2017-11-13T13:49:32-06:00 2016-12-31 390859910 Baker Tilly Virchow Krause LLP 1423 N Atherton Street State College PA 16803 990 2016-01-01 463243949 Centre Care Inc CENT 8143556777 502 E Howard Street Bellefonte PA 16823 Carl Raup TREASURER 8143556777 2017-11-10 1 Rick Bair CPA P00062995 8142388474 174.60.92.193 2017-11-10 16:15:57 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0E5F92C18CF515EB20FE7B38029907845734D9FC 2016 2017-02-10 21:41:12Z Centre Crest Betsy Boyer 502 E Howard Street Bellefonte PA 16823 22391842 0 X www.centrecrest.org X 2013 PA OPERATION OF A SKILLED NURSING FACILITY 9 8 375 100 0 0 143912 111265 19457137 19435863 25165 42389 1705576 1857957 21331790 21447474 2771 0 0 0 12011017 12040603 0 0 0 9209649 8961765 21223437 21002368 108353 445106 20348973 20728356 2381339 2288296 17967634 18440060 PROVIDING FOR THE LONG-TERM CARE NEEDS OF THE RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA 0 0 19069885 0 21179086 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 63,811 DAYS IN 2016 (78% OF TOTAL RESIDENTS SERVED). THE REIMBURSEMENT FOR THESE RESIDENTS WAS AN AVERAGE OF $198.50 PER DAY, WHILE THE COST OF PROVIDING SERVICE TO THESE RESIDENTS WAS APPROXIMATELY $207.57 PER DAY. REIMBURSEMENT WAS APPROXIMATELY $579,000 LESS THAN THE COST TO PROVIDE SERVICES TO THESE LOW INCOME MEDICAID ELIGIBLE RESIDENTS - THIS SHORTFALL CONSTITUTES "CHARITY CARE" PROVIDED BY CENTRE CREST. 19069885 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 1 0 0 0 0 0 0 0 0 0 1 43 0 1 375 1 0 0 0 0 0 0 0 0 0 0 X 9 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 STEVEN BROWN DIRECTOR 1.00 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 SALLY WALKER DIRECTOR 1.00 X 0 0 0 Constance Corl DIRECTOR 1.00 X 0 0 0 Lori Jamison ADMINISTRATOR 40.00 X 0 0 0 0 0 0 0 0 0 0 APEX REHAB SOLUTIONS 209 SIGMA DR PITTSBURGH PA 15238 NURSING AGENY STAFFING 1595349 COMPLETE HEALTH CARE RESOURCES EASTERN 200 DRYDEN RD DRESHER PA 19025 MANAGEMENT SERVICES 758601 MOUNT NITTANY MEDICAL CENTER PO BOX 1259 STATE COLLEGE PA 16804 MEDICAL DIRECTOR FEES & SERVICES 114864 3 111265 111265 ROOM & BOARD 623000 18485724 18485724 ANCILLARY SERVICES 623000 950139 950139 19435863 35133 35133 951624 944368 7256 7256 7256 PA NURSING HOME ASSESSMENT 623000 1743223 1743223 Bad Debt Recovery 900099 105074 105074 FOOD 900099 7786 7786 1874 1874 1857957 21447474 21179086 0 157123 X 9226596 8709290 517306 111909 111909 2147903 2124880 23023 554195 524103 30092 511778 511778 69371 69371 31859 31859 2355904 2025502 330402 39422 39422 301681 170825 130856 39980 39980 1801856 1325940 475916 4671 1910 2761 127248 127248 397199 397199 PA NURSING HOME ASSESSM 1398617 1398617 MEDICAL SUPPLIES 769726 769726 DIETARY SUPPLIES 642559 642559 MAINTENANCE & SUPPLIES 256266 211774 44492 213628 128534 85094 21002368 19069885 1932483 0 1600 1600 2437222 3165257 2461828 2207151 138071 125651 84885 182466 959280 330532 577247 628748 739528 1792392 4800000 4800000 9108592 7825091 20348973 20728356 2139535 2129144 241804 159152 2381339 2288296 X 9183875 10885557 8783759 7554503 17967634 18440060 20348973 20728356 445106 27320 0 X 0 1 X 1 0 X 21892963 195683 143912 111265 22343823 21892963 195683 143912 111265 22343823 22343823 280 2219 11460 35133 49092 7531 52754 69918 114734 244937 22637852 62856265 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. vending - 2013 Amount: $ 359. 2014 Amount: $ 4,664. 2015 Amount: $ 5,982. 2016 Amount: $ 1,874. miscellaneous - 2013 Amount: $ 1,039. 2014 Amount: $ 112. 2015 Amount: $ 64. 2016 Amount: $ 0. bad debt recovery - 2016 Amount: $ 105,074. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 64971 9889 55082 894309 320643 573666 628748 RESIDENT TRUST FUNDS 159152 CONTRIBUTED RENT 7539617 Deposits 33690 Third Party Payor Settlements 92632 7825091 X 21369720 27320 27320 21342400 105074 105074 21447474 20897294 -105074 -105074 21002368 0 21002368 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 derecognition, 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: Bad Debt Recoveries netted to expenses on financials 105,074. Part XII, Line 2d - Other Adjustments: Bad Debt Recoveries netted to expenses on financials -105,074. Steven Brown BOARD MEMBER 114864 See Part V 0 Sch L, Part IV, Business Transactions Involving Interested Persons: (D) Description of Transaction: STEVEN BROWN, Board member of Centre Care, is an OFFICER OF MOUNT NITTANY MEDICAL CENTER (MNMC). MNMC PROVIDES MEDICAL DIRECTOR SERVICES TO CENTRE CARE. The amount shown in column (C) represents the total fees paid by Centre Care to MNMC for their services to the organization. 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. LORI JAMISON, ADMINISTRATOR OF THE FACILITY IS AN EMPLOYEE OF CHRE - HER COMPENSATION FOR 2016 FOR HER WORK AT CENTRE CARE WAS $180,219. 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. MANAGEMENT COMPANY HAS PROVIDED A "SHAREPOINT" SYSTEM ACCESS TO ALL FINANCIAL STATEMENTS, TAX RETURNS, OPERATING REPORTS, AND OTHER RELEVANT REPORTS THAT ALL MEMBERS OF THE BOARD HAVE ACCESS TO IN ORDER TO REVIEW OR DOWNLOAD SUCH REPORTS OR DOCUMENTS. THE FORM 990 WILL BE POSTED AND MEMBERS NOTIFIED OF ITS AVAILABILITY PRIOR TO FILING. 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. 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 985. Management and general expenses 22,877. Fundraising expenses 0. Total expenses 23,862. CONTRACTED SERVICES: Program service expenses 27,462. Management and general expenses 208,186. Fundraising expenses 0. Total expenses 235,648. NURSING AGENCY FEES: Program service expenses 399,451. Management and general expenses 0. Fundraising expenses 0. Total expenses 399,451. PHYSICIAN/NURSING FEES: Program service expenses 35,241. Management and general expenses 0. Fundraising expenses 0. Total expenses 35,241. MEDICAL DIRECTOR: Program service expenses 0. Management and general expenses 99,339. Fundraising expenses 0. Total expenses 99,339. therapy services: Program service expenses 1,539,402. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,539,402. PHARMACY SERVICES: Program service expenses 22,961. Management and general expenses 0. Fundraising expenses 0. Total expenses 22,961.