Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
Liabilities / Revenue
60th percentile
Higher debt load relative to revenue than 60% of similar nonprofits.
Net Margin
36th percentile
Higher net margin than 36% of similar nonprofits.
Top Officer Pay
73rd percentile
Higher top officer pay than 73% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
11th percentile
Faster asset growth than 11% of similar nonprofits.
Revenue Growth
31st percentile
Faster revenue growth than 31% of similar nonprofits.
Assets
Down$199,589,695
Down $7,807,763 (-3.8%) from 2016
Net Assets
Up$73,301,273
Up $843,067 (+1.2%) from 2016
Liabilities
Down$126,288,422
Down $8,650,830 (-6.4%) from 2016
Revenue
Up$193,844,725
Up $347,520 (+0.2%) from 2016
Expenses
Up$192,976,658
Up $4,892,965 (+2.6%) from 2016
Net Income
Down$868,067
Down $4,545,445 (-84%) from 2016
To provide for the health and convalescent care needs of the elderly in local communities through pleasant, secure and homelike health care facilities staffed by professionally trained and caring personnel. To support charitable and benevolent causes, which improve the quality of life of the elderly in the communitiies in which our facilities are located.
Charitable non-profit: 44 nursing homes, 8 assisted living facilities, 3 senior living apartment locations, 6 hospice locations.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $111,132,787 | $106,453,517 | ▼ $4,679,270 |
| Savings and Temporary Cash Investments | $46,940,896 | $37,674,124 | ▼ $9,266,772 |
| Accounts Receivable | $30,313,665 | $30,842,322 | ▲ $528,657 |
| Investments in Publicly Traded Securities | $10,089,370 | $14,702,736 | ▲ $4,613,366 |
| Prepaid Expenses and Deferred Charges | $877,992 | $3,796,124 | ▲ $2,918,132 |
| Inventories for Sale or Use | $1,983,999 | $530,963 | ▼ $1,453,036 |
| Cash and Non-Interest-Bearing Accounts | $22,305 | $23,212 | ▲ $907 |
| Investments Program Related | $-15,820 | $-194,826 | ▼ $179,006 |
| Total Assets | $207,397,458 | $199,589,695 | ▼ $7,807,763 |
| Other Assets Total | $6,052,264 | $5,761,523 | ▼ $290,741 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $112,202,645 | $104,404,549 | ▼ $7,798,096 |
| Accounts Payable and Accrued Expenses | $22,736,607 | $21,883,873 | ▼ $852,734 |
| Total Liabilities | $134,939,252 | $126,288,422 | ▼ $8,650,830 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $72,458,206 | $73,301,273 | ▲ $843,067 |
| Total Net Assets Fund Balance | $72,458,206 | $73,301,273 | ▲ $843,067 |
| Total Liabilities and Net Assets / Fund Balance | $207,397,458 | $199,589,695 | ▼ $7,807,763 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $73,748,997 | $95,484,959 | $169,233,956 |
| Equipment | $11,814,746 | $31,046,728 | $42,861,474 |
| Other Land Buildings | $7,670,442 | $8,389,088 | $16,059,530 |
| Land | $8,710,816 | - | $8,710,816 |
| Leasehold Improvements | $4,508,516 | $3,430,239 | $7,938,755 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Miles King | President/CEO | FT | $578,250 | $242,260 | $820,510 |
| Charleen Schlepp | VP/Director of Operations | FT | $344,452 | $152,878 | $497,330 |
| David Dixon | VP/CFO/treasurer | FT | $306,750 | $132,894 | $439,644 |
| William Havekost | VP-marketing & Hospice | FT | $233,974 | $132,745 | $366,719 |
| Jeramy Kuhn | Compliance Officer | FT | $218,438 | $115,476 | $333,914 |
| Kenneth Nelson | Divisional Director | FT | $152,583 | $38,192 | $190,775 |
| Blake Jones | Security and It Director | FT | $153,188 | $32,411 | $185,599 |
| Brynn Rodgers | Divisional Director | FT | $155,062 | $28,928 | $183,990 |
| Ann Tippins | Director of Human Resources | FT | $133,355 | $45,163 | $178,518 |
| Stephanie Edwards | Director | PT | $36,000 | - | $36,000 |
| Hulon Walker | Director | PT | $36,000 | - | $36,000 |
| Michael Byrnes | Director | PT | $36,000 | - | $36,000 |
| Ron Northup | Director | PT | $36,000 | - | $36,000 |
| Kent Kaplan | Secretary | - | $36,000 | - | $36,000 |
| John K Smith | Director | - | $4,000 | - | $4,000 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Reliant Pro Rehab LLC | Phys/occ/sp Therapy | PO BOX 671181, Dallas, TX 75267-1181 | $12,361,588 |
| Grape Tree Medical Staffing | Nurse Staffing | 1003 23RD STREET, Milford, IA 51351 | $2,777,286 |
| Austin Builders LLC | Construction Services | 3811 NE RIO CT PO BOX 484, Ankeny, IA 50021 | $1,075,019 |
| Maxim Healthcare Services INC | Nurse Staffing | 13877 COLLECTIONS CENTER DR, Chicago, IL 60693 | $540,692 |
| Prn Staffing INC | Nurse Staffing | 405 HIGHWAY 1 W, Iowa City, IA 52246 | $427,880 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $107,972,983 |
| Other Expenses | $84,834,766 |
| Grants and Similar Amounts Paid | $168,909 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $88,015,267 | $5,192,912 | - | $93,208,179 |
| Fees for Services Other | $23,655,062 | $309,187 | - | $23,964,249 |
| Depreciation Depletion | $9,705,448 | $368,352 | - | $10,073,800 |
| Occupancy | $8,659,439 | $221,576 | - | $8,881,015 |
| All Other Expenses | $8,206,987 | $109,386 | - | $8,316,373 |
| Payroll Taxes | $6,494,435 | $436,073 | - | $6,930,508 |
| Other Employee Benefits | $4,988,902 | $452,330 | - | $5,441,232 |
| Interest | $3,262,994 | $58,795 | - | $3,321,789 |
| Insurance | $3,089,570 | $17,044 | - | $3,106,614 |
| Information Technology | - | $2,701,474 | - | $2,701,474 |
| Travel | $2,139,097 | $292,657 | - | $2,431,754 |
| Current Officers, Directors, Trustees, and Key Employees | - | $2,308,203 | - | $2,308,203 |
| Office Expenses | $1,368,124 | $205,805 | - | $1,573,929 |
| Other Expenses | $1,197,818 | - | - | $1,197,818 |
| Advertising | $731,811 | $64,183 | - | $795,994 |
| Fees for Services Legal | - | $605,454 | - | $605,454 |
| Fees for Services Accounting | - | $161,622 | - | $161,622 |
| Grants to Domestic Individuals | $142,966 | - | - | $142,966 |
| Pension Plan Contributions | $45,074 | $39,787 | - | $84,861 |
| Grants to Domestic Orgs | $25,943 | - | - | $25,943 |
| Total Functional Expenses | $179,431,818 | $13,544,840 | $0 | $192,976,658 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| United Way of Central Iowa | Des Moines, IA | 501(c)(3) | General Support | $9,800 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America & the Caribbean | Investments | N/a | 0 | 0 | $177,223 |
| Central America & the Caribbean | Professional & General Liability Insurance | N/a | 1 | 0 | $66,408 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Iowa Finance Authority | 2016-05-12 | $53,609,000 | Refund prior bonds (8/2/06) |
| D | Iowa Finance Authority | 2014-12-11 | $41,736,000 | Refund prior bonds (9/30/10) |
| C | Iowa Finance Authority | 2013-06-28 | $11,720,000 | Refund prior bonds (5/28/98) |
| A | Iowa Finance Authority | 2011-12-07 | $7,000,000 | BUILDINGS AND EQUIPMENT |
| B | Iowa Finance Authority | 2012-12-10 | $7,000,000 | BUILDINGS AND EQUIPMENT |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $53,624,681 | - | $8,345,701 | - |
| D | $41,736,496 | - | $2,739,825 | - |
| C | $11,720,000 | $53,257,645 | $2,635,000 | $367,036 |
| A | $7,000,006 | $11,491,171 | $1,595,000 | $228,829 |
| B | $7,000,005 | $21,406,007 | $1,345,000 | $414,991 |
“During 2017, director hulon walker and director john k. Smith each held a one quarter interest in the same texas corporation that owned and operated one assisted living facility in texas. That corporation conducted no business with care initiatives.”
“The draft of the annual form 990 is reviewed, prior to filing, by the full board of directors in a regularly scheduled board meeting. Subsequent to filing, a filed copy of the 990 is made available to the board members. Additionally, the filed 990 is published on care's public website.”
“The board of directors and officers are required to read the corporate policy and complete an annual signed certificate regarding the corporate conflict of interest policy. This process is administered by the corporate compliance officer. Additionally, the board and officers receive required annual compliance training, including business practices and conflict of interest, again under the supervision of the compliance officer. The compliance officer also attends each board meeting and serves, along with all board members, to recognize and identify potential conflict of interest events. Identified conflict of interest situations and deliberations, if any, are documented in formal board of director minutes.”
“Care's president/ceo, vp/cfo, vp/director of operations, and vp/marketing & hospice have been identified as disqualified persons. Compensation for these positions is determined by independent directors of the compensation committee without the affected parties being present and is subsequently provided to the full board for their action or approval. Formal performance evaluations and documentations of each step in the deliberation process are contained in retained compensation committee reports. The determination of the compensation committee is supported by a 2017 report by qualified independent compensation consultants using appropriate comparability data. The deliberations of the compensation committee and board are contemporaneously recorded in formal meeting minutes that are retained by the organization. Other executive compensation is determined by the president/ceo in consultation with the members of the compensation committee and board of directors. The reports of compensation consultants utilized in the evaluation of compensation levels for the president/ceo, vp/cfo, vp/director of operations, and vp/marketing & hospice are reviewed, along with performance evaluations, inflation data and competitive factors, all to establish compensation levels. Compensation changes are documented and retained by the corporation's human resource department. Other management compensation is determined according to long standing personnel policies administered by the corporation's human resources department. The compensation review process described above occurs on an annual basis.”
“Care provides its form 990 on the organization's public website. The organization does not make its governing documents, financial statement, or conflict of interest policy available to the public.”
“Care initiatives had 50,181 recorded volunteer hours in 2017. The average volunteer works one hour per week resulting in a calculated number of volunteers of 965. Volunteers mainly provide entertainment for, and converse with, residents.”
“Contract services: program service expenses 23,655,062. Management and general expenses 309,187. Fundraising expenses 0. Total expenses 23,964,249.”
“Care initiatives is classified as a tax-exempt organization; the wholly owned subsidiary and the four limited liability companies are pass through entities; generally, none of these entities are subject to federal and state income taxes on related income. Care is subject to federal and state income taxes to the extent it has unrelated business income. In accordance with the accounting guidance for uncertainty in income taxes, management has evaluated care's material tax positions and determined that there are no income taxes that need to be reflected in its consolidated financial statements.”
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 | 22736607 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 21883873 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 30313665 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 30842322 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | CHARITABLE NON-PROFIT: 44 NURSING HOMES, 8 ASSISTED LIVING FACILITIES, 3 SENIOR LIVING APARTMENT LOCATIONS, 6 HOSPICE LOCATIONS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 64183 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 731811 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 795994 |
| IRS990/AllOtherContributionsAmt | 0 | 55938 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 109386 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 8206987 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 8316373 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | DAVID DIXON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5152244442 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1611 WEST LAKES PKWY |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WEST DES MOINES |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 502668212 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 22305 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 23212 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 27 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2308203 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2308203 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 12361588 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2777286 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1075019 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 540692 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 427880 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 671181 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1003 23RD STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 3811 NE RIO CT PO BOX 484 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 13877 COLLECTIONS CENTER DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 405 HIGHWAY 1 W |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MILFORD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ANKENY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | IOWA CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 752671181 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 51351 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 50021 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 60693 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 52246 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | RELIANT PRO REHAB LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | GRAPE TREE MEDICAL STAFFING |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | AUSTIN BUILDERS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MAXIM HEALTHCARE SERVICES INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | PRN STAFFING INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PHYS/OCC/SP THERAPY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | NURSE STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSTRUCTION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | NURSE STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | NURSE STAFFING |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 55938 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 168909 |
| IRS990/CYInvestmentIncomeAmt | 0 | 753017 |
| IRS990/CYOtherExpensesAmt | 0 | 84834766 |
| IRS990/CYOtherRevenueAmt | 0 | 12408 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 193023362 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 868067 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 107972983 |
| IRS990/CYTotalExpensesAmt | 0 | 192976658 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 193844725 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 368352 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 9705448 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 10073800 |
| IRS990/Desc | 0 | DURING 2017, CARE PROVIDED SERVICES TO A DAILY AVERAGE OF 2,430 RESIDENTS IN 44 IOWA NURSING HOMES, 8 ASSISTED LIVING FACILITIES AND 3 SENIOR LIVING APARTMENT LOCATIONS. CARE PROVIDED THESE RESIDENTS, WHICH ARE COMPRISED OF ELDERLY, INFIRMED AND FINANCIALLY LIMITED INDIVIDUALS, WITH A COMFORTABLE, CLEAN, HOME LIKE ATMOSPHERE. CARE PROVIDES HIGH QUALITY HEALTH CARE, FREE OF AS MANY RESTRAINTS AND PSYCHOTROPIC MEDICATIONS AS IS PRUDENT FOR THEIR SAFETY AND THE SAFETY OF OTHER RESIDENTS, AT THE LOWEST POSSIBLE COST. SERVICES PROVIDED INCLUDE ROOM AND BOARD, PROVISION FOR DIETARY REQUIREMENTS, ASSISTANCE WITH PERSONAL HYGIENE WHERE NEEDED, AND PHYSICAL AND SOCIAL ACTIVITIES TO MAINTAIN THE HIGHEST PHYSICAL AND MENTAL QUALITY OF LIFE ATTAINABLE. ADDITIONAL SERVICES INCLUDE OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY, OUTPATIENT THERAPY SERVICES, SKILLED NURSING CARE IN ALL CARE CENTERS, SENIOR LIVING APARTMENTS AT SEVERAL LOCATIONS AND ASSISTED LIVING IN EIGHT LOCATIONS. IN ADDITION, CARE HAS INITIATED A PROGRAM OF REHAB TO HOME CARE TO HASTEN A RESIDENT'S OPPORTUNITY TO RETURN TO THEIR HOMES. IN ADDITION, CARE PROVIDES LIMITED OUTPATIENT THERAPY SERVICES IN THE COMMUNITIES IT SERVES.DURING 2017, CARE ALSO PROVIDED HOSPICE SERVICES TO A DAILY AVERAGE OF 223 PATIENTS THROUGH SIX HOSPICE LOCATIONS. CARE PROVIDES COMPASSIONATE HEALTH CARE AND PALLIATIVE SUPPORT FOR PEOPLE FACING LIFE-LIMITING ILLNESSES OR CONDITIONS. SOME OF THE SERVICES PROVIDED INCLUDE NURSING CARE, PHYSICIAN CARE, HOME HEALTH AIDE, PHYSICAL AND SPEECH THERAPY, MASSAGE THERAPY, MUSIC THERAPY, SPIRITUAL SUPPORT, AND BEREAVEMENT SUPPORT.CARE IS THE LARGEST NURSING HOME SERVICE PROVIDER FOR MEDICAID RESIDENTS IN IOWA. IN 2017, A DAILY AVERAGE OF 1,250 RESIDENTS PARTICIPATED IN THE MEDICAID PROGRAM. CARE'S COST FOR THESE RESIDENTS EXCEEDED REVENUE BY $22,777,000. NO RESIDENT OF CARE IS DENIED A MEDICATION, NURSING SUPPLY OR THERAPY, REGARDLESS OF THEIR ABILITY TO PAY. CARE HAS A HISTORY OF MODERNIZATION AND REPLACEMENT OF NURSING FACILITIES. SINCE INCEPTION, CARE HAS INVESTED MORE THAN $114 MILLION TO MODERNIZE ITS CENTERS. IMPROVEMENTS INCLUDE AIR CONDITIONING, FIRE SPRINKLERS, REPLACEMENT OF HVAC AND ELECTRICAL SYSTEMS, AND PAVED PARKING LOTS. EVERY CARE CENTER THAT HAS NOT YET BEEN REPLACED WITH A NEW REPLACEMENT BUILDING HAS HAD EXTENSIVE RENOVATIONS. SINCE INCEPTION, CARE HAS INVESTED MORE THAN $109 MILLION IN FOURTEEN NEW REPLACEMENT CENTER BUILDINGS THROUGHOUT IOWA.CARE PROMOTES ECONOMIC DEVELOPMENT IN THE COMMUNITIES IT SERVES BY ADDRESSING HOUSING, EMPLOYMENT, EDUCATIONAL OR ENVIRONMENTAL NEEDS AND CONCERNS. IN 2017, CARE CONTRIBUTED TO ITS COMMUNITIES BY PAYING PROPERTY TAX OF $2.28 MILLION. IN MANY OF ITS COMMUNITIES, CARE IS THE LARGEST EMPLOYER AND THEIR FAMILIES FORM THE LARGEST STUDENT POPULATION BASE FOR THE LOCAL SCHOOL DISTRICT.CARE FACILITIES WERE A GATHERING PLACE FOR COMMUNITY VOLUNTEERS WHO PROVIDED 50,181 HOURS TO HELP THE ELDERLY. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME, THE ESTIMATED VALUE OF VOLUNTEER TIME TOTALED APPROXIMATELY $1,141,000. CARE'S CONTINUUM OF CARE EXTENDED INTO THE COMMUNITIES IT SERVES BY PROVIDING REDUCED OR NO-FEE SERVICES SUCH AS MEALS-ON-WHEELS, MEALS FOR COUNTY JAILS, EDUCATIONAL SERVICES AND PUBLIC AWARENESS PROGRAMS.IN 2017, $25,943 IN CHARITABLE CONTRIBUTIONS WERE MADE TO SUPPORT CHARITABLE ORGANIZATIONS THAT FURTHER CARE'S EXEMPT MISSION. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 4620 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 179431818 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 161622 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 161622 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 605454 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 605454 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 309187 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 23655062 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 23964249 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignCountryCd | 0 | TK |
| IRS990/ForeignFinancialAccountInd | 0 | 1 |
| IRS990/ForeignOfficeInd | 0 | 1 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 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/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 | 35721 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 16440 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 27114 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 16740 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 25354 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 2294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 18356 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 11605 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 5017 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MICHAEL BYRNES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | STEPHANIE EDWARDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | HULON WALKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KENT KAPLAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JOHN K SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | RON NORTHUP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MILES KING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | CHARLEEN SCHLEPP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | WILLIAM HAVEKOST |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DAVID DIXON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JERAMY KUHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | BLAKE JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KENNETH NELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | BRYNN RODGERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ANN TIPPINS |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 36000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 36000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 36000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 36000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 4000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 36000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 784789 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 480890 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 339605 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 422904 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 308560 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 183305 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 172419 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 172385 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 173501 |
| 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/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP/DIR OF OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VP-MARKETING & HOSPICE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP/CFO/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | COMPLIANCE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SECURITY AND IT DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIVISIONAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIVISIONAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR OF HUMAN RESOURCES |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1989 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 170623 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GrantAmt | 0 | 168909 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 142966 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 142966 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 25943 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 25943 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 170623 |
| IRS990/GrossReceiptsAmt | 0 | 193844725 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 47 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 2701474 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2701474 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 17044 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 3089570 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 3106614 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 58795 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 3262994 |
| IRS990/InterestGrp/TotalAmt | 0 | 3321789 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1983999 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 530963 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 582394 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 582394 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | -15820 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | -194826 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 10089370 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 14702736 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 1279 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 138351014 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 111132787 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 106453517 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 244804531 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 1 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | IMPROVING QUALITY OF LIFE FOR IOWANS AND THEIR FAMILIES DURING LIFE'S HEALTH TRANSITIONS THROUGH COMPASSIONATE INDIVIDUALIZED CARE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 72458206 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 73301273 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 170623 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 170623 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -25000 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 221576 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 8659439 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 8881015 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 205805 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1368124 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1573929 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 6052264 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 5761523 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 452330 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 4988902 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 5441232 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DIETARY SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | HOUSEKEEPING & LAUNDRY |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 9643669 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 6636495 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1422717 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 1197818 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 9643669 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 6636495 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1422717 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1197818 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | SUBPART F INCOME |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 12408 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 12408 |
| IRS990/OtherRevenueTotalAmt | 0 | 12408 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 5192912 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 88015267 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 93208179 |
| IRS990/OwnWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 436073 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 6494435 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 6930508 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 39787 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 45074 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 84861 |
| IRS990/PoliciesReferenceChaptersInd | 0 | 1 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 877992 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 3796124 |
| IRS990/PrincipalOfficerNm | 0 | MILES KING |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 623990 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 623990 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 4 | 722210 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NURSING HOME SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | HOSPICE SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | ASSISTED LIVING SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | SENIOR LIVING APARTMENTS |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | GUEST MEALS |
| IRS990/ProgramServiceRevenueGrp/ExclusionAmt | 0 | 52724 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 179518699 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 11929563 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 1363398 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 86246 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 179518699 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 11929563 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 1363398 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 86246 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 4 | 52724 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 50129 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 305301 |
| IRS990/PYInvestmentIncomeAmt | 0 | 475773 |
| IRS990/PYOtherExpensesAmt | 0 | 80407465 |
| IRS990/PYOtherRevenueAmt | 0 | 30542 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 192940761 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 5413512 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 107370927 |
| IRS990/PYTotalExpensesAmt | 0 | 188083693 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 193497205 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 868067 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 1 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 192962367 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 46940896 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 37674124 |
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Displayed year
2017 • Form 990Detailed filing. Detailed filing data is available for this year.
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