Liabilities / Assets
81st percentile
Higher debt load relative to assets than 81% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
81st percentile
Higher debt load relative to assets than 81% of similar nonprofits.
Liabilities / Revenue
83rd percentile
Higher debt load relative to revenue than 83% of similar nonprofits.
Net Margin
18th percentile
Higher net margin than 18% of similar nonprofits.
Top Officer Pay
78th percentile
Higher top officer pay than 78% of similar nonprofits.
Top officer pay equals 3.4% of source-year revenue.
Asset Growth
13th percentile
Faster asset growth than 13% of similar nonprofits.
Revenue Growth
43rd percentile
Faster revenue growth than 43% of similar nonprofits.
Assets
Down$27,799,099
Down $1,773,606 (-6.0%) from 2015
Net Assets
Down$8,528,552
Down $1,159,314 (-12%) from 2015
Liabilities
Down$19,270,547
Down $614,292 (-3.1%) from 2015
Revenue
Up$12,301,633
Up $90,100 (+0.7%) from 2015
Expenses
Up$13,348,002
Up $500,529 (+3.9%) from 2015
Net Income
Down-$1,046,369
Down $410,429 (-65%) from 2015
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 | $15,067,537 | $13,708,950 | ▼ $1,358,587 |
| Savings and Temporary Cash Investments | $7,527,265 | $7,943,948 | ▲ $416,683 |
| Investments Other Securities | $3,954,520 | $3,841,575 | ▼ $112,945 |
| Accounts Receivable | $2,175,613 | $1,526,767 | ▼ $648,846 |
| Prepaid Expenses and Deferred Charges | $164,201 | $237,625 | ▲ $73,424 |
| Inventories for Sale or Use | $175,940 | $208,097 | ▲ $32,157 |
| Cash and Non-Interest-Bearing Accounts | $100 | $100 | → $0 |
| Total Assets | $29,572,705 | $27,799,099 | ▼ $1,773,606 |
| Other Assets Total | $507,529 | $332,037 | ▼ $175,492 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $17,179,805 | $16,995,253 | ▼ $184,552 |
| Accounts Payable and Accrued Expenses | $1,279,716 | $1,249,727 | ▼ $29,989 |
| Other Liabilities | $1,425,318 | $1,025,567 | ▼ $399,751 |
| Total Liabilities | $19,884,839 | $19,270,547 | ▼ $614,292 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $5,733,346 | $4,686,977 | ▼ $1,046,369 |
| Permanently Rstr Net Assets | $3,954,520 | $3,841,575 | ▼ $112,945 |
| Total Net Assets Fund Balance | $9,687,866 | $8,528,552 | ▼ $1,159,314 |
| Total Liabilities and Net Assets / Fund Balance | $29,572,705 | $27,799,099 | ▼ $1,773,606 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $10,020,558 | $3,338,372 | $13,358,930 |
| Equipment | $2,038,420 | $4,152,257 | $6,190,677 |
| Other Land Buildings | $1,549,551 | $547,586 | $2,097,137 |
| Land | $100,421 | - | $100,421 |
| Other Securities | $3,841,575 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2016 | $3,954,520 | - | ▼ $112,945 | - | $3,841,575 |
| 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 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Troy Buchholz Md | Physician | FT | $341,475 | $78,406 | $419,881 |
| Jeffrey Roske Do | Physician | FT | $341,722 | $62,716 | $404,438 |
| Dustin Wright | CEO | FT | $133,388 | $13,209 | $146,597 |
| Dawn Everding | CFO | FT | $116,691 | $7,411 | $124,102 |
| Lynne Niemann | Director of Nursing & Pati | FT | $100,680 | $10,756 | $111,436 |
| Kyle Teeling | Director of Support Serv. Thru 05/16 | FT | $33,350 | $5,136 | $38,486 |
| Name | Title |
|---|---|
| Connie Leicher | Board Member - Chair |
| William Schwake | Board Member - Vice Chair |
| Angela Leete | Board Member |
| Brenda Winzenburg | Board Member |
| Diane Pagel | Board Member |
| Donna Tremaine | Board Member |
| Duane Hildebrandt | Board Member |
| Gene Rhea | Board Member |
| Holly Schemmel | Board Member |
| Laverne Buhr | Board Member |
| Mark Seehase | Board Member |
| Luara Necker | Board Member - Sec/treas |
| Debra Toenges | Board Member - Sec/treas Thru 03/16 |
| Dave Voss | Board Member Thru 03/16 |
| Rick Pederson | Board Member Thru 03/16 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Emergency Practice Associates | Er Coverage | PO BOX 1260, Waterloo, IA 50704 | $424,472 |
| Performance Rehab LLC | Rehab Services | 909 W 1ST ST, Sumner, IA 50674 | $423,469 |
| Unitypoint Health | It Support | PO BOX 83381, Chicago, IL 60691 | $339,832 |
| Health Enterprises Of Iowa | Radiology/crna Services | 5825 DRY CREEK LANE NE, Cedar Rapids, IA 52402 | $286,412 |
| Unitypoint Health - Allen Memorial Hospi | Medical Services | PO BOX 83381, Chicago, IL 60691 | $241,287 |
| Line Item | Amount |
|---|---|
| Other Expenses | $7,124,795 |
| Salaries, Compensation, and Employee Benefits | $6,223,207 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,095,534 | $448,063 | - | $4,543,597 |
| Fees for Services Other | $2,049,904 | $91,230 | - | $2,141,134 |
| Depreciation Depletion | $1,393,026 | $227,120 | - | $1,620,146 |
| Other Employee Benefits | $790,813 | $123,171 | - | $913,984 |
| Interest | $612,086 | $99,795 | - | $711,881 |
| Office Expenses | $443,317 | $45,853 | - | $489,170 |
| Current Officers, Directors, Trustees, and Key Employees | - | $420,621 | - | $420,621 |
| Payroll Taxes | $287,279 | $57,726 | - | $345,005 |
| Information Technology | - | $222,914 | - | $222,914 |
| Occupancy | $171,802 | $28,011 | - | $199,813 |
| Fees for Services Accounting | - | $94,076 | - | $94,076 |
| Insurance | $72,119 | - | - | $72,119 |
| Other Expenses | $52,387 | - | - | $52,387 |
| Travel | $42,406 | $7,359 | - | $49,765 |
| Advertising | $42,407 | - | - | $42,407 |
| Fees for Services Management | - | $36,000 | - | $36,000 |
| Fees for Services Legal | - | $20,451 | - | $20,451 |
| All Other Expenses | $10,248 | - | - | $10,248 |
| Total Functional Expenses | $11,425,612 | $1,922,390 | $0 | $13,348,002 |
| 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 | $423,469 |
| Liability | Amount |
|---|---|
| Estimated Third-party Payor Settlement | $641,926 |
| Capital Lease Obligations | $383,641 |
“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. The ceo of unitypoint health is responsible for setting the salary for dustin wright, 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) and lynne niemann, director of nursing. 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.”
“All cmh employees are employees of unitypoint health - waterloo (formerly allen health systems). Unitypoint health - waterloo completes all payroll functions and cmh reimburses unitypoint health - waterloo for all wage and benefit expenses incurred.”
“Outside services: program service expenses 546,919. Management and general expenses 91,230. Fundraising expenses 0. Total expenses 638,149. Emergency room specialist fees: program service expenses 715,015. Management and general expenses 0. Fundraising expenses 0. Total expenses 715,015. Physical therapy fees: program service expenses 433,493. Management and general expenses 0. Fundraising expenses 0. Total expenses 433,493. Anesthesiologist fees: program service expenses 210,442. Management and general expenses 0. Fundraising expenses 0. Total expenses 210,442. Lab fees: program service expenses 144,035. Management and general expenses 0. Fundraising expenses 0. Total expenses 144,035.”
“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 and the farmland is being operated on a cash basis rental agreement.”
“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, 2016 and 2015, 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 | 1279716 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1249727 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2175613 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1526767 |
| 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 | 42407 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 42407 |
| IRS990/AllOtherContributionsAmt | 0 | 96923 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 10248 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 10248 |
| 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 | 8 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 420621 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 420621 |
| 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 | 424472 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 423469 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 339832 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 286412 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 241287 |
| 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 | 122358 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 39817 |
| IRS990/CYOtherExpensesAmt | 0 | 7124795 |
| IRS990/CYOtherRevenueAmt | 0 | 81333 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 12058125 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -1046369 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6223207 |
| IRS990/CYTotalExpensesAmt | 0 | 13348002 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 12301633 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 227120 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1393026 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1620146 |
| 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 | 7784535 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 94076 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 94076 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 20451 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 20451 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 36000 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 36000 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 91230 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2049904 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2141134 |
| 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 | 0.00 |
| 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 | 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 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.80 |
| 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 | 39.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 39.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 38.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | 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/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 | 13209 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 7411 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 10756 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 5136 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 34846 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 29016 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CONNIE LEICHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WILLIAM SCHWAKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LUARA NECKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DEBRA TOENGES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DUANE HILDEBRANDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DONNA TREMAINE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DIANE PAGEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ANGELA LEETE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MARK SEEHASE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | GENE RHEA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BRENDA WINZENBURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LAVERNE BUHR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | HOLLY SCHEMMEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | RICK PEDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DAVE VOSS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DUSTIN WRIGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DAWN EVERDING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | LYNNE NIEMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KYLE TEELING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | TROY BUCHHOLZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JEFFREY ROSKE DO |
| 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 | 133388 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 116691 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 100680 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 33350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 385035 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 375422 |
| 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/TitleTxt | 0 | BOARD MEMBER - CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER - VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER - SEC/TREAS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER - SEC/TREAS THRU 03/16 |
| 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 03/16 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER THRU 03/16 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR OF NURSING & PATI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR OF SUPPORT SERV. THRU 05/16 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1950 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 1418 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 17986 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 1418 |
| IRS990/GrossReceiptsAmt | 0 | 12301633 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 43627 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 222914 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 222914 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 72119 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 72119 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 99795 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 612086 |
| IRS990/InterestGrp/TotalAmt | 0 | 711881 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 175940 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 208097 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 38399 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 38399 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 3954520 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 3841575 |
| IRS990/IRPDocumentCnt | 0 | 9 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 8038215 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 15067537 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 13708950 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 21747165 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| 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 | 17179805 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 16995253 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9687866 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 8528552 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 1418 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1418 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 43627 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 43627 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | -1206 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -112945 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 28011 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 171802 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 199813 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 45853 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 443317 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 489170 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 507529 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 332037 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 123171 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 790813 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 913984 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | PROVISION FOR BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 3 | FOOD |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1033558 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 174059 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 154667 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 52387 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1033558 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 174059 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 154667 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 52387 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1425318 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1025567 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 722320 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | CAFETERIA EMPLOYEES |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | CATERING |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 36180 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 36180 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 1526 |
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Displayed year
2016 • Form 990Detailed filing. Detailed filing data is available for this year.