2023-11-15T13:14:19-06:00 2022-12-31 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2022-01-01 463243949 CENTRE CARE INC CENT 8142786000 250 PERSIA ROAD BELLEFONTE PA 168239525 CARL RAUP TREASURER 8142786000 2023-11-14 1 CARL RAUP 999009999 1 AMY A O'LOUGHLIN P00869687 6022646835 2023-11-14 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z CENTRE CARE REHABILITATION AND WELLNESS SERVICES CARL RAUP 250 PERSIA ROAD BELLEFONTE PA 168239525 21725018 0 X WWW.CENTRECARE.ORG X 2013 PA OPERATION OF A SKILLED NURSING FACILITY 9 9 278 15 0 0 7022806 2024516 16669670 19629595 -374128 37982 -59678 32925 23258670 21725018 0 0 0 0 12544331 12245114 0 0 0 13408885 15810269 25953216 28055383 -2694546 -6330365 56359644 51226234 39253169 40450124 17106475 10776110 X PROVIDING FOR THE LONG-TERM CARE NEEDS OF THE RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA 0 0 24588257 19629595 OPERATION OF SKILLED NURSING FACILITY, FOCUSING ON LOWER-INCOME RESIDENTS FUNDED BY MEDICAID PROGRAMS OR PROVIDING CHARITY CARE TO FINANCIALLY INDIGENT RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA REQUIRING LONG-TERM CARE SERVICES. CENTRE CARE REHABILITATION AND WELLNESS SERVICES HAD A TOTAL CENSUS FOR LOW INCOME MEDICAID RESIDENTS OF 50,915 DAYS IN 2022 (80% OF TOTAL RESIDENTS SERVED). THE REIMBURSEMENT FOR THESE RESIDENTS WAS AN AVERAGE OF $207.73 PER DAY, WHILE THE COST OF PROVIDING SERVICE TO THESE RESIDENTS WAS APPROXIMATELY $332.33 PER DAY. REIMBURSEMENT WAS APPROXIMATELY $6,344,314 LESS THAN THE COST TO PROVIDE SERVICES TO THESE LOW INCOME MEDICAID ELIGIBLE RESIDENTS - THIS SHORTFALL CONSTITUTES "CHARITY CARE" PROVIDED BY CENTRE CARE REHABILITATION AND WELLNESS SERVICES. 24588257 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 278 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X COMPLETE HEALTHCARE RESOURCES-EASTERN INC 2153285723 200 DRYDEN ROAD SUITE 3100 DRESHER PA 19025 BETSY BOYER PRESIDENT 20.00 X X 0 0 0 LARRY BICKFORD DIRECTOR 5.00 X 0 0 0 CARL RAUP TREASURER 5.00 X X 0 0 0 WILLIAM ROCKEY DIRECTOR 5.00 X 0 0 0 TOM CHARLES VICE PRESIDENT 10.00 X X 0 0 0 CONSTANCE CORL DIRECTOR 5.00 X 0 0 0 DONNA FICK DIRECTOR 5.00 X 0 0 0 DAVID GRAY BOARD MEMBER 5.00 X 0 0 0 JEFF STOVER BOARD MEMBER 10.00 X 0 0 0 ANDREW NAUGLE ADMINISTRATOR 40.00 X 116185 0 0 116185 0 0 1 0 0 0 PRIME TIME HEALTHCARE RN DIVISION C/O AMERICAN NATIONAL OMAHA NE 68130 AGENCY 2041935 PREMIER THERAPY LLC 110 CENTRAL SQUARE DRIVE BEAVER FALLS PA 15010 THERAPY SERVICES 1419791 CHR CONSULTING SERVICES 200 DRYDEN RD DRESHER PA 19025 MANAGEMENT SERVICES 863220 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 AGENCY 745555 4 1237861 786655 2024516 RESIDENT SERVICE REVEN 623000 19629595 19629595 19629595 37982 37982 OTHER INCOME 900099 32925 32925 32925 21725018 19629595 0 70907 X 9521152 9147701 373451 146662 146662 1881025 1858013 23012 696275 656665 39610 679665 679665 100473 100473 43025 43025 7659866 6893879 765987 123588 123588 302743 183868 118875 95634 95634 523300 130825 392475 2232 558 1674 756245 756245 2934615 2934615 358275 358275 SUPPLIES 1432512 1432512 BAD DEBT EXPENSE 214252 214252 EQUIPMENT RENTAL 193710 193710 MISCELLANEOUS EXPENSES 188408 327 188081 201726 117644 84082 28055383 24588257 3467126 0 1846 673 6296187 3903746 40000 1932191 2137723 436246 383854 275492 305106 45333860 5695458 42520952 39638402 4800000 4800000 56730 56730 56359644 51226234 3601215 5158980 34951452 34951452 700502 339692 39253169 40450124 X 17091589 10761224 14886 14886 17106475 10776110 56359644 51226234 -6330365 0 X 0 0 0 X 3604385 1058066 3394804 7022806 2024516 17104577 3604385 1058066 3394804 7022806 2024516 17104577 2301516 14803061 54692 61604 5278 9031 37982 168587 19026 35304 50367 125944 32925 263566 17536730 97622699 0.84410 0.81990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 127639 127639 0 2114885 2114885 34167257 3432017 30735240 3903871 682765 3221106 3920490 1094997 2825493 1227357 485679 741678 39638402 THIRD PARTY SETTLEMENTS 339692 339692 PART IV, LINE 2B: AS A CONVENIENCE TO ITS RESIDENTS, CENTRE CARE WILL HOLD, IN TRUST, THE PERSONAL FUNDS OF ITS RESIDENTS ALLOWING THEM TO MAKE PERSONAL EXPENDITURES IN ACCORDANCE WITH THE DEPARTMENT OF HEALTH REGULATIONS. THE FUNDS ARE NOT ASSETS OF THE FACILITY, AND AS SUCH, ARE NOT INCLUDED IN FORM 990, PART X. FORM 990, PART VI, SECTION A, LINE 3 CENTRE CARE HAS ENGAGED THIRD PARTY MANAGEMENT COMPANY CHR CONSULTING SERVICES, INC. ("CHR") TO OVERSEE DAY-TO-DAY OPERATIONS. ANDREW NAUGLE, ADMINISTRATOR OF THE FACILITY IS AN EMPLOYEE OF CHR - HIS COMPENSATION FOR 2021 FOR HIS WORK AT CENTRE CARE WAS $116,185. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL BY THE MANAGEMENT COMPANY AND THE CURRENT TREASURER OF THE ORGANIZATION AT THE TIME OF FILING, CURRENTLY CARL RAUP. THE MANAGEMENT HAS PROVIDED A "SHAREPOINT" SYSTEM ACCESS TO ALL FINANCIAL STATEMENTS, TAX RETURNS, OPERATING REPORTS, AND OTHER RELEVANT REPORTS. ALL MEMBERS OF THE BOARD HAVE ACCESS TO THIS SHAREPOINT SYSTEM IN ORDER TO REVIEW OR DOWNLOAD REPORTS OR DOCUMENTS. THE FORM 990 WILL BE POSTED ON SHAREPOINT AND MEMBERS WILL BE NOTIFIED OF ITS AVAILABILITY PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CODE OF CONDUCT AND CONFLICT OF INTEREST POLICIES TAKEN INTO CONSIDERATION IN EVALUATING AND AWARDING CONTRACTS; BOARD HAS ENGAGED THIRD PARTY MANAGEMENT COMPANY (CHR CONSULTING SERVICES "CHR") TO OVERSEE DAY-TO-DAY OPERATIONS, INCLUDING BIDS FOR CONTRACTS, AND THE MANAGEMENT COMPANY PROVIDES RECOMMENDATIONS TO THE BOARD FOR FINAL APPROVAL. CHRE PROVIDES ANNUAL TRAINING TO THE BOARD ON CORPORATE COMPLIANCE. THE COO OF CHR AND/OR RVP OF CHR, ALONG WITH ADMINISTRATOR ARE RESPONSIBLE FOR THE REVIEW AND MONITORING OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. DIRECTORS AND OFFICERS ARE REQUIRED TO SIGN OFF ON THE CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 NO BOARD MEMBER OR OFFICER RECEIVES COMPENSATION FOR THEIR SERVICES. THE ADMINISTRATOR OF THE FACILITY IS AN EMPLOYEE OF THE MANAGEMENT COMPANY, WHICH ESTABLISHES PAY RATES FOR ADMINISTRATOR POSITIONS IN LINE WITH THE PENNSYLVANIA MARKET PLACE. CANDIDATES AND ASSOCIATED COMPENSATION ARE REVIEWED BY MANAGEMENT COMPANY WITH BOARD PRIOR TO HIRING. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC BASED UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,893,879. MANAGEMENT AND GENERAL EXPENSES 765,987. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,659,866.