2019-11-13T09:44:42-06:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1000 COMMERCE PARK DR WILLIAMSPORT PA 17701 990 2018-01-01 463243949 CENTRE CARE INC CENT 8143556777 502 E HOWARD STREET BELLEFONTE PA 16823 CARL RAUP TREASURER 8143556777 2019-11-12 1 JAIME L KUNTZ CPA P01272711 5703236023 2019-11-12 96.89.178.154 2019-11-12 15:32:00 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D55C9BF7EA9CC92FF5CD8A3B56631CEAE08BA54E 2018 2020-01-14 16:20:31Z CENTRE CREST BETSY BOYER 502 E HOWARD STREET BELLEFONTE PA 16823 28316955 0 X WWW.CENTRECREST.ORG X 2013 PA OPERATION OF A SKILLED NURSING FACILITY 8 8 371 100 0 0 25618 3611645 20259188 20370125 105723 115837 1812804 1814676 22203333 25912283 0 0 0 0 12476861 12683307 0 0 0 9551089 9766391 22027950 22449698 175383 3462585 20634535 24145559 1799675 2000450 18834860 22145109 PROVIDING FOR THE LONG-TERM CARE NEEDS OF THE RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA 0 0 20488314 0 22165577 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 64,761 DAYS IN 2018 (79% OF TOTAL RESIDENTS SERVED). THE REIMBURSEMENT FOR THESE RESIDENTS WAS AN AVERAGE OF $202.76 PER DAY, WHILE THE COST OF PROVIDING SERVICE TO THESE RESIDENTS WAS APPROXIMATELY $223.78 PER DAY. REIMBURSEMENT WAS APPROXIMATELY $1,361,366 LESS THAN THE COST TO PROVIDE SERVICES TO THESE LOW INCOME MEDICAID ELIGIBLE RESIDENTS - THIS SHORTFALL CONSTITUTES "CHARITY CARE" PROVIDED BY CENTRE CREST. 20488314 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 51 0 371 1 0 0 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 ANDREW NAUGLE ADMINISTRATOR 8143556777 502 E HOWARD STREET BELLEFONTE PA 16823 X BETSY BOYER PRESIDENT 4.00 X X 0 0 0 LARRY BICKFORD VICE PRESIDENT 2.00 X X 0 0 0 CARL RAUP SECRETARY/TREASURER 2.00 X X 0 0 0 RICH WISNIEWSKI DIRECTOR 2.00 X 0 0 0 ALFRED JONES JR DIRECTOR 2.00 X 0 0 0 WILLIAM H ROCKEY DIRECTOR 2.00 X 0 0 0 TOM CHARLES DIRECTOR 2.00 X 0 0 0 CONSTANCE CORL DIRECTOR 2.00 X 0 0 0 ANDREW NAUGLE ADMINISTRATOR 40.00 X 0 0 0 0 0 0 0 0 0 0 APEX REHAB SOLUTIONS 209 SIGMA DR PITTSBURGH PA 15238 NURSING AGENCY STAFFING 1873450 COMPLETE HEALTH CARE RESOURCES EASTERN 200 DRYDEN RD DRESHER PA 19025 MANAGEMENT SERVICES 993001 NOELKER AND HULL ASSOC INC 30 WEST KING ST CHAMBERSBURG PA 17201 ARCHITECTURAL SERVICES 909849 ALLIED RESOURCES MEDICAL STAFFING 135 DOWLIN FORGE RD EXTON PA 19341 NURSING AGENCY STAFFING 274132 THE HARTMAN AGENCY INC 1051 SHILOH RD STATE COLLEGE PA 16801 INSURANCE BROKERING 210987 9 7260 3604385 3611645 ROOM & BOARD 623000 19108165 19108165 ANCILLARY SERVICES 623000 1261960 1261960 20370125 54692 54692 2461315 2400170 61145 61145 61145 4700 7260 4502 198 198 PA NURSING HOME ASSESSMENT 623000 1795452 1795452 FOOD 900099 3795 3795 VENDING 900099 2240 2240 12991 12991 1814478 25912283 22165577 0 135061 X 9460366 8918865 541501 130944 130944 2395637 2353002 42635 696360 655570 40790 541706 541706 42876 42876 37090 37090 18089 18089 3053528 2746670 306858 51213 51213 394758 236726 158032 56634 56634 1744145 1325940 418205 5471 1176 4295 141999 141999 197263 197263 PA NURSING HOME ASSESSM 1434767 1434767 MEDICAL SUPPLIES 741977 741977 DIETARY SUPPLIES 649642 649642 MAINTENANCE & SUPPLIES 359843 315493 44350 295390 227518 67872 22449698 20488314 1961384 0 1600 1600 2166395 5096814 2537723 2588364 125858 117285 33779 45244 4930229 602143 1027111 4328086 3158772 1600967 4800000 4800000 6783297 5567199 20634535 24145559 1674217 1868134 125458 132316 1799675 2000450 X 12475710 14238830 6359150 7906279 18834860 22145109 20634535 24145559 3462585 -152336 0 X 0 1 X 1 0 X 195683 143912 111265 25618 3604385 4080863 195683 143912 111265 25618 3604385 4080863 4080863 2219 11460 35133 73182 54692 176686 52754 69918 114734 29248 19026 285680 4543229 104360635 0.89820 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FOOD - 2014 AMOUNT: $ 47,978. 2015 AMOUNT: $ 63,872. 2016 AMOUNT: $ 7,786. 2017 AMOUNT: $ 5,946. 2018 AMOUNT: $ 3,795. VENDING - 2014 AMOUNT: $ 4,664. 2015 AMOUNT: $ 5,982. 2016 AMOUNT: $ 1,874. 2017 AMOUNT: $ 1,854. 2018 AMOUNT: $ 2,240. MISCELLANEOUS - 2014 AMOUNT: $ 112. 2015 AMOUNT: $ 64. 2017 AMOUNT: $ 3,520. 2018 AMOUNT: $ 12,991. BAD DEBT RECOVERY - 2016 AMOUNT: $ 105,074. DURABLE MEDICAL EQUIPMENT - 2017 AMOUNT: $ 17,928. 0 1 X 1786755 1786755 113203 24587 88616 1189525 577556 611969 1840746 1840746 4328086 RESIDENT TRUST FUNDS 132316 CONTRIBUTED RENT 5181879 DEPOSITS 33690 THIRD PARTY PAYOR SETTLEMENTS 219314 5567199 X 25746360 -152336 -18089 -170425 25916785 -4502 -4502 25912283 22436111 4502 4502 22431609 18089 18089 22449698 PART IV, LINE 2B: ESCROW ACCOUNTS ARE PATIENT FUNDS HELD IN TRUST FOR THEIR PERSONAL EXPENDITURES IN ACCORDANCE WITH DEPARTMENT OF HEALTH REGULATIONS. PART X, LINE 2: THE ORGANIZATION FOLLOWS THE PROVISIONS OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE PROVISION ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURES. MANAGEMENT HAS DETERMINED THAT THESE PROVISIONS DO NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED TO REVENUES ON THE FINANCIALS -18,089. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -4,502. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 4,502. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED TO REVENUES ON THE FINANCIALS 18,089. 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 2018 FOR HIS WORK AT CENTRE CARE WAS $160,040. 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 COMPANY 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, "CHR") TO OVERSEE DAY-TO-DAY OPERATIONS, INCLUDING BIDS FOR CONTRACTS AND MANAGEMENT COMPANY PROVIDES RECOMMENDATIONS TO BOARD FOR FINAL APPROVAL. CHR 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 THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY WILL BE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 24,833. MANAGEMENT AND GENERAL EXPENSES 17,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,864. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 28,267. MANAGEMENT AND GENERAL EXPENSES 184,111. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212,378. NURSING AGENCY FEES: PROGRAM SERVICE EXPENSES 599,090. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 599,090. PHYSICIAN/NURSING FEES: PROGRAM SERVICE EXPENSES 47,670. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,670. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 105,716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,716. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,835,539. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,835,539. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 211,271. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 211,271.