2020-11-16T06:27:10-06:00 2019-12-31 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2019-01-01 463243949 CENTRE CARE INC CENT 8143556777 502 E HOWARD STREET BELLEFONTE PA 16823 CARL RAUP TREASURER 8143556777 2020-11-02 1 JOSEPH G SULLIVAN P00360476 6108622249 141.151.80.82 2020-11-02 15:06:22 ES P B733D0230BC1E85FE454EA9371E9F7442050598F F8927C13CB51048318AB2DD87F9210617D1B86CF 2019 2021-01-29 14:40:06Z CENTRE CREST CARL RAUP 502 E HOWARD STREET BELLEFONTE PA 16823 23808969 0 X WWW.CENTRECREST.ORG X 2013 PA OPERATION OF A SKILLED NURSING FACILITY 8 8 367 89 0 0 3611645 1058066 20370125 20979047 115837 135585 1814676 35304 25912283 22208002 0 0 0 0 12683307 12408134 0 0 0 9766391 8815791 22449698 21223925 3462585 984077 24013243 33912908 1868134 10783722 22145109 23129186 PROVIDING FOR THE LONG-TERM CARE NEEDS OF THE RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA 0 0 18368561 20979047 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 63,558 DAYS IN 2019 (77% OF TOTAL RESIDENTS SERVED). THE REIMBURSEMENT FOR THESE RESIDENTS WAS AN AVERAGE OF $204.26 PER DAY, WHILE THE COST OF PROVIDING SERVICE TO THESE RESIDENTS WAS APPROXIMATELY $225.95 PER DAY. REIMBURSEMENT WAS APPROXIMATELY $1,378,718 LESS THAN THE COST TO PROVIDE SERVICES TO THESE LOW INCOME MEDICAID ELIGIBLE RESIDENTS - THIS SHORTFALL CONSTITUTES "CHARITY CARE" PROVIDED BY CENTRE CREST. 18368561 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 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 55 0 1 367 1 0 0 0 0 0 0 0 0 0 0 X 8 8 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 2000 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 12739513 PREMIER THERAPY 110 CENTRAL SQUARE DR BEAVER FALLS PA 15010 THERAPY 1383436 COMPLETE HEALTHCARE RESOURCES-EASTERN IN 200 DRYDEN RD DRESHER PA 19025 MANAGEMENT SERVICES 993638 DIAMOND PHARMACY SERVICES 645 KOLTER DRIVE INDIANA PA 15701 MEDICAL SUPPLIES 532028 NOELKER & HULL ARCHITECTURE 30 WEST KING ST CHAMBERSBURG PA 17201 ARCHITECTURAL SERVICES 357187 12 1058066 1058066 RESIDENT SERVICE REVENUE 623000 20979047 20979047 20979047 61604 61604 1674948 1600967 73981 73981 73981 OTHER INCOME 900099 35304 35304 35304 22208002 20979047 0 170889 X 9266125 8733919 532206 119873 119873 2341932 2299846 42086 680204 640054 40150 638693 638693 35959 35959 39015 39015 3712149 3340934 371215 96679 96679 209965 153998 55967 82229 82229 1872531 468133 1404398 10785 2696 8089 157626 157626 230879 230879 SUPPLIES 1334818 1334818 EQUIPMENT RENTAL 207579 207579 REPAIRS & MAINTENANCE 82997 82997 PHYSICIAN FEES 65013 65013 38874 11376 27498 21223925 18368561 2855364 0 1600 1652 5096814 1633357 95240 2588364 2643993 117285 124645 45244 82572 20883577 759770 4328086 20123807 1600967 0 4800000 4800000 5434883 4407642 24013243 33912908 1868134 3540992 0 7242730 1868134 10783722 X 14238830 19017748 7906279 4111438 22145109 23129186 24013243 33912908 984077 0 X 0 1 X 0 1 1 X 143912 111912 25618 3604385 1058066 4943893 143912 111912 25618 3604385 1058066 4943893 3014144 1929749 11460 35133 73182 54692 61604 236071 69918 114734 29248 19026 35304 268230 5448194 100519360 0.35420 0.89820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 132316 37976 94340 1 1842019 1842019 113203 34397 78806 1127725 559393 568332 17800630 165980 17634650 20123807 CONTRIBUTED RENT 4051552 DEPOSITS 33690 THIRD PARTY SETTLEMENTS 322400 4407642 X 22200593 0 22200593 7409 7409 22208002 21216516 0 21216516 7409 7409 21223925 PART X, LINE 2: CENTRE CARE, INC. IS A NOT-FOR-PROFIT CORPORATION AND IS RECOGNIZED AS EXMPT 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. CENTRE CARE, INC. 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 AUTHRORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTANTIES 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. CENTRE CARE, INC. HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, CENTRE CARE, INC. HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. CENTRE CARE, INC. BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2016. 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 2019 FOR HIS WORK AT CENTRE CARE WAS $176,801. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL BY THE MANAGEMENT COMPANY AND CARL RAUP, SECRETARY/TREASURER OF THE BOARD. 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 3,340,934. MANAGEMENT AND GENERAL EXPENSES 371,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,712,149.