Liabilities / Assets
51st percentile
Higher debt load relative to assets than 51% of similar nonprofits.
EIN 42-0680446 • 501(c)3 • Des Moines, IA
Profile
Visiting nurse services of iowa partners with our community to promote health, education, and well-being for a lifetime. (continued in schedule o)
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
51st percentile
Higher debt load relative to assets than 51% of similar nonprofits.
Liabilities / Revenue
43rd percentile
Higher debt load relative to revenue than 43% of similar nonprofits.
Net Margin
19th percentile
Higher net margin than 19% of similar nonprofits.
Top Officer Pay
74th percentile
Higher top officer pay than 74% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
5th percentile
Faster asset growth than 5% of similar nonprofits.
Revenue Growth
26th percentile
Faster revenue growth than 26% of similar nonprofits.
Assets
Down$29,635,677
Down $3,559,880 (-11%) from 2023
Liabilities
Down$6,541,070
Down $2,590,170 (-28%) from 2023
Net Assets
Down$23,094,607
Down $969,710 (-4.0%) from 2023
Revenue
Down$30,413,870
Down $972,198 (-3.1%) from 2023
Expenses
Down$32,792,231
Down $3,364,180 (-9.3%) from 2023
Net Income
Up-$2,378,361
Up $2,391,982 (+50%) from 2023
Most recent year
2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
The mission of visiting nurse services of iowa, dba everystep, is to empower individuals, support families, and strengthen communities.
The mission of visiting nurse services of iowa, dba everystep, is to empower individuals, support families and strengthen communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $21,316,300 | $17,110,523 | ▼ $4,205,777 |
| Land, Buildings, and Equipment, Net | $8,479,762 | $7,919,300 | ▼ $560,462 |
| Pledges and Grants Receivable | $2,268,207 | $1,804,364 | ▼ $463,843 |
| Accounts Receivable | $1,352,830 | $1,084,981 | ▼ $267,849 |
| Cash and Non-Interest-Bearing Accounts | $742,013 | $488,555 | ▼ $253,458 |
| Prepaid Expenses and Deferred Charges | $319,706 | $397,622 | ▲ $77,916 |
| Inventories for Sale or Use | $9,766 | $6,782 | ▼ $2,984 |
| Total Assets | $35,077,449 | $29,635,677 | ▼ $5,441,772 |
| Other Assets Total | $588,865 | $823,550 | ▲ $234,685 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $5,290,345 | $3,619,035 | ▼ $1,671,310 |
| Other Liabilities | $6,004,075 | $2,822,479 | ▼ $3,181,596 |
| Deferred Revenue | $195,622 | $99,556 | ▼ $96,066 |
| Total Liabilities | $11,490,042 | $6,541,070 | ▼ $4,948,972 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $21,316,300 | $17,110,523 | ▼ $4,205,777 |
| Net Assets Without Donor Restrictions | $2,271,107 | $5,984,084 | ▲ $3,712,977 |
| Total Net Assets Fund Balance | $23,587,407 | $23,094,607 | ▼ $492,800 |
| Total Liabilities and Net Assets / Fund Balance | $35,077,449 | $29,635,677 | ▼ $5,441,772 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $6,265,492 | $5,909,292 | $12,174,784 |
| Equipment | $518,858 | $3,351,899 | $3,870,757 |
| Other Land Buildings | $66,418 | $1,419,257 | $1,485,675 |
| Land | $1,068,532 | - | $1,068,532 |
| Leasehold Improvements | $0 | $6,766 | $6,766 |
| Investment Program Related Org | $17,110,523 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $9,564,559 | $638,937 | ▲ $235,689 | $429,000 | $10,010,185 |
| 2023 | $8,529,675 | $352,947 | ▲ $853,000 | $171,063 | $9,564,559 |
| 2022 | $7,970,639 | $135,851 | ▲ $833,787 | $410,602 | $8,529,675 |
| 2021 | $8,940,239 | $17,917 | ▼ $948,813 | $38,704 | $7,970,639 |
| 2020 | $6,845,931 | $281,505 | ▲ $1,875,803 | - | $8,940,239 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Tray Wade | President & CEO | FT | $328,845 | $65,327 | $394,172 |
| Thomas Mouser | Chief Medical Officer | FT | $328,707 | $33,536 | $362,243 |
| Karl Vilums | CFO (through 12/24) | FT | $177,963 | $16,725 | $194,688 |
| Erin Dykes | VP of Clinical Services (thru 1/25) | FT | $127,308 | $36,572 | $163,880 |
| Julie Matternas | Executive Director of Foun | - | $114,487 | $39,009 | $153,496 |
| Say Baccam | Finance & Accounting Direc | FT | $122,408 | $4,769 | $127,177 |
| Leann Uhlenhopp | Asst. VP of Clinical Services | FT | $116,061 | $4,400 | $120,461 |
| John Cejka | Rn | FT | $114,266 | $2,366 | $116,632 |
| Name | Title |
|---|---|
| Brandon Foldes | Board of Trustees Chair |
| Steve Schaaf | Chair |
| Dave Bridgewater | Past Chair |
| Coralynn Trewet | Director |
| Ed Cox | Director |
| Jon Lefrandt | Director |
| Juan Carlos Cadenillas | Director |
| Judy Ralston-hansen | Director |
| Katie Wengert | Director |
| Kerry Adaway | Director |
| Larry Severidt Md | Director |
| Lindsay Racey | Director |
| Mark Hasek | Director |
| Mike Gehringer | Director |
| Pat Barry | Director |
| Phil Stover | Director |
| Missy Walter | Director (through 1/25) |
| Pam Schoffner | Secretary |
| Lil Waters | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Rehabvisions | Contracted Therapy Services | 11623 ARBOR STREET, Omaha, NE 68144 | $816,974 |
| Qualis Management LLC | Dme Management Software | PO BOX 844740, Boston, MA 02284 | $528,084 |
| Flynn Wright | Marketing Services | 1408 LOCUST STREET, Des Moines, IA 50309 | $236,972 |
| Dbl Eagle Therapy Services LLC | Contracted Therapy Services | 3801 NW 63RD STREET, Oklahoma, OK 73116 | $168,218 |
| Qci | Informational Technology Services | 4300 WESTOWN PKWY SUITE 150, West Des Moines, IA 50266 | $161,566 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $22,922,632 |
| Other Expenses | $9,803,239 |
| Total Fundraising Expense | $783,138 |
| Grants and Similar Amounts Paid | $66,360 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $14,730,794 | $3,325,893 | $270,533 | $18,327,220 |
| Other Employee Benefits | $1,289,986 | $477,841 | $23,624 | $1,791,451 |
| Fees for Services Other | $972,457 | $482,831 | $15,992 | $1,471,280 |
| Payroll Taxes | $1,110,562 | $281,722 | $20,689 | $1,412,973 |
| Travel | $1,196,739 | $15,898 | $2,263 | $1,214,900 |
| Current Officers, Directors, Trustees, and Key Employees | $775,271 | $136,812 | - | $912,083 |
| Occupancy | $476,878 | $248,326 | - | $725,204 |
| Depreciation Depletion | $261,581 | $407,547 | - | $669,128 |
| Advertising | $144,186 | $72,193 | $405,904 | $622,283 |
| Pension Plan Contributions | $342,274 | $130,054 | $6,577 | $478,905 |
| Office Expenses | $300,427 | $126,762 | $21,334 | $448,523 |
| Information Technology | $237,647 | $125,412 | $4,002 | $367,061 |
| Interest | - | $357,419 | - | $357,419 |
| Insurance | $174,278 | $90,753 | - | $265,031 |
| Conferences and Meetings | $126,319 | $60,653 | - | $186,972 |
| Fees for Services Accounting | - | $106,939 | - | $106,939 |
| All Other Expenses | $25,310 | $36,161 | $7,073 | $68,544 |
| Grants to Domestic Individuals | $66,360 | - | - | $66,360 |
| Other Expenses | $18,415 | $26,311 | $5,147 | $49,873 |
| Fees for Services Lobbying | - | $17,083 | - | $17,083 |
| Total Functional Expenses | $25,438,222 | $6,570,871 | $783,138 | $32,792,231 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $32,792,231 |
| Total Expenses per Audited Statements | $32,792,231 |
| Total Expenses per Form 990 | $32,792,231 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Amount |
|---|---|
| Political Expenditures | $0 |
| Liability | Amount |
|---|---|
| Short-term Notes Payable | $2,608,000 |
| Operating Right of Use Liability | $214,479 |
“Accounting & finance director will compile information from other department leaders (it, hr, foundation, compliance, etc.). Supporting documentation will be reviewed for relevance and accuracy and data will be entered by accounting & finance director. Data entered will be reviewed by director and cfo prior to submission.”
“The organization has an electronic, automated system that has been built for policy management. Within the system, each policy is scheduled to be reviewed once a year, every two years, or every three years. This frequency typically depends on regulatory requirements. We utilize our leaders and subject matter experts to review the content of the policies and update accordingly. If there are any regulatory changes that come through, we will either update an existing policy, or create a new policy. All new policies, and policy changes are reflected monthly in our electronic platform, so all staff are made aware of changes. High priority policies, such as fraud, waste, and abuse, are acknowledged by staff annually in our learning management system.”
“A compensation analysis was completed by newport retirement services to determine reasonableness of key employee compensation. Results are shared with the board, who approves ceo compensation. The process described here was last completed in 2024.”
“The most current audited financial statements are made available to the public on the organization's website.”
“Change in beneficial interest -4,205,777. Net asset transfer 6,091,338.”
“The organization and its affiliates are exempt from income taxes on income from related activities under section 501(c)(3) of the internal revenue code (irc) and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.s. Gaap requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The organization's forms 990 have not been subject to examination by the internal revenue service (irs) or the state of iowa for the last three years. The organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The organization recognizes interest and/or penalties related to income tax matters in income tax expense. The organization did not have any amounts accrued for interest and penalties at june 30, 2025 or 2024.”
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 | 5290345 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3619035 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1352830 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1084981 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | THE MISSION OF VISITING NURSE SERVICES OF IOWA, DBA EVERYSTEP, IS TO EMPOWER INDIVIDUALS, SUPPORT FAMILIES AND STRENGTHEN COMMUNITIES. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 405904 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 72193 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 144186 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 622283 |
| IRS990/AllOtherContributionsAmt | 0 | 97064 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 7073 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 36161 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 25310 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 68544 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | DANIELLE MARTIN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5153334246 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3000 EASTON BLVD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | DES MOINES |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 50317 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 742013 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 488555 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 7 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 136812 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 775271 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 912083 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 60653 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 126319 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 186972 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 816974 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 528084 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 236972 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 168218 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 161566 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 11623 ARBOR STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 844740 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1408 LOCUST STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 3801 NW 63RD STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 4300 WESTOWN PKWY SUITE 150 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | DES MOINES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | OKLAHOMA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | WEST DES MOINES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | OK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 68144 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 02284 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 50309 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 73116 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 50266 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | REHABVISIONS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | QUALIS MANAGEMENT LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | FLYNN WRIGHT |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | DBL EAGLE THERAPY SERVICES LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | QCI |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACTED THERAPY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | DME MANAGEMENT SOFTWARE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MARKETING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONTRACTED THERAPY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | INFORMATIONAL TECHNOLOGY SERVICES |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 9140711 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 66360 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 9803239 |
| IRS990/CYOtherRevenueAmt | 0 | 816439 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 20456720 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -2378361 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 22922632 |
| IRS990/CYTotalExpensesAmt | 0 | 32792231 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 783138 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 30413870 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 195622 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 99556 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 407547 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 261581 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 669128 |
| IRS990/Desc | 0 | EVERYSTEP IS DEDICATED TO EMPOWERING INDIVIDUALS, SUPPORTING FAMILIES, AND STRENGTHENING COMMUNITIES THROUGH THE PROMOTION OF HEALTH AND HEALTH-RELATED SERVICES, INCLUDING A NUMBER OF COMMUNITY HEALTH PROGRAMS FOCUSED ON THE WELLBEING OF CHILDREN, MOTHERS, SENIORS AND INDIVIDUALS AND FAMILIES OF ALL TYPES, FROM BIRTH TO THE END OF LIFE. HOSPICE OF CENTRAL IOWA FOUNDATION, DBA EVERYSTEP FOUNDATION, PROVIDES SUPPORT FOR THE PROGRAMS OF EVERYSTEP. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | EVERYSTEP |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 21316300 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 17110523 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 441 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 11570084 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 106939 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 106939 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 17083 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 17083 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 15992 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 482831 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 972457 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1471280 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| 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 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 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/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 17 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 18 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | 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 | 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 | 25327 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 16725 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 18536 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 16357 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 4769 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 36572 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 2366 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 4400 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | STEVE SCHAAF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DAVE BRIDGEWATER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | PAM SCHOFFNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LIL WATERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BRANDON FOLDES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KERRY ADAWAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | PAT BARRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JUAN CARLOS CADENILLAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ED COX |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MIKE GEHRINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARK HASEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JON LEFRANDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | LINDSAY RACEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JUDY RALSTON-HANSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LARRY SEVERIDT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | PHIL STOVER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | CORALYNN TREWET |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | MISSY WALTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KATIE WENGERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | TRAY WADE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | KARL VILUMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | THOMAS MOUSER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | JULIE MATTERNAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | SAY BACCAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | ERIN DYKES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JOHN CEJKA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | LEANN UHLENHOPP |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 368845 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 177963 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 343707 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 137139 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 122408 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 127308 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 114266 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 116061 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PAST CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD OF TRUSTEES CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR (THROUGH 1/25) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | CFO (THROUGH 12/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | EXECUTIVE DIRECTOR OF FOUN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | FINANCE & ACCOUNTING DIREC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | VP OF CLINICAL SERVICES (THRU 1/25) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | RN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | ASST. VP OF CLINICAL SERVICES |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1908 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 18 |
| IRS990/GovernmentGrantsAmt | 0 | 7514781 |
| IRS990/GrantAmt | 0 | 59773 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 66360 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 66360 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 30413870 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 731371 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 18 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 4002 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 125412 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 237647 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 367061 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 90753 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 174278 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 265031 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 357419 |
| IRS990/InterestGrp/TotalAmt | 0 | 357419 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 9766 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 6782 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 21316300 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 17110523 |
| IRS990/IRPDocumentCnt | 0 | 87 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 10687214 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8479762 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7919300 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 18606514 |
| IRS990/LegalDomicileStateCd | 0 | IA |
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