2021-11-15T11:40:16-06:00 2020-12-31 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2020-01-01 463243949 CENTRE CARE INC CENT 8142786000 250 PERSIA ROAD BELLEFONTE PA 168239525 RICHARD WISNIEWSKI TREASURER 8142786000 2021-11-10 1 RICHARD WISNIEWSKI 999009999 BRENDA L BOOTH P01342395 6177610600 2021-11-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CENTRE CREST RICHARD WISNIEWSKI 250 PERSIA ROAD BELLEFONTE PA 168239525 23424711 0 X WWW.CENTRECARE.ORG X 2013 PA OPERATION OF A SKILLED NURSING FACILITY 9 9 292 88 0 0 1058066 3394804 20979047 19974262 135585 5278 35304 50367 22208002 23424711 0 0 0 0 12408134 12442842 0 0 0 8815791 11566823 21223925 24009665 984077 -584954 33912908 59606537 10783722 37062305 23129186 22544232 PROVIDING FOR THE LONG-TERM CARE NEEDS OF THE RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA 0 0 21056080 19974262 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. 21056080 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 59 0 1 292 1 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 VICE-PRESIDENT 4.00 X X 0 0 0 CARL RAUP SECRETARY/TREASURER 4.00 X X 0 0 0 WILLIAM ROCKEY DIRECTOR 8.00 X 0 0 0 TOM CHARLES DIRECTOR 4.00 X 0 0 0 RICHARD WISNIEWSKI DIRECTOR 4.00 X 0 0 0 CONSTANCE CORL DIRECTOR 8.00 X 0 0 0 ALFRED JONES DIRECTOR 6.00 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 WARFEL CONSTRUCTION CO 1110 ENTERPRISE ROAD EAST PETERSBURG PA 17520 CONSTRUCTION 19769127 PREMIER THERAPY 110 CENTRAL SQUARE DR BEAVER FALLS PA 15010 THERAPY 1756766 COMPLETE HEALTHCARE RESOURCES-EASTERN IN 200 DRYDEN RD DRESHER PA 19025 MANAGEMENT SERVICES 1186113 DIRECT SUPPLY EQUIPMENT 6767 N INDUSTRIAL ROAD MILWAUKEE WI 53288 EQUIPMENT/SUPPLIES 1042322 ALLIED RESOURCES MEDICAL STAFFING 135 DOWLIN FORGE ROAD EXTON PA 19341 NURSING AGENCY 726946 16 2764683 630121 170000 3394804 RESIDENT SERVICE REVENUE 623000 19974262 19974262 19974262 5278 5278 OTHER INCOME 900099 50367 50367 50367 23424711 19974262 0 55645 X 9324749 8936964 387785 132623 132623 2418228 2368015 50213 567242 528795 38447 567132 567132 42142 42142 30825 30825 5968428 5371585 596843 98227 98227 132696 80093 52603 93182 93182 1870659 467665 1402994 2959 740 2219 16739 16739 304789 304789 275475 275475 SUPPLIES 1822856 1822856 EQUIPMENT RENTAL 227015 227015 REPAIRS & MAINTENANCE 61875 61875 PHYSICIAN FEES 33196 33196 18628 9885 8743 24009665 21056080 2953585 0 1652 5900 1633357 6699249 95240 58548 2643993 1545977 124645 705956 82572 40545 43828832 1064559 20123807 42764273 4800000 4800000 4407642 2986089 33912908 59606537 3540992 4768338 0 118882 7242730 29245680 0 2929405 10783722 37062305 X 19017748 19576947 4111438 2967285 23129186 22544232 33912908 59606537 -584954 0 X 0 1 X 1 1 1 X 111912 25618 3604385 1058066 3394804 8194785 111912 25618 3604385 1058066 3394804 8194785 2581850 5612935 35133 73182 54692 61604 5278 229889 114734 29248 19026 35304 50367 248679 8673353 101036485 0.64710 0.35420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 94340 65269 159609 0 1868019 1868019 286669 217672 68997 1221254 656006 565248 40452890 190881 40262009 42764273 CONTRIBUTED RENT 2952399 DEPOSITS 33690 2986089 THIRD PARTY SETTLEMENTS 588505 PPP LOAN 2340900 2929405 X 23424711 0 23424711 0 23424711 24009665 0 24009665 0 24009665 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. X DEAERATOR TANK 1 170000 FMV 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. 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.