2015-10-19T07:38:34-05:00 2014-12-31 232723863 LARSON KELLETT & ASSOCIATES PC 40 CHOATE CIRCLE MONTOURSVILLE PA 17754 990 2014-01-01 232626796 LYCOMING COMMUNITY CARE INC LYCO 5704333161 2140 WARRENSVILLE ROAD MONTOURSVILLE PA 17754 STEPHEN FRY CHIEF FINANCIAL OFFICER 5704333161 2015-10-05 true BRADLEY D KELLETT CPA P00024906 5703682941 2015-10-05 2014 2016-02-25 16:41:14Z STEPHEN FRY 2140 WARRENSVILLE RD MONTOURSVILLE PA 17754 13853470 false X WWW.VALLEYVIEW.ORG X 1990 PA PROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR APPROXIMATELY 54,426 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS 9 9 330 30 0 17432 19850 13771314 13702003 15626 108742 90904 20757 13895276 13851352 0 0 8080355 8340116 0 14334 4649827 4697694 12730182 13037810 1165094 813542 9754256 9790083 3255811 2469991 6498445 7320092 PROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR APPROXIMATELY 54,426 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS false false 12091814 13702003 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. 12091814 true false false false false false false false true false true false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 16 0 true 330 true false false false false false false false false false false false false X 9 9 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 PHILIP A PETTER PRESIDENT 1.00 X X 0 0 0 NICHOLAS CATINO VICE PRESIDE 2.00 X X 0 0 0 JOSEPH CIPRIANI TREASURER 1.00 X X 0 0 0 JERI DEMEL SECRETARY 1.00 X X 0 0 0 LAURIE ADE BOARD MEMBER 1.00 X 0 0 0 MARGARET P PIPER BOARD MEMBER 1.00 X 0 0 0 J MICHAEL WILEY BOARD MEMBER 1.00 X 0 0 0 JOE MOYER BOARD MEMBER 1.00 X 0 0 0 STEPHEN G KAISER BOARD MEMBER 1.00 X 0 0 0 LOUANN SIMPSON ADMINISTRATO 40.00 X 93459 0 1466 STEPHEN D FRY CFO 40.00 X 92415 0 1464 185874 2930 false false false SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 REHAB 1236571 SODEXO INC PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE 878689 GULF SOUTH MEDICAL PO BOX 841968 DALLAS TX 752841968 MEDICAL SUPPLY 240841 SW THOMAS CONSULTANTS 3438 TRINDLE ROAD SUITE 100 CAMP HILL PA 17011 IT SERVICES 209905 PHARMSCRIPT LLC 81 GLENDALE AVE EDISON NJ 08817 PHARMACY 201159 5 19850 19850 PATIENT SERVICE REVENUE 623000 13702003 13702003 13702003 108742 108742 4500 2118 2382 2382 2382 OTHER INCOME 900099 18375 18375 18375 13851352 13702003 129499 188804 188804 6552149 6287887 264262 29571 25321 4250 1569592 1508064 61528 265703 265703 4793 4793 26100 26100 1214983 1214983 22418 8084 14334 316409 316409 84156 84156 436905 436905 177399 177399 SUPPLIES 942187 942187 PURCHASED SERVICES 491101 491101 PA NURSING HOME ASSESSMEN 384461 384461 PHARMACY EXPENSE 222941 222941 108138 108138 13037810 12091814 931662 14334 50966 37814 1339563 1068976 2431395 1449594 1039 743 14857048 11195286 3523143 3661762 2401993 3381501 6157 189693 9754256 9790083 1233195 1070577 50216 37814 1910000 1305000 62400 56600 3255811 2469991 X 6496582 7318229 1863 1863 6498445 7320092 9754256 9790083 813542 8105 X false true X true false X 16546 243047 15941 17432 19850 312816 12530270 12709539 12139630 13771314 13702003 64852756 12546816 12952586 12155571 13788746 13721853 65165572 65165572 58339 53223 52922 42438 113242 320164 58339 53223 52922 42438 113242 320164 50482 62869 62738 88955 18375 283419 12655637 13068678 12271231 13920139 13853470 65769155 0.99080 0.99180 0.00000 0.00000 X PART III, LINE 12 283,419 true 50216 48090 60492 37814 true X 9935894 7375786 2560108 4662491 3626872 1035619 258663 192628 66035 3661762 REFUNDABLE ENTRANCE FEE 56600 56600 13871095 8105 11638 19743 13851352 13851352 13049448 11638 11638 13037810 13037810 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 2,118 PURCHASE DISCOUNTS 9,520 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENT EXPENSES 2,118 PURCHASE DISCOUNTS 9,520 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 ARRNAGEMENT 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 2,118 PURCHASE DISCOUNTS 9,520 RENT EXPENSES -2,118 PURCHASE DISCOUNTS -9,520