SAMARITAN HEALTHCARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN HEALTHCARE INC (EIN 25-1527663)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-15
IRS object ID
201240769349300234
Schema version
2010v3.4
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

FieldValueIRS element (for citing)
Timestamp2012-03-15T15:18:32-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line120 STANWIX STREET SUITE 900AddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251527663EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAMANameControl
Phone7247422246Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11323 FREEDOM ROADAddressLine1
CityCRANBERRY TOWNSHIPCity
StatePAState
ZIP Code16066ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN Q DIGIROLAMOName
TitleCHIEF FINANCIAL OFFICERTitle
Phone7247422246Phone
Date Signed2012-03-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRIAN R LENART EAName
Phone4122819690Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID J FENOGLIETTONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11323 FREEDOM ROADAddressLine1
CityCRANBERRY TOWNSHIPCity
StatePAState
ZIP Code16066ZIPCode
FieldValueIRS element (for citing)
Gross Receipts674839GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERANSENIORLIFE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH CARE SERVICES TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year623305ProgramServiceRevenuePriorYear
Program Service Revenue CY593588ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year38451OtherRevenuePriorYear
Other Revenue Current Year37865OtherRevenueCurrentYear
Total Revenue Prior Year661756TotalRevenuePriorYear
Total Revenue Current Year631453TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year118411SalariesEtcPriorYear
Salaries Etc Current Year80799SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year757954OtherExpensePriorYear
Other Expenses Current Year606625OtherExpensesCurrentYear
Total Expenses Prior Year876365TotalExpensesPriorYear
Total Expenses Current Year687424TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-214609RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-55971RevenuesLessExpensesCY
Total Assets BOY3538446TotalAssetsBOY
Total Assets EOY3469981TotalAssetsEOY
Total Liabilities BOY3642118TotalLiabilitiesBOY
Total Liabilities EOY3629624TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-103672NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-159643NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH CARE SERVICES TO THE ELDERLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense534731Expense
Revenue593588Revenue
DescriptionPROVIDE 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 Expense534731TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSUSAN Q DIGIROLAMONamePerson
Telephone Number7247761100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11323 FREEDOM ROADAddressLine1
CityCRANBERRY TOWNSHIPCity
StatePAState
ZIP Code16066ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVID J FENOGLIETTO
CHAIRMAN1.00XX024914257389
SUSAN Q DIGIROLAMO
PRESIDENT1.00XX011020026139
DONNA VAN KIRK
SECRETARY1.00XX010708225400
DAVID WOLFE
TREASURER1.00XX000
MARK TRAUMAN
BOARD MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs466424TotalReportableCompFrmRltdOrgs
Total Other Compensation108928TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MORRISON MANAGEMENT SPECIALISTSBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15801 PEACHTREE DUNWOODY DRIVEAddressLine1
CityATLANTACity
StateGAState
ZIP Code30342ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesDININGDescriptionOfServices
Compensation138321Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SVC. REVENUE623000542484542484
ANCILLARY REVENUE6230005110451104
FieldValueIRS element (for citing)
Total Program Service Revenue593588TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real54000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real43386Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real10614Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column10614TotalRevenueColumn
Exclusion$10,614ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column27251TotalRevenueColumn
Exclusion$27,251ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue27251TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column631453TotalRevenueColumn
Related Or Exempt Function Income593588RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$37,865ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total70633Total
Program Services54454ProgramServices
Management And General16179ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10166Total
Program Services10166ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4440Total
Management And General4440ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total196441Total
Program Services193094ProgramServices
Management And General3347ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5659Total
Management And General5659ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4984Total
Program Services4162ProgramServices
Management And General822ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total177864Total
Program Services177864ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2236Total
Program Services234ProgramServices
Management And General2002ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total79068Total
Management And General79068ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total77992Total
Program Services55319ProgramServices
Management And General22673ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total20296Total
Program Services1793ProgramServices
Management And General18503ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
HOMEOWNER FEES295082950800
BAD DEBT8112811200
FOOD252500

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total687424Total
Program Services534731ProgramServices
Management And General152693ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY350BOY
EOY250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY99606BOY
EOY88024EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8417BOY
EOY4804EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16457BOY
EOY20559EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3165761LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec161023LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3057510BOY
EOY3004738EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY356106BOY
EOY351606EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3538446BOY
EOY3469981EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY89856BOY
EOY81140EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2613093BOY
EOY2488644EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY939169BOY
EOY1059840EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3642118BOY
EOY3629624EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-103672BOY
EOY-159643EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-103672BOY
EOY-159643EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3538446BOY
EOY3469981EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-55971ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years253299CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years184574CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years238178CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year623305CurrentTaxYearMinus1Year
Current Tax Year593588CurrentTaxYear
Total1892944Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years253299CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years184574CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years238178CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year623305CurrentTaxYearMinus1Year
Current Tax Year593588CurrentTaxYear
Total1892944Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5091892944PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year54000CurrentTaxYearMinus1Year
Current Tax Year54000CurrentTaxYear
Total108000Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year54000CurrentTaxYearMinus1Year
Current Tax Year54000CurrentTaxYear
Total108000Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year28151CurrentTaxYearMinus1Year
Current Tax Year27251CurrentTaxYear
Total55402Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years253299CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years184574CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years238178CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year705456CurrentTaxYearMinus1Year
Current Tax Year674839CurrentTaxYear
Total2056346Total
FieldValueIRS element (for citing)
Public Support Percentage5090.92050PublicSupportPercentage509
Prior Year Support Percentage0.94910PriorYearSupportPercentage
Investment Income Percentage0.05250InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03340PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis508034OtherCostOrOtherBasis
Depreciation46499Depreciation
Book Value461535BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2657727OtherCostOrOtherBasis
Depreciation114524Depreciation
Book Value2543203BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3004738TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionAFFILIATE RECEIVABLESDescription
Book Value351606BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets351606TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
AFFILIATE PAYABLES$1,037,681
DUE TO HOUSING ASSOCIATION$22,159
FieldValueIRS element (for citing)
Total Of Amounts1059840TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationSAMARITAN 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 2011 AND 2010. SAMARITAN HEALTHCARE, INC'S. FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2010, 2009, AND 2008 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDAVID J FENOGLIETTONamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs241942CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs7200OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs57389NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs306531TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11PROVIDED A COPY OF THE FINAL FORM 990 TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW.
ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED FROM ALL BOARD MEMBERS AND EXECUTIVES.FORM 990, PART VI, SECTION B, LINE 12C
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 B, LINE 15
GOVERNING DOCUMENTS AND TAX FORMS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE.FORM 990, PART VI, SECTION C, LINE 19
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, ST. JOHN LUTHERAN CARE CENTER (EIN: 25-0969478). ST. JOHN LUTHERAN CARE CENTER REPORTS ALL SALARIES AND TAXES ON ITS FORM 941.FORM 990, PART IX, LINE 7:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LUTHERAN SENIORLIFE
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251527666TO PROVIDE SUPPORT AND MANAGEMENT TO EXEMPT AFFILIATESPA501(C)(3)509(A)(3) TYPE IN/A0
ST JOHN LUTHERAN CARE CENTER DBA ST JOHN SPECIALTY CARE CENTER
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066250969478SKILLED NURSING AND PERSONAL CARE FACILITY SERVING MORE THAN 300 RESIDENTSPA501(C)(3)509(A)(2)0LUTHERAN SENIORLIFE
PASSAVANT RETIREMENT AND HEALTH CENTER DBA PASSAVANT RETIREMENT COMMUNITY
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066250986051PROVIDER OF RESIDENTIAL, ASSISTED LIVING AND SKILLED NURSING CARE TO ELDERSPA501(C)(3)509(A)(2)0LUTHERAN SENIORLIFE
LUTHER COURT INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251527660TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(C)(3)509(A)(2)0LUTHERAN SENIORLIFE
LUTHERAN SENIORLIFE FOUNDATION
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251705233ORGANIZATION THAT PROMOTES THE CHARITABLE INTERESTS OF ITS EXEMPT AFFILIATESPA501(C)(3)170(B)(1)(A)(VI)0LUTHERAN SENIORLIFE
LAS GERIATRIC CARE SERVICES INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251738347PROVIDER OF MEDICAL GERIATRIC THERAPY SERVICES TO ITS EXEMPT AFFILIATESPA501(C)(3)509(A)(2)0LUTHERAN SENIORLIFE
VIECARE BEAVER LLC DBA LIFE BEAVER AND LAWRENCE COUNTIES
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066260363509PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(C)(3)170(B)(1)(A)(VI)0LUTHERAN SENIORLIFE
VIECARE BUTLER LLC DBA LIFE BUTLER COUNTY
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066208512169PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(C)(3)170(B)(1)(A)(VI)0LUTHERAN SENIORLIFE
MARS HOLDINGS INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251883384DEVELOPING ALZHEIMERS FACILITY PROVIDING ASSISTED LIVING SERVICESPA501(C)(3)509(A)(3) TYPE I0LUTHERAN SENIORLIFE
VIECARE INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066205900922PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(C)(3)509(A)(2)0LUTHERAN SENIORLIFE
BEHOME PARTNERS
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066202932676PROVIDER OF HOME HEALTH SERVICES IN SKILLED NURSING, THERAPY, & PRIVATE DUTYPA501(C)(3)LINE 90LUTHERAN SENIORLIFE

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TIMON PROPERTY DEVELOPMENT COMPANYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11323 FREEDOM ROADAddressLine1
CityCRANBERRY TOWNSHIPCity
StatePAState
ZIP Code16066ZIPCode
FieldValueIRS element (for citing)
EIN205133658EIN
Primary ActivityPROVIDER OF SENIOR HOUSINGPrimaryActivity
Legal Domicile StatePALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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