Liabilities / Assets
81st percentile
Higher debt load relative to assets than 81% of similar nonprofits.
990 • Fiscal year 2019 • EIN 42-0670596
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
80th percentile
Higher debt load relative to revenue than 80% of similar nonprofits.
Net Margin
55th percentile
Higher net margin than 55% of similar nonprofits.
Top Officer Pay
85th percentile
Higher top officer pay than 85% of similar nonprofits.
Top officer pay equals 3.4% of source-year revenue.
Asset Growth
46th percentile
Faster asset growth than 46% of similar nonprofits.
Revenue Growth
69th percentile
Faster revenue growth than 69% of similar nonprofits.
Assets
Up$27,568,543
Up $876,772 (+3.3%) from 2018
Net Assets
Up$8,861,760
Up $869,606 (+11%) from 2018
Liabilities
Up$18,706,783
Up $7,166 (+0.0%) from 2018
Revenue
Up$15,722,502
Up $1,541,745 (+11%) from 2018
Expenses
Up$15,032,766
Up $784,966 (+5.5%) from 2018
Net Income
Up$689,736
Up $756,779 (+1129%) from 2018
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 | $11,608,960 | $10,871,676 | ▼ $737,284 |
| Savings and Temporary Cash Investments | $8,846,323 | $9,666,700 | ▲ $820,377 |
| Investments Other Securities | $3,759,985 | $3,939,855 | ▲ $179,870 |
| Accounts Receivable | $1,624,812 | $2,309,169 | ▲ $684,357 |
| Inventories for Sale or Use | $255,908 | $250,801 | ▼ $5,107 |
| Prepaid Expenses and Deferred Charges | $202,392 | $220,408 | ▲ $18,016 |
| Cash and Non-Interest-Bearing Accounts | $100 | $100 | → $0 |
| Total Assets | $26,691,771 | $27,568,543 | ▲ $876,772 |
| Other Assets Total | $393,291 | $309,834 | ▼ $83,457 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $16,491,656 | $16,223,929 | ▼ $267,727 |
| Accounts Payable and Accrued Expenses | $1,303,920 | $1,575,823 | ▲ $271,903 |
| Other Liabilities | $904,041 | $907,031 | ▲ $2,990 |
| Total Liabilities | $18,699,617 | $18,706,783 | ▲ $7,166 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $4,232,169 | $4,921,905 | ▲ $689,736 |
| Net Assets With Donor Restrictions | $3,759,985 | $3,939,855 | ▲ $179,870 |
| Total Net Assets Fund Balance | $7,992,154 | $8,861,760 | ▲ $869,606 |
| Total Liabilities and Net Assets / Fund Balance | $26,691,771 | $27,568,543 | ▲ $876,772 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $7,938,768 | $5,775,179 | $13,713,947 |
| Equipment | $1,690,604 | $5,417,740 | $7,108,344 |
| Other Land Buildings | $1,141,883 | $967,014 | $2,108,897 |
| Land | $100,421 | - | $100,421 |
| Other Securities | $3,939,855 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2019 | $3,759,985 | - | ▲ $179,870 | - | $3,939,855 |
| 2018 | $3,988,466 | - | ▼ $228,481 | - | $3,759,985 |
| 2017 | $3,841,575 | - | ▲ $146,891 | - | $3,988,466 |
| 2016 | $3,954,520 | - | ▼ $112,945 | - | $3,841,575 |
| 2015 | $4,139,591 | - | ▼ $185,071 | - | $3,954,520 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Troy Buchholz Md | Physician | FT | $492,012 | $34,976 | $526,988 |
| Jeffrey Roske Do | Physician | FT | $375,193 | $29,895 | $405,088 |
| Shanna Elliott | Physician | FT | $311,476 | $32,385 | $343,861 |
| Dawn Everding | President/CFO | FT | $154,067 | $34,997 | $189,064 |
| Ann Reid | PHYSICIAN'S ASSISTANT | FT | $149,281 | $21,398 | $170,679 |
| Lucas Brinkman | Physician | PT | $139,353 | $6,214 | $145,567 |
| Lynne Niemann | Manager of Community and Support Services | FT | $104,781 | $12,535 | $117,316 |
| Michael Tiedt | Director Nursing Services | FT | $102,237 | $13,227 | $115,464 |
| Name | Title |
|---|---|
| Duane Hildebrandt | Chair |
| Paul Bahe | Board Member - Vice Chair |
| Angela Leete | Board Member |
| David Scott | Board Member |
| Donna Mohlis | Board Member |
| Donna Tremaine | Board Member |
| Gene Rhea | Board Member |
| Kelly Henderson | Board Member |
| Mark Seehase | Board Member |
| Mike Meyer | Board Member |
| Rick Pederson | Board Member |
| Brenda Winzenburg | Board Member - Secretary/treasurer |
| Laverne Buhr | Board Member Thru 03/2019 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Performance Rehab LLC | Rehab Services | 909 W 1ST ST, Sumner, IA 50674 | $569,605 |
| Unitypoint Health - Allen Memorial Hospi | Medical Services | PO BOX 83381, Chicago, IL 60691 | $339,309 |
| Health Enterprises Of Iowa | Radiology/crna Services | 5825 DRY CREEK LANE NE, Cedar Rapids, IA 52402 | $336,146 |
| Graham Construction | General Contractor | 421 GRAND AVE, Des Moines, IA 50309 | $299,158 |
| Unitypoint Health | It Support | PO BOX 83381, Chicago, IL 60691 | $287,576 |
| Line Item | Amount |
|---|---|
| Other Expenses | $8,375,197 |
| Salaries, Compensation, and Employee Benefits | $6,657,569 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,608,372 | $111,345 | - | $4,719,717 |
| Fees for Services Other | $3,332,409 | $163,730 | - | $3,496,139 |
| Depreciation Depletion | $1,386,698 | $12,664 | - | $1,399,362 |
| Other Employee Benefits | $1,063,978 | $58,719 | - | $1,122,697 |
| Interest | $656,693 | $5,997 | - | $662,690 |
| Office Expenses | $413,283 | $72,869 | - | $486,152 |
| Current Officers, Directors, Trustees, and Key Employees | - | $421,844 | - | $421,844 |
| Payroll Taxes | $355,796 | $37,515 | - | $393,311 |
| Occupancy | $220,685 | $2,015 | - | $222,700 |
| Insurance | $77,156 | $705 | - | $77,861 |
| Other Expenses | $53,423 | $19,547 | - | $53,423 |
| Travel | $36,413 | $11,813 | - | $48,226 |
| Fees for Services Accounting | - | $40,961 | - | $40,961 |
| Fees for Services Management | - | $36,000 | - | $36,000 |
| Advertising | $1,233 | $25,726 | - | $26,959 |
| Fees for Services Legal | - | $17,300 | - | $17,300 |
| All Other Expenses | $738 | $9,434 | - | $10,172 |
| Information Technology | $1,800 | $179 | - | $1,979 |
| Total Functional Expenses | $13,984,091 | $1,048,675 | $0 | $15,032,766 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Estimated Third-party Payor Settlement | $830,000 |
| Capital Lease Obligations | $77,031 |
“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 "informational/action and requires the proper approval from the board prior to being submitted to the 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, formally known as allen health system. The ceo of unitypoint health is responsible for setting the salary for the president/chief financial officer of cmh. The ceo of allen health systems uses salary survey information from the iowa hospital association to determine a reasonable range for the president/cfo's compensation. The cmh president/cfo is responsible for setting the salaries of mike tiedt, director of nursing services, and lynne niemann, manager of community and support services. Comparability data is also used in setting the officers and key employees' compensation.”
“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 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 1,175,405. Management and general expenses 163,730. Fundraising expenses 0. Total expenses 1,339,135. Emergency room specialist fees: program service expenses 992,690. Management and general expenses 0. Fundraising expenses 0. Total expenses 992,690. Physical therapy fees: program service expenses 498,999. Management and general expenses 0. Fundraising expenses 0. Total expenses 498,999. Anesthesiologist fees: program service expenses 258,777. Management and general expenses 0. Fundraising expenses 0. Total expenses 258,777. Lab fees: program service expenses 206,538. Management and general expenses 0. Fundraising expenses 0. Total expenses 206,538. Amh operating agreement expense: program service expenses 200,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 200,000.”
“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. 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, 2019 and 2018, 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 | 1303920 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1575823 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1624812 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2309169 |
| 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/ManagementAndGeneralAmt | 0 | 25726 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1233 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 26959 |
| IRS990/AllOtherContributionsAmt | 0 | 12027 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 9434 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 738 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 10172 |
| 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/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 100 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 100 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 7 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 421844 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 421844 |
| 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 | 569605 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 339309 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 336146 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 299158 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 287576 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 909 W 1ST ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 83381 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 5825 DRY CREEK LANE NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 421 GRAND AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 83381 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SUMNER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CEDAR RAPIDS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | DES MOINES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 50674 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 60691 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 52402 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 50309 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 60691 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | PERFORMANCE REHAB LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | UNITYPOINT HEALTH - ALLEN MEMORIAL HOSPI |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | HEALTH ENTERPRISES OF IOWA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | GRAHAM CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | UNITYPOINT HEALTH |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | REHAB SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | RADIOLOGY/CRNA SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | GENERAL CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | IT SUPPORT |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 118936 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 103886 |
| IRS990/CYOtherExpensesAmt | 0 | 8375197 |
| IRS990/CYOtherRevenueAmt | 0 | 96778 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 15402902 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 689736 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6657569 |
| IRS990/CYTotalExpensesAmt | 0 | 15032766 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 15722502 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 12664 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1386698 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1399362 |
| 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 AREA 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/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 3759985 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 3939855 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 9695593 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 40961 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 40961 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 17300 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 17300 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 36000 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 36000 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 163730 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 3332409 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3496139 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| 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 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.80 |
| 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 | 0.80 |
| 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/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 38.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 16.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 38.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| 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 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.80 |
| 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/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/OtherCompensationAmt | 0 | 34976 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 29895 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 32385 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 20730 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 21398 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 6214 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 12535 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 13227 |
| 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 | 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/PersonNm | 0 | TROY BUCHHOLZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JEFFREY ROSKE DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | SHANNA ELLIOTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DAWN EVERDING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ANN REID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LUCAS BRINKMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | LYNNE NIEMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MICHAEL TIEDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DUANE HILDEBRANDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | PAUL BAHE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BRENDA WINZENBURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LAVERNE BUHR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KELLY HENDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ANGELA LEETE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MIKE MEYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DONNA MOHLIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | RICK PEDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | GENE RHEA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | DAVID SCOTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MARK SEEHASE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | DONNA TREMAINE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 492012 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 375193 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 311476 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 168334 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 149281 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 139353 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 104781 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 102237 |
| 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 | 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/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 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PRESIDENT/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN'S ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | MANAGER OF COMMUNITY AND SUPPORT SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR NURSING SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER - VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER - SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER THRU 03/2019 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | BOARD MEMBER |
| 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 | 3319 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 4970 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 3319 |
| IRS990/GrossReceiptsAmt | 0 | 15722502 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 52606 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 179 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1800 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1979 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 705 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 77156 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 77861 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 5997 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 656693 |
| IRS990/InterestGrp/TotalAmt | 0 | 662690 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 255908 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 250801 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 100567 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 100567 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 3759985 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 3939855 |
| IRS990/IRPDocumentCnt | 0 | 8 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 12159933 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 11608960 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 10871676 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 23031609 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| 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 HEALTHCARE 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 | 16491656 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 16223929 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 7992154 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 8861760 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 3319 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 3319 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 52606 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 52606 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | -2331 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 179870 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 4232169 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 4921905 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 2015 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 220685 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 222700 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 72869 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 413283 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 486152 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 393291 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 309834 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 58719 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1063978 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1122697 |
| 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/ManagementAndGeneralAmt | 0 | 312 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 19547 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1423249 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 227609 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 124556 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 53423 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1423561 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 227609 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 144103 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 53423 |
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Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.