Liabilities / Assets
18th percentile
Higher debt load relative to assets than 18% of similar nonprofits.
EIN 30-0975387 • 501(c)3 • Laramie, WY
Profile
Trusted partners in world-class healthcare. Building trust with our patients and with each other.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
18th percentile
Higher debt load relative to assets than 18% of similar nonprofits.
Liabilities / Revenue
17th percentile
Higher debt load relative to revenue than 17% of similar nonprofits.
Net Margin
83rd percentile
Higher net margin than 83% of similar nonprofits.
Top Officer Pay
58th percentile
Higher top officer pay than 58% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
74th percentile
Faster asset growth than 74% of similar nonprofits.
Revenue Growth
72nd percentile
Faster revenue growth than 72% of similar nonprofits.
Assets
Up$417,938,891
Up $52,202,517 (+14%) from 2023
Liabilities
Up$24,818,893
Up $2,060,290 (+9.1%) from 2023
Net Assets
Up$393,119,998
Up $50,142,227 (+15%) from 2023
Revenue
Up$161,608,368
Up $14,423,331 (+9.8%) from 2023
Expenses
Up$132,664,931
Up $5,956,786 (+4.7%) from 2023
Net Income
Up$28,943,437
Up $8,466,545 (+41%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Trusted partners in world-class healthcare. Building trust with our patients and with each other.
Trusted partners in world-class healthcare.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $178,961,483 | $227,287,470 | ▲ $48,325,987 |
| Land, Buildings, and Equipment, Net | $73,686,336 | $80,472,329 | ▲ $6,785,993 |
| Investments Other Securities | $39,504,836 | $40,386,371 | ▲ $881,535 |
| Accounts Receivable | $9,483,950 | $12,467,593 | ▲ $2,983,643 |
| Savings and Temporary Cash Investments | $18,798,487 | $7,007,663 | ▼ $11,790,824 |
| Cash and Non-Interest-Bearing Accounts | $7,863,859 | $5,686,356 | ▼ $2,177,503 |
| Inventories for Sale or Use | $1,585,412 | $1,661,143 | ▲ $75,731 |
| Prepaid Expenses and Deferred Charges | $1,446,382 | $1,452,738 | ▲ $6,356 |
| Investments Program Related | $-1,005 | $0 | ▲ $1,005 |
| Total Assets | $365,736,374 | $417,938,891 | ▲ $52,202,517 |
| Other Assets Total | $34,406,634 | $41,517,228 | ▲ $7,110,594 |
| Liabilities | |||
| Deferred Revenue | $12,898,091 | $12,282,875 | ▼ $615,216 |
| Accounts Payable and Accrued Expenses | $9,487,496 | $12,130,473 | ▲ $2,642,977 |
| Other Liabilities | $373,016 | $405,545 | ▲ $32,529 |
| Total Liabilities | $22,758,603 | $24,818,893 | ▲ $2,060,290 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $281,268,899 | $325,440,100 | ▲ $44,171,201 |
| Net Assets With Donor Restrictions | $61,708,872 | $67,679,898 | ▲ $5,971,026 |
| Total Net Assets Fund Balance | $342,977,771 | $393,119,998 | ▲ $50,142,227 |
| Total Liabilities and Net Assets / Fund Balance | $365,736,374 | $417,938,891 | ▲ $52,202,517 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $37,820,663 | $7,338,337 | $45,159,000 |
| Equipment | $10,341,900 | $24,917,353 | $35,259,253 |
| Leasehold Improvements | $23,074,438 | $6,189,083 | $29,263,521 |
| Other Land Buildings | $9,235,328 | - | $9,235,328 |
| Other Assets Org | $405,545 | - | - |
| Other Securities | $40,386,371 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Burk Young Md | Physician | FT | $964,635 | $36,489 | $1,001,124 |
| John Kennedy Md | Physician | FT | $606,821 | $58,175 | $664,996 |
| John Ullrich Md | Physician | FT | $469,845 | $61,614 | $531,459 |
| Gary Graham Md | Physician | FT | $474,896 | $54,016 | $528,912 |
| Eric Uhlman Md | Physician | FT | $494,331 | $33,231 | $527,562 |
| James Bands | CFO | FT | $262,379 | $211,708 | $474,087 |
| Nicole Rooney | CNO | FT | $212,650 | $201,276 | $413,926 |
| Terry Moss | COO | FT | $244,643 | $165,697 | $410,340 |
| Sagan Wheeler | Chro | FT | $147,590 | $125,181 | $272,771 |
| Name | Title |
|---|---|
| Joseph Steiner | Chair Then Past Chair |
| Catie Ballard | Past Chair Then Member |
| Gary Crum | Treasurer Then Chair |
| Brad Jackson | Vice Chair |
| Doug Faus | CEO |
| Rick Melone | Member |
| Sharon Weber | Member |
| Stan Gunstream Md | Member |
| Peter Gosar | Member (through Oct. 2023) |
| Roland Maldonado | Member (through Oct. 2023) |
| Jackie Gonzales | Member Then Secretary |
| Pam Dunnuck | Member Then Treasurer |
| Dennis Cook | Secretary (through Oct. 2023) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ncap Imh LLC | Anesthesia Providers | 3702 AUTOMATION WAY STE 3, Fort Collins, CO 80525 | $3,678,466 |
| Gh Phipps Wyoming LLC | Construction | 1482 COMMERCE DR UNIT Y, Laramie, WY 82070 | $2,234,110 |
| Summit Medical Group LLC | Ed Physicians | 700 CENTRAL EXPRESSWAY S STE 400, Allen, TX 75035 | $1,002,319 |
| Atlas Medstaff | Temporary Staffing | 11159 MILL VALLEY RD, Omaha, NE 68154 | $752,822 |
| Revenue Enterprises LLC | Accounts Receivable | 3131 S VAUGHN WAY SUITE 500, Aurora, CO 80014 | $643,462 |
| Line Item | Amount |
|---|---|
| Other Expenses | $71,283,276 |
| Salaries, Compensation, and Employee Benefits | $59,738,731 |
| Grants and Similar Amounts Paid | $1,642,924 |
| Total Fundraising Expense | $613,368 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $40,925,746 | $4,036,244 | $239,174 | $45,201,164 |
| Fees for Services Other | $16,528,648 | $925,988 | - | $17,454,636 |
| Other Employee Benefits | $6,048,961 | $1,379,349 | $24,799 | $7,453,109 |
| Depreciation Depletion | $3,313,280 | $2,819,447 | - | $6,132,727 |
| Payroll Taxes | $2,486,892 | $631,183 | $37,841 | $3,155,916 |
| Information Technology | $1,455,095 | $1,232,064 | - | $2,687,159 |
| Current Officers, Directors, Trustees, and Key Employees | $82,785 | $2,295,039 | - | $2,377,824 |
| Occupancy | $110,270 | $1,853,606 | - | $1,963,876 |
| Office Expenses | $779,177 | $1,159,858 | - | $1,939,035 |
| Grants to Domestic Individuals | $1,642,924 | - | - | $1,642,924 |
| Pension Plan Contributions | $1,301,750 | $248,968 | - | $1,550,718 |
| Insurance | - | $1,107,095 | - | $1,107,095 |
| Fees for Service Investment Mgmnt Fees | - | $777,688 | - | $777,688 |
| Advertising | $15,278 | $229,705 | $311,554 | $556,537 |
| Other Expenses | $110,053 | $329,032 | - | $439,085 |
| All Other Expenses | $80,455 | $275,260 | - | $355,715 |
| Travel | $107,886 | $68,466 | - | $176,352 |
| Fees for Services Accounting | - | $99,566 | - | $99,566 |
| Fees for Services Legal | - | $76,361 | - | $76,361 |
| Total Functional Expenses | $109,759,613 | $22,291,950 | $613,368 | $132,664,931 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $132,664,931 |
| Total Expenses per Audited Statements | $122,361,139 |
| Expenses per Audited Statements | $120,239,220 |
| Expenses Not Reported on Financial Statements | $12,425,711 |
| Other Expense Adjustments | $12,425,711 |
| Expenses Not Reported on Form 990 | $2,121,919 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | Investments | - | 0 | 0 | $9,422,393 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Amount |
|---|---|
| Political Expenditures | $0 |
| Liability | Amount |
|---|---|
| Right-of-use Lease Liabilities | $405,545 |
“The committees of the board shall have and exercise authority of the board of directors in the management of the corporation. However, no such committee shall have the authority of the board of directors in reference to authorizing distributions, electing, appointing or removing any director, amending the articles of incorporation, amending, altering or repealing the bylaws; approving a plan of merger, or approving a sale, lease, exchange or other disposition of all, or substantially all of the corporation's property, with or without goodwill, otherwise than in the usual and regular course of business, or voluntarily dissolving or revoking a voluntary dissolution of the corporation.”
“The ceo is provided through an affiliation agreement with uchealth. The ceo's compensation is reviewed and determined by ivinson memorial hospital's board of directors. The ceo's employment with uchealth is contingent upon him serving as the ceo of ivinson memorial hospital and their continued engagement with ivinson memorial hospital. Doug faus received the following compensation in calendar year 2023 for his services as president & ceo: taxable compensation: base: $433,241 taxable bonus compensation: $314,259 other taxable compensation: $2,352 nontaxable deferred compensation: $30,822 other nontaxable benefits: $26,026”
“Subject to any consents of the district as required under the lease and imh's bylaws, the board of directors shall have the power to alter, amend, or repeal the bylaws or adopt new bylaws. However, the board of directors may not amend the bylaws, without the district's previous approval, to (a) appoint the initial elected directors provided in section 4.4 or (b) remove or modify section 14.7 regarding conflicts between the lease and the bylaws.”
“The form 990 was prepared by an independent cpa firm with information provided by management. The 990 was reviewed in its entirety by the finance committee of the board prior to filing. In addition, the entire board was given the opportunity to review prior to its filing.”
“Ivinson memorial hospital has a conflict of interest policy that covers all board members, officers, directors, managers, supervisors and highly compensated employees. All covered individuals complete a conflict of interest disclosure statement upon joining ivinson memorial hospital and annually thereafter. All covered individuals have an obligation to disclose all interests, actions or relationships that create an actual or potential conflict of interest or that could create such. After such disclosure, the individual leaves the meeting while the board, committee or supervisor determines whether a conflict exists. If a conflict is deemed to exist, the relevant body evaluates whether a more beneficial transaction is available to ivinson memorial hospital. If a more beneficial transaction is not identified, the relevant body votes whether to enter the transaction that involves the conflict of interest. The individual with the conflict does not participate in the vote. Records are kept of all situations that involve an actual or potential conflict of interest. If an individual fails to disclose a conflict of interest, the individual is given the opportunity to explain, after which the relevant body determines appropriate disciplinary action, if any.”
“The board's compensation committee reviews the ceo's compensation annually. This committee utilizes data from an independent compensation consultant. The data is created based on comparable facilities in the geographic region. The committees decision is documented in the board minutes. The ceo reviews the compensation of other key employees. The ceo utilizes data from an independent compensation consultant who prepare the data from like-sized hospitals within the geographic region. This information is reviewed and approved by the board's compensation committee annually as well. Compensation reviews were last conducted in 2024.”
“Ivinson memorial hospital's governing documents, conflict of interest policy and financial statements are available upon request. Financial and operational data is also provided semi-annually to the albany county hospital district and the albany county board of commissioners, which presentation is open to the public.”
“Purchase services: program service expenses 16,528,648. Management and general expenses 925,988. Fundraising expenses 0. Total expenses 17,454,636.”
“Change in beneficial interest in foundation 7,078,065.”
“The process for oversight and selection of an independent accountant has not changed from the prior year.”
“The hospital is organized as wyoming nonprofit corporations and have been recognized by the internal revenue service (irs) as exempt from federal income taxes under internal revenue code (irc) section 501(c)(3). The hospital is annually required to file a return of organization exempt from income tax (form 990) with the irs. In addition, the hospital is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purpose. The hospital believes that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to the consolidated financial statements. The hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.”
“Change in beneficial interest in foundation 7,078,065. Related organization revenue 235,358. Gift shop cost of goods sold 40,027.”
“Eliminating entries 834,845. Provision for bad debts 8,818,967. Charity care reported as grants 1,642,924. Amortization on donated use of building 1,128,975.”
“Gift shop cost of goods sold 40,027. Related organization expenses 952,918.”
“Provision for bad debts 8,818,967. Charity care reported as grants 1,642,924. Elimnating entries 834,845. Amortization on donated use of building 1,128,975.”
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 | 9487496 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 12130473 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 9483950 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 12467593 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TRUSTED PARTNERS IN WORLD-CLASS HEALTHCARE. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 311554 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 229705 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 15278 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 556537 |
| IRS990/AllOtherContributionsAmt | 0 | 2016649 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 275260 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 80455 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 355715 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JAMES BANDS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3077554603 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 255 NORTH 30TH STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LARAMIE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 82072 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 7863859 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 5686356 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 17 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2295039 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 82785 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2377824 |
| 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 | 3678466 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2234110 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1002319 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 752822 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 643462 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 3702 AUTOMATION WAY STE 3 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1482 COMMERCE DR UNIT Y |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 700 CENTRAL EXPRESSWAY S STE 400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 11159 MILL VALLEY RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 3131 S VAUGHN WAY SUITE 500 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | FORT COLLINS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | LARAMIE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ALLEN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | AURORA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | WY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 80525 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 82070 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 75035 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 68154 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 80014 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | NCAP IMH LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | GH PHIPPS WYOMING LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | SUMMIT MEDICAL GROUP LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | ATLAS MEDSTAFF |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | REVENUE ENTERPRISES LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ANESTHESIA PROVIDERS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ED PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | TEMPORARY STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | ACCOUNTS RECEIVABLE |
| IRS990/CostOfGoodsSoldAmt | 0 | 40027 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 5110136 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 1642924 |
| IRS990/CYInvestmentIncomeAmt | 0 | 8623229 |
| IRS990/CYOtherExpensesAmt | 0 | 71283276 |
| IRS990/CYOtherRevenueAmt | 0 | 1289370 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 146585633 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 28943437 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 59738731 |
| IRS990/CYTotalExpensesAmt | 0 | 132664931 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 613368 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 161608368 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 12898091 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 12282875 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 2819447 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3313280 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 6132727 |
| IRS990/Desc | 0 | IVINSON MEMORIAL HOSPITAL SERVES THE RESIDENTS OF ALBANY COUNTY, WYOMING AND THE SURROUNDING AREA. LARAMIE IS THE LARGEST CITY IN THE SERVICE AREA WITH A POPULATION OF APPROXIMATELY 32,000. THE SERVICES PROVIDED TO THE COMMUNITY ARE BEHAVIORAL HEALTH (INPATIENT), CARDIAC REHAB, CARDIOPULMONARY, CHAPLAIN, DIALYSIS, DISCHARGE PLANNING / SOCIAL SERVICES, EMERGENCY SERVICES, INFECTION CONTROL, INPATIENT ACUTE CARE, INTENSIVE CARE UNIT, IVINSON MEDICAL GROUP, LAB (ANATOMIC / CLINICAL), NUTRITIONAL COUNSELING, OB/GYN, ONCOLOGY, PEDIATRICS, PHARMACY, RADIATION THERAPY, RADIOLOGY / DIAGNOSTIC IMAGING, RADIOLOGY - MRI, RADIOLOGY - CT, RADIOLOGY - NUCLEAR MEDICINE, RADIOLOGY - MAMMOGRAPHY, REHAB - PHYSICAL / OCCUPATIONAL THERAPY, SLEEP LAB, SPEECH PATHOLOGY - INPATIENT (INCLUDING SWING BEDS)/ OUTPATIENT, SURGERY SERVICES, AND ULTRASOUND.FOR THE YEAR ENDED JUNE 30, 2024, IMH HAD THE FOLLOWING STATISTICS:ADMISSIONS - 1,866EMERGENCY VISITS - 12,356URGENT CARE - 7,675OUTPATIENT VISITS - 91,096CLINIC VISITS - 52,219IMH ALSO PROVIDED $1,642,924 IN CHARITY CARE FOR THE YEAR ENDED JUNE 30, 2024.IN 2023, IVINSON WAS AWARDED AN E-QUAL HONOR ROLL AWARD FOR STROKE CARE BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. RECIPIENTS FOR STROKE CARE ARE RECOGNIZED FOR ARRIVAL TO COMPUTED TOMOGRAPHY (CT) SCAN TIME FOR HEMORRHAGIC OR ISCHEMIC STROKE PATIENTS, AND DOOR-TO-NEEDLE TIME FOR ISCHEMIC STROKE PATIENTS. IN THE SPRING OF 2023, IVINSON RECEIVED AN A GRADE FROM THE LEAPFROG GROUP. THIS NATIONAL DISTINCTION IS AWARDED TO IVINSON BY THE LEAPFROG GROUP FOR RECEIVING TOP MARKS IN HOSPITAL SAFETY AND PROTECTING PATIENTS FROM PREVENTABLE HARM AND ERRORS. IVINSON IS AMONG 3,000 GENERAL HOSPITALS GRADED BY THE LEAPFROG GROUP, INCLUDING 9 WYOMING HOSPITALS. IN ADDITION, IVINSON RECEIVED 2023 LARAMIE'S BEST OF THE BEST AWARDS IN THE FOLLOWING CATEGORIES: BEST AUDIOLOGY/HEARING CLINIC, BEST FAMILY PRACTICE, BEST WOMEN'S HEALTH SERVICES AND BEST PLACE TO WORK. IVINSON HAS BEEN RECOGNIZED BY THE CHARTIS RURAL HOSPITAL PERFORMANCE INDEX AS A TOP 100 RURAL AND COMMUNITY HOSPITAL. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 61708872 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 67679898 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 789 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 109759613 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 99566 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 99566 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 76361 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 76361 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 925988 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 16528648 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 17454636 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 777688 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 777688 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 38.00 |
| 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 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | 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/OtherCompensationAmt | 0 | 33652 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 56827 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 60096 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 53026 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 28933 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 46248 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 55837 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 39452 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 40259 |
| 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/PersonNm | 0 | BURK YOUNG MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JOHN KENNEDY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOHN ULLRICH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GARY GRAHAM MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ERIC UHLMAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JAMES BANDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | NICOLE ROONEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | TERRY MOSS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SAGAN WHEELER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DOUG FAUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JOSEPH STEINER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | GARY CRUM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | CATIE BALLARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | BRAD JACKSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | PAM DUNNUCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DENNIS COOK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JACKIE GONZALES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | PETER GOSAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | STAN GUNSTREAM MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ROLAND MALDONADO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | RICK MELONE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | SHARON WEBER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 967472 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 608169 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 471363 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 475886 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 498629 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 427839 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 358089 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 370888 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 232512 |
| 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/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/TitleTxt | 0 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHRO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHAIR THEN PAST CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TREASURER THEN CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PAST CHAIR THEN MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | MEMBER THEN TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | SECRETARY (THROUGH OCT. 2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | MEMBER THEN SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | MEMBER (THROUGH OCT. 2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | MEMBER (THROUGH OCT. 2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2017 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 731152 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 3093487 |
| IRS990/GrantAmt | 0 | 1642924 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 1642924 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 1642924 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 56588953 |
| IRS990/GrossReceiptsAmt | 0 | 217506196 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 599488 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 70745 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 96 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1232064 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1455095 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2687159 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1107095 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1107095 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1585412 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1661143 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 7892077 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 7892077 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 39504836 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 40386371 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | -1005 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 178961483 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 227287470 |
| IRS990/IRPDocumentCnt | 0 | 103 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 38444773 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 73686336 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 80472329 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 118917102 |
| IRS990/LegalDomicileStateCd | 0 | WY |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 55857801 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TRUSTED PARTNERS IN WORLD-CLASS HEALTHCARE. BUILDING TRUST WITH OUR PATIENTS AND WITH EACH OTHER. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 342977771 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 393119998 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 731152 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 731152 |
| IRS990/NetIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 30718 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 30718 |
| IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 599488 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 599488 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 14120725 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 281268899 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 325440100 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1853606 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 110270 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1963876 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1159858 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 779177 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1939035 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
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