Liabilities / Assets
35th percentile
Higher debt load relative to assets than 35% of similar nonprofits.
EIN 42-0845331 • 501(c)3 • Hartley, IA
Profile
HEALTH CARE
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
35th percentile
Higher debt load relative to assets than 35% of similar nonprofits.
Liabilities / Revenue
36th percentile
Higher debt load relative to revenue than 36% of similar nonprofits.
Net Margin
18th percentile
Higher net margin than 18% of similar nonprofits.
Top Officer Pay
27th percentile
Higher top officer pay than 27% of similar nonprofits.
Top officer pay equals 2.0% of source-year revenue.
Asset Growth
20th percentile
Faster asset growth than 20% of similar nonprofits.
Revenue Growth
48th percentile
Faster revenue growth than 48% of similar nonprofits.
Assets
Down$10,123,880
Down $417,060 (-4.0%) from 2023
Liabilities
Up$744,793
Up $123,560 (+20%) from 2023
Net Assets
Down$9,379,087
Down $540,620 (-5.4%) from 2023
Revenue
Up$6,130,949
Up $366,513 (+6.4%) from 2023
Expenses
Down$6,719,591
Down $388,868 (-5.5%) from 2023
Net Income
Up-$588,642
Up $755,381 (+56%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
HEALTH CARE
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $3,044,711 | $2,894,887 | ▼ $149,824 |
| Savings and Temporary Cash Investments | $925,211 | $1,027,498 | ▲ $102,287 |
| Accounts Receivable | $693,802 | $453,799 | ▼ $240,003 |
| Cash and Non-Interest-Bearing Accounts | $534,227 | $257,292 | ▼ $276,935 |
| Investments in Publicly Traded Securities | $150,776 | $161,253 | ▲ $10,477 |
| Prepaid Expenses and Deferred Charges | $79,288 | $103,317 | ▲ $24,029 |
| Inventories for Sale or Use | $23,344 | $25,679 | ▲ $2,335 |
| Total Assets | $10,540,940 | $10,123,880 | ▼ $417,060 |
| Other Assets Total | $5,089,581 | $5,200,155 | ▲ $110,574 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $621,233 | $692,500 | ▲ $71,267 |
| Mortgage Notes Payable Secured by Investment Property | - | $52,293 | - |
| Total Liabilities | $621,233 | $744,793 | ▲ $123,560 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $5,089,118 | $5,137,140 | ▲ $48,022 |
| Net Assets Without Donor Restrictions | $4,830,589 | $4,241,947 | ▼ $588,642 |
| Total Net Assets Fund Balance | $9,919,707 | $9,379,087 | ▼ $540,620 |
| Total Liabilities and Net Assets / Fund Balance | $10,540,940 | $10,123,880 | ▼ $417,060 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $2,776,938 | $4,643,692 | - |
| Land | $21,969 | - | - |
| Equipment | $95,980 | $2,266,603 | - |
| Other Assets Org | $306 | - | - |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| Steve Ziller | Administrato | FT | $121,461 | $121,461 |
| Staci Rodriguez | Employee | FT | $119,546 | $119,546 |
| Darrel Duncan | Employee | FT | $117,686 | $117,686 |
| Sandra Zearing | Employee | FT | $115,862 | $115,862 |
| Melissa Vander Veen | Employee | FT | $100,559 | $100,559 |
| Name | Title |
|---|---|
| Colleen Paulsen | President |
| Jill Vander Veen | Director |
| Kristy Mills | Director |
| Lavern Van Loon | Director |
| Joyce Tewes | Secretary |
| Mark Riedemann | Treasurer |
| Curt Stoltz | Vice Preside |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $4,858,853 |
| Other Expenses | $1,860,738 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,013,454 | $275,132 | - | $4,288,586 |
| Payroll Taxes | $256,819 | $19,629 | - | $276,448 |
| Depreciation Depletion | $223,785 | - | - | $223,785 |
| Other Employee Benefits | $175,332 | $21,086 | - | $196,418 |
| Insurance | $157,010 | $9,000 | - | $166,010 |
| Occupancy | $153,103 | $5,162 | - | $158,265 |
| Pension Plan Contributions | $87,356 | $10,045 | - | $97,401 |
| Office Expenses | $82,563 | - | - | $82,563 |
| Other Expenses | $62,860 | $99,213 | - | $62,860 |
| Fees for Services Accounting | - | $9,693 | - | $9,693 |
| Interest | $3,388 | $243 | - | $3,631 |
| Advertising | - | $2,000 | - | $2,000 |
| Total Functional Expenses | $6,268,388 | $451,203 | $0 | $6,719,591 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Members shall be anyone who contributes 120 to the organiation”
“The members elect the board of directors at an annual meeting which each member is notified of by a mailing”
“There are no committees with authority to act on behalf of the board of directors”
“The board of directors were provided a copy of form 990 prior to filing and reviewed with the preparer”
“The board of directors annually reviews the administrators salary & benefits package and compares it to other similar facilities to determine reasonability. The directors receive no compensation.”
“All documents are available for review at the business office”
“Change in value in trust assets-land 48,022”
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 | true |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 621233 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 692500 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 693802 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 453799 |
| IRS990/AcctCompileOrReviewBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | HEALTH CARE |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 2000 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2000 |
| IRS990/AllOtherContributionsAmt | 0 | 8220 |
| IRS990/AuditCommitteeInd | 0 | false |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | STEVE ZILLER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7127282428 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 231 N 8TH AVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | HARTLEY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 51346 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 534227 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 257292 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConflictOfInterestPolicyInd | 0 | false |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 15371 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 118903 |
| IRS990/CYOtherExpensesAmt | 0 | 1860738 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 5996675 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -588642 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 4858853 |
| IRS990/CYTotalExpensesAmt | 0 | 6719591 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 6130949 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 223785 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 223785 |
| IRS990/Desc | 0 | QUALITY HEALTH CARE SERVICES WERE PROVIDED TO THE RESIDENTS OF THE HARTLEY, IA COMMUNITY THROUGH THE OPERATION OF A 68 BED NURSING HOME AND 16 ROOM ASSISTED LIVING FACILITY. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | false |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 5089118 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 5137140 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 125 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 6268388 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 9693 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 9693 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 55.00 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | 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/PersonNm | 0 | COLLEEN PAULSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | CURT STOLTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOYCE TEWES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MARK RIEDEMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KRISTY MILLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JILL VANDER VEEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | LAVERN VAN LOON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | STEVE ZILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SANDRA ZEARING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MELISSA VANDER VEEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | STACI RODRIGUEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | DARREL DUNCAN |
| 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 | 121461 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 115862 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 100559 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 119546 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 117686 |
| 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/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE PRESIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | ADMINISTRATO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | EMPLOYEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | EMPLOYEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | EMPLOYEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | EMPLOYEE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1957 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | false |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 7151 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 6130949 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 9000 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 157010 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 166010 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 243 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 3388 |
| IRS990/InterestGrp/TotalAmt | 0 | 3631 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 23344 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 25679 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 118903 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 118903 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 150776 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 161253 |
| IRS990/IRPDocumentCnt | 0 | 8 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 6910295 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3044711 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 2894887 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 9805182 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | false |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | HEALTH CARE |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 52293 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9919707 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 9379087 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 4830589 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 4241947 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 5162 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 153103 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 158265 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 82563 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 82563 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 5089581 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 5200155 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 48022 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 21086 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 175332 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 196418 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES & LINENS |
| IRS990/OtherExpensesGrp/Desc | 1 | FOOD |
| IRS990/OtherExpensesGrp/Desc | 2 | FEES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 99213 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 720287 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 332431 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 62860 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 819500 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 332431 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 62860 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 275132 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4013454 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 4288586 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 19629 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 256819 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 276448 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 10045 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 87356 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 97401 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 79288 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 103317 |
| IRS990/PrincipalOfficerNm | 0 | STEVE ZILLER |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 5996675 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 5996675 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 28210 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 137162 |
| IRS990/PYOtherExpensesAmt | 0 | 1894126 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 5599064 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -1344023 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 5214333 |
| IRS990/PYTotalExpensesAmt | 0 | 7108459 |
| IRS990/PYTotalRevenueAmt | 0 | 5764436 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -588642 |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 6130949 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 925211 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 1027498 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 15371 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 28210 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 5138 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1261 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 23194 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 73174 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 118903 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 137162 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 77532 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 103842 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 108326 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 545765 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 5996675 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 5599064 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 5453934 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 6144986 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 7137331 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 30331990 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 118903 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 137162 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 77532 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 103842 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 108326 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 545765 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.02000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.02000 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.98240 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.98290 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 30405164 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 6012046 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 5627274 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 5459072 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 6146247 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 7160525 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 30405164 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 6130949 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 5764436 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 5536604 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 6250089 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 7268851 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 30950929 |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 2776938 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 4643692 |
| IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt | 0 | 7420630 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 95980 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 2266603 |
| IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt | 0 | 2362583 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 21969 |
| IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt | 0 | 21969 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 0 | 5137140 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 1 | 62709 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 2 | 306 |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | BAUMEISTER TRUST |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 1 | OPERATING LEASE |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 2 | ACCRUED INTEREST RECEIVABLE |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 2894887 |
| IRS990ScheduleD/TotalBookValueOtherAssetsAmt | 0 | 5200155 |
| IRS990/ScheduleJRequiredInd | 0 | false |
| IRS990/ScheduleORequiredInd | 0 | true |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | MEMBERS SHALL BE ANYONE WHO CONTRIBUTES 120 TO THE ORGANIATION |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE MEMBERS ELECT THE BOARD OF DIRECTORS AT AN ANNUAL MEETING WHICH EACH MEMBER IS NOTIFIED OF BY A MAILING |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE BOARD OF DIRECTORS WERE PROVIDED A COPY OF FORM 990 PRIOR TO FILING AND REVIEWED WITH THE PREPARER |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE ADMINISTRATORS SALARY & BENEFITS PACKAGE AND COMPARES IT TO OTHER SIMILAR FACILITIES TO DETERMINE REASONABILITY. THE DIRECTORS RECEIVE NO COMPENSATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | ALL DOCUMENTS ARE AVAILABLE FOR REVIEW AT THE BUSINESS OFFICE |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | CHANGE IN VALUE IN TRUST ASSETS-LAND 48,022 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PAGE 6, PART VI, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PAGE 6, PART VI, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PAGE 6, PART VI, LINE 8B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PAGE 6, PART VI, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PAGE 6, PART VI, LINE 15A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PAGE 6, PART VI, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART XI, LINE 9 |
| IRS990/SchoolOperatingInd | 0 | false |
| IRS990/SignificantChangeInd | 0 | false |
| IRS990/SignificantNewProgramSrvcInd | 0 | false |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | false |
| IRS990/SubjectToProxyTaxInd | 0 | false |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | false |
| IRS990/TaxablePartyNotificationInd | 0 | false |
| IRS990/TaxExemptBondsInd | 0 | false |
| IRS990/TerminateOperationsInd | 0 | false |
| IRS990/TotalAssetsBOYAmt | 0 | 10540940 |
| IRS990/TotalAssetsEOYAmt | 0 | 10123880 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 10540940 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 10123880 |
| IRS990/TotalCompGreaterThan150KInd | 0 | false |
| IRS990/TotalContributionsAmt | 0 | 15371 |
| IRS990/TotalEmployeeCnt | 0 | 125 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 451203 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 6268388 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 6719591 |
| IRS990/TotalGrossUBIAmt | 0 | 0 |
| IRS990/TotalLiabilitiesBOYAmt | 0 | 621233 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 744793 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 621233 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 744793 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | 9919707 |
| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | 9379087 |
| IRS990/TotalProgramServiceExpensesAmt | 0 | 6268388 |
| IRS990/TotalProgramServiceRevenueAmt | 0 | 5996675 |
| IRS990/TotalReportableCompFromOrgAmt | 0 | 575114 |
| IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 6115578 |
| IRS990/TotalRevenueGrp/TotalRevenueColumnAmt | 0 | 6130949 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt | 0 | 10540940 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt | 0 | 10123880 |
| IRS990/TrnsfrExmptNonChrtblRltdOrgInd | 0 | false |
| IRS990/TypeOfOrganizationCorpInd | 0 | X |
| IRS990/UnrelatedBusIncmOverLimitInd | 0 | false |
| IRS990/UponRequestInd | 0 | X |
| IRS990/USAddress/AddressLine1Txt | 0 | 231 N 8TH AVE |
| IRS990/USAddress/CityNm | 0 | HARTLEY |
| IRS990/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/USAddress/ZIPCd | 0 | 51346 |
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