A TOTAL OF $57,149 OF BENEVOLENT CARE TO ROSECREST IN THE YEAR ENDING JUNE 30, 2016. 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 38 APARTMENTS OCCUPIED WITH A TOTAL OF 47 RESIDENTS. 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. 18759597 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 10 0 1 285 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 X SUSAN Q DIGIROLAMO 7247761100 191 SCHARBERRY LANE MARS PA 16046 KAREN RUSSELL EXECUTIVE DIRECTOR 40.00 1.00 X X 134407 0 28127 DAVID J FENOGLIETTO CHIEF EXECUTIVE OFFICER 1.00 40.00 X X 0 350389 36156 SUSAN Q DIGIROLAMO CHIEF FINANCIAL OFFICER 1.00 40.00 X X 0 146557 27931 LINETTE TURNER RN 40.00 0.00 X 136888 0 21655 STEPHANIE BARKLEY DIRECTOR, NURSING 40.00 0.00 X 105748 0 11422 377043 496946 125291 3 0 1 0 MORRISON MANAGEMENT SPECIALISTS 100 SOUTHCREST DRIVE STOCKBRIDGE GA 30281 DINING 1179793 PROVIDENCE PHARMACY SERVICES 615 NORTH PIKE ROAD CABOT PA 16023 PHARMACEUTICAL 830185 CAPITAL HEALTHCARE 40 LINCOLN WAY IRWIN PA 15642 HEALTHCARE STAFFING 431753 PARIS HEALTHCARE LINEN SERVICE PO BOX 1043 67 HOOVER AVENUE DUBOIS PA 15801 LAUNDRY 322966 AIR SYSTEMS MECHANICAL 427 CONSTITUTION BLVD NEW BRIGHTON PA 15066 CONTRACTOR 269947 9 202722 202722 PATIENT SERVICE REVENUE 623000 19244817 19244817 PA NURSING HOME ASSESSMENT 623000 1191264 1191264 20436081 259164 259164 620 1000 -380 -380 -380 7538 0 7538 7538 7538 ANCILLARY 623000 360741 360741 360741 21265866 20436081 0 627063 X 168414 157669 10745 7812082 7305524 506558 70942 66413 4529 1601566 1601566 592772 554931 37841 1742612 1742612 41516 41516 28944 28944 4347899 4304132 43767 8773 8773 449986 260075 189911 626614 626614 2094 2094 1115 1115 456384 456384 574283 574283 206302 206302 RESIDENT 1456808 1456808 0 0 MAINTENANCE & EQUIPMENT 677589 661594 15995 0 NURSING HOME ASSESSMENT 523558 523558 0 0 DEVELOPMENT 209998 0 209998 0 297512 1650 295862 21897763 18759597 3138166 0 1300 1300 3395609 2597161 3794 4239 3022925 2746928 58232 60215 148966 142943 23927594 19766616 4006918 4160978 8424085 8125559 940656 1219269 20002485 19058592 1285564 1126854 10579286 10386444 472818 738987 12337668 12252285 X 7178844 6211507 269351 378178 216622 216622 7664817 6806307 20002485 19058592 X -631897 -225739 -874 X X 0 1 X 1 1 1 X 253774 64786 121981 197588 202722 840851 23299709 23317133 24646042 23704698 20436081 115403663 23553483 23381919 24768023 23902286 20638803 116244514 0 0 0 116244514 195977 22816 29699 183015 259784 691291 195977 22816 29699 183015 259784 691291 408340 530732 130185 544989 360741 1974987 24157800 23935467 24927907 24630290 21259328 118910792 0.97760 0.97870 0.00580 0.00490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8070 8070 15241167 12334186 2906981 1581444 1540578 40866 6709019 5891852 817167 387894 387894 4160978 DEFERRED FINANCING COSTS 292654 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 30593 AFFILIATE RECEIVABLES 531046 ASSET WHOSE USE IS LIMITED 358113 DUE FROM THIRD-PARTY PAYORS 6863 1219269 RESIDENT FUNDS 101217 AFFILIATE PAYABLES 324234 DUE TO THIRD-PARTY PAYORS 313536 738987 X 21040253 -225739 -874 -226613 21266866 -1000 -1000 21265866 21898763 1000 1000 21897763 0 21897763 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, 2016 AND 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -874. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -1,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,000. X 0 0 0 0 0 0 0 0 0 KAREN RUSSELL EXECUTIVE DIRECTOR 134407 0 0 0 0 0 3600 0 24527 0 162534 0 0 0 DAVID J FENOGLIETTO CHIEF EXECUTIVE OFFICER 0 350389 0 0 0 0 0 7950 0 28206 0 386545 0 0 SUSAN Q DIGIROLAMO CHIEF FINANCIAL OFFICER 0 146557 0 0 0 0 0 4397 0 23534 0 174488 0 0 LINETTE TURNER RN 136888 0 0 0 0 0 0 0 21655 0 158543 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 SPEECH THERAPIST: PROGRAM SERVICE EXPENSES 205,456. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,456. PHYSICAL THERAPIST: PROGRAM SERVICE EXPENSES 625,354. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 625,354. OCCUPATIONAL THERAPIST: PROGRAM SERVICE EXPENSES 507,066. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 507,066. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 150. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,303,865. MANAGEMENT AND GENERAL EXPENSES 43,617. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,347,482. STAFF FEES: PROGRAM SERVICE EXPENSES 1,662,391. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,662,391. FORM 990, PART XI, LINE 9: VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -874. 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 11A, 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 9 LUTHERAN SENIORLIFE 1 PASSAVANT RETIREMENT & HEALTH CENTER DBA PASSAVANT COMMUNITY 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 250986051 PROVIDER OF RESIDENTIAL, PERSONAL CARE AND SKILLED NURSING CARE TO ELDERS PA 501(C)(3) LINE 9 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 9 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 9 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 9 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 7 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 9 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 11A, 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 9 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 9 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 9 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 9 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 9 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 9 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 9 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 9 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 9 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 9 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 9 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 9 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