2018-11-13T14:22:36-06:00 2017-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1423 N ATHERTON STREET STATE COLLEGE PA 16803 990 2017-01-01 463243949 CENTRE CARE INC CENT 8143556777 502 E HOWARD STREET BELLEFONTE PA 16823 CARL RAUP TREASURER 8143556777 2018-11-13 1 RICK BAIR CPA P00062995 8142388474 2018-11-13 96.89.178.154 2018-11-13 12:33:42 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9D0D8DD59390B7764A3ECE0F40BBFE3618018605 2017 2019-02-21 02:37:17Z CENTRE CREST BETSY BOYER 502 E HOWARD STREET BELLEFONTE PA 16823 22869606 0 X WWW.CENTRECREST.ORG X 2013 PA OPERATION OF A SKILLED NURSING FACILITY 8 8 368 100 0 0 111265 25618 19435863 20259188 42389 105723 1857957 1812804 21447474 22203333 0 0 0 0 12040603 12476861 0 0 0 8961765 9551089 21002368 22027950 445106 175383 20728356 20634535 2288296 1799675 18440060 18834860 PROVIDING FOR THE LONG-TERM CARE NEEDS OF THE RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA 0 0 20105757 0 22039520 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 61,343 DAYS IN 2017 (74% OF TOTAL RESIDENTS SERVED). THE REIMBURSEMENT FOR THESE RESIDENTS WAS AN AVERAGE OF $200.30 PER DAY, WHILE THE COST OF PROVIDING SERVICE TO THESE RESIDENTS WAS APPROXIMATELY $223.23 PER DAY. REIMBURSEMENT WAS APPROXIMATELY $1,406,681 LESS THAN THE COST TO PROVIDE SERVICES TO THESE LOW INCOME MEDICAID ELIGIBLE RESIDENTS - THIS SHORTFALL CONSTITUTES "CHARITY CARE" PROVIDED BY CENTRE CREST. 20105757 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 44 0 1 368 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 ANDREW NAUGLE ADMINISTRATOR 8143556777 502 E HOWARD STREET BELLEFONTE PA 16823 X BETSY BOYER PRESIDENT 1.00 X X 0 0 0 LARRY BICKFORD VICE PRESIDENT 1.00 X X 0 0 0 CARL RAUP SECRETARY/TREASURER 1.00 X X 0 0 0 RICH WISNIEWSKI DIRECTOR 1.00 X 0 0 0 ALFRED JONES JR DIRECTOR 1.00 X 0 0 0 WILLIAM H ROCKEY DIRECTOR 1.00 X 0 0 0 TOM CHARLES DIRECTOR 1.00 X 0 0 0 CONSTANCE CORL DIRECTOR 1.00 X 0 0 0 SALLY WALKER DIRECTOR (UNTIL 8/17) 1.00 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 1858315 COMPLETE HEALTH CARE RESOURCES EASTERN 200 DRYDEN RD DRESHER PA 19025 MANAGEMENT SERVICES 793270 ALLIED RESOURCES MEDICAL STAFFING PO BOX 1259 STATE COLLEGE PA 16804 NURSING AGENCY STAFFING 346189 THE HARTMAN AGENCY INC 1051 SHILOH RD STATE COLLEGE PA 16801 NURSING AGENCY STAFFING 172546 NOELKER AND HULL ASSOC INC 30 WEST KING ST CHAMBERSBURG PA 17201 ARCHITECTURAL SERVICES 150581 5 6413 19205 25618 ROOM & BOARD 623000 19070068 19070068 ANCILLARY SERVICES 623000 1189120 1189120 20259188 73182 73182 695288 662747 32541 32541 32541 6750 6413 3526 3224 3224 PA NURSING HOME ASSESSMENT 623000 1780332 1780332 DURABLE MEDICAL EQUIPMENT 621990 17928 17928 FOOD 900099 5946 5946 5374 5374 1809580 22203333 22039520 0 138195 X 9328305 8787617 540688 128713 128713 2330211 2299440 30771 689632 649464 40168 527131 527131 16220 16220 34550 34550 2908585 2572677 335908 47771 47771 410308 231939 178369 44384 44384 1749215 1325940 423275 4231 392 3839 129612 129612 345286 345286 PA NURSING HOME ASSESSM 1472417 1472417 MEDICAL SUPPLIES 743096 743096 DIETARY SUPPLIES 657605 657605 MAINTENANCE & SUPPLIES 295308 244470 50838 165370 118671 46699 22027950 20105757 1922193 0 1600 1600 3165257 2166395 2207151 2537723 125651 125858 182466 33779 1487255 460144 628748 1027111 1792392 3158772 4800000 4800000 7825091 6783297 20728356 20634535 2129144 1674217 159152 125458 2288296 1799675 X 10885557 12475710 7554503 6359150 18440060 18834860 20728356 20634535 175383 88830 130587 0 X 0 1 X 1 0 X 21892963 195683 143912 111265 25618 22369441 21892963 195683 143912 111265 25618 22369441 22369441 280 2219 11460 35133 73182 122274 7531 52754 69918 114734 29248 274185 22765900 84895785 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FOOD - 2013 AMOUNT: $ 6,133. 2014 AMOUNT: $ 47,978. 2015 AMOUNT: $ 63,872. 2016 AMOUNT: $ 7,786. 2017 AMOUNT: $ 5,946. VENDING - 2013 AMOUNT: $ 359. 2014 AMOUNT: $ 4,664. 2015 AMOUNT: $ 5,982. 2016 AMOUNT: $ 1,874. 2017 AMOUNT: $ 1,854. MISCELLANEOUS - 2013 AMOUNT: $ 1,039. 2014 AMOUNT: $ 112. 2015 AMOUNT: $ 64. 2017 AMOUNT: $ 3,520. BAD DEBT RECOVERY - 2016 AMOUNT: $ 105,074. DURABLE MEDICAL EQUIPMENT - 2017 AMOUNT: $ 17,928. 0 1 X 74463 16106 58357 995403 444038 551365 417389 417389 1027111 RESIDENT TRUST FUNDS 125458 CONTRIBUTED RENT 6344264 DEPOSITS 33690 THIRD PARTY PAYOR SETTLEMENTS 279885 6783297 X 22426276 88830 130587 219417 22206859 -3526 -3526 22203333 22031476 3526 3526 22027950 0 22027950 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 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES -3,526. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 3,526. FORM 990, PART VI, SECTION A, LINE 3 CENTRE CARE HAS ENGAGED A 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 2017 FOR WORK AT CENTRE CARE WAS $153,948. 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 0. MANAGEMENT AND GENERAL EXPENSES 52,876. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,876. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 23,376. MANAGEMENT AND GENERAL EXPENSES 180,062. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 203,438. NURSING AGENCY FEES: PROGRAM SERVICE EXPENSES 710,165. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 710,165. PHYSICIAN/NURSING FEES: PROGRAM SERVICE EXPENSES 41,620. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,620. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 102,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,970. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,780,906. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,780,906. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 16,610. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,610.