Liabilities / Assets
99th percentile
Higher debt load relative to assets than 99% of similar nonprofits.
EIN 94-3229627 • 501(c)3 • Poulsbo, WA
Profile
Martha and mary health services provides quality, compassionate care for adults and seniors regardless of faith, ethnicity or economic status. We do this in a christian manner by offering those we serve intergenerational experiences, a caring place for rehabilitation, and an opportunity to live with dignity, honor and individuality.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
99th percentile
Higher debt load relative to assets than 99% of similar nonprofits.
Liabilities / Revenue
82nd percentile
Higher debt load relative to revenue than 82% of similar nonprofits.
Net Margin
24th percentile
Higher net margin than 24% of similar nonprofits.
Top Officer Pay
63rd percentile
Higher top officer pay than 63% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
16th percentile
Faster asset growth than 16% of similar nonprofits.
Revenue Growth
60th percentile
Faster revenue growth than 60% of similar nonprofits.
Assets
Down$11,266,877
Down $719,021 (-6.0%) from 2023
Liabilities
Up$19,228,274
Up $85,551 (+0.4%) from 2023
Net Assets
Down-$7,961,397
Down $804,572 (-11%) from 2023
Revenue
Up$17,591,664
Up $1,913,364 (+12%) from 2023
Expenses
Up$18,456,791
Up $1,749,062 (+10%) from 2023
Net Income
Up-$865,127
Up $164,302 (+16%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Martha and mary health services provides quality, compassionate care for adults and seniors regardless of faith, ethnicity or economic status. We do this in a christian manner by offering those we serve intergenerational experiences, a caring place for rehabilitation, and an opportunity to live with dignity, honor and individuality.
A skilled nursing facility offering rehabilitation, long-term care, and respite care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $6,235,458 | $5,834,349 | ▼ $401,109 |
| Accounts Receivable | $3,178,049 | $2,926,678 | ▼ $251,371 |
| Investments Other Securities | $939,665 | $983,285 | ▲ $43,620 |
| Savings and Temporary Cash Investments | $147,448 | $326,142 | ▲ $178,694 |
| Prepaid Expenses and Deferred Charges | $371,906 | $272,012 | ▼ $99,894 |
| Investments in Publicly Traded Securities | $202,667 | $218,331 | ▲ $15,664 |
| Cash and Non-Interest-Bearing Accounts | $1,420 | $920 | ▼ $500 |
| Total Assets | $11,985,898 | $11,266,877 | ▼ $719,021 |
| Other Assets Total | $909,285 | $705,160 | ▼ $204,125 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $13,558,966 | $13,352,781 | ▼ $206,185 |
| Other Liabilities | $4,458,477 | $4,558,381 | ▲ $99,904 |
| Accounts Payable and Accrued Expenses | $1,102,413 | $1,297,161 | ▲ $194,748 |
| Escrow Account Liability | $22,867 | $19,951 | ▼ $2,916 |
| Total Liabilities | $19,142,723 | $19,228,274 | ▲ $85,551 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $955,916 | $997,433 | ▲ $41,517 |
| Net Assets Without Donor Restrictions | $-8,112,741 | $-8,958,830 | ▼ $846,089 |
| Total Net Assets Fund Balance | $-7,156,825 | $-7,961,397 | ▼ $804,572 |
| Total Liabilities and Net Assets / Fund Balance | $11,985,898 | $11,266,877 | ▼ $719,021 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $4,503,633 | $9,241,960 | $13,745,593 |
| Equipment | $480,905 | $7,163,941 | $7,644,846 |
| Leasehold Improvements | $202,736 | $1,436,874 | $1,639,610 |
| Other Land Buildings | $375,936 | - | $375,936 |
| Land | $271,139 | - | $271,139 |
| Other Assets Org | $108,573 | - | - |
| Other Securities | $983,285 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $939,665 | - | ▲ $43,620 | $0 | $983,285 |
| 2023 | $852,158 | - | ▲ $126,566 | $39,059 | $939,665 |
| 2022 | $1,094,964 | - | ▼ $197,331 | $45,475 | $852,158 |
| 2021 | $1,034,431 | - | ▲ $102,982 | $42,449 | $1,094,964 |
| 2020 | $975,428 | - | ▲ $144,388 | $85,385 | $1,034,431 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Lynette Ladenburg | CEO | - | $213,230 | $13,586 | $226,816 |
| Christopher Vernon-cole | COO | - | $142,778 | $9,370 | $152,148 |
| John Guzzwell | Registered Nurse | FT | $141,460 | $9,370 | $150,830 |
| Thomas Alan Clark | Licensed Practical Nurse Lead | FT | $113,164 | $20,679 | $133,843 |
| Dan Red | Nursing Services Director | FT | $110,418 | $11,178 | $121,596 |
| Rebeca Aguilar Feliciano | Nursing Services Assistant Director | FT | $111,374 | - | $111,374 |
| Mary Liza Stillwell | Licensed Practical Nurse Lead | FT | $108,983 | - | $108,983 |
| Glen Melin | Cc&do (through June 2024) | - | $82,265 | $10,283 | $92,548 |
| Aaron Schielke | CFO (through June 2024) | - | $71,299 | $14,961 | $86,260 |
| Name | Title |
|---|---|
| Alan Crain | President & Trustee |
| Diana Smeland | Trustee & President |
| Bill Baird | Vice President & Trustee |
| Dan Gottlieb | Vice President (as of April 2024) |
| Bill Crabtree | Trustee |
| Christina Hughes | Trustee |
| Katie Crain | Trustee |
| Lindsey Lind | Trustee |
| Lynn Nordby | Trustee |
| Sherry Gutierrez | Trustee |
| David De Bruyn | Trustee (as of April 2024) |
| Kyle Kincaid | Trustee (as of April 2024) |
| Jamie Mittet | Trustee (through April 2024) |
| Katherine De Bruyn | Trustee (through April 2024) |
| Linnea Chu | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Sodexo INC And Affiliates | Food Services | DEP 880328, Los Angeles, CA 90088-0328 | $950,920 |
| Martha And Mary Lutheran Services | Management Services | PO BOX 127, Poulsbo, WA 98370-0127 | $789,864 |
| Consonus Rehab | Rehab Services | UNIT 12 PO BOX 4800, Portland, OR 97208-4800 | $453,399 |
| Actriv Healthcare INC | Certified Nursing Assistant Staffing | PO BO 29647, Dallas, TX 75229-9647 | $218,928 |
| Consonus Pharmacy Services Wa LLC | Pharmacy Services | PO BOX 84157, Seattle, WA 98124-5457 | $200,759 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $11,813,466 |
| Other Expenses | $6,642,325 |
| Grants and Similar Amounts Paid | $1,000 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $8,605,056 | $251,085 | - | $8,856,141 |
| Fees for Services Other | $1,805,222 | $43,365 | - | $1,848,587 |
| Other Employee Benefits | $1,551,057 | $88,909 | - | $1,639,966 |
| Depreciation Depletion | $75,497 | $753,310 | - | $828,807 |
| Fees for Services Management | $771,335 | $18,529 | - | $789,864 |
| Payroll Taxes | $697,896 | $61,692 | - | $759,588 |
| Current Officers, Directors, Trustees, and Key Employees | - | $557,771 | - | $557,771 |
| Occupancy | $178,211 | $294,650 | - | $472,861 |
| Interest | $289,655 | $62,904 | - | $352,559 |
| Insurance | $10,308 | $261,663 | - | $271,971 |
| Fees for Services Accounting | $114,292 | $2,745 | - | $117,037 |
| Other Expenses | $35,174 | $7,639 | - | $42,813 |
| Travel | $26,693 | $5,797 | - | $32,490 |
| Advertising | $20,302 | $4,409 | - | $24,711 |
| Office Expenses | $13,556 | $2,944 | - | $16,500 |
| Fees for Services Legal | $7,431 | $179 | - | $7,610 |
| Information Technology | $5,498 | $1,194 | - | $6,692 |
| Grants to Domestic Individuals | $1,000 | - | - | $1,000 |
| Total Functional Expenses | $15,928,830 | $2,527,961 | $0 | $18,456,791 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $18,464,041 |
| Expenses per Audited Statements | $18,456,791 |
| Total Expenses per Form 990 | $18,456,791 |
| Expenses Not Reported on Form 990 | $7,250 |
| Expenses Not Reported on Financial Statements | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Intercompany Payable | $4,420,932 |
| Right-of-use Lease Liabilities | $111,721 |
| Interest Payable | $25,728 |
“The executive committee is composed of the president, vice president and secretary. The executive committee meets upon call for the purpose of performing business that cannot wait for the action of the board, and to consult with or assist the ceo and/or administrator in the performance of their respective duties. Any action of the executive committee is reported for ratification at the next meeting of trustees and, if indicated, may be reported sooner by mail. Two members of the committee constitute a quorum.”
“Alan crain and katie crain have a family relationship. David de bruyn and katherine de bruyn have a family relationship.”
“All management functions are performed by martha and mary lutheran services.”
“Martha and mary health services (mmhs) is a subsidiary of martha and mary lutheran services (mmls). While mmls is not defined as a member or stock holder in the organizational documents, mmls "has the right to participate" in the governance of mmhs and as a result is considered a "member" for purposes of this question.”
“Martha and mary lutheran services, as the parent corporation, elects all trustees.”
“Martha and mary health services is a subsidiary of martha and mary lutheran services. There are defined "substantial issues" that must be approved by the parent corporation. These "substantial issues" include: a) acquisition or sale of real property, b) corporate borrowing that is or will be secured by a mortgage, deed of trust, or other encumbrance on corporate real property, c) dissolving the corporation, or d) sale of all or substantially all of the corporation's assets. Approved substantial issues will not have any force or effect without the prior written consent of hud.”
“Management reviewed the form 990 prior to the completed form being submitted to the board. A subcommittee of the board undertook a specific review of the 990 and provided its recommendation for approval to the entire board. The form 990 was approved by the board prior to submission to the irs.”
“The organization has not established a conflict of interest policy of its own. However, it has adopted the conflict of interest policy of its parent organization, martha and mary lutheran services (mmls). The mmls conflict of interest policy is as follows: each year and upon selection to the board, all board trustees and employee officers are required to complete a form stating that they understand the policy and that there has been no contravention of the policy by themselves or family during the year, or if there was a conflict, it was fully disclosed at the time. In the case of a conflict, trustees will recuse themselves. Trustees and all employees, including employee officers, are required to report any potential conflicts of interest whenever they arise. The governance committee determines whether conflicts exist and reviews actual conflicts of interest to determine appropriate actions. Also, each year prior to the preparation of the form 990, all trustees and employee officers who served during the year are provided with a questionnaire specifically tailored to the requirements of form 990.”
“The filing organization does not provide a salary to the ceo. Instead, the ceo receives compensation from the parent organization, martha and mary lutheran services (mmls). The board personnel committee for mmls sets the compensation package for the ceo utilizing compensation benchmarks and additional parameters related to the constraints of board-approved budget guidelines. Mmls sets and pays the compensation for key employees and other officers. The ceo and human resources director utilize both benchmarks from leadingage washington and the constraints of board-approved budgets to establish a starting wage and determine a fair and equitable wage range for our officer and key employee positions within martha and mary.”
“Our financial information is published in our annual report and is distributed to our supporters and the greater community. Audited financial statements, governing documents and conflict of interest policy are not generally available to the public.”
“Other fees: program service expenses 1,805,222. Management and general expenses 43,365. Fundraising expenses 0. Total expenses 1,848,587.”
“Change in value of term trust 43,620.”
“The organization's process for selecting an independent auditor and for overseeing the financial statement audit did not change during the year.”
“Funds are received from residents and deposited into a separate bank account on behalf of the residents. Martha and mary health services, as custodian, disburses those funds at the direction of the residents or their representatives.”
“The organization is beneficiary of a term trust. The purpose of the trust is to administer the well-being of single women of inadequate means at the health services' skilled nursing facility. The principal is restricted for 50 years, until october 2058. After that date, the trustee will have discretion to distribute income and principal.”
“The irs has determined health services to be exempt from federal income tax under section 501(c)(3) of the internal revenue code (irc). Accordingly, no provision for income taxes has been made in the financial statements. Health services is also exempt from certain state business and occupation taxes and certain county real property taxes. Health services applies the income tax standard for uncertain tax positions. This standard clarifies the accounting for uncertainty in income taxes recognized in health services' financial statements. This standard prescribes recognition and measurement of tax positions taken or expected to be taken on a tax return that are not certain to be realized. Health services is not aware of any activities that would jeopardize their tax-exempt status.”
“Net assets released from restriction 38,320. Loss on disposal of assets 7,250.”
“Grants received for capital purchases 37,621.”
“Loss on disposal of assets 7,250.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 1 | MARTHA AND MARY CHILDREN'S SERVICES |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 2 | MARTHA AND MARY LUTHERAN SERVICES (DBA EBENEZER SERVICES) |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 3 | MARTHA AND MARY HEALTH SERVICES |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 4 | MARTHA AND MARY HOME AND COMMUNITY SERVICES |
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| AffiliatedGroupSchedule/AffiliatedScheduleGrp/EIN | 1 | 911916806 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/EIN | 2 | 911249343 |
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| AffiliatedGroupSchedule/AffiliatedScheduleGrp/EIN | 4 | 911293400 |
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| IRS990/ActivityOrMissionDesc | 0 | A SKILLED NURSING FACILITY OFFERING REHABILITATION, LONG-TERM CARE, AND RESPITE CARE. |
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| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 20302 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 24711 |
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| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 983700127 |
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| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 920 |
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| IRS990/CollectionsOfArtInd | 0 | 0 |
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| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 218928 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 200759 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | UNIT 12 PO BOX 4800 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 84157 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PORTLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SEATTLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | OR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 900880328 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 983700127 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 972084800 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 752299647 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 981245457 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | SODEXO INC AND AFFILIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MARTHA AND MARY LUTHERAN SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CONSONUS REHAB |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | ACTRIV HEALTHCARE INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | CONSONUS PHARMACY SERVICES WA LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | FOOD SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MANAGEMENT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | REHAB SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CERTIFIED NURSING ASSISTANT STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PHARMACY SERVICES |
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| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
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| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 1000 |
| IRS990/CYInvestmentIncomeAmt | 0 | 20347 |
| IRS990/CYOtherExpensesAmt | 0 | 6642325 |
| IRS990/CYOtherRevenueAmt | 0 | 293170 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 17231939 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -865127 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 11813466 |
| IRS990/CYTotalExpensesAmt | 0 | 18456791 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 17591664 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
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| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 75497 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 828807 |
| IRS990/Desc | 0 | SEE SCHEDULE OMARTHA & MARY HEALTH SERVICES (MMHS) AND ITS AFFILIATED ORGANIZATIONS HAVE SERVED SENIORS AND OTHERS IN NEED IN THE WEST SOUND REGION SINCE 1954. MMHS IS NOT ONLY ONE OF THE LARGEST SKILLED NURSING PROVIDERS IN WASHINGTON, WE CONSISTENTLY RANK AMONG THE TOP THREE TO FOUR PROVIDERS WHEN IT COMES TO ACCESS. IN 2024, 339 INDIVIDUALS (225 ADMISSIONS) WERE SERVED; THE AVERAGE AGE OF OUR RESIDENTS AS OF DECEMBER 31, 2024 WAS 83 YEARS. 69% OF THE DAYS OF CARE PROVIDED WERE MEDICAID, WHICH LEAD TO US PROVIDING $1.26M IN UNDERFUNDED CARE IN 2024.MMHS IS COMPRISED OF TWO RESIDENT CARE AREAS: BAY/COURTYARD AND MARINA. ALTHOUGH PROGRAMMING AND SERVICES OVERLAP IN BOTH AREAS, EACH HAS ITS SIGNATURE PROGRAMS SPECIFIC TO THE NEEDS OF RESIDENTS SERVED IN THOSE AREAS. BAY/COURTYARD SERVES INDIVIDUALS WITH BOTH MEMORY AND BEHAVIORAL HEALTH CARE NEEDS.THE MARINA CARE AREA SERVES PRIMARILY LONG TERM CARE RESIDENTS WITH CHRONIC CONDITIONS REQUIRING 24-HOUR CARE AND SUPPORT, ALONG WITH SHORT-STAY REHABILITATION CLIENTS.FOR MANY OF OUR LONG-TERM RESIDENTS, OUR ROBUST QUALITY OF LIFE PROGRAM IS AN IMPORTANT FACTOR TO THEIR OVERALL WELLNESS AND SATISFACTION. PET, MUSIC, HORTICULTURE AND ART THERAPIES ARE AMONG THE ACTIVITIES OFFERED TO THIS RESIDENT GROUP. INTERGENERATIONAL PROGRAMMING IS OFFERED DAILY IN CONJUNCTION WITH OUR CHILDCARE AND EARLY LEARNING PROGRAMS.MMHS CONTINUES TO DEMONSTRATE QUALITY OUTCOMES AND HIGH PATIENT/FAMILY SATISFACTION WHILE SERVING A VERY DIVERSE PORTFOLIO OF INDIVIDUALS AND NEEDS. |
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| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 955916 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 997433 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 338 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 22867 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 19951 |
| IRS990/ExpenseAmt | 0 | 15928830 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 2745 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 114292 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 117037 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 179 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 7431 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 7610 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 18529 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 771335 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 789864 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 43365 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1805222 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1848587 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
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| 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 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 9370 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 9370 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 20679 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 11178 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 10283 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 14961 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LYNETTE LADENBURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | CHRISTOPHER VERNON-COLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOHN GUZZWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | THOMAS ALAN CLARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DAN RED |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | REBECA AGUILAR FELICIANO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MARY LIZA STILLWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | GLEN MELIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | AARON SCHIELKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ALAN CRAIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | DIANA SMELAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | BILL BAIRD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | DAN GOTTLIEB |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | LINNEA CHU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BILL CRABTREE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | KATIE CRAIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DAVID DE BRUYN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KATHERINE DE BRUYN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | SHERRY GUTIERREZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | CHRISTINA HUGHES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | KYLE KINCAID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | LINDSEY LIND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | JAMIE MITTET |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | LYNN NORDBY |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 142778 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 141460 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 113164 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 110418 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 111374 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 108983 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 82265 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 71299 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | REGISTERED NURSE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | LICENSED PRACTICAL NURSE LEAD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | NURSING SERVICES DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | NURSING SERVICES ASSISTANT DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | LICENSED PRACTICAL NURSE LEAD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CC&DO (THROUGH JUNE 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CFO (THROUGH JUNE 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PRESIDENT & TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE & PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | VICE PRESIDENT & TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | VICE PRESIDENT (AS OF APRIL 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | TRUSTEE (AS OF APRIL 2024) |
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