2017-11-14T08:46:26-05:00 2016-12-31 232723863 LARSON KELLETT & ASSOCIATES PC 40 CHOATE CIRCLE MONTOURSVILLE PA 17754 990 2016-01-01 232626796 LYCOMING COMMUNITY CARE INC LYCO 5704333161 2140 WARRENSVILLE ROAD MONTOURSVILLE PA 17754 STEPHEN D FRY CFO 5704333161 2017-11-08 true BRADLEY D KELLETT CPA P00024906 5703682941 2017-11-08 928666E08B3313B3039F72C5F272C5EBEECF0D6E 1AF3C33E068449F31F79581828F5FE3880F7053F 2016 2017-02-10 21:41:12Z STEPHEN D FRY 2140 WARRENSVILLE ROAD MONTOURSVILLE PA 17754 13848245 false X WWW.VALLEYVIEW.ORG X 1990 PA PROVIDED SKILLED AND INTERMEDIATE NURSING CARE TO THE MEN AND WOMEN OF LYCOMING COUNTY 8 8 308 27 0 15335 12321 13415234 13723310 117215 92477 12402 17694 13560186 13845802 0 0 8853442 10065182 0 16745 4823279 4996262 13676721 15061444 -116535 -1215642 8908852 8305626 1854736 2371472 7054116 5934154 PROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR APPROXIMATELY 51,339 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS false false 13916192 13723310 PROVIDED SKILLED AND INTERMEDIATE NURSING CARE TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS, THE MAJORITY OF WHICH IS PROVIDED TO RESIDENTS RECEIVING MEDICAID. 13916192 true false false false false false false false true false true false false true true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 19 0 true 308 true false false false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true true false PA X STEPHEN FRY-CFO 5704333161 2140 WARRENSVILLE ROAD MONTOURSVILLE PA 17754 HOWARD J MOYER VP & PRES P 1.00 X X 0 0 0 STEPHEN G KAISER TREASURER 1.00 X X 0 0 0 JERI DEMEL SECRETARY 1.00 X X 0 0 0 MARGARET P PIPER BOARD MEMBER 1.00 X 0 0 0 STEPHANIE STOCKI BOARD MEMBER 1.00 X 0 0 0 NICHOLAS CATINO II BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER KENYON BOARD MEMBER 1.00 X 0 0 0 ADAM NICHOLSON BOARD MEMBER 1.00 X 0 0 0 PHILIP A PETTER PRESIDENT TH 1.00 X X 0 0 0 LOUANN SIMPSON ADMINISTRATO 40.00 X 108426 0 1698 STEPHEN D FRY CFO 40.00 X 98043 0 1644 STANLEY HIGGING III RN MANAGER 50.00 X 138407 0 9244 344876 12586 2 false false false ADVANTAGECARE REHAB 5035 CLAIRTON BLVD PITTSBURGH PA 15236 REHAB 1023962 SODEXO INC PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE 892287 MCKESSION MEDICAL PO BOX 630693 CINCINNATI OH 452630693 MEDICAL SUPPLY 299330 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 REHAB 271686 PHARMSCRIPT LLC 81 GLENDALE AVE EDISON NJ 08817 PHARMACY 224418 5 12321 12321 PATIENT SERVICE REVENUE 623000 13723310 13723310 13723310 92477 92477 5250 2443 2807 2807 2807 OTHER INCOME 900099 14887 14887 14887 13845802 13723310 110171 209811 209811 7802636 7476611 326025 42763 37935 4828 2009972 1928367 81605 313079 313079 15433 15433 27990 27990 1324424 1324424 33192 16447 16745 318988 318988 30399 30399 488997 488997 170514 170514 SUPPLIES 1015647 1015647 PURCHASED SERVICES 519205 519205 PA NURSING HOME ASSESSMEN 369359 369359 PHARMACY EXPENSE 235746 235746 133289 133289 15061444 13916192 1128507 16745 32987 29242 436911 43114 1359651 1422044 422 188 16230907 12140762 3763050 4090145 3110656 2162346 205175 558547 8908852 8305626 1086749 1426630 32987 29242 670000 65000 915600 1854736 2371472 X 7052253 5932291 1863 1863 7054116 5934154 8908852 8305626 -1215642 95680 X false true X true false X 15941 17432 19850 15335 12321 80879 12139630 13771314 13702003 13415234 13723310 66751491 12155571 13788746 13721853 13430569 13735631 66832370 66832370 52922 42438 113242 121340 97727 427669 52922 42438 113242 121340 97727 427669 62738 88955 18375 10659 14887 195614 12271231 13920139 13853470 13562568 13848245 67455653 0.99080 0.99060 0.01000 0.01000 X PART III, LINE 12 OTHER REVENUE 195,614 true 32987 168499 172244 29242 true X 10691434 7797574 2893860 5237874 4125074 1112800 301599 218114 83485 4090145 THIRD PARTY PAYOR SETTLEMENTS 558547 558547 LINE OF CREDIT 850000 REFUNDABLE ENTRANCE FEE 65600 915600 13952796 95680 11314 106994 13845802 13845802 15072758 11314 11314 15061444 15061444 SCHEDULE D, PAGE 2, PART IV, LINE 1B LYCOMING COMMUNITY CARE, INC PROVIDES TRUST FUND SERVICES FOR RESIDENTS' PERSONAL FUNDS IN ACCORDANCE WITH STATE REGULATIONS SCHEDULE D, PAGE 2, PART IV, LINE 2B LYCOMING COMMUNITY CARE, INC PROVIDES TRUST FUND SERVICES FOR RESIDENTS' PERSONAL FUNDS IN ACCORDANCE WITH STATE REGULATIONS SCHEDULE D, PAGE 4, PART XI, LINE 2D RENT EXPENSES 2,443 PURCHASE DISCOUNTS 8,871 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENT EXPENSES 2,443 PURCHASE DISCOUNTS 8,871 FORM 990, PAGE 6, PART VI, LINE 11B FINAL DRAFT COPY OF FORM 990 IS PROVIDED TO EACH BOARD MEMBER FOR QUESTIONS OR COMMENTS BEFORE FILING. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE UPDATED AND SIGNED ON AN ANNUAL BASIS BY ALL BOARD MEMBERS AND OFFICERS OF THE CORPORATION. THE STATEMENTS ARE REVIEWED BY THE EXECUTIVE DIRECTOR. THE POLICY REQUIRES THAT NO BOARD MEMBER OR OFFICER MAY ENTER INTO ANY TRANSACTION OR ARRANGEMENT WITH AN OUTSIDE PARTY, EITHER DIRECTLY OR INDIRECTLY, WHICH WILL RESULT IN PERSONAL BENEFIT AT THE EXPENSE OF THE CORPORATION WITHOUT THE KNOWLEDGE AND CONSENT OF THE CORPORATION. INDIVIDUALS WHO VIOLATE THIS POLICY ARE, AMONG OTHER THINGS, SUBJECT TO LOSS OF THEIR ELECTION TO THE BOARD OR THEIR ELECTION AS AN OFFICER. FORM 990, PAGE 6, PART VI, LINE 15A THE POSITIONS OF ADMINISTRATOR AND CHIEF FINANCIAL OFFICER ARE REVIEWED ANNUALLY BY THE BOARD FOR REASONABLENESS AND ALSO COMPARED TO OTHER NURSING FACILITIES. FORM 990, PAGE 6, PART VI, LINE 15B THE POSITION OF DIRECTOR OF NURSING IS REVIEWED ANNUALLY BY THE BOARD FOR REASONABLENESS AND ALSO COMPARED TO OTHER NURSING FACILITIES. FORM 990, PAGE 6, PART VI, LINE 19 THIS ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART XI, LINE 9 RENT EXPENSES 2,443 PURCHASE DISCOUNTS 8,871 RENT EXPENSES -2,443 PURCHASE DISCOUNTS -8,871