Liabilities / Assets
97th percentile
Higher debt load relative to assets than 97% of similar nonprofits.
EIN 45-1148618 • 501(c)3 • St Joseph, MI
Profile
To uniquely bridge health and social supports to preserve independence and dignity.
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
44th percentile
Higher debt load relative to revenue than 44% of similar nonprofits.
Net Margin
21st percentile
Higher net margin than 21% of similar nonprofits.
Top Officer Pay
38th percentile
Higher top officer pay than 38% of similar nonprofits.
Top officer pay equals 0.8% of source-year revenue.
Asset Growth
3rd percentile
Faster asset growth than 3% of similar nonprofits.
Revenue Growth
39th percentile
Faster revenue growth than 39% of similar nonprofits.
Assets
Down$4,629,667
Down $2,162,616 (-32%) from 2023
Liabilities
Down$6,021,888
Down $569,657 (-8.6%) from 2023
Net Assets
Down-$1,392,221
Down $1,592,959 (-794%) from 2023
Revenue
Up$26,901,647
Up $854,713 (+3.3%) from 2023
Expenses
Up$28,494,606
Up $988,117 (+3.6%) from 2023
Net Income
Down-$1,592,959
Down $133,404 (-9.1%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To uniquely bridge health and social supports to preserve independence and dignity.
Surrounding seniors with the care you need to remain in the home you love.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $88,499 | $915,884 | ▲ $827,385 |
| Accounts Receivable | $743,329 | $820,587 | ▲ $77,258 |
| Cash and Non-Interest-Bearing Accounts | $3,463,306 | $612,321 | ▼ $2,850,985 |
| Prepaid Expenses and Deferred Charges | $94,122 | $98,571 | ▲ $4,449 |
| Total Assets | $6,792,283 | $4,629,667 | ▼ $2,162,616 |
| Other Assets Total | $2,403,027 | $2,182,304 | ▼ $220,723 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $2,295,263 | $3,105,553 | ▲ $810,290 |
| Other Liabilities | $2,400,430 | $2,179,987 | ▼ $220,443 |
| Deferred Revenue | $1,093,769 | $0 | ▼ $1,093,769 |
| Mortgage Notes Payable Secured by Investment Property | $802,083 | $736,348 | ▼ $65,735 |
| Total Liabilities | $6,591,545 | $6,021,888 | ▼ $569,657 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $17,293 | $23,376 | ▲ $6,083 |
| Net Assets Without Donor Restrictions | $183,445 | $-1,415,597 | ▼ $1,599,042 |
| Total Net Assets Fund Balance | $200,738 | $-1,392,221 | ▼ $1,592,959 |
| Total Liabilities and Net Assets / Fund Balance | $6,792,283 | $4,629,667 | ▼ $2,162,616 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $864,596 | - | $864,596 |
| Equipment | $19,329 | $16,653 | $35,982 |
| Buildings | $20,752 | $3,403 | $24,155 |
| Leasehold Improvements | $11,207 | $4,076 | $15,283 |
| Other Assets Org | $2,182,304 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Jennifer White | CMO | FT | $212,918 | $4,749 | $217,667 |
| Dietmar Grentz | Primary Care Provider | FT | $193,417 | $10,626 | $204,043 |
| Jim Schlaman | CEO | FT | $161,951 | $17,561 | $179,512 |
| Kavita Amin | Pharmacist | FT | $147,388 | $14,632 | $162,020 |
| Sherry Simpson | Nurse Practitioner | FT | $132,263 | $14,977 | $147,240 |
| Thomas Mcconnell | Nurse Practitioner | FT | $114,108 | $7,340 | $121,448 |
| Name | Title |
|---|---|
| Melinda Gruber | President |
| Christine Vanlandingham | Vice President |
| Caleb Vander Ark | Director |
| Jason Hamel | Director |
| Jenni Miller | Director |
| Matthew Kohtz | Director |
| Michelle Barnes | Director |
| Soroya M Pierre-vanartsen | Director |
| Theresa Uhrich | Director |
| Mileak Harper | Director Partial Term |
| Thomas W Huyck | Director Partial Term |
| Dan Wassenhove | Secretary/treasurer |
| Dennis Mack | Secretary/treasurer Partial Term |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Trhc Opco INC | Pharmacy Claims Administrator | 228 STRAWBRIDGE DRIVE, Moorestown, NJ 08057 | $3,256,920 |
| Lakeland Medical Center | Inpatient Hospital Services | PO BOX 145, Grand Rapids, MI 49501-0145 | $2,666,944 |
| Life Care Ambulance Services | Transportation Services | 330 HAMBLIN AVE, Indianapolis, IN 46206 | $1,209,327 |
| Diligent Healthcare LLC | Home Care Services | 5707 RED ARROW HWY PMB 220, Stevensville, MI 49127-1117 | $679,445 |
| Help At Home LLC | Home Care Services | 33 S STATE ST STE 500, Chicago, IL 60603 | $567,100 |
| Line Item | Amount |
|---|---|
| Other Expenses | $21,690,920 |
| Salaries, Compensation, and Employee Benefits | $6,803,686 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,170,299 | $1,349,206 | - | $5,519,505 |
| Other Employee Benefits | $416,566 | $146,343 | - | $562,909 |
| Insurance | $244,798 | $270,111 | - | $514,909 |
| Payroll Taxes | $324,777 | $114,096 | - | $438,873 |
| Information Technology | - | $433,687 | - | $433,687 |
| Occupancy | $324,010 | $65,520 | - | $389,530 |
| Other Expenses | $365,846 | $3,795 | - | $369,641 |
| Fees for Services Management | $171,685 | $157,681 | - | $329,366 |
| Travel | $291,694 | $10,824 | - | $302,518 |
| Fees for Services Other | $218,951 | $75,468 | - | $294,419 |
| Office Expenses | $100,637 | $81,942 | - | $182,579 |
| Current Officers, Directors, Trustees, and Key Employees | $113,535 | $36,732 | - | $150,267 |
| All Other Expenses | $119,621 | $14,868 | - | $134,489 |
| Pension Plan Contributions | $97,781 | $34,351 | - | $132,132 |
| Fees for Services Accounting | $9,240 | $8,486 | - | $17,726 |
| Interest | - | $13,620 | - | $13,620 |
| Advertising | - | $10,150 | - | $10,150 |
| Depreciation Depletion | $5,533 | $1,119 | - | $6,652 |
| Total Functional Expenses | $25,666,070 | $2,828,536 | $0 | $28,494,606 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $28,494,606 |
| Total Expenses per Audited Statements | $28,494,606 |
| Total Expenses per Form 990 | $28,494,606 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Operating Lease Payable | $2,179,987 |
“The organization's 990 is prepared by their independent accountants. A draft "pdf" version of the return is provided to the organization's finance lead, executive director, and finance committee for review. This committee acts on behalf of the board of directors and gives final approval of the form 990. The organization provides a copy of the approved 990 to the board of directors prior to filing.”
“All individuals, including board of directors, committee members, staff, and volunteers are required to sign a conflict of interest form at the time they start their association with the organization and annually thereafter. Additionally, all real or perceived conflicts of interest will be brought to the attention of the level of authority necessary for consideration, resolution, and direction.”
“The organization's board of directors determines the compensation of it's executive director based on market analysis.”
“The organization maintains copies of its governing documents, conflict of interest policy, and audited financial statements at its offices. The organization makes these documents available to the public upon request. The form 990 is also available on a third-party website.”
“The finance committee oversees the audit process, selecting the independent audit firm and reviewing results before recommending approval to the full board. This process has not changed from the prior year.”
“Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the organization and recognize a tax liability if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by the organization, and has concluded that as of september 30, 2024 and 2023, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying financial statements. The organization is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.”
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 | 2295263 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3105553 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 743329 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 820587 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | SURROUNDING SENIORS WITH THE CARE YOU NEED TO REMAIN IN THE HOME YOU LOVE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 10150 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 10150 |
| IRS990/AllOtherContributionsAmt | 0 | 6620 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 14868 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 119621 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 134489 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | THE ORGANIZATION |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2694084322 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2900 LAKEVIEW AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ST JOSEPH |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 49085 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3463306 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 612321 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 40 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 36732 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 113535 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 150267 |
| 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 | 3256920 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2666944 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1209327 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 679445 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 567100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 228 STRAWBRIDGE DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 145 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 330 HAMBLIN AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 5707 RED ARROW HWY PMB 220 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 33 S STATE ST STE 500 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MOORESTOWN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | GRAND RAPIDS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | INDIANAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | STEVENSVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NJ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 08057 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 495010145 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 46206 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 491271117 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 60603 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | TRHC OPCO INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | LAKELAND MEDICAL CENTER |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | LIFE CARE AMBULANCE SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | DILIGENT HEALTHCARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | HELP AT HOME LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PHARMACY CLAIMS ADMINISTRATOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | INPATIENT HOSPITAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | TRANSPORTATION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | HOME CARE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | HOME CARE SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 821312 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 79724 |
| IRS990/CYOtherExpensesAmt | 0 | 21690920 |
| IRS990/CYOtherRevenueAmt | 0 | 117869 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 25882742 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -1592959 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6803686 |
| IRS990/CYTotalExpensesAmt | 0 | 28494606 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 26901647 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1093769 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1119 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 5533 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 6652 |
| IRS990/Desc | 0 | THE ORGANIZATION PROVIDES COMPREHENSIVE, COMMUNITY-BASED CARE TO FRAIL, OLDER ADULTS, WHO MEET NURSING HOME LEVEL OF CARE CRITERIA. CARE IS PROVIDED BOTH AT HOME AND AT THE ORGANIZATION'S DAY CENTER AND IS COORDINATED BY AN INTERDISCIPLINARY TEAM. ALL PRODUCTS AND SERVICES NORMALLY COVERED UNDER MEDICARE AND MEDICAID ARE PROVIDED. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 17293 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 23376 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 124 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 25666070 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 8486 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 9240 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 17726 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 157681 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 171685 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 329366 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 75468 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 218951 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 294419 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| 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/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/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 | 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 | 17561 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 4749 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 14632 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 10626 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 7340 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 14977 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MELINDA GRUBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | CHRISTINE VANLANDINGHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAN WASSENHOVE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | SOROYA M PIERRE-VANARTSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MICHELLE BARNES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JENNI MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CALEB VANDER ARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JASON HAMEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | THERESA UHRICH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MATTHEW KOHTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | DENNIS MACK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MILEAK HARPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | THOMAS W HUYCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JIM SCHLAMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JENNIFER WHITE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | KAVITA AMIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DIETMAR GRENTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | THOMAS MCCONNELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | SHERRY SIMPSON |
| 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 | 161951 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 212918 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 147388 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 193417 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 114108 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 132263 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | SECRETARY/TREASURER PARTIAL TERM |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR PARTIAL TERM |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR PARTIAL TERM |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PRIMARY CARE PROVIDER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | NURSE PRACTITIONER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | NURSE PRACTITIONER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2011 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 814692 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 26901647 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 7 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 433687 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 433687 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 270111 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 244798 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 514909 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 13620 |
| IRS990/InterestGrp/TotalAmt | 0 | 13620 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 79724 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 79724 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 180 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 24132 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 88499 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 915884 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 940016 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| 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/MissionDesc | 0 | SURROUNDING SENIORS WITH THE CARE YOU NEED TO REMAIN IN THE HOME YOU LOVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 802083 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 736348 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 200738 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -1392221 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 183445 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -1415597 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 65520 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 324010 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 389530 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 81942 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 100637 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 182579 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2403027 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2182304 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 146343 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 416566 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 562909 |
| IRS990/OtherExpensesGrp/Desc | 0 | PATIENT CARE |
| IRS990/OtherExpensesGrp/Desc | 1 | PRESCRIPTION DRUGS |
| IRS990/OtherExpensesGrp/Desc | 2 | PATIENT TRANSPORTATION |
| IRS990/OtherExpensesGrp/Desc | 3 | PURCHASED MEALS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 537 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 3795 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 13146543 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 3516146 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 2028408 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 365846 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 13147080 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 3516146 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 2028408 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 369641 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2400430 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 2179987 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 624100 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER REVENUE |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 117869 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 117869 |
| IRS990/OtherRevenueTotalAmt | 0 | 117869 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1349206 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4170299 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5519505 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 114096 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 324777 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 438873 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 34351 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 97781 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 132132 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 94122 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 98571 |
| IRS990/PrincipalOfficerNm | 0 | MIKE ZDRODOWSKI |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 624100 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 624100 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 624100 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEDICAID/MEDICARE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | PRIVATE PAY |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | REINSURANCE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 25593882 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 207092 |
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