2018-11-05T12:28:18-05:00 2017-12-31 232723863 LARSON KELLETT & ASSOCIATES PC 40 CHOATE CIRCLE MONTOURSVILLE PA 17754 990 2017-01-01 232626796 LYCOMING COMMUNITY CARE INC LYCO 5704333161 2140 WARRENSVILLE ROAD MONTOURSVILLE PA 17754 STEPHEN D FRY CFO 5704333161 2018-10-30 true BRADLEY D KELLETT CPA P00024906 5703682941 2018-10-30 167.68.16.49 2018-11-05 11:28:18 CS P F61130B5F35C9D26257A625420DA459B316176E7 978C6868E1FFD65FA1F0E03D65B6902AE2D87CAB 2017 2018-06-14 16:35:46Z STEPHEN D FRY 2140 WARRENSVILLE ROAD MONTOURSVILLE PA 17754 14735300 false X WWW.VALLEYVIEW.ORG X 1990 PA PROVIDED SKILLED AND INTERMEDIATE NURSING CARE TO THE MEN AND WOMEN OF LYCOMING COUNTY 9 8 301 29 0 12321 16361 13723310 14497388 92477 204628 17694 14859 13845802 14733236 0 0 10065182 10416470 0 16577 4996262 5272301 15061444 15688771 -1215642 -955535 8305626 6957735 2371472 1979116 5934154 4978619 PROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR APPROXIMATELY 51,552 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS false false 14344190 14497388 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. 14344190 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 true false false false false false false false false false false false true 19 0 true 301 true false false false false false false false false false false false false X 9 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 PRESIDENT 1.00 X X 0 0 0 STEPHEN G KAISER TREASURER 1.00 X X 0 0 0 MARGARET P PIPER BOARD MEMBER 1.00 X 0 0 0 STEPHANIE STOCKI SECRETARY 1.00 X X 0 0 0 NICHOLAS CATINO II BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER KENYON VICE PRESIDE 1.00 X X 0 0 0 ADAM NICHOLSON BOARD MEMBER 1.00 X 0 0 0 GARY PECK BOARD MEMBER 1.00 X 0 0 0 NANCY BERKHEIMER BOARD MEMBER 1.00 X 0 0 0 LOUANN SIMPSON ADMINISTRATO 40.00 X 111345 0 1529 STEPHEN D FRY CFO 40.00 X 102128 0 1475 213473 3004 2 false false false ADVANTAGECARE REHAB 5035 CLAIRTON BLVD PITTSBURGH PA 15236 REHAB 1413607 SODEXO INC PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE 710745 ATLANTIC EQUIPMENT SPECIALIST 3 ENTERPRISE ROAD PO BOX 348 DANVILLE PA 17821 KITCHEN EQUIPME 353153 MCKESSION MEDICAL PO BOX 630693 CINCINNATI OH 452630693 MEDICAL SUPPLY 300625 PHARMSCRIPT LLC 150 PIERCE STREET SOMERSET NJ 08873 PHARMACY 228833 9 16361 16361 PATIENT SERVICE REVENUE 623000 14497388 14497388 14497388 204628 204628 2675 2064 611 611 611 OTHER INCOME 900099 14248 14248 14248 14733236 14497388 219487 320611 320611 7993265 7594578 398687 44181 39988 4193 2058413 1970815 87598 247723 247723 8275 8275 28373 28373 1446399 1446399 33897 17320 16577 328692 328692 28639 28639 487657 487657 145494 145494 SUPPLIES 1114665 1114665 PURCHASED SERVICES 537437 537437 PA NURSING HOME ASSESSMEN 374859 374859 PHARMACY EXPENSE 274967 274967 215224 215224 15688771 14344190 1328004 16577 29242 17665 43114 1422044 1205523 188 281 17387428 12628418 4090145 4759010 2162346 401801 558547 573455 8305626 6957735 1426630 1497580 29242 17665 915600 463871 2371472 1979116 X 5932291 4977103 1863 1516 5934154 4978619 8305626 6957735 -955535 X false true X true false X 17432 19850 15335 12321 16361 81299 13771314 13702003 13415234 13723310 14497388 69109249 13788746 13721853 13430569 13735631 14513749 69190548 69190548 42438 113242 121340 97727 207303 582050 42438 113242 121340 97727 207303 582050 88955 18375 10659 14887 14248 147124 13920139 13853470 13562568 13848245 14735300 69919722 0.98960 0.99080 0.01000 0.01000 X PART III, LINE 12 OTHER REVENUE 147,124 true 29242 53007 64584 17665 true X 11389905 8025794 3364111 5692824 4371033 1321791 304699 231591 73108 4759010 THIRD PARTY PAYOR SETTLEMENTS 573455 573455 LINE OF CREDIT 400000 REFUNDABLE ENTRANCE FEE 52600 BANK OVERDRAFT 11271 463871 14743025 9789 9789 14733236 14733236 15698560 9789 9789 15688771 15688771 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 2,064 PURCHASE DISCOUNTS 7,725 SCHEDULE D, PAGE 4, PART XII, LINE 2D PURCHASE DISCOUNTS 7,725 RENT EXPENSES 2,064 NICHOLAS CATINO II BOARD MEMBER 174727 CONSTRUCTION SVCS false SCHEDULE L, PART V NICHOLAS CATINO II IS A MEMBER OF THE BOARD OF DIRECTORS AND 100% OWNER OF MASTERS CONTRACTORS, INC. WHO CONTRACTED WITH THE ORGANIZATION TO PROVIDE CONSTRUCTION SERVICES. THE CONTRACT WAS APPROVED BY THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. 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 ORGANIZATION. 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 ORGANIZATION WITHOUT THE KNOWLEDGE AND CONSENT OF THE ORGANIZATION. 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 2,064 PURCHASE DISCOUNTS 7,725 PURCHASE DISCOUNTS -7,725 RENT EXPENSES -2,064