Liabilities / Assets
97th percentile
Higher debt load relative to assets than 97% of similar nonprofits.
EIN 42-0680487 • 501(c)3 • Cedar Falls, IA
Profile
Assertively seeks to create fulfilling lifestyles for seniors, their families, and our employees.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
97th percentile
Higher debt load relative to assets than 97% of similar nonprofits.
Liabilities / Revenue
83rd percentile
Higher debt load relative to revenue than 83% of similar nonprofits.
Net Margin
53rd percentile
Higher net margin than 53% of similar nonprofits.
Top Officer Pay
92nd percentile
Higher top officer pay than 92% of similar nonprofits.
Top officer pay equals 2.7% of source-year revenue.
Asset Growth
19th percentile
Faster asset growth than 19% of similar nonprofits.
Revenue Growth
50th percentile
Faster revenue growth than 50% of similar nonprofits.
Assets
Down$18,629,692
Down $854,328 (-4.4%) from 2023
Liabilities
Down$23,918,057
Down $1,970,292 (-7.6%) from 2023
Net Assets
Up-$5,288,365
Up $1,115,964 (+17%) from 2023
Revenue
Up$20,054,327
Up $1,304,383 (+7.0%) from 2023
Expenses
Up$18,938,363
Up $45,064 (+0.2%) from 2023
Net Income
Up$1,115,964
Up $1,259,319 (+878%) 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 2021 below.
Assertively seeks to create fulfilling lifestyles for seniors, their families, and our employees.
Assertively seeks to create fulfilling lifestyles for seniors, their families and those we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $21,500,043 | $20,491,587 | ▼ $1,008,456 |
| Accounts Receivable | $1,112,332 | $1,087,682 | ▼ $24,650 |
| Prepaid Expenses and Deferred Charges | $106,966 | $112,891 | ▲ $5,925 |
| Cash and Non-Interest-Bearing Accounts | $550,504 | $1,325 | ▼ $549,179 |
| Total Assets | $23,372,322 | $21,811,733 | ▼ $1,560,589 |
| Other Assets Total | $102,477 | $118,248 | ▲ $15,771 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $22,161,757 | $21,562,926 | ▼ $598,831 |
| Mortgage Notes Payable Secured by Investment Property | $1,330,599 | $1,290,729 | ▼ $39,870 |
| Accounts Payable and Accrued Expenses | $1,628,437 | $1,223,622 | ▼ $404,815 |
| Other Liabilities | $1,164,638 | $900,938 | ▼ $263,700 |
| Total Liabilities | $26,285,431 | $24,978,215 | ▼ $1,307,216 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-2,913,109 | $-3,166,482 | ▼ $253,373 |
| Total Net Assets Fund Balance | $-2,913,109 | $-3,166,482 | ▼ $253,373 |
| Total Liabilities and Net Assets / Fund Balance | $23,372,322 | $21,811,733 | ▼ $1,560,589 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $19,053,326 | $7,081,240 | $26,134,566 |
| Equipment | $1,330,431 | $2,119,356 | $3,449,787 |
| Land | $107,830 | - | $107,830 |
| Name | Title |
|---|---|
| Sarah Brown | Chair |
| Larry Fox | Immediate Past Chair |
| Ronald Gaines | Vice Chair |
| Andrew Morse | Director |
| Dianne Schultz | Director |
| Nafissa Egbuonye | Director |
| Wendy Ager | Operations Sr Director |
| Kris Hansen | Chief Executive Officer |
| Catherine Meier | Chief Financial Officer |
| Jerry Harris | Chief Operating Officer |
| PAT O'LEARY | CSO |
| Darrell Mccormick | Dco |
| Dr Richard Frankhauser | Secretary |
| Greg Schmitz | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Helping Hands Healthcare Solutions | Contract Staffing | 2563 KATE STREET, Waterloo, IA 50701 | $926,469 |
| Grapetree Medical Staffing INC | Contract Staffing | PO BOX 5340, Sioux Falls, SD 57117 | $334,052 |
| Lotus Above & Beyond Healthcare Staffing | Contract Staffing | 900 2ND AVE NE, Oelwein, IA 50662 | $244,287 |
| Line Item | Amount |
|---|---|
| Other Expenses | $10,353,457 |
| Salaries, Compensation, and Employee Benefits | $9,518,733 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $7,551,801 | $417,453 | - | $7,969,254 |
| Fees for Services Other | $3,211,353 | $138,097 | - | $3,349,450 |
| Fees for Services Management | - | $1,392,397 | - | $1,392,397 |
| Depreciation Depletion | $1,143,385 | - | - | $1,143,385 |
| Interest | $875,951 | - | - | $875,951 |
| Other Employee Benefits | $756,840 | $58,985 | - | $815,825 |
| Payroll Taxes | $563,234 | $30,529 | - | $593,763 |
| Occupancy | $418,674 | $45,360 | - | $464,034 |
| Other Expenses | $329,599 | $27,504 | - | $357,103 |
| Information Technology | - | $218,005 | - | $218,005 |
| Pension Plan Contributions | $132,676 | $7,215 | - | $139,891 |
| Insurance | $130,809 | - | - | $130,809 |
| All Other Expenses | $118,291 | - | - | $118,291 |
| Travel | $48,025 | $461 | - | $48,486 |
| Advertising | - | $18,219 | - | $18,219 |
| Total Functional Expenses | $16,999,701 | $2,872,489 | $0 | $19,872,190 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Related Party Payable | $900,938 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| C | Iowa Finance Authority | 2016-11-08 | $32,500,000 | Senior living facilities revenue refunding bonds (western home project) |
| D | Iowa Finance Authority | 2013-12-31 | $11,295,000 | Senior living facilities revenue refunding bonds (western home project) |
| A | Iowa Finance Authority | 2013-12-23 | $6,125,000 | Senior living facilities revenue refunding bonds (western home project) |
| B | Iowa Finance Authority | 2015-12-01 | $5,165,000 | Senior living facilities revenue refunding bonds (western home project) |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| C | $32,500,000 | $10,955,575 | $1,688,688 | $339,425 |
| D | $11,295,000 | - | $2,030,853 | - |
| A | $6,125,000 | $605,430 | $857,413 | $101,588 |
| B | $5,165,000 | $4,629,939 | $796,323 | $322,065 |
“The organization does not have any committees that have authority to act on behalf of the governing body.”
“The organization form 990 will be distributed to all members of the board via email and during the board meeting and will be reviewed by all board members prior to filing.”
“Conflict of interest policy covers any officer, director, board member, key employee or manager of whs. Employees must promptly disclose to the whs and its affiliates any relationship, ownership, investment or business interest, whether direct or indirect, that the employee or a member of his/her immediate family has with any person, or in any business or enterprise (other than publicly traded securities). Presentations of possible conflicts of interest are done at board meetings. After the presentation, the individual should leave the room while the determination of a conflict of interest is discussed and voted upon.”
“The 990 is available on guidestar and the journal is a monthly publication sent out by western home to all residents and those who make a request.”
“All documents will be available upon request.”
“Purchased services - ancillary services: program service expenses 586,210. Management and general expenses 0. Fundraising expenses 0. Total expenses 586,210. Purchased services - clinical support: program service expenses 2,625,143. Management and general expenses 95,770. Fundraising expenses 0. Total expenses 2,720,913. Purchased services - it support: program service expenses 0. Management and general expenses 42,327. Fundraising expenses 0. Total expenses 42,327.”
“ROUNDING ADJUSTMENT 3.”
“The board of directors is responsible for selecting the independent auditors to perform the audit. The board is also responsible for oversight of the audit and of the financial statements. This process has remained unchanged from the prior years.”
“The organization has adopted the accounting standard regarding accounting for uncertain tax positions. This standard provides detailed guidance for financial statement recognition, measurement, and disclosure of uncertain tax positions recognized in the entity's financial statements. It requires an entity to recognize the financial statement benefit of a tax position when it is more likely than not that the position will be sustained upon examination. The adoption of this standard had no material effect on the organization's financial position, results of operations, or cash flow.”
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 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1628437 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1223622 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1112332 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1087682 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | ASSERTIVELY SEEKS TO CREATE FULFILLING LIFESTYLES FOR SENIORS, THEIR FAMILIES AND THOSE WE SERVE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 18219 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 18219 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 118291 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 118291 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | SHERI BROCKELSBY |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3192772141 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 5307 CARAWAY LANE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | CEDAR FALLS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 50613 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 550504 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1325 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| 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/ContractorCompensationGrp/CompensationAmt | 0 | 926469 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 334052 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 244287 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2563 KATE STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 5340 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 900 2ND AVE NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | WATERLOO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SIOUX FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | OELWEIN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 50701 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 57117 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 50662 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | HELPING HANDS HEALTHCARE SOLUTIONS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | GRAPETREE MEDICAL STAFFING INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | LOTUS ABOVE & BEYOND HEALTHCARE STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACT STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONTRACT STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONTRACT STAFFING |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1865666 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 10353457 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 17753148 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -253376 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 9518733 |
| IRS990/CYTotalExpensesAmt | 0 | 19872190 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 19618814 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1143385 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1143385 |
| IRS990/Desc | 0 | OFFERING COMPASSIONATE CARE AND SERVICES FOR SENIORS THROUGH OPERATION OF A 100 BED NURSING FACILITY, AND BY OFFERING IN-HOME COMPANION AND POST HOSPITAL CARE SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 16999701 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 1392397 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 1392397 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 138097 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 3211353 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3349450 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| 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/KeyEmployeeInd | 0 | 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/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| 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 | 38388 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 35626 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 12511 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 37011 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 32310 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 7383 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LARRY FOX |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | NAFISSA EGBUONYE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | SARAH BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GREG SCHMITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ANDREW MORSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DR RICHARD FRANKHAUSER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RONALD GAINES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DIANNE SCHULTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KRIS HANSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JERRY HARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | CATHERINE MEIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | DARRELL MCCORMICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | PAT O'LEARY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | WENDY AGER |
| 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/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 | 391527 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 253176 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 240606 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 143620 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 288824 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 177334 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | IMMEDIATE PAST CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DCO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CSO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | OPERATIONS SR DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1924 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 1865666 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 19618814 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 218005 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 218005 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 130809 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 130809 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 875951 |
| IRS990/InterestGrp/TotalAmt | 0 | 875951 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 9200596 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 21500043 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 20491587 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 29692183 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | ASSERTIVELY SEEKS TO CREATE FULFILLING LIFESTYLES FOR SENIORS, THEIR FAMILIES, AND OUR EMPLOYEES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1330599 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1290729 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -2913109 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -3166482 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -2913109 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -3166482 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 45360 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 418674 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 464034 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 102477 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 118248 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 3 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 58985 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 756840 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 815825 |
| IRS990/OtherExpensesGrp/Desc | 0 | FOOD & DEPARTMENT SUPPL |
| IRS990/OtherExpensesGrp/Desc | 1 | LICENSES, DUES & SUBSCR |
| IRS990/OtherExpensesGrp/Desc | 2 | COVID-19 EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 3 | OTHER GENERAL & ADMIN |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 7487 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 510777 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 27504 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1254401 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 464662 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 329599 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1261888 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 510777 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 464662 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 357103 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1164638 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 900938 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 417453 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 7551801 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 7969254 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 30529 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 563234 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 593763 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 7215 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 132676 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 139891 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 106966 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 112891 |
| IRS990/PrincipalOfficerNm | 0 | KRIS HANSEN |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 623990 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | ROUTINE CARE SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | ACO SHARED SAVINGS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 17653964 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 99184 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 17653964 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 99184 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 1663846 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 17 |
| IRS990/PYOtherExpensesAmt | 0 | 9172580 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 15722421 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -1091792 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 9305496 |
| IRS990/PYTotalExpensesAmt | 0 | 18478076 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 17386284 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -253376 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 17753148 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 1865666 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 1663846 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 873253 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 223990 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 5434 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 4632189 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 17 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 83 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3360 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 17760 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 21220 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 17653964 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 15722421 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 14493726 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13070288 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 12114940 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 73055339 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 17 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 83 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3360 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 17760 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 21220 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00030 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00040 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99970 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99960 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 77687528 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 19519630 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 17386267 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 15366979 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 13294278 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 12120374 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 77687528 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 19519630 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 17386284 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 15367062 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13297638 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 12138134 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 77708748 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
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