Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SENECA PLACE
Employer identification number
72-1562844
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
17,080
159,863
192,605
369,548
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
20,670,622
20,239,053
21,303,519
25,416,310
23,845,751
111,475,255
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
20,670,622
20,239,053
21,320,599
25,576,173
24,038,356
111,844,803
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
111,844,803
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
20,670,622
20,239,053
21,320,599
25,576,173
24,038,356
111,844,803
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,311,807
130,261
-228,786
270,202
61,353
1,544,837
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
1,311,807
130,261
-228,786
270,202
61,353
1,544,837
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
21,982,429
20,369,314
21,091,813
25,846,375
24,099,709
113,389,640
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
98.638 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
98.118 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
1.362 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
1.881 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SENECA PLACE
Employer identification number
72-1562844
Identifier
Return Reference
Explanation
Part III Statement of Program Service Accomplishments
Organizations Programs and Accomplishments
SENECA PLACE EIN: 72-1562844 FISCAL YEAR ENDING JUNE 30, 2011 Form 990, Part III - Statement of Program Service Accomplishments The primary exempt purpose of Seneca Place is the ownership and operation of a 178-bed skilled nursing care facility known as Seneca Place and two Independent Congregate Living Facilities (ICLFs) known as Seneca Hills Village and Lighthouse Pointe, respectively. Seneca Place is a charitable, non-profit corporation founded in 2003, for the purpose of organizing and operating nursing home services in the Pittsburgh, Pennsylvania area. Its mission is to serve the community needs for long-term care nursing and rehabilitation services. To achieve this mission, Seneca Place provides outstanding care and services, maximum independence, and optimal quality of life. Seneca Place provides all their nursing facility services on a charitable basis without regard to patients' ability to pay. It provided 59,070 patient days of service in the fiscal year ended June 30, 2011 and had an occupancy rate of 91%. Skilled nursing professionals at the Seneca Place nursing facility offer a comprehensive plan of health care services including rehabilitative services. They provide care for people with Alzheimer's disease, arthritis, blood disorders, cancer, leukemia, diabetes, stroke, cardiovascular disease, and slow healing wounds. They also provide hospice support for residents with an end-of-life illness. Registered and licensed practical nurses and certified nursing assistants who are specialists in caring for the elderly work cooperatively to enhance the quality of life and return residents to their highest level of independent functioning. Caring staff members are dedicated to providing comprehensive services that address the physical, psychological, and social needs of each resident. Seneca Hills Village and Lighthouse Pointe have 124-units and 134-units, respectively. Both are ICLFs, which is a residential facility for the elderly who are ambulatory without assistance, able to self manage medications, and require no assistance with the activities of daily living. These residents are generally independent, but may need some minimal assistance in daily routines, including instrumental activities of daily living (IADLs) such as meal preparation and transportation. In addition to enjoying all of the amenities of the facility, these residents are free to come and go as they please and enjoy the added-benefit of live-in resident managers who are available to provide them with a worry-free lifestyle in a safe and secure environment. Seneca Place is also licensed as a Continuing Care Retirement Community (CCRC). As such, Seneca Place offers contracts to older adults who live in Seneca Hills Village and Lighthouse Point, committing to provide discounted monthly fees and priority admission to the Seneca Place nursing facility and Seneca Manor, a personal care home owned and operated by Seneca Place's parent corporation UPMC Senior Communities, Inc., if later required by the resident. All care provided at the Seneca Place nursing facility is consistent with guidelines established by the various licensing and regulatory agencies that govern long-term nursing care. The care of every resident at the Seneca Place nursing facility is supervised by a physician's evaluation of each resident's condition; a regimen of care is prescribed to meet immediate and long-term needs. REHABILITATION Rehabilitation services are provided to the Seneca Place nursing facility residents that are referred by a physician. The services include: physical therapy, occupational therapy, speech therapy, and audiology services. NURSING SERVICES The nursing staff at the Seneca Place nursing facility is comprised of Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants. Under the direction of the Director of Nursing, Unit Managers, and designated Charge Nurses, the nursing staff provides care for the resident on a 24-hour basis as prescribed by their physicians. ACTIVITIES PROGRAM The Activities Department at the Seneca Place nursing facility provides an ongoing program of activities designed to meet the interests and the social, mental, physical, recreational, and spiritual needs of each resident. VOLUNTEER SERVICES Volunteers at the Seneca Place nursing facility play an active and vital role in complimenting professional services to residents. Volunteers help escort residents to rehabilitation sessions, to the beauty shop, for walks around the grounds, on field trips, and to special events - each giving that extra "personal touch".
Part VI Governance, Management, and Disclosure
Section A: Governing Body and Management
Question 6: Seneca Place has one sole member, the exempt entity UPMC Senior Communities, Inc. Question 7A: The parent entity of Seneca Place, UPMC Senior Communities, Inc., has the abilty to appoint board members to Seneca Place as stipulated in the by-laws of Seneca Place.
Part VI Governance, Management, and Disclosure
Section B: Policies
Question 12c: UPMC requires all of its key employees and non-employed personnel to comply with its conflict of interest policies when they engage in UPMC-related business. People covered by the policies include: -UPMC entity board members, board committee members, and corporate officers -UPMC physicians and non-physician employees who hold a position of influence -Non-employed members of the UPMC medical staff who hold a positon of influence of trust -Individuals conducting clinical research at UPMC, whether or not they are employed by UPMC These people are required to complete a questionnaire at least annually. An electronic form has been developed to capture the data from the questionnaire and to monitor completion. The information, along with other data, is used to capture individual and institutional relationships so that potential conflicts of interest can be identified. If a potential conflict is identified regarding a specific UPMC activity the corporate compliance department, with the assistance of the legal department, evaluate the activity in relation to the potential conflict. If a perceived or actual conflict is determined to exist and a decision is made to proceed with the activity, a written plan designed to prevent the conflict from influencing decisions related to the activity is developed. The process is ultimately overseen by a conflict of interest committee of the UPMC board of directors on behalf of all UPMC subsidiaries, including Seneca Place. Question 15a and b: UPMC has established a rigorous compensation review process for its top executives which includes review by its executive compensation committee in a process intended to satisfy the "rebuttable presumption of reasonableness" set forth in the regulations to sections 4958 of the internal revenue code. UPMC gives authority to those executives to establish the compensation of executives of others subsidiaries and business units, including those of Seneca Place.
Part VI Governance, Management, and Disclosure
Section C: Disclosure
Question 19: Upon request, management determines public disclosure applicability.
Schedule R -Related Organizations and Unrelated Partnerships
Part II and III, identification of related tax-exempt and taxable p-ship
There are organizations included in the UPMC Group form 990 tax return for fiscal year 2010 which are related to Seneca Place. These organizations are not required to be listed in schedule R. The related organizations have direct and indirect control.
PART XI RECONCILIATION OF NET ASSETS
OTHER CHANGES IN NET ASSETS OR FUND BALANCES
LINE 5- OTHER CHANGES IN NET ASSETS OR FUND BALANCES UNREALIZED INVESTMENT REVENUE $30,056 NET RESTRICTED FUND ACTIVITY $166,383
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.