Liabilities / Assets
81st percentile
Higher debt load relative to assets than 81% of similar nonprofits.
EIN 42-1296797 • 501(c)6 • Great Bend, KS
Profile
Provide health insurance and case management services for iowa residents who are considered high health risk and otherwise unable to obtain adequate insurance.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
81st percentile
Higher debt load relative to assets than 81% of similar nonprofits.
Liabilities / Revenue
77th percentile
Higher debt load relative to revenue than 77% of similar nonprofits.
Net Margin
7th percentile
Higher net margin than 7% of similar nonprofits.
Top Officer Pay
10th percentile
Higher top officer pay than 10% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
91st percentile
Faster asset growth than 91% of similar nonprofits.
Revenue Growth
26th percentile
Faster revenue growth than 26% of similar nonprofits.
Assets
Up$10,748,147
Up $2,339,074 (+28%) from 2023
Liabilities
Up$5,895,037
Up $3,823,650 (+185%) from 2023
Net Assets
Down$4,853,110
Down $1,484,576 (-23%) from 2023
Revenue
Down$8,481,539
Down $25,381 (-0.3%) from 2023
Expenses
Down$9,966,115
Down $52,527 (-0.5%) from 2023
Net Income
Up-$1,484,576
Up $27,146 (+1.8%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.
Provide health insurance and case management services for iowa residents who are considered high health risk and otherwise unable to obtain adequate insurance.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $7,062,267 | $5,209,345 | ▼ $1,852,922 |
| Rtn Earn Endowment Incm Other Fnds | $6,180,407 | $2,960,006 | ▼ $3,220,401 |
| Prepaid Expenses and Deferred Charges | - | $34,418 | - |
| Accounts Receivable | $14 | $2,727 | ▲ $2,713 |
| Total Assets | $7,225,707 | $5,246,490 | ▼ $1,979,217 |
| Other Assets Total | $163,426 | - | - |
| Liabilities | |||
| Other Liabilities | $782,793 | $2,091,838 | ▲ $1,309,045 |
| Deferred Revenue | $145,451 | $182,841 | ▲ $37,390 |
| Accounts Payable and Accrued Expenses | $117,056 | $11,805 | ▼ $105,251 |
| Total Liabilities | $1,045,300 | $2,286,484 | ▲ $1,241,184 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $6,180,407 | $2,960,006 | ▼ $3,220,401 |
| Total Liabilities and Net Assets / Fund Balance | $7,225,707 | $5,246,490 | ▼ $1,979,217 |
| Name | Title |
|---|---|
| Joseph E Day | President |
| Carol Trocinski | Director |
| Debra Sears | Director |
| Ellen Corwin | Director |
| FRANK D'ANTONIO | Director |
| Joe Teeling | Director |
| Kyle Lattina | Director |
| Pat Ryan | Director |
| Stephen Custis | Director |
| Representative Brian Best | Director, Ex |
| Representative Timothy Kacena | Director, Ex |
| Senator Matthew Mccoy | Director, Ex |
| Senator Michael Breitbach | Director, Ex |
| Cecil Bykerk | Executive Di |
| Kevin Van Dyke | Secretary |
| Mark Willse | Treasurer |
| Angela Burke Boston | Vice Preside |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Benefit Management LLC | Admin | 2015 16TH STREET, Great Bend, KS 67530 | $562,215 |
| Milliman Actuaries | Actuarial | 15800 BLUEMOUND RD STE 100, Brookfield, WI 53005 | $101,236 |
| Line Item | Amount |
|---|---|
| Other Expenses | $819,701 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Benefits to Members | $16,603,772 | - | - | $16,603,772 |
| All Other Expenses | $107,803 | - | - | $107,803 |
| Other Expenses | $81,373 | - | - | $81,373 |
| Fees for Services Legal | $25,610 | - | - | $25,610 |
| Fees for Services Accounting | $21,668 | - | - | $21,668 |
| Total Functional Expenses | $17,423,473 | $0 | $0 | $17,423,473 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $17,423,473 |
| Total Expenses per Audited Statements | $17,423,473 |
| Total Expenses per Form 990 | $17,423,473 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Unpaid Claims | $2,021,106 |
| Unpaid Claim Adjustment Exp | $70,732 |
“Draft of the form 990 reviewed and approved by board of directors before filed.”
“Board members annually confirm in writing their independence; disclosures are reviewed by the board.”
“Executive director's compensation reviewed and approved by the board.”
“Form 990 available upon request; summaries of benefits available on website.”
“In consideration of accounting standards codification 740-10-25 income taxes, icha has not taken any uncertain tax positions that should be recognized in the accompanying financial statements. Ichas 2017, 2016 and 2015 tax returns are subject to examination by the internal revenue service.”
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 | 117056 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 11805 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 14 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2727 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDE HEALTH INSURANCE AND CASE MANAGEMENT SERVICES FOR IOWA RESIDENTS WHO ARE CONSIDERED HIGH HEALTH RISK AND OTHERWISE UNABLE TO OBTAIN ADEQUATE INSURANCE. |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 107803 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 107803 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | false |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 16603772 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 16603772 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | BENEFIT MANAGEMENT LLC |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8002901368 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2015 16TH STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | GREAT BEND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 67530 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 562215 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 101236 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2015 16TH STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 15800 BLUEMOUND RD STE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | GREAT BEND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BROOKFIELD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 67530 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 53005 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | BENEFIT MANAGEMENT LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MILLIMAN ACTUARIES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ADMIN |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ACTUARIAL |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 16603772 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 26158 |
| IRS990/CYOtherExpensesAmt | 0 | 819701 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 14176914 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -3220401 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 17423473 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 14203072 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 145451 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 182841 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/Desc | 0 | PROVIDE HEALTH INSURANCE AND CASE MANAGEMENT SERVICES FOR IOWA RESIDENTS WHO ARE CONSIDERED HIGH HEALTH RISK AND OTHERWISE UNABLE TO OBTAIN ADEQUATE INSURANCE. |
| IRS990/DescribedInSection501c3Ind | 0 | false |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 17423473 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 21668 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 21668 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 25610 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 25610 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 15.00 |
| 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/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | 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/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/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/PersonNm | 0 | JOSEPH E DAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ANGELA BURKE BOSTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | KEVIN VAN DYKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MARK WILLSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JOE TEELING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ELLEN CORWIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | PAT RYAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DEBRA SEARS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | FRANK D'ANTONIO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KYLE LATTINA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | STEPHEN CUSTIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CAROL TROCINSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | SENATOR MATTHEW MCCOY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | SENATOR MICHAEL BREITBACH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | REPRESENTATIVE TIMOTHY KACENA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | REPRESENTATIVE BRIAN BEST |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | CECIL BYKERK |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 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/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE PRESIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR, EX |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR, EX |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR, EX |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR, EX |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | EXECUTIVE DI |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1987 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 14203072 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 26158 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 26158 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LoanOutstandingInd | 0 | false |
| 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 | PROVIDE HEALTH INSURANCE AND CASE MANAGEMENT SERVICES FOR IOWA RESIDENTS WHO ARE CONSIDERED HIGH HEALTH RISK AND OTHERWISE UNABLE TO OBTAIN ADEQUATE INSURANCE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 6180407 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 2960006 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501cInd | 0 | X |
| IRS990/OrgDoesNotFollowSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 163426 |
| IRS990/OtherExpensesGrp/Desc | 0 | PLAN ADMINISTRATOR FEES |
| IRS990/OtherExpensesGrp/Desc | 1 | CASE MANAGEMENT FEES |
| IRS990/OtherExpensesGrp/Desc | 2 | PLAN CONSULTING FEES |
| IRS990/OtherExpensesGrp/Desc | 3 | ACTUARY FEES |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 398117 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 95130 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 90000 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 81373 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 398117 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 95130 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 90000 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 81373 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 782793 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 2091838 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PoliticalCampaignActyInd | 0 | false |
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| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2019-04-26 |
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| ReturnHeader/TaxPeriodEndDt | 0 | 2018-12-31 |
| ReturnHeader/TaxYr | 0 | 2018 |
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