Civic Intelligence

Pella Regional Health Center

EIN 42-0842204 • 501(c)3 • Pella, IA

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Profile

The mission of pella regional health center is to provide healthcare and healing services with christian compassion.

404 Jefferson StreetPella, IA 50219

www.pellahealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

44th percentile

0.21x

Higher debt load relative to assets than 44% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

36th percentile

0.25x

Higher debt load relative to revenue than 36% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

56th percentile

6.8%

Higher net margin than 56% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

77th percentile

$912,620

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

61st percentile

8.6%

Faster asset growth than 61% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

48th percentile

7.5%

Faster revenue growth than 48% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets44th percentile

Assets

Up

$192,410,195

Up $15,168,927 (+8.6%) from 2023

Liabilities

Down

$40,219,904

Down $3,666,977 (-8.4%) from 2023

Net Assets

Up

$152,190,291

Up $18,835,904 (+14%) from 2023

Operations
Liabilities / Revenue36th percentileNet Margin56th percentile

Revenue

Up

$159,636,836

Up $11,102,049 (+7.5%) from 2023

Expenses

Up

$148,735,195

Up $9,530,656 (+6.8%) from 2023

Net Income

Up

$10,901,641

Up $1,571,393 (+17%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth61st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$150M$100M$50M$0Assets 2010: $109,558,047Liabilities 2010: $54,029,258Net Assets 2010: $55,528,7892010Assets 2011: $110,622,985Liabilities 2011: $53,728,482Net Assets 2011: $56,894,5032011Assets 2012: $119,125,806Liabilities 2012: $56,352,865Net Assets 2012: $62,772,9412012Assets 2013: $127,991,015Liabilities 2013: $55,374,848Net Assets 2013: $72,616,1672013Assets 2014: $134,990,288Liabilities 2014: $55,321,334Net Assets 2014: $79,668,9542014Assets 2015: $135,898,925Liabilities 2015: $53,306,138Net Assets 2015: $82,592,7872015Assets 2016: $142,692,983Liabilities 2016: $54,592,044Net Assets 2016: $88,100,9392016Assets 2017: $148,409,821Liabilities 2017: $50,711,763Net Assets 2017: $97,698,0582017Assets 2018: $143,578,323Liabilities 2018: $51,489,157Net Assets 2018: $92,089,1662018Assets 2019: $155,992,830Liabilities 2019: $50,907,871Net Assets 2019: $105,084,9592019Assets 2020: $175,318,188Liabilities 2020: $60,036,619Net Assets 2020: $115,281,5692020Assets 2021: $185,190,676Liabilities 2021: $53,989,143Net Assets 2021: $131,201,5332021Assets 2022: $158,071,652Liabilities 2022: $42,177,917Net Assets 2022: $115,893,7352022Assets 2023: $177,241,268Liabilities 2023: $43,886,881Net Assets 2023: $133,354,3872023Assets 2024: $192,410,195Liabilities 2024: $40,219,904Net Assets 2024: $152,190,2912024

Highlighted filing

2024

Assets$192,410,195
Liabilities$40,219,904
Net Assets$152,190,291
Open 2024 Filing

Operations Trend

Revenue Growth48th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$150M$100M$50M$0Expenses 2010: $63,233,0702010Expenses 2011: $69,254,7902011Expenses 2012: $72,686,4332012Revenue 2013: $79,782,216Expenses 2013: $74,324,761Net Income 2013: $5,457,4552013Revenue 2014: $82,532,365Expenses 2014: $76,072,915Net Income 2014: $6,459,4502014Revenue 2015: $86,075,753Expenses 2015: $80,371,224Net Income 2015: $5,704,5292015Revenue 2016: $91,472,982Expenses 2016: $83,956,228Net Income 2016: $7,516,7542016Revenue 2017: $91,014,506Expenses 2017: $87,458,558Net Income 2017: $3,555,9482017Revenue 2018: $98,472,619Expenses 2018: $96,486,092Net Income 2018: $1,986,5272018Revenue 2019: $105,691,818Expenses 2019: $100,373,641Net Income 2019: $5,318,1772019Revenue 2020: $109,674,630Expenses 2020: $105,036,263Net Income 2020: $4,638,3672020Revenue 2021: $125,913,375Expenses 2021: $114,499,260Net Income 2021: $11,414,1152021Revenue 2022: $129,653,114Expenses 2022: $127,604,214Net Income 2022: $2,048,9002022Revenue 2023: $148,534,787Expenses 2023: $139,204,539Net Income 2023: $9,330,2482023Revenue 2024: $159,636,836Expenses 2024: $148,735,195Net Income 2024: $10,901,6412024

Highlighted filing

2024

Revenue$159,636,836
Expenses$148,735,195
Net Income$10,901,641
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$192,410,195
Liabilities
$40,219,904
Net assets
$152,190,291
Revenue
$159,636,836
Expenses
$148,735,195
Net income
$10,901,641
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$192$40.2$152$160$149$10.9
2023Detailed filing. Detailed filing data is available for this year.$177$43.9$133$149$139$9.33
2022Detailed filing. Detailed filing data is available for this year.$158$42.2$116$130$128$2.05
2021Detailed filing. Detailed filing data is available for this year.$185$54.0$131$126$114$11.4
2020Detailed filing. Detailed filing data is available for this year.$175$60.0$115$110$105$4.64
2019Detailed filing. Detailed filing data is available for this year.$156$50.9$105$106$100$5.32
2018Detailed filing. Detailed filing data is available for this year.$144$51.5$92.1$98.5$96.5$1.99
2017Detailed filing. Detailed filing data is available for this year.$148$50.7$97.7$91.0$87.5$3.56
2016Detailed filing. Detailed filing data is available for this year.$143$54.6$88.1$91.5$84.0$7.52
2015Detailed filing. Detailed filing data is available for this year.$136$53.3$82.6$86.1$80.4$5.70
2014Detailed filing. Detailed filing data is available for this year.$135$55.3$79.7$82.5$76.1$6.46
2013Detailed filing. Detailed filing data is available for this year.$128$55.4$72.6$79.8$74.3$5.46
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$119$56.4$62.8$72.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$111$53.7$56.9$69.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$110$54.0$55.5$63.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$175,604,473
Mission and Program Overview

Mission

The mission of pella regional health center is to provide healthcare and healing services with christian compassion.

To provide healthcare and healing services with christian compassion

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$86,025,475$91,564,769▲ $5,539,294
Land, Buildings, and Equipment, Net$47,015,547$50,947,694▲ $3,932,147
Accounts Receivable$24,250,410$17,974,048▼ $6,276,362
Savings and Temporary Cash Investments$13,978,517$17,894,115▲ $3,915,598
Prepaid Expenses and Deferred Charges$1,799,270$2,320,158▲ $520,888
Inventories for Sale or Use$2,015,716$1,912,151▼ $103,565
Total Assets$177,241,268$192,410,195▲ $15,168,927
Other Assets Total$2,156,333$9,797,260▲ $7,640,927
Liabilities
Accounts Payable and Accrued Expenses$17,098,194$15,742,675▼ $1,355,519
Tax Exempt Bond Liabilities$17,882,283$15,728,026▼ $2,154,257
Other Liabilities$6,641,423$6,172,248▼ $469,175
Mortgage Notes Payable Secured by Investment Property$2,264,981$2,576,955▲ $311,974
Total Liabilities$43,886,881$40,219,904▼ $3,666,977
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$133,346,887$145,542,641▲ $12,195,754
Net Assets With Donor Restrictions$7,500$6,647,650▲ $6,640,150
Total Net Assets Fund Balance$133,354,387$152,190,291▲ $18,835,904
Total Liabilities and Net Assets / Fund Balance$177,241,268$192,410,195▲ $15,168,927

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$33,638,781$73,628,272$107,267,053
Equipment$9,697,629$28,762,980$38,460,609
Land$4,322,587-$4,322,587
Other Land Buildings$2,917,669$1,138,083$4,055,752
Leasehold Improvements$371,028$324,649$695,677
Other Assets Org$7,809,822--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$7,500---$7,500
2023$7,500---$7,500
2022$7,500---$7,500
2021$7,500---$7,500
2020$7,500---$7,500
Compensation and Service Providers
Top Officer Pay77th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nathan Nicholson DoPhysicianFT$847,155$65,465$912,620
Russell Bandstra MdPhysicianFT$827,827$36,568$864,395
Matt Morgan DoPhysicianFT$775,034$67,164$842,198
Craig Wittenberg MdBoard Member, PhysicianFT$706,561$84,589$791,150
John Welander MdPhysicianFT$708,336$68,204$776,540
Stewart Kanis DoPhysicianFT$642,868$70,620$713,488
Stephen Barnes DoBoard Member, PhysicianFT$467,665$64,543$532,208
Robert KroeseChief Executive OfficerFT$399,658$110,968$510,626
Bruce HeifnerChief Financial OfficerFT$230,396$60,147$290,543
Jody Van VeenChief Nursing OfficerFT$204,378$38,095$242,473
Lezlie MorrisChief of Clinic ServicesFT$206,011$30,183$236,194

Board Members and Trustees

NameTitle
Mary GlendeningFormer President
Randy StraversPresident
Jim BrandlVice President
Brianne SchlulteBoard Member
Chad HuyserBoard Member
Paul JonesBoard Member
Trixanna WangBoard Member
Kathy Cashen ThompsonSecretary
Travis TurnbullTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Medical Information Technology INCEhr SystemPO BOX 74569, Chicago, IL 60696$691,999
Medical Oncology And HematologyOncology Services1221 PLEASANT STREET SUITE 100, Des Moines, IA 50309$450,950
Baker GroupConstruction1600 SE CORPORATE WOODS DRIVE, Ankeny, IA 50021-7501$392,365
CasslingImaging Services13810 FND PKWY, Omaha, NE 68154$387,083
Urology Center Of IowaUrology Services12129 UNIVERSITY AVE, Clive, IA 50325$379,419
Revenue and Support

Revenue Composition

Contributions and Grants
$1,144,216
Program Service Revenue
$150,391,769
Investment Income
$7,768,014
Other Revenue
$332,837
All Other Contributions
$11,547
Change in Net Assets
$10,901,641
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$81,986,798
Other Expenses$66,737,970
Grants and Similar Amounts Paid$10,427
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$57,126,996$8,132,718-$65,259,714
Office Expenses$11,958,060$1,849,828-$13,807,888
Fees for Services Other$9,677,106$2,622,228-$12,299,334
Depreciation Depletion$4,172,572$2,789,687-$6,962,259
Other Employee Benefits$5,464,568$1,396,944-$6,861,512
Payroll Taxes$3,489,814$575,455-$4,065,269
Current Officers, Directors, Trustees, and Key Employees$2,316,052$801,169-$3,117,221
Pension Plan Contributions$2,133,638$410,602-$2,544,240
Information Technology$817,585$1,645,643-$2,463,228
Occupancy$1,443,754$135,085-$1,578,839
Insurance$465,354$396,651-$862,005
Interest$576,580--$576,580
Conferences and Meetings$322,926$139,599-$462,525
Advertising$6,495$218,452-$224,947
Travel$211,890$12,710-$224,600
Fees for Services Legal$1,314$220,352-$221,666
Comp Disqual Persons$138,842--$138,842
Fees for Service Investment Mgmnt Fees-$138,033-$138,033
Fees for Services Accounting$8,400$127,792-$136,192
All Other Expenses$21,542$20,037-$41,579
Other Expenses$26,217$43,116-$26,217
Grants to Domestic Orgs$10,427--$10,427
Fees for Services Lobbying-$7,213-$7,213
Total Functional Expenses$126,634,924$22,100,271$0$148,735,195
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jamie Steenhoek ArnpSee Below in Part VJamie Steenhoek Receives Compensation as an Advanced Practice Provider.No$138,842
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation$2,583,906
Estimated Claims Payable$1,476,875
Operating Lease Liability$1,470,843
Third Party Settlements$640,624

Bond Issues

BondIssuerIssuedIssue PricePurpose
AHealth Facilities Revenue Refunding Bond2017-06-08$41,734,118Refund bonds issued 09/28/06

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$41,734,118--$703,275

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

“The executive committee is composed of the president, vice president, secretary, and treasurer. The committee acts for the board of trustees and directs and controls the affairs of the corporation during the interim between board meetings but is subject to the supervision of the board and provided any action taken does not conflict with the policies and expressed wishes of the board. The executive committee keeps an accurate and complete record of all of its proceedings and the record must be submitted for confirmation to the board of trustees at the board's next meeting and made a part of the minutes. The executive committee has the right to approve or reject the ceo's recommendations on employment of personnel, plan of internal organization of the corporation, and rules and regulations defining duties, hours and interdepartmental relationships of personnel.”

Form 990, Part VI, Section B, Line 11B

“The form 990 is distributed to the board's finance committee and provided to all board members prior to filing with the internal revenue service. The form 990 is also reviewed by the ceo and cfo.”

Form 990, Part VI, Section B, Line 12C

“Pella regional health center has conflict of interest policies completed each year by all board members, officers, and key employees thus monitoring any potential conflicts of interest. The ceo and cfo review the completed statements. If a potential conflict is identified, the ceo follows up. Any actual or potential duality or conflict of interest, including but not limited to, ownership or control of any entity that contracts with pella regional health center for any products or services must be disclosed to the other members of the board and made a matter of record in the minutes when the subject of such interest becomes a matter of board action. When conflict arises, the member is asked to be excused from the meeting.”

Form 990, Part VI, Section B, Line 15A

“The ceo's compensation is set by the executive committee of the board with salary adjustment recommendations based on an annual evaluation and input from human resources. The compensation for other officers and key employees is set by the ceo with salary adjustments based on annual evaluations and direction from human resources. Comparability data is used to determine compensation for top management officials, officers, and employees in non-management positions. Several surveys are used for comparability including the iowa hospital association, iowa health system, iowa integrated healthcare strategies, compdata surveys, iowa association of homes and services for the aging, iowa medical group management association, and southeast iowa comp club. The organization documents and provides substantiation for its compensation process for all employees. This process was last undertaken in 2024.”

Form 990, Part VI, Section C, Line 19

“The governing documents and conflict of interest policy are available to the public upon written request. Audited financial statements are available to the public as they are attached to the form 990.”

FORM 990, PART VII, SECTION A:

“The physicians/directors are compensated for their services as physicians. Their time served as board members is on a volunteer basis, and no compensation is received for those services.”

Filing and Contact Details

Filer

Filer Name
Pella Regional Health Center
EIN
42-0842204
Phone
6416283150
Address
404 JEFFERSON STREET, PELLA, IA 50219

Signing Officer

Name
Robert Kroese
Title
Chief Executive Officer
Phone
6416283150
Signed
2025-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Kroese
Formed
1958
Legal Domicile
Ia
Voting Board Members
10
Independent Board Members
8
Employees
1,122
Volunteers
47

Preparer

Firm
Rsm US Llp
Address
4650 EAST 53RD STREET, DAVENPORT, IA 52807-3479
Preparer
Jenifer L Chase
Phone
5638884000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Change in investment in pella hospital foundation 7,809,822.”

FORM 990, PART XII, LINE 2C:

“The oversight and selection process has not changed from prior tax years.”

Financial Statement Notes

PART V, LINE 4:

“The intended use of the endowment funds is to serve the purpose of the restrictions placed on the funds by the respective donors.”

PART X, LINE 2:

“Pella regional health center (health center) and pella hospital foundation (foundation) are organized as iowa nonprofit corporations and have been recognized by the internal revenue service (irs) as exempt from federal income taxes under internal revenue code section 501(c)(3). The health center and foundation are each annually required to file a return of organization exempt from income tax (form 990) with the irs. In addition, they are subject to income tax on net income that is derived from business activities that are unrelated to their exempt purpose. The health center and foundation believe that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to the consolidated financial statements. The health center and foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Forms 990 and 990-t filed by the health center and foundation are generally subject to examination by the irs up to three years from the extended due date of each return.”

Raw XML AppendixShowing 400 of 1,182 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsReceivableGrp/EOYAmt017974048
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE HEALTHCARE AND HEALING SERVICES WITH CHRISTIAN COMPASSION
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0218452
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0MEDICAL INFORMATION TECHNOLOGY INC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1MEDICAL ONCOLOGY AND HEMATOLOGY
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3CASSLING
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4UROLOGY CENTER OF IOWA
IRS990/ContractorCompensationGrp/ServicesDesc0EHR SYSTEM
IRS990/ContractorCompensationGrp/ServicesDesc1ONCOLOGY SERVICES
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IRS990/ContractorCompensationGrp/ServicesDesc4UROLOGY SERVICES
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IRS990/Desc0PELLA REGIONAL HEALTH CENTER (HEALTH CENTER) IS A 25-BED ACUTE CARE HOSPITAL LOCATED IN PELLA, IOWA. THE HEALTH CENTER ALSO OPERATES CLINICS IN PELLA, SULLY, KNOXVILLE, PRAIRIE CITY, BUSSEY, AND OTTUMWA, IOWA. ANNUALLY, THE HEALTH CENTER HAS OVER 1,360 ADMISSIONS, OVER 620 LIVE BIRTHS, OVER 8,500 EMERGENCY RELATED VISITS, AND PERFORMS OVER 7,600 SURGERIES.THE HEALTH CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE THE HEALTH CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES PROVIDED UNDER THE HEALTH CENTER'S CHARITY CARE POLICY WAS APPROXIMATELY $1,114,000 FOR THE YEAR-ENDED DECEMBER 31, 2024. TOTAL DIRECT AND INDIRECT COSTS RELATED TO THESE FORGONE CHARGES WERE $646,000 AT DECEMBER 31, 2024, BASED ON AN AVERAGE RATIO OF COST TO GROSS CHARGES.THE 340B PROGRAM OFFERS ELIGIBLE HEALTH CARE PROVIDERS ACCESS TO LOW-COST MEDICATIONS, WHICH ALLOWS THEM TO EXPAND THE TYPE AND VOLUME OF CARE THEY PROVIDE TO THE MOST VULNERABLE PATIENT POPULATIONS. THE 340B PROGRAM REQUIRES DRUG MANUFACTURERS TO PROVIDE THE OUTPATIENT DRUGS TO ELIGIBLE HEALTH CARE ORGANIZATIONS OR COVERED ENTITIES AT SIGNIFICANTLY REDUCED PRICES. THE HEALTH CENTER IS AN ELIGIBLE HEALTH CARE ORGANIZATION AND IS PARTICIPATING IN THE PROGRAM. THE REVENUE GENERATED FROM THIS PROGRAM WAS APPROX. $4,395,000 AND THE RELATED EXPENSES WERE APPROX $3,497,000 FOR 2024.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0BOARD MEMBER, PHYSICIAN
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IRS990/Form990PartVIISectionAGrp/TitleTxt11CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt12CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF OF CLINIC SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt14CHIEF NURSING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt15PHYSICIAN
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