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SENIOR CHOICE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SENIOR CHOICE INC (EIN 23-2771024)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-19
IRS object ID
201822929349300612
Schema version
2017v2.2
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)
Return2018-10-19T11:23:15-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-06-21SignatureDt
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)
IP2018-06-21IPDt
IP Tm14:51:33IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id20CD8FEEB8FE7C72EDC53ECAF3E958E9DD06E9E0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

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$21,493,333GrossReceiptsAmt
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 Employee439TotalEmployeeCnt
Total Volunteers99TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,490PYContributionsGrantsAmt
CY Contributions Grants$697CYContributionsGrantsAmt
PY Program Service Revenue$20,216,313PYProgramServiceRevenueAmt
CY Program Service Revenue$19,944,482CYProgramServiceRevenueAmt
PY Investment Income$108,997PYInvestmentIncomeAmt
CY Investment Income$180,324CYInvestmentIncomeAmt
PY Other Revenue$1,403,088PYOtherRevenueAmt
CY Other Revenue$1,367,830CYOtherRevenueAmt
PY Total Revenue$21,729,888PYTotalRevenueAmt
CY Total Revenue$21,493,333CYTotalRevenueAmt
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$10,713,993PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,909,706CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,892,294PYOtherExpensesAmt
CY Other Expenses$11,184,408CYOtherExpensesAmt
PY Total Expenses$21,606,287PYTotalExpensesAmt
CY Total Expenses$22,094,114CYTotalExpensesAmt
PY Revenues Less Expenses$123,601PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$600,781CYRevenuesLessExpensesAmt
Total Assets BOY$18,120,150TotalAssetsBOYAmt
Total Assets EOY$17,549,344TotalAssetsEOYAmt
Total Liabilities BOY$21,289,426TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,999,763TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$3,169,276NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,450,419NetAssetsOrFundBalancesEOYAmt
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$19,297,126ExpenseAmt
Grant$0GrantAmt
Revenue$21,312,312RevenueAmt
DescTHE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. THE CORPORATION PROVIDED 67,211 DAYS OF SKILLED NURSING CARE AND 47,856 DAYS OF PERSONAL CARE DURING 2017.Desc
Total Program Service Expenses$19,297,126TotalProgramServiceExpensesAmt
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 Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee439EmployeeCnt
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 (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
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
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
FUNCTIONAL PATHWAYS
10133 SHERRIL BLVD SUITE 200KNOXVILLETN37932REHAB THERAPY$1,214,546
CULINARY SERVICES GROUP LLC
1135 BUSINESS PARKWAY SOUTHWESTMINSTERPA16172DIETARY$1,087,008
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING & LAUNDRY$779,817
AFFINITY HEALTH SERVICES INC
942 PHILADELPHIA STREETINDIANAPA15701MANAGEMENT$563,203
DIAMOND DRUGS INC
645 KOLTER DRIVEINDIANAPA15701MEDICAL SUPPLIES$376,789
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
All Other Contributions$697AllOtherContributionsAmt
Total Contributions$697TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PROGRAM SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$19,944,482TotalRevenueColumnAmt
Related Or Exempt Func Income$19,944,482RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,944,482TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,147TotalRevenueColumnAmt
Exclusion$95,147ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$85,177SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$85,177SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$85,177TotalRevenueColumnAmt
Exclusion$85,177ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescNURSING HOME ASSESSMENTDesc
Business623000BusinessCd
Total Revenue Column$1,367,830TotalRevenueColumnAmt
Related Or Exempt Func Income$1,367,830RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,367,830OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,493,333TotalRevenueColumnAmt
Related Or Exempt Func Income$21,312,312RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$180,324ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,862,824TotalAmt
Program Services$8,423,786ProgramServicesAmt
Management And General$439,038ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,721TotalAmt
Program Services$9,364ProgramServicesAmt
Management And General$1,357ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,473,929TotalAmt
Program Services$1,338,527ProgramServicesAmt
Management And General$135,402ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$562,232TotalAmt
Program Services$519,782ProgramServicesAmt
Management And General$42,450ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$602,420TotalAmt
Management And General$602,420ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,262TotalAmt
Management And General$7,262ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,093,196TotalAmt
Program Services$2,877,054ProgramServicesAmt
Management And General$216,142ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$55,959TotalAmt
Management And General$55,959ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$187,321TotalAmt
Program Services$38,369ProgramServicesAmt
Management And General$148,952ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,898TotalAmt
Management And General$17,898ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$636,803TotalAmt
Program Services$636,803ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,368TotalAmt
Program Services$14,009ProgramServicesAmt
Management And General$8,359ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,970TotalAmt
Program Services$7,778ProgramServicesAmt
Management And General$8,192ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$835,158TotalAmt
Program Services$835,158ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$942,555TotalAmt
Program Services$891,974ProgramServicesAmt
Management And General$50,581ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$234,055TotalAmt
Management And General$234,055ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
NURSING HOME ASSESSMENT$1,217,569$1,217,569$0$0
RAW FOOD$801,997$801,997$0$0
ANCILLARY/OTHER MEDICAL$753,181$753,181$0$0
NURSING SUPPLIES$451,967$451,967$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,308,729TotalAmt
Program Services$479,808ProgramServicesAmt
Management And General$828,921ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,094,114TotalAmt
Program Services$19,297,126ProgramServicesAmt
Management And General$2,796,988ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,781BOYAmt
EOY$1,900EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,549,050BOYAmt
EOY$838,206EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,159,924BOYAmt
EOY$3,228,926EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$114,194BOYAmt
EOY$171,961EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,834,692LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,118,577LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,000,980BOYAmt
EOY$7,716,115EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,559,436BOYAmt
EOY$4,908,032EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$734,785BOYAmt
EOY$684,204EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,120,150BOYAmt
EOY$17,549,344EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,998,792BOYAmt
EOY$2,149,120EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$66,997BOYAmt
EOY$80,042EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,908,018BOYAmt
EOY$18,458,318EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$105,852BOYAmt
EOY$107,116EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$209,767BOYAmt
EOY$205,167EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,289,426BOYAmt
EOY$20,999,763EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,169,276BOYAmt
EOY-$3,450,419EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,169,276BOYAmt
EOY-$3,450,419EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,120,150BOYAmt
EOY$17,549,344EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$600,781ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$319,638NetUnrlzdGainsLossesInvstAmt
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$2,815CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,650CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,188CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,490CurrentTaxYearMinus1YearAmt
Current Tax Year$697CurrentTaxYearAmt
Total$8,840TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,772,584CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,519,519CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,992,976CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,216,313CurrentTaxYearMinus1YearAmt
Current Tax Year$19,944,482CurrentTaxYearAmt
Total$100,445,874TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,775,399CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,522,169CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,994,164CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,217,803CurrentTaxYearMinus1YearAmt
Current Tax Year$19,945,179CurrentTaxYearAmt
Total$100,454,714TotalAmt

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$100,454,714PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,407CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$95,683CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$98,367CurrentTaxYearMinus1YearAmt
Current Tax Year$95,147CurrentTaxYearAmt
Total$404,059TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,407CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$95,683CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$98,367CurrentTaxYearMinus1YearAmt
Current Tax Year$95,147CurrentTaxYearAmt
Total$404,059TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,333,639CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,162,787CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,261,855CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,403,088CurrentTaxYearMinus1YearAmt
Current Tax Year$1,367,830CurrentTaxYearAmt
Total$6,529,199TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,134,493CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,774,363CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,351,702CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,719,258CurrentTaxYearMinus1YearAmt
Current Tax Year$21,408,156CurrentTaxYearAmt
Total$107,387,972TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93540PublicSupportCY509Pct
Public Support PY5090.94810PublicSupportPY509Pct
Investment Income CY0.00380InvestmentIncomeCYPct
Investment Income PY0.00310InvestmentIncomePYPct
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$17,225,125OtherCostOrOtherBasisAmt
Depreciation$11,895,298DepreciationAmt
Book Value$5,329,827BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,539,832OtherCostOrOtherBasisAmt
Depreciation$3,825,688DepreciationAmt
Book Value$1,714,144BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$575,735OtherCostOrOtherBasisAmt
Depreciation$397,591DepreciationAmt
Book Value$178,144BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,716,115TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescBOND INTEREST PAYABLEDesc
Amt$205,167Amt
FieldValueIRS element (for citing)
Total Liability$205,167TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$21,812,971TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$319,638NetUnrealizedGainsInvstAmt
Revenue Not Reported$319,638RevenueNotReportedAmt
Revenue Subtotal$21,493,333RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$21,493,333TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,094,114TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$22,094,114ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$22,094,114TotalExpensesPerForm990Amt

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, 2017 AND 2016.

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
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$602,420TransactionAmt
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 2,347,569. MANAGEMENT AND GENERAL EXPENSES 187,210. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,534,779. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 481,705. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 481,705. CONSULTANTS: PROGRAM SERVICE EXPENSES 23,566. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,566. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 24,214. MANAGEMENT AND GENERAL EXPENSES 28,932. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,146.