CENTRE CARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CENTRE CARE INC (EIN 46-3243949)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202103199349309910
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T11:40:16-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	263753134	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CBIZ MHM LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 BOYLSTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02116	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	463243949	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRE CARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	8142786000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 PERSIA ROAD	AddressLine1Txt
City	BELLEFONTE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	168239525	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD WISNIEWSKI	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	8142786000	PhoneNum
Signature	2021-11-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	RICHARD	PersonFirstNm
Person Last	WISNIEWSKI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRENDA L BOOTH	PreparerPersonNm
PTIN	P01342395	PTIN
Phone	6177610600	PhoneNum
Preparation	2021-11-10	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRE CREST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	RICHARD WISNIEWSKI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 PERSIA ROAD	AddressLine1Txt
City	BELLEFONTE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	168239525	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$23,424,711	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CENTRECARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2013	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	OPERATION OF A SKILLED NURSING FACILITY	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	292	TotalEmployeeCnt
Total Volunteers	88	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,058,066	PYContributionsGrantsAmt
CY Contributions Grants	$3,394,804	CYContributionsGrantsAmt
PY Program Service Revenue	$20,979,047	PYProgramServiceRevenueAmt
CY Program Service Revenue	$19,974,262	CYProgramServiceRevenueAmt
PY Investment Income	$135,585	PYInvestmentIncomeAmt
CY Investment Income	$5,278	CYInvestmentIncomeAmt
PY Other Revenue	$35,304	PYOtherRevenueAmt
CY Other Revenue	$50,367	CYOtherRevenueAmt
PY Total Revenue	$22,208,002	PYTotalRevenueAmt
CY Total Revenue	$23,424,711	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$12,408,134	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,442,842	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,815,791	PYOtherExpensesAmt
CY Other Expenses	$11,566,823	CYOtherExpensesAmt
PY Total Expenses	$21,223,925	PYTotalExpensesAmt
CY Total Expenses	$24,009,665	CYTotalExpensesAmt
PY Revenues Less Expenses	$984,077	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$584,954	CYRevenuesLessExpensesAmt
Total Assets BOY	$33,912,908	TotalAssetsBOYAmt
Total Assets EOY	$59,606,537	TotalAssetsEOYAmt
Total Liabilities BOY	$10,783,722	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$37,062,305	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$23,129,186	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$22,544,232	NetAssetsOrFundBalancesEOYAmt
Mission	PROVIDING FOR THE LONG-TERM CARE NEEDS OF THE RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$21,056,080	ExpenseAmt
Revenue	$19,974,262	RevenueAmt
Desc	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 CREST HAD A TOTAL CENSUS FOR LOW INCOME MEDICAID RESIDENTS OF 61,260 DAYS IN 2020 (80% OF TOTAL RESIDENTS SERVED). THE REIMBURSEMENT FOR THESE RESIDENTS WAS AN AVERAGE OF $203.83 PER DAY, WHILE THE COST OF PROVIDING SERVICE TO THESE RESIDENTS WAS APPROXIMATELY $283.55 PER DAY. REIMBURSEMENT WAS APPROXIMATELY $4,883,395 LESS THAN THE COST TO PROVIDE SERVICES TO THESE LOW INCOME MEDICAID ELIGIBLE RESIDENTS - THIS SHORTFALL CONSTITUTES "CHARITY CARE" PROVIDED BY CENTRE CREST.	Desc
Total Program Service Expenses	$21,056,080	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	59	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	292	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMPLETE HEALTHCARE RESOURCES-EASTERN INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2153285723	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 DRYDEN ROAD SUITE 3100	AddressLine1Txt
City	DRESHER	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19025	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
BETSY BOYER
PRESIDENT	20.00	Yes (X)	Yes (X)	$0	$0	$0
LARRY BICKFORD
VICE-PRESIDENT	4.00	Yes (X)	Yes (X)	$0	$0	$0
CARL RAUP
SECRETARY/TREASURER	4.00	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM ROCKEY
DIRECTOR	8.00	Yes (X)		$0	$0	$0
TOM CHARLES
DIRECTOR	4.00	Yes (X)		$0	$0	$0
RICHARD WISNIEWSKI
DIRECTOR	4.00	Yes (X)		$0	$0	$0
CONSTANCE CORL
DIRECTOR	8.00	Yes (X)		$0	$0	$0
ALFRED JONES
DIRECTOR	6.00	Yes (X)		$0	$0	$0
DONNA FICK
DIRECTOR	4.00	Yes (X)		$0	$0	$0
ANDREW NAUGLE
ADMINISTRATOR	40.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WARFEL CONSTRUCTION CO
1110 ENTERPRISE ROAD	EAST PETERSBURG	PA	17520	CONSTRUCTION	$19,769,127
PREMIER THERAPY
110 CENTRAL SQUARE DR	BEAVER FALLS	PA	15010	THERAPY	$1,756,766
COMPLETE HEALTHCARE RESOURCES-EASTERN IN
200 DRYDEN RD	DRESHER	PA	19025	MANAGEMENT SERVICES	$1,186,113
DIRECT SUPPLY EQUIPMENT
6767 N INDUSTRIAL ROAD	MILWAUKEE	WI	53288	EQUIPMENT/SUPPLIES	$1,042,322
ALLIED RESOURCES MEDICAL STAFFING
135 DOWLIN FORGE ROAD	EXTON	PA	19341	NURSING AGENCY	$726,946

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,764,683	GovernmentGrantsAmt
All Other Contributions	$630,121	AllOtherContributionsAmt
Noncash Contributions	$170,000	NoncashContributionsAmt
Total Contributions	$3,394,804	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	RESIDENT SERVICE REVENUE	Desc
Business	623000	BusinessCd
Total Revenue Column	$19,974,262	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,974,262	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$19,974,262	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,278	TotalRevenueColumnAmt
Exclusion	$5,278	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$50,367	TotalRevenueColumnAmt
Exclusion	$50,367	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$50,367	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,424,711	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,974,262	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$55,645	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$9,324,749	TotalAmt
Program Services	$8,936,964	ProgramServicesAmt
Management And General	$387,785	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$132,623	TotalAmt
Management And General	$132,623	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,418,228	TotalAmt
Program Services	$2,368,015	ProgramServicesAmt
Management And General	$50,213	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$567,242	TotalAmt
Program Services	$528,795	ProgramServicesAmt
Management And General	$38,447	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$567,132	TotalAmt
Program Services	$567,132	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$42,142	TotalAmt
Management And General	$42,142	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,825	TotalAmt
Management And General	$30,825	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,968,428	TotalAmt
Program Services	$5,371,585	ProgramServicesAmt
Management And General	$596,843	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$98,227	TotalAmt
Management And General	$98,227	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$132,696	TotalAmt
Program Services	$80,093	ProgramServicesAmt
Management And General	$52,603	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$93,182	TotalAmt
Management And General	$93,182	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,870,659	TotalAmt
Program Services	$467,665	ProgramServicesAmt
Management And General	$1,402,994	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,959	TotalAmt
Program Services	$740	ProgramServicesAmt
Management And General	$2,219	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,739	TotalAmt
Management And General	$16,739	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$304,789	TotalAmt
Program Services	$304,789	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$275,475	TotalAmt
Program Services	$275,475	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
SUPPLIES	$1,822,856	$1,822,856
EQUIPMENT RENTAL	$227,015	$227,015
REPAIRS & MAINTENANCE	$61,875	$61,875
PHYSICIAN FEES	$33,196	$33,196

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,628	TotalAmt
Program Services	$9,885	ProgramServicesAmt
Management And General	$8,743	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,009,665	TotalAmt
Program Services	$21,056,080	ProgramServicesAmt
Management And General	$2,953,585	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,652	BOYAmt
EOY	$5,900	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,633,357	BOYAmt
EOY	$6,699,249	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$95,240	BOYAmt
EOY	$58,548	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,643,993	BOYAmt
EOY	$1,545,977	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$124,645	BOYAmt
EOY	$705,956	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$82,572	BOYAmt
EOY	$40,545	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$43,828,832	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,064,559	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$20,123,807	BOYAmt
EOY	$42,764,273	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,800,000	BOYAmt
EOY	$4,800,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,407,642	BOYAmt
EOY	$2,986,089	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,912,908	BOYAmt
EOY	$59,606,537	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,540,992	BOYAmt
EOY	$4,768,338	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$118,882	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,242,730	BOYAmt
EOY	$29,245,680	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,929,405	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,783,722	BOYAmt
EOY	$37,062,305	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,017,748	BOYAmt
EOY	$19,576,947	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,111,438	BOYAmt
EOY	$2,967,285	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$23,129,186	BOYAmt
EOY	$22,544,232	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$33,912,908	BOYAmt
EOY	$59,606,537	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$584,954	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$111,912	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$25,618	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,604,385	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,058,066	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,394,804	CurrentTaxYearAmt
Total	$8,194,785	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$111,912	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$25,618	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,604,385	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,058,066	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,394,804	CurrentTaxYearAmt
Total	$8,194,785	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$2,581,850	SubstantialContributorsTotAmt
Public Support Total170	$5,612,935	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$35,133	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$73,182	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$54,692	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$61,604	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,278	CurrentTaxYearAmt
Total	$229,889	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$114,734	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$29,248	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$19,026	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$35,304	CurrentTaxYearMinus1YearAmt
Current Tax Year	$50,367	CurrentTaxYearAmt
Total	$248,679	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$8,673,353	TotalSupportAmt
Gross Receipts Rltd Activities	$101,036,485	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.64710	PublicSupportCY170Pct
Public Support PY170	0.35420	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	Yes (1)	AgentTrusteeEtcInd
Beginning Balance	$94,340	BeginningBalanceAmt
Additions During Year	$65,269	AdditionsDuringYearAmt
Ending Balance	$159,609	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,868,019	OtherCostOrOtherBasisAmt
Book Value	$1,868,019	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$286,669	OtherCostOrOtherBasisAmt
Depreciation	$217,672	DepreciationAmt
Book Value	$68,997	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,221,254	OtherCostOrOtherBasisAmt
Depreciation	$656,006	DepreciationAmt
Book Value	$565,248	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,452,890	OtherCostOrOtherBasisAmt
Depreciation	$190,881	DepreciationAmt
Book Value	$40,262,009	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$42,764,273	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
CONTRIBUTED RENT	$2,952,399
DEPOSITS	$33,690

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,986,089	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
THIRD PARTY SETTLEMENTS	$588,505
PPP LOAN	$2,340,900

Field	Value	IRS element (for citing)
Total Liability	$2,929,405	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$23,424,711	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$23,424,711	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$23,424,711	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$24,009,665	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$24,009,665	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$24,009,665	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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, 2017.

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.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	DEAERATOR TANK	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$170,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2020 FOR HIS WORK AT CENTRE CARE WAS $165,798.
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 RICHARD WISNIEWSKI. 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 1,791,640. MANAGEMENT AND GENERAL EXPENSES 199,071. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,990,711. CERTIFIED NURSING: PROGRAM SERVICE EXPENSES 2,341,446. MANAGEMENT AND GENERAL EXPENSES 260,161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,601,607. PHYSICAL THERAPISTS: PROGRAM SERVICE EXPENSES 561,410. MANAGEMENT AND GENERAL EXPENSES 62,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 623,789. OCCUPATIONAL THERAPISTS: PROGRAM SERVICE EXPENSES 677,089. MANAGEMENT AND GENERAL EXPENSES 75,232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 752,321.