Liabilities / Assets
40th percentile
Higher debt load relative to assets than 40% of similar nonprofits.
990 • Fiscal year 2018 • EIN 42-0680407
Refreshing map…
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
40th percentile
Higher debt load relative to assets than 40% of similar nonprofits.
Liabilities / Revenue
44th percentile
Higher debt load relative to revenue than 44% of similar nonprofits.
Net Margin
37th percentile
Higher net margin than 37% of similar nonprofits.
Top Officer Pay
93rd percentile
Higher top officer pay than 93% of similar nonprofits.
Top officer pay equals 1.6% of source-year revenue.
Asset Growth
17th percentile
Faster asset growth than 17% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
Assets
Down$335,515,407
Down $12,585,802 (-3.6%) from 2017
Net Assets
Down$252,695,597
Down $10,338,248 (-3.9%) from 2017
Liabilities
Down$82,819,810
Down $2,247,554 (-2.6%) from 2017
Revenue
Down$182,068,842
Down $7,055,287 (-3.7%) from 2017
Expenses
Down$177,838,527
Down $2,767,917 (-1.5%) from 2017
Net Income
Down$4,230,315
Down $4,287,370 (-50%) from 2017
Southeast iowa regional medical center empowers our people to provide compassionate, high quality care, while being good stewards of our resources.
Improving the region's health by providing high-quality health care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Other Securities | $166,832,824 | $159,893,049 | ▼ $6,939,775 |
| Land, Buildings, and Equipment, Net | $142,247,383 | $133,357,529 | ▼ $8,889,854 |
| Accounts Receivable | $18,891,126 | $17,846,367 | ▼ $1,044,759 |
| Savings and Temporary Cash Investments | $9,642,955 | $14,094,096 | ▲ $4,451,141 |
| Prepaid Expenses and Deferred Charges | $3,761,557 | $4,431,664 | ▲ $670,107 |
| Inventories for Sale or Use | $3,576,152 | $3,828,663 | ▲ $252,511 |
| Investments Program Related | $1,383,200 | $1,350,532 | ▼ $32,668 |
| Other Notes and Loans Receivable, Net | $589,305 | $450,239 | ▼ $139,066 |
| Cash and Non-Interest-Bearing Accounts | - | $1 | - |
| Total Assets | $348,101,209 | $335,515,407 | ▼ $12,585,802 |
| Other Assets Total | $1,176,707 | $263,267 | ▼ $913,440 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $64,663,371 | $58,987,531 | ▼ $5,675,840 |
| Other Liabilities | $11,858,550 | $13,657,636 | ▲ $1,799,086 |
| Accounts Payable and Accrued Expenses | $8,545,443 | $10,174,643 | ▲ $1,629,200 |
| Total Liabilities | $85,067,364 | $82,819,810 | ▼ $2,247,554 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $260,461,864 | $250,784,426 | ▼ $9,677,438 |
| Permanently Rstr Net Assets | $1,361,402 | $1,330,462 | ▼ $30,940 |
| Temporarily Rstr Net Assets | $1,210,579 | $580,709 | ▼ $629,870 |
| Total Net Assets Fund Balance | $263,033,845 | $252,695,597 | ▼ $10,338,248 |
| Total Liabilities and Net Assets / Fund Balance | $348,101,209 | $335,515,407 | ▼ $12,585,802 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $40,778,079 | $130,859,791 | $171,637,870 |
| Buildings | $81,314,155 | $45,282,738 | $126,596,893 |
| Leasehold Improvements | $4,124,345 | $7,847,985 | $11,972,330 |
| Land | $4,946,488 | - | $4,946,488 |
| Other Land Buildings | $2,194,462 | - | $2,194,462 |
| Other Securities | $2,796,948 | - | - |
| Closely Held Equity Interests | $157,096,101 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Madhusudhana Vegunta | Senior Erp Technical & Fun | FT | $233,247 | $22,676 | $255,923 |
| Darwin Cooley | Director of Pharmacy | FT | $181,467 | $30,420 | $211,887 |
| Gary Davis | Director of Information Sy | FT | $182,056 | $26,347 | $208,403 |
| Elizabeth Yore | Director of Cardiovascular Services | FT | $151,531 | $25,192 | $176,723 |
| John Mercer Iii | Director of Facilities | FT | $145,421 | $25,686 | $171,107 |
| Name | Title |
|---|---|
| Dan Wiedemeier | Chairman |
| Matt Wenzel | President/CEO |
| Mark Richardsoon | President/CEO (through Dec 2017) |
| Doug Martin | Vice Chairman |
| Tony Hayes | Executive Vice President |
| Bill Malcom | Trustee |
| Jason Hutcheson | Trustee |
| Kent Gaudian | Trustee |
| Kent Severson | Trustee |
| Lorrin Deblieck | Trustee |
| Mark Cleveland | Trustee |
| Patrick Williams Md | Trustee |
| Robert Engberg | Trustee |
| Robert Fleming | Trustee |
| Terri Dowell | Trustee |
| Todd Sladky | CFO |
| Robert Mcculley | Secretary / Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Mutual Consulting & Management Services | Executive Management | 1221 S GEAR AVE, West Burlington, IA 52655 | $4,101,576 |
| Carl A Nelson Co | Construction Services | 1815 DES MOINES AVENUE, Burlington, IA 52601 | $1,684,031 |
| Great River Physicians & Clinics INC | Physicians | 1221 S GEAR AVE, West Burlington, IA 52655 | $671,491 |
| Workday INC | Software Consultants | 6230 STONERIDGE MALL ROAD, Pleasanton, CA 94588 | $633,624 |
| University Of Iowa | Provider Services | 200 HAWKINS DRIVE, Iowa City, IA 52242 | $380,891 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $93,954,236 |
| Other Expenses | $83,531,204 |
| Grants and Similar Amounts Paid | $353,087 |
| Total Fundraising Expense | $63,490 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $69,562,785 | $295,768 | $48,295 | $69,906,848 |
| Fees for Services Other | $17,963,050 | $166,117 | $5,897 | $18,135,064 |
| Depreciation Depletion | $15,270,881 | $154,366 | - | $15,425,247 |
| Other Employee Benefits | $10,375,895 | $34,131 | $1,765 | $10,411,791 |
| Current Officers, Directors, Trustees, and Key Employees | - | $5,473,384 | - | $5,473,384 |
| Payroll Taxes | $5,066,986 | $18,188 | $3,476 | $5,088,650 |
| Pension Plan Contributions | $3,056,982 | $14,186 | $2,395 | $3,073,563 |
| All Other Expenses | $2,070,698 | $334,495 | $1,071 | $2,406,264 |
| Other Expenses | $2,230,594 | $1,337 | - | $2,230,594 |
| Insurance | $695,139 | $1,462,928 | - | $2,158,067 |
| Interest | $1,922,579 | - | - | $1,922,579 |
| Occupancy | $1,874,146 | $3,097 | - | $1,877,243 |
| Office Expenses | $1,237,679 | $10,526 | $503 | $1,248,708 |
| Grants to Domestic Orgs | $353,087 | - | - | $353,087 |
| Fees for Services Management | $480,076 | $-178,067 | - | $302,009 |
| Travel | $270,869 | $8,536 | $88 | $279,493 |
| Fees for Services Accounting | $86,185 | - | - | $86,185 |
| Fees for Services Legal | $-252,287 | $326,814 | - | $74,527 |
| Fees for Services Lobbying | - | $26,541 | - | $26,541 |
| Total Functional Expenses | $169,622,690 | $8,152,347 | $63,490 | $177,838,527 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Southeast Iowa Swim Club | Burlington, IA | 501(c)(3) | Support Community Swimming Facility | $50,000 |
| Mediapolis Youth League Inc | Mediapolis, IA | 501(c)(3) | Support Community Baseball Facilities | $25,000 |
| Community Action of Southeast Iowa | Burlington, IA | 501(c)(3) | Support Youth Programming and Activiites | $20,000 |
| Holy Trinity Catholic Schools | West Point, IA | 501(c)(3) | Support the Elementary Project | $20,000 |
| Burlington Area Community Ymcaywca | Burlington, IA | 501(c)(3) | Support Youth Programming and Activities | $10,000 |
| Iowa Healthiest State Initiative | Chariton, IA | 501(c)(3) | Support State Health Initiatives | $10,000 |
| Purple and Gray Foundation | Burlington, IA | 501(c)(3) | Support Development of High School Sports Programs | $5,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Pto Reserve | $8,363,351 |
| Third Party Payable | $3,167,346 |
| Pledges Liability | $1,254,063 |
| Deferred Compensation Liability | $872,876 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Des Moines County Iowa | 2012-04-04 | $60,000,000 | Refund prior issue (7/25/01) & construct, renovate, expand & equip facility |
| A | Iowa Finance Authority | 2017-05-31 | $25,545,000 | Refund of prior issue (7/24/08) |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $60,000,000 | $29,307,242 | $24,385,965 | $616,000 |
| A | $25,545,000 | $25,260,043 | $2,290,000 | $284,957 |
“The executive committee shall be composed of the chairman of the board, the president and chief executive officer, and two or more additional trustees. When the board is not in session, the executive committee shall have and exercise the power and authority of the board to transact all regular business of the corporation, subject to any prior limitations imposed by the board or by statute.”
“Kent gaudian, douglas martin, and robert mcculley have a business relationship by serving on the board of directors for two rivers financial group. Robert fleming, kent gaudian, dan weidemeier, mark richardson, tony hayes, and todd sladky have business relationships by serving on for-profit related entities of grmc. Robert fleming, trustee of the board, and kerry fleming, highest compensated employee, have a family relationship.”
“All executive leadership functions for great river medical center are provided by mutual consulting and management services, inc. Mutual consulting and management services is a subsidiary of riverview systems ltd, which is a subsidiary of great river health systems.”
“Great river health systems inc., is the sole member of great river medical center.”
“One trustee is the president and chief executive officer of great river medical center and the remaining trustees are elected by the sole member.”
“The following matters are authorized only after approval of the member: a. Merger, consolidation, or dissolution of great river medical center with any other corporation or legal entity. B. Any change in great river medical center's articles of incorporation.”
“The form 990 is prepared by an external accountant. A draft of the form 990 is reviewed in detail by the accountant, director of finance and cfo. Any necessary adjustments are made prior to finalizing the form. A copy of the final form 990 is made available to the board of trustees for their review prior to filing with the irs. Any questions of the board of trustees are addressed through the accounting department.”
“Every year, the director of finance in the accounting department provides to the board the meaning of the conflict of interest statement, how it applies, how it impacts the board, and what their responsibilities are. All trustees of the board are required to fill out a conflict of interest form and the form is then reviewed by the director of finance. Relationships noted on the form may be discussed with the trustee if there are questions. If an individual has a conflict of interest, they may not participate in discussions of the transaction and may not vote on matters related to the transaction.”
“Compensation of the officers of great river medical center is paid by a related for-profit subsidiary. The compensation for the ceo and other officers is determined by the executive compensation committee of great river health systems. The role of the compensation committee is to act on behalf of the board in adopting, reviewing and maintaining an executive compensation philosophy. The compensation committee is comprised of five board members, all of whom are independent from the ceo and other officers. The compensation committee reviews the compensation of the ceo and other officers on a biennial basis. The deliberations and decisions are documented in minutes taken at the meetings. Great river health sytems participates and utilizes four executive salary surveys to determine compensation ranges. The committee reviews prevailing market data to ensure continued market competitiveness. The compensation committee also engages an independent third party compensation consulting group to assess and validate the entirety of the executive compensation and benefits packages to ensure regulatory compliance, external competitiveness, and internal equity. The most recent year of an independent third party review was 2017.”
“Great river medical center makes its governing documents, conflict of interest policy, and financial statements available upon request.”
“Contracted services: program service expenses 17,963,050. Management and general expenses 166,117. Fundraising expenses 5,897. Total expenses 18,135,064.”
“Change in beneficial interest in trust -700,219. Transfer from related party -13,868,344.”
“The organization is exempt from income taxes under section 501(c)(3) of the internal revenue code. However, the organization is subject to federal income tax on any unrelated business taxable income. Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the combined financial statements.”
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 | 8545443 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 10174643 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 18891126 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 17846367 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | IMPROVING THE REGION'S HEALTH BY PROVIDING HIGH-QUALITY HEALTH CARE. |
| IRS990/AllOtherContributionsAmt | 0 | 1200874 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 1071 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 334495 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 2070698 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 2406264 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | NANCY WHITAKER-KROPP |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3197681000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1221 SOUTH GEAR AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WEST BURLINGTON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 52655 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 15 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 5473384 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 5473384 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 4101576 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1684031 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 671491 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 633624 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 380891 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1221 S GEAR AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1815 DES MOINES AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1221 S GEAR AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 6230 STONERIDGE MALL ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 200 HAWKINS DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | WEST BURLINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BURLINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | WEST BURLINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | PLEASANTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | IOWA CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 52655 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 52601 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 52655 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 94588 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 52242 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MUTUAL CONSULTING & MANAGEMENT SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | CARL A NELSON CO |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | GREAT RIVER PHYSICIANS & CLINICS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | WORKDAY INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | UNIVERSITY OF IOWA |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | EXECUTIVE MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSTRUCTION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | SOFTWARE CONSULTANTS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PROVIDER SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1200874 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 353087 |
| IRS990/CYInvestmentIncomeAmt | 0 | 947553 |
| IRS990/CYOtherExpensesAmt | 0 | 83531204 |
| IRS990/CYOtherRevenueAmt | 0 | -588672 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 180509087 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 4230315 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 93954236 |
| IRS990/CYTotalExpensesAmt | 0 | 177838527 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 63490 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 182068842 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 154366 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 15270881 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 15425247 |
| IRS990/Desc | 0 | GREAT RIVER MEDICAL CENTER (GRMC), LOCATED IN WEST BURLINGTON, IOWA, IS A 378-BED REGIONAL MEDICAL CENTER OFFERING ACUTE AND INTERMEDIATE CARE TO RESIDENTS OF SOUTHEAST IOWA, WEST CENTRAL ILLINOIS AND NORTHEAST MISSOURI. THE HOSPITAL OFFERS COMPREHENSIVE MEDICAL, EXTENSIVE SURGICAL, AND EMERGENCY CARE SERVICES. DURING FISCAL YEAR ENDING 6/30/18, GRMC HAD 7,182 PATIENT ADMISSIONS AND 82,633 PATIENT DAYS OF MEDICAL CARE. GRMC ALSO HAD 299,440 OUTPATIENT VISITS, 34,056 EMERGENCY ROOM VISITS AND 38,570 HOME HEALTH-CARE VISITS. GRMC PROVIDES MEDICAL SERVICES REGARDLESS OF ABILITY TO PAY AND ACCEPTS MEDICARE AND MEDICAID.THE HOSPITAL'S 160-BED KLEIN CENTER OFFERS LONG-TERM AND SKILLED CARE ON THE HOSPITAL'S CAMPUS. THE CANCER CENTER, WHICH PROVIDES MEDICAL AND RADIATION THERAPY SERVICES FOR THE TREATMENT OF VARIOUS FORMS OF CANCER AND BLOOD DISEASES, OFFERS THE LATEST THREE-DIMENSIONAL TREATMENT-PLANNING COMPUTER TECHNOLOGY AVAILABLE IN ONLY A FEW HEALTH-CARE CENTERS IN THE STATE. THE WELLNESS PLAZA IS HOME TO ONE OF THE STATE'S PREMIER REHABILITATION AND FITNESS PROGRAMS. MORE THAN 120 PHYSICIANS AND 2,000 EMPLOYEES SHARE GRMC'S COMMITMENT TO EXCELLENCE IN PATIENT CARE AND COMMUNITY SERVICE. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 1975 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 169622690 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 86185 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 86185 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 326814 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | -252287 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 74527 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 26541 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 26541 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | -178067 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 480076 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 302009 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 5897 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 166117 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 17963050 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 18135064 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 3.00 |
| 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 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/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/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 | 36070 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 35865 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 36693 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 32636 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 36438 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 37472 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 25805 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 33742 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DAN WIEDEMEIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DOUG MARTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ROBERT MCCULLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MARK CLEVELAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LORRIN DEBLIECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | TERRI DOWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ROBERT ENGBERG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ROBERT FLEMING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KENT GAUDIAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JASON HUTCHESON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BILL MALCOM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | KENT SEVERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | PATRICK WILLIAMS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MARK RICHARDSOON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MATT WENZEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TONY HAYES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | TODD SLADKY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | MADHUSUDHANA VEGUNTA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | DARWIN COOLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | GARY DAVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JOHN MERCER III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ELIZABETH YORE |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 223287 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 175449 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 170931 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 145302 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 142981 |
| 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 | 2925103 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 365434 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 1220062 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 1219592 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY / TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PRESIDENT/CEO (THROUGH DEC 2017) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | EXECUTIVE VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | SENIOR ERP TECHNICAL & FUN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR OF PHARMACY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIRECTOR OF INFORMATION SY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DIRECTOR OF FACILITIES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | DIRECTOR OF CARDIOVASCULAR SERVICES |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1895 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -137559 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GrantAmt | 0 | 353087 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 353087 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 353087 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 20811 |
| IRS990/GrossReceiptsAmt | 0 | 183367005 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 329716 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 45 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1462928 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 695139 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2158067 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 1922579 |
| IRS990/InterestGrp/TotalAmt | 0 | 1922579 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 3576152 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 3828663 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1085112 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1085112 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 166832824 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 159893049 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1383200 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 1350532 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 76 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 183990514 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 142247383 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 133357529 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 317348043 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 158370 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 1139793 |
| 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 | GREAT RIVER MEDICAL CENTER IS DEDICATED TO IMPROVING THE REGION'S HEALTH BY PROVIDING HIGH-QUALITY CARE, WORLD-CLASS CUSTOMER SERVICE, AND UNCOMPROMISING VALUE FOR OUR PATIENTS AND THEIR FAMILIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 263033845 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 252695597 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -137559 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -137559 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -820119 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -810077 |
| IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | 10042 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 3097 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1874146 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1877243 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 503 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 10526 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1237679 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1248708 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1176707 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 263267 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -14568563 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 1765 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 34131 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 10375895 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 10411791 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DRUGS |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS/MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | BAD DEBT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1337 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 21177651 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 13660612 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 2519083 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 2230594 |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.