Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Central Iowa Healthcare
EIN 42-0948420 • 501(c)3 • Wynnewood, PA
Profile
To create and continually improve services that respond to healthcare needs in our community.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
No value available
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on the latest valid filing.
Top Officer Pay
81st percentile
Higher top officer pay than 81% of similar nonprofits.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
3rd percentile
Faster revenue growth than 3% of similar nonprofits.
Balance Sheet
Assets
Down$0
Down $88,020,599 (-100%) from 2016
Liabilities
Down$10,253,605
Down $59,387,307 (-85%) from 2016
Net Assets
Down-$10,253,605
Down $28,633,292 (-156%) from 2016
Revenue
Down$0
Down $61,956,743 (-100%) from 2016
Expenses
Down$1,020,935
Down $79,640,445 (-99%) from 2016
Net Income
Up-$1,020,935
Up $17,683,702 (+95%) from 2016
Trend Graphs
Filings
Most recent year
2018 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $0
- Liabilities
- $10,253,605
- Net assets
- -$10,253,605
- Revenue
- $0
- Expenses
- $1,020,935
- Net income
- -$1,020,935
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Apr 1, 2017 to Mar 31, 2018
- Signed
- Dec 31, 2018
- Return Version
- 2017v2.3
- Gross Receipts
- $0
Mission and Program Overview
Mission
To create and continually improve services that respond to the healthcare needs in our community.
To create and continually improve services that respond to the healthcare needs in our community
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $4,372,800 | - | - |
| Accounts Receivable | $1,985,360 | - | - |
| Prepaid Expenses and Deferred Charges | $129,577 | - | - |
| Total Assets | $6,487,737 | $0 | ▼ $6,487,737 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $15,720,407 | $10,253,605 | ▼ $5,466,802 |
| Total Liabilities | $15,720,407 | $10,253,605 | ▼ $5,466,802 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $-9,232,670 | $-10,253,605 | ▼ $1,020,935 |
| Total Net Assets Fund Balance | $-9,232,670 | $-10,253,605 | ▼ $1,020,935 |
| Total Liabilities and Net Assets / Fund Balance | $6,487,737 | $0 | ▼ $6,487,737 |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| Dawnett Willis | President & |
| - | Chief Nursin |
| Todd Burch | COO/acting C |
| Lori Krenos | Former CFO |
| John C Hughes | Liquidation |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Health Enterprises | Healthcare Svc | 5825 DRY CREEK LANE NE, Cedar Rapids, IA 52402 | $1,339,789 |
| Sugar Felsenthal Grais & Hammer LLP | Legal | 30 N LA SALLE ST STE 3000, Chicago, IL 60602 | $1,035,902 |
| Barton Associates INC | Staffing | PO BOX 417844, Boston, MA 02241-7844 | $737,756 |
| Nurse Anesthesia Of Nc Pllc | Anesthesia | 6225 N STATE HWY 161 SUITE 200, Irving, TX 75038 | $647,094 |
| Alvarez & Marsal North America LLC | Restructuring | 600 MADISON AVENUE 8TH FLOOR, New York, NY 10022 | $633,433 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $0
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $-1,020,935
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $1,020,935 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Expenses | - | $1,020,935 | - | $1,020,935 |
| Total Functional Expenses | $0 | $1,020,935 | $0 | $1,020,935 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Backup withholding compliance
- Yes
- Business relationship with family members
- No
- 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
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Page 6, Part VI, Line 6
“YES”
Form 990, Page 6, Part VI, Line 7A
“YES”
Form 990, Page 6, Part VI, Line 9
“Dawnett willis 3 south 4th ave marshalltown, ia 50158 todd burch 3 south 4th ave marshalltown, ia 50158”
Form 990, Page 6, Part VI, Line 11B
“On december 20, 2016 central iowa healthcare (debtor) filed for relief under chapter 11 of the u.s. Bankruptcy code in the southern district of iowa, des moines division (case no. 16-02438-als-11). The debtor sold substantially all assets on may 1, 2017. A plan of liquidation was confirmed on february 9, 2018. The plan transfers all remaining assets, primarily cash and causes of action, to a liquidating trust. The liquidation trustee is responsible for filing the debtors tax returns. The tax return was reviewed by the liquidation trustee and accounting firm prior to filing.”
Form 990, Page 6, Part VI, Line 12C
“The conflicts of interest poliy requires annual certification that each trustee has the conflict of interest policy; that they have a copy of the section of the organization by-laws that discusses conflicts of interest; and that they agree to comply with the policy. The executive assistant to the president is assigned to ensure that all recipients annually sign the conflict of interest policy. The director of accounting/finance reviews the conflict of interest questionnaires to determine if a conflict does exist. If a potential conflict is disclosed the individual is allowed to make a presentation concerning the proposed transaction but is then asked to leave the room while further discussion takes place and the rest of the board determines whether or not to enter the transaction.”
Form 990, Page 6, Part VI, Line 15A
“The compensation committee is comprised of independent board members who meet multiple times per year to review the iowa hospital associations wage survey data. The committee recommends changes based on the survey comparisons and annual performance evaluations. The recommendations are presented to the full board.”
Form 990, Page 6, Part VI, Line 19
“Governing documents, conflict of interest policy, and financial statements are available to the public upon request.”
Filing and Contact Details
Filer
- Filer Name
- Central Iowa Healthcare
- EIN
- 42-0948420
- Phone
- 6109091675
- Address
- 500 WILLIAMS ROAD, WYNNEWOOD, PA 19096
Signing Officer
- Name
- Neil Gilmour Iii
- Title
- Liquidation Trustee
- Phone
- 6109091675
- Signed
- 2018-12-31
- Discuss with paid preparer
- Yes
Organization Details
- Formed
- 1969
- Legal Domicile
- Ia
- Voting Board Members
- 12
- Independent Board Members
- 11
- Employees
- 512
- Volunteers
- 225
Preparer
- Firm
- Barg & Henson Cpas Pllc
- Address
- 1300 S UNIVERSITY DR STE 312, FORT WORTH, TX 76107-8099
- Preparer
- Donald R Barg
- Phone
- 8178701057
Supplemental Narrative
Additional Explanations
Form 990, Page 2, Part III, Line 3
“On december 20, 2016 central iowa healthcare (debtor) filed for relief under chapter 11 of the u.s. Bankruptcy code in the southern district of iowa, des moines division (case no. 16-02438-als-11). The debtor sold substantially all assets on may 1, 2017. By order of the bankruptcy court, the sale is consistent with the mission of the debtor as a non-profit healtcare organization. Post-sale the debtor no longer continues as a going concern, instead focusing on the liquidation of its remaining assets.”
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| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityHlthNeedsIdProcessInd | 0 | X |
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| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvlblOnRequestNoChargeInd | 0 | X |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSumAvlblOnRequestNoChrgInd | 0 | X |
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| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeCarePct | 0 | 100.000000000000 |
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| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NondisEmergencyCarePolicyInd | 0 | true |
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| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OtherHealthIssuesInd | 0 | X |
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| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/PaperCopyPublicInspectionInd | 0 | X |
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| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProvidedHospitalContactInd | 0 | X |
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| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/StrategyPostedWebsiteInd | 0 | true |
| IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/StrategyWebsiteURLTxt | 0 | WWW.CENTRALIOWAHEALTHCARE.COM |
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| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/BusinessName/BusinessNameLine1Txt | 0 | MMSC CLINIC - STATE CENTER |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/BusinessName/BusinessNameLine1Txt | 1 | MMSC CLINIC - TAMATOLEDO |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/BusinessName/BusinessNameLine1Txt | 2 | MMSC CLINIC - CONRAD |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/BusinessName/BusinessNameLine1Txt | 3 | MMSC CLINIC - MARSHALLTOWN |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/BusinessName/BusinessNameLine1Txt | 4 | CIH - URGENT CARE |
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| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/FacilityTxt | 1 | PHYSICIAN CLINIC |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/FacilityTxt | 2 | PHYSICIAN CLINIC |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/FacilityTxt | 3 | PHYSICIAN CLINIC |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/FacilityTxt | 4 | URGENT CARE CLINIC |
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| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/AddressLine1Txt | 1 | 1307 SOUTH BROADWAY |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/AddressLine1Txt | 2 | 105 NORTH CHURCH ST |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/AddressLine1Txt | 3 | 405 EAST MAIN ST |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/AddressLine1Txt | 4 | 55 CENTRAL IOWA DRIVE SUITE 5 |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/CityNm | 0 | STATE CENTER |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/CityNm | 1 | TOLEDO |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/CityNm | 2 | CONRAD |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/CityNm | 3 | MARSHALLTOWN |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/CityNm | 4 | MARSHALLTOWN |
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| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/StateAbbreviationCd | 1 | IA |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/StateAbbreviationCd | 2 | IA |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/StateAbbreviationCd | 3 | IA |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/StateAbbreviationCd | 4 | IA |
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| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/ZIPCd | 1 | 52342 |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/ZIPCd | 2 | 50621 |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/ZIPCd | 3 | 50158 |
| IRS990ScheduleH/OthHlthCareFcltsNotHospitalGrp/OthHlthCareFcltsGrp/USAddress/ZIPCd | 4 | 50158 |
| IRS990ScheduleH/Percent100Ind | 0 | X |
| IRS990ScheduleH/Percent200DInd | 0 | X |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 0 | NOT APPLICABLE |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 1 | A COMMUNITY BENEFIT REPORT IS PREPARED ANNUALLY (EXCEPT FOR THIS YEAR DUE TO BANKRUPTCY) IN A COLLABORATIVE EFFORT WITH THE IOWA HOSPITAL ASSOCIATION. THIS INFORMATION IS SHARED IN TOTAL FOR THE ENTIRE STATE THROUGH PRESS RELEASES AND FOR OUR INDIVIDUAL HOSPITAL BY INCLUDING THIS INFORMATION IN OUR ANNUAL CORPORATE REPORT, ON OUR WEBSITE AND A LOCAL PRESS RELEASE. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 2 | THE ORGANIZATIONS BAD DEBT EXPENSE (AT COST) IS DETERMINED USING THE SAME METHODOLOGY AS CHARITY CARE AND OTHER COMMUNITY BENEFITS USING AN ENTITY SPECIFIC COST TO CHARGE RATIO. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 3 | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BY AN ALLOWANCE FOR AN ESTIMATE MADE FOR CONTRACTUAL ADJUSTMENTS OR DISCOUNTS PROVIDED TO THIRD-PARTY PAYORS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD- PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNT DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL). THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEN THE STANDARD RATES (OR DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 4 | AFTER A PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS EITHER PARTIALLY OR ENTIRELY WRITTEN-OFF. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 5 | CENTRAL IOWA HEALTHCARE AND THE MARSHALL COUNTY BOARD OF HEALTH PARTNERED TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2015. THROUGH THESE EFFORTS, PRIORITIES AND STRATEGIES HAVE BEEN DEVELOPED. REPRESENTATIVES OF CENTRAL IOWA HEALTHCARE ARE INVOLVED IN THE ABOVE MENTIONED GROUPS AND THE LARGER COALITION. THE HEALTH NEEDS OF THE COMMUNITY ARE ASSESSED THROUGH A COMMUNITY NEEDS ASSESSMENT PROCESS EVERY THREE YEARS. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY AND TO ASSIST OUR COMMUNITY PARTNERS IN FOCUSING ON OUR COMMUNITIES FUTURE HEALTH NEEDS. THIS ASSESSMENT SERVES AS THE BASIS FOR MARSHALL COUNTY PUBLIC HEALTH AND OUR OVERALL HEALTHCARE COMMUNITY TO DEVELOP ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES. THIS NEEDS ASSESSMENT PROVIDES THE OPPORTUNITY TO - GAIN INSIGHT INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED - IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY - ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS - TO PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNING. CENTRAL IOWA HEALTHCARE ACTIVELY CONTRIBUTES TO THE COMMUNITY NEEDS ASSESSMENT AND ENGAGES IN THE PRIORITIES THAT MATCH ITS VISION AND MISSION. MEASUREMENT AND EVALUATION TOOLS ARE COLLECTED AND MONITORED BY THE LARGER COMMUNITY COALITION ENGAGED IN THE VARIOUS EFFORTS. IN ADDITION TO THESE ORGANIZED COMMUNITY EFFORTS, CENTRAL IOWA HEALTHCARE MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND RESOURCES AVAILABLE. INDIVIDUAL DEPARTMENTS ALSO WORK TO IDENTIFY COMMUNITY NEEDS AS RELATED TO THEIR SERVICES AND THE POPULATION SERVED. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 6 | SIGN STATING THAT FINANCIAL ASSISTANCE AND FREE CARE ARE AVAILABLE AND ARE POSTED IN THE HOSPITAL REGISTRATION AND CASHIER AREAS. REGISTRATION STAFF HAVE EDUCATIONAL MATERIAL AND APPLICATION FORMS THAT ARE MADE AVAILABLE TO PATIENTS WANTING INFORMATION OR AN APPLICATION FOR OUR COMMUNITY ASSISTANCE PROGRAM. PATIENT FINANCIAL SERVICE REPRESENTATIVES CONSULT AND ADVISE SELF PAY PATIENTS ON THEIR OPTIONS FOR GOVERNMENT SPONSORED FINANCIAL ASSISTANCE AS WELL AS THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, AN OUTSIDE VENDOR CONTACTS ADMITTED SELF PAY PATIENTS AND DISCUSSES OPTION FOR GOVERNMENT SPONSORED FINANCIAL ASSISTANCE AND PROVIDES ASSISTANCE TO PATIENTS APPLYING FOR A SPECIFIC PROGRAM. OUR OUTSIDE VENDOR DIRECTS PATIENTS THAT DO NOT QUALIFY FOR A GOVERNMENT SPONSORED PROGRAM TO A HOSPITAL FINANCIAL SERVICE REPRESENTATIVE TO FOLLOW UP WITH AN APPLICATION FOR COMMUNITY ASSISTANCE. WE FURTHER USE AN "EARLY OUT" SELF PAY VENDOR THAT PROVIDES INFORMATION ON GOVERNMENT PROGRAMS AND THE HOSPITAL'S COMMUNITY ASSISTANCE PROGRAM. OUR SELF PAY VENDOR PROVIDES COMMUNITY ASSISTANCT APPLICATIONS TO PATIENTS WHEN AN APPLICATION IS REQUESTED AND MAKES REFERRALS FOR POSSIBLE APPLICATION TO GOVERNMENT SPONSORED ASSISTANCE PROGRAMS. ALSO, A STATEMENT IS INCLUDED IN THE FIRST BILLING TO PATIENTS REGARDING THE AVAILABLILITY OF FINANCIAL ASSISTANCE. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 7 | MASHALL COUNTY, POPULATION OF 40,312, IS COMPRISED OF 13 INCORPORATED COMMUNITIES AND THEIR SURROUNDING AREAS. THE POPULATION IS SOMEWHAT CONCENTRATED IN THE CENTRAL CITY OF MARSHALLTOWN WHERE ABOUT 66% OF COUNTY RESIDENTS LIVE. THE COUNTY'S POPULATION HAS REMAINED STABLE OVER THE PAST 50 YEARS, HOWEVER, THE DEMOGRAPHICS OF THE POPULATION HAVE SHIFTED DRAMATICALLY IN THE PAST 15 YEARS. NEW IMMIGRANTS RECRUITED TO THE COMMUNITY BY THE MEAT PACKING INDUSTRY HAVE DRIVEN THESE CHANGES. LARGE NUMBERS OF HISPANIC IMMIGRANTS HAVE LEFT THE SUB-MINIMUM WAGE EXISTENCE IN CENTRAL MEXICO TO TRAVEL TO THE AMERICAN MIDWEST FOR JOBS IN THE MEAT PACKING INDUSTRY. THIS INDUSTRY IS THE LARGEST PRIVATE EMPLOYER IN MARSHALL COUNTY WITH PAY RANGING FROM 9 TO 13 PER HOUR. THESE CHANGES HAVE RESULTED IN AN INCREASE IN THE NUMBER OF PEOPLE LIVING IN POVERTY AND AN UPSURGE IN THE NUMBER OF UNINSURED OR UNDERINSURED RESIDENTS. MARSHALL COUNTY IS DESIGNATED AS A HEALTH PROVIDER SHORTAGE AREA (HPSA). FURTHER, THE COUNTY HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED COMMUNITY (MUC) AND THE IMMIGRANT POPULATION HAS BEEN DESIGNATED AS A MEDICALLY UNERSERVED POPULATION (MUP) DUE TO LANGUAGE AND CULTURAL BARRIERS IN ACCESSING HEALTH CARE SERVICES. ACCORDING THE THE 2016 US CENSUS DATA, 21.1% OF THE MARSHALL COUNTY'S POPULATION IS OF HISPANIC OR LATINO ORIGIN COMPARED TO 5.8% IN THE STATE OF IOWA; 83.5% OF MARSHALL COUNTY RESIDENTS ARE HIGH SCHOOL GRADUATES COMPARED TO 91.5% IN IOWA; 19.7% OF MARSHALL COUNTY POPULATION HAD A BACHELOR'S DEGREE OR HIGHER COMPARED TO 26.7% IN IOWA (2000); THE MEDIAN HOUSEHOLD INCOME IN 2011-2015 IN MARSHALL COUNTY WAS 53,351 COMPARED TO 53,183 IN IOWA; PERSONS LIVING BELOW POVERTY IN MARSHALL COUNTY WAS 11.3% COMPARED TO 12.2% IN IOWA. |
| IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt | 8 | CENTRAL IOWA HEALTHCARE IS A SOLE COMMUNITY HOSPITAL AND A RURAL REFERRAL CENTER BY CMS'S DEFINITIONS. THE HOSPITAL IS LOCATED IN A RURAL, MEDICALLY UNDERSERVED AREA AND IS THE ONLY HOSPITAL WITHIN A 30 MILE RADIUS. THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES AND CONTINUALLY IMPROVING SERVICES TO RESPOND TO HEALTH CARE NEEDS. THE HOSPITAL PROVIDES A 24 HOUR EMERGENCY DEPARTMENT, INCLUDING AMBULANCE COVERAGE; AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES, NOR CONTRACTORS, NOR FAMILY MEMBERS THEREOF AND ARE A BROAD CROSS SECTION OF COMMUNITY LEADERS. THE ORGANIZATION PROVIDES AN OPEN MEDICAL STAFF TO ALL QUALIFIED PHYSICIANS, SUBJECT TO THE NORMAL, EXCLUSIVE CONTRACTS FOR HOSPITAL-BASED SERVICES SUCH AS ANESTHESIOLOGY, RADIOLOGY, PATHOLOGY, EMERGENCY DEPARTMENT, AND HEART CATHETERIZATION LAB. THE EXCLUSIVE CONTRACTS ARE NECESSARY TO ASSURE THAT THESE MUCH NEEDED SERVICES ARE PROVIDED IN THIS RURAL MEDICALLY UNDERSERVED COMMUNITY. ALL SURPLUS FUNDS ARE USED TO MEET AND TO RESPOND TO THE HEALTHCARE NEEDS OF THE COMMUNITIES THIS ORGANIZATION SERVES. |
| IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE |
| IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART I, LINE 6A - RELATED ORGANIZATION INFORMATION |
| IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY |
| IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS |
| IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION |
| IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | PART VI, LINE 2 - NEEDS ASSESSMENT |
| IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE |
| IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | PART VI, LINE 4 - COMMUNITY INFORMATION |
| IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH |
| IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt | 0 | CENTRAL IOWA HEALTHCARE IDENTIFIED EIGHTEEN POTENTIAL AREAS OF FOCUS AND AS A RESULT OF A PRIORITIZATION PROCESS THE NEEDS IDENTIFIED FOR FOCUSE WERE OVERWEIGHT AND OBESITY (WHICH UNDERLIES MANY CHRONIC DISEASES) AND BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH ND SUBSTANCE ABUSE. CENTRAL IOWA HEALTHCARE'S BOARD OF TRUSTEES APPROVED THE IMPLEMENTATION STRATEGY ON OCTOBER 20, 2016. |
| IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt | 1 | CENTRAL IOWA HEALTHCARE UTILIZED MANY METHODS IN ORDER TO ENSURE THAT INPUT WAS RECEIVED FROM THE ENTIRE COMMUNITY, INCLUDING REPRESENTATIVES OF THE COMMUNITY WITH PUBLIC HEALTH KNOWLEDGE, THOSE WITH SPECIALIZED HEALTH KNOWLEDGE, AND THOSE SERVED BY THE HOSPITAL. THE PROCESS INVOLVED ACTIVELY REACHING OUT TO KEY INFORMANTS IN THE SERVICE AREA, COMMUNITY-WIDE SURVEYS (ON-LINE AND IN PAPAR IN ENGLISH AND SPANISH), A COMMUNITY IMPUT MEETING AND GATHERING OF LOCAL, REGIONAL AND NATIONALLY AVAILABLE DATA SOURCES. |
| IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt | 2 | CENTRAL IOWA HEALTHCARE IDENTIFIED EIGHTEEN POTENTIAL AREAS OF FOCUS AND AS A RESULT OF A PRIORITIZATION PROCESS THE NEEDS INDENTIFIED FOR FOCUS WERE OVERWEIGHT AND OBESITY (WHICH UNDERLIES MANY CHRONIC DISEASES) AND BEHAVIOR HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. CENTRAL IOWA HEALTHCARE'S BOARD OF TRUSTEES APPROVED THE IMPLEMENTATION STATEGY ON OCTOBER 20, 2016 AND AT PRIOR FISCAL YEAR END WAS JUST BEGINNING TO WORK ON ADDRESSING THESE TWO FOCUS AREAS. THERE WERE NEEDS IDENTIFIED THAT CENTRAL IOWA HEALTHCARE DOES NOT HAVE THE RESOURCES TO ADDRESS AT THE TIME. THESE NEEDS, WHILE IMPORTANT TO THE HEALTH SYSTEM AND THE COMMUNITY, WERE NOT CHOSEN BASED ON THE ORGANIZATION'S PRIORITIZATION PROCESS, BASED ON THE URGENCY OF THE NEED, THE ESSENTIAL NATURE OF THESE NEEDS TO THE OVERALL HEALTH OF THE COMMUNITY; AND THAT BY ADDRESSING THESE ISSUES, CENTRAL IOWA HEALTHCARE MIGHT POSITIVELY IMPACT RELATED NEEDS. |
| IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc | 0 | FACILITY 1, CENTRAL IOWA HEALTHCARE - PART V, LINE 3E |
| IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc | 1 | FACILITY 1, CENTRAL IOWA HEALTHCARE - PART V, LINE 5 |
| IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc | 2 | FACILITY 1, CENTRAL IOWA HEALTHCARE - PART V, LINE 11 |
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| IRS990ScheduleH/WrittenPolicyInd | 0 | true |
| IRS990/ScheduleJRequiredInd | 0 | false |
| IRS990ScheduleN/AssetsDistributedInd | 0 | false |
| IRS990ScheduleN/BondsOutstandingInd | 0 | false |
| IRS990ScheduleN/DirectorOfSuccessor2Ind | 0 | true |
| IRS990ScheduleN/DirectorOfSuccessorInd | 0 | true |
| IRS990ScheduleN/EmployeeOfSuccessor2Ind | 0 | false |
| IRS990ScheduleN/EmployeeOfSuccessorInd | 0 | false |
| IRS990ScheduleN/LiabilitiesPaidInd | 0 | false |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 0 | CASH |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 1 | CAUSES OF ACTION |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 2 | CONTRACT RIGHTS |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 0 | 2018-03-02 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 1 | 2018-03-02 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 2 | 2018-03-02 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN | 0 | 826927492 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN | 1 | 826927492 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN | 2 | 826927492 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt | 0 | 4647896 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt | 0 | 671 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt | 1 | 671 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt | 2 | 671 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt | 0 | N/A |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm | 0 | CENTRAL IOWA HEALTHCARE LIQUID TR |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm | 1 | CENTRAL IOWA HEALTHCARE LIQUID TR |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm | 2 | CENTRAL IOWA HEALTHCARE LIQUID TR |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt | 0 | 500 WILLIAMS ROAD |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt | 1 | 500 WILLIAMS ROAD |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt | 2 | 500 WILLIAMS ROAD |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm | 0 | WYNNEWOOD |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm | 1 | WYNNEWOOD |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm | 2 | WYNNEWOOD |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd | 1 | PA |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd | 2 | PA |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd | 0 | 19096 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd | 1 | 19096 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd | 2 | 19096 |
| IRS990ScheduleN/OwnerOfSuccessor2Ind | 0 | false |
| IRS990ScheduleN/OwnerOfSuccessorInd | 0 | false |
| IRS990ScheduleN/ReceiveCompensation2Ind | 0 | false |
| IRS990ScheduleN/ReceiveCompensationInd | 0 | false |
| IRS990ScheduleN/RequiredToNotifyAGInd | 0 | false |
| IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt | 0 | PURSUANT TO A COURT APPROVED PLAN OF LIQUIDATION A LIQUIDATING TRUST WAS ESTABLISHED FOR THE PURPOSE OF LIQUIDATING THE REMAINING ASSETS, WHICH CONSISTS OF CASH, CAUSES OF ACTION, AND CONTRACT RIGHTS. GILMOUR CONSULTING LLC WAS APPOINTED LIQUIDATION TRUSTEE. THE LIQUIDATION TRUSTEE IS CONSIDERED A "REPRESENTATIVE OF THE ESTATE" UNDER SECTION 1123(B)(3)(B) OF THE BANKRUPTCY CODE. |
| IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt | 1 | SUBSANTIALLY ALL ASSETS OF THE TAXPAYER WERE SOLD MAY 1, 2017. ALL REMAINING ASSETS, CONSISTING OF CASH, CAUSES OF ACTION, AND CONTRACT RIGHTS, WERE TRANSFERRED TO THE CENTRAL IOWA HEALTHCARE LIQUIDATING TRUST (TRUST)PURSUANT TO A PLAN OF LIQUIDATION APPROVED BY THE BANKRUPTCY COURT. THE TRUST IS A GRANTOR TRUST PURSUANT TO INTERNAL REVENUE CODE SECTION 671 AND IS CONSIDERED A LIQUIDATING TRUST PURSUANT TO TREASURY REGULATION 301.7701-4(D). THE TRUST IS FOR THE BENEFIT OF CREDITORS WITH ALLOWED CLAIMS. THE TAXPAYER DOES NOT RETAIN ANY BENEFICIARY INTEREST IN THE TRUST. |
| IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE N, PAGE 1, PART I, LINE 2E |
| IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | SCHEDULE N |
| IRS990/ScheduleORequiredInd | 0 | true |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | ON DECEMBER 20, 2016 CENTRAL IOWA HEALTHCARE (DEBTOR) FILED FOR RELIEF UNDER CHAPTER 11 OF THE U.S. BANKRUPTCY CODE IN THE SOUTHERN DISTRICT OF IOWA, DES MOINES DIVISION (CASE NO. 16-02438-ALS-11). THE DEBTOR SOLD SUBSTANTIALLY ALL ASSETS ON MAY 1, 2017. BY ORDER OF THE BANKRUPTCY COURT, THE SALE IS CONSISTENT WITH THE MISSION OF THE DEBTOR AS A NON-PROFIT HEALTCARE ORGANIZATION. POST-SALE THE DEBTOR NO LONGER CONTINUES AS A GOING CONCERN, INSTEAD FOCUSING ON THE LIQUIDATION OF ITS REMAINING ASSETS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | YES |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | YES |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | DAWNETT WILLIS 3 SOUTH 4TH AVE MARSHALLTOWN, IA 50158 TODD BURCH 3 SOUTH 4TH AVE MARSHALLTOWN, IA 50158 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | ON DECEMBER 20, 2016 CENTRAL IOWA HEALTHCARE (DEBTOR) FILED FOR RELIEF UNDER CHAPTER 11 OF THE U.S. BANKRUPTCY CODE IN THE SOUTHERN DISTRICT OF IOWA, DES MOINES DIVISION (CASE NO. 16-02438-ALS-11). THE DEBTOR SOLD SUBSTANTIALLY ALL ASSETS ON MAY 1, 2017. A PLAN OF LIQUIDATION WAS CONFIRMED ON FEBRUARY 9, 2018. THE PLAN TRANSFERS ALL REMAINING ASSETS, PRIMARILY CASH AND CAUSES OF ACTION, TO A LIQUIDATING TRUST. THE LIQUIDATION TRUSTEE IS RESPONSIBLE FOR FILING THE DEBTORS TAX RETURNS. THE TAX RETURN WAS REVIEWED BY THE LIQUIDATION TRUSTEE AND ACCOUNTING FIRM PRIOR TO FILING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE CONFLICTS OF INTEREST POLIY REQUIRES ANNUAL CERTIFICATION THAT EACH TRUSTEE HAS THE CONFLICT OF INTEREST POLICY; THAT THEY HAVE A COPY OF THE SECTION OF THE ORGANIZATION BY-LAWS THAT DISCUSSES CONFLICTS OF INTEREST; AND THAT THEY AGREE TO COMPLY WITH THE POLICY. THE EXECUTIVE ASSISTANT TO THE PRESIDENT IS ASSIGNED TO ENSURE THAT ALL RECIPIENTS ANNUALLY SIGN THE CONFLICT OF INTEREST POLICY. THE DIRECTOR OF ACCOUNTING/FINANCE REVIEWS THE CONFLICT OF INTEREST QUESTIONNAIRES TO DETERMINE IF A CONFLICT DOES EXIST. IF A POTENTIAL CONFLICT IS DISCLOSED THE INDIVIDUAL IS ALLOWED TO MAKE A PRESENTATION CONCERNING THE PROPOSED TRANSACTION BUT IS THEN ASKED TO LEAVE THE ROOM WHILE FURTHER DISCUSSION TAKES PLACE AND THE REST OF THE BOARD DETERMINES WHETHER OR NOT TO ENTER THE TRANSACTION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS WHO MEET MULTIPLE TIMES PER YEAR TO REVIEW THE IOWA HOSPITAL ASSOCIATIONS WAGE SURVEY DATA. THE COMMITTEE RECOMMENDS CHANGES BASED ON THE SURVEY COMPARISONS AND ANNUAL PERFORMANCE EVALUATIONS. THE RECOMMENDATIONS ARE PRESENTED TO THE FULL BOARD. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PAGE 2, PART III, LINE 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PAGE 6, PART VI, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PAGE 6, PART VI, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PAGE 6, PART VI, LINE 9 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PAGE 6, PART VI, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PAGE 6, PART VI, LINE 12C |
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