SENIOR CHOICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SENIOR CHOICE INC (EIN 23-2771024)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-20
IRS object ID: 201331409349300738
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule D
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-20T15:51:55-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PADDEN GUERRINI & ASSOCIATESPC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3425 SIMPSON FERRY ROAD	AddressLine1
City	CAMP HILL	City
State	PA	State
ZIP Code	17011	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	232771024	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SENIOR CHOICE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SENI	NameControl
Phone	7244631010	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	942 PHILADELPHIA STREET	AddressLine1
City	INDIANA	City
State	PA	State
ZIP Code	15701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DENISE MCQUOWN-HATTER	Name
Title	PRESIDENT OF CORPORATION	Title
Phone	7244631010	Phone
Date Signed	2013-05-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	NATHAN BABINSACK	Name
Phone	7177631644	Phone
Date Prepared	2013-05-20	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DENISE MCQUOWN-HATTER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	942 PHILADELPHIA STREET	AddressLine1
City	INDIANA	City
State	PA	State
ZIP Code	15701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	19657636	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	THE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	4	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	475	TotalNbrEmployees
Total Nbr Volunteers	117	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	10483	ContributionsGrantsPriorYear
Contributions Grants Current Year	3926	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	20192480	ProgramServiceRevenuePriorYear
Program Service Revenue CY	19558917	ProgramServiceRevenueCY
Investment Income Prior Year	28441	InvestmentIncomePriorYear
Investment Income Current Year	16760	InvestmentIncomeCurrentYear
Other Revenue Prior Year	84838	OtherRevenuePriorYear
Other Revenue Current Year	78033	OtherRevenueCurrentYear
Total Revenue Prior Year	20316242	TotalRevenuePriorYear
Total Revenue Current Year	19657636	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	9719896	SalariesEtcPriorYear
Salaries Etc Current Year	10045695	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	599	TotalFundrsngExpCurrentYear
Other Expense Prior Year	8976449	OtherExpensePriorYear
Other Expenses Current Year	9332664	OtherExpensesCurrentYear
Total Expenses Prior Year	18696345	TotalExpensesPriorYear
Total Expenses Current Year	19378359	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1619897	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	279277	RevenuesLessExpensesCY
Total Assets BOY	18503469	TotalAssetsBOY
Total Assets EOY	18907336	TotalAssetsEOY
Total Liabilities BOY	22293411	TotalLiabilitiesBOY
Total Liabilities EOY	22418001	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-3789942	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-3510665	NetAssetsOrFundBalancesEOY
Mission Description	THE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	17301377	Expense
Description	THE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. THE CORPORATION PROVIDED 70,397 DAYS OF SKILLED NURSING CARE AND 48,228 DAYS OF PERSONAL CARE DURING 2012.	Description
Total Program Service Expense	17301377	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	true	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	475	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	4	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	AFFINITY HEALTH SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7244631010	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	942 PHILADELPHIA STREET	AddressLine1
City	INDIANA	City
State	PA	State
ZIP Code	15701	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
ROBERT BASTIAN
BOARD MEMBER	0.25	X	0	0	0
LINDA FANALE
BOARD MEMBER	0.25	X	0	0	0
RONALD PARK
SEC./TREAS.	0.75	X	0	0	0
ERIC LAWLOR
BOARD MEMBER	0.25	X	0	0	0
DENISE MCQUOWN HATTER
PRES OF CORP	6.13		0	0	0	X

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	Address Line2AddressOfContractor/AddressUS/AddressLine2	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE	SUITE 300	BENSALEM	PA	19020	HSKPG & LAUNDRY	862639
REHABCARE GROUP INC
PO BOX 503534		ST LOUIS	MO	63150	THERAPY	779882
FUNCTIONAL PATHWAYS
614 MABRY HOOD ROAD	SUITE 301	KNOXVILLE	TN	37923	THERAPY	775919
AFFINITY HEALTH SERVICES
942 PHILADELPHIA STREET		INDIANA	PA	15701	MGMT & CONSULT	533700

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
All Other Contributions	3926	AllOtherContributions
Total Contributions	3926	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENUE	Description
Business Code	623000	BusinessCode
Total Revenue Column	19558917	TotalRevenueColumn
Related Or Exempt Function Income	19558917	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	19558917	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	16760	TotalRevenueColumn
Exclusion	$16,760	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME	27565	27565
CABLE TV	18794	18794
VAN TRANSPORT	16133	16133

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	15541	TotalRevenueColumn
Related Or Exempt Function Income	15541	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	78033	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	19657636	TotalRevenueColumn
Related Or Exempt Function Income	19636950	RelatedOrExemptFunctionIncome
Exclusion	$16,760	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	8122130	Total
Program Services	7641203	ProgramServices
Management And General	480927	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11752	Total
Program Services	10965	ProgramServices
Management And General	787	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1161450	Total
Program Services	1092118	ProgramServices
Management And General	69332	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	750363	Total
Program Services	708499	ProgramServices
Management And General	41864	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	533700	Total
Program Services	173730	ProgramServices
Management And General	359970	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	27703	Total
Management And General	27703	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2707887	Total
Program Services	2616546	ProgramServices
Management And General	91341	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	47703	Total
Management And General	47703	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1027956	Total
Program Services	868734	ProgramServices
Management And General	159222	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	36572	Total
Management And General	36572	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1663925	Total
Program Services	1657228	ProgramServices
Management And General	6697	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	22869	Total
Program Services	17268	ProgramServices
Management And General	5601	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	23893	Total
Program Services	20004	ProgramServices
Management And General	3889	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	853	Total
Program Services	853	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	844756	Total
Program Services	844756	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	201644	Total
Management And General	201644	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
RAW FOOD	802748	802748
RESIDENT MEDICATIONS	602713	602713
ADMINISTRATORS EXP	191566		191566
ANCILLARY & OTHER RES SER	127965	127965

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	468211	Total
Program Services	116047	ProgramServices
Management And General	351565	ManagementAndGeneral
Fundraising	599	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	19378359	Total
Program Services	17301377	ProgramServices
Management And General	2076383	ManagementAndGeneral
Fundraising	599	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	179093	BOY
EOY	131564	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	5220990	BOY
EOY	5784007	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1897795	BOY
EOY	2040427	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	278942	BOY
EOY	239014	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	21150896	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	11745900	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	9566212	BOY
EOY	9404996	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	269270	BOY
EOY	272041	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1091167	BOY
EOY	1035287	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	18503469	BOY
EOY	18907336	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1033368	BOY
EOY	1503282	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	93157	BOY
EOY	91189	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	20870000	BOY
EOY	20525000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	51702	BOY
EOY	60340	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	13818	BOY
EOY	8778	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	231366	BOY
EOY	229412	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	22293411	BOY
EOY	22418001	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-3789942	BOY
EOY	-3510665	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-3789942	BOY
EOY	-3510665	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	18503469	BOY
EOY	18907336	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	279277	ReconcilationRevenueExpenses
Reconcilation Other Changes	-2	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	19064	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16053	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	14670	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10483	CurrentTaxYearMinus1Year
Current Tax Year	3926	CurrentTaxYear
Total	64196	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	18164641	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	19339183	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	18972400	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	20277318	CurrentTaxYearMinus1Year
Current Tax Year	19636950	CurrentTaxYear
Total	96390492	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	18183705	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	19355236	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	18987070	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	20287801	CurrentTaxYearMinus1Year
Current Tax Year	19640876	CurrentTaxYear
Total	96454688	Total

Field	Value	IRS element (for citing)
Public Support Total509	96454688	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	44906	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	34424	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	33433	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	28441	CurrentTaxYearMinus1Year
Current Tax Year	16760	CurrentTaxYear
Total	157964	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	44906	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	34424	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	33433	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	28441	CurrentTaxYearMinus1Year
Current Tax Year	16760	CurrentTaxYear
Total	157964	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	18228611	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	19389660	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19020503	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	20316242	CurrentTaxYearMinus1Year
Current Tax Year	19657636	CurrentTaxYear
Total	96612652	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99840	PublicSupportPercentage509
Prior Year Support Percentage	0.99760	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	true	IncludedOnFS
Explanation In Part XIII	X	ExplanationInPartXIII

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	379000	OtherCostOrOtherBasis
Book Value	379000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15914863	OtherCostOrOtherBasis
Depreciation	8253680	Depreciation
Book Value	7661183	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4429234	OtherCostOrOtherBasis
Depreciation	3293668	Depreciation
Book Value	1135566	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	427799	OtherCostOrOtherBasis
Depreciation	198552	Depreciation
Book Value	229247	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	9404996	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
BOND INTEREST PAYABLE 20	$222,418
CREDIT UNION DEDUCTIONS	$5,267
UNION DUES/INIT FEES/EIT CREDIT	$1,417
CREDIT UNION DEDUCTIONS	$298
CREDIT UNION DEDUCTIONS	$12

Field	Value	IRS element (for citing)
Total Of Amounts	229412	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	20711842	TotRevenueEtcAuditedFinclStmt
Other Revenues	1054206	OtherRevenues
Revenue Not Rptd F990	1054206	RevenueNotRptdF990
Revenue Subtotal	19657636	RevenueSubtotal
Total Revenue Per Form990	19657636	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	20432567	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1054208	OtherExpensesIncluded
Expenses Not Rptd F990	1054208	ExpensesNotRptdF990
Expenses Subtotal	19378359	ExpensesSubtotal
Total Expenses Per Form990	19378359	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ESCROW LIABILITY ARRANGEMENT EXPLANATION	SCHEDULE D, PAGE 2, PART IV, LINE 2B	THE ORGANIZATION IS THE CUSTODIAN FOR RESIDENT TRUST FUNDS FOR SOME OF THE FACILITIES' RESIDENTS.
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	INCOME TAXES - THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. FINANCIAL ACCOUNTING STANDARDS BOARD CODIFICATION NO. 740-10-05, INCOME TAXES (FASC 740-10-05) CLARIFIES THE ACCOUNTING OF UNCERTAINTY IN INCOME TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. THE CORPORATION HAS REVIEWED THE IMPACT OF FASC 740-10-05 ON THE FINANCIAL STATEMENTS AND HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AND THERE IS NO MATERIAL IMPACT ON THE STATEMENTS OF FINANCIAL POSITION, STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS OR CASH FLOWS. THE IRS FORM(S) 990 FOR THE YEARS ENDED DECEMBER 31, 2011, 2010 AND 2009 REMAIN OPEN FOR AN EXAMINATION BY THE IRS.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	NURSING HOME ASSESSMENT EXPENSE 1,054,806 ROUNDING -1 FUNDRAISING EXPENSE -599
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	NURSING HOME ASSESSMENT EXPENSE 1,054,806 ROUNDING 1 FUNDRAISING EXPENSE -599

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CAMBRIA COUNTY INDUSTRIAL	BusinessNameLine1
Business Name Line2	SERIES 2006 BONDS PAYABLE	BusinessNameLine2

Field	Value	IRS element (for citing)
Issuer EIN	251334277	IssuerEIN
CUSIP Number	132047BX8	CUSIPNumber
Date Issued	2006-07-01	DateIssued
Issue Price	22455000	IssuePrice
Description Of Purpose	EXCHANGE 1996 BONDS	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	22455000	AmountRetired
Total Proceeds	22455000	TotalProceeds
Year Of Subst Completion	2006	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test	false	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Remedial Action Taken	false	RemedialActionTaken
Non Qualified Bond Remed Procdrs	false	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	false	RebateNotDueYet
Exception To Rebate	false	ExceptionToRebate
No Rebate Due	true	NoRebateDue
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	DATE REBATE COMPUTATION PERFORMED	Identifier
Return Reference	SCHEDULE K	ReturnReference
Explanation	CAMBRIA COUNTY INDUSTRIAL 082211	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DENISE MCQUOWN-HATTER PRESIDENT	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	PRES. AFFINITY	Relationship
Amount Of Transaction	533700	AmountOfTransaction
Description Of Transaction	MGMT & CONSULTING SV	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
MANAGEMENT DELEGATED	FORM 990, PAGE 6, PART VI, LINE 3	THE ORGANIZATION IS MANAGED BY AFFINITY HEALTH SERVICES, INC., WHICH PROVIDES EXECUTIVE, FINANCIAL AND GENERAL OVERSIGHT.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE BOARD OF DIRECTORS AND HIGH LEVEL POSITIONS SIGN AND UPDATE CONFLICT OF INTEREST FORMS ANNUALLY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	2,616,546 91,341 0
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	NURSING HOME ASSESSMENT EXPENSE 1,054,806 ROUNDING -1 FUNDRAISING EXPENSE -599 NURSING HOME ASSESSMENT EXPENSE -1,054,806 ROUNDING -1 FUNDRAISING EXPENSE 599
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	TO CORRECT SOFTWARE ERROR 0