Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
Stewart Memorial Community Hospital
EIN 42-0860039 • 501(c)3 • Lake City, IA
Profile
Stewart memorial community hospital is committed to providing quality healthcare with a personal touch and responding to the needs of the communities and people we serve.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.56x
Liabilities / Revenue
68th percentile
Higher debt load relative to revenue than 68% of similar nonprofits.
Net Margin
68th percentile
Higher net margin than 68% of similar nonprofits.
Top Officer Pay
87th percentile
Higher top officer pay than 87% of similar nonprofits.
Top officer pay equals 2.1% of source-year revenue.
Asset Growth
41st percentile
Faster asset growth than 41% of similar nonprofits.
Revenue Growth
68th percentile
Faster revenue growth than 68% of similar nonprofits.
Balance Sheet
Assets
Up$58,039,913
Up $2,102,222 (+3.8%) from 2023
Liabilities
Down$32,664,326
Down $4,124,286 (-11%) from 2023
Net Assets
Up$25,375,587
Up $6,226,508 (+33%) from 2023
Revenue
Up$46,487,377
Up $7,053,385 (+18%) from 2023
Expenses
Up$40,369,267
Up $3,089,986 (+8.3%) from 2023
Net Income
Up$6,118,110
Up $3,963,399 (+184%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $58,039,913
- Liabilities
- $32,664,326
- Net assets
- $25,375,587
- Revenue
- $46,487,377
- Expenses
- $40,369,267
- Net income
- $6,118,110
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
- $46,495,489
Mission and Program Overview
Mission
Stewart memorial community hospital is committed to quality health and wellness for you and your family.
to provide a complete continuum of healthcare services to the people of lake city and the surrounding communities without regard for ability to pay and without discrimination.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $38,704,352 | $37,427,717 | ▼ $1,276,635 |
| Accounts Receivable | $4,041,686 | $4,145,280 | ▲ $103,594 |
| Investments in Publicly Traded Securities | $3,066,509 | $3,857,405 | ▲ $790,896 |
| Cash and Non-Interest-Bearing Accounts | $844,221 | $3,796,352 | ▲ $2,952,131 |
| Receivables From Officers Etc | $1,471,894 | $2,041,894 | ▲ $570,000 |
| Savings and Temporary Cash Investments | $458,213 | $1,912,437 | ▲ $1,454,224 |
| Inventories for Sale or Use | $362,287 | $378,971 | ▲ $16,684 |
| Prepaid Expenses and Deferred Charges | $85,171 | $89,185 | ▲ $4,014 |
| Other Notes and Loans Receivable, Net | $48,333 | $26,666 | ▼ $21,667 |
| Pledges and Grants Receivable | $137,691 | $26,441 | ▼ $111,250 |
| Total Assets | $55,937,691 | $58,039,913 | ▲ $2,102,222 |
| Other Assets Total | $6,717,334 | $4,337,565 | ▼ $2,379,769 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $30,561,236 | $28,671,253 | ▼ $1,889,983 |
| Accounts Payable and Accrued Expenses | $4,598,913 | $1,979,090 | ▼ $2,619,823 |
| Other Liabilities | $1,468,463 | $1,893,983 | ▲ $425,520 |
| Unsecured Notes Loans Payable | $160,000 | $120,000 | ▼ $40,000 |
| Total Liabilities | $36,788,612 | $32,664,326 | ▼ $4,124,286 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $18,560,454 | $25,329,887 | ▲ $6,769,433 |
| Net Assets With Donor Restrictions | $588,625 | $45,700 | ▼ $542,925 |
| Total Net Assets Fund Balance | $19,149,079 | $25,375,587 | ▲ $6,226,508 |
| Total Liabilities and Net Assets / Fund Balance | $55,937,691 | $58,039,913 | ▲ $2,102,222 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $17,127,804 | $21,138,547 | $38,266,351 |
| Buildings | $20,112,657 | $5,454,085 | $25,566,742 |
| Land | $146,413 | - | $146,413 |
| Other Land Buildings | $40,843 | - | $40,843 |
| Other Assets Org | $128,094 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Susan Hornback DO | Family Medicine | FT | $636,559 | $344,520 | $981,079 |
| Derek Duncan DO | Medical Counsel | FT | $409,087 | $234,781 | $643,868 |
| Josh Smith DO | General Surgery | FT | $506,730 | $69,474 | $576,204 |
| Ronald Cheney DO | General Surgery | FT | $485,584 | $65,331 | $550,915 |
| Julia Richardson MD | Family Medicine | FT | $357,804 | $128,597 | $486,401 |
| James Lewis CRNA | Pain Solutions, General Surgery | FT | $255,177 | $80,298 | $335,475 |
| Jim Henkenius | CFO | FT | $183,898 | $40,781 | $224,679 |
Board Members and Trustees
| Name | Title |
|---|---|
| Scott Nesbitt | Board Chair |
| Theresa Hildreth | Vice Chair |
| Charles Schmitt | Director |
| Jennifer Lane | Director |
| Mary Lauver | Director |
| Linn Block | CEO |
| Jordan Lietz | Secretary |
| Stacy Corey | Treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Anatomy IT | IT Outsourcing & Management | PO Box 23888, New York, NY 10087 | $792,046 |
| FocusOne Solutions LLC | Locum Tenens Services | PO Box 850861, Minneapolis, MN 55485 | $434,873 |
| UnityPoint Health | Management Services | 1776 W Lakes Pkwy Suite 400, West Des Moines, IA 50266 | $331,724 |
| Shared Medical Services LLC | Mobile MRI Services | 209 Limestone Pass, Cottage Grove, WI 53551 | $298,512 |
| Wapiti Medical Staffing | ER Locum Tenens | 912 Industrial Dr, Milbank, SD 57252 | $273,023 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $1,232,982
- Program Service Revenue
- $44,783,963
- Investment Income
- $169,761
- Other Revenue
- $300,671
- All Other Contributions
- $671,078
- Change in Net Assets
- $6,118,110
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $46,487,377
- Revenue Not Reported on Financial Statements
- $0
- Revenue Not Reported on Form 990
- $116,510
- Total Revenue per Audited Statements
- $46,603,887
- Total Revenue per Form 990
- $46,487,377
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $23,388,376 |
| Other Expenses | $16,980,891 |
| Total Fundraising Expense | $264,719 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $16,259,855 | $1,285,637 | $100,282 | $17,645,774 |
| Fees for Services Other | $4,045,866 | $448,774 | $85,974 | $4,580,614 |
| Other Employee Benefits | $1,979,207 | $1,216,300 | $34,474 | $3,229,981 |
| Depreciation Depletion | $2,712,937 | $240,052 | - | $2,952,989 |
| Payroll Taxes | $1,133,467 | $113,027 | $7,595 | $1,254,089 |
| Interest | $34,259 | $1,066,791 | - | $1,101,050 |
| All Other Expenses | $62,424 | $830,856 | - | $893,280 |
| Current Officers, Directors, Trustees, and Key Employees | $643,868 | $224,680 | - | $868,548 |
| Information Technology | $761,636 | $67,393 | - | $829,029 |
| Office Expenses | $421,436 | $67,296 | - | $488,732 |
| Occupancy | $372,081 | - | - | $372,081 |
| Pension Plan Contributions | $316,205 | $28,903 | - | $345,108 |
| Fees for Services Management | - | $331,724 | - | $331,724 |
| Insurance | $47,871 | $208,766 | - | $256,637 |
| Advertising | $98,918 | $17,245 | $36,394 | $152,557 |
| Travel | $113,265 | $29,484 | - | $142,749 |
| Other Expenses | $83,787 | $23,500 | $0 | $107,287 |
| Fees for Services Accounting | - | $103,824 | - | $103,824 |
| Fees for Services Legal | - | $49,344 | - | $49,344 |
| Comp Disqual Persons | $44,876 | - | - | $44,876 |
| Fees for Service Investment Mgmnt Fees | - | $24,535 | - | $24,535 |
| Fees for Services Lobbying | - | $2,380 | - | $2,380 |
| Total Functional Expenses | $33,724,037 | $6,380,511 | $264,719 | $40,369,267 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $40,377,379 |
| Expenses per Audited Statements | $40,369,267 |
| Total Expenses per Form 990 | $40,369,267 |
| Expenses Not Reported on Form 990 | $8,112 |
| Expenses Not Reported on Financial Statements | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- Yes
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $8,112 |
| Fundraising Gross Income | $3,952 |
| Professional Fundraising Fees | $0 |
Fundraising Events
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Trivia Night | $33,867 | $2,352 | $1,550 | $802 |
| Swinging for Patients | $31,989 | $1,600 | - | $1,600 |
| Total Events | $65,856 | $3,952 | $8,112 | $-4,160 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Interested-Person Transactions
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Jodi Henkenius | Employee & Spouse of Jim Henkenius, CFO | Employee Wages | No | $44,876 |
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $1,471,894 | $2,041,894 | ▲ $570,000 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Finance Lease Liabilities | $1,363,711 |
| Deferred Compensation Liabilities | $375,271 |
| Operating Lease Liabilities | $155,001 |
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
- Yes
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- No
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- Yes
- Management duties delegated
- Yes
Governance Explanations
Form 990, Part VI, Section A, line 1A
“The Executive committee shall have power to transact all regular business of the corporation during the interim between meetings of the Board, provided that any action which it may take shall not conflict with the policies and express wishes of the Board.”
Form 990, Part VI, Section A, line 3
“Linn Block, CEO, is compensated by Unity Point Health for services to Stewart Memorial Community Hospital. The CEO has the responsibility of supervising the management, administration and operation of the Organization. Linn Block, CEO received compensation in the amount of $260,861 and benefits of $73,041 for 2024.”
Form 990, Part VI, Section A, line 4
“As of May 2024, The Hospital amended the bylaws to state that the Corporation shall no longer have members.”
Form 990, Part VI, Section A, line 6
“Members of the Corporation shall be those persons, corporations, or associations who have contributed the sum of One Hundred Dollars ($100) or more to the corporation to further the objectives of the Corporation, which membership shall be lifelong and non-transferable. In May 2024, the Members were removed from the Bylaws.”
Form 990, Part VI, Section A, line 7A
“Until May 2024, Members had the rights to elect and remove directors.”
Form 990, Part VI, Section A, line 7B
“Until May 2024, Members had the rights to approve amendments to the Articles of Incorporation, approve any merger, consolidation, or dissolution of the Corporation, to vote on any other matter submitted to the members by the Board of Directors, and to vote on any matter that is required to receive member approval under Iowa Law.”
Form 990, Part VI, Section B, line 11B
“The Form 990 will be provided electronically to the board of directors and reviewed by the CEO and CFO prior to submission.”
Form 990, Part VI, Section B, line 12C
“Each board member signs a conflict of interest form annually stating that they will abstain from voting and discussing itesm for which they have a conflict of interest.”
Form 990, Part VI, Section B, line 15
“The CEO is compensated by Unity Point Health for services to Stewart Memorial Community Hospital. The Board of Directors meet annually to discuss the terms of the management contract. Data is used from the most recent Iowa Hospital Association salary survey.”
Form 990, Part VI, Section C, line 19
“the organization does not make its governing documents, conflict of interest policy, or financial statements available to the public.”
Filing and Contact Details
Filer
- Filer Name
- Stewart Memorial Community Hospital
- EIN
- 42-0860039
- Phone
- 7124644200
- Address
- 1301 W Main St, Lake City, IA 51449
Signing Officer
- Name
- Jim Henkenius
- Title
- Chief Financial Officer
- Phone
- 7124644200
- Signed
- 2025-11-12
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Linn Block
- Formed
- 1958
- Legal Domicile
- Ia
- Voting Board Members
- 8
- Independent Board Members
- 7
- Employees
- 317
- Volunteers
- 38
Preparer
- Firm
- Eide Bailly LLP
- Address
- 18081 Burt St Ste 200, Omaha, NE 68022-4722
- Preparer
- Wendy R Cooley CPA
- Phone
- 4023302660
Supplemental Narrative
Additional Explanations
Form 990, Part IX, line 11G
“Radiologist fees: Program service expenses 717,180. Management and general expenses 0. Fundraising expenses 0. Total expenses 717,180. Emergency room fees: Program service expenses 502,183. Management and general expenses 0. Fundraising expenses 0. Total expenses 502,183. Contracted services: Program service expenses 2,826,503. Management and general expenses 448,774. Fundraising expenses 85,974. Total expenses 3,361,251.”
form 990, part XII, line 2C:
“The Board of Directors assumes the responsibility for oversight of the audit of the financial statements and selection of the independent accountant. This process has not changed from the previous year.”
Financial Statement Notes
Part X, Line 2:
“The Hospital accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in Financial Accounting Standards Board (FASB) ASC 740, Income Taxes. The Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At December 31, 2024 and 2023, the Hospital had no uncertain tax positions accrued.”
Part XI, Line 2D - Other Adjustments:
“Fundraising Expenses 8,112.”
Part XII, Line 2D - Other Adjustments:
“Fundraising Expenses 8,112.”
Raw XML AppendixShowing 400 of 979 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.
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1979090 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 4041686 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 4145280 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | to provide a complete continuum of healthcare services to the people of lake city and the surrounding communities without regard for ability to pay and without discrimination. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 36394 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 17245 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 98918 |
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| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 893280 |
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| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Jim Henkenius CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7124644200 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1301 W Main Street |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Lake City |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 51449 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | New York |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Minneapolis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | West Des Moines |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Cottage Grove |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Milbank |
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| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | ER Locum Tenens |
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| IRS990/CreditCounselingInd | 0 | 0 |
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| IRS990/CYTotalExpensesAmt | 0 | 40369267 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 264719 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 46487377 |
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| IRS990/DeductibleArtContributionInd | 0 | 0 |
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| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2712937 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2952989 |
| IRS990/Desc | 0 | Stewart Memorial Community Hospital is a 20-bed Critical Access Hospital that also operates 4 Rural Health Clinics. Stewart Memorial employs 14 Family Practice providers, 3 behavioral health provider, 2 General Surgeons and 3 CRNAs. Besides offering 24/7 Emergency Room services, Stewart Memorial also provides general Radiology, CT Scans, Ultrasound, Mobile MRI, Nuclear Scans, Laboratory, Blood Administration, Cardiac Rehabilitation, EKGs, Respiratory Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, Operating Room, Pharmacy, Infusions and Obstetrics. During 2024, Stewart Memorial had 708 Acute Patient days, 2,491 Emergency Room visits, 1,605 Operating Room Procedures and 40,646 Clinic encounters.The Hospital provides financial assistance to patients who meet certain criteria under its financial assistance policy. Because the Hospital does not pursue collection of amounts determined to qualify as patient financial assistance, they are not reported as patient service revenue in the consolidated statements of operations. The Hospital is dedicated to providing comprehensive healthcare services to all segments of society, including the aged and otherwise economically disadvantaged. In addition, the Hospital provides a variety of community health services at or below cost.The Hospital maintains a financial assistance program to patients who are financially unable to pay for the healthcare services they receive. It is the policy of the Hospital not to pursue collection of amounts determined to qualify as charity care. Accordingly, the Hospital does not report these amounts in patient service revenue. The Hospital determines the costs associated with providing charity care by aggregating the direct and indirect costs, including salaries, benefits, supplies, and other operating expenses, based on the overall cost to charge ratio for the Hospital. The costs of caring for charity care patients for the year ended December 31, 2024 were approximately $110,000. |
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| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 588625 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 45700 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 317 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 21213513 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 103824 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 103824 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 49344 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 49344 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 2380 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 2380 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 331724 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 331724 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 85974 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 448774 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 4045866 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 4580614 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 24535 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 24535 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 71364 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 66202 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 47385 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 44382 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 35792 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 42028 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 40067 |
| 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/PersonNm | 0 | Dr Susan Hornback DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Derek Duncan DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Josh Smith DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Ronald Cheney DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Julia Richardson MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | James Lewis CRNA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Jim Henkenius |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Scott Nesbitt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Theresa Hildreth |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Jordan Lietz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Stacy Corey |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Jennifer Lane |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Charles Schmitt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Mary Lauver |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Linn Block |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 909715 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 577666 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 528819 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 506533 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 450609 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 293447 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 184612 |
| 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/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/TitleTxt | 0 | Family Medicine |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Medical Counsel |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | General Surgery |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | General Surgery |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Family Medicine |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Pain Solutions, General Surgery |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CEO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1958 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 61904 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 8112 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 3952 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 76503 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 500000 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 76503 |
| IRS990/GrossReceiptsAmt | 0 | 46495489 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 304831 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 28 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 67393 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 761636 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 829029 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 208766 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 47871 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 256637 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1066791 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 34259 |
| IRS990/InterestGrp/TotalAmt | 0 | 1101050 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 362287 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 378971 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 93258 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 93258 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 3066509 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 3857405 |
| IRS990/IRPDocumentCnt | 0 | 41 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 26592632 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 38704352 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 37427717 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 64020349 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 1 |
| 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 | The mission of the Corporation is to improve the health and health care related services to our communities. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 30561236 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 28671253 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 19149079 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 25375587 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 76503 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 76503 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -4160 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -4160 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 304831 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 304831 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 108398 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 18560454 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 25329887 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 372081 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 372081 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 67296 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 421436 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 488732 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 6717334 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 4337565 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 34474 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1216300 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1979207 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3229981 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Food |
| IRS990/OtherExpensesGrp/Desc | 2 | Dues & subscriptions |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 23500 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4388216 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 203863 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 83787 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4388216 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 203863 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 107287 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1468463 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1893983 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 100282 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1285637 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 16259855 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 17645774 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 48333 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 26666 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 7595 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 113027 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1133467 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1254089 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 28903 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 316205 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 345108 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 137691 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 26441 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 85171 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 89185 |
| IRS990/PrincipalOfficerNm | 0 | Linn Block |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 722514 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient Service Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Pharmacy revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | Cafeteria |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 42707790 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 1599489 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 238157 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 42707790 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 1599489 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 238157 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | Stewart Memorial Community Hospital owns and operates Rural Health Clinics in the communities of Lake City, Gowrie, Lake View and Rockwell City. We employ 19 providers which are composed of physicians, physician assistants and nurse practitioners. They provide medical professional services to members of these communities and surrounding areas in a designated Health Professional Shortage Area. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 7908082 |
| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 9723824 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | The laboratory department provides inpatient, outpatient and emergency testing for patients of Stewart Memorial Community Hospital. It also provide services to the McCrary-Rost Clinic in Lake City. Reagent and salary costs of personnel account for the majority of the department's expenses. |
| IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt | 0 | 2373456 |
| IRS990/ProgSrvcAccomActy3Grp/RevenueAmt | 0 | 5772590 |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 0 | The operating and recovery rooms department provide general surgical and orthopedic procedures along with procedures for ENT, cataract and podiatry. The supplies used in such procedures account for a large portion of expenses. |
| IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt | 0 | 2228986 |
| IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt | 0 | 4329879 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 455009 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
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