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LYCOMING COMMUNITY CARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LYCOMING COMMUNITY CARE INC (EIN 23-2626796)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-10
IRS object ID
201632239349301918
Schema version
2015v2.1
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)
Return2016-08-10T14:37:19-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN232723863PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LARSON KELLETT & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line140 CHOATE CIRCLEAddressLine1Txt
CityMONTOURSVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17754ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232626796EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LYCOMING COMMUNITY CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLYCOBusinessNameControlTxt
Phone5704333161PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12140 WARRENSVILLE ROADAddressLine1Txt
CityMONTOURSVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17754ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN D FRYPersonNm
Person TitleCFOPersonTitleTxt
Phone5704333161PhoneNum
Signature2016-07-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRADLEY D KELLETT CPAPreparerPersonNm
PTINP00024906PTIN
Phone5703682941PhoneNum
Preparation2016-07-26PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN D FRYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12140 WARRENSVILLE ROADAddressLine1Txt
CityMONTOURSVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17754ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,562,568GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VALLEYVIEW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDED SKILLED AND INTERMEDIATE NURSING CARE TO THE MEN AND WOMEN OF LYCOMING COUNTYActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee339TotalEmployeeCnt
Total Volunteers29TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$19,850PYContributionsGrantsAmt
CY Contributions Grants$15,335CYContributionsGrantsAmt
PY Program Service Revenue$13,702,003PYProgramServiceRevenueAmt
CY Program Service Revenue$13,415,234CYProgramServiceRevenueAmt
PY Investment Income$108,742PYInvestmentIncomeAmt
CY Investment Income$117,215CYInvestmentIncomeAmt
PY Other Revenue$20,757PYOtherRevenueAmt
CY Other Revenue$12,402CYOtherRevenueAmt
PY Total Revenue$13,851,352PYTotalRevenueAmt
CY Total Revenue$13,560,186CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,340,116PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,853,442CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$16,017CYTotalFundraisingExpenseAmt
PY Other Expenses$4,697,694PYOtherExpensesAmt
CY Other Expenses$4,823,279CYOtherExpensesAmt
PY Total Expenses$13,037,810PYTotalExpensesAmt
CY Total Expenses$13,676,721CYTotalExpensesAmt
PY Revenues Less Expenses$813,542PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$116,535CYRevenuesLessExpensesAmt
Total Assets BOY$9,790,083TotalAssetsBOYAmt
Total Assets EOY$8,908,852TotalAssetsEOYAmt
Total Liabilities BOY$2,469,991TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,854,736TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,320,092NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,054,116NetAssetsOrFundBalancesEOYAmt
MissionPROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR APPROXIMATELY 52,641 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREASMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$12,623,078ExpenseAmt
Revenue$13,415,234RevenueAmt
DescPROVIDED 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$12,623,078TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee339EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEPHEN FRY-CFOPersonNm
Phone5704333161PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12140 WARRENSVILLE ROADAddressLine1Txt
CityMONTOURSVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17754ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PHILIP A PETTER
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
NICHOLAS CATINO
VICE PRESIDE2.00Yes (X)Yes (X)$0$0$0
STEPHEN G KAISER
TREASURER1.00Yes (X)Yes (X)$0$0$0
JERI DEMEL
SECRETARY1.00Yes (X)Yes (X)$0$0$0
LAURIE ADE
BOARD MEMBER1.00Yes (X)$0$0$0
MARGARET P PIPER
BOARD MEMBER1.00Yes (X)$0$0$0
J MICHAEL WILEY
BOARD MEMBER1.00Yes (X)$0$0$0
JOE MOYER
BOARD MEMBER1.00Yes (X)$0$0$0
STEPHANIE STOCKI
BOARD MEMBER1.00Yes (X)$0$0$0
LOUANN SIMPSON
ADMINISTRATO40.00Yes (X)$103,583$0$1,680
STEPHEN D FRY
CFO40.00Yes (X)$95,187$0$1,633
STANLEY HIGGING III
RN MANAGER50.00$103,771$0$7,539Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$302,541TotalReportableCompFromOrgAmt
Total Other Compensation$10,852TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SELECT REHABILITATION
PO BOX 809056CHICAGOIL606809056REHAB$1,187,638
SODEXO INC
PO BOX 360170PITTSBURGHPA152516170FOOD SERVICE$955,965
MCKESSION MEDICAL
PO BOX 630693CINCINNATIOH452630693MEDICAL SUPPLY$239,674
PHARMSCRIPT LLC
81 GLENDALE AVEEDISONNJ08817PHARMACY$214,354
SIMPLEX GRINNELL
DEPT CH 10320PALATINEIL600550320ALARM SYSTEM$118,658
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$15,335AllOtherContributionsAmt
Total Contributions$15,335TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$13,415,234TotalRevenueColumnAmt
Related Or Exempt Func Income$13,415,234RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,415,234TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$117,215TotalRevenueColumnAmt
Exclusion$117,215ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,125RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,382RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,743RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,743TotalRevenueColumnAmt
Exclusion$1,743ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$10,659TotalRevenueColumnAmt
Exclusion$10,659ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,659OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,560,186TotalRevenueColumnAmt
Related Or Exempt Func Income$13,415,234RelatedOrExemptFuncIncomeAmt
Exclusion$129,617ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$202,083TotalAmt
Management And General$202,083ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,927,251TotalAmt
Program Services$6,633,383ProgramServicesAmt
Management And General$293,868ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$39,384TotalAmt
Program Services$34,738ProgramServicesAmt
Management And General$4,646ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,684,724TotalAmt
Program Services$1,615,313ProgramServicesAmt
Management And General$69,411ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$285,509TotalAmt
Management And General$285,509ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,666TotalAmt
Management And General$8,666ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,357TotalAmt
Management And General$42,357ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,185,286TotalAmt
Program Services$1,185,286ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,093TotalAmt
Management And General$11,076ManagementAndGeneralAmt
Fundraising$16,017FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$305,362TotalAmt
Program Services$305,362ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$57,596TotalAmt
Program Services$57,596ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$462,684TotalAmt
Program Services$462,684ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$180,756TotalAmt
Program Services$180,756ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$1,010,737$1,010,737
PURCHASED SERVICES$519,244$519,244
PA NURSING HOME ASSESSMEN$374,860$374,860
PHARMACY EXPENSE$243,119$243,119

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$120,010TotalAmt
Management And General$120,010ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,676,721TotalAmt
Program Services$12,623,078ProgramServicesAmt
Management And General$1,037,626ManagementAndGeneralAmt
Fundraising$16,017FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$37,814BOYAmt
EOY$32,987EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,068,976BOYAmt
EOY$436,911EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,449,594BOYAmt
EOY$1,359,651EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$743BOYAmt
EOY$422EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,418,414LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,655,364LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,661,762BOYAmt
EOY$3,763,050EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,381,501BOYAmt
EOY$3,110,656EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$189,693BOYAmt
EOY$205,175EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,790,083BOYAmt
EOY$8,908,852EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,070,577BOYAmt
EOY$1,086,749EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$37,814BOYAmt
EOY$32,987EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,305,000BOYAmt
EOY$670,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,600BOYAmt
EOY$65,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,469,991BOYAmt
EOY$1,854,736EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,318,229BOYAmt
EOY$7,052,253EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,863BOYAmt
EOY$1,863EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,320,092BOYAmt
EOY$7,054,116EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,790,083BOYAmt
EOY$8,908,852EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$116,535ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$149,441NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$243,047CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,941CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,432CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,850CurrentTaxYearMinus1YearAmt
Current Tax Year$15,335CurrentTaxYearAmt
Total$311,605TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,709,539CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,139,630CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,771,314CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,702,003CurrentTaxYearMinus1YearAmt
Current Tax Year$13,415,234CurrentTaxYearAmt
Total$65,737,720TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,952,586CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,155,571CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,788,746CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,721,853CurrentTaxYearMinus1YearAmt
Current Tax Year$13,430,569CurrentTaxYearAmt
Total$66,049,325TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$66,049,325PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,223CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$52,922CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,438CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$113,242CurrentTaxYearMinus1YearAmt
Current Tax Year$121,340CurrentTaxYearAmt
Total$383,165TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,223CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$52,922CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,438CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$113,242CurrentTaxYearMinus1YearAmt
Current Tax Year$121,340CurrentTaxYearAmt
Total$383,165TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,869CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$62,738CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,375CurrentTaxYearMinus1YearAmt
Current Tax Year$10,659CurrentTaxYearAmt
Total$243,596TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,068,678CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,271,231CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,920,139CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,853,470CurrentTaxYearMinus1YearAmt
Current Tax Year$13,562,568CurrentTaxYearAmt
Total$66,676,086TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99060PublicSupportCY509Pct
Public Support PY5090.99080PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
Explanation243,596ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (true)AgentTrusteeEtcInd
Beginning Balance$37,814BeginningBalanceAmt
Additions During Year$43,925AdditionsDuringYearAmt
Distributions During Year$48,752DistributionsDuringYearAmt
Ending Balance$32,987EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,173,215OtherCostOrOtherBasisAmt
Depreciation$7,574,737DepreciationAmt
Book Value$2,598,478BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,984,716OtherCostOrOtherBasisAmt
Depreciation$3,873,351DepreciationAmt
Book Value$1,111,365BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$260,483OtherCostOrOtherBasisAmt
Depreciation$207,276DepreciationAmt
Book Value$53,207BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,763,050TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREFUNDABLE ENTRANCE FEEDesc
Amt$65,000Amt
FieldValueIRS element (for citing)
Total Liability$65,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$13,421,862TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$149,441NetUnrealizedGainsInvstAmt
Other Revenue$11,117OtherRevenueAmt
Revenue Not Reported-$138,324RevenueNotReportedAmt
Revenue Subtotal$13,560,186RevenueSubtotalAmt
Total Revenue Per Form990$13,560,186TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,687,838TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$11,117OtherExpensesIncludedAmt
Expenses Not Reported$11,117ExpensesNotReportedAmt
Expenses Subtotal$13,676,721ExpensesSubtotalAmt
Total Expenses Per Form990$13,676,721TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART IV, LINE 1BLYCOMING COMMUNITY CARE, INC PROVIDES TRUST FUND SERVICES FOR RESIDENTS' PERSONAL FUNDS IN ACCORDANCE WITH STATE REGULATIONS
SCHEDULE D, PAGE 2, PART IV, LINE 2BLYCOMING COMMUNITY CARE, INC PROVIDES TRUST FUND SERVICES FOR RESIDENTS' PERSONAL FUNDS IN ACCORDANCE WITH STATE REGULATIONS
SCHEDULE D, PAGE 4, PART XI, LINE 2DRENT EXPENSES 2,382 PURCHASE DISCOUNTS 8,735
SCHEDULE D, PAGE 4, PART XII, LINE 2DRENT EXPENSES 2,382 PURCHASE DISCOUNTS 8,735

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFINAL DRAFT COPY OF FORM 990 IS PROVIDED TO EACH BOARD MEMBER FOR QUESTIONS OR COMMENTS BEFORE FILING.
FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 15ATHE 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 15BTHE 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 19THIS ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART XI, LINE 9RENT EXPENSES 2,382 PURCHASE DISCOUNTS 8,735 RENT EXPENSES -2,382 PURCHASE DISCOUNTS -8,735