| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1259486 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1119335 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 947595 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | THE OPERATION OF A NURSING HOME WITH EXTENDED CARE FACILITIES AND TO OTHERWISE GENERALLY ENGAGE IN AND DO ANY LAWFUL ACT CONCERNING ANY OR ALL LAWFUL BUSINESS FOR WHICH CORPORATIONS MAY BE INCORPORATED UNDER THE BUSINESS CORPORATION LAW. |
| IRS990/AllOtherContributionsAmt | 0 | 19366 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 6205 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 6205 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ORGANIZATION |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7164876800 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4600 ROUTE 60 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | GERRY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 14740 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 103583 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1171843 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
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| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContriRptFundraisingEventAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 19366 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 96759 |
| IRS990/CYOtherExpensesAmt | 0 | 5673381 |
| IRS990/CYOtherRevenueAmt | 0 | 4006277 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 9608285 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 1742406 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6314900 |
| IRS990/CYTotalExpensesAmt | 0 | 11988281 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 13730687 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 42507 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 108493 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 530213 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 638706 |
| IRS990/Desc | 0 | THE OPERATION OF A NURSING HOME WITH EXTENDED CARE FACILITIES AND TO OTHERWISE GENERALLY ENGAGE IN AND DO ANY LAWFUL ACT CONCERNING ANY OR ALL LAWFUL BUSINESS FOR WHICH CORPORATIONS MAY BE INCORPORATED UNDER THE BUSINESS CORPORATION LAW. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonatedServicesAndUseFcltsAmt | 0 | 0 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 287 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 9951911 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FederatedCampaignsAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 28542 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 28542 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 7517 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 7517 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 1266062 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 1266062 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 39 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 39 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 39 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 39 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 29 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 39 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 17652 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 17652 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 14710 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Lisa Haglund |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Mark Wilcox |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Jeremy Rutter |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Jennifer Whitten |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Gregory Fernandez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Karen Hardick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Bertha Saho |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Burton Jones |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Edwin Roorda |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Hal Hoxie |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Honna Curtis |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Janet Snyder |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Larry Roberts |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Walter Fleming |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Susan Wilston |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Susanne Mohnkern |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Brent Richardson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Danny Johnson |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 308970 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 170269 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 144450 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 146964 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 122210 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 57949 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Chief Information Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Chief Clinical Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Chief Operating Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Chief Financial Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Chief Financial Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Board Member |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1979 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 96759 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 0 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 96759 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 13730687 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 8838 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 221460 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 230298 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 72926 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 356395 |
| IRS990/InterestGrp/TotalAmt | 0 | 429321 |
| IRS990/InvestmentExpenseAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 20 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2093085 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 17913447 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 17290779 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 19383864 |
| IRS990/LegalDomicileStateCd | 0 | PA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembershipDuesAmt | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | THE OPERATION OF A NURSING HOME WITH EXTENDED CARE FACILITIES AND TO OTHERWISE GENERALLY ENGAGE IN AND DO ANY LAWFUL ACT CONCERNING ANY OR ALL LAWFUL BUSINESS FOR WHICH CORPORATIONS MAY BE INCORPORATED UNDER THE BUSINESS CORPORATION LAW. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 12875085 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 12154196 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -4558498 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -2816092 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 0 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 96759 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 96759 |
| IRS990/NetGainOrLossInvestmentsGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -4558498 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -2816092 |
| IRS990/NoncashContributionsAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 55765 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 272527 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 328292 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 26549 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 372 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 26921 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1473777 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 181248 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 18110 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 395860 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 413970 |
| IRS990/OtherExpensesGrp/Desc | 0 | PURCHASED AND CONTRACTED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | RECRUITING |
| IRS990/OtherExpensesGrp/Desc | 3 | BAD DEBT, GOODWILL IMPAIRMENT, OTHER |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 2 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 3 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 97295 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 28518 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 2932 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 47394 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1572567 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 950235 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 3474 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 5263 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1669862 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 978753 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 6406 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 52657 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 9463390 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 9092576 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 623000 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 623000 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 623000 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | COVID RELATED INCOME/OTHER |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | CAFETERIA INCOME |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | OTHER SERVICES/REBATES |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 0 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 0 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 2 | 0 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 3908249 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 22356 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 2 | 75672 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 3908249 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 22356 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 75672 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 1 | 0 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 2 | 0 |
| IRS990/OtherRevenueTotalAmt | 0 | 4006277 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 237720 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5196286 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5434006 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 18135 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 396407 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 414542 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 2292 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 50090 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 52382 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 116141 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 108604 |
| IRS990/PrincipalOfficerNm | 0 | PAUL DESANTIS |
| IRS990/PriorPeriodAdjustmentsAmt | 0 | 0 |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | RESIDENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 9608285 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 9608285 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 148 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 321 |
| IRS990/PYOtherExpensesAmt | 0 | 7124442 |
| IRS990/PYOtherRevenueAmt | 0 | 1837936 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 11847805 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -1531853 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 8093621 |
| IRS990/PYTotalExpensesAmt | 0 | 15218063 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 13686210 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 1742406 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |