2013-02-13T16:55:27-06:00 2012-06-30 232932984 PARENTEBEARD LLC 20 STANWIX STREET SUITE 800 PITTSBURGH PA 15222 990 2011-07-01 250969478 ST JOHN LUTHERAN CARE CENTER D/B/A ST JOHN SPECIALTY CARE CENTER STJO 7247422246 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 SUSAN Q DIGIROLAMO 7247422246 2013-02-08 1 BRIAN R LENART EA P00289136 4126976400 2011 2016-03-07 17:11:31Z DAVID J FENOGLIETTO 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 25377135 0 X WWW.LUTHERANSENIORLIFE.ORG X 1893 PA OPERATION OF A SKILLED NURSING AND PERSONAL CARE FACILITY PROVIDING FAITH-BASED SERVICES TO ELDERS IN WESTERN PENNSYLVANIA. 4 1 299 71 0 0 280790 253774 23064082 23299709 276683 170274 380814 411142 24002369 24134899 0 0 0 0 11844855 11924009 0 0 0 10798669 11919711 22643524 23843720 1358845 291179 19828212 19177509 11475763 14680180 8352449 4497329 X ST. JOHN SPECIALTY CARE CENTER OPERATES A CCRC WHICH INCLUDES SKILLED NURSING, PERSONAL CARE AND ASSISTED LIVING TO ELDERS IN WESTERN PENNSYLVANIA. 0 0 19939281 0 23299709 ST. JOHN SPECIALTY CARE CENTER, A FAITH BASED ORGANIZATION, IS A 501(C)(3) WITH A MORE THAN 100 YEAR HISTORY OF PROVIDING 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. ST. JOHN IS LOCATED ON A SCENIC 24-ACRE CAMPUS IN MARS PA., AND SERVES MORE THAN 300 RESIDENTS. ACCREDITED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE AS A SKILLED NURSING FACILITY, ST. JOHN OFFERS SKILLED CARE; NURSING CARE; LONG-TERM CARE; AND SHORT-TERM REHABILITATION WITH EXTENSIVE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES. IT ALSO OFFERS VENTILATOR AND TRACHEOTOMY CARE WITH 24-HOUR, SEVEN-DAY-A-WEEK IN-HOUSE RESPIRATORY THERAPY SERVICES.ST. JOHN'S IS RECOGNIZED IN THE REGION AS A PREMIER PROVIDER OF CARE FOR THOSE DEALING WITH THE CONSEQUENCES OF ALZHEIMER'S AND DEMENTIA.IN THE YEAR ENDING JUNE 30, 2012, ST. JOHN PROVIDED 81,692 DAYS OF NURSING SERVICES. MEDICAID COVERED 50,097 OF THOSE DAYS AND ST. JOHN PROVIDED 6,125 DAYS OF SERVICE TO PERSONAL CARE SERVICE. A BENEVOLENT CARE PROGRAM IS AVAILABLE AT ST. JOHN TO PROVIDE ASSISTANCE TO INDIVIDUALS IN THE PERSONAL CARE DEMENTIA PROGRAM WHO HAVE OUTLIVED THEIR PERSONAL RESOURCES. ST. JOHN PROVIDED APPROXIMATELY $170,045 IN BENEVOLENT CARE FOR PERSONAL CARE IN 2012. ($4,232,340 OF BENEVOLENT CARE SINCE THE YEAR 2001).IN JULY OF 2011, ROSE CREST ASSISTED LIVING RESIDENCE FOR RESIDENTS IN NEED OF MEMORY SUPPORT WAS OPENED FOR OCCUPANCY. THIS STATE-OF-THE ART MEMORY CARE RESIDENCE HAS PROVIDED 6,499 DAYS OF ASSISTED LIVING CARE IN THE YEAR ENDING JUNE 30, 2012.CONSTRUCTION OF AN INDEPENDENT LIVING APARTMENT BUILDING FOR SENIORS IS CURRENTLY UNDERWAY. THIS RESIDENCE WILL HAVE 53 RESIDENTIAL APARTMENTS UNITS AND WILL ENABLE THE CAMPUS TO PROVIDE A FULL CONTINUUM OF CARE FOR SENIORS. OCCUPANCY IS EXPECTED IN JULY OF 2013. ST. JOHN CONTINUES TO STRIVE TO PROVIDE SERVICES FOR ALL RESIDENTS IN A SETTING WHERE ELDERS CAN AGE WITH DIGNITY WITHOUT THE NEGATIVE IMPACT OF INSTITUTIONALIZATION. THE GOAL OF PROVIDING AN ABUNDANT LIFE TO ALL INVOLVES CARING FOR THE MIND, BODY AND SPIRIT IN A SETTING THAT RESIDENTS CALL HOME.ALL STAFF ATTEMPTS TO GET TO KNOW THE INDIVIDUAL RESIDENTS AND THE VALUES AND IDEALS THAT PROVIDE AN ABUNDANT LIFE FOR THE INDIVIDUAL. 19939281 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 0 1 17 0 1 299 1 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 0 0 X SUSAN Q DIGIROLAMO 7247761100 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 KAREN RUSSELL 1.00 X X 106961 0 29823 LAURA DEKLEWA 1.00 X 0 0 0 DAVID J FENOGLIETTO 1.00 X X 0 267463 74535 SUSAN Q DIGIROLAMO 1.00 X X 0 128745 39110 106961 396208 143468 1 0 1 0 MORRISON MANAGEMENT SPECIALISTS 5801 PEACHTREE DUNWOODY DRIVE ATLANTA GA 30342 DINING 1074072 EPEOPLE HEALTHCARE INC 1108 OHIO RIVER BOULEVARD SUITE 80 SEWICKLEY PA 15143 TEMPORARY STAFFING 449471 PARIS HEALTHCARE LINEN SERVICE PO BOX 1043 67 HOOVER AVENUE DUBOIS PA 15801 LAUNDRY 389563 CYNA MED INC 2333 EAST CARSON STREET PITTSBURGH PA 15203 TEMPORARY STAFFING 351219 ETZEL ENGINEER & BUILDING INC 205 WEST WATER STREET SAXONBURG PA 16056 PROFESSIONAL 238550 5 253774 253774 PATIENT SERVICE REVENU 623000 22041700 22041700 PENNSYLVANIA NURSING H 623000 1258009 1258009 23299709 192257 192257 3720 918 2802 2802 2802 1218329 1006 1240150 1168 -21821 -162 -21983 -21983 ANCILLARY 623000 408340 408340 408340 24134899 23299709 0 581416 136784 136784 8165868 7683656 482212 67785 63848 3937 2950918 1845098 1105820 602654 567652 35002 1413918 1413918 39848 38018 1830 28055 28055 4466572 4375028 91544 1960 1960 455227 284562 170665 668128 668128 6821 3696 3125 1317 1317 578574 578574 691299 691299 238327 238327 RESIDENT 1784985 1784985 0 0 MAINTENANCE & EQUIPMENT 519878 505815 14063 0 NURSING HOME ASSESSMENT 473096 473096 0 0 DEVELOPMENT 235653 0 235653 0 316053 715 315338 23843720 19939281 3904439 0 1200 1200 3072429 1438466 2191 3555 3043188 3373539 9204 3349 75732 68529 256741 200218 21380292 17306697 3932379 4073595 8390680 8831742 1044468 1183316 19828212 19177509 1328978 1617481 9594009 9421944 552776 3640755 11475763 14680180 X 8052306 4189442 83521 91265 216622 216622 8352449 4497329 19828212 19177509 X 291179 -4146299 X X 0 1 1 X 1 1 X 55168 77696 101796 280790 253774 769224 25728539 23953155 22663656 23064082 23299709 118709141 25783707 24030851 22765452 23344872 23553483 119478365 0 0 0 119478365 294622 203847 170272 165617 195977 1030335 294622 203847 170272 165617 195977 1030335 553404 524101 543128 377944 408340 2406917 26631733 24758799 23478852 23888433 24157800 122915617 0.97200 0.97170 0.00840 0.00870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8070 8070 13406883 10925132 2481751 1539523 1443531 95992 5851857 4862000 989857 573959 76034 497925 4073595 DEFERRED FINANCING COSTS 490330 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 28020 AFFILIATE RECEIVABLES 297433 ASSET WHOSE USE IS LIMITED 210539 DUE FROM THIRD-PARTY PAYORS 156994 1183316 RESIDENT FUNDS 132875 AFFILIATE PAYABLES 3507880 3640755 24134899 23843720 291179 -145700 -4000599 -4146299 -3855120 23989518 -145700 -599 -146299 24135817 -918 -918 24134899 27844638 4000918 4000918 23843720 0 23843720 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 IN 2012 AND 2011. ST. JOHN'S FEDERAL INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY FEDERAL TAXING AUTHORITIES FOR YEARS BEFORE 2009. PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFER OF NET ASSETS - CONSTRUCTION OF ALZHEIMER ASSISTED LIVING FACILITY -4,000,000. VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -599. TOTAL TO SCHEDULE D, PART XI, LINE 8: -4,000,599. PART XII, LINE 2D - OTHER ADJUSTMENTS: VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -599. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -918. PART XIII, LINE 2D - OTHER ADJUSTMENTS: TRANSFER OF NET ASSETS - CONSTRUCTION OF ALZHEIMER ASSISTED LIVING FACILITY 4,000,000. RENTAL EXPENSES 918. X 0 0 0 0 0 0 0 0 0 DAVID J FENOGLIETTO 0 267463 0 0 0 0 0 8204 0 66331 0 341998 0 0 SUSAN Q DIGIROLAMO 0 128745 0 0 0 0 0 7181 0 31929 0 167855 0 0 FORM 990, PART VI, SECTION B, LINE 11 EMAILED 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. THE VP OF HUMAN RESOURCES COMPILES MARKET INFORMATION FOR THE COMMITTEES REVIEW. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -145,700. TRANSFER OF NET ASSETS - CONSTRUCTION OF ALZHEIMER ASSISTED LIVING FACILITY -4,000,000. VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -599. TOTAL TO FORM 990, PART XI, LINE 5: -4,146,299. 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 AND HEALTH CENTER DBA PASSAVANT RETIREMENT COMMUNITY 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 250986051 PROVIDER OF RESIDENTIAL, ASSISTED LIVING 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 7 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 7 LUTHERAN SENIORLIFE 1 MARS HOLDINGS INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251883384 DEVELOPING ALZHEIMERS FACILITY PROVIDING ASSISTED LIVING SERVICES 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 TIMON PROPERTY DEVELOPMENT COMPANY 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 205133658 PROVIDER OF SENIOR HOUSING PA N/A C 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0