Liabilities / Assets
82nd percentile
Higher debt load relative to assets than 82% of similar nonprofits.
990 • Fiscal year 2022 • EIN 43-1821821
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
82nd percentile
Higher debt load relative to assets than 82% of similar nonprofits.
Liabilities / Revenue
77th percentile
Higher debt load relative to revenue than 77% of similar nonprofits.
Net Margin
17th percentile
Higher net margin than 17% of similar nonprofits.
Top Officer Pay
29th percentile
Higher top officer pay than 29% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
40th percentile
Faster asset growth than 40% of similar nonprofits.
Revenue Growth
22nd percentile
Faster revenue growth than 22% of similar nonprofits.
Assets
Down$12,099,164
Down $303,253 (-2.4%) from 2021
Net Assets
Down$4,634,288
Down $842,433 (-15%) from 2021
Liabilities
Up$7,464,876
Up $539,180 (+7.8%) from 2021
Revenue
Down$8,980,174
Down $1,515,768 (-14%) from 2021
Expenses
Up$9,793,439
Up $656,854 (+7.2%) from 2021
Net Income
Down-$813,265
Down $2,172,622 (-160%) from 2021
Operation of long-term health care facilities
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $7,598,771 | $7,468,219 | ▼ $130,552 |
| Cash and Non-Interest-Bearing Accounts | $1,836,465 | $1,726,730 | ▼ $109,735 |
| Accounts Receivable | $1,011,304 | $975,580 | ▼ $35,724 |
| Savings and Temporary Cash Investments | $189,613 | $882,091 | ▲ $692,478 |
| Investments Other Securities | $1,315,228 | $586,005 | ▼ $729,223 |
| Intangible Assets | $423,998 | $376,887 | ▼ $47,111 |
| Prepaid Expenses and Deferred Charges | $27,038 | $83,652 | ▲ $56,614 |
| Total Assets | $12,402,417 | $12,099,164 | ▼ $303,253 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $6,063,854 | $6,542,112 | ▲ $478,258 |
| Accounts Payable and Accrued Expenses | $801,117 | $703,653 | ▼ $97,464 |
| Deferred Revenue | $60,725 | $219,111 | ▲ $158,386 |
| Total Liabilities | $6,925,696 | $7,464,876 | ▲ $539,180 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $5,476,721 | $4,634,288 | ▼ $842,433 |
| Total Net Assets Fund Balance | $5,476,721 | $4,634,288 | ▼ $842,433 |
| Total Liabilities and Net Assets / Fund Balance | $12,402,417 | $12,099,164 | ▼ $303,253 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $5,831,299 | $1,741,078 | $7,572,377 |
| Equipment | $466,414 | $1,215,833 | $1,682,247 |
| Land | $937,330 | - | $937,330 |
| Other Land Buildings | $233,176 | - | $233,176 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Hilaree Stringham | Administrator | FT | $108,472 | $11,916 | $120,388 |
| Michael a Michaud | President & Treasurer | FT | $115,968 | - | $115,968 |
| Name | Title |
|---|---|
| Gregory T Slessor | Vice President |
| James Lock | Secretary Effective 4/22/22 |
| John Whitaker | Secretary Until 4/22/22 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Healthcare Of Iowa | Management | 4080 1ST AVE NE, Cedar Rapids, IA 52402 | $823,448 |
| Fusion Medical Staffing | Purchased Nursing Services | 11808 GRANT STREET SUITE 100, Omaha, NE 68164 | $481,108 |
| Martin Brothers | Food Supplies | 406 VIKING RD, Cedar Falls, IA 50613 | $464,669 |
| Iowa Medicaid Enterprises | Quality Access Fees | 100 ARMY POST RD, Des Moines, IA 50315 | $424,256 |
| Grapetree Medical Staffing | Purchased Nursing Services | 2501 BOJI BEND DRIVE SUITE 100, Milford, IA 51351 | $337,094 |
| Line Item | Amount |
|---|---|
| Other Expenses | $5,138,905 |
| Salaries, Compensation, and Employee Benefits | $4,654,534 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,535,936 | $439,733 | - | $3,975,669 |
| Fees for Services Other | $1,633,038 | - | - | $1,633,038 |
| Fees for Services Management | $485,810 | $161,339 | - | $647,149 |
| Depreciation Depletion | $365,215 | - | - | $365,215 |
| Occupancy | $301,097 | $16,482 | - | $317,579 |
| Payroll Taxes | $262,325 | $31,205 | - | $293,530 |
| Other Employee Benefits | $140,040 | $129,127 | - | $269,167 |
| All Other Expenses | $205,770 | $52,374 | - | $258,144 |
| Interest | $214,752 | - | - | $214,752 |
| Fees for Services Accounting | - | $150,935 | - | $150,935 |
| Insurance | $136,144 | - | - | $136,144 |
| Current Officers, Directors, Trustees, and Key Employees | $116,168 | - | - | $116,168 |
| Other Expenses | $6,741 | $67,725 | - | $74,466 |
| Office Expenses | - | $50,302 | - | $50,302 |
| Fees for Services Legal | - | $49,684 | - | $49,684 |
| Travel | $16,412 | $8,503 | - | $24,915 |
| Advertising | - | $22,202 | - | $22,202 |
| Total Functional Expenses | $8,537,174 | $1,256,265 | $0 | $9,793,439 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $9,793,439 |
| Expenses per Audited Statements | $9,716,785 |
| Total Expenses per Audited Statements | $9,716,785 |
| Expenses Not Reported on Financial Statements | $76,654 |
| Other Expense Adjustments | $76,654 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Effective 1/1/17, healthcare of iowa and its affiliated organizations, such as assisted living partners, took over management responsibilities for all levels of care.”
“There are no committees with authority to act on behalf of the governing body.”
“All board members review form 990 and share questions, which are addressed by the tax preparer. In addition, the final form 990 is provided to each member of the board of directors sufficiently prior to filing the form so that any final comments could be provided to the organization in time to permit any necessary revisions.”
“The organization has a conflict of interest policy that requires annual execution of a certification with respect to conflicts and routine disclosure if there is a conflict in connection with a matter that comes before the board. The board monitors and enforces compliance with this policy by requiring the annual certification and by reminding board members of their obligations with respect to conflict on an on-going basis. If a board member has a conflict of interest then they will not vote on the conflicting issue at hand.”
“The board met in private may 8, 2017 to discuss compensation for the president/executive director, who was absent during the discussion. The board reviewed the requirements of the position, the president/executive director's qualifications, and a compensation analysis based on the position as prepared by an independent consultant in kansas city, mo. The board then determined the president/executive director's salary to be reasonable and consistent with the company's executive compensation policy. The board met again in jan 14, 2020 to review the president/executive director's salary, which was reduced in view of business conditions. The board met again on march 3, 2022 to review the president/executive director's salary. The board decided to increase the salary in view of business conditions and cost of living increases and restored it to its original level established in 2012.”
“The governing documents, conflict of interest policy and financial statements are made available upon request.”
“Professional fees - therapy services: program service expenses 234,192. Management and general expenses 0. Fundraising expenses 0. Total expenses 234,192. Outside services - nursing: program service expenses 1,398,846. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,398,846.”
“The organization is exempt from federal income taxes on business related income under section 501(c)(3) of the internal revenue code. The organization is also exempt from state income taxes. The organization may be subject to federal and state income taxes on any net income from unrelated business activities. The organization files a form 990 (return of organization exempt from income tax) annually and unrelated business income tax (ubit) is reported on the 990-t, as appropriate. Management has evaluated their material tax positions, which include matters such as the tax exempt status and various positions relative to potential sources of ubit. As of december 31, 2022, there were no uncertain tax positions identified and recorded as a liability.”
“Bad debt expense -76,654.”
“BAD DEBT EXPENSE 76,654.”
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 | 801117 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 703653 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1011304 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 975580 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | OPERATION OF LONG-TERM HEALTH CARE FACILITIES |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 22202 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 22202 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 52374 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 205770 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 258144 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | MICHAEL A MICHAUD |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7705781754 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3831 FENWAY CROSSING |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MARIETTA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 300626923 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1836465 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1726730 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 7 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 116168 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 116168 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 823448 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 481108 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 464669 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 424256 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 337094 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 4080 1ST AVE NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 11808 GRANT STREET SUITE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 406 VIKING RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 100 ARMY POST RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 2501 BOJI BEND DRIVE SUITE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | CEDAR RAPIDS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CEDAR FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | DES MOINES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | MILFORD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 52402 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 68164 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 50613 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 50315 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 51351 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | HEALTHCARE OF IOWA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | FUSION MEDICAL STAFFING |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MARTIN BROTHERS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | IOWA MEDICAID ENTERPRISES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | GRAPETREE MEDICAL STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PURCHASED NURSING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | FOOD SUPPLIES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | QUALITY ACCESS FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PURCHASED NURSING SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 19640 |
| IRS990/CYOtherExpensesAmt | 0 | 5138905 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 8960534 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -813265 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 4654534 |
| IRS990/CYTotalExpensesAmt | 0 | 9793439 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 8980174 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 60725 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 219111 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 365215 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 365215 |
| IRS990/Desc | 0 | OPERATION OF LONG-TERM HEALTH CARE FACILITIES. THE CAPSTONE GROUP OWNS TWO FACILITIES, ONE IN GUTHRIE CENTER, IA AND ONE IN MARION, IA. THE GUTHRIE CENTER FACILITY OFFERS A FULL SPECTRUM OF CARE NEEDS, WITH SEVENTEEN (17) INDEPENDENT LIVING APARTMENTS FOR SENIOR CITIZENS, FOURTEEN (14) ASSISTED LIVING UNITS, AND FIFTY-EIGHT (58) SKILLED NURSING BEDS. IN TOTAL THE NEW HOMESTEAD IS CAPABLE OF SERVING, SHOULD THERE BE DEMAND, UP TO ONE-HUNDRED AND TWENTY-SIX (126) RESIDENTS WERE THERE TO BE COUPLES IN ALL INDEPENDENT LIVING AND ASSISTED LIVING APARTMENTS. THE MARION FACILITY IS FOCUSED ON SKILLED NURSING CARE AND IS LICENSED FOR FIFTY (50) BEDS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 204 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 8537174 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 150935 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 150935 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 49684 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 49684 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 161339 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 485810 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 647149 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1633038 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1633038 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | 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 | 11916 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MICHAEL A MICHAUD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JOHN WHITAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | GREGORY T SLESSOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JAMES LOCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | HILAREE STRINGHAM |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 115968 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 108472 |
| 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/TitleTxt | 0 | PRESIDENT & TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY UNTIL 4/22/22 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY EFFECTIVE 4/22/22 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | ADMINISTRATOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1998 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 561 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1851256 |
| IRS990/GrossReceiptsAmt | 0 | 10830869 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 2 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 136144 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 136144 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 423998 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 376887 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 214752 |
| IRS990/InterestGrp/TotalAmt | 0 | 214752 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 19079 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 19079 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 1315228 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 586005 |
| IRS990/IRPDocumentCnt | 0 | 35 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2956911 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 7598771 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7468219 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 10425130 |
| IRS990/LegalDomicileStateCd | 0 | MO |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 1850695 |
| 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 | OPERATION OF LONG-TERM HEALTH CARE FACILITIES |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 6063854 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 6542112 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 5476721 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 4634288 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 561 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 561 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -29168 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 5476721 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 4634288 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 16482 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 301097 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 317579 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 50302 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 50302 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 129127 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 140040 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 269167 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 3 | TRAINING |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 76654 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 67725 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 901064 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 216662 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 6741 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 901064 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 216662 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 76654 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 74466 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 439733 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 3535936 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 3975669 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 31205 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 262325 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 293530 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 27038 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 83652 |
| IRS990/PrincipalOfficerNm | 0 | MICHAEL A MICHAUD |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 4 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEDICAID |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | PRIVATE PAY |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | HOUSING |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | MEDICARE A |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | MEDICARE B |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 4136196 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 3280564 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 833457 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 592475 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 4 | 99627 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 4136196 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 3280564 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 833457 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 592475 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 4 | 99627 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 19029 |
| IRS990/PYOtherExpensesAmt | 0 | 4873847 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 10476913 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1359357 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 4262738 |
| IRS990/PYTotalExpensesAmt | 0 | 9136585 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 10495942 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -813265 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 8960534 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 189613 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 882091 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 5655 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 5655 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 19079 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 19029 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 16350 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 13200 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 3728 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 71386 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 8960534 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 10476913 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 9216930 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 8249869 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 8890249 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 45794495 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 19079 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 19029 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 16350 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13200 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3728 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 71386 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00160 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00170 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 164518 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 164518 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99490 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99470 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 45800150 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 8960534 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 10476913 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 9216930 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 8249869 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 8895904 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 45800150 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 8979613 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 10495942 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 9233280 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 8427587 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 8899632 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 46036054 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 5831299 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 1741078 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 7572377 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 466414 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1215833 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 1682247 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 76654 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 9716785 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 937330 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 937330 |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | -29168 |
| IRS990ScheduleD/OtherExpensesNotIncludedAmt | 0 | 76654 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 233176 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 233176 |
| IRS990ScheduleD/OtherRevenueAmt | 0 | -76654 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | -105822 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 8980174 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES ON BUSINESS RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES. THE ORGANIZATION MAY BE SUBJECT TO FEDERAL AND STATE INCOME TAXES ON ANY NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. THE ORGANIZATION FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY AND UNRELATED BUSINESS INCOME TAX (UBIT) IS REPORTED ON THE 990-T, AS APPROPRIATE. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS, WHICH INCLUDE MATTERS SUCH AS THE TAX EXEMPT STATUS AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UBIT. AS OF DECEMBER 31, 2022, THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED AND RECORDED AS A LIABILITY. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | BAD DEBT EXPENSE -76,654. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 2 | BAD DEBT EXPENSE 76,654. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART XI, LINE 2D - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | PART XII, LINE 4B - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 7468219 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 9793439 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 8980174 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 8874352 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 9716785 |
| IRS990/ScheduleJRequiredInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | EFFECTIVE 1/1/17, HEALTHCARE OF IOWA AND ITS AFFILIATED ORGANIZATIONS, SUCH AS ASSISTED LIVING PARTNERS, TOOK OVER MANAGEMENT RESPONSIBILITIES FOR ALL LEVELS OF CARE. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | ALL BOARD MEMBERS REVIEW FORM 990 AND SHARE QUESTIONS, WHICH ARE ADDRESSED BY THE TAX PREPARER. IN ADDITION, THE FINAL FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS SUFFICIENTLY PRIOR TO FILING THE FORM SO THAT ANY FINAL COMMENTS COULD BE PROVIDED TO THE ORGANIZATION IN TIME TO PERMIT ANY NECESSARY REVISIONS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ANNUAL EXECUTION OF A CERTIFICATION WITH RESPECT TO CONFLICTS AND ROUTINE DISCLOSURE IF THERE IS A CONFLICT IN CONNECTION WITH A MATTER THAT COMES BEFORE THE BOARD. THE BOARD MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY BY REQUIRING THE ANNUAL CERTIFICATION AND BY REMINDING BOARD MEMBERS OF THEIR OBLIGATIONS WITH RESPECT TO CONFLICT ON AN ON-GOING BASIS. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST THEN THEY WILL NOT VOTE ON THE CONFLICTING ISSUE AT HAND. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE BOARD MET IN PRIVATE MAY 8, 2017 TO DISCUSS COMPENSATION FOR THE PRESIDENT/EXECUTIVE DIRECTOR, WHO WAS ABSENT DURING THE DISCUSSION. THE BOARD REVIEWED THE REQUIREMENTS OF THE POSITION, THE PRESIDENT/EXECUTIVE DIRECTOR'S QUALIFICATIONS, AND A COMPENSATION ANALYSIS BASED ON THE POSITION AS PREPARED BY AN INDEPENDENT CONSULTANT IN KANSAS CITY, MO. THE BOARD THEN DETERMINED THE PRESIDENT/EXECUTIVE DIRECTOR'S SALARY TO BE REASONABLE AND CONSISTENT WITH THE COMPANY'S EXECUTIVE COMPENSATION POLICY. THE BOARD MET AGAIN IN JAN 14, 2020 TO REVIEW THE PRESIDENT/EXECUTIVE DIRECTOR'S SALARY, WHICH WAS REDUCED IN VIEW OF BUSINESS CONDITIONS. THE BOARD MET AGAIN ON MARCH 3, 2022 TO REVIEW THE PRESIDENT/EXECUTIVE DIRECTOR'S SALARY. THE BOARD DECIDED TO INCREASE THE SALARY IN VIEW OF BUSINESS CONDITIONS AND COST OF LIVING INCREASES AND RESTORED IT TO ITS ORIGINAL LEVEL ESTABLISHED IN 2012. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | PROFESSIONAL FEES - THERAPY SERVICES: PROGRAM SERVICE EXPENSES 234,192. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 234,192. OUTSIDE SERVICES - NURSING: PROGRAM SERVICE EXPENSES 1,398,846. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,398,846. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION A, LINE 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 8B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION B, LINE 15A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION C, LINE 19 |
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Displayed year
2022 • Form 990Detailed filing. Detailed filing data is available for this year.