LYCOMING COMMUNITY CARE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LYCOMING COMMUNITY CARE INC (EIN 23-2626796)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201743189349300014
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T08:46:26-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 232723863 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LARSON KELLETT & ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 CHOATE CIRCLE | AddressLine1Txt |
| City | MONTOURSVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17754 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232626796 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LYCOMING COMMUNITY CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LYCO | BusinessNameControlTxt |
| Phone | 5704333161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2140 WARRENSVILLE ROAD | AddressLine1Txt |
| City | MONTOURSVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17754 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN D FRY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5704333161 | PhoneNum |
| Signature | 2017-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRADLEY D KELLETT CPA | PreparerPersonNm |
| PTIN | P00024906 | PTIN |
| Phone | 5703682941 | PhoneNum |
| Preparation | 2017-11-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 928666E08B3313B3039F72C5F272C5EBEECF0D6E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1AF3C33E068449F31F79581828F5FE3880F7053F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN D FRY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2140 WARRENSVILLE ROAD | AddressLine1Txt |
| City | MONTOURSVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17754 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,848,245 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VALLEYVIEW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDED SKILLED AND INTERMEDIATE NURSING CARE TO THE MEN AND WOMEN OF LYCOMING COUNTY | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 308 | TotalEmployeeCnt |
| Total Volunteers | 27 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $15,335 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,321 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,415,234 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,723,310 | CYProgramServiceRevenueAmt |
| PY Investment Income | $117,215 | PYInvestmentIncomeAmt |
| CY Investment Income | $92,477 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,402 | PYOtherRevenueAmt |
| CY Other Revenue | $17,694 | CYOtherRevenueAmt |
| PY Total Revenue | $13,560,186 | PYTotalRevenueAmt |
| CY Total Revenue | $13,845,802 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,853,442 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,065,182 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $16,745 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,823,279 | PYOtherExpensesAmt |
| CY Other Expenses | $4,996,262 | CYOtherExpensesAmt |
| PY Total Expenses | $13,676,721 | PYTotalExpensesAmt |
| CY Total Expenses | $15,061,444 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$116,535 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,215,642 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,908,852 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,305,626 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,854,736 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,371,472 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,054,116 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,934,154 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR APPROXIMATELY 51,339 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,916,192 | ExpenseAmt |
| Revenue | $13,723,310 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $13,916,192 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 308 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN FRY-CFO | PersonNm |
| Phone | 5704333161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2140 WARRENSVILLE ROAD | AddressLine1Txt |
| City | MONTOURSVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17754 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| HOWARD J MOYER | |||||||
| VP & PRES P | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEPHEN G KAISER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JERI DEMEL | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARGARET P PIPER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHANIE STOCKI | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NICHOLAS CATINO II | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER KENYON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ADAM NICHOLSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PHILIP A PETTER | |||||||
| PRESIDENT TH | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LOUANN SIMPSON | |||||||
| ADMINISTRATO | 40.00 | Yes (X) | $108,426 | $0 | $1,698 | ||
| STEPHEN D FRY | |||||||
| CFO | 40.00 | Yes (X) | $98,043 | $0 | $1,644 | ||
| STANLEY HIGGING III | |||||||
| RN MANAGER | 50.00 | $138,407 | $0 | $9,244 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $344,876 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $12,586 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ADVANTAGECARE REHAB | |||||
| 5035 CLAIRTON BLVD | PITTSBURGH | PA | 15236 | REHAB | $1,023,962 |
| SODEXO INC | |||||
| PO BOX 360170 | PITTSBURGH | PA | 152516170 | FOOD SERVICE | $892,287 |
| MCKESSION MEDICAL | |||||
| PO BOX 630693 | CINCINNATI | OH | 452630693 | MEDICAL SUPPLY | $299,330 |
| SELECT REHABILITATION | |||||
| PO BOX 809056 | CHICAGO | IL | 606809056 | REHAB | $271,686 |
| PHARMSCRIPT LLC | |||||
| 81 GLENDALE AVE | EDISON | NJ | 08817 | PHARMACY | $224,418 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $12,321 | AllOtherContributionsAmt |
| Total Contributions | $12,321 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $13,723,310 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,723,310 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,723,310 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,477 | TotalRevenueColumnAmt |
| Exclusion | $92,477 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,250 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,443 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,807 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,807 | TotalRevenueColumnAmt |
| Exclusion | $2,807 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $14,887 | TotalRevenueColumnAmt |
| Exclusion | $14,887 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,887 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,845,802 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,723,310 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $110,171 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,811 | TotalAmt |
| Management And General | $209,811 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,802,636 | TotalAmt |
| Program Services | $7,476,611 | ProgramServicesAmt |
| Management And General | $326,025 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,763 | TotalAmt |
| Program Services | $37,935 | ProgramServicesAmt |
| Management And General | $4,828 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,009,972 | TotalAmt |
| Program Services | $1,928,367 | ProgramServicesAmt |
| Management And General | $81,605 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,079 | TotalAmt |
| Management And General | $313,079 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,433 | TotalAmt |
| Management And General | $15,433 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,990 | TotalAmt |
| Management And General | $27,990 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,324,424 | TotalAmt |
| Program Services | $1,324,424 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,192 | TotalAmt |
| Management And General | $16,447 | ManagementAndGeneralAmt |
| Fundraising | $16,745 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,988 | TotalAmt |
| Program Services | $318,988 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,399 | TotalAmt |
| Program Services | $30,399 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488,997 | TotalAmt |
| Program Services | $488,997 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,514 | TotalAmt |
| Program Services | $170,514 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUPPLIES | $1,015,647 | $1,015,647 |
| PURCHASED SERVICES | $519,205 | $519,205 |
| PA NURSING HOME ASSESSMEN | $369,359 | $369,359 |
| PHARMACY EXPENSE | $235,746 | $235,746 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,289 | TotalAmt |
| Management And General | $133,289 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,061,444 | TotalAmt |
| Program Services | $13,916,192 | ProgramServicesAmt |
| Management And General | $1,128,507 | ManagementAndGeneralAmt |
| Fundraising | $16,745 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,987 | BOYAmt |
| EOY | $29,242 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $436,911 | BOYAmt |
| EOY | $43,114 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,359,651 | BOYAmt |
| EOY | $1,422,044 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $422 | BOYAmt |
| EOY | $188 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,230,907 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,140,762 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,763,050 | BOYAmt |
| EOY | $4,090,145 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,110,656 | BOYAmt |
| EOY | $2,162,346 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,175 | BOYAmt |
| EOY | $558,547 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,908,852 | BOYAmt |
| EOY | $8,305,626 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,086,749 | BOYAmt |
| EOY | $1,426,630 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,987 | BOYAmt |
| EOY | $29,242 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $670,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,000 | BOYAmt |
| EOY | $915,600 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,854,736 | BOYAmt |
| EOY | $2,371,472 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,052,253 | BOYAmt |
| EOY | $5,932,291 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,863 | BOYAmt |
| EOY | $1,863 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,054,116 | BOYAmt |
| EOY | $5,934,154 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,908,852 | BOYAmt |
| EOY | $8,305,626 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,215,642 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $95,680 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,941 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,432 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,850 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,321 | CurrentTaxYearAmt |
| Total | $80,879 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,139,630 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,771,314 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,702,003 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,415,234 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,723,310 | CurrentTaxYearAmt |
| Total | $66,751,491 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,155,571 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,788,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,721,853 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,430,569 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,735,631 | CurrentTaxYearAmt |
| Total | $66,832,370 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $66,832,370 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $52,922 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,438 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $113,242 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,340 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $97,727 | CurrentTaxYearAmt |
| Total | $427,669 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $52,922 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,438 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $113,242 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,340 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $97,727 | CurrentTaxYearAmt |
| Total | $427,669 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $62,738 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,955 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,659 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,887 | CurrentTaxYearAmt |
| Total | $195,614 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,271,231 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,920,139 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,853,470 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,562,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,848,245 | CurrentTaxYearAmt |
| Total | $67,455,653 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99080 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99060 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE 195,614 | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (true) | AgentTrusteeEtcInd |
| Beginning Balance | $32,987 | BeginningBalanceAmt |
| Additions During Year | $168,499 | AdditionsDuringYearAmt |
| Distributions During Year | $172,244 | DistributionsDuringYearAmt |
| Ending Balance | $29,242 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,691,434 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,797,574 | DepreciationAmt |
| Book Value | $2,893,860 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,237,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,125,074 | DepreciationAmt |
| Book Value | $1,112,800 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $301,599 | OtherCostOrOtherBasisAmt |
| Depreciation | $218,114 | DepreciationAmt |
| Book Value | $83,485 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,090,145 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY PAYOR SETTLEMENTS | Desc |
| Book Value | $558,547 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $558,547 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LINE OF CREDIT | $850,000 |
| REFUNDABLE ENTRANCE FEE | $65,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $915,600 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $13,952,796 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $95,680 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $11,314 | OtherRevenueAmt |
| Revenue Not Reported | $106,994 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,845,802 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $13,845,802 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,072,758 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $11,314 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $11,314 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,061,444 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $15,061,444 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2,443 PURCHASE DISCOUNTS 8,871 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | RENT EXPENSES 2,443 PURCHASE DISCOUNTS 8,871 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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, 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 2,443 PURCHASE DISCOUNTS 8,871 RENT EXPENSES -2,443 PURCHASE DISCOUNTS -8,871 |