2024-04-23T16:11:24-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 4334 MUNSON STREET SUITE 200 CANTON OH 44718 990 2022-07-01 250969478 ST JOHN LUTHERAN CARE CENTER STJO 7247422246 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 JEFFREY CARRAWAY CHIEF FINANCIAL OFFICER 7247422246 2024-04-21 1 JEFFREY CARRAWAY 999009999 1 JENNIFER COLEMAN P00743188 3304972000 2024-04-21 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z ST JOHN COMMUNITY DAVID J FENOGLIETTO 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 13966031 0 X WWW.LUTHERANSENIORLIFE.ORG X 1893 PA OPERATION OF A SKILLED NURSING AND PERSONAL CARE FACILITY PROVIDING FAITH-BASED SERVICES TO ELDERS. 3 0 154 15 0 0 947743 483574 9762995 12982848 240075 374368 -72576 125241 10878237 13966031 0 0 0 0 5983507 5972155 0 0 0 10093727 13486976 16077234 19459131 -5198997 -5493100 32310190 33827521 44629838 51005515 -12319648 -17177994 X ST. JOHN SPECIALTY CARE CENTER OPERATES A CCRC WHICH INCLUDES SKILLED NURSING, PERSONAL CARE, ASSISTED LIVING, AND INDEPENDENT LIVING TO ELDERS IN WESTERN PENNSYLVANIA. 0 0 15619173 12982848 ST. JOHN SPECIALTY CARE CENTER IS A 501(C)(3) SKILLED NURSING AND PERSONAL CARE FACILITY WITH A MORE THAN 100-YEAR HISTORY OF PROVIDING FAITH-BASED, NOT-FOR-PROFIT SERVICES TO ELDERS IN WESTERN PENNSYLVANIA. ST. JOHN RECEIVED THE CONTINUING CARE RETIREMENT COMMUNITY DESIGNATION FROM THE PENNSYLVANIA DEPARTMENT OF INSURANCE IN DECEMBER OF 2008. IN 2014, ST. JOHN SPECIALTY CARE CENTER STARTED DOING BUSINESS AS ST. JOHN COMMUNITY TO REFLECT THE CONTINUING CARE RETIREMENT COMMUNITY IT HAS BECOME. ST. JOHN COMMUNITY IS LOCATED ON A SCENIC 24-ACRE CAMPUS IN MARS, PA, AND CURRENTLY SERVES OVER 250 RESIDENTS. LICENSED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH AS A SKILLED NURSING FACILITY AND PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE AS A PERSONAL CARE FACILITY, ST. JOHN SPECIALTY CARE CENTER OFFERS SHORT-TERM REHABILITATION, SKILLED NURSING CARE, LONG-TERM CARE, DEMENTIA CARE, AND SUB-ACUTE CARE, AS WELL AS PERSONAL CARE AND RESIDENTIAL LIVING. ST. JOHN SPECIALTY CARE CENTER SPECIALIZES IN DEMENTIA CARE. IN THE FISCAL YEAR ENDING JUNE 30, 2023, ST. JOHN PROVIDED 35,670 DAYS OF NURSING CARE. MEDICAID COVERED 21,901 OF THOSE DAYS WHICH IS 61% OF TOTAL RESIDENT DAYS. ST. JOHN PROVIDED 9,685 DAYS OF CARE IN OUR PERSONAL CARE UNIT. A BENEVOLENT CARE PROGRAM IS AVAILABLE AT ST. JOHN TO PROVIDE ASSISTANCE TO INDIVIDUALS IN PERSONAL CARE WHO HAVE OUTLIVED THEIR PERSONAL RESOURCES. ST. JOHN PROVIDED BENEVOLENT CARE FOR A TOTAL OF $50,513 FOR PERSONAL CARE RESIDENTS IN FISCAL YEAR 2023. THE RESIDENCE AT ST. JOHN, A 27-UNIT INDEPENDENT/RESIDENTIAL LIVING ON THE 5TH FLOOR OF THE ST. JOHN BUILDING HAS BEEN OPEN SINCE DECEMBER OF 2022. THE RESIDENCE AT ST. JOHN ENDED THE FISCAL YEAR WITH 14 APARTMENTS OCCUPIED WITH A TOTAL OF 15 RESIDENTS.ROSECREST IS A 30-BED ASSISTED LIVING SECURED RESIDENCE FOR RESIDENTS IN NEED OF MEMORY SUPPORT. THIS STATE-OF-THE ART, LICENSED ASSISTED LIVING RESIDENCE HAS PROVIDED 10,074 DAYS OF ASSISTED LIVING CARE IN THE YEAR ENDING JUNE 30, 2023. OVERBROOK POINTE, A 53-UNIT INDEPENDENT LIVING APARTMENT BUILDING FOR SENIORS HAS BEEN OPEN SINCE SEPTEMBER OF 2013. OVERBROOK POINTE ENDED THE FISCAL YEAR WITH 43 APARTMENTS OCCUPIED WITH A TOTAL OF 52 RESIDENTS. 15619173 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 21 0 154 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X JEFFREY CARRAWAY 7247422246 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 DAVID J FENOGLIETTO CHAIRMAN 1.00 49.00 X X 0 379438 39302 JEFFREY L CARRAWAY TREASURER 1.00 49.00 X X 0 222862 32825 SAMANTHA RAPUK SECRETARY 40.00 1.00 X X 0 149019 26802 DIANE STIFFY NURSE LICENSED PRACTICAL 40.00 0.00 X 128108 0 4804 RACHEL J NIYONZIGIRA DIRECTOR, NURSING 40.00 0.00 X 111442 0 4179 BETH BYRON REGISTERED NURSE 40.00 0.00 X 110165 0 4131 ISABELLA AVILA CERTIFIED NURSES AIDE 40.00 0.00 X 101668 0 9632 451383 751319 121675 4 0 1 0 CURA HOSPITALITY PO BOX 743676 ATLANTA GA 30374 PROFESSIONAL SERVICES 1480339 RELIANT STAFFING LLC PO BOX 814 MURRYSVILLE PA 15668 AGENCY STAFFING 1363584 DEDICATED NURSING ASSOC INC SUITE 201 6536 WILLIAM PENN HWY RT DELMONT PA 15626 AGENCY STAFFING 939900 REALOGICHR LLC SUITE 302 19111 DETROIT ROAD ROCKY RIVER OH 44116 AGENCY STAFFING 587093 FLAGSTAR STAFFING 117 DITMAS AVENUE BROOKLYN NY 11218 AGENCY STAFFING 430355 13 219900 263674 483574 PATIENT SERVICE REVENUE 623000 11935041 11935041 PA NURSING HOME ASSESSMENT 623000 886221 886221 ANCILLARY 623000 161586 161586 12982848 244059 244059 130309 0 130309 130309 130309 NONOPERATING INCOME 623000 125241 125241 125241 13966031 12982848 0 499609 X 4914999 4654813 260186 57845 55699 2146 616831 563131 53700 382480 363442 19038 1353955 1353955 17920 17920 25378 25378 5470647 5365099 105548 10230 10230 166081 135522 30559 197122 194888 2234 612951 501295 111656 3833 3134 699 470 470 358749 358749 985324 74590 910734 363420 309237 54183 FOOD 1067194 1053911 13283 MEDICAL 857576 852539 5037 MAINTENANCE & EQUIPMENT 652151 649511 2640 NURSING HOME ASSESSMENT 305612 305612 1038363 536750 501613 19459131 15619173 3839958 0 1008 25026 32718 24726 1178224 1826336 144413 135120 150383 150767 42052430 22215757 14878691 19836673 9275152 9992465 6649601 1836408 32310190 33827521 1542090 1546017 116816 22392769 22200604 20694979 27142078 44629838 51005515 X -12678069 -17597141 358421 419147 -12319648 -17177994 32310190 33827521 X -5493100 574028 60726 X X 0 1 X 1 0 X 322785 189520 295506 947743 483574 2239128 19734055 18315384 13412969 9762995 12821262 74046665 20056840 18504904 13708475 10710738 13304836 76285793 0 0 0 76285793 210687 201850 165987 180181 244059 1002764 210687 201850 165987 180181 244059 1002764 257851 1328158 1130346 -72576 286827 2930606 20525378 20034912 15004808 10818343 13835722 80219163 0.95100 0.95250 0.01250 0.01460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8070 8070 29494068 14185188 15308880 2266002 1624060 641942 9982229 6406509 3575720 302061 302061 19836673 RELATED PARTY RECEIVABLES 675869 ASSETS WHOSE USE IS LIMITED 1041058 RIGHT OF USE ASSETS 119481 1836408 RELATED PARTY PAYABLES 26915547 THIRD PARTY 48710 FUNDS HELD FOR RESIDENTS 58340 LEASE LIABILITIES 119481 27142078 14540059 574028 574028 13966031 0 13966031 19459131 0 19459131 0 19459131 X 0 0 0 0 0 0 0 0 0 DAVID J FENOGLIETTO CHAIRMAN 0 379438 0 0 0 0 0 9186 0 30116 0 418740 0 0 JEFFREY L CARRAWAY TREASURER 0 222862 0 0 0 0 0 6839 0 25986 0 255687 0 0 SAMANTHA RAPUK SECRETARY 0 149019 0 0 0 0 0 4284 0 22518 0 175821 0 0 A BUTLER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 251487895 NONEAVAIL 2021-07-08 14000000 TAX-EXEMPT REVENUE NOTES, SERIES 2021A 0 0 0 B BUTLER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 251487895 NONEAVAIL 2021-07-08 8706553 TAX-EXEMPT REVENUE NOTES, SERIES 2021B 0 0 1 A 14000000 14000000 2021 1 1 1 1 B 378837 8706553 159028 7147270 1400255 2021 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 1 B 1 FORM 990, SCHEDULE K, PART I: THE BONDS WERE ISSUED AT THE SAME TIME AS THE $10,843,447 BUTLER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY TAX-EXEMPT REVENUE NOTE, SERIES 2021B (MARS HOLDING, INC.). THE SERIES 2021B BONDS CONSTITUTE A SINGLE ISSUE FOR PURPOSES OF TREASURY REGULATIONS SECTION 1 150-1(C). EACH SERIES OF THE BONDS WILL BE REPORTED ON THE SCHEDULE K OF THE APPLICABLE ENTITY. FORM 990, PART VI, SECTION B, LINE 11B PROVIDED A COPY OF THE FINAL FORM 990 TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED FROM ALL BOARD MEMBERS AND EXECUTIVES. BOARD MEMBERS SHALL DISCLOSE TO THE EXECUTIVE COMMITTEE BOARD MEMBERSHIP ON, A SUBSTANTIAL FINANCIAL INTEREST IN, OR EMPLOYMENT OF THE BOARD MEMBER OR A RELATIVE OF THE BOARD MEMBER BY ANY ORGANIZATION DOING BUSINESS WITH LUTHERAN SENIORLIFE. THE EXECUTIVE COMMITTEE SHALL DETERMINE WHETHER AN UNACCEPTABLE CONFLICT OF INTEREST EXISTS AND ARRANGE WITH THE MEMBER TO CEASE ANY INAPPROPRIATE ACTIVITY. MATTERS LEFT UNSETTLED AFTER REVIEW OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD FOR APPROPRIATE ACTION. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE OF THE LUTHERAN SENIORLIFE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE REVIEW IN JULY. MARKET BASED COMPENSATION INFORMATION IS CONDUCTED ANNUALLY FROM INFORMATION COMPILED BY EXTERNAL SOURCES. THE BOARD THEN DETERMINES THE COMPENSATION FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND TAX FORMS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE. FORM 990, PART IX, LINE 11G AGENCY FEES: PROGRAM SERVICE EXPENSES 4,453,959. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,453,959. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 78,162. MANAGEMENT AND GENERAL EXPENSES 84,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 162,935. PAYROLL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 20,775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,775. THERAPY FEES: PROGRAM SERVICE EXPENSES 832,978. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 832,978. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTION 60,726. FORM 990, PART XII, 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 A RECOMMENDATION TO THE BOARD TO ACCEPT THE AUDIT. LUTHERAN SENIORLIFE 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251527666 TO PROVIDE SUPPORT AND MANAGEMENT TO EXEMPT AFFILIATES PA 501(C)(3) LINE 12A, I N/A 0 LUTHER COURT INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251527660 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 PASSAVANT RETIREMENT AND HEALTH CENTER 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 250986051 PROVIDER OF RESIDENTIAL, PERSONAL CARE AND SKILLED NURSING CARE TO ELDERS PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 LAS GERIATRIC CARE SERVICES INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251738347 PROVIDER OF MEDICAL GERIATRIC THERAPY SERVICES TO ITS EXEMPT AFFILIATES PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 LUTHERAN SENIORLIFE FOUNDATION 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251705233 ORGANIZATION THAT PROMOTOES THE CHARITABLE INTERESTS OF ITS EXEMPT AFFILIATE PA 501(C)(3) LINE 7 LUTHERAN SENIORLIFE 0 SAMARITAN HEALTHCARE INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251527663 TO PROVIDE HEALTH CARE SERVICES TO THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 VIECARE INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 255900922 PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 VIECARE BEAVER LLC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 260363509 PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 VIECARE BUTLER LLC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 208512169 PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 MARS HOLDING INC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251883384 PROVIDER OF DEMENTIA ASSISTED LIVING AND RESIDENTIAL PA 501(C)(3) LINE 12A, I LUTHERAN SENIORLIFE 0 BEHOME PARTNERS 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 202932676 PROVIDER OF HOME HEALTH SERVICES IN SKILLED NURSING, THERAPY & PRIVATE DUTY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 VISITING NURSES ASSOCIATION OF BUTLER COUNTY INC 154 HINDMAN ROAD BUTLER PA 16001 237040715 TO OPTIMIZE HEALTH AND INDEPENDENCE AND TO KEEP RESIDENTS OF OUR COMMUNITY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 HOSPICE SERVICES INC 154 HINDMAN ROAD BUTLER PA 16001 251468529 TO PROVIDE COMPASSIONATE, QUALITY CARE FOR PEOPLE WITH LIFE-LIMITING ILLNESS PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 VALLEY CARE ASSOCIATION 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 251349943 TO PROVIDE DAY CARE SERVICES FOR OLDER AULTS TO ENHANCE QUALITY OF LIFE PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 THE LUTHERAN SERVICE SOCIETY OF W PA 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 250965419 PROVIDE PROGRAMS AND SERVICES FOR PEOPLE TO LEAD INDEPENDENT DIGNIFIED LIVES PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 VIECARE ARMSTRONG LLC 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 463692084 PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 CHIPPEWA LUTHERAN HOUSING CORP 440 LINCOLN AVENUE PITTSBURGH PA 15202 208314767 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 GIRARD LUTHERAN HOUSING CORPORATION 440 LINCOLN AVENUE PITTSBURGH PA 15202 030596955 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 JAMESTOWN LUTHERAN HOUSING CORPORATION 440 LINCOLN AVENUE PITTSBURGH PA 15202 208315015 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 LUTHERAN HOUSING CORP OF OIL CITY 440 LINCOLN AVENUE PITTSBURGH PA 15202 251699268 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 TITUSVILLE SENIOR HOUSING CORPORATION 440 LINCOLN AVENUE PITTSBURGH PA 15202 270115829 TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 0 TIMON PROPERTY DEVELOPMENT COMPANY 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 205133658 PROVIDER OF SENIOR HOUSING PA N/A C 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0