ST JOHN LUTHERAN CARE CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ST JOHN LUTHERAN CARE CENTER (EIN 25-0969478)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-07
IRS object ID
201140389349300129
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)
Timestamp2011-02-07T15:08:36-06:00Timestamp
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)
EIN250969478EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOHN LUTHERAN CARE CENTERBusinessNameLine1
Business Name Line2DBA ST JOHN SPECIALTY CARE CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSTJONameControl
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 Signed2011-01-27DateSigned
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 Receipts23478852GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.LUTHERANSENIORLIFE.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1893YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionOperation of a skilled nursing and personal care facility providing faith-based services to elders in western Pennsylvania.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees416TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year77696ContributionsGrantsPriorYear
Contributions Grants Current Year101796ContributionsGrantsCurrentYear
Program Service Revenue Prior Year23953155ProgramServiceRevenuePriorYear
Program Service Revenue CY22663656ProgramServiceRevenueCY
Investment Income Prior Year69070InvestmentIncomePriorYear
Investment Income Current Year66856InvestmentIncomeCurrentYear
Other Revenue Prior Year537521OtherRevenuePriorYear
Other Revenue Current Year546848OtherRevenueCurrentYear
Total Revenue Prior Year24637442TotalRevenuePriorYear
Total Revenue Current Year23379156TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12026613SalariesEtcPriorYear
Salaries Etc Current Year11713467SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12507792OtherExpensePriorYear
Other Expenses Current Year11711842OtherExpensesCurrentYear
Total Expenses Prior Year24534405TotalExpensesPriorYear
Total Expenses Current Year23425309TotalExpensesCurrentYear
Revenues Less Expenses Prior Year103037RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-46153RevenuesLessExpensesCY
Total Assets BOY22347248TotalAssetsBOY
Total Assets EOY21189083TotalAssetsEOY
Total Liabilities BOY11945711TotalLiabilitiesBOY
Total Liabilities EOY11793233TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10401537NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9395850NetAssetsOrFundBalancesEOY
Mission DescriptionSt. John Specialty Care Center operates a skilled nursing and personal care facility providing faith-based services to elders in western Pennsylvania.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19630887Expense
Revenue22663656Revenue
DescriptionSt. 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, 2010, St. John provided 85,264 days of nursing services. Medicaid covered 55,560 of those days and St. John provided 7,645 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 $498,621 in benevolent care for personal care in 2010. ($3,690,353 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.Description
Total Program Service Expense19630887TotalProgramServiceExpense
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 With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees416NumberOfEmployees
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 Members3NbrVotingGoverningBodyMembers
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 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

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KAREN RUSSELL
EXECUTIVE DIRECTOR1.00XX3667308149
LAURA DEKLEWA
DIRECTOR1.00X000
REV JOHN WOOD
DIRECTOR1.00X000
DAVID J FENOGLIETTO
CHIEF EXECUTIVE OFFICER1.00X024673668145
SUSAN Q DIGIROLAMO
CHIEF FINANCIAL OFFICER1.00X011659027982
FieldValueIRS element (for citing)
Total Reportable Comp From Org36673TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs363326TotalReportableCompFrmRltdOrgs
Total Other Compensation104276TotalOtherCompensation
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 DRIVEATLANTAGA30342DINING1067344
EPEOPLE HEALTHCARE INC
1108 OHIO RIVER BOULEVARD SUITE 80SEWICKLEYPA15143TEMPORARY STAFFING571587
PARIS HEALTHCARE LINEN SERVICE
PO BOX 1043 67 HOOVER AVENUEDUBOISPA15801LAUNDRY410955
MILESTONE STAFFING SERVICES INC
13083 Collection Center DriveChicagoIL60693TEMPORARY STAFFING243260
CAPITAL HEALTHCARE SOLUTIONS
PO BOX 799GLOUCESTERVA23061TEMPORARY STAFFING196959
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
All Other Contributions101796AllOtherContributions
Total Contributions101796TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6230002175777021757770
PENNSYLVANIA NURSING H623000905886905886
FieldValueIRS element (for citing)
Total Program Service Revenue22663656TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column166552TotalRevenueColumn
Exclusion$166,552ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3720Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3720Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3720TotalRevenueColumn
Exclusion$3,720ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities99696Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-99696Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-99696TotalRevenueColumn
Exclusion-$99,696ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
ANCILLARY623000538486$538,486
MISCELLANEOUS6230004642$4,642
FieldValueIRS element (for citing)
Total Other Revenue543128TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23379156TotalRevenueColumn
Related Or Exempt Function Income22663656RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$613,704ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total44822Total
Program Services44822ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8114363Total
Program Services7651473ProgramServices
Management And General462890ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total66421Total
Program Services62649ProgramServices
Management And General3772ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2882747Total
Program Services1817352ProgramServices
Management And General1065395ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total605114Total
Program Services570750ProgramServices
Management And General34364ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1388480Total
Management And General1388480ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total60875Total
Program Services60875ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32017Total
Management And General32017ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4268039Total
Program Services4190627ProgramServices
Management And General77412ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1943Total
Management And General1943ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total408945Total
Program Services291113ProgramServices
Management And General117832ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total722186Total
Program Services722186ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total7881Total
Program Services94ProgramServices
Management And General7787ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2384Total
Management And General2384ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total598228Total
Program Services598228ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total726681Total
Program Services726681ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total261190Total
Program Services261190ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
RESIDENT EXPENSE1905730190573000
MAINTENANCE AND EQUIPME481966457601243650
NURSING HOME ASSESSMENT26951626951600
DEVELOPMENT EXPENSE23141302314130
BAD DEBT EXPENSE20045102004510

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total143917Total
Management And General143917ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23425309Total
Program Services19630887ProgramServices
Management And General3794422ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1200BOY
EOY1200EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2486380BOY
EOY2489431EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY556BOY
EOY2098EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3628265BOY
EOY2828519EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY100254BOY
EOY4936EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY79928BOY
EOY75622EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY169752BOY
EOY193716EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20530909LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15969912LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4872486BOY
EOY4560997EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8956707BOY
EOY9294432EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2051720BOY
EOY1738132EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22347248BOY
EOY21189083EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1429246BOY
EOY1310169EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9908360BOY
EOY9755949EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY608105BOY
EOY727115EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11945711BOY
EOY11793233EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10116418BOY
EOY9098265EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY68497BOY
EOY80963EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY216622BOY
EOY216622EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10401537BOY
EOY9395850EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22347248BOY
EOY21189083EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years73277CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55168CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year77696CurrentTaxYearMinus1Year
Current Tax Year101796CurrentTaxYear
Total379674Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23914105CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25326553CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25728539CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23953155CurrentTaxYearMinus1Year
Current Tax Year22663656CurrentTaxYear
Total121586008Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23987382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25398290CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25783707CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24030851CurrentTaxYearMinus1Year
Current Tax Year22765452CurrentTaxYear
Total121965682Total

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 Total509121965682PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84934CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years255075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years294622CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year203847CurrentTaxYearMinus1Year
Current Tax Year170272CurrentTaxYear
Total1008750Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84934CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years255075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years294622CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year203847CurrentTaxYearMinus1Year
Current Tax Year170272CurrentTaxYear
Total1008750Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years333853CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years448393CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years553404CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year524101CurrentTaxYearMinus1Year
Current Tax Year543128CurrentTaxYear
Total2402879Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24406169CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26101758CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26631733CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24758799CurrentTaxYearMinus1Year
Current Tax Year23478852CurrentTaxYear
Total125377311Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97280PublicSupportPercentage509
Prior Year Support Percentage0.97380PriorYearSupportPercentage
Investment Income Percentage0.00800InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00690PriorYrInvestIncomePercentage
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 Basis8070OtherCostOrOtherBasis
Book Value8070BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13148887OtherCostOrOtherBasis
Depreciation10247345Depreciation
Book Value2901542BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1528871OtherCostOrOtherBasis
Depreciation1381868Depreciation
Book Value147003BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5651672OtherCostOrOtherBasis
Depreciation4267561Depreciation
Book Value1384111BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis193409OtherCostOrOtherBasis
Depreciation73138Depreciation
Book Value120271BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4560997TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS531191
BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST25643
AFFILIATE RECEIVABLES1007108
ASSET WHOSE USE IS LIMITED174190
FieldValueIRS element (for citing)
Total Book Value Other Assets1738132TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESIDENT FUNDS$105,628
DUE TO THIRD-PARTY PAYORS$758
AFFILIATE PAYABLES$620,729
FieldValueIRS element (for citing)
Total Of Amounts727115TotalOfAmounts
Total Revenue23379156TotalRevenue
Total Expenses23425309TotalExpenses
Excess Or Deficit For Year-46153ExcessOrDeficitForYear
Net Unrealized GL On Investments588462NetUnrealizedGLOnInvestments
Other-$1,547,996OtherAmount
Total Adjustments-959534TotalAdjustments
Excess Or Deficit Per FS-1005687ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt23969601TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments588462NetUnrealizedGainsInvestments
Other Revenues1983OtherRevenues
Revenue Not Rptd F990590445RevenueNotRptdF990
Revenue Subtotal23379156RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99023379156TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt24975288TotExpensesEtcAuditedFinclStmt
Other Expenses Included1549979OtherExpensesIncluded
Expenses Not Rptd F9901549979ExpensesNotRptdF990
Expenses Subtotal23425309ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023425309TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:TRANSFER OF NET ASSETS - CONSTRUCTION OF ALZHEIMER ASSISTED LIVING FACILITY: -1549979. VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST: 1983.
Part XII, Line 2d - Other Adjustments:VALUATION GAIN, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST: 1983.
Part XIII, Line 2d - Other Adjustments:TRANSFER OF NET ASSETS - CONSTRUCTION OF ALZHEIMER ASSISTED LIVING FACILITY: 1549979.

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 O IRS990ScheduleO

General Explanation GeneralExplanation (5 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.
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.

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
LUTHER COURT INC
1323 FREEDOM ROADCRANBERRY TOWNSHIPPA16066251527660TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLYPA501(C)(3)509(A)(2)N/A
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)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 Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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