SENIOR CHOICE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SENIOR CHOICE INC (EIN 23-2771024)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-14
IRS object ID: 201202279349301245
Schema version: 2011v1.2
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
Form 990
Schedule A
Schedule D
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-14T09:58:16-05:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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	2012-07-23	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	NATHAN BABINSACK	Name
Phone	7177631644	Phone
Date Prepared	2012-08-14	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	20316242	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	462	TotalNbrEmployees
Total Nbr Volunteers	132	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	14670	ContributionsGrantsPriorYear
Contributions Grants Current Year	10483	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	18641599	ProgramServiceRevenuePriorYear
Program Service Revenue CY	20192480	ProgramServiceRevenueCY
Investment Income Prior Year	30175	InvestmentIncomePriorYear
Investment Income Current Year	28441	InvestmentIncomeCurrentYear
Other Revenue Prior Year	330801	OtherRevenuePriorYear
Other Revenue Current Year	84838	OtherRevenueCurrentYear
Total Revenue Prior Year	19017245	TotalRevenuePriorYear
Total Revenue Current Year	20316242	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	10319598	SalariesEtcPriorYear
Salaries Etc Current Year	9719896	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1194	TotalFundrsngExpCurrentYear
Other Expense Prior Year	8169271	OtherExpensePriorYear
Other Expenses Current Year	8976449	OtherExpensesCurrentYear
Total Expenses Prior Year	18488869	TotalExpensesPriorYear
Total Expenses Current Year	18696345	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	528376	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1619897	RevenuesLessExpensesCY
Total Assets BOY	17429453	TotalAssetsBOY
Total Assets EOY	18503469	TotalAssetsEOY
Total Liabilities BOY	22839292	TotalLiabilitiesBOY
Total Liabilities EOY	22293411	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-5409839	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-3789942	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	16705573	Expense
Description	THE CORPORATION PROVIDES PERSONAL AND SKILLED NURSING CARE IN THREE FACILITIES LOCATED IN THE STATE OF PENNSYLVANIA. THE CORPORATION PROVIDED 66,687 DAYS OF SKILLED NURSING CARE AND 50,406 DAYS OF PERSONAL CARE DURING 2011.	Description
Total Program Service Expense	16705573	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
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	2	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	462	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	0.77	X	0	0	0
LINDA FANALE
BOARD MEMBER	0.77	X	0	0	0
RONALD PARK
SEC./TREAS.	1.16	X	0	0	0
ERIC LAWLOR
BOARD MEMBER	0.77	X	0	0	0
DENISE MCQUOWN HATTER
PRES OF CORP	6.00		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	834513
FUNCTIONAL PATHWAYS
614 MABRY HOOD ROAD	SUITE 301	KNOXVILLE	TN	37923	THERAPY	755009
REHABCARE GROUP INC
PO BOX 503534		ST LOUIS	MO	63150	THERAPY	739922
AFFINITY HEALTH SERVICES
942 PHILADELPHIA STREET		INDIANA	PA	15701	MGMT & CONSULT	509898

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
All Other Contributions	10483	AllOtherContributions
Total Contributions	10483	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENUE	Description
Business Code	623000	BusinessCode
Total Revenue Column	20192480	TotalRevenueColumn
Related Or Exempt Function Income	20192480	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	20192480	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	28441	TotalRevenueColumn
Exclusion	$28,441	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME	26947	26947
CABLE TV	18093	18093
GAIN ON BOND SETTLEMENT	16322	16322

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	23476	TotalRevenueColumn
Related Or Exempt Function Income	23476	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	84838	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	20316242	TotalRevenueColumn
Related Or Exempt Function Income	20277318	RelatedOrExemptFunctionIncome
Exclusion	$28,441	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	7803264	Total
Program Services	7332815	ProgramServices
Management And General	470449	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11284	Total
Program Services	10604	ProgramServices
Management And General	680	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1179819	Total
Program Services	1103491	ProgramServices
Management And General	76328	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	725529	Total
Program Services	683722	ProgramServices
Management And General	41807	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	509898	Total
Program Services	165076	ProgramServices
Management And General	344822	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	13458	Total
Management And General	13458	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2698928	Total
Program Services	2578715	ProgramServices
Management And General	120213	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	43508	Total
Management And General	43508	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	920509	Total
Program Services	769530	ProgramServices
Management And General	150979	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9953	Total
Management And General	9953	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1683536	Total
Program Services	1676915	ProgramServices
Management And General	6621	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	21921	Total
Program Services	15286	ProgramServices
Management And General	6635	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	19913	Total
Program Services	12496	ProgramServices
Management And General	7417	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1211	Total
Program Services	1211	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	790808	Total
Program Services	790808	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	200625	Total
Management And General	200625	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
RAW FOOD	773504	773504
RESIDENT MEDICATIONS	580830	580830
ADMINISTRATORS EXP	185898		185898
ANCILLARY & OTHER RES SER	119105	119105

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	402844	Total
Program Services	91465	ProgramServices
Management And General	310185	ManagementAndGeneral
Fundraising	1194	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	18696345	Total
Program Services	16705573	ProgramServices
Management And General	1989578	ManagementAndGeneral
Fundraising	1194	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	197900	BOY
EOY	179093	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4096958	BOY
EOY	5220990	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1747880	BOY
EOY	1897795	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	256737	BOY
EOY	278942	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	20521365	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	10955153	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	9730004	BOY
EOY	9566212	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	252927	BOY
EOY	269270	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1147047	BOY
EOY	1091167	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	17429453	BOY
EOY	18503469	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1182543	BOY
EOY	1033368	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	140178	BOY
EOY	93157	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	21205000	BOY
EOY	20870000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	61101	BOY
EOY	51702	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	18499	BOY
EOY	13818	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	231971	BOY
EOY	231366	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	22839292	BOY
EOY	22293411	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-5409839	BOY
EOY	-3789942	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-5409839	BOY
EOY	-3789942	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	17429453	BOY
EOY	18503469	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	1619897	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	16580	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	19064	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	16053	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	14670	CurrentTaxYearMinus1Year
Current Tax Year	10483	CurrentTaxYear
Total	76850	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	16482537	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	18164641	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19339183	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	18972400	CurrentTaxYearMinus1Year
Current Tax Year	20277318	CurrentTaxYear
Total	93236079	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	16499117	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	18183705	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19355236	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	18987070	CurrentTaxYearMinus1Year
Current Tax Year	20287801	CurrentTaxYear
Total	93312929	Total

Field	Value	IRS element (for citing)
Public Support Total509	93312929	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	85461	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	44906	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	34424	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	33433	CurrentTaxYearMinus1Year
Current Tax Year	28441	CurrentTaxYear
Total	226665	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	85461	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	44906	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	34424	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	33433	CurrentTaxYearMinus1Year
Current Tax Year	28441	CurrentTaxYear
Total	226665	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	16584578	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	18228611	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19389660	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	19020503	CurrentTaxYearMinus1Year
Current Tax Year	20316242	CurrentTaxYear
Total	93539594	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99760	PublicSupportPercentage509
Prior Year Support Percentage	0.99710	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	true	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

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	15645289	OtherCostOrOtherBasis
Depreciation	7673358	Depreciation
Book Value	7971931	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4088343	OtherCostOrOtherBasis
Depreciation	3099626	Depreciation
Book Value	988717	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	408733	OtherCostOrOtherBasis
Depreciation	182169	Depreciation
Book Value	226564	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	9566212	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
BOND INTEREST PAYABLE 20	$225,005
CREDIT UNION DEDUCTIONS	$4,728
UNION DUES/INIT FEES/EIT CREDIT	$1,350
CREDIT UNION DEDUCTIONS	$257
CREDIT UNION DEDUCTIONS	$26
DAYCARE

Field	Value	IRS element (for citing)
Total Of Amounts	231366	TotalOfAmounts
Total Revenue	20316242	TotalRevenue
Total Expenses	18696345	TotalExpenses
Excess Or Deficit For Year	1619897	ExcessOrDeficitForYear
Excess Or Deficit Per FS	1619897	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	21241258	TotRevenueEtcAuditedFinclStmt
Other Revenues	925016	OtherRevenues
Revenue Not Rptd F990	925016	RevenueNotRptdF990
Revenue Subtotal	20316242	RevenueSubtotal
Total Revenue Per Form990	20316242	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	19621361	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	925016	OtherExpensesIncluded
Expenses Not Rptd F990	925016	ExpensesNotRptdF990
Expenses Subtotal	18696345	ExpensesSubtotal
Total Expenses Per Form990	18696345	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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 BALANCE SHEET, STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS OR CASH FLOWS. THE IRS FORM(S) 990 FOR THE YEARS ENDED DECEMBER 31, 2010, 2009 AND 2008 REMAIN OPEN FOR AN EXAMINATION BY THE IRS.
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	NURSING HOME ASSESSMENT EXPENSE 925,016 ROUNDING 0 NURSING HOME ASSESSMENT EXPENSE -925,016 ROUNDING 0
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	NURSING HOME ASSESSMENT EXPENSE 925,016 ROUNDING 0
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	NURSING HOME ASSESSMENT EXPENSE 925,016 ROUNDING 0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Amount Retired	1585000	AmountRetired
Total Proceeds	22455000	TotalProceeds
Other Spent Proceeds	22455000	OtherSpentProceeds
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)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	false	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Engage Bond Counsel Research	false	EngageBondCounselResearch
Post Issuance Compliance Procdrs	false	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
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
Exception To Rebate	false	ExceptionToRebate

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	509898	AmountOfTransaction
Description Of Transaction	MGMT & CONSULTING SV	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 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.