FURP.ORG / PUBLIC DATA EXPLORER

LYCOMING COMMUNITY CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LYCOMING COMMUNITY CARE INC (EIN 23-2626796)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-07
IRS object ID
201312809349300021
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-07T10:25:56-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN231973945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1400 MARKET STREETAddressLine1
CityWILLIAMSPORTCity
StatePAState
ZIP Code17701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232626796EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LYCOMING COMMUNITY CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLYCONameControl
Phone5704333161Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12140 WARRENSVILLE RDAddressLine1
CityMONTOURSVILLECity
StatePAState
ZIP Code17754ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN FRYName
TitleCHIEF FINANCIAL OFFICERTitle
Phone5704333161Phone
Date Signed2013-10-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS C GREEN CPA JDName
PTINP00350393PTIN
Phone5703236023Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHEN FRYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12140 WARRENSVILLE RDAddressLine1
CityMONTOURSVILLECity
StatePAState
ZIP Code17754ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12445556GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VALLEYVIEW.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionPROVIDED SKILLED AND INTERMEDIATE NURSING CARE TO THE MEN AND WOMEN OF LYCOMING COUNTY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees324TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year243047ContributionsGrantsPriorYear
Contributions Grants Current Year15941ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12709539ProgramServiceRevenuePriorYear
Program Service Revenue CY12139630ProgramServiceRevenueCY
Investment Income Prior Year41990InvestmentIncomePriorYear
Investment Income Current Year42790InvestmentIncomeCurrentYear
Other Revenue Prior Year66868OtherRevenuePriorYear
Other Revenue Current Year64679OtherRevenueCurrentYear
Total Revenue Prior Year13061444TotalRevenuePriorYear
Total Revenue Current Year12263040TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7691009SalariesEtcPriorYear
Salaries Etc Current Year7919872SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year13044TotalFundrsngExpCurrentYear
Other Expense Prior Year4199353OtherExpensePriorYear
Other Expenses Current Year4604000OtherExpensesCurrentYear
Total Expenses Prior Year11890362TotalExpensesPriorYear
Total Expenses Current Year12523872TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1171082RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-260832RevenuesLessExpensesCY
Total Assets BOY9585862TotalAssetsBOY
Total Assets EOY8934041TotalAssetsEOY
Total Liabilities BOY4264204TotalLiabilitiesBOY
Total Liabilities EOY3755214TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5321658NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5178827NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDED SKILLED AND INTERMEDIATE NURSING CARE TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11611451Expense
Revenue12139630Revenue
DescriptionPROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR 52,039 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS. OF THE TOTAL RESIDENT DAYS OF NURSING CARE PROVIDED, 35,471 DAYS WERE PROVIDED TO RESIDENTS RECEIVING MEDICAID. THE MEDICAID DAILY REIMBURSEMENT RATE WAS APPROXIMATELY $172.42 PER DAY COMPARED TO THE DAILY PRIVATE PAY RATE OF $220 FOR SKILLED NURSING AND $226 FOR DEMENTIA CARE. THE ESTIMATED AVERAGE SHORTFALL FOR MEDICAID REIMBURSEMENT IS PROJECTED AT $26.26 PER MEDICAID DAY. BASED ON THIS ESTIMATE, THE ORGANIZATION PROVIDED APPROXIMATELY $931,000 IN CHARITY CARE FOR 2012.Description
Total Program Service Expense11611451TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees324NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STEPHEN FRY - CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5704333161TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12140 WARRENSVILLE ROADAddressLine1
CityMONTOURSVILLECity
StatePAState
ZIP Code17745ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PHILIP A PETTER
PRESIDENT OF THE BOARD1.00XX000
NICHOLAS CATINO
VICE PRESIDENT2.00XX000
JOSEPH CIPRIANI
TREASURER1.00XX000
SUE E STACKHOUSE
SECRETARY1.00XX000
JERI DEMEL
BOARD MEMBER1.00X000
MARGARET P PIPER
BOARD MEMBER1.00X000
J MICHAEL WILEY
BOARD MEMBER1.00X000
WANDA BOWER
BOARD MEMBER1.00X000
STEPHEN G KAISER
BOARD MEMBER1.00X000
LOUISE EAKIN
EXECUTIVE DIRECTOR40.00X9589905320
STEPHEN FRY
CHIEF FINANCIAL OFFICER40.00X8711001464
LOUANN SIMPSON
DIRECTOR OF NURSING/ADMINISTRATOR40.00X8266801465
CHARLOTTE BLETZ
DIRECTOR OF NURSING (AUG - NOV 2012)40.00X830800
KIMBERLY KLEES
DIRECTOR OF NURSING (AS OF NOV 2012)40.00X1938502717
FieldValueIRS element (for citing)
Total Reportable Comp From Org293370TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10966TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO
PO BOX 360170PITTSBURGHPA152516170FOOD SERVICE856849
SELECT REHABILITATION
PO BOX 809056CHICAGOIL606809056REHAB611064
OMNICARE INC
PO BOX 631285CINCINNATIOH452531285PHARMACY286030
ENDURACARE
PO BOX 53064PHOENIXAZ85072REHAB148730
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions15941AllOtherContributions
Total Contributions15941TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column12139630TotalRevenueColumn
Related Or Exempt Function Income12139630RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12139630TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column48797TotalRevenueColumn
Exclusion$48,797ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4125Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2184Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1941Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1941TotalRevenueColumn
Exclusion$1,941ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities174325Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities180332Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-6007Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6007TotalRevenueColumn
Exclusion-$6,007ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming2699GrossIncomeGaming
Gaming Direct Expenses0GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column2699TotalRevenueColumn
Exclusion$2,699ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
TV CABLE51700019095$19,095
BARBER/BEAUTICIAN SERVICES44619913437$13,437
PURCHASE DISCOUNTS9000998441$8,441

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column19066TotalRevenueColumn
Exclusion$19,066ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue60039TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12263040TotalRevenueColumn
Related Or Exempt Function Income12139630RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$107,469ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total304336Total
Program Services90419ProgramServices
Management And General213917ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6052958Total
Program Services5676688ProgramServices
Management And General376270ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total24949Total
Program Services21313ProgramServices
Management And General3636ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total974070Total
Program Services919665ProgramServices
Management And General54405ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total563559Total
Program Services514474ProgramServices
Management And General49085ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total272Total
Management And General272ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47864Total
Management And General47864ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1920Total
Management And General1920ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1132236Total
Program Services1070173ProgramServices
Management And General62063ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22892Total
Management And General9848ManagementAndGeneral
Fundraising13044Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total942147Total
Program Services904715ProgramServices
Management And General37432ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8924Total
Program Services907ProgramServices
Management And General8017ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total323268Total
Program Services323268ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total35379Total
Program Services28460ProgramServices
Management And General6919ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4683Total
Program Services4683ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total141760Total
Program Services141760ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total642447Total
Program Services642447ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total164989Total
Program Services164989ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PA NURSING HOME ASSESSM353658353658
PHARMACY EXPENSE294923294923
PROVISION FOR DOUBTFUL196090196090
LAB EXPENSE104324104324

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total186224Total
Program Services158495ProgramServices
Management And General27729ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12523872Total
Program Services11611451ProgramServices
Management And General899377ManagementAndGeneral
Fundraising13044Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY33226BOY
EOY34830EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1436251BOY
EOY585635EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1917060BOY
EOY2472554EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1257BOY
EOY188EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14104078LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10451246LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4015650BOY
EOY3652832EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1776799BOY
EOY2175959EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY385971BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19648BOY
EOY12043EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9585862BOY
EOY8934041EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1142328BOY
EOY1167235EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2600BOY
EOY1500EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3040000BOY
EOY2490000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY32476BOY
EOY34079EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY46800BOY
EOY62400EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4264204BOY
EOY3755214EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5319795BOY
EOY5176964EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1863BOY
EOY1863EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5321658BOY
EOY5178827EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9585862BOY
EOY8934041EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-260832ReconcilationRevenueExpenses
Reconciliation Unrealized Invest118001ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23552CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71680CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16546CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year243047CurrentTaxYearMinus1Year
Current Tax Year15941CurrentTaxYear
Total370766Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13548498CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14022249CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12530270CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12709539CurrentTaxYearMinus1Year
Current Tax Year12139630CurrentTaxYear
Total64950186Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13572050CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14093929CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12546816CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12952586CurrentTaxYearMinus1Year
Current Tax Year12155571CurrentTaxYear
Total65320952Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50965320952PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39222CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58339CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53223CurrentTaxYearMinus1Year
Current Tax Year52922CurrentTaxYear
Total314915Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32866CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7813CurrentTaxYearMinus3Years
Total40679Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years144075CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47035CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58339CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53223CurrentTaxYearMinus1Year
Current Tax Year52922CurrentTaxYear
Total355594Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13781CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19736CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50482CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62869CurrentTaxYearMinus1Year
Current Tax Year62738CurrentTaxYear
Total209606Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13729906CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14160700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12655637CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13068678CurrentTaxYearMinus1Year
Current Tax Year12271231CurrentTaxYear
Total65886152Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99140PublicSupportPercentage509
Prior Year Support Percentage0.98920PriorYearSupportPercentage
Investment Income Percentage0.00540InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00790PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9478634OtherCostOrOtherBasis
Depreciation6946874Depreciation
Book Value2531760BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4413976OtherCostOrOtherBasis
Depreciation3340500Depreciation
Book Value1073476BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis211468OtherCostOrOtherBasis
Depreciation163872Depreciation
Book Value47596BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3652832TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionREFUNDABLE ENTRANCE FEEDescription
Amount$62,400Amount
FieldValueIRS element (for citing)
Total Of Amounts62400TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt12383225TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments118001NetUnrealizedGainsInvestments
Revenue Not Rptd F990118001RevenueNotRptdF990
Revenue Subtotal12265224RevenueSubtotal
Other Revenues Not Included-2184OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-2184RevenueNotRptdOnFinStmt
Total Revenue Per Form99012263040TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12526056TotExpensesEtcAuditedFinclStmt
Other Expenses Included2184OtherExpensesIncluded
Expenses Not Rptd F9902184ExpensesNotRptdF990
Expenses Subtotal12523872ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012523872TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:LYCOMING COMMUNITY CARE, INC. PROVIDES TRUST FUND SERVICES FOR RESIDENTS' PERSONAL FUNDS IN ACCORDANCE WITH STATE REGULATIONS.
PART X, LINE 2:THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING 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 IS MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. THE CORPORATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND THE FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) FOR YEARS ENDING PRIOR TO 2009 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS").DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
RENTAL EXPENSES -2,184.PART XI, LINE 4B - OTHER ADJUSTMENTS:
RENTAL EXPENSES 2,184.PART XII, LINE 2D - OTHER ADJUSTMENTS:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11A DRAFT COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS VIA EMAIL AND THEY WERE GIVEN THE OPPORTUNITY TO DISCUSS ANY QUESTIONS WITH THE CFO. THE PRESIDENT OF THE BOARD REVIEWED THE FORM IN DETAIL WITH THE CFO AND APPROVED THE RETURN FOR RELEASE.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT 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, PART VI, SECTION B, LINE 15A PERSONNEL COMMITTEE APPOINTED BY THE BOARD OF DIRECTORS APPROVES SALARIES FOR DEPARTMENT HEAD POSITIONS. THE SALARY RANGES FOR THE VARIOUS POSITIONS ARE COMPARED TO AVAILABLE DATA ON SALARIES FROM OTHER NURSING FACILITIES IN THE STATE TO ENSURE COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.