STRATEGY STUDIO / PUBLIC DATA EXPLORER

SENIOR CHOICE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SENIOR CHOICE INC (EIN 23-2771024)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-10
IRS object ID
202213149349305471
Schema version
2021v4.2
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)
Return2022-11-10T14:04:20-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US 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 Begin2021-01-01TaxPeriodBeginDt

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)
PersonCRAIG SAYLORPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7244631010PhoneNum
Signature2022-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCRAIGPersonFirstNm
Person LastSAYLORPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN R LENART EAPreparerPersonNm
PTINP00289136PTIN
Phone4126976400PhoneNum
Preparation2022-11-07PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCRAIG SAYLORPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1942 PHILADELPHIA STREETAddressLine1Txt
CityINDIANACityNm
State AbbreviationPAStateAbbreviationCd
ZIP15701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,850,523GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressAFFINITYHEALTHSERVICES.NETWebsiteAddressTxt
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 Employee368TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,916,726PYContributionsGrantsAmt
CY Contributions Grants$5,800,934CYContributionsGrantsAmt
PY Program Service Revenue$17,468,074PYProgramServiceRevenueAmt
CY Program Service Revenue$15,400,198CYProgramServiceRevenueAmt
PY Investment Income$104,842PYInvestmentIncomeAmt
CY Investment Income$227,201CYInvestmentIncomeAmt
PY Other Revenue$1,546,269PYOtherRevenueAmt
CY Other Revenue$1,422,190CYOtherRevenueAmt
PY Total Revenue$21,035,911PYTotalRevenueAmt
CY Total Revenue$22,850,523CYTotalRevenueAmt
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$10,649,085PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,371,143CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,054,792PYOtherExpensesAmt
CY Other Expenses$10,254,308CYOtherExpensesAmt
PY Total Expenses$22,703,877PYTotalExpensesAmt
CY Total Expenses$20,625,451CYTotalExpensesAmt
PY Revenues Less Expenses-$1,667,966PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,225,072CYRevenuesLessExpensesAmt
Total Assets BOY$14,770,289TotalAssetsBOYAmt
Total Assets EOY$14,598,531TotalAssetsEOYAmt
Total Liabilities BOY$21,519,995TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,702,993TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$6,749,706NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$4,104,462NetAssetsOrFundBalancesEOYAmt
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$17,897,983ExpenseAmt
Grant$0GrantAmt
Revenue$16,813,303RevenueAmt
DescTHE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. THE CORPORATION PROVIDED 51,763 DAYS OF SKILLED NURSING CARE AND 30,383 DAYS OF PERSONAL CARE DURING 2021.Desc
Total Program Service Expenses$17,897,983TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
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 Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee368EmployeeCnt
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
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 Line1STEPHANIE ROUTBusinessNameLine1Txt
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 (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CRAIG SAYLOR
PRESIDENT4.00Yes (X)Yes (X)$0$0$0
EILEEN GRAHAM
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
JODIE BABICH
BOARD MEMBER1.00Yes (X)$0$0$0
JENNIFER AURANDT
BOARD MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
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 SOUTHWESTMINSTERPA21157DIETARY$1,362,804
AFFINITY HEALTH SERVICES INC
942 PHILADELPHIA STREETINDIANAPA15701MANAGEMENT$1,105,233
FUNCTIONAL PATHWAYS
10133 SHEFFIL BLVD STE 200KNOXVILLETN37932THERAPY$902,015
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING & LAUNDRY$788,622
ALLIED RESOURCES MEDICAL STAFFING
135 DOWLIN FORGE ROADEXTONPA19341NURSING$460,365
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Government Grants$5,786,736GovernmentGrantsAmt
All Other Contributions$14,198AllOtherContributionsAmt
Total Contributions$5,800,934TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PROGRAM SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$15,400,198TotalRevenueColumnAmt
Related Or Exempt Func Income$15,400,198RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,400,198TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,859TotalRevenueColumnAmt
Exclusion$60,859ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$166,342SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$166,342SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,342TotalRevenueColumnAmt
Exclusion$166,342ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NURSING HOME ASSESSMENT623000$1,413,105$1,413,105
OTHER INCOME900099$9,085$9,085
FieldValueIRS element (for citing)
Other Revenue Total$1,422,190OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,850,523TotalRevenueColumnAmt
Related Or Exempt Func Income$16,813,303RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$236,286ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,605,427TotalAmt
Program Services$8,033,540ProgramServicesAmt
Management And General$571,887ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,060,956TotalAmt
Program Services$977,438ProgramServicesAmt
Management And General$83,518ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$704,760TotalAmt
Program Services$655,397ProgramServicesAmt
Management And General$49,363ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$469,237TotalAmt
Management And General$469,237ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,281TotalAmt
Management And General$23,281ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,178,993TotalAmt
Program Services$2,886,580ProgramServicesAmt
Management And General$292,413ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,156TotalAmt
Management And General$27,156ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$91,454TotalAmt
Program Services$15,094ProgramServicesAmt
Management And General$76,360ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$48,247TotalAmt
Management And General$48,247ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$510,531TotalAmt
Program Services$510,531ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,341TotalAmt
Program Services$7,052ProgramServicesAmt
Management And General$6,289ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,758TotalAmt
Program Services$18,597ProgramServicesAmt
Management And General$4,161ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$792,243TotalAmt
Program Services$792,243ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$969,740TotalAmt
Program Services$969,740ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$330,117TotalAmt
Management And General$330,117ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
NURSING HOME ASSESSMENT$990,935$990,935$0$0
RAW FOOD$673,642$673,642$0$0
ADMINISTRATORS$367,074$0$367,074$0
ANCILLARY/OTHER MEDICAL$362,843$362,843$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,382,716TotalAmt
Program Services$1,004,351ProgramServicesAmt
Management And General$378,365ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,625,451TotalAmt
Program Services$17,897,983ProgramServicesAmt
Management And General$2,727,468ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,030BOYAmt
EOY$4,604EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,187,234BOYAmt
EOY$2,487,186EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,808,285BOYAmt
EOY$1,442,557EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$148,948BOYAmt
EOY$186,439EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,005,747LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,988,112LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,759,824BOYAmt
EOY$5,017,635EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,331,507BOYAmt
EOY$4,978,230EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$532,461BOYAmt
EOY$481,880EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,770,289BOYAmt
EOY$14,598,531EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,290,669BOYAmt
EOY$2,072,435EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,990,280BOYAmt
EOY$16,463,635EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$97,378BOYAmt
EOY$103,300EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,141,668BOYAmt
EOY$63,623EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,519,995BOYAmt
EOY$18,702,993EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$6,749,706BOYAmt
EOY-$4,104,462EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$6,749,706BOYAmt
EOY-$4,104,462EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,770,289BOYAmt
EOY$14,598,531EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,225,072ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$420,172NetUnrlzdGainsLossesInvstAmt
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$697CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$5,560CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,916,726CurrentTaxYearMinus1YearAmt
Current Tax Year$5,800,934CurrentTaxYearAmt
Total$7,723,917TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,944,482CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,529,534CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,036,315CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,468,074CurrentTaxYearMinus1YearAmt
Current Tax Year$15,400,198CurrentTaxYearAmt
Total$91,378,603TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,945,179CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,529,534CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,041,875CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,384,800CurrentTaxYearMinus1YearAmt
Current Tax Year$21,201,132CurrentTaxYearAmt
Total$99,102,520TotalAmt

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$99,102,520PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$95,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$99,538CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$91,833CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$68,237CurrentTaxYearMinus1YearAmt
Current Tax Year$60,859CurrentTaxYearAmt
Total$415,614TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$95,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$99,538CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$91,833CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$68,237CurrentTaxYearMinus1YearAmt
Current Tax Year$60,859CurrentTaxYearAmt
Total$415,614TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,367,830CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,433,034CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,440,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,546,269CurrentTaxYearMinus1YearAmt
Current Tax Year$1,422,190CurrentTaxYearAmt
Total$7,209,601TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,408,156CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,062,106CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,573,986CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,999,306CurrentTaxYearMinus1YearAmt
Current Tax Year$22,684,181CurrentTaxYearAmt
Total$106,727,735TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92860PublicSupportCY509Pct
Public Support PY5090.92770PublicSupportPY509Pct
Investment Income CY0.00390InvestmentIncomeCYPct
Investment Income PY0.00430InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$18,776,265OtherCostOrOtherBasisAmt
Depreciation$15,311,111DepreciationAmt
Book Value$3,465,154BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,359,977OtherCostOrOtherBasisAmt
Depreciation$4,370,795DepreciationAmt
Book Value$989,182BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$375,505OtherCostOrOtherBasisAmt
Depreciation$306,206DepreciationAmt
Book Value$69,299BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,017,635TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
VEHICLE LOAN$8,413
CAPITAL LEASE$55,210
FieldValueIRS element (for citing)
Total Liability$63,623TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$23,270,695TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$420,172NetUnrealizedGainsInvstAmt
Revenue Not Reported$420,172RevenueNotReportedAmt
Revenue Subtotal$22,850,523RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$22,850,523TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,625,451TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$20,625,451ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,625,451TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS THE CUSTODIAN FOR RESIDENT TRUST FUNDS FOR SOME OF THE FACILITIES' RESIDENTS.ExplanationTxt

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 INDUSTRIAL DEVELOPMENT AUTHORITYBusinessNameLine1Txt
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
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
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$1,105,233TransactionAmt
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 2,454,077. MANAGEMENT AND GENERAL EXPENSES 258,418. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,712,495. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 273,475. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 273,475. CONSULTANTS: PROGRAM SERVICE EXPENSES 114,781. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,781. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 44,247. MANAGEMENT AND GENERAL EXPENSES 33,995. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,242.