Liabilities / Assets
34th percentile
Higher debt load relative to assets than 34% of similar nonprofits.
EIN 38-2255529 • 501(c)3 • Ann Arbor, MI
Profile
Hospice of Michigan, Inc. meet our patients and families where they are with urgency, purpose and compassionate accountability surrounding them with decades of dedicated hospice expertise.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
34th percentile
Higher debt load relative to assets than 34% of similar nonprofits.
Liabilities / Revenue
29th percentile
Higher debt load relative to revenue than 29% of similar nonprofits.
Net Margin
42nd percentile
Higher net margin than 42% of similar nonprofits.
Top Officer Pay
74th percentile
Higher top officer pay than 74% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
98th percentile
Faster asset growth than 98% of similar nonprofits.
Revenue Growth
62nd percentile
Faster revenue growth than 62% of similar nonprofits.
Assets
Up$114,759,835
Up $57,693,534 (+101%) from 2023
Liabilities
Down$15,780,559
Down $2,041,517 (-11%) from 2023
Net Assets
Up$98,979,276
Up $59,735,051 (+152%) from 2023
Revenue
Up$81,293,135
Up $9,140,947 (+13%) from 2023
Expenses
Up$79,492,880
Up $8,492,879 (+12%) from 2023
Net Income
Up$1,800,255
Up $648,068 (+56%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
Hospice of Michigan, Inc. ensures quality of life, comfort, and peace for our patients and provides support for their loved ones during their end-of-life experience. We will serve everyone in our communities who needs and seeks our care and strive to improve the state of comfort care. (Continued in Schedule O)
Hospice of michigan, inc. Meets our patients and families where they are with urgency, purpose, and compassionate accountability surrounding them with decades of dedicated hospice expertise. Our strength comes from working together providing more layers of support for anyone with a terminal illness who seeks and needs our care regardless of age, diagnosis or ability to pay.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $15,682,486 | $16,262,682 | ▲ $580,196 |
| Savings and Temporary Cash Investments | $14,217,571 | $7,459,375 | ▼ $6,758,196 |
| Accounts Receivable | $6,180,477 | $7,304,985 | ▲ $1,124,508 |
| Investments in Publicly Traded Securities | $6,066,071 | $6,510,880 | ▲ $444,809 |
| Prepaid Expenses and Deferred Charges | $1,747,004 | $2,650,684 | ▲ $903,680 |
| Pledges and Grants Receivable | $413,056 | $523,870 | ▲ $110,814 |
| Land, Buildings, and Equipment, Net | $358,772 | $450,747 | ▲ $91,975 |
| Inventories for Sale or Use | $174,449 | $186,378 | ▲ $11,929 |
| Cash and Non-Interest-Bearing Accounts | $450 | $200 | ▼ $250 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Rtn Earn Endowment Incm Other Fnds | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $47,973,819 | $50,694,249 | ▲ $2,720,430 |
| Other Assets Total | $3,133,483 | $9,344,448 | ▲ $6,210,965 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $6,936,775 | $7,372,043 | ▲ $435,268 |
| Other Liabilities | $0 | $6,364,495 | ▲ $6,364,495 |
| Deferred Revenue | $2,201,409 | $166,978 | ▼ $2,034,431 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $9,138,184 | $13,903,516 | ▲ $4,765,332 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $28,288,467 | $27,997,392 | ▼ $291,075 |
| Net Assets With Donor Restrictions | $10,547,168 | $8,793,341 | ▼ $1,753,827 |
| Total Net Assets Fund Balance | $38,835,635 | $36,790,733 | ▼ $2,044,902 |
| Total Liabilities and Net Assets / Fund Balance | $47,973,819 | $50,694,249 | ▲ $2,720,430 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $241,492 | $2,415,560 | $2,657,052 |
| Leasehold Improvements | $209,255 | $250,544 | $459,799 |
| Investment Program Related Org | $16,262,682 | - | - |
| Other Assets Org | $6,215,339 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2022 | $2,855,549 | - | ▼ $161,698 | - | $2,693,851 |
| 2021 | $3,208,987 | - | ▲ $175,707 | $529,145 | $2,855,549 |
| 2020 | $3,143,228 | - | ▲ $419,493 | $353,734 | $3,208,987 |
| 2019 | $3,707,914 | $100,000 | ▼ $664,686 | - | $3,143,228 |
| 2018 | $2,714,732 | $1,072,747 | ▼ $79,565 | - | $3,707,914 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| - | President & Chief Executive Officer | FT | $613,848 | $237,854 | $851,702 |
| - | Executive VP/Chief Operating Officer | FT | $377,027 | $146,687 | $523,714 |
| - | Executive VP/Chief Financial Officer | FT | $375,092 | $120,166 | $495,258 |
| - | Senior VP/Chief Medical Officer | FT | $355,696 | $135,027 | $490,723 |
| - | Sr. Vice President Community Relations/Chief Development Officer | FT | $342,982 | $123,681 | $466,663 |
| - | Senior Director IT | FT | $191,776 | $25,344 | $217,120 |
| - | Medical Director | FT | $183,419 | $15,559 | $198,978 |
| - | Hospice Physician | FT | $167,229 | $16,070 | $183,299 |
| - | Clinical Director | FT | $160,017 | $22,370 | $182,387 |
| Name | Title |
|---|---|
| - | Chair |
| - | Secretary/Treasurer/Vice Chair |
| - | Trustee |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Enclara Pharmacia Inc | Pharmacy | PO Box 745791, Atlanta, GA 30374 | $2,401,835 |
| Qualis Management LLC | Durable Medical Equipment | PO Box 844740, Boston, MA 02284 | $2,154,166 |
| Healthcare Workforce Logistics | Staffing Services | TFM Escrow-Lockbox, Minneapolis, MN 55486 | $1,141,344 |
| McKesson Medical-Surgical | Medical Supplies | PO Box 630693, Cincinnati, OH 45263 | $925,792 |
| Samaritas Senior Living Cadillac | Skilled Nursing Facility | 460 Pearl Street, Cadillac, MI 49601 | $810,263 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $44,766,535 |
| Other Expenses | $27,376,007 |
| Total Fundraising Expense | $990,293 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $29,047,531 | $7,215,098 | $622,122 | $36,884,751 |
| Fees for Services Other | $3,996,977 | $2,040,583 | $83,826 | $6,121,386 |
| Other Employee Benefits | $3,511,852 | $761,463 | $70,408 | $4,343,723 |
| Payroll Taxes | $2,114,674 | $458,518 | $42,396 | $2,615,588 |
| Occupancy | $1,486,196 | $617,852 | - | $2,104,048 |
| Office Expenses | $982,403 | $354,638 | $29,553 | $1,366,594 |
| Travel | $1,217,632 | $112,796 | $18,345 | $1,348,773 |
| Information Technology | $802,520 | $133,106 | $2,816 | $938,442 |
| Pension Plan Contributions | $745,810 | $161,711 | $14,952 | $922,473 |
| Conferences and Meetings | $136,532 | $434,301 | $31,446 | $602,279 |
| All Other Expenses | $137,607 | $439,043 | $15,399 | $592,049 |
| Advertising | - | $511,855 | - | $511,855 |
| Other Expenses | $419,972 | $238,091 | $8,351 | $419,972 |
| Insurance | - | $231,358 | - | $231,358 |
| Depreciation Depletion | $13,184 | $204,193 | - | $217,377 |
| Fees for Services Legal | - | $148,933 | - | $148,933 |
| Fees for Services Accounting | - | $128,000 | - | $128,000 |
| Fees for Service Investment Mgmnt Fees | - | $21,494 | - | $21,494 |
| Interest | - | $15,483 | - | $15,483 |
| Total Functional Expenses | $55,478,865 | $15,673,384 | $990,293 | $72,142,542 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $138,840 |
| Fundraising Gross Income | $30,310 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| An Evening with Hemingway - GR | $108,956 | $9,350 | $14,465 | $-5,115 |
| An Evening with Hemingway - Detroit | $56,525 | $7,600 | $37,915 | $-30,315 |
| Total Events | $288,094 | $30,310 | $138,840 | $-108,530 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Capital lease obligations | $6,364,495 |
| Due to Affiliate - Arbor Hospice | - |
“The Executive Committee shall consist of the Chairperson of the Board, the Vice Chairperson, the Secretary-Treasurer, the Immediate Past Chairperson of the Board, and the Chairperson of the Board Development and Evaluation and Nominating Committee. The Executive Committee shall possess and exercise the authority and powers of the Board of Trustees in the management and direction of the Corporation in the interim periods between meetings of the Board and shall discharge the duties of said Board during such interim periods, except that the Executive Committee shall not have power or authority to: (a) amend the Articles of Incorporation; (b) dissolve the Corporation or revoke a dissolution; (c) amend the Bylaws of the Corporation; or (d) fill vacancies in the Board.”
“A final draft of the full Form 990 is reviewed with our tax advisors and approved by an Executive Committee of the board. Then a final copy of the full Form 990 draft is sent out to each voting member of the governing body. These reviews take place prior to filing the Form 990 with the IRS.”
“Procedure: Employees, both paid and unpaid (from here forward referred to as "employee"), and Board members, have a fundamental obligation to act in the best interest of patient care and Hospice of Michigan (HOM). Every Board member and employee is responsible for acting consistent with this obligation when engaging in activities, and should not let other personal and financial interests interfere with this obligation. General Practice Guidelines: (1) HOM requires that all members of its Boards of Trustees and employees disclose interests that could result in a conflict. Annually, all board members sign off on a Conflict of Interest policy and disclose any situation which may represent a conflict. The Corporate Compliance Officer (CCO) also has access to the Board at least annually. The organization also utilizes C-TRAC (Crowe Tax Risk Assessment and Control), a tool provided by our tax advisors, to send conflict of interest surveys to all voting board members, executives, and the highest paid staff. (2) All Board members and employees are required to submit a disclosure statement, if there is a conflict of interest that meets the stated definition, at the beginning of employment or term. (3) If a matter arises in which a member of the Board or employee has a conflict of interest, the individual shall promptly disclose it to the CEO, or in the case of the CEO, the Board Chairperson. (4) An individual with a potential conflict of interest shall not proceed to make any decision or take any action on behalf of the organization with the approval of the Board of Trustees. (5) HOM employees are precluded from engaging in activities with any "Vendor or Supplier Business" (as that term is defined in the policy) that does or seeks business with HOM which may result in a personal benefit to the employee at the expense of HOM or may influence the employee's decisions on matters involving HOM and a Vendor or Supplier Business.”
“The president/ceo and other officers are compensated by hospice of michigan. The executive committee of the board of trustees meets annually in april subsequent to the acceptance of the audited financial statements to review and approve as appropriate, funds to be allocated for total compensation for the organization's president/ceo, including base salary, bonus, car allowance, and other benefits. The executive committee also determines if the president/ceo's contract needs to be updated or renewed at this time. Minutes are taken up until the point where discussion of compensation takes place and a vote/decision is made in regard to compensation. In addition, an external compensation study was performed to assess executive compensation. The compensation study aims to price positions at market by using local, national, and industry specific survey data. An outside consultant is engaged through american society of employers (ase). Market data was gathered through at least three external surveys and nationally compared 990's of the largest hospices nationally as well as the top michigan hospitals with revenues of $150 million or less.”
“The Executive Committee of the Board of Trustees meets annually in April subsequent to the acceptance of the audited financial statements to review and approve as appropriate, funds to be allocated for total compensation for the organization's Chief Financial Officer, Chief Operating Officer, Chief Medical Officer, and Chief Fundraising Officer, including base salary, bonus, car allowance, and other benefits. Minutes are taken up until the point where discussion of compensation takes place, and a vote/decision is made in regard to compensation. In addition, an annual external compensation study was performed to assess executive compensation. The compensation study aims to price positions at market by using local, national, and industry specific survey data. An outside consultant is engaged through American Society of Employers (ASE). Market data was gathered through at least three external surveys and nationally compared 990's of the largest hospices nationally as well as the top Michigan hospitals with revenues of $150 million or less.”
“The organization's governing documents, conflict of interest policy, and audited financial statements can be available upon request.”
“Beneficial interest in net assets of Arbor Hospice - 908484; Beneficial interest in net assets of NorthStar Palliative Care - -328288;”
“Hospice's interest in Arbor Hospice Foundation, Inc. was comprised of $1,072,747 of perpetually restricted assets at December 31, 2017. These net assets were controlled by the Board of Directors of Arbor Hospice Foundation, Inc. Effective December 31, 2018, Arbor Hospice Foundation was dissolved, and its net assets were transferred to Arbor Hospice. At December 31, 2019, Arbor Hospice had $822,747 of perpetually restricted net assets.”
“Hospice of Michigan has adopted investment and spending policies for endowment assets that attempt to provide a perpetual source of support to programs supported by its endowments while seeking to preserve the purchasing power of the endowment assets.”
“Hospice is exempt from income taxes on income from related activities under section 501(c)(3) of the u.s. Internal revenue code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.s. Gaap requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Hospice's forms 990 have not been subject to examination by the internal revenue service or the state of michigan for the last three years. Hospice does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. Hospice recognizes interest and/or penalties related to income tax matters in income tax expense. Hospice did not have any amounts accrued for interest and penalties at december 31, 2022 and 2021.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 6936775 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 7372043 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6180477 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 7304985 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | HOSPICE OF MICHIGAN, INC. MEETS OUR PATIENTS AND FAMILIES WHERE THEY ARE WITH URGENCY, PURPOSE, AND COMPASSIONATE ACCOUNTABILITY SURROUNDING THEM WITH DECADES OF DEDICATED HOSPICE EXPERTISE. OUR STRENGTH COMES FROM WORKING TOGETHER PROVIDING MORE LAYERS OF SUPPORT FOR ANYONE WITH A TERMINAL ILLNESS WHO SEEKS AND NEEDS OUR CARE REGARDLESS OF AGE, DIAGNOSIS OR ABILITY TO PAY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 511855 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 511855 |
| IRS990/AllOtherContributionsAmt | 0 | 2891601 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 15399 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 439043 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 137607 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 592049 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Lee Ann Myers |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3135785000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2366 Oak Valley Drive |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Ann Arbor |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48103 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 450 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 200 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 54 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 31446 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 434301 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 136532 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 602279 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2401835 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2154166 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1141344 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 925792 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 810263 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 745791 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 844740 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | TFM Escrow-Lockbox |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 630693 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 460 Pearl Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Atlanta |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Boston |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Minneapolis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Cincinnati |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Cadillac |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 30374 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 02284 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 55486 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 45263 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 49601 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Enclara Pharmacia Inc |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Qualis Management LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Healthcare Workforce Logistics |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | McKesson Medical-Surgical |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Samaritas Senior Living Cadillac |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Pharmacy |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Durable Medical Equipment |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Staffing Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Medical Supplies |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Skilled Nursing Facility |
| IRS990/ContriRptFundraisingEventAmt | 0 | 257784 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 6061504 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 321876 |
| IRS990/CYOtherExpensesAmt | 0 | 27376007 |
| IRS990/CYOtherRevenueAmt | 0 | 4636540 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 59713622 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -1409000 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 44766535 |
| IRS990/CYTotalExpensesAmt | 0 | 72142542 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 990293 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 70733542 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2201409 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 166978 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 204193 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 13184 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 217377 |
| IRS990/Desc | 0 | HOSPICE SERVICES: CARE RENDERED TO TERMINALLY ILL PATIENTS IN THEIR OWN HOME. 306,230 PATIENT DAYS OF CARE WERE PROVIDED DURING 2022. ADDITIONAL SERVICE ACCOMPLISHMENTS INCLUDE: PEDIATRIC HOSPICE PROGRAM, PEDIATRIC EARLY CARE PROGRAM, PERINATAL PROGRAM, COMPLEMENTARY THERAPIES, CHARITY CARE, AND OPEN ACCESS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 10547168 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 8793341 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 727 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 55235162 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FederatedCampaignsAmt | 0 | 877687 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 128000 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 128000 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 148933 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 148933 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 83826 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2040583 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 3996977 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 6121386 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 21494 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 21494 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 0 | Jane McNamara |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 1 | Robert Cahill |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 2 | Sanford Linden |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 3 | Brian Connolly |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 4 | Gerald Fitzgerald |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 5 | John Evangelista |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 6 | John Maurer MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 7 | Khan Nedd MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 8 | Kurt Ludlow |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 9 | Lawrence Bos Sr |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 10 | Mark Drumheller |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 11 | Mary Sanders |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 12 | Michael Damstra |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 13 | Ruthann Brintnall Phd |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 14 | Sean Guitar |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 15 | Dr Michael Paletta |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 16 | Lee Ann Myers |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 17 | Marcie Hillary |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 18 | Patrick Miller |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 19 | David Mcaree |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 20 | Elizabeth Rocha |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 21 | Eric Kaplan |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 22 | Kai Denski |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 23 | Mark Zook |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| 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/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | 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/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 25520 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| 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 | 27320 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 19236 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 25568 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 30817 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 29809 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 16531 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 15824 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 14791 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 13610 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 826182 |
| 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 | 463403 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 476022 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 441095 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 492897 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 236626 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 165856 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 201296 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 184187 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 169689 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| 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/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Secretary/Treasurer/Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | President & Chief Executive Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Senior VP/Chief Medical Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Executive VP/Chief Financial Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Sr. Vice President Community Relations/Chief Development Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Executive VP/Chief Operating Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Hospice Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Clinical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Senior Director IT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Hospice Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1978 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | true |
| IRS990/FundraisingAmt | 0 | 257784 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 138840 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 30310 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 43462 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 15 |
| IRS990/GovernmentGrantsAmt | 0 | 2034432 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1942014 |
| IRS990/GrossReceiptsAmt | 0 | 72770934 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 14 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 31 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 2816 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 133106 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 802520 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 938442 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 231358 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 231358 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 15483 |
| IRS990/InterestGrp/TotalAmt | 0 | 15483 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 174449 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 186378 |
| IRS990/InvestmentExpenseAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 278414 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 278414 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 15682486 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 16262682 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 6066071 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 6510880 |
| IRS990/IRPDocumentCnt | 0 | 360 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2666104 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 358772 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 450747 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 3116851 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 1898552 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
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