2014-07-03T13:31:37-05:00 2013-12-31 232723863 LARSON KELLETT & ASSOCIATES PC 40 CHOATE CIRCLE MONTOURSVILLE PA 17754 990 2013-01-01 232626796 LYCOMING COMMUNITY CARE INC LYCO 5704333161 2140 WARRENSVILLE ROAD MONTOURSVILLE PA 17754 STEPHEN FRY CHIEF FINANCIAL OFFICER 5704333161 2014-07-02 true BRADLEY D KELLETT CPA P00024906 5703682941 2014-07-03 2013 2015-11-30 17:44:51Z STEPHEN FRY 2140 WARRENSVILLE RD MONTOURSVILLE PA 17754 13922866 false X WWW.VALLEYVIEW.ORG X 1990 PA PROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR APPROXIMATELY 56,063 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS 9 9 294 32 0 15941 17432 12139630 13771314 42790 15626 64679 90904 12263040 13895276 0 0 7919872 8080355 0 17106 4604000 4649827 12523872 12730182 -260832 1165094 8934041 9754256 3755214 3255811 5178827 6498445 PROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR APPROXIMATELY 56,063 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS false false 11576749 13771314 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. 11576749 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 12 0 true 294 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 90131 0 1312 STEPHEN D FRY CFO 40.00 X 89723 0 1464 179854 2776 false false false SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 REHAB 1087489 SODEXO INC PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE 886892 GULF SOUTH MEDICAL PO BOX 841968 DALLAS TX 752841968 MEDICAL SUPPLY 216749 PHARMSCRIPT LLC 81 GLENDALE AVE EDISON NJ 08817 PHARMACY 192396 GALE O BOYER ROOFING 871 SHADLE RD JERSEY SHORE PA 17740 ROOFING 135545 5 17432 17432 PATIENT SERVICE REVENUE 623000 13771314 13771314 13771314 41040 41040 4125 2176 1949 1949 1949 25414 -25414 -25414 -25414 BARBER/BEAUTICIAN SERVICE 446199 51152 51152 TV CABLE 517000 20986 20986 OTHER INCOME 900099 16817 16817 88955 13895276 13771314 106530 182630 182630 6343929 6055294 288635 26750 22900 3850 971002 920816 50186 556044 498948 57096 116841 116841 3717 3717 71245 71245 1216 1216 1256635 1256635 21594 4488 17106 362734 362734 113625 113625 492208 492208 171006 171006 SUPPLIES 915882 904009 11873 PURCHASED SERVICES 404682 139315 265367 PA NURSING HOME ASSESSMEN 401624 401624 PHARMACY EXPENSE 217863 217863 98955 19772 79183 12730182 11576749 1136327 17106 34830 50966 585635 1339563 2472554 2431395 188 1039 14285582 10762439 3652832 3523143 2175959 2401993 12043 6157 8934041 9754256 1167235 1233195 1500 34079 50216 2490000 1910000 62400 62400 3755214 3255811 X 5176964 6496582 1863 1863 5178827 6498445 8934041 9754256 1165094 154524 X false true X true false X 71680 16546 243047 15941 17432 364646 14022249 12530270 12709539 12139630 13771314 65173002 14093929 12546816 12952586 12155571 13788746 65537648 65537648 39222 58339 53223 52922 42438 246144 7813 7813 47035 58339 53223 52922 42438 253957 19736 50482 62869 62738 88955 284780 14160700 12655637 13068678 12271231 13920139 66076385 0.99180 0.99140 0.00000 X PART II, LINE 12 284,780 false true X 9692435 7183041 2509394 4345044 3402284 942760 248103 177114 70989 3523143 REFUNDABLE ENTRANCE FEE 62400 62400 14061871 154524 12071 166595 13895276 13895276 12742253 12071 12071 12730182 12730182 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 2,176 PURCHASE DISCOUNTS 9,895 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENT EXPENSES 2,176 PURCHASE DISCOUNTS 9,895 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 2,176 PURCHASE DISCOUNTS 9,895 RENT EXPENSES -2,176 PURCHASE DISCOUNTS -9,895