Liabilities / Assets
79th percentile
Higher debt load relative to assets than 79% of similar nonprofits.
EIN 81-0420653 • 501(c)3 • Kalispell, MT
Profile
Operation of long-term care facility and ownership of the majority ownership interest in an entity that owns an acute care hospital and other medical facilities.
Refreshing map…
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
79th percentile
Higher debt load relative to assets than 79% of similar nonprofits.
Liabilities / Revenue
84th percentile
Higher debt load relative to revenue than 84% of similar nonprofits.
Net Margin
14th percentile
Higher net margin than 14% of similar nonprofits.
Top Officer Pay
97th percentile
Higher top officer pay than 97% of similar nonprofits.
Top officer pay equals 12.4% of source-year revenue.
Asset Growth
8th percentile
Faster asset growth than 8% of similar nonprofits.
Revenue Growth
54th percentile
Faster revenue growth than 54% of similar nonprofits.
Assets
Down$39,535,446
Down $5,076,514 (-11%) from 2023
Liabilities
Down$23,935,545
Down $705,348 (-2.9%) from 2023
Net Assets
Down$15,599,901
Down $4,371,166 (-22%) from 2023
Revenue
Up$15,720,709
Up $1,334,125 (+9.3%) from 2023
Expenses
Up$17,811,718
Up $405,176 (+2.3%) from 2023
Net Income
Up-$2,091,009
Up $928,949 (+31%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Operation of long-term care facility and ownership of the majority ownership interest in an entity that owns an acute care hospital and other medical facilities.
Operation of long-term care facility and ownership of a long-term care and an assisted living facility
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $29,949,778 | $34,443,727 | ▲ $4,493,949 |
| Accounts Receivable | $1,795,506 | $3,021,221 | ▲ $1,225,715 |
| Savings and Temporary Cash Investments | $1,229,346 | $1,300,857 | ▲ $71,511 |
| Land, Buildings, and Equipment, Net | $739,214 | $698,842 | ▼ $40,372 |
| Inventories for Sale or Use | $75,726 | $70,499 | ▼ $5,227 |
| Cash and Non-Interest-Bearing Accounts | $300 | $300 | → $0 |
| Total Assets | $38,855,105 | $39,535,446 | ▲ $680,341 |
| Other Assets Total | $5,065,235 | $0 | ▼ $5,065,235 |
| Liabilities | |||
| Other Liabilities | $354,719 | $20,644,332 | ▲ $20,289,613 |
| Accounts Payable and Accrued Expenses | $1,482,245 | $2,014,606 | ▲ $532,361 |
| Mortgage Notes Payable Secured by Investment Property | $19,327,231 | $1,276,607 | ▼ $18,050,624 |
| Total Liabilities | $21,164,195 | $23,935,545 | ▲ $2,771,350 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $17,690,910 | $15,599,901 | ▼ $2,091,009 |
| Total Net Assets Fund Balance | $17,690,910 | $15,599,901 | ▼ $2,091,009 |
| Total Liabilities and Net Assets / Fund Balance | $38,855,105 | $39,535,446 | ▲ $680,341 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $450,570 | $7,377,341 | $7,827,911 |
| Equipment | $239,772 | $1,153,804 | $1,393,576 |
| Land | $8,500 | - | $8,500 |
| Investment Program Related Org | $34,443,727 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Kelly Bilau | Administrator | FT | $146,766 | $34,295 | $181,061 |
| Shilo Fritz | Director Clinical Nurse | FT | $138,213 | $41,314 | $179,527 |
| Tamera Stites | Rn Staff Nurse | FT | $120,971 | $46,865 | $167,836 |
| Kat Austin | Certified Nurse Aide | FT | $90,875 | $64,550 | $155,425 |
| Craig Heine | Rn Staff Nurse | FT | $121,983 | $24,251 | $146,234 |
| Name | Title |
|---|---|
| Michael Goguen | Vice Chair |
| Jane Karas | Trustee |
| Michelle Harris | Trustee |
| Ellen Layton | CAO |
| Kevin Abel | CEO |
| Brigid Burke | CFO |
| Justin Ott | CIO |
| William Gibson | CLO/secretary |
| Craig Lambrecht | System CEO (until 3/11/2024) |
| Cole Turner | System CFO (until 4/26/2024) |
| Clinton Segel Md | System Co-CEO |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $12,580,392 |
| Other Expenses | $5,231,326 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $8,886,031 | $685,556 | - | $9,571,587 |
| Other Employee Benefits | $1,497,925 | $286,081 | - | $1,784,006 |
| Fees for Services Other | $804,787 | $74,765 | - | $879,552 |
| Payroll Taxes | $654,005 | $53,623 | - | $707,628 |
| Pension Plan Contributions | $473,914 | $43,257 | - | $517,171 |
| All Other Expenses | $128,052 | $312,619 | - | $440,671 |
| Other Expenses | $370,442 | $1,002 | - | $371,444 |
| Interest | - | $322,066 | - | $322,066 |
| Occupancy | $525 | $152,402 | - | $152,927 |
| Depreciation Depletion | $72,184 | $74,824 | - | $147,008 |
| Office Expenses | $27,496 | $19,044 | - | $46,540 |
| Travel | $219 | $12,140 | - | $12,359 |
| Fees for Services Accounting | - | $8,730 | - | $8,730 |
| Advertising | $368 | $5,239 | - | $5,607 |
| Insurance | - | $4,091 | - | $4,091 |
| Fees for Services Legal | - | $3,480 | - | $3,480 |
| Total Functional Expenses | $14,963,726 | $2,847,992 | $0 | $17,811,718 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $20,289,613 |
| Due to Contractual Agencies | $354,719 |
“Northwest horizons, inc. Has one member, logan health.”
“To be effective, significant decisions of the governing board must be approved by its member, logan health. Significant decisions include changes to the board of directors, confirmation of the annual budgets, entering into large contracts, and reorganization of the organization.”
“To be effective, significant decisions of the governing board must be approved by its member, logan health. Significant decisions include changes to the board of directors, confirmation of the annual budgets, entering into large contracts, and reorganization of the organization.”
“The organization has a cpa firm prepare its form 990. The return is completed in draft form and reviewed by management of the organization. The return is then finalized and the board is provided a copy of the form 990 to review before it is filed.”
“The organization annually requires its board members, officers and key employees to fill out a conflicts of interest form. The compliance officer reviews them, identifies potential conflicts, and forwards to the administrative team if a potential conflict exists, as outlined in the organizational policy. During board meetings, if an interested party has a conflict, he or she recuses themselves from voting.”
“The organization's ceo, officers, and key employees are paid by billings clinic and logan health. Billings clinic and logan health have an executive compensation program administered annually by independent trustees following best practices and the highest regulatory standards expected of a not-for profit organization. Salary and benefits for the chief executive officer are determined by the board of directors. The board reviews base and total compensation data from an array of compensation surveys of hospitals similar in size and complexity to logan health and billings clinic. The board considers these reports and determines the status of the base salary, benefits, and total compensation for the ceo. Additionally, the ceo utilizes the market information provided to determine recommendations for other senior executives and engages in a rigorous analysis through use of independent survey results. The board reviews benefit levels and total compensation to ensure appropriateness in the not-for-profit health care sector.”
“The organization makes its governing documents, conflict of interest policy and financial statements available to the public on an as needed basis.”
“The corporation files income tax returns with the u.s. Federal government, various states and local jurisdictions. The corporation is no longer subject to examination primarily for tax years before 2021 based upon the various statutes of limitations and is not currently under examination. The corporation has no uncertain tax positions at december 31, 2024.”
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 | 1482245 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2014606 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1795506 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3021221 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | OPERATION OF LONG-TERM CARE FACILITY AND OWNERSHIP OF A LONG-TERM CARE AND AN ASSISTED LIVING FACILITY |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 5239 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 368 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 5607 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 312619 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 128052 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 440671 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | BRIGID BURKE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4067512975 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 310 SUNNYVIEW LANE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | KALISPELL |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 59901 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 300 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 300 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 538 |
| IRS990/CYOtherExpensesAmt | 0 | 5231326 |
| IRS990/CYOtherRevenueAmt | 0 | 413482 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 15306689 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -2091009 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 12580392 |
| IRS990/CYTotalExpensesAmt | 0 | 17811718 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 15720709 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 74824 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 72184 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 147008 |
| IRS990/Desc | 0 | NORTHWEST HORIZONS OPERATES LOGAN HEALTH BRENDAN HOUSE, WHICH OFFERS A HIGH LEVEL OF SKILLED AND REHABILITATIVE CARE. WITH 110 BEDS, BRENDAN HOUSE OFFERS SKILLED NURSING FOR TRANSITIONAL CARE, LONG-TERM CARE AND COMFORT CARE. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | BRENDAN HOUSE |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 225 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 14963726 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 8730 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 8730 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 3480 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 3480 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 74765 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 804787 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 879552 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 50.00 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 38583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 24583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 5974 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 31922 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 43294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 38623 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 47594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 51195 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 27171 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 26344 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 27129 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 24399 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 24251 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KEVIN ABEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MICHAEL GOGUEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MICHELLE HARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JANE KARAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | CRAIG LAMBRECHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | COLE TURNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | BRIGID BURKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | CLINTON SEGEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | WILLIAM GIBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JUSTIN OTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ELLEN LAYTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | KELLY BILAU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | TAMERA STITES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | SHILO FRITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | KAT AUSTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CRAIG HEINE |
| 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 | 153890 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 141492 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 152398 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 131026 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 121983 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 986351 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 1715469 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 1947782 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 433162 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 1163598 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 801222 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 441312 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 770823 |
| 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/TitleTxt | 0 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SYSTEM CEO (UNTIL 3/11/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | SYSTEM CFO (UNTIL 4/26/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | SYSTEM CO-CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CLO/SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CAO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | RN STAFF NURSE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR CLINICAL NURSE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CERTIFIED NURSE AIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | RN STAFF NURSE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1984 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 15720709 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 3 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 13 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 4091 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 4091 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 322066 |
| IRS990/InterestGrp/TotalAmt | 0 | 322066 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 75726 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 70499 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 538 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 538 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 29949778 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 34443727 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 8531145 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 739214 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 698842 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 9229987 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | OPERATION OF A LONG-TERM CARE FACILITY AND OWNERSHIP OF A LONG-TERM CARE AND AN ASSISTED LIVING FACILITY |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 19327231 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1276607 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 17690910 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 15599901 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 17690910 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 15599901 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 152402 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 525 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 152927 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 19044 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 27496 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 46540 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 5065235 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 0 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 286081 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1497925 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1784006 |
| IRS990/OtherExpensesGrp/Desc | 0 | ALLOCATED EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 1 | TAXES AND LICENSES |
| IRS990/OtherExpensesGrp/Desc | 2 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 3 | DIETARY |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 242127 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 546946 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 1002 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1551406 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 496372 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 370442 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1793533 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 546946 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 496372 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 371444 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 354719 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 20644332 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 561499 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER MISCELLANEOUS |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 413482 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 413482 |
| IRS990/OtherRevenueTotalAmt | 0 | 413482 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 685556 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 8886031 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 9571587 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 53623 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 654005 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 707628 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 43257 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 473914 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 517171 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | KEVIN ABEL |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621990 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEDICAL SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | PARTNERSHIP INCOME |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 12505670 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 2801019 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 12505670 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 2801019 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 60000 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 35487 |
| IRS990/PYOtherExpensesAmt | 0 | 4004391 |
| IRS990/PYOtherRevenueAmt | 0 | 2519556 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 8334151 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -2280157 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 9224960 |
| IRS990/PYTotalExpensesAmt | 0 | 13229351 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 10949194 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -2091009 |
| 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 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 1 |
| IRS990/RevenueAmt | 0 | 15720171 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 1229346 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 1300857 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 60000 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 39244 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 82462 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 181706 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 538 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 37492 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 6258 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 113463 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 2786 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 160537 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 15306689 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 11294552 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 13441191 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 12564720 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 31546130 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 84153282 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearAmt | 0 | 413482 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus1YearAmt | 0 | 257358 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus2YearsAmt | 0 | 902734 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus3YearsAmt | 0 | 359082 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus4YearsAmt | 0 | 1207368 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 3140024 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 538 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 37492 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 6258 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 113463 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 2786 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 160537 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00180 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00370 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99820 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99630 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 87475012 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 15720171 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 11611910 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 14383169 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 13006264 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 32753498 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 87475012 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 15720709 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 11649402 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 14389427 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13119727 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 32756284 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 87635549 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 450570 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 7377341 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 7827911 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 239772 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1153804 |
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