LYCOMING COMMUNITY CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LYCOMING COMMUNITY CARE INC (EIN 23-2626796)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-05
IRS object ID
201223109349300217
Schema version
2011v1.2
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)
Timestamp2012-11-05T08:45:16-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS C GREEN CPA JDName
PTINP00350393PTIN
Phone5703236023Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts13444320GrossReceipts
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 Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees314TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16546ContributionsGrantsPriorYear
Contributions Grants Current Year243047ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12530270ProgramServiceRevenuePriorYear
Program Service Revenue CY12709539ProgramServiceRevenueCY
Investment Income Prior Year-9144InvestmentIncomePriorYear
Investment Income Current Year41990InvestmentIncomeCurrentYear
Other Revenue Prior Year55561OtherRevenuePriorYear
Other Revenue Current Year66868OtherRevenueCurrentYear
Total Revenue Prior Year12593233TotalRevenuePriorYear
Total Revenue Current Year13061444TotalRevenueCurrentYear
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 Year8363958SalariesEtcPriorYear
Salaries Etc Current Year7691009SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year12492TotalFundrsngExpCurrentYear
Other Expense Prior Year4708399OtherExpensePriorYear
Other Expenses Current Year4199353OtherExpensesCurrentYear
Total Expenses Prior Year13072357TotalExpensesPriorYear
Total Expenses Current Year11890362TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-479124RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1171082RevenuesLessExpensesCY
Total Assets BOY9003605TotalAssetsBOY
Total Assets EOY9585862TotalAssetsEOY
Total Liabilities BOY4822552TotalLiabilitiesBOY
Total Liabilities EOY4264204TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4181053NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5321658NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR 52,938 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10999176Expense
Revenue12709539Revenue
DescriptionPROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR 52,938 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS. OF THE TOTAL 52,938 RESIDENT DAYS OF NURSING CARE PROVIDED, 36,574 DAYS WERE PROVIDED TO RESIDENTS RECEIVING MEDICAID. THE MEDICAID DAILY REIMBURSEMENT RATE WAS APPROXIMATELY $173.75 PER DAY COMPARED TO THE DAILY PRIVATE PAY RATE OF $216 FOR SKILLED NURSING AND $222 FOR DEMENTIA CARE. THE ESTIMATED AVERAGE SHORTFALL FOR MEDICAID REIMBURSEMENT IS PROJECTED AT $17.33 PER MEDICAID DAY. BASED ON THIS ESTIMATE, THE ORGANIZATION PROVIDED APPROXIMATELY $634,000 IN CHARITY CARE FOR 2011.Description
Total Program Service Expense10999176TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees314NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
STEPHEN E SCHOPFER
PRESIDENT OF THE BOARD1.00XX000
NICHOLAS CATINO
VICE PRESIDENT1.00XX000
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
LOUISE EAKIN
EXECUTIVE DIRECTOR40.00X10291606589
STEPHEN FRY
CHIEF FINANCIAL OFFICER40.00X8495001441
LOUANN SIMPSON
DIRECTOR OF NURSING40.00X7901301396
FieldValueIRS element (for citing)
Total Reportable Comp From Org266879TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation9426TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO
PO BOX 360170PITTSBURGHPA152516170FOOD SERVICE788835
ENDURACARE
PO BOX 53064PHOENIXAZ85072REHAB678780
OMNICARE INC
PO BOX 631285CINCINNATIOH452531285PHARMACY298377
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions243047AllOtherContributions
Total Contributions243047TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column12709539TotalRevenueColumn
Related Or Exempt Function Income12709539RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12709539TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column48723TotalRevenueColumn
Exclusion$48,723ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4500Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3393Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1107Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1107TotalRevenueColumn
Exclusion$1,107ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities371817Securities
Other872Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities379422Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-7605Securities
Other872Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6733TotalRevenueColumn
Exclusion-$6,733ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming2953GrossIncomeGaming
Gaming Direct Expenses61GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column2892TotalRevenueColumn
Exclusion$2,892ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
TV CABLE51700019175$19,175
BARBER/BEAUTICIAN SERV44619917591$17,591
PURCHASE DISCOUNTS90009910233$10,233

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column15870TotalRevenueColumn
Exclusion$15,870ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue62869TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13061444TotalRevenueColumn
Related Or Exempt Function Income12709539RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$108,858ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total276305Total
Program Services80409ProgramServices
Management And General195896ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5897459Total
Program Services5537478ProgramServices
Management And General359981ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23836Total
Program Services20065ProgramServices
Management And General3771ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total930710Total
Program Services879894ProgramServices
Management And General50816ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total562699Total
Program Services516933ProgramServices
Management And General45766ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7562Total
Management And General7562ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42548Total
Management And General42548ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1920Total
Management And General1920ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total927968Total
Program Services851741ProgramServices
Management And General76227ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22151Total
Program Services2194ProgramServices
Management And General7465ManagementAndGeneral
Fundraising12492Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total930275Total
Program Services890692ProgramServices
Management And General39583ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5288Total
Management And General5288ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total350359Total
Program Services326040ProgramServices
Management And General24319ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5234Total
Management And General5234ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6332Total
Program Services6332ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total168406Total
Program Services168406ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total658674Total
Program Services658674ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total164286Total
Program Services164286ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PHARMACY EXPENSE308316308316
PA NURSING HOME ASSESSM278911278911
LAB EXPENSE131733131733
BARBER AND BEAUTY EXPEN5376753767

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total135623Total
Program Services123305ProgramServices
Management And General12318ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11890362Total
Program Services10999176ProgramServices
Management And General878694ManagementAndGeneral
Fundraising12492Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36037BOY
EOY33226EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1796297BOY
EOY1436251EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1374266BOY
EOY1917060EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2326BOY
EOY1257EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13832054LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9816404LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3795822BOY
EOY4015650EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1542272BOY
EOY1776799EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY427726BOY
EOY385971EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY28859BOY
EOY19648EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9003605BOY
EOY9585862EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1220607BOY
EOY1142328EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1658BOY
EOY2600EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3565000BOY
EOY3040000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY32250BOY
EOY32476EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3037BOY
EOY46800EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4822552BOY
EOY4264204EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4179190BOY
EOY5319795EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1863BOY
EOY1863EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4181053BOY
EOY5321658EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9003605BOY
EOY9585862EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1171082ReconcilationRevenueExpenses
Reconcilation Other Changes-30477ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years24430CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71680CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16546CurrentTaxYearMinus1Year
Current Tax Year243047CurrentTaxYear
Total379255Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13503022CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13548498CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14022249CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12530270CurrentTaxYearMinus1Year
Current Tax Year12709539CurrentTaxYear
Total66313578Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13527452CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13572050CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14093929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12546816CurrentTaxYearMinus1Year
Current Tax Year12952586CurrentTaxYear
Total66692833Total

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 Total50966692833PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years198940CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years111209CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39222CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58339CurrentTaxYearMinus1Year
Current Tax Year53223CurrentTaxYear
Total460933Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31558CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32866CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7813CurrentTaxYearMinus2Years
Total72237Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years230498CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years144075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47035CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58339CurrentTaxYearMinus1Year
Current Tax Year53223CurrentTaxYear
Total533170Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47976CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13781CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19736CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50482CurrentTaxYearMinus1Year
Current Tax Year62869CurrentTaxYear
Total194844Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13805926CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13729906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14160700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12655637CurrentTaxYearMinus1Year
Current Tax Year13068678CurrentTaxYear
Total67420847Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98920PublicSupportPercentage509
Prior Year Support Percentage0.98810PriorYearSupportPercentage
Investment Income Percentage0.00790InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00960PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9394183OtherCostOrOtherBasis
Depreciation6619925Depreciation
Book Value2774258BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4227810OtherCostOrOtherBasis
Depreciation3048610Depreciation
Book Value1179200BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis210061OtherCostOrOtherBasis
Depreciation147869Depreciation
Book Value62192BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4015650TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionREFUNDABLE ENTRANCE FEEDescription
Amount$46,800Amount
FieldValueIRS element (for citing)
Total Of Amounts46800TotalOfAmounts
Total Revenue13061444TotalRevenue
Total Expenses11890362TotalExpenses
Excess Or Deficit For Year1171082ExcessOrDeficitForYear
Net Unrealized GL On Investments-30477NetUnrealizedGLOnInvestments
Total Adjustments-30477TotalAdjustments
Excess Or Deficit Per FS1140605ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13034421TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-30477NetUnrealizedGainsInvestments
Revenue Not Rptd F990-30477RevenueNotRptdF990
Revenue Subtotal13064898RevenueSubtotal
Other Revenues Not Included-3454OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-3454RevenueNotRptdOnFinStmt
Total Revenue Per Form99013061444TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11893816TotExpensesEtcAuditedFinclStmt
Other Expenses Included3454OtherExpensesIncluded
Expenses Not Rptd F9903454ExpensesNotRptdF990
Expenses Subtotal11890362ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011890362TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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: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 2011 AND 2010. THE CORPORATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR 2008, 2009, AND 2010 AND THE FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) FOR 2009 AND 2010 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS").DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
RENTAL EXPENSES -3,393. GAMING EXPENSES -61.PART XII, LINE 4B - OTHER ADJUSTMENTS:
RENTAL EXPENSES 3,393. GAMING EXPENSES 61.PART XIII, LINE 2D - OTHER ADJUSTMENTS:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -30,477.CHANGES IN NET ASSETS OR FUND BALANCES:

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