2020-11-11T14:43:52-06:00 2019-12-31 390859910 BAKER TILLY US LLP 20 STANWIX STREET PITTSBURGH PA 15222 990 2019-01-01 232771024 SENIOR CHOICE INC SENI 7244631010 942 PHILADELPHIA STREET INDIANA PA 15701 DENISE MCQUOWN-HATTER PRESIDENT 7244631010 2020-11-10 1 BRIAN R LENART EA P00289136 4126976400 2020-11-10 X 24.154.117.200 2020-11-10 09:43:20 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FD79DA0B67E598363081B02C895D30239A61B096 2019 2021-01-29 14:40:06Z DENISE MCQUOWN-HATTER 942 PHILADELPHIA STREET INDIANA PA 15701 20774149 0 X N/A X 1994 PA TO PROVIDE PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PA. 5 5 422 41 0 0 0 5560 19529534 19036315 131551 291996 1433034 1440278 21094119 20774149 0 0 0 0 10549805 10719806 0 0 0 11195668 11396753 21745473 22116559 -651354 -1342410 16574230 14740057 21078915 20097067 -4504685 -5357010 THE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. 0 0 19734550 0 20467328 THE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. THE CORPORATION PROVIDED 64,808 DAYS OF SKILLED NURSING CARE AND 39,073 DAYS OF PERSONAL CARE DURING 2019. 19734550 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 11 0 422 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X AFFINITY HEALTH SERVICES INC 7244631010 942 PHILADELPHIA STREET INDIANA PA 15701 X EILEEN GRAHAM TREASURER 1.00 X X 0 0 0 JODIE BABICH BOARD MEMBER 0.50 X 0 0 0 ERIC T LAWLOR BOARD MEMBER 0.50 X 0 0 0 CRAIG SAYLOR BOARD MEMBER 0.50 X 0 0 0 JENNIFER AURANDT BOARD MEMBER 0.50 X 0 0 0 ROBERT BASTIAN BOARD MEMBER (DECEASED) 1.00 X 0 0 0 DENISE MCQUOWN-HATTER PRESIDENT 10.00 X 0 0 0 0 0 0 0 0 0 0 CULINARY SERVICES GROUP LLC 1135 BUSINESS PARKWAY SOUTH WESTMINSTER MD 21157 DIETARY 1612188 FUNCTIONAL PATHWAYS 10133 SHERRIL BLVD SUITE 200 KNOXVILLE TN 37932 THERAPY 1128714 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING & LAUNDRY 822749 AFFINITY HEALTH SERVICES INC 942 PHILADELPHIA STREET INDIANA PA 15701 MANAGEMENT 605800 DIAMOND DRUGS INC 645 KOLTER DRIVE INDIANA PA 15701 PHARMACY SUPPLIES 581031 7 5560 5560 NET PROGRAM SERVICE REVENUE 623000 19036315 19036315 19036315 91833 91833 200163 0 200163 200163 200163 NURSING HOME ASSESSMENT 623000 1431013 1431013 OTHER INCOME 900099 9265 9265 1440278 20774149 20467328 0 301261 X 8693908 8194536 499372 13500 12725 775 1200541 1137391 63150 811857 765508 46349 386730 386730 15406 15406 3489254 3321372 167882 44469 44469 148877 21401 127476 42182 42182 513790 513790 24090 17985 6105 34392 21936 12456 804988 804988 1041335 1041335 276682 276682 NURSING HOME ASSESSMENT 1170661 1170661 0 RAW FOOD 814768 814768 0 ANCILLARY/OTHER MEDICAL 571218 571218 0 BAD DEBT 450461 450461 0 1567450 874475 692975 22116559 19734550 2382009 0 2331 2287 755519 517648 3280897 2822977 183019 148905 24494892 18072156 7176679 6422736 4542162 4242462 633623 583042 16574230 14740057 2763572 2390313 114812 97493 17983617 17493916 81052 83184 135862 32161 21078915 20097067 X -4504685 -5357010 -4504685 -5357010 16574230 14740057 -1342410 490085 0 X 0 1 X 1 0 X 1188 1490 697 0 5560 8935 19992976 20216313 19944482 19529534 19036315 98719620 19994164 20217803 19945179 19529534 19041875 98728555 0 0 0 98728555 95683 98367 95147 99538 91833 480568 95683 98367 95147 99538 91833 480568 1261855 1403088 1367830 1433034 1440278 6906085 21351702 21719258 21408156 21062106 20573986 106115208 0.93040 0.93380 0.00450 0.00450 X 0 1 X 494000 494000 17687075 13317988 4369087 5995562 4514529 1481033 318255 239639 78616 6422736 VEHICLE LOAN 32161 32161 21264234 490085 490085 20774149 0 20774149 22116559 0 22116559 0 22116559 PART IV, LINE 2B: THE ORGANIZATION IS THE CUSTODIAN FOR RESIDENT TRUST FUNDS FOR SOME OF THE FACILITIES' RESIDENTS. A CAMBRIA COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 251334277 132047BX8 2006-07-01 22455000 EXCHANGE OF 1996 BONDS 0 0 0 A 22455000 132480 22455000 2006 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 DENISE MCQUOWN-HATTER PRESIDENT OF AFFINITY HEALTH SERVICES, INC. 605800 MANAGEMENT FEES & CONSULTING SERVICES 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION IS MANAGED BY AFFINITY HEALTH SERVICES, INC., WHICH PROVIDES EXECUTIVE, FINANCIAL AND GENERAL OVERSIGHT. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C THE BOARD OF DIRECTORS AND HIGH LEVEL POSITIONS SIGN AND UPDATE CONFLICT OF INTEREST FORMS ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,794,535. MANAGEMENT AND GENERAL EXPENSES 141,104. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,935,639. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 419,833. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 419,833. CONSULTANTS: PROGRAM SERVICE EXPENSES 86,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,227. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 20,777. MANAGEMENT AND GENERAL EXPENSES 26,778. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,555.