2014-11-17T14:34:36-08:00 2013-12-31 GORDON & GORDON PC 9850 N 950 E BROWNSBURG IN 46112 990 2013-01-01 351877441 Community LTC Inc COMM 7652982532 1031 Monticello Drive Anderson IN 46011 DIANA SMITH CONTROLLER 7652982532 2014-11-17 true DON M GATLIN CPA 3178525292 2014-11-17 X 2013 2015-11-30 17:44:51Z Betty Crum 1031 Monticello Drive Anderson IN 46011 14052217 false X N/A X 1993 IN To provide room, board, and nursing care services to elderly citizens of Madison and surrounding counties. 5 2 393 110 0 3626 15282772 14047582 2505 152 290771 857 15576048 14052217 0 0 8680043 9360329 0 0 6179538 1627579 14859581 10987908 716467 3064309 8368385 10539191 3529540 2636037 4838845 7903154 To provide room, board, and false false 10000950 14052217 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. THE FACILITIES PROVIDE LONG TERM NURSING CARE TO RESIDENTS WHO NEED SUCH SERVICES. CLTC PARTICIPATES IN THE MEDICARE, MEDICAID, TRI-CARE, AND/OR 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. OUR 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 OUR SERVICES. AND FINALLY, CLTC HAS A GOVERNING BODY WHICH INCLUDES INDEPENDENT MEMBERS OF THE COMMUNITY. 10000950 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 true 0 0 true 393 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 7652982532 1031 Monticello Dr IN 46011 DR WILLIAM VAN NESS Former CEO 0.50 X 0 215910 2306 JOHN HARRIS Secretary/Treasurer 0.50 X 0 258597 98467 MARY JO LEE Chairman 0.50 X 0 0 0 SHIRLEY WEATHERLY Member-Board of Directors 0.50 X 0 0 0 GARLAND ANTRIM Member-Board of Directors 0.50 X 0 0 0 JEANNE STEWART Member-Board of Directors 0.50 X 0 0 0 BETTY CRUM Director of Senior Services 40.00 X 119980 0 10156 DIANA SMITH Director of Finance 40.00 X 76904 0 23046 ELIZABETH THARP Director & Pres/CEO 0.50 X 0 310527 134194 196884 785034 268169 1 true true false 3626 3626 Program Service Revenue 623110 14047582 14047582 152 Misc. Income 623000 857 857 857 14052217 14047734 857 196884 0 196884 0 7773538 7291842 481696 0 876812 797899 78913 0 513095 466916 46179 0 17376 0 17376 0 96055 0 96055 0 6816 6816 0 0 724 161 563 0 1462 0 1462 0 371926 369698 2228 0 1259 0 1259 0 99480 99480 0 0 405372 374881 30491 0 28206 1606 26600 0 Supplies 14911 14911 0 0 Raw Food & Supplements 20940 20940 0 0 563052 555800 7252 0 10987908 10000950 986958 0 1326737 2077964 2480462 4208218 102174 150498 7605319 3502808 4459012 4102511 8368385 10539191 181492 138778 2890702 2493084 457346 4175 3529540 2636037 X 4838845 7903154 4838845 7903154 8368385 10539191 3064309 X false true X false false X 0 0 0 16395 523 235 3626 20779 15176487 15205008 16095484 15282773 14047582 75807334 15192882 15205531 16095719 15282773 14051208 75828113 75828113 4068 2027 2141 2505 152 10893 4068 2027 2141 2505 152 10893 37155 49861 47433 290771 858 426078 76265084 0.99430 0.99370 0.00010 0.00030 X Pt III Line 12 Description: Other Income Pt III Line 12 2009: 37155. Pt III Line 12 2010: 49861. Pt III Line 12 2011: 47433. Pt III Line 12 2012: 290771. Pt III Line 12 2013: 858. 363072 363072 3889883 1771162 2118721 2205979 1048673 1157306 1081669 682973 398696 64716 64716 4102511 Resident Funds 4175 4175 X X false false false false false false false false false DR WILLIAM VAN NESS 13978 189120 12812 1697 612 218219 189120 JOHN HARRIS 197962 40380 20255 76101 22366 357064 40380 ELIZABETH THARP 274695 34239 1593 131254 2940 444721 34239 Pt VI, Line 7a Three members of the Board of Directors are designated Pt VI, Line 7a directors. These designated directors are (1) the Chairman Pt VI, Line 7a of the Board of Directors, (2) the President and Chief Executive Pt VI, Line 7a Officer and (3)the Vice President and Chief Financial Officer Pt VI, Line 7a of Community Hospital of Anderson and Madison County, Inc. Pt VI, Line 7a The remaining two or more directors are independent members Pt VI, Line 7a of the community and are elected by the Community LTC, Pt VI, Line 7a Inc. Board of Directors. Pt VI, Line 12c The board of directors and key employees are required to sign the conflict Pt VI, Line 12c of interest policy and disclose any conflicts 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 Anderson. 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 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 Anderson. 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 and wages. Pt VI, Line 19 A) The articles of incorporation and certificate of existence are Pt VI, Line 19 on file with the Indiana Secretary of State and are available Pt VI, Line 19 to the public upon request to the Indiana Secretary of State. Pt VI, Line 19 B) Community LTC, Inc. conflict of interest policy is available Pt VI, Line 19 to the public upon request. Pt VI, Line 19 C) Community LTC, Inc. does not have individually audited Form 990, Part VI, Line 9 DR. WILLIAM VAN NESS 1515 N. MADISON AVE ANDERSON IN 46011 JOHN HARRIS 1515 N. MADISON AVE ANDERSON IN 46011 MARY JO LEE P.O. BOX 1302 ANDERSON IN XXX-XX-XXXX GARLAND ANTRIM 8562 N 700 W FRANKTON IN 46044 JEANNE STEWART 1831 E TUMBLEWEED LANE ALEXANDRIA IN 46001 ELIZABETH THARP 1515 N. MADISON AVENUE ANDERSON IN 46011 Form 990, Part IX, Line 24f REPAIRS & MAINTENANCE 200510. 200510. 0. DUES & SUBSCRIPTIONS 792. 792. RESIDENT ACTIVITIES BANK FEES 6460. 6460. MISCELLANEOUS EXPENSE 32. 32. BEAUTY & BARBER 34. 34. BAD DEBT 355224. 355224. Pt VI, Line 19 financial statements. Its financial results are included in the Pt VI, Line 19 consolidated financial statements of Community Health Network, Inc. Pt VI, Line 19 and Affiliates. As a result there are no individual financial Pt VI, Line 19 statements available to post. Community LTC, Inc. does file Pt VI, Line 19 the Form 990 tax return, medicaid and Medicare Cost Reports with the Pt VI, Line 19 appropriate agencies on an annual basis. The Form 990 tax Pt VI, Line 19 return is available upon request and/or available on a delayed Pt VI, Line 19 basis on GuideStar.com. The Medicaid and Medicare Cost Reports are available Pt VI, Line 19 via Freedom of Information Request filed with the applicable Pt VI, Line 19 agencies. Pt VI, Line 11b A complete copy of the Form 990 is provided to the members of the board Pt VI, Line 11b of directors of the organization. The Form 990 is reviewed and Pt VI, Line 11b discussed by the governing body at a meeting before finalizaton Pt VI, Line 11b and filing. Pt IV, Line 12 Community LTC, Inc. does not have individually audited PT IV LINE 12 financial statements. Its financial results are included PT IV LINE 12 in the consolidated financial statements of Community Health PT IV LINE 12 Network, Inc. and Affiliates, which are audited by an PT IV LINE 12 independent accounting firm. Pt XII, Line 2a & 2b Community LTC, Inc. does not have individually audited Pt XII, Line 2a & 2b financial statements. Its financial results are included Pt XII, Line 2a & 2b in the consolidated financial statements of Community Health Pt XII, Line 2a & 2b Network, Inc. and Affiliates, which are audited by an Pt XII, Line 2a & 2b independent accounting firm. 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