Liabilities / Assets
59th percentile
Higher debt load relative to assets than 59% of similar nonprofits.
EIN 42-0680299 • 501(c)3 • Decorah, IA
Profile
Providing a continuum of care in a christian environment which nurtures the body, mind and soul, leading to healing and hope for all we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
59th percentile
Higher debt load relative to assets than 59% of similar nonprofits.
Liabilities / Revenue
63rd percentile
Higher debt load relative to revenue than 63% of similar nonprofits.
Net Margin
25th percentile
Higher net margin than 25% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
96th percentile
Faster asset growth than 96% of similar nonprofits.
Revenue Growth
47th percentile
Faster revenue growth than 47% of similar nonprofits.
Assets
Up$12,474,500
Up $6,038,642 (+94%) from 2023
Liabilities
Up$3,214,773
Up $1,467,989 (+84%) from 2023
Net Assets
Up$9,259,727
Up $4,570,653 (+97%) from 2023
Revenue
Up$8,292,689
Up $435,999 (+5.5%) from 2023
Expenses
Up$8,665,849
Up $1,202,643 (+16%) from 2023
Net Income
Down-$373,160
Down $766,644 (-195%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Providing a continuum of care in a christian environment which nurtures the body, mind and soul, leading to healing and hope for all we serve.
Providing a continuum of care in a christian environment which nurtures the body, mind and soul leading to healing and hope for all we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $1,886,602 | $1,759,706 | ▼ $126,896 |
| Accounts Receivable | $984,635 | $1,327,188 | ▲ $342,553 |
| Cash and Non-Interest-Bearing Accounts | $1,324,763 | $254,414 | ▼ $1,070,349 |
| Prepaid Expenses and Deferred Charges | $59,540 | $184,126 | ▲ $124,586 |
| Inventories for Sale or Use | $23,683 | - | - |
| Total Assets | $6,435,858 | $12,474,500 | ▲ $6,038,642 |
| Other Assets Total | $2,156,635 | $8,949,066 | ▲ $6,792,431 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $1,044,857 | $2,286,877 | ▲ $1,242,020 |
| Mortgage Notes Payable Secured by Investment Property | $701,927 | $872,846 | ▲ $170,919 |
| Other Liabilities | - | $55,050 | - |
| Total Liabilities | $1,746,784 | $3,214,773 | ▲ $1,467,989 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $4,129,161 | $8,263,411 | ▲ $4,134,250 |
| Net Assets With Donor Restrictions | $559,913 | $996,316 | ▲ $436,403 |
| Total Net Assets Fund Balance | $4,689,074 | $9,259,727 | ▲ $4,570,653 |
| Total Liabilities and Net Assets / Fund Balance | $6,435,858 | $12,474,500 | ▲ $6,038,642 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $1,271,815 | $6,386,441 | $7,658,256 |
| Land | $487,891 | - | $487,891 |
| Other Assets Org | $4,106 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $79,377 | - | ▲ $4,484 | - | $83,860 |
| 2023 | $73,624 | - | ▲ $5,753 | - | $79,377 |
| 2022 | $85,019 | - | ▼ $11,395 | - | $73,624 |
| 2021 | $96,947 | - | ▼ $11,928 | - | $85,019 |
| 2020 | $96,604 | - | ▲ $3,433 | - | $96,947 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Jennifer Mtisi | Executive Di | FT | $261,102 | $26,485 | $287,587 |
| Sam Boeke | Executive Director | - | $241,102 | $46,485 | $287,587 |
| Patricia Casterton | Director of | FT | $145,457 | - | $145,457 |
| - | Nurse Superv | FT | $128,541 | $4,499 | $133,040 |
| - | VP Business | FT | $105,912 | $3,689 | $109,601 |
| Name | Title |
|---|---|
| Wanda Askelson | President |
| David Robinson | Director |
| Rev Roger Buhr | Director |
| Rex Nelson | Director |
| Sam Boeke | Director |
| Tyler Wright | Director |
| Brian Huinker | Secretary |
| Rebecca Hanna | Treasurer |
| James Ulring | Vice Preside |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Brickl Bros | General Contrac | 400 BRICKL RD, STE 270, West Salem, WI 54669 | $2,945,845 |
| Medical Solutions | Staffing | 9210 WYOMING AVE N, STE 200, Brooklyn Park, MN 55445 | $875,028 |
| United Capital Funding Corp | Contract Labor | 146 2ND ST N, Tampa, FL 33631 | $822,056 |
| Align Architecture & Planning | Architecture Se | 327 E 4TH ST - STE 204, Waterloo, IA 50703 | $281,208 |
| Line Item | Amount |
|---|---|
| Other Expenses | $4,798,553 |
| Salaries, Compensation, and Employee Benefits | $3,867,296 |
| Total Fundraising Expense | $360 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,804,572 | $165,904 | - | $2,970,476 |
| Fees for Services Other | $2,592,707 | $375,620 | $360 | $2,968,687 |
| Current Officers, Directors, Trustees, and Key Employees | - | $373,979 | - | $373,979 |
| Occupancy | $296,589 | $33,385 | - | $329,974 |
| Other Employee Benefits | $228,349 | $43,303 | - | $271,652 |
| Payroll Taxes | $218,851 | $32,338 | - | $251,189 |
| Insurance | $158,121 | $75,194 | - | $233,315 |
| Depreciation Depletion | $161,179 | - | - | $161,179 |
| Advertising | - | $27,236 | - | $27,236 |
| Other Expenses | $3,631 | $11,402 | - | $3,631 |
| Interest | $236 | - | - | $236 |
| Total Functional Expenses | $7,224,939 | $1,440,550 | $360 | $8,665,849 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Board Member | It Services | No | $31,296 |
| Liability | Amount |
|---|---|
| Lease Liabilities | $55,050 |
“The board members have ultimate fiduciary responsibility for approving financial documents submitted on behalf of the organization.the board will complete a thorough review of the organization's form 990 prior to submission to the irs.”
“The conflict of interest policy applies to board members, officers, and executives. Each covered person must acknowledge the existence of the policy and report any potential conflicts.if a covered person or any interested party becomes aware of a potential or perceived conflict of interest, it must be disclosed to the executive director or board of directors immediately.the covered person will refrain from using personal influence to encourage the organization for his/her benefit.decisions on such conflicts will be documented in the board minutes.”
“The organization makes its governing documents, conflict of interest policy and financial statements available upon request at the business office located in decorah, iowa.”
“Professional services 4,660 277,485 0 contracted services 2,588,047 98,135 360 total 2,592,707 375,620 360”
“Transfer of assets 4,950,879 farmland rent -11,550 total 4,939,329”
“The organization has adopted the accounting standard regarding "accounting for uncertain tax positions." this standard provides detailed guidance for financial statement recognition, measurement, and disclosure of uncertain tax positions recognized in the entity's financial statements. It requires an entity to recognize the financial statemetn benefit of a tax position when it is more likely than not that the position will be sustained upon examination. The adoption of this standard had no material effect on the organization's financial position, results of operations, or cash flow.”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1044857 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2286877 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 984635 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1327188 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDING A CONTINUUM OF CARE IN A CHRISTIAN ENVIRONMENT WHICH NURTURES THE BODY, MIND AND SOUL LEADING TO HEALING AND HOPE FOR ALL WE SERVE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 27236 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 27236 |
| IRS990/AllOtherContributionsAmt | 0 | 455202 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | SAM BOEKE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5633823603 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4 OHIO STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | DECORAH |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 52101 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | true |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1324763 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 254414 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 4 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 373979 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 373979 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2945845 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 875028 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 822056 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 281208 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 400 BRICKL RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 9210 WYOMING AVE N |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 146 2ND ST N |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 327 E 4TH ST - STE 204 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 0 | STE 270 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 1 | STE 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | WEST SALEM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BROOKLYN PARK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | TAMPA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | WATERLOO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 54669 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 55445 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 33631 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 50703 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | BRICKL BROS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MEDICAL SOLUTIONS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | UNITED CAPITAL FUNDING CORP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | ALIGN ARCHITECTURE & PLANNING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | GENERAL CONTRAC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONTRACT LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ARCHITECTURE SE |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 497625 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 55557 |
| IRS990/CYOtherExpensesAmt | 0 | 4798553 |
| IRS990/CYOtherRevenueAmt | 0 | 1026 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 7738481 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -373160 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 3867296 |
| IRS990/CYTotalExpensesAmt | 0 | 8665849 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 360 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 8292689 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 161179 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 161179 |
| IRS990/Desc | 0 | OPERATED A CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDED CARE TO NURSING HOME RESIDENTS AND RESIDENTS IN ASSISTED LIVING UNITS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 559913 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 996316 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 160 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 7224939 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 360 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 375620 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2592707 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2968687 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 0 | STEVE LANGLAND |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 1 | JOHN DAMBEK |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine2Txt | 0 | STEVE LANGLAND |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine2Txt | 1 | JOHN DAMBEK |
| 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/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 | 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 | 26485 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 4499 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 3689 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | WANDA ASKELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JAMES ULRING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BRIAN HUINKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | REBECCA HANNA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | REV ROGER BUHR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DAVID ROBINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | TYLER WRIGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | SAM BOEKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | REX NELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JENNIFER MTISI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | PATRICIA CASTERTON |
| 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 | 261102 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 145457 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 128541 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 105912 |
| 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/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE PRESIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | EXECUTIVE DI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR OF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | NURSE SUPERV |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | VP BUSINESS |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1960 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 8303213 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 11550 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 4 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 75194 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 158121 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 233315 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 236 |
| IRS990/InterestGrp/TotalAmt | 0 | 236 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 23683 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 55557 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 55557 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 27 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 6386441 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1886602 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1759706 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 8146147 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 10524 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | PROVIDING A CONTINUUM OF CARE IN A CHRISTIAN ENVIRONMENT WHICH NURTURES THE BODY, MIND AND SOUL, LEADING TO HEALING AND HOPE FOR ALL WE SERVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 701927 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 872846 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 4689074 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 9259727 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 1026 |
| IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | 1026 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 4484 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 4129161 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 8263411 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 33385 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 296589 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 329974 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2156635 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 8949066 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 4939329 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 43303 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 228349 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 271652 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | MISCELLANEOUS |
| IRS990/OtherExpensesGrp/Desc | 2 | OTHER EMPLOYEE RELATED |
| IRS990/OtherExpensesGrp/Desc | 3 | LEASE AMORTIZATION |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 14884 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 287305 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 11402 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 573625 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 96062 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 91017 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 3631 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 588509 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 383367 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 102419 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 3631 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 55050 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 165904 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 2804572 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 2970476 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 32338 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 218851 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 251189 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 59540 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 184126 |
| IRS990/PrincipalOfficerNm | 0 | SAM BOEKE |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | ROUTINE CARE SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 7738481 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 7738481 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 336856 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 47526 |
| IRS990/PYOtherExpensesAmt | 0 | 4100932 |
| IRS990/PYOtherRevenueAmt | 0 | -4847 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 7477155 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 393484 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 3348522 |
| IRS990/PYTotalExpensesAmt | 0 | 7463206 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 13752 |
| IRS990/PYTotalRevenueAmt | 0 | 7856690 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -373160 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RelatedOrganizationsAmt | 0 | 42423 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 1026 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 7738481 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 497625 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 336856 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 472180 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1000074 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1479564 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 3786299 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 55557 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 47526 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 24682 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 9897 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 137662 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 7738481 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 7477155 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 6107850 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 6468051 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 6197304 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 33988841 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 55557 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 47526 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 24682 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 9897 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 137662 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00000 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearAmt | 0 | 26 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 26 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99640 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99770 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 37775140 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 8236106 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 7814011 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 6580030 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 7468125 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 7676868 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 37775140 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 8291689 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 7861537 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 6604712 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 7478022 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 7676868 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 37912828 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 1271815 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 6386441 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 7658256 |
| IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 79377 |
| IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt | 0 | 83860 |
| IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 4484 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 73624 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 79377 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 5753 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 85019 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 73624 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | -11395 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 96947 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 85019 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | -11928 |
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