2015-11-11T09:29:04-06:00 2014-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1000 COMMERCE PARK DRIVE SUITE 430 WILLIAMSPORT PA 17701 990 2014-01-01 463243949 CENTRE CARE INC CENT 8143556777 502 E HOWARD STREET BELLEFONTE PA 16823 CARL RAUP TREASURER 8143556777 2015-11-11 1 RICK BAIR P00062995 5703236023 2015-11-11 2014 2016-04-25 22:37:26Z CENTRE CREST BETSY BOYER 502 E HOWARD STREET BELLEFONTE PA 16823 19505106 0 X WWW.CENTRECREST.ORG X 2013 PA OPERATION OF A SKILLED NURSING FACILITY 9 9 376 100 0 0 21892963 195683 2700727 18025168 280 2219 82349 1282036 24676319 19505106 0 0 0 0 1980117 11440486 0 0 0 2001298 10869701 3981415 22310187 20694904 -2805081 23364785 21108783 2669881 3218960 20694904 17889823 PROVIDING FOR THE LONG-TERM CARE NEEDS OF THE RESIDENTS OF CENTRE COUNTY, PENNSYLVANIA 0 0 20271660 19254450 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 57,878 DAYS IN 2014 (74% OF TOTAL RESIDENTS SERVED). THE REIMBURSEMENT FOR THESE RESIDENTS WAS AN AVERAGE OF $183.76 PER DAY, WHILE THE COST OF PROVIDING SERVICE TO THESE RESIDENTS WAS APPROXIMATELY $198.17 PER DAY. REIMBURSEMENT WAS APPROXIMATELY $834,000 LESS THAN THE COST TO PROVIDE SERVICES TO THESE LOW INCOME MEDICAID ELIGIBLE RESIDENTS - THIS SHORTFALL CONSTITUTES "CHARITY CARE" PROVIDED BY CENTRE CREST. 20271660 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 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 32 0 1 376 1 0 0 0 0 0 0 0 0 0 0 X 9 9 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X LORI JAMISON 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 CONTSTANCE CORL 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 RICH WISNIEWSKI DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 APEX REHAB SOLUTIONS INC 209 SIGMA DRIVE PITTSBURGH PA 15238 THERAPY REHABILITATION SERVICES 1675266 GRANE SUPPLY INC PO BOX 558 PITTSBURGH PA 15230 PHARMACEUTICAL DRUGS AND SERVICES 796739 SYSCO F S OF CENTRAL PA PO BOX 3641 HARRISBURG PA 17105 FOOD AND DIETARY SERVICES 666928 CAPITAL HEALTHCARE SOLUTIONS PO BOX 799 GLOUCESTER PA 23061 NURSING AGENCY STAFFING 199791 ADARA HEALTHCARE STAFFING 291 MAPLE HOLLOW RD PITTSBURGH PA 15238 NURSING AGENCY STAFFING 162873 5 195683 195683 ROOM & BOARD 623000 17159873 17159873 ANCILLARY SERVICES 623000 865295 865295 18025168 2219 2219 PA NURSING HOME ASSESSMENT 623000 1229282 1229282 FOOD 900099 47978 47978 VENDING 900099 4664 4664 112 112 1282036 19505106 19254450 0 54973 X 8494427 8042175 452252 120368 113959 6409 1838562 1828998 9564 987129 950663 36466 482400 482400 3927 3927 21514 21514 2333478 2156128 177350 58026 58026 242916 16341 226575 67392 67392 1739574 1325940 413634 10437 1242 9195 2520301 2520301 238243 238243 MEDICAL SUPPLIES 1169696 1169696 PA NURSING HOME ASSESSM 789797 789797 DIETARY SUPPLIES 687997 687997 MAINTENANCE & SUPPLIES 351300 307471 43829 152703 122709 29994 22310187 20271660 2038527 0 1600 1600 2512094 2751860 1556256 2276418 167390 7388 262805 550277 101372 371139 448905 4800000 4800000 14116308 10399805 23364785 21108783 2531494 2426917 138387 200367 0 591676 2669881 3218960 X 9361937 7845361 11332967 10044462 20694904 17889823 23364785 21108783 -2805081 0 X 0 1 X 1 0 X 21892963 195683 22088646 21892963 195683 22088646 22088646 280 2219 2499 7531 52754 60285 22151430 20670675 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 44893 610 44283 505384 100762 404622 448905 RESIDENT TRUST FUNDS 200367 ASSETS WHOSE USE IS LIMITED 123785 CONTRIBUTED RENT 10032993 DEPOSITS 42660 10399805 THIRD PARTY SETTLEMENTS 591676 591676 X 19505106 0 19505106 0 19505106 22310187 0 22310187 0 22310187 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. THE ORGANIZATION'S FEDERAL INCOME TAX RETURN IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL TAXING AUTHORITIES FOR THE YEAR ENDING BEFORE 2013, WHICH WAS THE YEAR OF INCEPTION. FORM 990, PART VI, SECTION A, LINE 2 STEVE BROWN AND RICHARD WISNIEWSKI HAVE A BUSINESS RELATIONSHIP - BOTH ARE OFFICERS OF MOUNT NITTANY HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 3 CENTRE CARE HAS ENGAGED THIRD PARTY MANAGEMENT COMPANY (COMPLETE HEALTHCARE RESOURCES, "CHR") TO OVERSEE DAY-TO-DAY OPERATIONS. LORI JAMISON, ADMINISTRATOR OF THE FACILITY IS AN EMPLOYEE OF CHR - HER COMPENSATION FOR 2014 FOR HER WORK AT CENTRE CARE WAS $162,992. FORM 990, PART VI, SECTION B, LINE 11 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 OF 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 375. MANAGEMENT AND GENERAL EXPENSES 6,495. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,870. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 42,147. MANAGEMENT AND GENERAL EXPENSES 170,855. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 213,002. NURSING AGENCY FEES: PROGRAM SERVICE EXPENSES 613,069. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 613,069. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 20,567. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,567. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 94,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,800. THERAPY AND PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 1,385,170. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,385,170.