2019-11-14T06:48:37-08:00 2018-12-31 GORDON & GORDON PC 9850 N 950 E BROWNSBURG IN 46112 990 2018-01-01 351877441 Community LTC Inc COMM 7652032681 1030 South Scatterfield Rd Anderson IN 46012 Diana Smith Chief Financial Officer 7652032681 2019-11-13 true DON GATLIN P00019229 3178525292 2019-11-14 174.241.10.163 2019-11-14 06:48:29 PS P C2B05DEBF0568CB039060EDD10E0E692C28F8476 0F8E993CC5891774D115800483602B1454A4D8D3 2018 2020-04-17 16:48:07Z Elizabeth Harpe 1030 South Scatterfield Rd Anderson IN 46012 9615824 false X N/A X 1993 IN To provide room, board, and nursing care services as well as assisted living services to elderly citizens of Madison and surrounding counties. 5 2 338 115 0 0 8217 0 11352143 9603404 2118 3754 36967 8666 11399445 9615824 0 0 10816007 9225384 0 0 770009 1085181 11586016 10310565 -186571 -694741 15541222 14057091 1016168 226778 14525054 13830313 To provide room, board, and nursing care services as well as assisted living services to elderly citizens of Madison and surrounding counties. false false 9403149 0 9603404 Community Long Term Care, Inc. ("CLTC") operates 3 nursing facilities with a total of 254 licensed beds of which 193 are licensed as skilled nursing beds and 1 assisted living facility. The facility provides long term nursing care or assisted living to area residents who need such services. CLTC participates in the Medicare, Medicaid, Tri-Care, and other government sponsored health care programs as well as private managed care and other health insurance programs. The staff at CLTC make every effort to provide quality services to the residents. Goals are to 1) meet or exceed expectations, 2) display a positive and energetic attitude, 3) honor the dignity, value and involvement of others, 4) provide high quality services at a reasonable cost, and 5) continously improve services. The CLTC governing body includes independent members of the community. 9403149 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 0 0 true 338 true false false false false false false false false false false X 5 2 false false false false false true false true true true false true true true true true true true true false IN X Diana Smith 7652032681 1030 South Scatterfield Rd Anderson IN 46012 Elizabeth Tharp Director & Pres/CEO 0.50 X 0 442303 207180 John Harris Secretary/Treasurer 0.50 X 0 335461 140116 Mary Jo Lee Chairman 0.50 X 0 0 0 Garland Antrim Member-Board of Directors 0.50 X 0 0 0 Dr Kelly Chambers Member-Board of Directors 0.50 X 0 0 0 Elizabeth Harpe Director of Senior Services 40.00 X 144115 0 4331 Diana Smith CFO 40.00 X 146464 0 26064 Jay Ricker Chairman 0.50 X 0 0 0 290579 777764 377691 2 false true false Program Service Revenue 623000 9603404 0 0 9603404 3754 0 3754 Misc. Income 623000 8666 0 0 8666 8666 9615824 9603404 0 12420 290579 0 290579 0 7320766 6907553 413213 0 1118027 1017405 100622 0 496012 451371 44641 0 1373 1373 0 0 17514 17514 0 0 1050154 996014 54140 0 921 0 921 0 15219 11919 3300 0 10310565 9403149 907416 0 4402113 2339513 4678080 6008783 7192 5779 11378694 5675678 6453837 5703016 15541222 14057091 117370 217265 870426 28372 9513 1016168 226778 X 14525054 13830313 14525054 13830313 15541222 14057091 -694741 X false true X true false X 0 0 0 0 0 8217 0 8217 14215973 12384807 13226721 11352143 9603404 60783048 0 0 14215973 12384807 13226721 11360360 9603404 60791265 0 0 0 60791265 197 174 119 2118 3754 6362 197 174 119 2118 3754 6362 2881 1866 8210 36967 8666 58590 60856217 0.99890 0.99920 0.00010 0.00000 X Pt III Ln 12 Other Income Part III, Line 12 Description: Other Income 2014: 2881. 2015: 1866. 2016: 8210. 2017: 36967. 2018: 8666. 0 279072 279072 3465520 2447024 1018496 6230226 2422293 3807933 1373446 806361 567085 30430 30430 5703016 Resident Funds 9513 9513 X X false false false false false false false false false Elizabeth Tharp 0 342604 0 60246 0 39453 0 190607 0 16573 0 649483 0 60246 John Harris 0 267148 0 32446 0 35867 0 113418 0 26698 0 475577 0 32446 Diana Smith 146464 0 0 0 0 0 4631 0 21432 0 172527 0 0 0 Elizabeth Harpe 144115 0 0 0 0 0 4331 0 0 0 148446 0 0 0 Pt VI, Line 7a Three members of the Board of Directors are designated Pt VI, Line 7a directors. These designated directors are (1) a member Pt VI, Line 7a of the Board of Directors, (2) the President and Chief Pt VI, Line 7a Executive Officer and (3) the Vice President and Chief Pt VI, Line 7a Financial Officer of Community Hospital of Anderson and Pt VI, Line 7a Madison County, Inc. The remaining two or more directors are Pt VI, Line 7a independent members of the community and are elected by the Pt VI, Line 7a Community LTC, Inc. Board of Directors. Pt VI, Line 12c The board of directors and key employees are required to Pt VI, Line 12c sign the conflict of interest policy and disclose any Pt VI, Line 12c conflicts at the beginning of every Board Meeting and Pt VI, Line 12c on an annual basis. Pt VI, Line 15a Top management compensation of Community Long Term Care Pt VI, Line 15a is determined by related organization Community Hospital of Pt VI, Line 15a Anderson and Madison County, Inc. Pt VI, Line 15a Community LTC, Inc. participates in a state and national Pt VI, Line 15a industry trade association which conducts an annual wage Pt VI, Line 15a survey - this survey is utilized for evaluation of salaries Pt VI, Line 15a and wages. Pt VI, Line 15b Other officers compensation of Community Long Term care Pt VI, Line 15b is determined by related organization Community Hospital of Pt VI, Line 15b Anderson and Madison County, Inc. Pt VI, Line 15b Community LTC, Inc. participates in a state and national Pt VI, Line 15b industry trade association which conducts an annual wage Pt VI, Line 15b survey - this survey is utilized for evaluation of salaries Pt VI, Line 15b and wages. Pt VI, Line 19 A) The articles of incorporation and certificate of Pt VI, Line 19 existence are on file with the Indiana Secretary of State Pt VI, Line 19 and are available to the public upon request to the Pt VI, Line 19 Indiana Secretary of State. Pt VI, Line 19 B) Community LTC, Inc. conflict of interest policy is Pt VI, Line 19 available to the public upon request. Pt VI, Line 19 C) Community LTC, Inc. does not have individually audited Pt VI, Line 19 financial statements. Its financial results are included Pt VI, Line 19 in the consolidated financial statements of Community Pt VI, Line 19 Health Network, Inc. and Affiliates, which are audited Pt VI, Line 19 by an independent accounting firm. As a result there are Pt VI, Line 19 no individual financial statements available to post. Pt VI, Line 19 Community LTC, Inc. does file the Form 990 tax return, Pt VI, Line 19 Medicaid and Medicare Cost Reports with the appropriate Pt VI, Line 19 agencies on an annual basis. The Form 990 tax return is Pt VI, Line 19 available upon request and/or available on a delayed Pt VI, Line 19 basis on GuideStar.com. The Medicaid and Medicare Pt VI, Line 19 Cost Reports are available via Freedom of Information Pt VI, Line 19 Request filed with the applicable agencies. Pt VI, Line 11b A complete copy of the Form 990 is provided to the members Pt VI, Line 11b of the board of directors of the organization. The Form 990 Pt VI, Line 11b is reviewed and discussed by the governing body at a meeting Pt VI, Line 11b before finalization and filing. Form 990, Part VI, Line 9 Elizabeth Tharp 1515 N. Madison Ave Anderson IN 46011 Form 990, Part VI, Line 9 John Harris 1515 N. Madison Ave Anderson IN 46011 Form 990, Part VI, Line 9 Jay Ricker 6320 West Foster Branch Dr. Pendleton IN 46064 Form 990, Part VI, Line 9 Garland Antrim 8562 N 700 W Frankton IN 46044 Form 990, Part VI, Line 9 Dr. Kelley Chambers 9739 W. 400N. Noblesville IN 46060 Form 990, Part IX, Line 24e Miscellaneous Expense 2852. 0. 2852. 0. Form 990, Part IX, Line 24e Bank Fees 448. 0. 448. 0. Form 990, Part IX, Line 24e Repair and Maintenance 11919. 11919. 0. 0. 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