SAMARITAN HEALTHCARE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SAMARITAN HEALTHCARE INC (EIN 25-1527663)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-02-13
- IRS object ID
- 201330449349301563
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-13T16:55:07-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232932984 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 STANWIX STREET SUITE 800 | AddressLine1 |
| City | PITTSBURGH | City |
| State | PA | State |
| ZIP Code | 15222 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251527663 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMARITAN HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAMA | NameControl |
| Phone | 7247422246 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1323 FREEDOM ROAD | AddressLine1 |
| City | CRANBERRY TOWNSHIP | City |
| State | PA | State |
| ZIP Code | 16066 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN Q DIGIROLAMO | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 7247422246 | Phone |
| Date Signed | 2013-02-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRIAN R LENART EA | Name |
| PTIN | P00289136 | PTIN |
| Phone | 4126976400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID J FENOGLIETTO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1323 FREEDOM ROAD | AddressLine1 |
| City | CRANBERRY TOWNSHIP | City |
| State | PA | State |
| ZIP Code | 16066 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 710945 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LUTHERANSENIORLIFE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HEALTH CARE SERVICES TO THE ELDERLY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 593588 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 622461 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 37865 | OtherRevenuePriorYear |
| Other Revenue Current Year | 61704 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 631453 | TotalRevenuePriorYear |
| Total Revenue Current Year | 684165 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 80799 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 90099 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 606625 | OtherExpensePriorYear |
| Other Expenses Current Year | 622260 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 687424 | TotalExpensesPriorYear |
| Total Expenses Current Year | 712359 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -55971 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -28194 | RevenuesLessExpensesCY |
| Total Assets BOY | 3469981 | TotalAssetsBOY |
| Total Assets EOY | 3421866 | TotalAssetsEOY |
| Total Liabilities BOY | 3629624 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3609703 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -159643 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -187837 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE HEALTH CARE SERVICES TO THE ELDERLY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 532832 | Expense |
| Grants | 0 | Grants |
| Revenue | 622461 | Revenue |
| Description | PROVIDE 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. | Description |
| Total Program Service Expense | 532832 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SUSAN Q DIGIROLAMO | NamePerson |
| Telephone Number | 7247761100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1323 FREEDOM ROAD | AddressLine1 |
| City | CRANBERRY TOWNSHIP | City |
| State | PA | State |
| ZIP Code | 16066 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| DAVID J FENOGLIETTO | ||||||
| CHAIRMAN | 1.00 | X | X | 0 | 267463 | 74535 |
| SUSAN Q DIGIROLAMO | ||||||
| PRESIDENT | 1.00 | X | X | 0 | 128746 | 39110 |
| DONNA VAN KIRK | ||||||
| SECRETARY | 1.00 | X | X | 0 | 113520 | 32500 |
| DAVID WOLFE | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| MARK TRAUMAN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 509729 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 146145 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORRISON MANAGEMENT SPECIALISTS | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5801 PEACHTREE DUNWOODY DRIVE | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30342 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | DINING | DescriptionOfServices |
| Compensation | 168598 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT SVC. REVENUE | 623000 | 592849 | 592849 |
| ANCILLARY REVENUE | 623000 | 29612 | 29612 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 622461 | TotalProgramServiceRevenue |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 54540 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 26780 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 27760 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27760 | TotalRevenueColumn |
| Exclusion | $27,760 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 33944 | TotalRevenueColumn |
| Exclusion | $33,944 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 33944 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 684165 | TotalRevenueColumn |
| Related Or Exempt Function Income | 622461 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $61,704 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80132 | Total |
| Program Services | 53769 | ProgramServices |
| Management And General | 26363 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9967 | Total |
| Program Services | 9967 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1395 | Total |
| Program Services | 53 | ProgramServices |
| Management And General | 1342 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3628 | Total |
| Management And General | 3628 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 215446 | Total |
| Program Services | 210663 | ProgramServices |
| Management And General | 4783 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5945 | Total |
| Management And General | 5945 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3933 | Total |
| Program Services | 3209 | ProgramServices |
| Management And General | 724 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150093 | Total |
| Program Services | 150093 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1341 | Total |
| Program Services | 291 | ProgramServices |
| Management And General | 1050 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75243 | Total |
| Management And General | 75243 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105823 | Total |
| Program Services | 75379 | ProgramServices |
| Management And General | 30444 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28152 | Total |
| Program Services | 1372 | ProgramServices |
| Management And General | 26780 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| HOMEOWNER FEES | 15168 | 15168 | 0 | 0 |
| MISCELLANEOUS | 12710 | 12710 | 0 | 0 |
| MAINTENANCE | 3225 | 0 | 3225 | 0 |
| FOOD | 158 | 158 | 0 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 712359 | Total |
| Program Services | 532832 | ProgramServices |
| Management And General | 179527 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250 | BOY |
| EOY | 250 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88024 | BOY |
| EOY | 98377 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4804 | BOY |
| EOY | 1733 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20559 | BOY |
| EOY | 21325 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3215421 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 266846 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3004738 | BOY |
| EOY | 2948575 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 351606 | BOY |
| EOY | 351606 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3469981 | BOY |
| EOY | 3421866 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81140 | BOY |
| EOY | 77111 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2488644 | BOY |
| EOY | 2363610 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1059840 | BOY |
| EOY | 1168982 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3629624 | BOY |
| EOY | 3609703 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -159643 | BOY |
| EOY | -187837 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -159643 | BOY |
| EOY | -187837 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3469981 | BOY |
| EOY | 3421866 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -28194 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 184574 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 238178 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 623305 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 593588 | CurrentTaxYearMinus1Year |
| Current Tax Year | 622461 | CurrentTaxYear |
| Total | 2262106 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 184574 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 238178 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 623305 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 593588 | CurrentTaxYearMinus1Year |
| Current Tax Year | 622461 | CurrentTaxYear |
| Total | 2262106 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2262106 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 54000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 54000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 54540 | CurrentTaxYear |
| Total | 162540 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 54000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 54000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 54540 | CurrentTaxYear |
| Total | 162540 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 28151 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 27251 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33944 | CurrentTaxYear |
| Total | 89346 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 184574 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 238178 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 705456 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 674839 | CurrentTaxYearMinus1Year |
| Current Tax Year | 710945 | CurrentTaxYear |
| Total | 2513992 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.89980 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.92050 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.06470 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.05250 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 538795 | OtherCostOrOtherBasis |
| Depreciation | 76815 | Depreciation |
| Book Value | 461980 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2676626 | OtherCostOrOtherBasis |
| Depreciation | 190031 | Depreciation |
| Book Value | 2486595 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2948575 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | AFFILIATE RECEIVABLES | Description |
| Book Value | 351606 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 351606 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| AFFILIATE PAYABLES | $1,168,964 |
| DUE TO HOUSING ASSOCIATION | $18 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1168982 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | SAMARITAN 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 IN 2012 AND 2011. SAMARITAN HEALTHCARE, INC'S. FEDERAL INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY FEDERAL TAXING AUTHORITIES FOR YEARS BEFORE 2009. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID J FENOGLIETTO | |||||||||||||
| 0 | 267463 | 0 | 0 | 0 | 0 | 0 | 8204 | 0 | 66331 | 0 | 341998 | 0 | 0 |
| SUSAN Q DIGIROLAMO | |||||||||||||
| 0 | 128746 | 0 | 0 | 0 | 0 | 0 | 7181 | 0 | 31929 | 0 | 167856 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | E-MAILED 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 15 | THE EXECUTIVE COMMITTEE OF THE LUTHER 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. |
| 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 2C | NO CHANGE IN OVERSIGHT PROCESS IN THE CURRENT YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| ST JOHN LUTHERAN CARE CENTER DBA ST JOHN SPECIALTY CARE CENTER | |||||||||||
| 1323 FREEDOM ROAD | CRANBERRY TOWNSHIP | PA | 16066 | 250969478 | SKILLED NURSING AND PERSONAL CARE FACILITY SERVING MORE THAN 300 RESIDENTS | PA | 501(C)(3) | LINE 9 | 1 | LUTHERAN SENIORLIFE | |
| 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 | 1 | LUTHERAN SENIORLIFE | |
| 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 | 1 | LUTHERAN SENIORLIFE | |
| 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 | 1 | LUTHERAN SENIORLIFE | |
| 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 | 1 | LUTHERAN SENIORLIFE | |
| 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 | 1 | LUTHERAN SENIORLIFE | |
| 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 | 1 | LUTHERAN SENIORLIFE | |
| 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 | 1 | LUTHERAN SENIORLIFE | |
| 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 | 1 | LUTHERAN SENIORLIFE | |
| 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 | 1 | LUTHERAN SENIORLIFE | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIMON PROPERTY DEVELOPMENT COMPANY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1323 FREEDOM ROAD | AddressLine1 |
| City | CRANBERRY TOWNSHIP | City |
| State | PA | State |
| ZIP Code | 16066 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205133658 | EIN |
| Primary Activity | PROVIDER OF SENIOR HOUSING | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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