Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
EIN 43-1277070 • 501(c)3 • St Louis, MO
Profile
To be the premier provider of care and services for seniors in the markets we serve while maintaining financial strength and providing fulfilling career opportunities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
Liabilities / Revenue
15th percentile
Higher debt load relative to revenue than 15% of similar nonprofits.
Net Margin
71st percentile
Higher net margin than 71% of similar nonprofits.
Top Officer Pay
72nd percentile
Higher top officer pay than 72% of similar nonprofits.
Top officer pay equals 0.9% of source-year revenue.
Asset Growth
16th percentile
Faster asset growth than 16% of similar nonprofits.
Revenue Growth
77th percentile
Faster revenue growth than 77% of similar nonprofits.
Assets
Down$50,372,754
Down $1,883,285 (-3.6%) from 2023
Liabilities
Up$3,873,451
Up $109,326 (+2.9%) from 2023
Net Assets
Down$46,499,303
Down $1,992,611 (-4.1%) from 2023
Revenue
Up$59,887,289
Up $12,644,871 (+27%) from 2023
Expenses
Up$50,678,850
Up $3,798,132 (+8.1%) from 2023
Net Income
Up$9,208,439
Up $8,846,739 (+2446%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Bethesda health group, inc. And its subsidiaries' mission is to be the premier provider of care and services for seniors in the markets we serve while maintaining financial strength and providing fulfilling career opportunities.
Premier provider of care and services for seniors in the st. Louis region.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $47,744,297 | $44,014,515 | ▼ $3,729,782 |
| Accounts Receivable | $4,196,920 | $5,561,785 | ▲ $1,364,865 |
| Savings and Temporary Cash Investments | $164,420 | $166,370 | ▲ $1,950 |
| Inventories for Sale or Use | $91,960 | $74,977 | ▼ $16,983 |
| Prepaid Expenses and Deferred Charges | $54,417 | $52,307 | ▼ $2,110 |
| Cash and Non-Interest-Bearing Accounts | $4,025 | $2,800 | ▼ $1,225 |
| Total Assets | $52,256,039 | $50,372,754 | ▼ $1,883,285 |
| Other Assets Total | $0 | $500,000 | ▲ $500,000 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,538,390 | $3,674,952 | ▲ $136,562 |
| Escrow Account Liability | $164,420 | $119,512 | ▼ $44,908 |
| Deferred Revenue | $61,315 | $78,987 | ▲ $17,672 |
| Total Liabilities | $3,764,125 | $3,873,451 | ▲ $109,326 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $48,491,914 | $46,499,303 | ▼ $1,992,611 |
| Total Net Assets Fund Balance | $48,491,914 | $46,499,303 | ▼ $1,992,611 |
| Total Liabilities and Net Assets / Fund Balance | $52,256,039 | $50,372,754 | ▼ $1,883,285 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $27,747,686 | $32,449,011 | $60,196,697 |
| Equipment | $5,108,000 | $22,816,949 | $27,924,949 |
| Land | $9,684,762 | - | $6,652,777 |
| Leasehold Improvements | $1,437,016 | $2,657,956 | $4,094,972 |
| Other Land Buildings | $37,051 | - | $37,051 |
| Name | Title | Full / Part Time | Other | Total |
|---|---|---|---|---|
| Laura Frame | CVP Gen Counsel Comp Officer | PT | $148,261 | $148,261 |
| Kevin Curry | VP & Corp Compliance (term Ended) | PT | $92,591 | $92,591 |
| Caprina Wakefield Schetter | SVP Human Resources | PT | $41,019 | $41,019 |
| John W Rowe | Member (term Ended) | - | $2,000 | $2,000 |
| Name | Title |
|---|---|
| Jackie Yoon | Chair |
| Joseph J Brinker | President & CEO |
| J Dale Meier | Vice Chair |
| Jeffrey Waldman | Corp VP & Director Marketing |
| Linda Sanders | Corp VP Director of Development |
| Michele L Kimball | Corporate Director of Clinical Services |
| Robyn Duffey Rogers | Director Sales Sl |
| Eileen E Caffey | Senior Director Recr Emp Relations |
| Kiel Peregrin | COO |
| Roger Byrne | Evp & CFO |
| Colleen M Wasinger | Member |
| Fred G Falker | Member |
| Gary L Mayes | Member |
| J Michael Keller | Member |
| James H Esther Md | Member |
| Patrick J Rooney | Member |
| Susan G Moore | Member |
| Mark W Reifsteck | Member (term Ended) |
| Janice J Carter | Rn |
| Diana Hardin | Rn Med a |
| Philip a Hutchison | Secretary |
| Michelle Glass | SVP Sl & In-home Care |
| Katherine E Joslin | SVP, Hr & Marketing (term Ended) |
| Kevin J Klingler | Treasurer |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $29,865,690 |
| Other Expenses | $20,813,160 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $22,825,445 | $2,934,230 | - | $25,759,675 |
| Fees for Services Other | $8,853,496 | $927,509 | - | $9,781,005 |
| Office Expenses | $2,741,139 | $637,058 | - | $3,378,197 |
| Depreciation Depletion | $2,768,293 | $369,540 | - | $3,137,833 |
| Occupancy | $1,767,841 | $274,918 | - | $2,042,759 |
| Payroll Taxes | $1,680,479 | $225,406 | - | $1,905,885 |
| Other Employee Benefits | $1,609,690 | $234,763 | - | $1,844,453 |
| Insurance | - | $866,491 | - | $866,491 |
| Pension Plan Contributions | $303,408 | $52,269 | - | $355,677 |
| Advertising | - | $192,256 | - | $192,256 |
| Travel | $11,583 | $11,459 | - | $23,042 |
| Other Expenses | $7,253 | $12,722 | - | $19,975 |
| Conferences and Meetings | $12,993 | $4,853 | - | $17,846 |
| Fees for Services Legal | - | $2,385 | - | $2,385 |
| Information Technology | $626 | $153 | - | $779 |
| Total Functional Expenses | $43,420,480 | $7,258,370 | $0 | $50,678,850 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“The executive committee shall be composed of the president and chief executive officer, the chairman, vice chairman, secretary and treasurer of the board of directors and any other directors appointed by the chairman subject to the approval of the directors. The chairman of the executive committee shall be the chairman of the board of directors. The executive committee shall have the power and authority to transact all regular business of the corporation during the interim between the meetings of the board of directors and shall submit minutes of its meetings to the board of directors at the next meeting of the board.”
“A copy of the form 990 will be provided to the finance and executive committees of the board of directors for detail review prior to filing. In addition to these detailed reviews, a copy of the form 990 will also be provided to the entire board for their review. Upon request, a pdf copy of the return will also be e-mailed to members of the board.”
“All directors, officers, board committee members and operating officers ("insiders") of the organization are required to complete a "conflict of interest" form annually. Each insider shall promptly and fully disclose the existence of any potential conflicts of interest. All "conflict of interest" forms are reported to the ceo, chairman of the board ("chairman"), and the board. If it is determined that a conflict of interest exists for a consummated transaction or arrangement, the board shall investigate appropriate steps to mitigate or eliminate the conflict of interest. If it is determined a conflict of interest exists for a proposed transaction or arrangement, which has not yet been consummated, the board shall authorize the transaction or arrangement only if it is approved in accordance with bethesda's policy on conflicts of interest ("policy"). If the chairman or ceo has reasonable cause to believe that an insider has failed to comply with the policy, the chairman or ceo shall meet with the insider to discuss the alleged failure and provide the insider the opportunity for explanation. If, after hearing the response of the insider and making further investigation deemed necessary, the chairman or ceo believes that the insider violated the policy, the matter shall be presented to the board to consider corrective action.”
“The organization does not compensate any officers, directors of key employees. A related organization, bethesda health group, inc compensates these individuals which uses the following processes: the human resources committee of the board regularly engages an independent compensation consultant to review and analyze the compensation and benefits of our executives compared to their peers in the business community. The results are reviewed and approved, when appropriate, by the board of directors.”
“No documents available to the public.”
“Bethesda health group, inc, a related organization, issues the w-2s for all employees.”
“Outside services: program service expenses 79,568. Management and general expenses 127,489. Fundraising expenses 0. Total expenses 207,057. Therapy services: program service expenses 2,745,493. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,745,493. Dietary services: program service expenses 4,395,327. Management and general expenses 499,951. Fundraising expenses 0. Total expenses 4,895,278. Professional services: program service expenses 217,251. Management and general expenses 280,525. Fundraising expenses 0. Total expenses 497,776. Temp agencies: program service expenses 1,414,939. Management and general expenses 15,038. Fundraising expenses 0. Total expenses 1,429,977. Service contracts: program service expenses 918. Management and general expenses 4,506. Fundraising expenses 0. Total expenses 5,424.”
“Transfer of unrestricted net assets - intercompany account eliminations -11,201,050.”
“Processes have not changed from prior years”
“The organization holds resident funds on their behalf.”
“The corporation is not aware of any activities that would jeopardize its tax exempt status and is not aware of any activities that are subject to tax on unrelated business income or excise or other taxes.”
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 | 3538390 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3674952 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 4196920 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 5561785 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PREMIER PROVIDER OF CARE AND SERVICES FOR SENIORS IN THE ST. LOUIS REGION. |
| IRS990/AddressChangeInd | 0 | X |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 192256 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 192256 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ROGER BYRNE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3148001900 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 12101 WOODCREST EXECUTIVE DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ST LOUIS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 63141 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 4025 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2800 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 4853 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 12993 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 17846 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 3146 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 6530528 |
| IRS990/CYOtherExpensesAmt | 0 | 20813160 |
| IRS990/CYOtherRevenueAmt | 0 | 419885 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 52933730 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 9208439 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 29865690 |
| IRS990/CYTotalExpensesAmt | 0 | 50678850 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 59887289 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 61315 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 78987 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 369540 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2768293 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3137833 |
| IRS990/Desc | 0 | VALUES: BETHESDA HEALTH GROUP, INC., AND ITS SUBSIDIARIES ADHERE TO THE FOLLOWING VALUES IN PROVIDING CARE AND SERVICES TO ST. LOUIS SENIORS. DIGNITY: TO TREAT SENIORS AND THEIR FAMILY MEMBERS WITH DIGNITY AND RESPECT. DIVERSITY: TO RECOGNIZE THE UNIQUE QUALITIES OF OUR CONSTITUENTS AND APPRECIATE THEIR CULTURAL DIFFERENCES. GENEROSITY: TO MEET THE NEEDS OF SENIORS WITHOUT REGARD TO THEIR SOCIOECONOMIC STATUS. INTEGRITY: TO FURNISH CARE AND SERVICES WITH INTEGRITY, HONEST AND HIGH ETHICAL STANDARDS. QUALITY: TO PROVIDE SUPERIOR CARE AND SERVICES IN A PLACE SENIORS CALL HOME.BETHESDA HOSTS PUBLIC EDUCATIONAL EVENTS ON IMPORTANT ISSUES, SUCH AS ALZHEIMER'S PREVENTION AND CARE, PROVIDES FREE HEALTH SCREENINGS, AND SEASONAL FLU VACCINES, IN ADDITION TO MANY OTHER SERVICES AS PART OF ITS MISSION TO PROVIDE ESSENTIAL CARE FOR ST. LOUIS SENIORS AND THEIR FAMILIES.BETHESDA ALSO HAS PARTNERED WITH MEALS ON WHEELS OF GREATER ST. LOUIS FOR MORE THAN 25 YEARS TO PROVIDE NUTRITIOUS MEALS TO THE ELDERLY, HANDICAPPED, AND HOMEBOUND IN THE AREA. EMPLOYEES AND VOLUNTEERS AT BETHESDA DILWORTH PREPARE MORE THAN 1,200 MEALS EACH MONTH FOR SENIORS LIVING IN WEBSTER GROVES, ROCK HILL, SHREWSBURY, BRENTWOOD AND CRESTWOOD. BETHESDA SOUTHGATE ALSO PARTICIPATES BY DELIVERING MORE THAN 800 MEALS MONTHLY TO SENIORS LIVING IN SOUTH ST. LOUIS COUNTY. EVERY YEAR RESIDENTS AND VOLUNTEERS AT BETHESDA GARDENS HOST A BABY SHOWER TO HELP RAISE FUNDS AND COLLECT BABY CLOTHES AND SUPPLIES FOR FAMILIES IN NEED. THE DONATIONS ARE GIVEN TO NURSES FOR NEWBORNS, A NONPROFIT ORGANIZATION THAT PROVIDES A SAFETY NET FOR AT RISK FAMILIES TO PREVENT INFANT MORTALITY, CHILD ABUSE AND NEGLECT.BETHESDA ALSO OFFERS A PROGRAM THAT HAS BEEN DEVELOPED TO EDUCATE THE PUBLIC ON HOW TO BE A SUPPORTIVE FRIEND AND COMPANION TO SOMEONE WHO IS EITHER GRIEVING THE LOSS OF A LOVED ONE OR AFFECTED BY THE LIFE-LIMITING ILLNESS THEMSELVES. ADDITIONALLY, THE PROGRAM DELVES INTO HOW TO SUPPORT THOSE WHO ARE STRUGGLING WITH OTHER INSTANCES OF LOSS FROM DIVORCE TO RECENT UNEMPLOYMENT. THE PROGRAM IS OFFERED TO COMMUNITY ORGANIZATIONS AND CHURCHES THROUGHOUT ST. LOUIS.SINCE OUR FOUNDING MORE THAN A CENTURY AGO, BETHESDA HAS HELPED SENIORS LIVE THE LIVES THEY LOVE. IN KEEPING WITH OUR CHARITABLE COMMITMENT, EACH YEAR BETHESDA PROVIDES MILLIONS OF DOLLARS IN HUMANITARIAN CARE TO THOSE SENIORS WHO HAVE OUTLIVED THEIR ASSETS AND ARE UNABLE TO PAY FOR THE FULL COST OF THE CARE AND SUPPORT THEY RECEIVE FROM US. IN 2010, THE BETHESDA BOARD OF DIRECTORS ESTABLISHED THE JOHN W. ROWE HUMANITARIAN CARE FUND, WHICH PROVIDES CHARITABLE ASSISTANCE TO HUNDREDS OF SENIORS ANNUALLY.EVERY YEAR, BETHESDA HAS CHARITABLE PARTNERSHIPS AND MAKES SIGNIFICANT DONATIONS TO MANY LOCAL ORGANIZATIONS INCLUDING BUT NOT LIMITED TO THE UNITED WAY OF GREATER ST. LOUIS, NATIONAL KIDNEY FOUNDATION, HUMANE SOCIETY OF MISSOURI, AND THE ST. LOUIS AREA BOY AND GIRL SCOUTS OF AMERICA.BETHESDA HEALTH GROUP, INC. EIN 43-0666738FUNCTIONS AS THE PARENT OF THE ORGANIZATION. BETHESDA HEALTH GROUP'S SUBSIDIARIES, WHICH ARE LISTED BELOW, CHARGE BELOW MARKET RATES FOR SERVICES PROVIDED, AND NO ONE HAS EVER BEEN ASKED TO LEAVE A BETHESDA HEALTH GROUP FACILITY DUE TO THE INABILITY TO PAY. IN ADDITION, THE CONSOLIDATED BETHESDA HEALTH GROUP ORGANIZATION PROVIDED APPROXIMATELY $6,545,018 IN CHARITY CARE DURING THE YEAR ENDED JUNE 30, 2024.BETHESDA LONG TERM CARE, INC. EIN 43-1277070OWNS AND OPERATES TWO SKILLED NURSING FACILITIES AND TWO ASSISTED LIVING FACILITIES. PROVIDED 158,327 DAYS OF NURSING CARE IN THE YEAR ENDED JUNE 30, 2024, INCLUDING 51,079 DAYS TO MEDICAID RECIPIENTS. PROVIDED $5,851,860 IN CHARITY CARE IN THE YEAR ENDED JUNE 30, 2024.BETHESDA SENIOR LIVING, INC. EIN 43-1494889OWNS AND OPERATES FIVE INDEPENDENT LIVING CENTERS, HOUSING AN AVERAGE OF 521 RESIDENTS PER DAY IN THE YEAR ENDED JUNE 30, 2024, AND PROVIDED FINANCIAL ASSISTANCE IN THE AMOUNT OF $640,934 IN THE YEAR ENDED JUNE 30, 2024.BETHESDA HEALTH GROUP FOUNDATION, INC. EIN 43 |
| 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 | 710 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 164420 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 119512 |
| IRS990/ExpenseAmt | 0 | 43420480 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 2385 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 2385 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 927509 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 8853496 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 9781005 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.80 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.80 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.80 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 8.00 |
| 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/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/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 31756 |
| 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 | 29160 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 22200 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 19308 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 13110 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 2940 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 12159 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 11137 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 5202 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 5960 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 5675 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 9509 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 12393 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 2553 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JACKIE YOON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JOSEPH J BRINKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | J DALE MEIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | PHILIP A HUTCHISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KEVIN J KLINGLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JOHN W ROWE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JAMES H ESTHER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | FRED G FALKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | J MICHAEL KELLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | GARY L MAYES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | SUSAN G MOORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | PATRICK J ROONEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | COLLEEN M WASINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MARK W REIFSTECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ROGER BYRNE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | KIEL PEREGRIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | KATHERINE E JOSLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | MICHELLE GLASS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | LINDA SANDERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | JEFFREY WALDMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | LAURA FRAME |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | CAPRINA WAKEFIELD SCHETTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | KEVIN CURRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | DIANA HARDIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | EILEEN E CAFFEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | MICHELE L KIMBALL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | ROBYN DUFFEY ROGERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | JANICE J CARTER |
| 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/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 517553 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 2000 |
| 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 | 393736 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 367978 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 234677 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 201541 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 174892 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 168607 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 137124 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 41019 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 87389 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 211769 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 189354 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 188479 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 161366 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 191283 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | MEMBER (TERM ENDED) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | MEMBER (TERM ENDED) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | EVP & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | SVP, HR & MARKETING (TERM ENDED) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | SVP SL & IN-HOME CARE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CORP VP DIR OF DEVELOPMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CORP VP & DIR MARKETING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | CVP GEN COUNSEL COMP OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | SVP HUMAN RESOURCES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | VP & CORP COMPLIANCE (TERM ENDED) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | RN MED A |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | SENIOR DIR RECR EMP RELATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | CORPORATE DIR OF CLINICAL SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | DIRECTOR SALES SL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | RN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1982 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 6514237 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 9000000 |
| IRS990/GrossReceiptsAmt | 0 | 62373052 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 153 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 626 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 779 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 866491 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 866491 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 91960 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 74977 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 16291 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 16291 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 57923916 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 47744297 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 44014515 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 101938431 |
| IRS990/LegalDomicileStateCd | 0 | MO |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 2485763 |
| 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 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 117601 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 117601 |
| IRS990/MissionDesc | 0 | TO BE THE PREMIER PROVIDER OF CARE AND SERVICES FOR SENIORS IN THE MARKETS WE SERVE WHILE MAINTAINING FINANCIAL STRENGTH AND PROVIDING FULFILLING CAREER OPPORTUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 48491914 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 46499303 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 6514237 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 6514237 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 48491914 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 46499303 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 274918 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1767841 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 2042759 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 637058 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2741139 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 3378197 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 500000 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -11201050 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 234763 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1609690 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1844453 |
| IRS990/OtherExpensesGrp/Desc | 0 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 1 | MAINTENANCE AND REPAIRS |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 3 | TAXES AND LICENSES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 393647 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 118711 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 12722 |
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