2024-04-30T09:37:48-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 4334 MUNSON STREET SUITE 200 CANTON OH 44718 990 2022-07-01 208512169 VIECARE BUTLER LLC VIEC 7247422246 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 JEFFREY CARRAWAY CHIEF FINANCIAL OFFICER 7247422246 2024-04-27 1 JEFFREY CARRAWAY 999009999 1 JENNIFER COLEMAN P00743188 3304972000 2024-04-27 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z LIFE BUTLER COUNTY DAVID J FENOGLIETTO 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 20492083 0 X WWW.LUTHERANSENIORLIFE.ORG X 2007 PA PROVIDER OF HOME AND COMMUNITY BASED HEALTHCARE TO LOW INCOME ELDERLY. 6 4 140 25 0 0 67632 9177 19288261 20282451 0 0 15835 178758 19371728 20470386 0 0 0 0 6581030 7508413 0 0 0 13011119 14844259 19592149 22352672 -220421 -1882286 15856807 16483195 8037479 10541968 7819328 5941227 X VIECARE BUTLER, LLC SHALL PROVIDE A HOME AND COMMUNITY-BASED PROGRAM OF ALL-INCLUSIVE HEALTH CARE TO SERVE THE FRAIL, LOW INCOME ELDERLY AS AN ALTERNATIVE TO INSTITUTIONAL CARE FOR SENIOR ADULTS. 0 0 18675256 20282451 LIFE (LIVING INDEPENDENCE FOR THE ELDERLY) IS A COMPREHENSIVE HEALTH CARE AND SUPPORTIVE SERVICES PROGRAM DESIGNED TO ENHANCE THE ABILITY OF OLDER ADULTS 55 YEARS OF AGE AND OLDER TO LIVE SAFELY IN THEIR HOMES AND COMMUNITIES. IT IS A CAPITATED PROGRAM, FUNDED THROUGH THE PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES AND CENTERS FOR MEDICAID AND MEDICARE SERVICES. MOST LIFE PARTICIPANTS ARE ELIGIBLE FOR BOTH MEDICARE AND MEDICAID AND THEREFORE RECEIVE THE PROGRAM AT NO DIRECT COST TO THEM. LIFE PROGRAMS ARE KNOWN NATIONALLY AS PACE (PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY). THE LIFE PROGRAMS OF LUTHERAN SENIORLIFE ARE ADMINISTERED THROUGH VIECARE, INC., A SUBSIDIARY OF LUTHERAN SENIOR LIFE AND ITS HOSPITAL PARTNERS.LIFE COORDINATES AND PROVIDES ALL NEEDED PREVENTIVE, PRIMARY, ACUTE AND POST-ACUTE CARE SERVICES TO ITS PARTICIPANTS THROUGH AN INTERDISCIPLINARY TEAM OF HEALTH CARE PROFESSIONALS THAT VALUATE, ASSESS AND PROVIDE FOR THE INDIVIDUAL NEEDS OF THE PARTICIPANT AS THEY CHANGE THROUGH VARIOUS STAGES OF AGING OR MEDICAL NEED. BASED ON AN INDIVIDUAL'S NEED, LIFE CAN PROVIDE: COMPREHENSIVE MEDICAL CARE BY AN INTERDISCIPLINARY TEAM OF HEALTHCARE PROFESSIONALS; AN ON-CALL NURSE AND PHYSICIAN AVAILABLE 24 HOURS A DAY; ADULT DAY SERVICES; PERSONAL CARE; HOME CARE; HOUSEKEEPING AND LAUNDRY; REHABILITATION THERAPIES; TRANSPORTATION TO THE LIFE CENTER AND MEDICAL APPOINTMENTS; MEDICATIONS AND MEDICATION MANAGEMENT; MEALS; MEDICAL EQUIPMENT; AND DENTISTRY, OPTOMETRY, AND AUDIOLOGY. 18675256 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 9 0 140 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 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 CHAIR 1.00 49.00 X X 0 379438 39302 JEFFREY L CARRAWAY TREASURER/CFO 1.00 49.00 X X 0 222862 32825 RANDY TEWKSBURY VICE CHAIR 1.00 0.00 X X 0 0 0 DR NORMAN BEALS DIRECTOR 1.00 0.00 X 0 0 0 PASTOR KIMBERLY VAN DRIEL SECRETARY 1.00 1.00 X X 0 0 0 ERICA SHAFFER DIRECTOR 1.00 0.00 X 0 0 0 DR ABEER HANNA MEDICAL DIRECTOR 40.00 0.00 X 317317 0 35767 LESLIE ACEVEDO NURSE, CRNP 40.00 0.00 X 114724 0 7726 MICHELE MIKOLAJCZAK MEDICAL DIRECTOR 40.00 0.00 X 260802 0 28351 TRACY BECK ADMINISTRATOR - ADVANCED CARE 40.00 0.00 X 102320 0 24682 REBECCA WILSON NURSE - LPN 40.00 0.00 X 105990 0 11615 901153 602300 180268 5 0 1 0 PHARMASTAR 228 STRAWBRIDGE DRIVE MOORESTOWN NJ 08057 MEDICATION MANAGEMENT 2046446 REALOGICHR LLC SUITE 302 19111 DETROIT ROAD ROCKY RIVER OH 44116 AGENCY STAFFING 337979 CURA HOSPITALITY PO BOX 743676 ATLANTA GA 30374 PROFESSIONAL SERVICES 314914 SYMBRIA RX GREAT LAKES SOUTH LLC SUITE 600 28100 TORCH PARKWAY WARRENVILLE IL 60555 MEDICATION MANAGEMENT 241668 TABULA RASA 228 STRAWBRIDGE DRIVE SUITE 100 MOORESTOWN NJ 08057 PROFESSIONAL SERVICES 213726 11 9177 9177 PATIENT SERVICE REVENUE 621400 20282451 20282451 20282451 44228 21697 22531 22531 22531 OTHER NONOPERATING REVENUE 900099 156227 156227 156227 20470386 20282451 0 178758 X 6418416 6110472 307944 97114 89402 7712 562828 518134 44694 430055 395905 34150 2100190 2100190 19657 19657 19174 19174 4844224 4741934 102290 19843 19019 824 121457 120385 1072 180396 166852 13544 2570611 2464444 106167 195327 180662 14665 1207 1116 91 179276 2598 176678 478628 60513 418115 96055 8496 87559 PHARMACY 2035454 2035454 0 MAINTENANCE & EQUIPMENT 768395 676727 91668 MEDICAL 497514 488620 8894 BAD DEBT 111830 111830 605021 594523 10498 22352672 18675256 3677416 0 32052 31404 4352890 5354043 1925 1949 602118 659665 41933 40499 12492624 3616141 9348262 8876483 1477627 1519152 15856807 16483195 1920352 2489825 973477 4509432 4402607 1607695 2676059 8037479 10541968 X 7803551 5921265 15777 19962 7819328 5941227 15856807 16483195 X -1882286 4185 X 0 1 X 1 0 X 6442 155464 44351 67632 9177 283066 18961106 18817023 20520166 19288261 20282451 97869007 18967548 18972487 20564517 19355893 20291628 98152073 0 0 0 98152073 43487 48206 46405 33460 44228 215786 43487 48206 46405 33460 44228 215786 15699 10318 17750 5819 156227 205813 19026734 19031011 20628672 19395172 20492083 98573672 0.99570 0.99720 0.00220 0.00220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8596729 601580 7995149 2448420 1960713 487707 1436978 1053848 383130 10497 10497 8876483 RELATED PARTY RECEIVABLES 345443 THIRD PARTY PAYOR 418865 RIGHT OF USE ASSETS 754844 1519152 RELATED PARTY PAYABLES 1908970 LEASE LIABILITIES 757194 THIRD PARTY PAYOR 9895 2676059 20384438 25882 25882 20358556 111830 111830 20470386 22262539 21697 21697 22240842 111830 111830 22352672 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 21,697. NET ASSETS RELEASED FROM RESTRICTIONS 4,185. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 111,830. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 21,697. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 111,830. X 0 0 0 0 0 0 0 0 0 DAVID J FENOGLIETTO CHAIR 0 379438 0 0 0 0 0 9186 0 30116 0 418740 0 0 DR ABEER HANNA MEDICAL DIRECTOR 317317 0 0 0 0 0 6239 0 29528 0 353084 0 0 0 MICHELE MIKOLAJCZAK MEDICAL DIRECTOR 260802 0 0 0 0 0 5202 0 23149 0 289153 0 0 0 JEFFREY L CARRAWAY TREASURER/CFO 0 222862 0 0 0 0 0 6839 0 25986 0 255687 0 0 A BUTLER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 251898944 NONEAVAIL 2019-12-17 4800000 REVENUE NOTE, SERIES 2019 0 0 0 A 300206 4800000 2304544 2495456 2020 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 1 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 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 THERAPY FEES: PROGRAM SERVICE EXPENSES 1,503,232. MANAGEMENT AND GENERAL EXPENSES 65,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,568,374. PAYROLL FEES: PROGRAM SERVICE EXPENSES 17,189. MANAGEMENT AND GENERAL EXPENSES 745. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,934. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 618,072. MANAGEMENT AND GENERAL EXPENSES 36,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 654,475. HOSPITAL AND PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,603,441. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,603,441. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS 4,185. 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 ST JOHN LUTHERAN CARE CENTER 1323 FREEDOM ROAD CRANBERRY TOWNSHIP PA 16066 250969478 SKILLED NURSING AND PERSONAL CARE FACILITY SERVICING MORE THAN 300 RESIDENTS PA 501(C)(3) LINE 10 LUTHERAN SENIORLIFE 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 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 BUTLER HEALTH SYSTEM 1 HOSPITAL WAY BUTLER PA 16001 251441855 TO PROVIDE COMPASSIONATE, HIGH QUALITY CARE, COMFORT & HEALTH CARE PA 501(C)(3) LINE 10 N/A 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 1 0 0 0 0