FURP.ORG / PUBLIC DATA EXPLORER

SENIOR CHOICE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SENIOR CHOICE INC (EIN 23-2771024)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-05
IRS object ID
201112179349300416
Schema version
2010v3.2
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)
Timestamp2011-08-05T09:53:30-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PADDEN GUERRINI & ASSOCIATESPCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13425 SIMPSON FERRY ROADAddressLine1
CityCAMP HILLCity
StatePAState
ZIP Code17011ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232771024EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SENIOR CHOICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSENINameControl
Phone7244631010Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1942 PHILADELPHIA STREETAddressLine1
CityINDIANACity
StatePAState
ZIP Code15701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENISE MCQUOWN-HATTERName
TitlePRESIDENT OF CORPORATIONTitle
Phone7244631010Phone
Date Signed2011-08-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALLYSON HORNBAKERName
Phone7177631644Phone
Date Prepared2011-08-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENISE MCQUOWN-HATTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1942 PHILADELPHIA STREETAddressLine1
CityINDIANACity
StatePAState
ZIP Code15701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19020503GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTHE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees511TotalNbrEmployees
Total Nbr Volunteers132TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year16053ContributionsGrantsPriorYear
Contributions Grants Current Year14670ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19113321ProgramServiceRevenuePriorYear
Program Service Revenue CY18641599ProgramServiceRevenueCY
Investment Income Prior Year34424InvestmentIncomePriorYear
Investment Income Current Year30175InvestmentIncomeCurrentYear
Other Revenue Prior Year225862OtherRevenuePriorYear
Other Revenue Current Year330801OtherRevenueCurrentYear
Total Revenue Prior Year19389660TotalRevenuePriorYear
Total Revenue Current Year19017245TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10375412SalariesEtcPriorYear
Salaries Etc Current Year10319598SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2302TotalFundrsngExpCurrentYear
Other Expense Prior Year7988654OtherExpensePriorYear
Other Expenses Current Year8169271OtherExpensesCurrentYear
Total Expenses Prior Year18364066TotalExpensesPriorYear
Total Expenses Current Year18488869TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1025594RevenuesLessExpensesPriorYear
Revenues Less Expenses CY528376RevenuesLessExpensesCY
Total Assets BOY17069032TotalAssetsBOY
Total Assets EOY17429453TotalAssetsEOY
Total Liabilities BOY23007247TotalLiabilitiesBOY
Total Liabilities EOY22839292TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5938215NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5409839NetAssetsOrFundBalancesEOY
Mission DescriptionTHE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16357280Expense
DescriptionTHE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. THE CORPORATION PROVIDED 67,444 DAYS OF SKILLED NURSING CARE AND 50,716 DAYS OF PERSONAL CARE DURING 2010.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense161520Expense
FieldValueIRS element (for citing)
Total Of Other Program Service Exp161520TotalOfOtherProgramServiceExp
Total Program Service Expense16518800TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees511NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AFFINITY HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7244631010TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1942 PHILADELPHIA STREETAddressLine1
CityINDIANACity
StatePAState
ZIP Code15701ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ROBERT BASTIAN
BOARD MEMBER0.77X000
LINDA FANALE
BOARD MEMBER0.77X000
RONALD PARK
SEC./TREAS.1.16X000
ERIC LAWLOR
BOARD MEMBER0.77X000
DENISE MCQUOWN HATTER
PRES OF CORP2.31000X
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
AFFINITY HEALTH SERVICES
942 PHILADELPHIA STREETINDIANAPA15701MGMT & CONSULT802150
FUNCTIONAL PATHWAYS
614 MABRY HOOD ROADKNOXVILLETN37923THERAPY750781SUITE 301
REHABCARE GROUP INC
PO BOX 503534ST LOUISMO63150THERAPY559199
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVEBENSALEMPA19020HSKPG & LAUNDRY296983SUITE 300
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions14670AllOtherContributions
Total Contributions14670TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Total Revenue Column18641599TotalRevenueColumn
Related Or Exempt Function Income18641599RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18641599TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column33433TotalRevenueColumn
Exclusion$33,433ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3258Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-3258Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3258TotalRevenueColumn
Related Or Exempt Function Income-3258RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REAL ESTATE TAX SETTLEMENT141411141411
DAY CARE PRIVATE9705397053
OTHER INCOME2770527705

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column64632TotalRevenueColumn
Related Or Exempt Function Income64632RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue330801TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19017245TotalRevenueColumn
Related Or Exempt Function Income18969142RelatedOrExemptFunctionIncome
Exclusion$33,433ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8153418Total
Program Services7589392ProgramServices
Management And General564026ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12214Total
Program Services11369ProgramServices
Management And General845ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1353675Total
Program Services1248366ProgramServices
Management And General105309ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total800291Total
Program Services745580ProgramServices
Management And General54711ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total486096Total
Program Services161520ProgramServices
Management And General324576ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4222Total
Management And General4222ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1909652Total
Program Services1845671ProgramServices
Management And General63981ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total35174Total
Management And General35174ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1006899Total
Program Services860072ProgramServices
Management And General146827ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8638Total
Management And General8638ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1769060Total
Program Services1763106ProgramServices
Management And General5954ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21537Total
Program Services14004ProgramServices
Management And General7533ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25513Total
Program Services18491ProgramServices
Management And General7022ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1543Total
Program Services1543ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total778289Total
Program Services778289ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total238857Total
Management And General238857ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RAW FOOD739221739221
RESIDENT MEDICATIONS521155521155
ADMINISTRATORS EXP164473164473
ANCILLARY & OTHER RES SER126238126238
FISCAL SERVICE EXP9435194351

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total238353Total
Program Services94783ProgramServices
Management And General141268ManagementAndGeneral
Fundraising2302Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18488869Total
Program Services16518800ProgramServices
Management And General1967767ManagementAndGeneral
Fundraising2302Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY43129BOY
EOY197900EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3715883BOY
EOY4096958EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1687125BOY
EOY1747880EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY217713BOY
EOY256737EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19950036LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10220032LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9974015BOY
EOY9730004EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY228240BOY
EOY252927EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1202927BOY
EOY1147047EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17069032BOY
EOY17429453EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1151863BOY
EOY1182543EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY140178EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY21530000BOY
EOY21205000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY66849BOY
EOY61101EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY22848BOY
EOY18499EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY235687BOY
EOY231971EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23007247BOY
EOY22839292EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5938215BOY
EOY-5409839EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5938215BOY
EOY-5409839EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17069032BOY
EOY17429453EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses528376ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11552CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16580CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19064CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16053CurrentTaxYearMinus1Year
Current Tax Year14670CurrentTaxYear
Total77919Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15755508CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16482537CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18164641CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19339183CurrentTaxYearMinus1Year
Current Tax Year18972400CurrentTaxYear
Total88714269Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15767060CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16499117CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18183705CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19355236CurrentTaxYearMinus1Year
Current Tax Year18987070CurrentTaxYear
Total88792188Total
FieldValueIRS element (for citing)
Public Support Total50988792188PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years62743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years85461CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34424CurrentTaxYearMinus1Year
Current Tax Year33433CurrentTaxYear
Total260967Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years62743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years85461CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34424CurrentTaxYearMinus1Year
Current Tax Year33433CurrentTaxYear
Total260967Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15829803CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16584578CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18228611CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19389660CurrentTaxYearMinus1Year
Current Tax Year19020503CurrentTaxYear
Total89053155Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99710PublicSupportPercentage509
Prior Year Support Percentage0.99690PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis379000OtherCostOrOtherBasis
Book Value379000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15343161OtherCostOrOtherBasis
Depreciation7128417Depreciation
Book Value8214744BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3923200OtherCostOrOtherBasis
Depreciation2922335Depreciation
Book Value1000865BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis304675OtherCostOrOtherBasis
Depreciation169280Depreciation
Book Value135395BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9730004TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
BOND INTEREST PAYABLE 20$227,518
CREDIT UNION DEDUCTIONS$3,272
UNION DUES/INIT FEES/EIT CREDIT$1,143
DAYCARE$38
CREDIT UNION DEDUCTIONS
DAYCARE
FieldValueIRS element (for citing)
Total Of Amounts231971TotalOfAmounts
Total Revenue19017245TotalRevenue
Total Expenses18488869TotalExpenses
Excess Or Deficit For Year528376ExcessOrDeficitForYear
Excess Or Deficit Per FS528376ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19943771TotRevenueEtcAuditedFinclStmt
Other Revenues926526OtherRevenues
Revenue Not Rptd F990926526RevenueNotRptdF990
Revenue Subtotal19017245RevenueSubtotal
Total Revenue Per Form99019017245TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19415395TotExpensesEtcAuditedFinclStmt
Other Expenses Included926526OtherExpensesIncluded
Expenses Not Rptd F990926526ExpensesNotRptdF990
Expenses Subtotal18488869ExpensesSubtotal
Total Expenses Per Form99018488869TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ESCROW LIABILITY ARRANGEMENT EXPLANATIONSCHEDULE D, PAGE 2, PART IV, LINE 2BTHE ORGANIZATION IS THE CUSTODIAN FOR RESIDENT TRUST FUNDS FOR SOME OF THE FACILITIES' RESIDENTS.
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XINCOME TAXES - THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. IN JULY 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED FINANCIAL ACCOUNTING STANDARDS BOARD CODIFICATION NO. 740-10-05, INCOME TAXES (FASC 740-10-05). FASC 740-10-05 CLARIFIES THE ACCOUNTING OF UNCERTAINTY IN INCOME TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. FASC 740-10-05 IS EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2008, AND WAS ADOPTED BY THE CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2009. THE CORPORATION HAS REVIEWED THE IMPACT OF FASC 740-10-05 ON THE FINANCIAL STATEMENTS AND HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AND THERE IS NO MATERIAL IMPACT ON THE BALANCE SHEET, STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS OR CASH FLOWS. THE IRS FORM(S) 990 FOR THE YEARS ENDED DECEMBER 31, 2009, 2008 AND 2007 REMAIN OPEN FOR AN EXAMINATION BY THE IRS.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8NURSING HOME ASSESSMENT EXPENSE 926,526 ROUNDING 0 NURSING HOME ASSESSMENT EXPENSE -926,526 ROUNDING 0
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DNURSING HOME ASSESSMENT EXPENSE 926,526 ROUNDING 0
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DNURSING HOME ASSESSMENT EXPENSE 926,526 ROUNDING 0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CAMBRIA COUNTY INDUSTRIALBusinessNameLine1
Business Name Line2SERIES 2006 BONDS PAYABLEBusinessNameLine2
FieldValueIRS element (for citing)
Issuer EIN251334277IssuerEIN
CUSIP Number132047BX8CUSIPNumber
Date Issued2006-07-01DateIssued
Issue Price22455000IssuePrice
Description Of PurposeEXCHANGE 1996 BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1250000AmountRetired
Total Proceeds22455000TotalProceeds
Other Spent Proceeds22455000OtherSpentProceeds
Year Of Subst Completion2006YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

DQP Table DQPTable (3 entries)

Description Of TransactionDescriptionOfTransactionTransaction CorrectedTransactionCorrected
DENISE MCQUOWN-HATTER PRESIDENT
PRES. AFFINITYtrue
DENISE MCQUOWN-HATTER PRESIDENT
PRES. AFFINITYtrue
DENISE MCQUOWN-HATTER PRESIDENT
PRES. AFFINITYtrue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3THE ORGANIZATION IS MANAGED BY AFFINITY HEALTH SERVICES, INC., WHICH PROVIDES EXECUTIVE, FINANCIAL AND GENERAL OVERSIGHT.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BCOPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE BOARD OF DIRECTORS AND HIGH LEVEL POSITIONS SIGN AND UPDATE CONFLICT OF INTEREST FORMS ANNUALLY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.