PASSAVANT RETIREMENT & HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
PASSAVANT RETIREMENT & HEALTH CENTER (EIN 25-0986051)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-10
IRS object ID
201100419349300515
Schema version
2009v1.7
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)
Timestamp2011-02-10T14:47:40-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Line1444 LIBERTY AVENUE SUITE 1800AddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250986051EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Passavant Retirement and Health CenterBusinessNameLine1
Business Name Line2dba PASSAVANT RETIREMENT COMMUNITYBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlPASSNameControl
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 Signed2011-02-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4126976400Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts25814342GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.LUTHERANSENIORLIFE.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1905YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionCONTINUING CARE RETIREMENT COMMUNITY PROVIDING FAITH-BASED NON PROFIT SERVICES TO ELDERS IN WESTERN PENNSYLVANIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees421TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1284197ContributionsGrantsPriorYear
Contributions Grants Current Year324782ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22881427ProgramServiceRevenuePriorYear
Program Service Revenue CY24001699ProgramServiceRevenueCY
Investment Income Prior Year-650184InvestmentIncomePriorYear
Investment Income Current Year116761InvestmentIncomeCurrentYear
Other Revenue Prior Year1050179OtherRevenuePriorYear
Other Revenue Current Year1237005OtherRevenueCurrentYear
Total Revenue Prior Year24565619TotalRevenuePriorYear
Total Revenue Current Year25680247TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12018798SalariesEtcPriorYear
Salaries Etc Current Year12669275SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10904691OtherExpensePriorYear
Other Expenses Current Year10804458OtherExpensesCurrentYear
Total Expenses Prior Year22923489TotalExpensesPriorYear
Total Expenses Current Year23473733TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1642130RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2206514RevenuesLessExpensesCY
Total Assets BOY50804101TotalAssetsBOY
Total Assets EOY54070178TotalAssetsEOY
Total Liabilities BOY28760502TotalLiabilitiesBOY
Total Liabilities EOY28672002TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22043599NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25398176NetAssetsOrFundBalancesEOY
Mission DescriptionPassavant 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18802872Expense
Grants0Grants
Revenue24534630Revenue
DescriptionPassavant Retirement Community is a 501(c)(3) continuing care retirement community with a 105 year 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 LifeSM. 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, 2010, Passavant provided 54,692 days of nursing services, 26,356 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 5 Star facility.In the year ending June 30, 2010, Passavant Retirement Community provided 58,139 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. $333,350 of "benevolent care" was provided to personal care residents in the year ending June 30, 2010. Our waiting list remains strong (6 months or longer) for our personal care apartments and consequently our occupancy levels are very strong at 95%. We invested in the physical structures of both personal care venues adding a music and meditation room in the Main Building and New Haven Court was completely remodeled much to the delight of the residents. Wittenberg Place, an independent living apartment building of 72 apartments, ended the year with a census of 86.5%, which is slightly 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 $395,000 annually, including $38,875 of benevolent care. Prices have been lowered at Wittenberg Place and most utilities are included in the monthly fee. There are 112 cottages on Passavant's campus where independent and active seniors live, which includes two original cottages on our campus (circa 1907). Census remained healthy at 91%. 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 $359,000 annually, including $25,402 of benevolent care. In addition, 42 new residential living units, including 18 Villas and 24 Manor Home apartments were completed. All of those units are two bedroom two bath units. In the year ending June 30, 2010 11 Villas and 14 Manor Home apartments were occupied yielding a 59.5% occupancy rate. 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 Preventative Health Services through Highmark to residents, employees and community members. We continue to focus on the wellness not only of our residents but of staff as well and offered programs such as "Drop 10 in 10" with great success. The Fitness Center also launched new programs such as a Parkinson's Support Group and Sign Chi Do. Through fundraisers, they were able to contribute to local Food Banks as well as the Greater Pittsburgh Community Food Bank.Residents all over campus had the opportunity to participate in many new programs this past year through our Lifelong University. Our Community Life Without Walls affords individuals who are not able to participate in group programs the opportunity to connect with others through chat lines and other vehicles. We also were licensed as a Home Care Agency this year and added an Adult Day Program for residents. The "My Day Out" program affords caregivers a respite as their loved one is provided meaningful activity and support. 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 were 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.Description
Total Program Service Expense18802872TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees421NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
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 Other0CompensationProcessOther
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LAURA ROY
EXECUTIVE DIRECTOR1.00XX010678925629
DR ERIC D KOFMEHL
BOARD MEMBER1.00X000
REV ROBERT MUSSER
BOARD MEMBER1.00X000
CHARLES SNYDER
BOARD MEMBER1.00X000
DAVID J FENOGLIETTO
CHIEF EXECUTIVE OFFICER1.00X024673668145
SUSAN Q DIGIROLAMO
CHIEF FINANCIAL OFFICER1.00X011659027982
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs470115TotalReportableCompFrmRltdOrgs
Total Other Compensation121756TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MORRISON MANAGEMENT SPECIALISTS
5801 PEACHTREE DUNWOODY DRIVEATLANTAGA30342DINING1633947
PARIS HEALTHCARE LINEN SERVICES
PO BOX 1043DUBOISPA15801LAUNDRY257830
GALINO CONSTRUCTION
475 CHAPEL ROADBEAVERPA15009CONSTRUCTION251452
ETZEL ENGINEER AND BUILDER INC
103 WEST WATER STREETSAXONBURGPA16056CONSTRUCTION203063
AIR SYSTEMS MECHANICAL CONTRACTING
3220 DUTCH RIDGE ROADBEAVERPA15009PROFESSIONAL187332
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions324782AllOtherContributions
Noncash Contributions13014NoncashContributions
Total Contributions324782TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6230001295650412956504
Resident Service Reven62300073678737367873
Assisted Living Revenu62300036773223677322
FieldValueIRS element (for citing)
Total Program Service Revenue24001699TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column198685TotalRevenueColumn
Exclusion$198,685ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real110443Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real52171Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real58272Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column58272TotalRevenueColumn
Exclusion$58,272ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities81924Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-81924Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-81924TotalRevenueColumn
Exclusion-$81,924ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS REVENUE900099645802$645,802
NURSING HOME ASSESSMEN623000417387417387
Management Income623000115544115544
FieldValueIRS element (for citing)
Total Other Revenue1178733TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25680247TotalRevenueColumn
Related Or Exempt Function Income24534630RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$820,835ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10070872Total
Program Services8669058ProgramServices
Management And General1401814ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total142667Total
Program Services122808ProgramServices
Management And General19859ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1773900Total
Program Services1702542ProgramServices
Management And General71358ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total681836Total
Program Services586928ProgramServices
Management And General94908ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1492225Total
Management And General1492225ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total28780Total
Management And General28780ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29564Total
Management And General29564ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2825492Total
Program Services2494785ProgramServices
Management And General330707ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total100700Total
Management And General100700ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total432106Total
Program Services279175ProgramServices
Management And General152931ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total759146Total
Program Services759146ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total14506Total
Program Services8876ProgramServices
Management And General5630ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14594Total
Program Services9218ProgramServices
Management And General5376ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total356218Total
Program Services356218ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2042328Total
Program Services2042328ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total337927Total
Program Services44ProgramServices
Management And General337883ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
RESIDENT EXPENSE116627510660401002350
MAINTENANCE AND EQUIPME768132677112910200
NURSING HOME ASSESSMENT17159601715960
BAD DEBT EXPENSE10740301074030
EVENTS AND ACTIVITIES9095017845731050

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total66516Total
Program Services10749ProgramServices
Management And General55767ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23473733Total
Program Services18802872ProgramServices
Management And General4670861ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2100BOY
EOY2100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1331892BOY
EOY2853093EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2795BOY
EOY5400EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1990392BOY
EOY1880638EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY63952BOY
EOY66092EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY235379BOY
EOY255956EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis61853481LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec35209317LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26332502BOY
EOY26644164EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14374782BOY
EOY15521044EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1448546BOY
EOY1556971EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5021761BOY
EOY5284720EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY50804101BOY
EOY54070178EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1699225BOY
EOY1658910EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3695789BOY
EOY3456410EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY16590024BOY
EOY15517310EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6775464BOY
EOY8039372EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28760502BOY
EOY28672002EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19985424BOY
EOY23252053EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY204184BOY
EOY223833EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1853991BOY
EOY1922290EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22043599BOY
EOY25398176EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY50804101BOY
EOY54070178EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years353054CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years623361CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years429954CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1284197CurrentTaxYearMinus1Year
Current Tax Year324782CurrentTaxYear
Total3015348Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20602541CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21535181CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21960376CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22881427CurrentTaxYearMinus1Year
Current Tax Year24001699CurrentTaxYear
Total110981224Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20955595CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22158542CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22390330CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24165624CurrentTaxYearMinus1Year
Current Tax Year24326481CurrentTaxYear
Total113996572Total

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 Total509113996572PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years419001CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years722479CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years739305CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year417878CurrentTaxYearMinus1Year
Current Tax Year309128CurrentTaxYear
Total2607791Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years419001CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years722479CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years739305CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year417878CurrentTaxYearMinus1Year
Current Tax Year309128CurrentTaxYear
Total2607791Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years527628CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years470668CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years742172CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1029462CurrentTaxYearMinus1Year
Current Tax Year1178733CurrentTaxYear
Total3948663Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21902224CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23351689CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23871807CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25612964CurrentTaxYearMinus1Year
Current Tax Year25814342CurrentTaxYear
Total120553026Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94560PublicSupportPercentage509
Prior Year Support Percentage0.95080PriorYearSupportPercentage
Investment Income Percentage0.02160InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02100PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis125757OtherCostOrOtherBasis
Book Value125757BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38675897OtherCostOrOtherBasis
Depreciation28422288Depreciation
Book Value10253609BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1525971OtherCostOrOtherBasis
Depreciation1024714Depreciation
Book Value501257BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7493187OtherCostOrOtherBasis
Depreciation5762315Depreciation
Book Value1730872BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14032669OtherCostOrOtherBasis
Book Value14032669BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26644164TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS220574
BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS171457
BENEFICIAL INTEREST IN PERPETUAL TRUSTS1201373
DUE FROM THIRD PARTY PAYORS1890
AFFILIATE RECEIVABLES3689426
FieldValueIRS element (for citing)
Total Book Value Other Assets5284720TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Funds held for residents$66,162
AFFILIATE PAYABLES$470,040
REFUNDABLE ADVANCE FEES$7,503,170
FieldValueIRS element (for citing)
Total Of Amounts8039372TotalOfAmounts
Total Revenue25680247TotalRevenue
Total Expenses23473733TotalExpenses
Excess Or Deficit For Year2206514ExcessOrDeficitForYear
Net Unrealized GL On Investments1065561NetUnrealizedGLOnInvestments
Other$82,502OtherAmount
Total Adjustments1148063TotalAdjustments
Excess Or Deficit Per FS3354577ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt26880481TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1065561NetUnrealizedGainsInvestments
Other Revenues82502OtherRevenues
Revenue Not Rptd F9901148063RevenueNotRptdF990
Revenue Subtotal25732418RevenueSubtotal
Other Revenues Not Included-52171OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-52171RevenueNotRptdOnFinStmt
Total Revenue Per Form99025680247TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23525904TotExpensesEtcAuditedFinclStmt
Other Expenses Included52171OtherExpensesIncluded
Expenses Not Rptd F99052171ExpensesNotRptdF990
Expenses Subtotal23473733ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023473733TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS: 68299. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS: 14203.
Part XII, Line 2d - Other Adjustments:VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS: 68299. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS: 14203.
Part XII, Line 4b - Other Adjustments:rental expenses: -52171.
Part XIII, Line 2d - Other Adjustments:RENTAL EXPENSEs: 52171.

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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID J FENOGLIETTOBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs246736CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs7200DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs60945NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs314881TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99013014NoncashContribsRptdF990
Method Of Determining RevenuesMARKETMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11PROVIDED A COPY OF THE FINAL FORM 990 TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW.
Form 990, Part VI, Section B, line 12cAnnual Conflict of Interest Disclosure statements are required from all Board Members and Executives.
Form 990, Part VI, Section B, line 15aThe 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 19GOVERNING DOCUMENTS AND TAX FORMS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
LUTHERAN SENIORLIFE
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251527666TO PROVIDE SUPPORT AND MANAGEMENT TO EXEMPT AFFILIATESPA501(C)(3)509(A)(3) TYPE IN/A
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)N/A
LUTHER COURT INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251527660TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(C)(3)509(A)(2)N/A
LAS GERIATRIC CARE SERVICES INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251738347PROVIDER OF MEDICAL GERIATRIC THERAPY SERVICES TO ITS EXEMPT AFFILIATESPA501(C)(3)509(A)(2)N/A
LUTHERAN SENIORLIFE FOUNDATION
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251705233ORGANIZATION THAT PROMOTES THE CHARITABLE INTERESTS OF ITS EXEMPT AFFILIATESPA501(C)(3)170(B)(1)(A)(VI)N/A
SAMARITAN HEALTH CARE INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251527663TO PROVIDE HEALTH CARE SERVICES TO THE ELDERLYPA501(C)(3)509(A)(2)N/A
VIECARE INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066205900922PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(C)(3)509(A)(2)N/A
VIECARE BEAVER LLC DBA LIFE BEAVER COUNTY
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066260363509PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLYPA501(C)(3)170(B)(1)(A)(VI)N/A
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)N/A
MARS HOLDINGS INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251883384DEVELOPING ALZHEIMERS FACILITY PROVIDING ASSISTED LIVING SERVICESPA501(C)(3)509(A)(3) TYPE IN/A

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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