Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
EIN 42-1058629 • 501(c)3 • Waterloo, IA
Profile
Dedicated to providing access to affordable, compassionate, high quality health care for all.
Refreshing map…
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
Liabilities / Revenue
25th percentile
Higher debt load relative to revenue than 25% of similar nonprofits.
Net Margin
19th percentile
Higher net margin than 19% of similar nonprofits.
Top Officer Pay
57th percentile
Higher top officer pay than 57% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
16th percentile
Faster asset growth than 16% of similar nonprofits.
Revenue Growth
16th percentile
Faster revenue growth than 16% of similar nonprofits.
Assets
Up$28,954,438
Up $2,751,528 (+11%) from 2023
Liabilities
Down$2,476,839
Down $251,598 (-9.2%) from 2023
Net Assets
Up$26,477,599
Up $3,003,126 (+13%) from 2023
Revenue
Down$24,984,190
Down $147,431 (-0.6%) from 2023
Expenses
Up$22,031,035
Up $1,888,338 (+9.4%) from 2023
Net Income
Down$2,953,155
Down $2,035,769 (-41%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Dedicated to providing access to affordable, compassionate, high quality health care for all.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $4,054,971 | $14,070,156 | ▲ $10,015,185 |
| Savings and Temporary Cash Investments | $5,651,597 | $4,527,256 | ▼ $1,124,341 |
| Investments in Publicly Traded Securities | - | $4,310,772 | - |
| Accounts Receivable | $2,623,898 | $2,649,047 | ▲ $25,149 |
| Prepaid Expenses and Deferred Charges | $149,068 | $1,341,463 | ▲ $1,192,395 |
| Pledges and Grants Receivable | $2,171,970 | $489,400 | ▼ $1,682,570 |
| Inventories for Sale or Use | $161,875 | $185,071 | ▲ $23,196 |
| Intangible Assets | $1,026,393 | $152,851 | ▼ $873,542 |
| Cash and Non-Interest-Bearing Accounts | $4,890 | $4,851 | ▼ $39 |
| Total Assets | $26,202,910 | $28,954,438 | ▲ $2,751,528 |
| Other Assets Total | $10,358,248 | $1,223,571 | ▼ $9,134,677 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $2,542,526 | $2,311,812 | ▼ $230,714 |
| Other Liabilities | $185,911 | $165,027 | ▼ $20,884 |
| Total Liabilities | $2,728,437 | $2,476,839 | ▼ $251,598 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $23,307,745 | $26,366,455 | ▲ $3,058,710 |
| Net Assets With Donor Restrictions | $166,728 | $111,144 | ▼ $55,584 |
| Total Net Assets Fund Balance | $23,474,473 | $26,477,599 | ▲ $3,003,126 |
| Total Liabilities and Net Assets / Fund Balance | $26,202,910 | $28,954,438 | ▲ $2,751,528 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $12,635,286 | $4,356,965 | $16,992,251 |
| Equipment | $556,552 | $1,447,229 | $2,003,781 |
| Land | $878,318 | - | $878,318 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $57,321 | - | ▲ $4,194 | - | $61,515 |
| 2022 | $53,941 | - | ▲ $3,380 | - | $57,321 |
| 2021 | $56,519 | - | ▼ $2,578 | - | $53,941 |
| 2020 | $44,007 | - | ▲ $12,512 | - | $56,519 |
| 2019 | $43,826 | - | ▲ $507 | - | $44,007 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Sharon Duclos | Co-medical D | FT | $240,272 | $24,555 | $264,827 |
| Dr Sharon Duclos | Co-medical Director | - | $240,272 | $24,555 | $264,827 |
| Dr Brent Buhr | Internal Med | FT | $235,119 | $20,967 | $256,086 |
| Dr Brent Buhr | Internal Medicine | - | $235,119 | $20,967 | $256,086 |
| Dr Kimberly Hansen | Co-medical D | FT | $216,867 | $35,189 | $252,056 |
| Dr Kimberly Hansen | Co-medical Director | - | $216,867 | $35,189 | $252,056 |
| Dr Amelia Mcconaghy | Physician | FT | $232,486 | $16,418 | $248,904 |
| Dr Wahid Riad Zaky | Family Pract | FT | $203,487 | $40,200 | $243,687 |
| Dr Wahid Riad Zaky | Family Practice | - | $203,487 | $40,200 | $243,687 |
| Dr Krista Chase | Co-dental Di | FT | $180,833 | $27,788 | $208,621 |
| Dr Krista Chase | Co-dental Director | - | $180,833 | $27,788 | $208,621 |
| Christine Kemp | CEO | FT | $171,313 | $35,182 | $206,495 |
| Dr Anne Marie Reed | Pediatric Ph | FT | $184,331 | $20,711 | $205,042 |
| Dr Anne Marie Reed | Pediatric Physician | - | $184,331 | $20,711 | $205,042 |
| Dr Purvi Vaghela | Dental Physi | FT | $158,850 | $23,052 | $181,902 |
| Dr Purvi Vaghela | Dental Physician | - | $158,850 | $23,052 | $181,902 |
| Rick Liguz | Former CFO | FT | $127,217 | $6,558 | $133,775 |
| Misty Vanmilligan | CFO | FT | $21,487 | $4,422 | $25,909 |
| Name | Title |
|---|---|
| Matthew Murphy | Chair |
| Lynn Neill | Vice Chair |
| Anne Mershon | Director |
| Karen Franczyk | Director |
| Keever Murphy | Director |
| Lee Nicholas | Director |
| Lynda Elgers | Director |
| Rev Nils De Jesus Hernandez | Director |
| William Bird | Director |
| Joseph Toe | Secretary |
| Tim Huber | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Laboratory Corporation Of America | Laboratory Fees | PO BOX 12140, Burlington, NC 27216-2140 | $353,171 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 8,198 | $585,080 | 340b Pricing |
| Total Noncash Contributions | 8,198 | $585,080 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $14,322,700 |
| Other Expenses | $7,708,335 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $8,423,940 | $2,337,740 | - | $10,761,680 |
| Office Expenses | $1,963,312 | $358,287 | - | $2,321,599 |
| Other Employee Benefits | $1,269,348 | $353,154 | - | $1,622,502 |
| Current Officers, Directors, Trustees, and Key Employees | $692,530 | $346,218 | - | $1,038,748 |
| Depreciation Depletion | $483,990 | $130,787 | - | $614,777 |
| Pension Plan Contributions | $366,323 | $101,659 | - | $467,982 |
| Payroll Taxes | $235,100 | $196,688 | - | $431,788 |
| All Other Expenses | $53,135 | $111,867 | - | $165,002 |
| Occupancy | $125,782 | $28,930 | - | $154,712 |
| Fees for Services Legal | - | $82,501 | - | $82,501 |
| Insurance | $29,306 | $43,938 | - | $73,244 |
| Other Expenses | $27,225 | $45,573 | - | $72,798 |
| Travel | $37,722 | $19,985 | - | $57,707 |
| Conferences and Meetings | $29,390 | $27,792 | - | $57,182 |
| Fees for Services Accounting | - | $45,975 | - | $45,975 |
| Interest | $23,476 | - | - | $23,476 |
| Total Functional Expenses | $16,911,533 | $5,119,502 | $0 | $22,031,035 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $22,031,035 |
| Total Expenses per Audited Statements | $22,031,035 |
| Total Expenses per Form 990 | $22,031,035 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Finance Lease | $133,098 |
| Operating Lease | $31,929 |
“Prior to being filed the form 990 is presented to the full board of directors for review and approval.”
“The conflict of interest policy is reviewed annually with directors, officers and key employees. Written certification is requested at the time of review. Members are also asked to disclose any potential conflicts of interest based on the agenda for each meeting.”
“The executive committee of the board of directors reviews comparative salary information collected through the national association of community health centers and the iowa primary care association then determines compensation for the executive director.”
“The executive director reviews comparative salary information collected through the national association of community health centers and the iowa primary health care association then recommends compensation for key employees through the annual budgeting process. The board of directors annually approves the budget.”
“The clinic makes its governing documents, conflict of interest policy and financial statements available to the public at the organization's main office upon request.”
“The funds represent amounts held by the community foundation of northeast iowa for the organization. The earnings on this fund can be used for operating purposes.”
“Management annually makes an approriate evaluation of any uncertain income tax positions based upon current statutes in completing these financial statements and the notes to the financial statements. As of june 30, 2024, management believes that there were no uncertain income tax positions for which a material change in the unrecognized effect would be reasonably possible within the next 12 months.”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2542526 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2311812 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2623898 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2649047 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | DEDICATED TO PROVIDING ACCESS TO AFFORDABLE, COMPASSIONATE, HIGH QUALITY HEALTH CARE FOR ALL. |
| IRS990/AllOtherContributionsAmt | 0 | 4823374 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 111867 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 53135 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 165002 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | CHRISTINE KEMP |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3198743000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 905 FRANKLIN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WATERLOO |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 50703 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 4890 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 4851 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 346218 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 692530 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1038748 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 27792 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 29390 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 57182 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 353171 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 12140 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | BURLINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 272162140 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | LABORATORY CORPORATION OF AMERICA |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | LABORATORY FEES |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 9822298 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 116412 |
| IRS990/CYOtherExpensesAmt | 0 | 7708335 |
| IRS990/CYOtherRevenueAmt | 0 | 819366 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 14226114 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2953155 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 14322700 |
| IRS990/CYTotalExpensesAmt | 0 | 22031035 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 24984190 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | true |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 130787 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 483990 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 614777 |
| IRS990/Desc | 0 | PRIMARY MEDICAL HEALTH CARE AND DENTAL SERVICES PROVIDED TO THE PUBLIC. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 166728 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 111144 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 204 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 16911533 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FederatedCampaignsAmt | 0 | 84400 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 45975 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 45975 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 82501 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 82501 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form1098CFiledInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form8899Filedind | 0 | false |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 24555 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 20967 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 35189 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 16418 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 40200 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 27788 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 35182 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 20711 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 23052 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 6558 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 4422 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DR SHARON DUCLOS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DR BRENT BUHR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DR KIMBERLY HANSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DR AMELIA MCCONAGHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DR WAHID RIAD ZAKY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DR KRISTA CHASE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CHRISTINE KEMP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DR ANNE MARIE REED |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DR PURVI VAGHELA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RICK LIGUZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MISTY VANMILLIGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | WILLIAM BIRD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | LYNDA ELGERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KAREN FRANCZYK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | REV NILS DE JESUS HERNANDEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TIM HUBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ANNE MERSHON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KEEVER MURPHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MATTHEW MURPHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | LYNN NEILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | LEE NICHOLAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JOSEPH TOE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 240272 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 235119 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 216867 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 232486 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 203487 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 180833 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 171313 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 184331 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 158850 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 127217 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 21487 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 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/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CO-MEDICAL D |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | INTERNAL MED |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CO-MEDICAL D |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | FAMILY PRACT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CO-DENTAL DI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PEDIATRIC PH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DENTAL PHYSI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | FORMER CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | SECRETARY |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1976 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1137 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 4914524 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 237048 |
| IRS990/GrossReceiptsAmt | 0 | 25220101 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 10 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 43938 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 29306 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 73244 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 1026393 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 152851 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 23476 |
| IRS990/InterestGrp/TotalAmt | 0 | 23476 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 161875 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 185071 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 115275 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 115275 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 4310772 |
| IRS990/IRPDocumentCnt | 0 | 22 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 5804194 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 4054971 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 14070156 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 19874350 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 235911 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | DEDICATED TO PROVIDING ACCESS TO AFFORDABLE, COMPASSIONATE, HIGH QUALITY HEALTH CARE FOR ALL. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 23474473 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 26477599 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 1137 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1137 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 49971 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 23307745 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 26366455 |
| IRS990/NoncashContributionsAmt | 0 | 585080 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 28930 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 125782 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 154712 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 358287 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1963312 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2321599 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 10358248 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1223571 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 353154 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1269348 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1622502 |
| IRS990/OtherExpensesGrp/Desc | 0 | CONTRACTUAL SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | PHARMACEUTICALS EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES & SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 3 | PUBLIC RELATIONS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 807924 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 80484 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 45573 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1964262 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1163915 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 22777 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 27225 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2772186 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1163915 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 103261 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 72798 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 185911 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 165027 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | QUALITY |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 819366 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 819366 |
| IRS990/OtherRevenueTotalAmt | 0 | 819366 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 2337740 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 8423940 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 10761680 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 196688 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 235100 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 431788 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 101659 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 366323 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 467982 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 2171970 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 489400 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 149068 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 1341463 |
| IRS990/PrincipalOfficerNm | 0 | CHRISTINE KEMP |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 14226114 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 14226114 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 8595969 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 92853 |
| IRS990/PYOtherExpensesAmt | 0 | 6438108 |
| IRS990/PYOtherRevenueAmt | 0 | 463203 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 15979596 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 4988924 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 13704589 |
| IRS990/PYTotalExpensesAmt | 0 | 20142697 |
| IRS990/PYTotalRevenueAmt | 0 | 25131621 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 2953155 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 14226114 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 5651597 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 4527256 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 9822298 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 8595969 |
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