Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
EIN 42-1231996 • 501(c)3 • Vinton, IA
Profile
Our purpose is to provide quality health care services by using innovative, growth-oriented techniques and maintaining a sound financial base.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
Liabilities / Revenue
21st percentile
Higher debt load relative to revenue than 21% of similar nonprofits.
Net Margin
66th percentile
Higher net margin than 66% of similar nonprofits.
Top Officer Pay
80th percentile
Higher top officer pay than 80% of similar nonprofits.
Top officer pay equals 1.6% of source-year revenue.
Asset Growth
69th percentile
Faster asset growth than 69% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
Assets
Up$58,036,294
Up $5,721,974 (+11%) from 2024
Liabilities
Down$4,471,261
Down $366,636 (-7.6%) from 2024
Net Assets
Up$53,565,033
Up $6,088,610 (+13%) from 2024
Revenue
Down$44,846,888
Down $3,074,337 (-6.4%) from 2024
Expenses
Up$39,723,145
Up $1,522,029 (+4.0%) from 2024
Net Income
Down$5,123,743
Down $4,596,366 (-47%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
Our purpose is to provide quality health care services by using innovative, growth-oriented techniques and maintaining a sound financial base.
Provision of health care services
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $15,555,869 | $21,329,581 | ▲ $5,773,712 |
| Land, Buildings, and Equipment, Net | $12,940,229 | $12,431,907 | ▼ $508,322 |
| Savings and Temporary Cash Investments | $12,048,822 | $11,937,853 | ▼ $110,969 |
| Accounts Receivable | $9,119,700 | $4,216,758 | ▼ $4,902,942 |
| Investments Program Related | $345,902 | $561,183 | ▲ $215,281 |
| Inventories for Sale or Use | $410,075 | $393,779 | ▼ $16,296 |
| Investments Other Securities | $444,008 | $274,517 | ▼ $169,491 |
| Prepaid Expenses and Deferred Charges | $118,840 | $154,787 | ▲ $35,947 |
| Total Assets | $52,314,320 | $58,036,294 | ▲ $5,721,974 |
| Other Assets Total | $1,330,875 | $6,735,929 | ▲ $5,405,054 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,652,469 | $3,357,065 | ▼ $295,404 |
| Other Liabilities | $1,185,428 | $1,114,196 | ▼ $71,232 |
| Total Liabilities | $4,837,897 | $4,471,261 | ▼ $366,636 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $47,330,873 | $53,407,144 | ▲ $6,076,271 |
| Net Assets With Donor Restrictions | $145,550 | $157,889 | ▲ $12,339 |
| Total Net Assets Fund Balance | $47,476,423 | $53,565,033 | ▲ $6,088,610 |
| Total Liabilities and Net Assets / Fund Balance | $52,314,320 | $58,036,294 | ▲ $5,721,974 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $9,268,880 | $16,450,068 | $25,419,652 |
| Equipment | $2,745,400 | $7,860,277 | $10,605,677 |
| Other Land Buildings | $234,253 | $1,037,726 | $1,271,979 |
| Land | $183,374 | - | $183,374 |
| Other Assets Org | $5,644,005 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $116,660 | - | ▲ $15,740 | $15,740 | $116,660 |
| 2023 | $116,660 | - | ▲ $16,282 | $16,282 | $116,660 |
| 2022 | $116,660 | - | ▲ $8,165 | $8,165 | $116,660 |
| 2021 | $116,660 | - | ▲ $13,007 | $13,007 | $116,660 |
| 2020 | $116,660 | - | ▲ $16,513 | $16,513 | $116,660 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Brian Meeker DO | Director thru 7/2/2024 | FT | $408,399 | $287,913 | $696,312 |
| Dr Kyle Song DO | Director | FT | $383,434 | $161,808 | $545,242 |
| Dr Michelle Elgin DO | Director | FT | $207,166 | $131,222 | $338,388 |
| Tammy Madsen | PA-C ER/Hospitalist | FT | $294,315 | $16,386 | $310,701 |
| Matthew Wilden PA-C | ER/Hospitalist | FT | $274,082 | $35,226 | $309,308 |
| Michelle Burnes PA-C | Family Medicine | FT | $172,535 | $90,036 | $262,571 |
| Barry Dietsch | CFO | FT | $246,901 | $4,823 | $251,724 |
| Rita Taylor-Stewart PA-C | Family Medicine | FT | $175,979 | $61,977 | $237,956 |
| Wes Lyons PA-C | Emergency Room/Hospitalist | FT | $210,703 | $11,354 | $222,057 |
| Tina Eden | CEO as of 4/2025 | FT | $195,503 | $9,384 | $204,887 |
| Euan MacGregor | CEO thru 10/2024 | FT | $146,800 | $22,258 | $169,058 |
| Michele Schoonover | Former CEO | - | $118,545 | $8,182 | $126,727 |
| Name | Title |
|---|---|
| David Vermedahl | Chair |
| John Mossman | Vice Chair |
| Denise Wiley | Director |
| John Yundt | Director |
| Kyle Koeppen | Director |
| Marie Therese Foth | Director thru 10/2024 |
| Sara Stuefan | Secretary |
| Bud Maynard | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| National Therapeutic Association | Physical/Occupational/Speech Therapy | 11623 Arbor St, Omaha, NE 68144 | $980,479 |
| Iowa Anesthesia LC | CRNA & Ultrasound | PO Box 1665, Cedar Rapids, IA 52406 | $595,969 |
| Medical Solutions LLC | Contract Staffing (RN, LPN, CNA) | PO Box 850737, Minneapolis, MN 55485 | $436,865 |
| Health Enterprises of Iowa | Echo Doppler | PO Box 1635, Cedar Rapids, IA 52406-1635 | $166,413 |
| Eide Bailly LLP | Consulting Services | PO Box 88678, Milwaukee, WI 53288 | $155,761 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $22,878,461 |
| Other Expenses | $16,830,684 |
| Total Fundraising Expense | $122,081 |
| Grants and Similar Amounts Paid | $14,000 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $15,342,467 | $1,499,931 | $82,390 | $16,924,788 |
| Fees for Services Other | $4,850,192 | $1,199,068 | $2,625 | $6,051,885 |
| Office Expenses | $1,342,993 | $1,363,508 | $3,806 | $2,710,307 |
| Current Officers, Directors, Trustees, and Key Employees | $1,678,509 | $593,612 | - | $2,272,121 |
| Other Employee Benefits | $1,930,354 | $220,545 | $8,180 | $2,159,079 |
| Depreciation Depletion | $1,986,556 | $125,634 | $423 | $2,112,613 |
| Payroll Taxes | $1,148,240 | $129,893 | $4,734 | $1,282,867 |
| Occupancy | $195,790 | $371,910 | - | $567,700 |
| Insurance | $72,563 | $266,499 | - | $339,062 |
| Other Expenses | $221,779 | $153,130 | - | $221,779 |
| All Other Expenses | $126,624 | $67,002 | $420 | $194,046 |
| Pension Plan Contributions | $180,051 | $12,937 | $806 | $193,794 |
| Advertising | $8,115 | $165,057 | $18,697 | $191,869 |
| Fees for Services Accounting | - | $97,907 | - | $97,907 |
| Travel | $61,349 | $3,131 | - | $64,480 |
| Comp Disqual Persons | $32,932 | $12,880 | - | $45,812 |
| Conferences and Meetings | $39,900 | $898 | - | $40,798 |
| Fees for Services Legal | - | $20,112 | - | $20,112 |
| Grants to Domestic Individuals | $14,000 | - | - | $14,000 |
| Interest | $10,982 | - | - | $10,982 |
| Total Functional Expenses | $33,289,254 | $6,311,810 | $122,081 | $39,723,145 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Shannon Maynard | Spouse of Treasurer, Bud Maynard | Compensation as an employee | No | $32,932 |
| Liability | Amount |
|---|---|
| Finance lease liability | $870,758 |
| Operating lease liability | $243,438 |
“The Executive Committee consists of the officers of the Board of Directors. The Executive Committee has the power to transact all regular business of the Hospital during the period between the meetings of the Governing Board, subject to any prior limitation imposed by the Governing Board and with the understanding that all matters of major importance will be referred to the Governing Board. The Executive Committee must submit to the Governing Board at its last meeting before the end of the fiscal year, a budget showing the expected receipts, income, and expense for the coming year. Minutes of the Executive Committee meetings must be submitted to the Board, and its actions are subject to approval or disapproval at the next regular board meeting.”
“One of the Directors of the Board is the Mayor of the city of Vinton, Iowa. Two Directors are appointed by the Mayor and approved by the City Council of the City of Vinton for such terms as the City Council determines. One of these appointments is a physician in active practice and a resident of Benton County, Iowa. The second Director appointed by the City of Vinton is a resident of Benton County, Iowa.”
“The Form 990 is distributed to the Board members prior to filing. The 990 is reviewed by the Hospital's CEO and CFO.”
“Any director, officer, key employee, Medical Staff member or committee member having an existing or potential interest in a contract or other transaction presented to the Board of Directors for deliberation, authorization, approval, or ratification, or any such person who reasonably believes such an interest exists in another person should make a prompt disclosure of the interest to the Board or committee prior to its acting on such contract or transaction. The interested party is required to disclose the nature and extent of his/her interest and any relevant and material facts known to him/her about the contract or transaction which might reasonably be construed to be adverse to the organization's interest. The Board requires annual statements from officers, directors, key employees, and key members of the Medical Staff. The body to which such disclosure is made determines, by majority vote, whether the disclosure shows that the non-voting and non-participation provisions below must be observed. If so, such persons should not vote on, nor use his/her personal influence on, nor participate (other than to present factual information or to respond to questions) in the discussions or deliberations with respect to such contract or transaction. Such persons may not be counted in determining the existence of a quorum at any meeting where the contract or transaction is under discussion or is being voted upon. The minutes of the meeting reflect the disclosure made and, where applicable, the abstention from voting and participation and whether a quorum was present.”
“The Board Wage & Salary Committee and full board reviews compensation increases for the CEO based on annual evaluations and the IHA Salary Survey. Comparisons to state averages are used. Substantiation of the deliberation and decision is documented in the Board minutes. The process is completed annually. The CEO determines compensation for the CFO with approval from the Board Wage & Salary committee and full Board, based on annual performance evaluations and the IHA Salary Survey. Contemporaneous substantiation of the deliberation and decision is provided for any actions taken regarding compensation. The process is completed annually.”
“The Organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Financial information is available through the public disclosure copy of the 990.”
“Purchased services: Program service expenses 4,831,472. Management and general expenses 1,171,543. Fundraising expenses 2,625. Total expenses 6,005,640. Recruitment: Program service expenses 18,720. Management and general expenses 27,525. Fundraising expenses 0. Total expenses 46,245.”
“Income from the endowment funds is to be used for repairs and maintenance and capital improvements.”
“The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.”
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 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 3652469 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3357065 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 9119700 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 4216758 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Provision of health care services |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 18697 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 165057 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 8115 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 191869 |
| IRS990/AllOtherContributionsAmt | 0 | 195074 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 420 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 67002 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 126624 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 194046 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Barry Dietsch |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3194726255 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 502 N 9th Ave |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Vinton |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 52349 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 593612 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1678509 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2272121 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 12880 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 32932 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 45812 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 898 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 39900 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 40798 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 980479 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 595969 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 436865 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 166413 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 155761 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 11623 Arbor St |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 1665 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 850737 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 1635 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO Box 88678 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Omaha |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Cedar Rapids |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Minneapolis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Cedar Rapids |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Milwaukee |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 68144 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 52406 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 55485 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 524061635 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 53288 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | National Therapeutic Association |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Iowa Anesthesia LC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Medical Solutions LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Health Enterprises of Iowa |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Eide Bailly LLP |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Physical/Occupational/Speech Therapy |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CRNA & Ultrasound |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Contract Staffing (RN, LPN, CNA) |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Echo Doppler |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Consulting Services |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 959055 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 14000 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1997960 |
| IRS990/CYOtherExpensesAmt | 0 | 16830684 |
| IRS990/CYOtherRevenueAmt | 0 | 18000 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 41871873 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 5123743 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 22878461 |
| IRS990/CYTotalExpensesAmt | 0 | 39723145 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 122081 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 44846888 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 423 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 125634 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1986556 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2112613 |
| IRS990/Desc | 0 | Virginia Gay Hospital is a 25-bed acute care hospital and a 40-bed long-term care facility located in Vinton, Iowa. The Hospital leads delivery of healthcare to its region through over 300 associates (including 19 providers) who coordinate care to deliver patient care as an integrated unit. Virginia Gay Hospital and its affiliates also work seamlessly to meet the needs of the communities they serve. The Hospital provides care to patients and residents who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. (Continued on Schedule O)The amounts of charges foregone for services provided under the Hospital's charity care policy were $102,809 for the year ended June 30, 2025. Total direct and indirect costs related to these charges foregone were approximately $52,000 at June 30, 2025, based on an average ratio of cost to gross charges.In addition, the Hospital provides services to other patients under certain government-reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided.The Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable.Virginia Gay Hospital also makes medical care accessible to the entire community it serves. The Hospital operates a full-time emergency room and provides emergency care regardless of ability to pay. The Hospital provides clinical services needed to operate the emergency room and provides on-site emergency medical care and medical transportation services, van service, and an onsite helipad.The Hospital had 41,719 outpatient visits and the rural health clinics had 36,591 visits. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 145550 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 157889 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 393 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 33289254 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 97907 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 97907 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 20112 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 20112 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 2625 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1199068 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 4850192 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 6051885 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 3.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 3.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 3.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.50 |
| 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 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.90 |
| 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/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/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/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 24743 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 40102 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 35846 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 16370 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 35210 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 21980 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 4807 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 12838 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 11338 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 9368 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 22242 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 8167 |
| 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/PersonNm | 0 | Dr Brian Meeker DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Dr Kyle Song DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Dr Michelle Elgin DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Tammy Madsen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Matthew Wilden PA-C |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Michelle Burnes PA-C |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Barry Dietsch |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Rita Taylor-Stewart PA-C |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Wes Lyons PA-C |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Tina Eden |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Euan MacGregor |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Michele Schoonover |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | David Vermedahl |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | John Mossman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Bud Maynard |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Sara Stuefan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | John Yundt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Kyle Koeppen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Denise Wiley |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Marie Therese Foth |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 671553 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 505124 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 302527 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 294315 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 274082 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 240576 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 246901 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 225103 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 210703 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 195503 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 146800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 118545 |
| 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/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/TitleTxt | 0 | Director thru 7/2/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PA-C ER/Hospitalist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | ER/Hospitalist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Family Medicine |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Family Medicine |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Emergency Room/Hospitalist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CEO as of 4/2025 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CEO thru 10/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Former CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Director thru 10/2024 |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1923 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -11906 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 551778 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 763981 |
| IRS990/GrantAmt | 0 | 14000 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 14000 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 14000 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 551778 |
| IRS990/GrossReceiptsAmt | 0 | 44858794 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 18000 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 6 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 31 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 266499 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 72563 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 339062 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 10982 |
| IRS990/InterestGrp/TotalAmt | 0 | 10982 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 410075 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 393779 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1458088 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1458088 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 444008 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 274517 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 345902 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 561183 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 15555869 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 21329581 |
| IRS990/IRPDocumentCnt | 0 | 46 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 25348071 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 12940229 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 12431907 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 37779978 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 11906 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | Our purpose is to provide quality health care services by using innovative, growth-oriented techniques and maintaining a sound financial base. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 47476423 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 53565033 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 539872 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 539872 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 18000 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 18000 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 964867 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 47330873 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 53407144 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 371910 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 195790 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 567700 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 3806 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1363508 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1342993 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2710307 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1330875 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 6735929 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 8180 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 220545 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1930354 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2159079 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Repairs and maintenance |
| IRS990/OtherExpensesGrp/Desc | 2 | Food |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 8156 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 153130 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 3391943 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 653915 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 221779 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 3400099 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 807045 |
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