2016-05-16T19:04:14-05:00 2015-06-30 990 2014-07-01 232960726 Seton Manor Inc SETO 5703660400 1000 Seton Drive ORWIGSBURG PA 17961 MICHAEL GROVE CEO 2016-05-16 2014 2016-08-17 19:52:53Z MICHAEL GROVE NHA 1000 Seton Drive ORWIGSBURG PA 17961 11109289 false 0928 X WWW.SETONMANOR.ORG X 1998 PA TO PROVIDE A CONTINUING CARE RETIREMENT COMMUNITY AND SKILLED NURSING SERVICES TO THOSE IN OUR COMMUNITY FOR THE SHORT TERM OR LONG TERM. 5 4 234 30 0 0 4567 4055 10684326 10883946 15118 -2918 42972 216515 10746983 11101598 0 0 0 0 6342870 6536229 0 0 0 4569326 4814442 10912196 11350671 -165213 -249073 8466626 8099756 10806939 10957940 -2340313 -2858184 ROOTED IN LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. SETON MANOR IS DEDICATED TO SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. false false 9448074 10883946 SETON MANOR, INC. OPERATES A 120 BED SKILLED NURSING FACILITY WHICH PROVIDES A CONTINUUM OF SERVICES TO THE RESIDENTS OF SETON MANOR (41,076 RESIDENT DAYS SERVED) AND SETON PLACE, A 7 UNIT INDEPENDENT LIVING FACILITY, WHICH MAXIMIZES DIGNITY AND INDEPENDENCE. ROOTED IN THE CATHOLIC TRADITION OF CARING, THE STAFF IS COMMITTED TO PROMOTING THE WELL BEING OF THOSE WE SERVE THROUGH THE DELIVERY OF QUALITY CARE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY FOR THE CONTINUUM OF SERVICES, AS A CHARITABLE ORGANIZATION, IT IS RECOGNIZED THAT NOT ALL PERSONS SERVED POSSESS THE ABILITY TO PURCHASE ESSENTIAL SERVICES NEEDED FOR CARE AND OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES. IN 2015, $1,641,138 WAS PROVIDED IN CHARITABLE CARE AT COSTS. SETON MANOR PRIMARILY SERVES THE COMMUNITIES THROUGHOUT AND SURROUNDING SCHUYLKILL COUNTY BY PROVIDING PROGRAMS THROUGHOUT THE YEAR. AS A RELIGIOUS ORGANIZATION, SETON MANOR ALSO EMPLOYS STAFF TO PROVIDE CHAPLAINCY SERVICES. THE CHAPEL AT SETON MANOR HAS DAILY INTERDENOMINATIONAL SERVICES AND PROGRAMS. 9448074 true false false false false false false false true false true false false false true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 104 0 true 234 true false false false false false false false false false false X 5 4 true false false false true true true true true false false true true true true true true false false false PA X X JULIE TURLEY CONTROLLER 5703660400 1000 SETON DRIVE ORWIGSBURG PA 17961 ROBERT CARL JR SECRETARY 1.00 0 X X 0 0 0 ANNE B CURRY TREASURER 1.00 0 X X 0 0 0 JOSEPH TROY ESQ BOARD CHAIR (END 2/15) 1.00 0 X X 0 0 0 MICHAEL GROVE ADMINISTRATOR 40.00 0 X X 27885 0 0 PHILLLIP A MALLOY PT DPT OCS BOARD MEMBER (END 2/15) 1.00 0 X 0 0 0 SISTER KATHLEEN NATWIN DC BOARD MEMBER 1.00 4.00 X 0 0 0 SISTER MARGARET WALKER DC BOARD MEMBER (END 2/15) 1.00 0 X 0 0 0 JOAN ZAWISA BOARD MEMBER 1.00 0 X 0 0 0 JOE GIRARDI CFO 1.00 68.00 X 0 139916 3997 GARY MOHN CEO 2.00 42.00 X 0 295169 22681 JACQUELYN ROBINSON ADMINISTRATOR 40.00 0 X 83962 0 10950 111847 435085 37628 0 false true false Capital Blue Cross PO Box 779516 HARRISBURG PA 171779516 Health Insurance Administrator 756023 Encore Rehabilitation Services 30230 Orchard Lake Road Suite 100 Farmington Hills MI 48334 Therapy Services 504060 Concept Medical Inc 639 Chestnut Street PO Box 201 ASHLAND PA 17921 Pharmacy Services 332470 Concept Rehab 7150 Granite Circle Suite 200 Toledo OH 43617 Therapy Services 318366 GEISINGER QUALITY OPTIONS INC PO BOX 822434 PHILADELPHIA PA 19182 HEALTH INSURANCE ADMINISTRATION 256609 10 4055 4055 RESIDENT FEES 623000 10814587 10814587 CCRC REVENUE 623000 69359 69359 0 0 0 0 10883946 4773 4773 22142 22142 0 22142 22142 7691 0 -7691 -7691 -7691 GIFT SHOP REVENUE 900099 39278 39278 OTHER REVENUE 900099 155095 155095 0 0 0 0 194373 11101598 10883946 0 213597 53382 53382 5183666 4283997 899669 8129 6522 1607 918918 785354 133564 372134 312301 59833 28740 28740 20864 20864 34704 34704 0 0 0 0 20956 2179 18777 76356 15129 61227 41892 4206 37686 2005 1008 997 21958 11231 10727 6608 2412 4196 309365 309300 65 355945 353173 2772 59723 57678 2045 CONTRACTUAL SERVICES 1239719 1147814 91905 SUPPLIES 1147157 1070594 76563 FOOD 324566 317751 6815 NURSING FACILITY ASSESSMENT 274703 274703 0 849181 492722 356459 0 11350671 9448074 1902597 0 700 700 369133 221291 1469996 1770397 0 0 0 113027 103172 157049 104325 14201428 8646843 5616535 5554585 441802 0 298384 345286 8466626 8099756 1159986 1512537 113418 111024 0 9533535 9334379 10806939 10957940 X -2341688 -2859642 1375 1458 -2340313 -2858184 8466626 8099756 X -249073 -6775 -262023 X false true X true false X 12999 7407 4428 4567 4055 33456 10907736 110905292 110931945 10684326 10883946 254313245 10920735 110912699 110936373 10688893 10888001 254346701 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254346701 7745 3650 1028 17598 26915 56936 7745 3650 1028 17598 26915 56936 32452 0 0 40492 194373 267317 10960932 110916349 110937401 10746983 11109289 254670954 0.9987 0.9958 0.0002 0.0006 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - GIFT SHOP REVENUE, COLUMN A - 32452.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 40492.0, COLUMN E - 39278.0, COLUMN F - 112222.0; DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 155095.0, COLUMN F - 155095.0; false 0 0 0 0 true X 400060 400060 10811385 6093378 4718007 2951440 2553465 397975 38543 38543 5554585 INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE 9334379 9334379 X 10939035 -6775 -155788 -162563 11101598 0 0 11101598 11194883 0 0 11194883 155788 155788 11350671 Schedule D, Part IV, Line 2b Explanation of escrow agreement THE ORGANIZATION MAINTAINS RESIDENT FUNDS FOR THE RESIDENTS' BENEFIT. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE ORGANIZATION FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, AND ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. AS OF JUNE 30, 2015 AND 2014, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE ORGANIZATION'S FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STATEMENTS - -155788 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STATEMENTS - 155788 false true false false false false false false false GARY MOHN CEO 0 234987 0 36718 0 23464 0 17500 0 5181 0 317850 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ALEXIAN BROTHERS HEALTH SYSTEM, A RELATED ORGANIZATION OF Seton Manor, Inc. THROUGH JUNE 30, 2014 , USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Seton Manor, Inc. TRANSFERRED MEMBERSHIP TO ASCENSION HEALTH SENIOR CARE D.B.A. ASCENSION SENIOR LIVING EFFECTIVE 7/1/14. ASCENSION SENIOR LIVING USES THE FOLLOWING METHODS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ASCENSION Health SENIOR CARE, d.b.a. ASCENSION SENIOR LIVING, offers a Supplemental Employee Retirement Plan to all employees who participate in the executive benefits program and whose compensation exceeds the IRS allowable limit for a qualified pension plan. The purpose of the plan is to restore retirement benefits that are restricted because of compensation limits for the executives. Neither contributions to nor distributions from the supplemental nonqualified retirement plan were made in the current year. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION IN DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. IN THE REVIEW OF THE COMPENSATION, THE TOP MANAGEMENT OFFICIAL WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Many of the persons listed in Part VII, Section A have a "business relationship" with each other by virtue of employment by Ascension Senior Living related entities - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders SETON MANOR, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH SENIOR CARE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body SETON MANOR, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH SENIOR CARE WHO HAS THE AUTHORITY TO APPOINT AND REMOVE DIRECTORS AND EXECUTIVE OFFICERS OF SETON MANOR, INC. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Ascension Health Senior Care, d.b.a. Ascension Senior Living, has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals' evaluation debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Line 11b Review of form 990 by governing body MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS. Form 990, Part VI, Line 12c Conflict of interest policy THE MEMBERS THAT ARE GUIDED BY THIS POLICY ARE ENCOURAGED TO SPEAK WITH THE CHAIR OR ADMINISTRATOR AND DISCUSS OUTSIDE CONTACTS TO DETERMINE IF The organization's Conflict of Interest Policy is monitored as part of the system-wide procedures and not at the organizational level. The system-wide procedures are as follows: 1. At time of appointment and annually thereafter, all interested persons, including board and committee members, complete a disclosure statement which addresses actual or potential conflicts of interest. 2. The disclosure statement is done electronically and the return of the completed statement is a condition of continued appointment, employment, or participation with the organization. 3. All actual conflicts are investigated, and resolved by the chief governance officer and the corporate responsibility officer, with the results shared with the chief executive of the organization. 4. Periodic reviews are conducted by governance, compliance, and internal audit to ensure the organization is operating consistent with the policy and enforcing the policy's terms. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer to Affiliate - -262023; Ascension Health Alliance PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I NA false Ascension Health PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I ASCENSION HEALTH ALLIANCE false Ascension Health Senior Care 12250 Weber Hill Road ST LOUIS MO 63127 431227406 PARENT COMPANY MO 501(c)(3 Type I Ascension Health false Alexian Village of Milwaukee Inc 9301 N 76th Street Milwaukee WI 53223 391351584 Continuing care retirement community WI 501(c)(3 9 Ascension Health Senior Care true Alexian Brothers Senior Neighbors 250 East 10th Street Chattanooga TN 37402 620646376 Supports the provision of community services for senior citizens TN 501(c)(3 7 Ascension Health Senior Care true Alexian Village of Tennessee 437 Alexian Way Signal Mountain TN 37377 621136742 Continuing care retirement community TN 501(c)(3 9 Ascension Health Senior Care true Alexian Brothers Lansdowne Village 4624 Lansdowne St Louis MO 63116 431470362 Skilled nursing facility MO 501(c)(3 9 Ascension Health Senior Care true Alexian Brothers Sherbrooke Village 4005 Ripa Avenue St Louis MO 63125 431592502 Skilled nursing facility MO 501(c)(3 9 Ascension Health Senior Care true Alexian Brothers Community Services 425 CUMBERLAND ST SUITE 110 Chattanooga TN 37404 364344423 PACE- Comprehensive & Coordinated Community Based Services TN 501(c)(3 9 Ascension Health Senior Care true Borgess Nursing Home Inc 3057 Gull Road Kalamazoo MI 49048 382555589 Skilled nursing facility MI 501(c)(3 9 Ascension Health Senior Care true St Joseph's Ministries Inc 331 S Seton Avenue Emmitsburg MD 21727 521835288 Skilled nursing facility MD 501(c)(3 9 Ascension Health Senior Care true Carondelet Long-Term Care Facilities Inc 621 Carondelet Drive Kansas City MO 64114 742505427 Skilled nursing facility MO 501(c)(3 9 Ascension Health Senior Care true St Catherine's Laboure Manor 1750 Stockton Street Jacksonville FL 32204 591878316 Skilled nursing facility FL 501(c)(3 9 Ascension Health Senior Care true Via Christi Healthcare Outreach Program for Elders Inc 2622 W Centra Suite 100 Wichita KS 67203 481236589 PACE (SNF) KS 501(c)(3 9 Via Christi Villages Inc true Via Christi Village Ponca City Inc 1601 Academy Road Ponca City OK 74604 731153337 Retirement Community OK 501(c)(3 9 Via Christi Villages Inc true Via Christi Village Hays Inc 2225 Canterbury Drive Hays KS 67601 202828680 Retirement Community KS 501(c)(3 9 Via Christi Villages Inc true Via Christi Village Manhattan Inc 2800 Willow Grove Road Manhattan KS 66502 481078862 Retirement Community KS 501(c)(3 9 Via Christi Villages Inc true Via Christi Village McLean Inc 777 N McLean Blvd McLean KS 67203 481247723 Retirement Community KS 501(c)(3 9 Via Christi Villages Inc true Via Christi Village Pittsburg Inc 1502 E Centennial Drive Pittsburg KS 66762 743070971 Retirement Community KS 501(c)(3 9 Via Christi Villages Inc true Cornerstone Assisted Living Inc 2622 W Centra Suite 100 Wichita KS 67203 481241079 Retirement Community KS 501(c)(3 9 Via Christi Villages Inc true Via Christi Villages Inc 2622 W Centra Suite 100 Wichita KS 67203 480559086 Management Company KS 501(c)(3 Type I Ascension Health Senior Care true Via Christi Village Georgetown Inc 1655 S Georgetown Georgetown KS 67218 481129325 Retirement Community KS 501(c)(3 9 Via Christi Villages Inc true false false false false false false false false false false false false false false false false false false false