2012-03-15T15:19:27-05:00 2011-06-30 PARENTEBEARD LLC 20 STANWIX STREET SUITE 900 PITTSBURGH PA 15222 990 2010-07-01 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 2012-03-08 1 BRIAN R LENART EA 4122819690 2010 2016-02-24 21:20:13Z DAVID J FENOGLIETTO 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 27381498 0 X WWW.LUTHERANSENIORLIFE.ORG X 1905 PA CONTINUING CARE RETIREMENT COMMUNITY PROVIDING FAITH-BASED NON PROFIT SERVICES TO ELDERS IN WESTERN PENNSYLVANIA. 6 3 420 423 0 0 324782 1098025 24001699 24618698 116761 326769 1237005 1252478 25680247 27295970 0 0 0 0 12669275 13156751 0 0 0 10804458 11525998 23473733 24682749 2206514 2613221 54070178 57155336 28672002 27084645 25398176 30070691 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 19719270 0 25194510 PASSAVANT RETIREMENT COMMUNITY IS A 501(C)(3) CONTINUING CARE RETIREMENT COMMUNITY WITH OVER 105 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 560 RESIDENTS PER MONTH ON CAMPUS DURING THE FISCAL YEAR. IN THE YEAR ENDING JUNE 30, 2011, PASSAVANT PROVIDED 54,555 DAYS OF NURSING SERVICES, 26,415 OF WHICH WERE COVERED THROUGH MEDICAL ASSISTANCE PAYMENTS. THE STAFF AT PASSAVANT IS COMMITTED TO PROVIDING SENIORS WITH OPPORTUNITIES TO LIVE LIFE ABUNDANTLY, WHICH IS ACCOMPLISHED THROUGH DELIVERING PERSON CENTERED CARE AND FOCUSING ON COMMUNITY LIFE. PROGRAMS AND SERVICES ARE OFFERED IN SIX SPHERES-PHYSICAL, SPIRITUAL, RECREATIONAL, INTELLECTUAL, VOCATIONAL, AND CREATIVE-PROVIDING OPPORTUNITIES FOR EACH RESIDENT TO LEARN AND GROW NO MATTER THEIR AGE. WE CONTINUE TO STRIVE TO PROVIDE EXCEPTIONAL PERSON CENTERED CARE AND CONTINUE TO BE RECOGNIZED BY CMS AS A 4 STAR FACILITY.IN THE YEAR ENDING JUNE 30, 2011, PASSAVANT RETIREMENT COMMUNITY PROVIDED 57,378 DAYS OF SERVICE TO PERSONAL CARE RESIDENTS. BECAUSE RESIDENTS ACCEPTED INTO OUR CONTINUUM ARE NOT ASKED TO LEAVE SHOULD THEY OUTLIVE THEIR RESOURCES, OUR PERSONAL CARE LEVEL IS WHERE MOST OF OUR "BENEVOLENT CARE" DOLLARS ARE SPENT. $463,210 OF "BENEVOLENT CARE" WAS PROVIDED TO PERSONAL CARE RESIDENTS IN THE YEAR ENDING JUNE 30, 2011. OUR WAITING LIST REMAINS STRONG (6 MONTHS OR LONGER) FOR OUR PERSONAL CARE APARTMENTS AND CONSEQUENTLY OUR OCCUPANCY LEVELS ARE STABLE AT 93.2%. WITTENBERG PLACE, AN INDEPENDENT LIVING APARTMENT BUILDING OF 72 APARTMENTS, ENDED THE YEAR WITH A CENSUS OF 80.5%, WHICH IS DOWN FROM PREVIOUS YEARS. DUE TO THE FACT THAT MANY RESIDENTS HAVE RESIDED THERE FOR A LONG PERIOD OF TIME A NUMBER OF APARTMENTS ARE CURRENTLY BEING RENTED CONSIDERABLY BELOW MARKET RATES. THE ASSISTANCE SUBSIDY PROVIDED TO THE RESIDENTS OF WITTENBERG BY PASSAVANT IS APPROXIMATELY $199,000 ANNUALLY, INCLUDING $51,875 OF BENEVOLENT CARE. AS OF JUNE 30, 2011 THERE WERE 97 COTTAGES, 18 VILLAS AND 24 MANOR HOME APARTMENTS AVAILABLE ON PASSAVANT'S CAMPUS WHERE INDEPENDENT AND ACTIVE SENIORS LIVE, WHICH INCLUDES TWO ORIGINAL COTTAGES ON OUR CAMPUS (CIRCA 1907). CENSUS WAS AT 84.8%. THE DECLINE FROM PREVIOUS YEARS IS DUE TO THE RELOCATION OF A NUMBER OF RESIDENTS TO PREPARE FOR A MAJOR CAMPUS REPOSITIONING. A NUMBER OF PASSAVANT'S INDEPENDENT COTTAGES ARE RENTED BELOW THE CURRENT MARKET RATE. AS A RESULT, THE PASSAVANT COMMUNITY SUBSIDIZES THE COTTAGE RENTAL BY APPROXIMATELY $185,000 ANNUALLY, INCLUDING $47,469 OF BENEVOLENT CARE. AS MENTIONED ABOVE PASSAVANT TOOK ITS FIRST STEPS TOWARDS A MAJOR CAMPUS REPOSITIONING WHICH IT HAS BEEN PLANNING FOR OVER TWO YEARS. THE FIRST STEPS INVOLVED THE BEGINNING OF RELOCATING OF A NUMBER OF INDEPENDENT LIVING RESIDENTS TO OTHER RESIDENCES ON CAMPUS TO PREPARE FOR THE NEW BUILDING. INFRASTRUCTURE IMPROVEMENTS COMMENCED IN THE FIRST QUARTER OF FY 12 AND CONSTRUCTION OF THE NEW BUILDING WILL COMMENCE IN THE SECOND QUARTER OF FY 2012. WE CONTINUE TO PROVIDE PROGRAMMING TO THE COMMUNITY AT LARGE THROUGH THE HIGHMARK SILVERSNEAKERS EXERCISE PROGRAM AND HAVE OVER 480 PEOPLE REGISTERED AS PARTICIPANTS. WE ALSO PROVIDE PERSONAL NUTRITION CONSULTATIONS THROUGH HIGHMARK TO RESIDENTS, EMPLOYEES AND COMMUNITY MEMBERS. WE OFFERED A FARMER'S MARKET TO RESIDENTS, STAFF AND COMMUNITY THROUGHOUT THE SUMMER MONTHS WHICH HAS BEEN WELL RECEIVED. RESIDENTS ALL OVER CAMPUS CONTINUE TO HAVE THE OPPORTUNITY TO PARTICIPATE IN MANY PROGRAMS THAT SUPPORT THEIR ABUNDANT LIFE. PROGRAMS CONTINUE TO BE OFFERED IN EACH OF THE SIX SPHERES - PHYSICAL, SPIRITUAL, RECREATIONAL, INTELLECTUAL, VOCATIONAL, AND CREATIVE-AND RESIDENTS CONTINUE TO REPORT FEELING VALIDATED IN THEIR PURSUITS. OUR CAMPUS ALSO REMAINS 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'RE THRILLED TO HOST. IN ADDITION PASSAVANT SUPPORTS THE LOCAL COMMUNITY THROUGH SEVERAL INITIATIVES SUCH AS SALVATION ARMY'S RING THE BELL, SPONSORSHIP OF ZELIENOPLE'S HORSETRADING DAYS AND THROUGH CONTRIBUTIONS TO THE COMMUNITY CHEST. 19719270 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 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 13 0 1 420 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 108215 0 25669 DR ERIC D KOFMEHL 1.00 X 0 0 0 REV ROBERT MUSSER 1.00 X 0 0 0 CHARLES SNYDER 1.00 X 0 0 0 DAVID J FENOGLIETTO 1.00 X X 0 249142 57389 SUSAN Q DIGIROLAMO 1.00 X X 0 110200 26139 108215 359342 109197 1 0 1 0 MORRISON MANAGEMENT SPECIALISTS 5801 PEACHTREE DUNWOODY DRIVE ATLANTA GA 30342 DINING 1659465 NOELKER AND HULL ASSOCINC 30 WEST KING STREET CHAMBERSBURG PA 17201 PROFESSIONAL 918687 PARIS HEALTHCARE LINEN SERVICES PO BOX 1043 DUBOIS PA 15801 LAUNDRY 267065 GALINO CONSTRUCTION 475 CHAPEL ROAD BEAVER PA 15009 CONSTRUCTION 222464 PFEIFER CARPET AND TILE 300 MARSHALL WAY MARS PA 16046 PROFESSIONAL 209528 11 1098025 22368 1098025 PATIENT SERVICE REVENU 623000 13376095 13376095 RESIDENT SERVICE REVEN 623000 7571842 7571842 ASSISTED LIVING REVENU 623000 3670761 3670761 24618698 253300 253300 76507 85528 -9021 -9021 -9021 73169 300 73169 300 73469 73469 MISCELLANEOUS 900099 685687 685687 NURSING HOME ASSESSMEN 623000 460268 460268 MANAGEMENT INCOME 623000 115544 115544 1261499 27295970 25194510 0 1003435 133884 115144 18740 10336980 8890127 1446853 143544 123452 20092 1857464 1841645 15819 684879 589017 95862 1542155 1542155 75564 1361 74203 31787 31787 2866714 2518396 348318 107700 107700 455609 284240 171369 911394 911394 12023 8292 3731 12368 9144 3224 332644 332644 2443512 2443512 311473 47 311426 RESIDENT EXPENSE 1095598 977469 118129 0 MAINTENANCE AND EQUIPME 758284 640999 117285 0 NURSING HOME ASSESSMENT 202374 0 202374 0 BAD DEBT EXPENSE 144519 0 144519 0 EVENTS AND ACTIVITIES 117041 21443 95598 0 105239 10944 94295 24682749 19719270 4963479 0 2100 2100 2853093 1940501 5400 5782 1880638 1670328 66092 65270 255956 369192 64506812 37683188 26644164 26823624 15521044 21877546 1556971 1817590 5284720 2583403 54070178 57155336 1658910 1744026 3456410 3132466 15517310 14441019 8039372 7767134 28672002 27084645 X 23252053 27650799 223833 290365 1922290 2129527 25398176 30070691 54070178 57155336 X 2613221 2059294 X 0 1 1 X 0 X 623361 429954 1284197 324782 1098025 3760319 21535181 21960376 22881427 24001699 24618698 114997381 22158542 22390330 24165624 24326481 25716723 118757700 0 0 0 118757700 722479 739305 417878 309128 329807 2518597 722479 739305 417878 309128 329807 2518597 470668 742172 1029462 1178733 1261499 4682534 23351689 23871807 25612964 25814342 27308029 125958831 0.94280 0.94560 0.02000 0.02160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 125757 125757 52874930 30492962 22381968 1552889 1108201 444688 7761804 6082025 1679779 2191432 2191432 26823624 FUNDS HELD FOR RESIDENTS 81741 AFFILIATE PAYABLES 172317 REFUNDABLE ADVANCE FEES 7493875 DUE TO THIRD PARTY PAYER 19201 7767134 27295970 24682749 2613221 1835665 223629 2059294 4672515 29440792 1835665 223629 2059294 27381498 -85528 -85528 27295970 24768277 85528 85528 24682749 0 24682749 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 2011 AND 2010. PASSAVANT'S FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2010, 2009, AND 2008 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 207,237. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 16,392. PART XII, LINE 2D - OTHER ADJUSTMENTS: VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 207,237. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 16,392. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -85,528. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 85,528. X 0 0 0 0 0 0 0 0 0 DAVID J FENOGLIETTO 0 241942 0 0 0 7200 0 0 0 57389 0 306531 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 GAINS ON INVESTMENTS: 1,835,665. VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 207,237. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 16,392. TOTAL TO FORM 990, PART XI, LINE 5: 2,059,294. LUTHERAN SENIORLIFE 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251527666 TO PROVIDE SUPPORT AND MANAGEMENT TO EXEMPT AFFILIATES PA 501(C)(3) 509(A)(3) TYPE 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) 509(A)(2) LUTHERAN SENIORLIFE 0 LUTHER COURT INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251527660 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) 509(A)(2) LUTHERAN SENIORLIFE 0 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) 509(A)(2) LUTHERAN SENIORLIFE 0 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) 170(B)(1)(A)(VI) LUTHERAN SENIORLIFE 0 SAMARITAN HEALTH CARE INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251527663 TO PROVIDE HEALTH CARE SERVICES TO THE ELDERLY PA 501(C)(3) 509(A)(2) LUTHERAN SENIORLIFE 0 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) 509(A)(2) LUTHERAN SENIORLIFE 0 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) 170(B)(1)(A)(VI) LUTHERAN SENIORLIFE 0 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) 170(B)(1)(A)(VI) LUTHERAN SENIORLIFE 0 MARS HOLDINGS INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251883384 DEVELOPING ALZHEIMERS FACILITY PROVIDING ASSISTED LIVING SERVICES PA 501(C)(3) 509(A)(3) TYPE I LUTHERAN SENIORLIFE 0 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) 509(A)(2) LUTHERAN SENIORLIFE 0 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