Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
EIN 54-0534606 • 501(c)3 • Salem, VA
Profile
Helping individuals experience life to the fullest, through every phase of their journey.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
Liabilities / Revenue
32nd percentile
Higher debt load relative to revenue than 32% of similar nonprofits.
Net Margin
49th percentile
Higher net margin than 49% of similar nonprofits.
Top Officer Pay
41st percentile
Higher top officer pay than 41% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
1st percentile
Faster asset growth than 1% of similar nonprofits.
Revenue Growth
92nd percentile
Faster revenue growth than 92% of similar nonprofits.
Assets
Down$434,323
Down $111,990,322 (-100%) from 2023
Liabilities
Down$14,989,782
Down $116,012,510 (-89%) from 2023
Net Assets
Up-$14,555,459
Up $4,022,188 (+22%) from 2023
Revenue
Up$85,938,343
Up $44,233,230 (+106%) from 2023
Expenses
Up$82,128,256
Up $30,591,885 (+59%) from 2023
Net Income
Up$3,810,087
Up $13,641,345 (+139%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Helping individuals experience life to the fullest, through every phase of their journey, by providing high-quality skilled nursing care, rehabilitative nursing care, assisted living housing and services and independent living communities.
Helping individuals experience life to the fullest, through every phase of their journey.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $93,159,931 | $0 | ▼ $93,159,931 |
| Accounts Receivable | $5,438,524 | $0 | ▼ $5,438,524 |
| Investments in Publicly Traded Securities | $10,556,389 | $171,136 | ▼ $10,385,253 |
| Prepaid Expenses and Deferred Charges | $148,865 | $0 | ▼ $148,865 |
| Inventories for Sale or Use | $138,756 | $0 | ▼ $138,756 |
| Cash and Non-Interest-Bearing Accounts | $2,591,132 | $82,627 | ▼ $2,508,505 |
| Pledges and Grants Receivable | $56,516 | $0 | ▼ $56,516 |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | - | $0 | - |
| Total Assets | $112,424,645 | $434,323 | ▼ $111,990,322 |
| Other Assets Total | $334,532 | $180,560 | ▼ $153,972 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $90,675,395 | $0 | ▼ $90,675,395 |
| Tax Exempt Bond Liabilities | $36,940,112 | $12,919,365 | ▼ $24,020,747 |
| Accounts Payable and Accrued Expenses | $3,207,204 | $2,070,417 | ▼ $1,136,787 |
| Other Liabilities | $179,581 | $0 | ▼ $179,581 |
| Total Liabilities | $131,002,292 | $14,989,782 | ▼ $116,012,510 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $1,068,546 | $1,068,546 | → $0 |
| Net Assets Without Donor Restrictions | $-19,646,193 | $-15,624,005 | ▲ $4,022,188 |
| Total Net Assets Fund Balance | $-18,577,647 | $-14,555,459 | ▲ $4,022,188 |
| Total Liabilities and Net Assets / Fund Balance | $112,424,645 | $434,323 | ▼ $111,990,322 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $-901,222 | $112,347,178 | $111,445,956 |
| Equipment | $-179,569 | $22,385,202 | $22,205,633 |
| Other Land Buildings | $-16,843 | $2,099,703 | $2,082,860 |
| Leasehold Improvements | $-12,624 | $1,573,735 | $1,561,111 |
| Land | $1,110,258 | - | $1,110,258 |
| Other Assets Org | $0 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mary P Clements | CFO | FT | $185,000 | $120,151 | $305,151 |
| Tonya Woolwine | Executive/Corp Secretary | FT | $78,000 | $113,512 | $191,512 |
| Charles Crickenberger | Director of Proj Mngt | FT | $106,412 | $28,096 | $134,508 |
| George Zubrod | CEO | FT | $32,550 | - | $32,550 |
| Name | Title |
|---|---|
| David Thornhill | Director |
| Donnovan Young | Director |
| Kirtesh Patel | Director |
| Sydney Nordt | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Morrison Community Living | Dietary | PO Box 102289, Atlanta, GA 30368-2289 | $2,068,154 |
| McGuire Woods LLP | Legal | 800 East Canal Street, Richmond, VA 23219 | $1,583,757 |
| Remedi Senior Care of VA | Pharmacy | PO Box 75700, Baltimore, MD 21275-5700 | $688,291 |
| Gale Healthcare Solutions | Agency Staff | PO Box 4729, Winterpark, FL 32793 | $647,948 |
| Solic | Financial Consultant | 425 W New England Suite 300, Winterpark, FL 32789 | $635,543 |
| Line Item | Amount |
|---|---|
| Other Expenses | $80,759,416 |
| Salaries, Compensation, and Employee Benefits | $1,368,840 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Depreciation Depletion | $56,315,995 | $7,679,454 | - | $63,995,449 |
| Interest | $12,365,797 | $650,831 | - | $13,016,628 |
| Fees for Services Other | $0 | $720,884 | $0 | $720,884 |
| Current Officers, Directors, Trustees, and Key Employees | - | $529,213 | - | $529,213 |
| Occupancy | $181,898 | $228,882 | - | $410,780 |
| Other Employee Benefits | - | $403,198 | - | $403,198 |
| Other Salaries and Wages | $257,600 | $32,109 | - | $289,709 |
| All Other Expenses | $233,219 | $0 | $0 | $233,219 |
| Insurance | - | $199,227 | - | $199,227 |
| Fees for Services Legal | - | $117,650 | - | $117,650 |
| Information Technology | - | $102,732 | - | $102,732 |
| Payroll Taxes | $61,313 | $30,576 | - | $91,889 |
| Other Expenses | $88,023 | $1,383,645 | - | $88,023 |
| Pension Plan Contributions | $3,231 | $51,600 | - | $54,831 |
| Office Expenses | - | $38,370 | - | $38,370 |
| Fees for Services Accounting | - | $35,843 | - | $35,843 |
| Travel | - | $18 | - | $18 |
| Total Functional Expenses | $69,834,524 | $12,293,732 | $0 | $82,128,256 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Economic Development Authority of the City of Roanoke Virginia | 2020-01-30 | $37,838,008 | new skilled nursing facility construction |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $37,897,771 | $23,296 | $24,918,643 | $756,760 |
“The Executive Committee of the Board of Directors has responsibility for hiring, evaluating and terminating the CEO. The Committee works with Human Resources to determine the CEO position's benchmark compensation range. The Committee meets at least annually to evaluate the CEO and adjust his/her salary-based compensation within the salary range. The Committee also sets annual performance goals (key result areas - KRAs) that are used to determine variable compensation for the CEO and meets in October to determine if those were met and then recommends variable compensation accordingly.”
“Richfield Winddown Committee disbanded - All duties to the Chair - David Thornhill.”
“990 drafts are reviewed by Mary Clements (CFO) who then sends them to David Thornhill for review and acceptance before being filed.”
“The Organization annually requires its Board Members, Officers and Key Employees to complete a written questionnaire disclosing potential conflicts of interest.”
“The organization makes their governing documents, conflict of interest policy, and financial statements available to the public upon request.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 3207204 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2070417 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5438524 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | Helping individuals experience life to the fullest, through every phase of their journey. |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 233219 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 233219 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Autumn Visser |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5409837530 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3730 Richfield Lane |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Salem |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | VA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 24153 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2591132 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 82627 |
| IRS990/ChangeToOrgDocumentsInd | 0 | true |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 529213 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 529213 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2068154 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1583757 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 688291 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 647948 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 635543 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 102289 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 800 East Canal Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 75700 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 4729 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 425 W New England Suite 300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Atlanta |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Richmond |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Baltimore |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Winterpark |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Winterpark |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 303682289 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 23219 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 212755700 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 32793 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 32789 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Morrison Community Living |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | McGuire Woods LLP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Remedi Senior Care of VA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Gale Healthcare Solutions |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Solic |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Dietary |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Legal |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Pharmacy |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Agency Staff |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Financial Consultant |
| IRS990/ContractTerminationInd | 0 | X |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 84065412 |
| IRS990/CYOtherExpensesAmt | 0 | 80759416 |
| IRS990/CYOtherRevenueAmt | 0 | 10868 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 1862063 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 3810087 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 1368840 |
| IRS990/CYTotalExpensesAmt | 0 | 82128256 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 85938343 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 7679454 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 56315995 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 63995449 |
| IRS990/Desc | 0 | Helping individuals experience life to the fullest, through every phase of their journey, by providing high-quality skilled nursing care, rehabilitative nursing care, assisted living housing and services, and independent living communities. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 1068546 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1068546 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 635 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 69834524 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 35843 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 35843 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 117650 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 117650 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 720884 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 720884 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| 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/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 | 19183 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 31312 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 28096 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | David Thornhill |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Donnovan Young |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Kirtesh Patel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Sydney Nordt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | George Zubrod |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Mary P Clements |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Tonya Woolwine |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Charles Crickenberger |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 32550 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 285968 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 160200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 106412 |
| 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/TitleTxt | 0 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Executive/Corp Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Director of Proj Mngt |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 1937 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | false |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 84065412 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 84065412 |
| IRS990/GrossReceiptsAmt | 0 | 85938343 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 4 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 102732 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 102732 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 199227 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 199227 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 650831 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 12365797 |
| IRS990/InterestGrp/TotalAmt | 0 | 13016628 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 138756 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 10556389 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 171136 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 6 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 138405818 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 93159931 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 0 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 138405818 |
| IRS990/LegalDomicileStateCd | 0 | VA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | Helping individuals experience life to the fullest, through every phase of their journey. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 90675395 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -18577647 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -14555459 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 84065412 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 84065412 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 212101 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -19646193 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -15624005 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 228882 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 181898 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 410780 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 38370 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 38370 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 334532 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 180560 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 403198 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 403198 |
| IRS990/OtherExpensesGrp/Desc | 0 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | AGENCY NURSING SERVICES |
| IRS990/OtherExpensesGrp/Desc | 2 | OTHER EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 3 | SUPPLIES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 89500 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 1383645 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 68914 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 240999 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 17535 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 88023 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 158414 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 240999 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1401180 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 88023 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 179581 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 623000 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 623000 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER REVENUE |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | MEALS |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 6926 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 3942 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 6926 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 3942 |
| IRS990/OtherRevenueTotalAmt | 0 | 10868 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 32109 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 257600 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 289709 |
| IRS990/PartialLiquidationInd | 0 | true |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 30576 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 61313 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 91889 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 51600 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 3231 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 54831 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 56516 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 148865 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 0 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | MARY CLEMENTS |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | MANAGEMENT FEES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1780897 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 81166 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 1780897 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 81166 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 124658 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 13358 |
| IRS990/PYOtherExpensesAmt | 0 | 27250371 |
| IRS990/PYOtherRevenueAmt | 0 | 1799693 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 39767404 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -9831258 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 24286000 |
| IRS990/PYTotalExpensesAmt | 0 | 51536371 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 41705113 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 3810087 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 1862063 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 124658 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 132802 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3844140 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4204547 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 8306147 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 13358 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1408 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1181640 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4456 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 1200862 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 1862063 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 39767404 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 30900926 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 26856585 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 27564411 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 126951389 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearAmt | 0 | 10868 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus1YearAmt | 0 | 1799693 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus2YearsAmt | 0 | 1699654 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1046072 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus4YearsAmt | 0 | 2517596 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 7073883 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 13358 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 1408 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1181640 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 4456 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 1200862 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.01 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.0097 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Post1975UBTIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.9916 |
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