FURP.ORG / PUBLIC DATA EXPLORER

SENIOR CHOICE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SENIOR CHOICE INC (EIN 23-2771024)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-15
IRS object ID
201741359349300529
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

FieldValueIRS element (for citing)
Return2017-05-15T07:15:47-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 STANWIX STREETAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232771024EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SENIOR CHOICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSENIBusinessNameControlTxt
Phone7244631010PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1942 PHILADELPHIA STREETAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENISE MCQUOWN-HATTERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7244631010PhoneNum
Signature2017-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN R LENART EAPreparerPersonNm
PTINP00289136PTIN
Phone4126976400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.140.44.123IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-11IPDt
IP Tm09:11:11IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id20CD8FEEB8FE7C72EDC53ECAF3E958E9DD06E9E0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDENISE MCQUOWN-HATTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1942 PHILADELPHIA STREETAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,729,888GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PA.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee483TotalEmployeeCnt
Total Volunteers99TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,188PYContributionsGrantsAmt
CY Contributions Grants$1,490CYContributionsGrantsAmt
PY Program Service Revenue$19,992,976PYProgramServiceRevenueAmt
CY Program Service Revenue$20,216,313CYProgramServiceRevenueAmt
PY Investment Income$38,313PYInvestmentIncomeAmt
CY Investment Income$108,997CYInvestmentIncomeAmt
PY Other Revenue$1,261,855PYOtherRevenueAmt
CY Other Revenue$1,403,088CYOtherRevenueAmt
PY Total Revenue$21,294,332PYTotalRevenueAmt
CY Total Revenue$21,729,888CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,847,761PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,713,993CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,130,141PYOtherExpensesAmt
CY Other Expenses$10,892,294CYOtherExpensesAmt
PY Total Expenses$21,977,902PYTotalExpensesAmt
CY Total Expenses$21,606,287CYTotalExpensesAmt
PY Revenues Less Expenses-$683,570PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$123,601CYRevenuesLessExpensesAmt
Total Assets BOY$18,113,328TotalAssetsBOYAmt
Total Assets EOY$18,120,150TotalAssetsEOYAmt
Total Liabilities BOY$21,658,808TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,289,426TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$3,545,480NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,169,276NetAssetsOrFundBalancesEOYAmt
MissionTHE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$18,985,652ExpenseAmt
Grant$0GrantAmt
Revenue$21,619,401RevenueAmt
DescTHE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. THE CORPORATION PROVIDED 68,987 DAYS OF SKILLED NURSING CARE AND 48,285 DAYS OF PERSONAL CARE DURING 2016.Desc
Total Program Service Expenses$18,985,652TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee483EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AFFINITY HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7244631010PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1942 PHILADELPHIA STREETAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT BASTIAN
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
JODIE BABICH
BOARD MEMBER0.500.00Yes (X)$0$0$0
ERIC LAWLOR
BOARD MEMBER0.500.00Yes (X)$0$0$0
CRAIG SAYLOR
BOARD MEMBER0.500.00Yes (X)$0$0$0
DENISE MCQUOWN-HATTER
PRESIDENT10.000.00Yes (X)$0$0$0
KELLY PIDGEON
ADMINISTRATOR40.000.00$104,038$0$8,530Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$104,038TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$8,530TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CULINARY SERVICES GROUP LLC
1135 BUSINESS PARKWAY SOUTHWESTMINSTERPA16172DIETARY$1,043,466
FUNCTIONAL PATHWAY
10133 SHERRIL BLVD SUITE 200KNOXVILLETN37932REHAB THERAPY$890,820
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING & LAUNDRY$779,817
AFFINITY HEALTH SERVICES INC
942 PHILADELPHIA STREETINDIANAPA15701MANAGEMENT$558,571
SOMERSET MED SERVICES
4309 GLADES PIKESOMERSETPA15501MEDICAL SUPPLIES$354,257
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,490AllOtherContributionsAmt
Total Contributions$1,490TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PROGRAM SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$20,216,313TotalRevenueColumnAmt
Related Or Exempt Func Income$20,216,313RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$20,216,313TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$98,367TotalRevenueColumnAmt
Exclusion$98,367ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,630SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,630SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,630TotalRevenueColumnAmt
Exclusion$10,630ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescNURSING HOME ASSESSMENTDesc
Business623000BusinessCd
Total Revenue Column$1,403,088TotalRevenueColumnAmt
Related Or Exempt Func Income$1,403,088RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,403,088OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,729,888TotalRevenueColumnAmt
Related Or Exempt Func Income$21,619,401RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$108,997ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,687,175TotalAmt
Program Services$8,155,360ProgramServicesAmt
Management And General$531,815ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,468,582TotalAmt
Program Services$1,353,334ProgramServicesAmt
Management And General$115,248ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$558,236TotalAmt
Program Services$508,659ProgramServicesAmt
Management And General$49,577ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$601,909TotalAmt
Management And General$601,909ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,085TotalAmt
Management And General$23,085ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,946,892TotalAmt
Program Services$2,758,650ProgramServicesAmt
Management And General$188,242ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$60,936TotalAmt
Management And General$60,936ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$173,946TotalAmt
Program Services$49,225ProgramServicesAmt
Management And General$124,721ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,667TotalAmt
Management And General$19,667ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$605,955TotalAmt
Program Services$605,955ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,404TotalAmt
Program Services$12,963ProgramServicesAmt
Management And General$9,441ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,298TotalAmt
Program Services$8,632ProgramServicesAmt
Management And General$8,666ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$852,275TotalAmt
Program Services$852,275ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$947,496TotalAmt
Program Services$896,915ProgramServicesAmt
Management And General$50,581ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$225,336TotalAmt
Management And General$225,336ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
NURSING HOME ASSESSMENT$1,211,374$1,211,374$0$0
RAW FOOD$797,701$797,701$0$0
ANCILLARY/OTHER MEDICAL$745,700$745,700$0$0
NURSING SUPPLIES$474,539$474,539$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,165,781TotalAmt
Program Services$554,370ProgramServicesAmt
Management And General$611,411ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,606,287TotalAmt
Program Services$18,985,652ProgramServicesAmt
Management And General$2,620,635ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,685BOYAmt
EOY$1,781EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,732,120BOYAmt
EOY$1,549,050EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,653,045BOYAmt
EOY$3,159,924EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$203,454BOYAmt
EOY$114,194EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,232,881LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,231,901LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,303,353BOYAmt
EOY$8,000,980EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,352,025BOYAmt
EOY$4,559,436EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$867,646BOYAmt
EOY$734,785EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,113,328BOYAmt
EOY$18,120,150EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,830,447BOYAmt
EOY$1,998,792EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$63,548BOYAmt
EOY$66,997EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,425,000BOYAmt
EOY$18,908,018EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$125,648BOYAmt
EOY$105,852EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$214,165BOYAmt
EOY$209,767EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,658,808BOYAmt
EOY$21,289,426EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,545,480BOYAmt
EOY-$3,169,276EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,545,480BOYAmt
EOY-$3,169,276EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,113,328BOYAmt
EOY$18,120,150EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$123,601ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$252,603NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$3,327CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,815CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,650CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,188CurrentTaxYearMinus1YearAmt
Current Tax Year$1,490CurrentTaxYearAmt
Total$11,470TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,636,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,772,584CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,519,519CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,992,976CurrentTaxYearMinus1YearAmt
Current Tax Year$20,216,313CurrentTaxYearAmt
Total$100,138,342TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,640,277CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,775,399CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,522,169CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,994,164CurrentTaxYearMinus1YearAmt
Current Tax Year$20,217,803CurrentTaxYearAmt
Total$100,149,812TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$100,149,812PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,760CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,683CurrentTaxYearMinus1YearAmt
Current Tax Year$98,367CurrentTaxYearAmt
Total$325,672TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,760CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,683CurrentTaxYearMinus1YearAmt
Current Tax Year$98,367CurrentTaxYearAmt
Total$325,672TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,333,639CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,162,787CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,261,855CurrentTaxYearMinus1YearAmt
Current Tax Year$1,403,088CurrentTaxYearAmt
Total$5,161,369TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,657,037CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,134,493CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,774,363CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,351,702CurrentTaxYearMinus1YearAmt
Current Tax Year$21,719,258CurrentTaxYearAmt
Total$105,636,853TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94810PublicSupportCY509Pct
Public Support PY5090.96150PublicSupportPY509Pct
Investment Income CY0.00310InvestmentIncomeCYPct
Investment Income PY0.00250InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$494,000OtherCostOrOtherBasisAmt
Book Value$494,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,050,411OtherCostOrOtherBasisAmt
Depreciation$11,421,414DepreciationAmt
Book Value$5,628,997BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,204,272OtherCostOrOtherBasisAmt
Depreciation$3,486,141DepreciationAmt
Book Value$1,718,131BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$484,198OtherCostOrOtherBasisAmt
Depreciation$324,346DepreciationAmt
Book Value$159,852BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,000,980TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescBOND INTEREST PAYABLEDesc
Amt$209,767Amt
FieldValueIRS element (for citing)
Total Liability$209,767TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$21,982,491TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$252,603NetUnrealizedGainsInvstAmt
Revenue Not Reported$252,603RevenueNotReportedAmt
Revenue Subtotal$21,729,888RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$21,729,888TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$21,606,287TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$21,606,287ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$21,606,287TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION IS THE CUSTODIAN FOR RESIDENT TRUST FUNDS FOR SOME OF THE FACILITIES' RESIDENTS.
PART X, LINE 2:SENIOR CHOICE ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAX AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD AT DECEMBER 31, 2016 AND 2015.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CAMBRIA COUNTY INDUSTRIALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN251334277BondIssuerEIN
CUSIP132047BX8CUSIPNum
Bond Issued2006-07-01BondIssuedDt
Issue Price$22,455,000IssuePriceAmt
PurposeEXCHANGE OF 1996 BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$22,455,000TotalProceedsAmt
Issuance Costs From Proceeds$132,480IssuanceCostsFromProceedsAmt
Other Spent Proceeds$22,455,000OtherSpentProceedsAmt
Substantial Completion2006SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonDENISE MCQUOWN-HATTERPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionPRESIDENT OF AFFINITY HEALTH SERVICES, INC.RelationshipDescriptionTxt
Transaction$601,909TransactionAmt
TransactionMANAGEMENT FEES & CONSULTING SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION IS MANAGED BY AFFINITY HEALTH SERVICES, INC., WHICH PROVIDES EXECUTIVE, FINANCIAL AND GENERAL OVERSIGHT.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S PROCESS TO REVIEW FORM 990 CONSISTENTS OF COPIES OF FORM 990 BEING PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS AND HIGH LEVEL POSITIONS SIGN AND UPDATE CONFLICT OF INTEREST FORMS ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,218,339. MANAGEMENT AND GENERAL EXPENSES 169,428. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,387,767. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 499,941. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 499,941. CONSULTANTS: PROGRAM SERVICE EXPENSES 19,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,920. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 20,450. MANAGEMENT AND GENERAL EXPENSES 18,814. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,264.