2013-02-13T16:55:51-06:00 2012-06-30 232932984 PARENTEBEARD LLC 20 STANWIX STREET SUITE 800 PITTSBURGH PA 15222 990 2011-07-01 250986051 PASSAVANT RETIREMENT AND HEALTH CENTER D/B/A PASSAVANT RETIREMENT COMMUNITY PASS 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 39122126 0 X WWW.LUTHERANSENIORLIFE.ORG X 1905 PA CONTINUING CARE RETIREMENT COMMUNITY PROVIDING FAITH-BASED NON PROFIT SERVICES TO ELDERS IN WESTERN PENNSYLVANIA. 6 3 344 371 0 0 1098025 367541 24618698 23600967 326769 -555911 1252478 1188365 27295970 24600962 0 0 0 0 13156751 13303924 0 0 0 11525998 11671702 24682749 24975626 2613221 -374664 57155336 55500666 27084645 29158783 30070691 26341883 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 20243646 0 24272370 PASSAVANT RETIREMENT COMMUNITY IS A 501(C)(3) CONTINUING CARE RETIREMENT COMMUNITY WITH OVER 100 + YEARS OF HISTORY OF PROVIDING FAITH-BASED, NON PROFIT SERVICES TO ELDERS IN WESTERN PENNSYLVANIA. LOCATED ON 42 ACRES IN ZELIENOPLE, PA, PASSAVANT RETIREMENT COMMUNITY IS ONE OF THE LUTHERAN SENIORLIFE COMMUNITIES DEDICATED TO PROVIDING OPPORTUNITIES FOR SENIORS TO EXPERIENCE AN ABUNDANT LIFE. PASSAVANT PROVIDES RESIDENTIAL LIVING IN A NUMBER OF VENUES-COTTAGES, VILLAS AND APARTMENTS-PERSONAL CARE IN TWO VENUES AND LONG-TERM AND SKILLED NURSING CARE, AVERAGING 515 RESIDENTS PER MONTH ON CAMPUS DURING THE FISCAL YEAR. IN THE YEAR ENDING JUNE 30, 2012, PASSAVANT PROVIDED 48,908 DAYS OF NURSING SERVICES, 23,149 OF WHICH WERE COVERED THROUGH MEDICAL ASSISTANCE PAYMENTS. CENSUS DECLINED FROM PREVIOUS YEARS BUT THAT GRADUAL REDUCTION HAS BEEN DELIBERATE AS WE NEED TO REDUCE OUR OVERALL CENSUS WHEN WE MOVE INTO OUR NEW BUILDING. PASSAVANT IS DEVOTED TO IMPROVING THE LIFE SATISFACTION OF ITS RESIDENTS AND PROVIDING THEM OPPORTUNITIES TO LIVE LIFE ABUNDANTLY. PASAVANT CONTINUED TO MAKE RESIDENTS SECOND WIND DREAMS COME TRUE SO PASSAVANT TOOK RESIDENTS SAILING, FISHING AND HAVE ENABLED A RESIDENT AND HER HUSBAND TO LEARN SIGN LANGUAGE SO THEY COULD COMMUNICATE, JUST TO NAME A FEW. WE ALSO LAUNCHED AN IPOD PROGRAM AND PROVIDED IPODS LOADED WITH INDIVIDUAL PLAYLISTS FOR RESIDENTS WHO COULD MOST BENEFIT. THE RESULTS THAT WE HAVE WITNESSED AS A RESULT OF THE IPODS HAVE BEEN TRULY REMARKABLE.IN THE YEAR ENDING JUNE 30, 2012, PASSAVANT RETIREMENT COMMUNITY PROVIDED 56,912 DAYS OF SERVICE TO PERSONAL CARE RESIDENTS. BECAUSE RESIDENTS ACCEPTED INTO THE CONTINUUM ARE NOT ASKED TO LEAVE SHOULD THEY OUTLIVE THEIR RESOURCES, THE PERSONAL CARE LEVEL OF CARE IS WHERE MOST OF OUR BENEVOLENT CARE DOLLARS ARE SPENT. $426,557 OF PERSONAL CARE WAS PROVIDED AT WHATEVER THE RESIDENT COULD AFFORD TO CONTRIBUTE. DESPITE THIS, WE CONTINUE TO PROVIDE ALL PRIVATE PERSONAL CARE ACCOMMODATIONS IN TWO DISTINCT BUILDINGS. THE WAITING LIST REMAINS STRONG (6 MONTHS OR LONGER) FOR OUR PERSONAL CARE APARTMENTS AND CONSEQUENTLY OUR OCCUPANCY LEVELS ARE VERY STRONG AT 93%. RESIDENTS ARE ACTIVE VOLUNTEERING IN THE COMMUNITY. MANY OF THEM SERVE AS VOLUNTEER GREETERS OR CARE FRIENDS WHO VISIT THOSE WHO ARE MORE ISOLATED AND NEED ONE ON ONE VISITS. WITTENBERG PLACE, AN INDEPENDENT LIVING APARTMENT BUILDING OF 72 APARTMENTS, CONTINUED TO MAINTAIN A HEALTHY CENSUS OF 93.75% BY YEAR END. DUE TO THE FACT THAT MANY RESIDENTS HAVE RESIDED THERE FOR A LONG PERIOD OF TIME A NUMBER OF APARTMENTS ARE CURRENTLY BEING RENTED AT BELOW MARKET RATES. THE ASSISTANCE SUBSIDY PROVIDED TO THE RESIDENTS OF WITTENBERG BY PASSAVANT IS APPROXIMATELY $395,000 ANNUALLY. DUE TO THE BUILDING REPLACEMENT PROGRAM ON CAMPUS, APPROXIMATELY 40 OF THE OLDEST COTTAGES ON CAMPUS WERE DECONSTRUCTED TO PROVIDE LAND FOR THE NEW BUILDING. RESIDENTS IN THOSE COTTAGES WERE RELOCATED TO OTHER RESIDENCES ON CAMPUS. AS A RESULT THERE ARE NOW 73 COTTAGES ON PASSAVANTS CAMPUS WHERE INDEPENDENT AND ACTIVE SENIORS LIVE, WHICH INCLUDES TWO ORIGINAL COTTAGES ON OUR CAMPUS (CIRCA 1907). THESE TWO COTTAGES ARE BEING OCCUPIED BY YOUNGER SENIORS WHO ARE TRULY LOW INCOME AND AFFORDING US THE ABILITY TO EXPAND OUR SERVICES TO A MORE DIVERSE CLIENTELE. A NUMBER OF PASSAVANTS INDEPENDENT COTTAGES ARE RENTED AT BELOW THE CURRENT MARKET RATE. THE PASSAVANT COMMUNITY SUBSIDIZES THE COTTAGE RENTAL BY APPROXIMATELY $359,000 ANNUALLY. THERE ARE 42 RESIDENTIAL LIVING UNITS ON THE SOUTH END OF CAMPUS WHICH INCLUDE 18 VILLAS AND 24 MANOR HOME APARTMENTS. ALL OF THOSE UNITS ARE TWO BEDROOM TWO BATH UNITS. IN THE YEAR ENDING JUNE 30, 2012 17 VILLAS AND 24 MANOR HOME APARTMENTS WERE OCCUPIED YIELDING A 98.6% OCCUPANCY RATE. PASSAVANT BROKE GROUND ON A NEW MAIN BUILDING WHICH WILL HOUSE 102 SKILLED NURSING BEDS, 34 ASSISTED LIVING APARTMENTS, 20 RESIDENTIAL LIVING APARTMENTS, AS WELL AS THE COMMUNITY CENTER, FITNESS CENTER WHICH INCLUDES A POOL, AND ADMINISTRATIVE FUNCTIONS FOR THE COMMUNITY. THE NEW BUILDING IS SCHEDULED TO BE COMPLETE AND OCCUPIED IN FISCAL YEAR 2014. THE FITNESS CENTER WAS TEMPORARILY RELOCATED DUE TO THE CONSTRUCTION ON CAMPUS. DESPITE THE TEMPORARY LOCATION, WE CONTINUE TO PROVIDE PROGRAMMING TO THE COMMUNITY AT LARGE THROUGH THE HIGHMARK SILVERSNEAKERS EXERCISE PROGRAM AND HAVE OVER 485 PEOPLE REGISTERED AS PARTICIPANTS. PASSAVANT ALSO PROVIDED PREVENTATIVE HEALTH SERVICES THROUGH HIGHMARK TO RESIDENTS, EMPLOYEES COMMUNITY MEMBERS. THE FITNESS CENTER ALSO LAUNCHED ITS HEALTHY CONNECTIONS PROGRAM - A PERSONAL FITNESS PROGRAM FOR RESIDENTIAL LIVING RESIDENTS WHO ARE MORE HOMEBOUND. RESIDENTS ALL OVER CAMPUS HAD THE OPPORTUNITY TO PARTICIPATE IN MANY OF OUR ABUNDANT LIFE AND COMMUNITY LIFE PROGRAMS. PASSAVANT STARTED A SPECIAL NEEDS GROUP ON CAMPUS FOR SEVERAL OF OUR YOUNGER DEVELOPMENTALLY DISABLED RESIDENTS. PASSAVANT ALSO STARTED A READERS THEATRE, AND DANCE CLASSES THAT WERE ALL RUN BY RESIDENTS. RESIDENTS ALSO FOCUSED ON DEVELOPING RELATIONSHIPS WITH OUR LOCAL COMMUNITY. THEY ACTIVELY VOLUNTEERED AT THE LOCAL COMMUNITYS FESTIVALS AS WELL AS MET WITH LOCAL MUNICIPAL GOVERNMENT OFFICIALS TO BUILD RELATIONSHIPS. PASSAVANT ALSO FOSTERED RELATIONSHIPS WITH VARIOUS GROUPS LIKE THE PITTSBURGH BALLET AND CONTEMPORARY CRAFTS TO EXPAND OUR CULTURAL OFFERINGS ON CAMPUS, WHICH HAVE ALL BEEN WELL RECEIVED. THE CAMPUS IS ALSO HOME TO THE ZELIENOPLE SENIOR CENTER PROVIDING PROGRAMS AND SERVICES ALONG WITH A HOT LUNCH TO SENIORS ON CAMPUS AS WELL AS TO THE COMMUNITY. IT IS A WONDERFUL COMMUNITY OUTREACH WHICH WE ARE THRILLED TO HOST. 20243646 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 15 0 1 344 1 0 0 0 0 0 0 0 0 0 0 X 6 3 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 LAURA ROY 1.00 X X 117025 0 32456 DR ERIC D KOFMEHL 1.00 X 0 0 0 REV ROBERT MUSSER 1.00 X 0 0 0 CHARLES E SNYDER 1.00 X 0 0 0 DAVID J FENOGLIETTO 1.00 X X 0 267463 74535 SUSAN Q DIGIROLAMO 1.00 X X 0 128746 39110 117025 396209 146101 1 0 1 0 DCK NORTH AMERICA 1 PPG PLACE - 27TH FLOOR PITTSBURGH PA 15222 CONSTRUCTION 4946501 MORRISON MANAGEMENT SPECIALISTS 5801 PEACHTREE DUNWOODY DRIVE ATLANTA GA 30342 DINING 1641267 NOELKER AND HULL ASSOC INC 30 WEST KING STREET CHAMBERSBURG PA 17201 PROFESSIONAL 1401666 GALINO CONSTRUCTION 475 CHAPEL ROAD BEAVER PA 15009 CONSTRUCTION 421634 CIVIL AND ENVIRONMENTAL CONSULTANTS PO BOX 644246 PITTSBURGH PA 15264 PROFESSIONAL 295950 5 367541 24387 367541 PATIENT SERVICE REVENU 623000 12185790 12185790 RESIDENT SERVICE REVEN 623000 7460097 7460097 ASSISTED LIVING REVENU 623000 3955080 3955080 23600967 298494 298494 77448 90760 -13312 -13312 -13312 13575999 13372049 1058355 203950 -1058355 -854405 -854405 NURSING HOME ASSESSMEN 623000 555859 555859 MISCELLANEOUS 900099 530274 530274 MANAGEMENT INCOME 623000 115544 115544 1201677 24600962 24272370 0 -38949 149481 128554 20927 10491055 8984874 1506181 178335 152741 25594 1785342 1769217 16125 699711 599290 100421 1487650 1487650 37480 11223 26257 27243 27243 2864907 2589931 274976 24012 24012 427301 246819 180482 923908 923908 11215 6676 4539 17389 8036 9353 361953 361953 2795912 2795912 291643 39 291604 RESIDENT 1119216 1006895 112321 0 MAINTENANCE & EQUIPMENT 739447 632053 107394 0 NURSING HOME ASSESSMENT 290171 0 290171 0 BAD DEBT 112913 0 112913 0 139342 25525 113817 24975626 20243646 4731980 0 2100 2100 1940501 1595376 5782 8871 1670328 1732016 65270 64441 369192 221515 69163651 36166989 26823624 32996662 21877546 15713569 1817590 74262 2583403 3091854 57155336 55500666 1744026 2871428 3132466 2573199 14441019 16152806 7767134 7561350 27084645 29158783 X 27650799 23995927 290365 242298 2129527 2103658 30070691 26341883 57155336 55500666 X -374664 -3354144 X X 0 1 1 X 0 X 429954 1284197 324782 1098025 367541 3504499 21960376 22881427 24001699 24618698 23600967 117063167 22390330 24165624 24326481 25716723 23968508 120567666 0 0 0 120567666 739305 417878 309128 329807 375942 2172060 739305 417878 309128 329807 375942 2172060 742172 1029462 1178733 1261499 1201677 5413543 23871807 25612964 25814342 27308029 25546127 128153269 0.94080 0.94280 0.01690 0.02000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 125757 125757 50037211 29385810 20651401 1067837 687834 380003 7889853 6093345 1796508 10042993 10042993 32996662 DEFERRED FINANCING COSTS 688047 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 174659 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1382741 AFFILIATE RECEIVABLES 845395 AMOUNTS DUE FROM THIRD-PARTY PAYORS 1012 3091854 FUNDS HELD FOR RESIDENTS 74262 AFFILIATE PAYABLES 172650 REFUNDABLE ADVANCE FEES 7237439 DUE TO THIRD PARTY PAYER 76999 7561350 24600962 24975626 -374664 -3315085 -39059 -3354144 -3728808 21337578 -3315085 -39059 -3354144 24691722 -90760 -90760 24600962 25066386 90760 90760 24975626 0 24975626 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 IN 2012 AND 2011. PASSAVANT'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: VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUSTS -25,869. VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS -13,190. TOTAL TO SCHEDULE D, PART XI, LINE 8: -39,059. PART XII, LINE 2D - OTHER ADJUSTMENTS: VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUSTS -25,869. VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS -13,190. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -90,760. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 90,760. 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 128746 0 0 0 0 0 7181 0 31929 0 167856 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: -3,315,085. VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUSTS -25,869. VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS -13,190. TOTAL TO FORM 990, PART XI, LINE 5: -3,354,144. FORM 990, PART XII, LINE 2C NO CHANGE IN OVERSIGHT PROCESS IN THE CURRENT YEAR. 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 LUTHERAN SENIORLIFE 1 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 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 1 0 0