2022-11-14T10:58:33-06:00 2021-12-31 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2021-01-01 463243949 CENTRE CARE INC CENT 8142786000 250 PERSIA ROAD BELLEFONTE PA 168239525 CARL RAUP TREASURER 8142786000 2022-11-10 1 CARL RAUP 999009999 BRENDA L BOOTH P01342395 6177610600 2022-11-10 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CENTRE CARE REHABILITATION AND WELLNESS SERVICES CARL RAUP 250 PERSIA ROAD BELLEFONTE PA 168239525 23641829 0 X WWW.CENTRECARE.ORG X 2013 PA OPERATION OF A SKILLED NURSING FACILITY 9 9 497 60 0 0 3394804 7022806 19974262 16669670 5278 -374128 50367 -59678 23424711 23258670 0 0 0 0 12442842 12544331 0 0 0 11566823 13408885 24009665 25953216 -584954 -2694546 59606537 56359644 37062305 39253169 22544232 17106475 X PROVIDING FOR THE LONG-TERM CARE NEEDS OF THE RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA 0 0 22942832 16669670 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 40,897 DAYS IN 2021 (80% OF TOTAL RESIDENTS SERVED). THE REIMBURSEMENT FOR THESE RESIDENTS WAS AN AVERAGE OF $287.32 PER DAY, WHILE THE COST OF PROVIDING SERVICE TO THESE RESIDENTS WAS APPROXIMATELY $392.42 PER DAY. REIMBURSEMENT WAS APPROXIMATELY $4,298,486 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. 22942832 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 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 1 52 0 1 497 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 X BETSY BOYER PRESIDENT 20.00 X X 0 0 0 LARRY BICKFORD DIRECTOR 4.00 X 0 0 0 CARL RAUP DIRECTOR 4.00 X 0 0 0 WILLIAM ROCKEY DIRECTOR 4.00 X 0 0 0 TOM CHARLES VICE PRESIDENT 8.00 X X 0 0 0 RICHARD WISNIEWSKI TREASURER 8.00 X X 0 0 0 CONSTANCE CORL DIRECTOR 4.00 X 0 0 0 ALFRED JONES DIRECTOR 4.00 X 0 0 0 DONNA FICK DIRECTOR 4.00 X 0 0 0 ANDREW NAUGLE ADMINISTRATOR 40.00 X 0 0 0 0 0 0 0 0 0 0 PRIME TIME HEALTHCARE RN DIVISION C/O AMERICAN NATIONAL OMAHA NE 68130 AGENCY 704720 CHR CONSULTING SERVICES 200 DRYDEN RD DRESHER PA 19025 MANAGEMENT SERVICES 598720 ALLIED RESOURCES MEDICAL STAFFING 135 DOWLIN FORGE ROAD EXTON PA 19341 NURSING AGENCY 393126 MARVEL MEDICAL STAFFING LLC 13275 SEWARD ST OMAHA NE 68154 AGENCY 302848 DEDICATED NURSING ASSOCIATES 6536 WILLIAM PENN HIGHWAY SR 22 S DELMONT PA 15626 AGENCY 175569 8 6912719 110087 7022806 RESIDENT SERVICE REVENUE 623000 16669670 16669670 16669670 9031 9031 383159 -383159 -383159 -383159 OTHER INCOME 900099 125944 125944 NON OPERATING 900099 -185622 -185622 -59678 23258670 16669670 0 -433806 X 9231766 8696104 535662 124200 124200 2518709 2480224 38485 669656 629035 40621 639345 639345 95506 95506 50000 50000 6092164 5482948 609216 144308 144308 149387 92576 56811 99566 99566 837213 209303 627910 3117 779 2338 580020 580020 2458546 2458546 342983 342983 SUPPLIES 1562834 1562834 EQUIPMENT RENTAL 248173 248173 PHYSICIAN FEES 48107 48107 REPAIRS & MAINTENANCE 31276 31276 26340 20599 5741 25953216 22942832 3010384 0 5900 1846 6699249 6296187 58548 40000 1545977 1932191 705956 436246 40545 275492 45281795 2760843 42764273 42520952 4800000 4800000 2986089 56730 59606537 56359644 4768338 3601215 118882 0 29245680 34951452 2929405 700502 37062305 39253169 X 19576947 17091589 2967285 14886 22544232 17106475 59606537 56359644 X -2694546 -2743211 X 0 1 X 1 1 1 X 25618 3604385 1058066 3394804 7022806 15105679 25618 3604385 1058066 3394804 7022806 15105679 2340864 12764815 73182 54692 61604 5278 9031 203787 29248 19026 35304 50367 125944 259889 15569355 98252292 0.81990 0.64710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 159609 31970 127639 0 2114885 2114885 34157434 1558347 32599087 3903871 310343 3593528 3893105 644017 3249088 1212500 248136 964364 42520952 THIRD PARTY SETTLEMENTS 700502 700502 X 20515459 -2743211 -2743211 23258670 0 23258670 25953216 0 25953216 0 25953216 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE COMMONWEALTH ACT OF MAY 5, 1933, KNOWN AS THE NONPROFIT ORGANIZATION LAW AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON ABANDONMENT OF CONTRIBUTED RENT 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 (COMPLETE HEALTHCARE RESOURCES-EASTERN, INC. "CHRE") TO OVERSEE DAY-TO-DAY OPERATIONS. ANDREW NAUGLE, ADMINISTRATOR OF THE FACILITY IS AN EMPLOYEE OF CHRE - HIS COMPENSATION FOR 2021 FOR HIS WORK AT CENTRE CARE WAS $135,712. 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 (COMPLETE HEALTHCARE RESOURCES-EASTERN, INC. "CHRE") 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 CHRE AND/OR RVP OF CHRE, 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 5,482,948. MANAGEMENT AND GENERAL EXPENSES 609,216. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,092,164. FORM 990, PART XI, LINE 9: LOSS ON ABANDONMENT OF CONTRIBUTED RENT -2,743,211.