Liabilities / Assets
80th percentile
Higher debt load relative to assets than 80% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
80th percentile
Higher debt load relative to assets than 80% of similar nonprofits.
Liabilities / Revenue
84th percentile
Higher debt load relative to revenue than 84% of similar nonprofits.
Net Margin
18th percentile
Higher net margin than 18% of similar nonprofits.
Top Officer Pay
75th percentile
Higher top officer pay than 75% of similar nonprofits.
Top officer pay equals 3.1% of source-year revenue.
Asset Growth
31st percentile
Faster asset growth than 31% of similar nonprofits.
Revenue Growth
30th percentile
Faster revenue growth than 30% of similar nonprofits.
Assets
Down$29,572,705
Down $536,720 (-1.8%) from 2014
Net Assets
Down$9,687,866
Down $821,011 (-7.8%) from 2014
Liabilities
Up$19,884,839
Up $284,291 (+1.5%) from 2014
Revenue
Down$12,211,533
Down $217,232 (-1.7%) from 2014
Expenses
Up$12,847,473
Up $438,030 (+3.5%) from 2014
Net Income
Down-$635,940
Down $655,262 (-3391%) from 2014
To provide quality health care to the people of sumner and surrounding areas, while coordinating other needed services.
Community memorial hospital serves the area through its healthcare and educational services. We emphasize concern for the quality of a person's life, through every measure intended to preserve life with dignity and respect. We are dedicated to creating and maintaining an environment supporting excellence in healthcare. We provide qualified and properly trained personnel and medical staff in an atmosphere which inspires a creative approach to the complex healthcare challenges of today and tomorrow.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $16,406,698 | $15,067,537 | ▼ $1,339,161 |
| Savings and Temporary Cash Investments | $7,164,611 | $7,527,265 | ▲ $362,654 |
| Investments Other Securities | $4,139,591 | $3,954,520 | ▼ $185,071 |
| Accounts Receivable | $1,685,136 | $2,175,613 | ▲ $490,477 |
| Inventories for Sale or Use | $128,886 | $175,940 | ▲ $47,054 |
| Prepaid Expenses and Deferred Charges | $135,587 | $164,201 | ▲ $28,614 |
| Cash and Non-Interest-Bearing Accounts | $100 | $100 | → $0 |
| Total Assets | $30,109,425 | $29,572,705 | ▼ $536,720 |
| Other Assets Total | $448,816 | $507,529 | ▲ $58,713 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $17,214,612 | $17,179,805 | ▼ $34,807 |
| Other Liabilities | $1,204,624 | $1,425,318 | ▲ $220,694 |
| Accounts Payable and Accrued Expenses | $1,181,312 | $1,279,716 | ▲ $98,404 |
| Total Liabilities | $19,600,548 | $19,884,839 | ▲ $284,291 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $6,369,286 | $5,733,346 | ▼ $635,940 |
| Permanently Rstr Net Assets | $4,139,591 | $3,954,520 | ▼ $185,071 |
| Total Net Assets Fund Balance | $10,508,877 | $9,687,866 | ▼ $821,011 |
| Total Liabilities and Net Assets / Fund Balance | $30,109,425 | $29,572,705 | ▼ $536,720 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $10,869,337 | $2,489,593 | $13,358,930 |
| Equipment | $2,364,218 | $3,672,338 | $6,036,556 |
| Other Land Buildings | $1,733,561 | $407,777 | $2,141,338 |
| Land | $100,421 | - | $100,421 |
| Other Securities | $3,954,520 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2015 | $4,139,591 | - | ▼ $185,071 | - | $3,954,520 |
| 2014 | $4,483,296 | - | ▼ $343,705 | - | $4,139,591 |
| 2013 | $4,171,601 | - | ▲ $563,439 | $251,744 | $4,483,296 |
| 2012 | $3,544,459 | - | ▲ $858,953 | $231,811 | $4,171,601 |
| 2011 | $2,684,825 | - | ▲ $1,033,086 | $173,452 | $3,544,459 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Troy Buchholz Md | Physician | FT | $317,049 | $67,466 | $384,515 |
| Jeffrey Roske Do | Physician | FT | $318,815 | $42,746 | $361,561 |
| Dawn Everding | CFO | FT | $123,256 | $8,469 | $131,725 |
| Roberta Mittelsted Arnp-bc | Arnp | FT | $108,543 | $17,016 | $125,559 |
| Mary Wells | CEO Thru 06/15 | FT | $108,380 | $10,485 | $118,865 |
| Lynne Niemann | Director of Nursing & Pati | FT | $107,312 | $10,558 | $117,870 |
| Kyle Teeling | Director of Support Servic | FT | $64,996 | $8,600 | $73,596 |
| Dustin Wright | CEO | FT | $61,265 | $7,753 | $69,018 |
| Name | Title |
|---|---|
| Connie Leicher | Board Member - Chair |
| Michael Meyer | Board Member - Chair Thru 03/15 |
| William Schwake | Board Member - Vice Chair |
| Brenda Winzenburg | Board Member |
| Dave Voss | Board Member |
| Diane Pagel | Board Member |
| Duane Hildebrandt | Board Member |
| Holly Schemmel | Board Member |
| Laverne Buhr | Board Member |
| Luara Necker | Board Member |
| Mark Seehase | Board Member |
| Rick Pederson | Board Member |
| Debra Toenges | Board Member - Sec/treas |
| Debra Beckner | Board Member Thru 03/15 |
| Randie Mueller | Board Member Thru 03/15 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Emergency Practice Associates | Er Coverage | PO BOX 1260, Waterloo, IA 50704 | $569,064 |
| Performance Rehab LLC | Rehab Services | 909 W 1ST ST, Sumner, IA 50674 | $414,244 |
| Unitypoint Health | It Support | PO BOX 83381, Chicago, IL 60691 | $307,043 |
| Health Enterprises Of Iowa | Radiology/crna Services | 5825 DRY CREEK LANE NE, Cedar Rapids, IA 52402 | $264,543 |
| Unitypoint Health - Allen Memorial Hospi | Medical Services | PO BOX 83381, Chicago, IL 60691 | $241,635 |
| Line Item | Amount |
|---|---|
| Other Expenses | $7,200,580 |
| Salaries, Compensation, and Employee Benefits | $5,646,893 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,736,565 | $366,718 | - | $4,103,283 |
| Fees for Services Other | $2,197,588 | $59,963 | - | $2,257,551 |
| Depreciation Depletion | $1,507,021 | $245,706 | - | $1,752,727 |
| Interest | $622,878 | $101,554 | - | $724,432 |
| Other Employee Benefits | $618,338 | $91,710 | - | $710,048 |
| Current Officers, Directors, Trustees, and Key Employees | - | $511,074 | - | $511,074 |
| Office Expenses | $442,861 | $45,869 | - | $488,730 |
| Payroll Taxes | $262,836 | $59,652 | - | $322,488 |
| Information Technology | - | $261,233 | - | $261,233 |
| Occupancy | $188,545 | $30,741 | - | $219,286 |
| Fees for Services Accounting | - | $73,791 | - | $73,791 |
| Insurance | $69,507 | - | - | $69,507 |
| Other Expenses | $59,881 | - | - | $59,881 |
| Advertising | $57,780 | - | - | $57,780 |
| Travel | $33,412 | $9,862 | - | $43,274 |
| Fees for Services Management | - | $36,000 | - | $36,000 |
| All Other Expenses | $21,840 | - | - | $21,840 |
| Fees for Services Legal | - | $13,500 | - | $13,500 |
| Total Functional Expenses | $10,940,100 | $1,907,373 | $0 | $12,847,473 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Spouse of Sara Trainor, Former CFO | PERFORMANCE REHAB IS 40% OWNED BY JUSTIN TRAINOR, THE SPOUSE OF SARA TRAINOR, FORMER CFO. THIS ENTITY PROVIDES PHYSICAL AND OCCUPATIONAL THERAPIES AT CMH. PERFORMANCE REHAB'S COMPENSATION FROM CMH IS CALCULATED AS A PERCENTAGE OF CMH'S NET REIMBURSEMENT FOR THERAPY SERVICES. | Yes | $414,244 |
| Liability | Amount |
|---|---|
| Estimated Third-party Payor Settlement | $823,681 |
| Capital Lease Obligations | $601,637 |
“The organization has an extended management contract with unitypoint health - waterloo, formally known as allen health systems.”
“The organization's articles of incorporation provide that the corporation "has no capital stock and the capital of this association shall be the membership fees . . . Fixed by the board of directors". Anyone in the community may be a member of the corporation upon payment of the $1 membership fee, as fixed by the board of directors according to the bylaws. The organization's members elect the board of directors.”
“Each board of director shall be elected by the largest vote cast by the members present at the annual meeting. Absentee ballots will be allowed for employees working at community memorial hospital during the actual hours of the annual meeting.”
“In 2003, community memorial hospital (cmh) entered into an operating agreement with allen health system (ahs), now referred to as unitypoint health - waterloo. Under the terms of that agreement, a joint governance structure was established, whereby unitypoint health and the board of directors of cmh exercise joint authority for the operation of the hospital. While unitypoint health has day-to-day operational control, certain governance authority actions require the participation of both unitypoint's and cmh's board of directors.”
“The irs form 990 is presented to the cmh board of directors at a regularly scheduled monthly meeting for review. It will be noted as an agenda item under "new business and requires the proper approval from the board prior to being submitted to irs.”
“The board of directors and key employees are required to annually complete a conflict of interest disclosure/questionnaire. These are reviewed by the ceo and board chair. Each month there is an agenda item at the board meeting for any conflicts related to the rest of the agenda to be disclosed. If none are noted, but the board chair feels one exists, it is the chair's responsibility to inquire about it before proceeding. When there is a conflict of interest, the person with the conflict abstains from voting.”
“The organization is jointly operated with unitypoint health - waterloo, f/k/a allen health system. A ceo of unitypoint health is responsible for setting the salary for mary wells, former ceo of cmh and dustin wright, current ceo of cmh. The ceo of unitypoint health uses salary survey information from the iowa hospital association to determine a reasonable range for the ceo's compensation. The cmh ceo is responsible for setting the salary of dawn everding, cfo (officer), lynne niemann, director of nursing, and kyle teeling, director of support services (both are administrative key employees). Comparability data is also used in setting the compensation for the officers.”
“The organization does not make its governing documents, conflict of interest policy or financial statements available to the public. However, financial statements are made available at the sumner community club meeting and a person may become a member of the sumner community club by paying the $1.00 annual membership fee.”
“Outside services: program service expenses 657,509. Management and general expenses 59,963. Fundraising expenses 0. Total expenses 717,472. Emergency room specialist fees: program service expenses 837,383. Management and general expenses 0. Fundraising expenses 0. Total expenses 837,383. Physical therapy fees: program service expenses 383,210. Management and general expenses 0. Fundraising expenses 0. Total expenses 383,210. Anesthesiologist fees: program service expenses 160,722. Management and general expenses 0. Fundraising expenses 0. Total expenses 160,722. Lab fees: program service expenses 158,764. Management and general expenses 0. Fundraising expenses 0. Total expenses 158,764.”
“There have been no changes from the prior year. The board of directors has the responsibility of selecting the independent accountant to complete the audit work. The finance committee of the board of directors has the responsibility for the oversight of the audit. Upon conclusion of the audit, the auditing firm presents the results and findings to the board of directors.”
“The hospital is beneficiary of a donor created perpetual trust. Assets held by the trust include cash and cash equivalents, cds, equities, and farmland. A provision of the trust requires that income earned be distributed at least annually to the hospital. Income distributions from the trust are unrestricted and can be used for any purpose deemed beneficial. In 2015, the grain, livestock and equipment that were previously held by the trust were liquidated in full. The farmland is also operated on a cash basis rental agreement beginning in 2015.”
“The hospital and foundation are not-for-profit corporations as described in section 501(c)(3) of the internal revenue service and are exempt from federal income taxes in related income pursuant to section 501(a) of the code. The internal revenue service has established standards to be met to maintain the hospital's tax exempt status. In general, such standards require the hospital to meet a community benefits standard and comply with various laws and regulations. The hospital accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in fasb asc topic 740, income taxes. The hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At december 31, 2015 and 2014, the hospital had no uncertain tax positions accrued.”
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 | 1181312 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1279716 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1685136 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2175613 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | COMMUNITY MEMORIAL HOSPITAL SERVES THE AREA THROUGH ITS HEALTHCARE AND EDUCATIONAL SERVICES. WE EMPHASIZE CONCERN FOR THE QUALITY OF A PERSON'S LIFE, THROUGH EVERY MEASURE INTENDED TO PRESERVE LIFE WITH DIGNITY AND RESPECT. WE ARE DEDICATED TO CREATING AND MAINTAINING AN ENVIRONMENT SUPPORTING EXCELLENCE IN HEALTHCARE. WE PROVIDE QUALIFIED AND PROPERLY TRAINED PERSONNEL AND MEDICAL STAFF IN AN ATMOSPHERE WHICH INSPIRES A CREATIVE APPROACH TO THE COMPLEX HEALTHCARE CHALLENGES OF TODAY AND TOMORROW. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 57780 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 57780 |
| IRS990/AllOtherContributionsAmt | 0 | 141734 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 21840 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 21840 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | DAWN EVERDING |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5635783275 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 909 WEST 1ST STREET PO BOX 148 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SUMNER |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 50674 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 100 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 100 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 10 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 511074 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 511074 |
| 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/ContractorCompensationGrp/CompensationAmt | 0 | 569064 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 414244 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 307043 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 264543 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 241635 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 1260 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 909 W 1ST ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 83381 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 5825 DRY CREEK LANE NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 83381 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | WATERLOO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SUMNER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CEDAR RAPIDS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 50704 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 50674 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 60691 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 52402 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 60691 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | EMERGENCY PRACTICE ASSOCIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | PERFORMANCE REHAB LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | UNITYPOINT HEALTH |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | HEALTH ENTERPRISES OF IOWA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | UNITYPOINT HEALTH - ALLEN MEMORIAL HOSPI |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ER COVERAGE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | REHAB SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | IT SUPPORT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | RADIOLOGY/CRNA SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | MEDICAL SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 180538 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 38773 |
| IRS990/CYOtherExpensesAmt | 0 | 7200580 |
| IRS990/CYOtherRevenueAmt | 0 | 74341 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 11917881 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -635940 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 5646893 |
| IRS990/CYTotalExpensesAmt | 0 | 12847473 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 12211533 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 245706 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1507021 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1752727 |
| IRS990/Desc | 0 | REVENUE AND EXPENSES RELATING TO OUTPATIENT DEPARTMENTS THAT OPERATE WITHIN COMMUNITY MEMORIAL HOSPITAL. THESE DEPARTMENTS INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, RADIOLOGY, OPERATING AND RECOVERY ROOM, AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES. EACH OF THESE OUTPATIENT DEPARTMENTS PROVIDES STATISTICAL INFORMATION BASED ON VOLUME RELATED TO THE SPECIFIC SERVICE ARE AND WORKS IN CONJUNCTION WITH SERVICES PROVIDED IN THE CMH MEDICAL CLINIC, EMERGENCY DEPARTMENT AND ACUTE NURSING SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | COMMUNITY MEMORIAL HOSPITAL |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 7430619 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 73791 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 73791 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 13500 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 13500 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 36000 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 36000 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 59963 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2197588 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2257551 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.80 |
| 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 | 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 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.50 |
| 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/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 38.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 38.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 39.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | 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 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| 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 | 7753 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 10485 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 8469 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 10558 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 8600 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 35156 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 22296 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 17016 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CONNIE LEICHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MICHAEL MEYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | WILLIAM SCHWAKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DEBRA TOENGES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DUANE HILDEBRANDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LUARA NECKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DIANE PAGEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | RICK PEDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MARK SEEHASE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DAVE VOSS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BRENDA WINZENBURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LAVERNE BUHR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | HOLLY SCHEMMEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | DEBRA BECKNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | RANDIE MUELLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DUSTIN WRIGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MARY WELLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | DAWN EVERDING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | LYNNE NIEMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | KYLE TEELING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | TROY BUCHHOLZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JEFFREY ROSKE DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | ROBERTA MITTELSTED ARNP-BC |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 61265 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 108380 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 123256 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 107312 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 64996 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 349359 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 339265 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 108543 |
| 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/TitleTxt | 0 | BOARD MEMBER - CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER - CHAIR THRU 03/15 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER - VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER - SEC/TREAS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER THRU 03/15 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER THRU 03/15 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CEO THRU 06/15 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR OF NURSING & PATI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIRECTOR OF SUPPORT SERVIC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | ARNP |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1950 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 29439 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 12211533 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 41153 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 6 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 261233 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 261233 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 69507 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 69507 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 101554 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 622878 |
| IRS990/InterestGrp/TotalAmt | 0 | 724432 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 128886 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 175940 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 38773 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 38773 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 4139591 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 3954520 |
| IRS990/IRPDocumentCnt | 0 | 8 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 6569708 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 16406698 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 15067537 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 21637245 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| 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 | TO PROVIDE QUALITY HEALTH CARE TO THE PEOPLE OF SUMNER AND SURROUNDING AREAS, WHILE COORDINATING OTHER NEEDED SERVICES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 17214612 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 17179805 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 10508877 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 9687866 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 41153 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 41153 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | -316 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -185071 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 30741 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 188545 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 219286 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 45869 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 442861 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 488730 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 448816 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 507529 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 91710 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 618338 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 710048 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 2 | PROVISION FOR BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 3 | FOOD |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 894439 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 147727 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 78882 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 59881 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 894439 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 147727 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 78882 |
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Displayed year
2015 • Form 990Detailed filing. Detailed filing data is available for this year.