2013-05-20T15:51:55-05:00 2012-12-31 PADDEN GUERRINI & ASSOCIATESPC 3425 SIMPSON FERRY ROAD CAMP HILL PA 17011 990 2012-01-01 232771024 SENIOR CHOICE INC SENI 7244631010 942 PHILADELPHIA STREET INDIANA PA 15701 DENISE MCQUOWN-HATTER 7244631010 2013-05-09 true NATHAN BABINSACK 7177631644 2013-05-20 2012 2016-02-25 16:41:14Z DENISE MCQUOWN-HATTER 942 PHILADELPHIA STREET INDIANA PA 15701 19657636 false X X 1994 PA THE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. 4 4 475 117 0 10483 3926 20192480 19558917 28441 16760 84838 78033 20316242 19657636 0 0 9719896 10045695 0 599 8976449 9332664 18696345 19378359 1619897 279277 18503469 18907336 22293411 22418001 -3789942 -3510665 THE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. false false 17301377 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. 17301377 true false false false false false false false true false true false false false true true true false false false false false false false false false false false false false true false false false false false false false false false true false false false false false false false false false true 6 0 475 true false false false false false false false false false false X 4 4 false true false false false false false true true false false true true true true true true false false false PA X AFFINITY HEALTH SERVICES INC 7244631010 942 PHILADELPHIA STREET INDIANA PA 15701 X ROBERT BASTIAN 0.25 X 0 0 0 LINDA FANALE 0.25 X 0 0 0 RONALD PARK 0.75 X 0 0 0 ERIC LAWLOR 0.25 X 0 0 0 DENISE MCQUOWN HATTER 6.13 X 0 0 0 false false false 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 4 3926 3926 PROGRAM SERVICE REVENUE 623000 19558917 19558917 19558917 16760 16760 OTHER INCOME 27565 27565 CABLE TV 18794 18794 VAN TRANSPORT 16133 16133 15541 15541 78033 19657636 19636950 16760 X 8122130 7641203 480927 11752 10965 787 1161450 1092118 69332 750363 708499 41864 533700 173730 359970 27703 27703 2707887 2616546 91341 47703 47703 1027956 868734 159222 36572 36572 1663925 1657228 6697 22869 17268 5601 23893 20004 3889 853 853 844756 844756 201644 201644 RAW FOOD 802748 802748 RESIDENT MEDICATIONS 602713 602713 ADMINISTRATORS EXP 191566 191566 ANCILLARY & OTHER RES SER 127965 127965 468211 116047 351565 599 19378359 17301377 2076383 599 179093 131564 5220990 5784007 1897795 2040427 278942 239014 21150896 11745900 9566212 9404996 269270 272041 1091167 1035287 18503469 18907336 1033368 1503282 93157 91189 20870000 20525000 51702 60340 13818 8778 231366 229412 22293411 22418001 X -3789942 -3510665 -3789942 -3510665 18503469 18907336 279277 -2 X false true X true false X 19064 16053 14670 10483 3926 64196 18164641 19339183 18972400 20277318 19636950 96390492 18183705 19355236 18987070 20287801 19640876 96454688 96454688 44906 34424 33433 28441 16760 157964 44906 34424 33433 28441 16760 157964 18228611 19389660 19020503 20316242 19657636 96612652 0.99840 0.99760 0.00000 X false true X 379000 379000 15914863 8253680 7661183 4429234 3293668 1135566 427799 198552 229247 9404996 BOND INTEREST PAYABLE 20 222418 CREDIT UNION DEDUCTIONS 5267 UNION DUES/INIT FEES/EIT CREDIT 1417 CREDIT UNION DEDUCTIONS 298 CREDIT UNION DEDUCTIONS 12 229412 X 20711842 1054206 1054206 19657636 19657636 20432567 1054208 1054208 19378359 19378359 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 A CAMBRIA COUNTY INDUSTRIAL SERIES 2006 BONDS PAYABLE 251334277 132047BX8 2006-07-01 22455000 EXCHANGE 1996 BONDS false false false A 22455000 22455000 2006 true false true true A false false false false false false false false A false false false true false false false false false A true DATE REBATE COMPUTATION PERFORMED SCHEDULE K CAMBRIA COUNTY INDUSTRIAL 082211 DENISE MCQUOWN-HATTER PRESIDENT PRES. AFFINITY 533700 MGMT & CONSULTING SV false 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