STRATEGY STUDIO / PUBLIC DATA EXPLORER

SENIOR CHOICE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SENIOR CHOICE INC (EIN 23-2771024)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-13
IRS object ID
201631349349303543
Schema version
2015v2.1
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)
Return2016-05-13T12:20:27-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 ST STE 800AddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN R LENART EAPreparerPersonNm
PTINP00289136PTIN
Phone4126976400PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

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$21,351,702GrossReceiptsAmt
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 Employee480TotalEmployeeCnt
Total Volunteers98TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,650PYContributionsGrantsAmt
CY Contributions Grants$1,188CYContributionsGrantsAmt
PY Program Service Revenue$20,519,519PYProgramServiceRevenueAmt
CY Program Service Revenue$19,992,976CYProgramServiceRevenueAmt
PY Investment Income$161,882PYInvestmentIncomeAmt
CY Investment Income$38,313CYInvestmentIncomeAmt
PY Other Revenue$1,162,787PYOtherRevenueAmt
CY Other Revenue$1,261,855CYOtherRevenueAmt
PY Total Revenue$21,846,838PYTotalRevenueAmt
CY Total Revenue$21,294,332CYTotalRevenueAmt
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$10,963,250PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,847,761CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,424,758PYOtherExpensesAmt
CY Other Expenses$11,130,141CYOtherExpensesAmt
PY Total Expenses$21,388,008PYTotalExpensesAmt
CY Total Expenses$21,977,902CYTotalExpensesAmt
PY Revenues Less Expenses$458,830PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$683,570CYRevenuesLessExpensesAmt
Total Assets BOY$18,872,886TotalAssetsBOYAmt
Total Assets EOY$18,113,328TotalAssetsEOYAmt
Total Liabilities BOY$21,494,356TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,658,808TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,621,470NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,545,480NetAssetsOrFundBalancesEOYAmt
MissionTHE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$18,936,551ExpenseAmt
Grant$0GrantAmt
Revenue$21,254,831RevenueAmt
DescTHE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. THE CORPORATION PROVIDED 69,206 DAYS OF SKILLED NURSING CARE AND 45,079 DAYS OF PERSONAL CARE DURING 2015.Desc
Total Program Service Expenses$18,936,551TotalProgramServiceExpensesAmt
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 Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee480EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DENISE MCQUOWN-HATTER
PRESIDENT10.000.00Yes (X)$0$0$0
ROBERT BASTIAN
TREASURER1.000.00Yes (X)$0$0$0Yes (X)
JODIE BABICH
BOARD MEMBER0.300.00$0$0$0Yes (X)
ERIC LAWLOR
BOARD MEMBER0.500.00$0$0$0Yes (X)
CRAIG SAYLOR
BOARD MEMBER0.500.00$0$0$0Yes (X)
KELLY PIDGEON
ADMINISTRATOR40.000.00$106,780$0$9,741Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$106,780TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$9,741TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AFFINITY HEALTH SERVICES INC
942 PHILADELPHIA STREETINDIANAPA15701MANAGEMENT$936,030
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING & LAUNDRY$816,083
REHABCARE GROUP INC
CONTRACT THERAPY DIVISIONST LOUISMO63150THERAPY$710,129
DIAMOND DRUG INC
639 KOLTER DRIVEINDIANAPA15701PHARMACY$691,385
FUNCTIONAL PATHWAYS
614 MARBY HOOD ROADKNOXVILLETN37932THERAPY$595,703
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,188AllOtherContributionsAmt
Total Contributions$1,188TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PROGRAM SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$19,992,976TotalRevenueColumnAmt
Related Or Exempt Func Income$19,992,976RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,992,976TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,683TotalRevenueColumnAmt
Exclusion$95,683ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$57,370SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$57,370SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$57,370TotalRevenueColumnAmt
Exclusion-$57,370ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescNURSING HOME ASSESSMENTDesc
Business623000BusinessCd
Total Revenue Column$1,261,855TotalRevenueColumnAmt
Related Or Exempt Func Income$1,261,855RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,261,855OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,294,332TotalRevenueColumnAmt
Related Or Exempt Func Income$21,254,831RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$38,313ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,543,868TotalAmt
Program Services$8,008,906ProgramServicesAmt
Management And General$534,962ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,463,581TotalAmt
Program Services$1,352,558ProgramServicesAmt
Management And General$111,023ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$840,312TotalAmt
Program Services$790,852ProgramServicesAmt
Management And General$49,460ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$577,198TotalAmt
Management And General$577,198ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$473,424TotalAmt
Management And General$473,424ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$32,179TotalAmt
Management And General$32,179ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,801,488TotalAmt
Program Services$2,645,139ProgramServicesAmt
Management And General$156,349ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$60,822TotalAmt
Management And General$60,822ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$168,517TotalAmt
Program Services$52,261ProgramServicesAmt
Management And General$116,256ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$20,424TotalAmt
Management And General$20,424ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$627,844TotalAmt
Program Services$627,844ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,898TotalAmt
Program Services$11,506ProgramServicesAmt
Management And General$11,392ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,109TotalAmt
Program Services$13,289ProgramServicesAmt
Management And General$5,820ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$865,225TotalAmt
Program Services$865,225ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$926,735TotalAmt
Program Services$876,154ProgramServicesAmt
Management And General$50,581ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$216,149TotalAmt
Management And General$216,149ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
NURSING HOME ASSESSMENT$1,126,861$1,126,861$0$0
ANCILLARY/OTHER MEDICAL$824,285$824,285$0$0
RAW FOOD$774,917$774,917$0$0
NURSING SUPPLIES$468,797$468,797$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,123,269TotalAmt
Program Services$497,957ProgramServicesAmt
Management And General$625,312ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,977,902TotalAmt
Program Services$18,936,551ProgramServicesAmt
Management And General$3,041,351ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,765BOYAmt
EOY$1,685EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,829,816BOYAmt
EOY$2,732,120EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,646,374BOYAmt
EOY$1,653,045EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$223,935BOYAmt
EOY$203,454EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,643,639LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,340,286LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,689,767BOYAmt
EOY$8,303,353EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,557,702BOYAmt
EOY$4,352,025EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$923,527BOYAmt
EOY$867,646EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,872,886BOYAmt
EOY$18,113,328EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,311,343BOYAmt
EOY$1,830,447EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$49,785BOYAmt
EOY$63,548EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,805,000BOYAmt
EOY$19,425,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$111,210BOYAmt
EOY$125,648EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$217,018BOYAmt
EOY$214,165EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,494,356BOYAmt
EOY$21,658,808EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,621,470BOYAmt
EOY-$3,545,480EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,621,470BOYAmt
EOY-$3,545,480EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,872,886BOYAmt
EOY$18,113,328EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$683,570ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$240,440NetUnrlzdGainsLossesInvstAmt
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$10,483CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,327CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,650CurrentTaxYearMinus1YearAmt
Current Tax Year$1,188CurrentTaxYearAmt
Total$20,463TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,277,318CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,636,950CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,772,584CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,519,519CurrentTaxYearMinus1YearAmt
Current Tax Year$19,992,976CurrentTaxYearAmt
Total$100,199,347TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,287,801CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,640,277CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,775,399CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,522,169CurrentTaxYearMinus1YearAmt
Current Tax Year$19,994,164CurrentTaxYearAmt
Total$100,219,810TotalAmt

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$100,219,810PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,441CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,760CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,455CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$89,407CurrentTaxYearMinus1YearAmt
Current Tax Year$95,683CurrentTaxYearAmt
Total$255,746TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,441CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,760CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,455CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$89,407CurrentTaxYearMinus1YearAmt
Current Tax Year$95,683CurrentTaxYearAmt
Total$255,746TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,333,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,162,787CurrentTaxYearMinus1YearAmt
Current Tax Year$1,261,855CurrentTaxYearAmt
Total$3,758,281TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,316,242CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,657,037CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,134,493CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,774,363CurrentTaxYearMinus1YearAmt
Current Tax Year$21,351,702CurrentTaxYearAmt
Total$104,233,837TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96150PublicSupportCY509Pct
Public Support PY5090.97360PublicSupportPY509Pct
Investment Income CY0.00250InvestmentIncomeCYPct
Investment Income PY0.00190InvestmentIncomePYPct
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$16,987,789OtherCostOrOtherBasisAmt
Depreciation$10,944,149DepreciationAmt
Book Value$6,043,640BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,959,822OtherCostOrOtherBasisAmt
Depreciation$3,195,109DepreciationAmt
Book Value$1,764,713BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$202,028OtherCostOrOtherBasisAmt
Depreciation$201,028DepreciationAmt
Book Value$1,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,303,353TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescBOND INTEREST PAYABLEDesc
Amt$214,165Amt
FieldValueIRS element (for citing)
Total Liability$214,165TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$20,942,527TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$240,440NetUnrealizedGainsInvstAmt
Other Revenue-$111,365OtherRevenueAmt
Revenue Not Reported-$351,805RevenueNotReportedAmt
Revenue Subtotal$21,294,332RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$21,294,332TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$21,866,537TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$21,866,537ExpensesSubtotalAmt
Other Expenses Not Included$111,365OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$111,365ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$21,977,902TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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, 2015 AND 2014.
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS FROM LEGAL SETTLEMENT -111,365.
PART XII, LINE 4B - OTHER ADJUSTMENTS:LOSS FROM LEGAL SETTLEMENT 111,365.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$22,455,000TotalProceedsAmt
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$577,198TransactionAmt
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 11THE 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 2,009,053. MANAGEMENT AND GENERAL EXPENSES 141,509. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,150,562. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 597,418. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 597,418. CONSULTANTS: PROGRAM SERVICE EXPENSES 12,594. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,594. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 26,074. MANAGEMENT AND GENERAL EXPENSES 14,840. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,914.