2012-03-15T15:24:59-05:00 2011-06-30 PARENTEBEARD LLC 20 STANWIX STREET SUITE 900 PITTSBURGH PA 15222 990 2010-07-01 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 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 24005979 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. 5 2 357 77 0 0 101796 280790 22663656 23064082 66856 276683 546848 380814 23379156 24002369 0 0 0 0 11713467 11844855 0 0 0 11711842 10798669 23425309 22643524 -46153 1358845 21189083 19828212 11793233 11475763 9395850 8352449 X ST. JOHN SPECIALTY CARE CENTER OPERATES A SKILLED NURSING AND PERSONAL CARE FACILITY PROVIDING FAITH-BASED SERVICES TO ELDERS IN WESTERN PENNSYLVANIA. 0 0 18729995 0 23064082 ST. JOHN SPECIALTY CARE CENTER IS A 501(C)(3) SKILLED NURSING AND PERSONAL CARE FACILITY WITH A MORE THAN 100-YEAR HISTORY OF PROVIDING FAITH-BASED, NOT-FOR-PROFIT 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, 2011, ST. JOHN PROVIDED 87,219 DAYS OF NURSING SERVICES. MEDICAID COVERED 54,195 OF THOSE DAYS AND ST. JOHN PROVIDED 3,700 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 $372,000 IN BENEVOLENT CARE FOR PERSONAL CARE IN 2011. ($4,062,353 OF BENEVOLENT CARE SINCE THE YEAR 2001).A $2.5 MILLION CAPITAL CAMPAIGN WAS INITIATED IN 2007 TO RAISE MONEY FOR A NEW ASSISTED-LIVING ALZHEIMER' CARE CENTER ON CAMPUS, WHICH WILL DIVERSIFY THE LEVEL OF CARE OFFERED AT ST. JOHN AND EXPAND SERVICES IN THE REGION TO SENIORS DEALING WITH ALZHEIMER'S AND DEMENTIA. THE TOTAL PROJECT WILL BE $8.0 MILLION, AND WILL INCLUDE 30 PRIVATE ROOMS. CONSTRUCTION IS WELL UNDERWAY WITH OCCUPANCY SLATED FOR 2011.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. 18729995 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 18 0 1 357 1 0 0 0 0 0 0 0 0 0 0 X 5 2 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 92310 0 21896 LAURA DEKLEWA 1.00 X 0 0 0 REV JOHN WOOD 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 92310 359342 105424 0 0 1 0 MORRISON MANAGEMENT SPECIALISTS 5801 PEACHTREE DUNWOODY DRIVE ATLANTA GA 30342 DINING 1025024 PARIS HEALTHCARE LINEN SERVICE PO BOX 1043 67 HOOVER AVENUE DUBOIS PA 15801 LAUNDRY 371745 EPEOPLE HEALTHCARE INC 1108 OHIO RIVER BOULEVARD SUITE 80 SEWICKLEY PA 15143 TEMPORARY STAFFING 309317 ONWARD HEALTHCARE PO BOX 27421 NEW YORK NY 10087 TEMPORARY STAFFING 168284 MILESTONE STAFFING SERVICES INC 13083 COLLECTION CENTER DRIVE CHICAGO IL 60693 TEMPORARY STAFFING 139536 6 280790 280790 PATIENT SERVICE REVENU 623000 22154854 22154854 PENNSYLVANIA NURSING H 623000 909228 909228 23064082 161897 161897 3720 850 2870 2870 2870 117546 2760 117546 -2760 114786 114786 ANCILLARY 623000 377737 377737 MISCELLANEOUS 623000 207 207 377944 24002369 23064082 0 657497 114206 114206 8123504 7889973 233531 69427 67454 1973 2947107 1816722 1130385 590611 573823 16788 1399877 1399877 80678 6195 74483 30900 30900 3698227 3669392 28835 1757 1757 432008 316288 115720 704409 704409 5398 2732 2666 2663 1954 709 588698 588698 709908 709908 257242 245124 12118 RESIDENT 1645242 1635325 9917 0 MAINTENANCE & EQUIPMENT 484574 387293 97281 0 NURSING HOME ASSESSMENT 285412 0 285412 0 DEVELOPMENT 233313 0 233313 0 BAD DEBT 124715 0 124715 0 113648 499 113149 22643524 18729995 3913529 0 1200 1200 2489431 3072429 2098 2191 2828519 3043188 4936 9204 75622 75732 193716 256741 20574929 16642550 4560997 3932379 9294432 8390680 1738132 1044468 21189083 19828212 1310169 1328978 9755949 9594009 727115 552776 11793233 11475763 X 9098265 8052306 80963 83521 216622 216622 9395850 8352449 21189083 19828212 X 1358845 -2402246 X X 0 1 1 X 1 1 X 71737 55168 77696 101796 280790 587187 25326553 25728539 23953155 22663656 23064082 120735985 25398290 25783707 24030851 22765452 23344872 121323172 0 0 0 121323172 255075 294622 203847 170272 165617 1089433 255075 294622 203847 170272 165617 1089433 448393 553404 524101 543128 377944 2446970 26101758 26631733 24758799 23478852 23888433 124859575 0.97170 0.97280 0.00870 0.00800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8070 8070 13212717 10588102 2624615 1531483 1412368 119115 5701899 4568942 1132957 120760 73138 47622 3932379 DEFERRED FINANCING COSTS 510760 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 28619 AFFILIATE RECEIVABLES 304018 ASSET WHOSE USE IS LIMITED 198814 DUE FROM THIRD-PARTY PAYORS 2257 1044468 RESIDENT FUNDS 130527 AFFILIATE PAYABLES 422249 552776 24002369 22643524 1358845 714823 -3117069 -2402246 -1043401 24721018 714823 2976 717799 24003219 -850 -850 24002369 25764419 3120895 3120895 22643524 0 22643524 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 2011 AND 2010. ST. JOHN'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: TRANSFER OF NET ASSETS - CONSTRUCTION OF ALZHEIMER ASSISTED LIVING FACILITY -3,120,045. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 2,976. PART XII, LINE 2D - OTHER ADJUSTMENTS: VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 2,976. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -850. PART XIII, LINE 2D - OTHER ADJUSTMENTS: TRANSFER OF NET ASSETS - CONSTRUCTION OF ALZHEIMER ASSISTED LIVING FACILITY 3,120,045. RENTAL EXPENSES 850. 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: 714,823. TRANSFER OF NET ASSETS - CONSTRUCTION OF ALZHEIMER ASSISTED LIVING FACILITY -3,120,045. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 2,976. TOTAL TO FORM 990, PART XI, LINE 5: -2,402,246. 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) 509(A)(3) TYPE 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) 509(A)(2) LUTHERAN SENIORLIFE 0 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) 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 0 0 0