Liabilities / Assets
57th percentile
Higher debt load relative to assets than 57% of similar nonprofits.
EIN 42-1320763 • 501(c)3 • West Union, IA
Profile
Together, we inspire your best life by relentlessly caring, learning and innovating. Leading with love, we courageously commit to a future of healthy people and thriving communities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
57th percentile
Higher debt load relative to assets than 57% of similar nonprofits.
Liabilities / Revenue
43rd percentile
Higher debt load relative to revenue than 43% of similar nonprofits.
Net Margin
68th percentile
Higher net margin than 68% of similar nonprofits.
Top Officer Pay
94th percentile
Higher top officer pay than 94% of similar nonprofits.
Top officer pay equals 3.4% of source-year revenue.
Asset Growth
91st percentile
Faster asset growth than 91% of similar nonprofits.
Revenue Growth
88th percentile
Faster revenue growth than 88% of similar nonprofits.
Assets
Up$40,830,757
Up $9,374,849 (+30%) from 2023
Liabilities
Up$13,108,038
Up $2,657,373 (+25%) from 2023
Net Assets
Up$27,722,719
Up $6,717,476 (+32%) from 2023
Revenue
Up$50,309,243
Up $19,684,405 (+64%) from 2023
Expenses
Up$43,670,341
Up $13,367,839 (+44%) from 2023
Net Income
Up$6,638,902
Up $6,316,566 (+1960%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
We will provide the healthcare and education we would want our loved ones to receive.
Together, we inspire your best life by relentlessly caring, learning and innovating. Leading with love, we courageously commit to a future of healthy people and thriving communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $12,633,163 | $21,924,313 | ▲ $9,291,150 |
| Land, Buildings, and Equipment, Net | $9,659,643 | $8,824,362 | ▼ $835,281 |
| Accounts Receivable | $5,941,776 | $7,220,035 | ▲ $1,278,259 |
| Inventories for Sale or Use | $783,616 | $811,021 | ▲ $27,405 |
| Prepaid Expenses and Deferred Charges | $80,918 | $68,689 | ▼ $12,229 |
| Cash and Non-Interest-Bearing Accounts | $1,935 | $1,934 | ▼ $1 |
| Total Assets | $31,455,908 | $40,830,757 | ▲ $9,374,849 |
| Other Assets Total | $2,354,857 | $1,980,403 | ▼ $374,454 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,529,475 | $4,613,648 | ▲ $1,084,173 |
| Other Liabilities | $693,567 | $3,529,782 | ▲ $2,836,215 |
| Tax Exempt Bond Liabilities | $3,854,844 | $3,126,438 | ▼ $728,406 |
| Mortgage Notes Payable Secured by Investment Property | $2,372,779 | $1,824,602 | ▼ $548,177 |
| Deferred Revenue | $0 | $13,568 | ▲ $13,568 |
| Total Liabilities | $10,450,665 | $13,108,038 | ▲ $2,657,373 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $19,834,644 | $26,536,546 | ▲ $6,701,902 |
| Net Assets With Donor Restrictions | $1,170,599 | $1,186,173 | ▲ $15,574 |
| Total Net Assets Fund Balance | $21,005,243 | $27,722,719 | ▲ $6,717,476 |
| Total Liabilities and Net Assets / Fund Balance | $31,455,908 | $40,830,757 | ▲ $9,374,849 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $2,768,224 | $7,225,668 | $9,993,892 |
| Buildings | $5,861,403 | $3,841,303 | $9,702,706 |
| Land | $168,281 | - | $168,281 |
| Other Land Buildings | $26,454 | $69,722 | $96,176 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Ken Beach | Crna | FT | $213,100 | $43,118 | $256,218 |
| Debbie Brink | Rn | FT | $151,348 | $33,811 | $185,159 |
| Emily Mork | Pharmacy Director | FT | $135,607 | $34,480 | $170,087 |
| Deb Kelly | Director of Nursing | FT | $136,830 | $15,449 | $152,279 |
| Cheryl Mittelsted | Rn | FT | $128,345 | $2,532 | $130,877 |
| Name | Title |
|---|---|
| Kristi Flack | Chair |
| Lynn Lauer | Chair (thru 01/2024) |
| Andrew Wenthe | Vice Chair (thru 05/2024) |
| Nicole Havenstrite | Director |
| Chuck Johnson | Director/enterprise Director |
| Rachel Albrecht | Director/VP Ambulatory Services |
| Patrice Kuennen | CEO |
| Scott Rathgaber | CEO-bghs |
| John Ceelen | CFO-bghs (beg. 02/2024) |
| Brenda Moser | Finance Administrator |
| Gerald Oetzel | Former CFO-bghs |
| Steve Little | Interim CFO-bghs (thru 02/2024) |
| Tom Tornstrom | Secretary/treasurer |
| Dr Mordechai Lederman | Secretary/treasurer (thru 01/2024) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Iowa Emergency Physicians | Emergency Room Providers | 200 CORPORATE BLVD, Lafayette, LA 70508 | $1,961,080 |
| Rehab Visions | Contract Pt, Ot & St Services | 11623 ARBOR ST, Omaha, NE 68144 | $1,774,513 |
| Psychiatric Mecical Care LLC | Contract Behavioral Health Service | PO BOX 734606, Dallas, TX 75373-4606 | $608,196 |
| Mckesson Corp | Pharmaceutical Drugs | 12748 COLLECTIONS CENTER DRIVE, Chicago, IL 60693 | $548,417 |
| Integrated Telehealth Partners | Contract Behavioral Health Providers | PO BOX 735504, Dallas, TX 75373-5504 | $303,790 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $25,589,979 |
| Other Expenses | $18,080,362 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $16,926,173 | $3,130,839 | - | $20,057,012 |
| Fees for Services Other | $5,880,022 | $331,575 | - | $6,211,597 |
| Other Employee Benefits | $1,871,527 | $486,179 | - | $2,357,706 |
| Pension Plan Contributions | $1,354,059 | $287,252 | - | $1,641,311 |
| Depreciation Depletion | $816,522 | $477,019 | - | $1,293,541 |
| Fees for Services Management | - | $1,168,628 | - | $1,168,628 |
| Payroll Taxes | $886,507 | $224,656 | - | $1,111,163 |
| Information Technology | $1,061,216 | - | - | $1,061,216 |
| Occupancy | $595,095 | $448,026 | - | $1,043,121 |
| Current Officers, Directors, Trustees, and Key Employees | - | $422,787 | - | $422,787 |
| Office Expenses | $214,524 | $174,846 | - | $389,370 |
| All Other Expenses | $96,450 | $154,106 | - | $250,556 |
| Travel | $163,981 | $25,045 | - | $189,026 |
| Interest | - | $167,547 | - | $167,547 |
| Other Expenses | $2,543 | $139,166 | - | $141,709 |
| Insurance | - | $82,760 | - | $82,760 |
| Fees for Services Accounting | - | $58,450 | - | $58,450 |
| Advertising | $136 | $49,163 | - | $49,299 |
| Conferences and Meetings | $31,947 | $8,422 | - | $40,369 |
| Fees for Services Legal | - | $19,122 | - | $19,122 |
| Fees for Services Lobbying | - | $3,953 | - | $3,953 |
| Total Functional Expenses | $35,748,753 | $7,921,588 | $0 | $43,670,341 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| 3rd Party Settlements Payable | $3,367,567 |
| Due to Related Party | $162,215 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Fayette County Iowa | 2023-06-30 | $3,413,195 | SEE PART IV |
| A | City of West Union Iowa | 2023-06-30 | $619,608 | SEE PART IV |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $3,413,195 | $3,413,195 | $767,109 | - |
| A | $619,608 | $619,608 | $139,256 | - |
“The articles of incorporation of palmer lutheran health center provide for one member of the corporation. The sole corporate member of palmer lutheran health center is gundersen lutheran health system, inc.”
“As the sole corporate member and under terms of the affiliation agreement, gundersen lutheran health system, inc. May appoint, remove, or elect certain officers and/or members of the board of directors of palmer lutheran health center. Gundersen lutheran health system inc. May appoint four members to the board of directors of palmer lutheran health center.”
“The sole member, gundersen lutheran health system, inc., has the following reserve rights of approval: the incurrence of debt (other than debt incurred for the acquisition of goods that are acquired in the ordinary course of business or debt included in the approved budgets) and the grant of any security interests, place any encumbrances, enter into any covenants, and direct execution of any documents and the taking of any actions necessary or appropriate in connection with the incurrence of such debt; and the annual operating budget and capital expenditures.”
“The cfo and president/ceo review the 990 before it is filed. The entire board of directors receives a copy of the 990 after it is filed.”
“The conflict of interest policy is required to be signed annually by officers, directors and key employees. The signed policies are then reviewed by palmer lutheran health center's compliance committee to determine if there is a deemed conflict of interest. Board members are not allowed to vote on areas where there is a conflict.”
“The ceo, other officers and key employees wages are set by the compensation committee at gundersen health system. Industry data is utilized to set the wage scales utilized to set these wages.”
“The organization's governing documents and conflict of interest policy are available upon request. The audited financial statements are also attached to the form 990.”
“In march 2024, we began performing orthopedic surgeries, including total joint replacements.”
“Surgery services: program service expenses 288,911. Management and general expenses 0. Fundraising expenses 0. Total expenses 288,911. Emergency room purchased services: program service expenses 40,818. Management and general expenses 0. Fundraising expenses 0. Total expenses 40,818. Lab services: program service expenses 539,413. Management and general expenses 0. Fundraising expenses 0. Total expenses 539,413. Physical therapy: program service expenses 1,444,050. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,444,050. Home health services: program service expenses 282,989. Management and general expenses 0. Fundraising expenses 0. Total expenses 282,989. Other professional services: program service expenses 2,961,591. Management and general expenses 331,575. Fundraising expenses 0. Total expenses 3,293,166. Pharmacy services: program service expenses 322,250. Management and general expenses 0. Fundraising expenses 0. Total expenses 322,250.”
“Change in interest in net assets of foundation 78,574.”
“The system has reviewed its tax positions for all open years and has concluded that no liabilities exist for uncertain tax positions. The system's income tax returns are no longer subject to examination for 2018 and prior years.”
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 | 3529475 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 4613648 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5941776 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 7220035 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TOGETHER, WE INSPIRE YOUR BEST LIFE BY RELENTLESSLY CARING, LEARNING AND INNOVATING. LEADING WITH LOVE, WE COURAGEOUSLY COMMIT TO A FUTURE OF HEALTHY PEOPLE AND THRIVING COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 49163 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 136 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 49299 |
| IRS990/AllOtherContributionsAmt | 0 | 43591 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 154106 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 96450 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 250556 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | BRENDA MOSER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5634223811 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 112 JEFFERSON ST |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WEST UNION |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 52175 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1935 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1934 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 26 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 422787 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 422787 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 8422 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 31947 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 40369 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1961080 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1774513 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 608196 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 548417 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 303790 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 200 CORPORATE BLVD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 11623 ARBOR ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 734606 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 12748 COLLECTIONS CENTER DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 735504 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | LAFAYETTE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | LA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 70508 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 68144 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 753734606 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 60693 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 753735504 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | IOWA EMERGENCY PHYSICIANS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | REHAB VISIONS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | PSYCHIATRIC MECICAL CARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MCKESSON CORP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | INTEGRATED TELEHEALTH PARTNERS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | EMERGENCY ROOM PROVIDERS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONTRACT PT, OT & ST SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONTRACT BEHAVIORAL HEALTH SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PHARMACEUTICAL DRUGS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONTRACT BEHAVIORAL HEALTH PROVIDERS |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 46523 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 87084 |
| IRS990/CYOtherExpensesAmt | 0 | 18080362 |
| IRS990/CYOtherRevenueAmt | 0 | 239692 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 49935944 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 6638902 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 25589979 |
| IRS990/CYTotalExpensesAmt | 0 | 43670341 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 50309243 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 13568 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 477019 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 816522 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1293541 |
| IRS990/Desc | 0 | PALMER LUTHERAN HEALTH CENTER IS A 25-LICENSED BED CRITICAL ACCESS HOSPITAL. THE ONLY HOSPITAL IN WEST UNION, IOWA, AND EMPLOYS ABOUT 225 EMPLOYEES. PALMER LUTHERAN HEALTH CENTER ALSO HAS THREE RURAL HEALTH CLINICS IN THE COMMUNITIES OF WEST UNION, FAYETTE AND POSTVILLE, A HOME CARE DEPARTMENT, HOSPICE DEPARTMENT, AND HOME MEDICAL EQUIPMENT DEPARTMENT, WHICH HAVE OFFICES IN BOTH WEST UNION AND OELWEIN. IN ADDITION, PALMER OPERATES A SAME DAY CLINIC, OPEN AFTER-HOURS AND ON WEEKENDS, ALLOWING PATIENTS TO BE SEEN 7 DAYS A WEEK IN THIS SETTING. THIS IS OFFERED TO SPECIFICALLY MEET COMMUNITY HEALTH NEEDS OF WORKING FAMILIES. ANNUALLY, PALMER HAS ABOUT 400 ADMISSIONS, 100 LIVE BIRTHS; OVER 3,350 EMERGENCY CENTER VISITS, ABOUT 22,850 PATIENT VISITS IN THE CLINICS AND PERFORMS OVER 600 SURGERIES (INCLUDING AMBULATORY).ACCOMPLISHMENTS: WHEN RENOVATED, THE HOSPITAL WAS DESIGNED TO ACHIEVE THREE GOALS - CREATE A HEALING ENVIRONMENT THAT WELCOMES AND SUPPORTS PATIENTS/FAMILIES, DESIGN WORK AREAS TO BETTER ACCOMMODATE CURRENT AND FUTURE TECHNOLOGIES, SYSTEMS AND APPROACHES TO CARE, AND TO COMPLY MORE FULLY WITH HIPPA REGULATIONS. PALMER LUTHERAN HEALTH CENTER LEADS DELIVERY OF HEALTHCARE TO ITS REGION THROUGH OVER 225 ASSOCIATES (INCLUDING 4 PHYSICIANS, 4 PHYSICIANS ASSISTANTS, 5 NURSE PRACTITIONERS AND 3 BEHAVIORAL HEALTH PROVIDERS) WHICH COORDINATE CARE TO DELIVER PATIENT CARE AS AN INTEGRATED UNIT. PALMER LUTHERAN HEALTH CENTER AND ITS AFFILIATES ALSO WORK SEAMLESSLY TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE. REQUIREMENTS OF THE IRS COMMUNITY BENEFIT STANDARDS FOR TAX-EXEMPT ORGANIZATIONS ARE INTEGRAL TO PALMER LUTHERAN HEALTH CENTER'S LARGER CHARITABLE MISSION OF IMPROVING HEALTH AND QUALITY OF LIFE. SPECIFICALLY, PALMER LUTHERAN HEALTH CENTER IS GOVERNED BY A BOARD THAT INCLUDES 3 INDEPENDENT BOARD MEMBERS WHO ARE COMMUNITY LEADERS, CONSUMER REPRESENTATIVES, BUSINESS EXPERTS, AND CLINICAL HEALTHCARE EXPERTS. THE BOARD HAS A HISTORY OF COMMITMENT TO ACTING WITH THE HIGHEST OF INTEGRITY FOR THE BENEFIT OF THE COMMUNITY. PALMER LUTHERAN HEALTH CENTER ALSO MAKES MEDICAL CARE ACCESSIBLE TO THE ENTIRE COMMUNITY IT SERVES. PALMER OPERATES A FULL-TIME EMERGENCY ROOM AND PROVIDES EMERGENCY CARE REGARDLESS OF ABILITY TO PAY. PALMER PROVIDES CLINICAL SERVICES NEEDED TO OPERATE THE EMERGENCY CENTER AND PROVIDES ON-SITE EMERGENCY MEDICAL, RESCUE AND MEDICAL TRANSPORTATION SERVICES. IN ADDITION, PALMER LUTHERAN HEALTH CENTER, THROUGH ITS INTEGRATED NETWORK OF PROVIDERS, PROVIDES NON-EMERGENCY SERVICES TO THE COMMUNITY IT SERVES. IT MAKES THESE SERVICES ACCESSIBLE TO THE COMMUNITY THROUGH PARTICIPATION IN GOVERNMENT PROGRAMS LIKE MEDICARE AND MEDICAID AND BY HELPING THROUGH PALMER'S CHARITY CARE POLICY, AND SOCIAL SERVICES DEPARTMENT. PALMER LUTHERAN HEALTH CENTER UTILIZES TECHNOLOGY THAT PROVIDES A COMPLETE ELECTRONIC MEDICAL RECORD. OUR ELECTRONIC HEALTH RECORD IS CONNECTED TO GUNDERSEN HEALTH SYSTEM, WHICH ALLOWS US TO SHARE TEST RESULTS AND OTHER PATIENT INFORMATION. THIS ENHANCES THE PATIENT CARE AT OUR FACILITY, AS WELL AS OTHER GUNDERSEN ENTITIES THROUGHOUT THE REGION. THE HEALTH CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE AMOUNTS OF CHARGES FOREGONE FOR SERVICES PROVIDED UNDER THE HEALTH CENTER'S CHARITY CARE POLICY WERE $1,852,372 FOR THE YEAR ENDED SEPTEMBER 30, 2024. THE ESTIMATED COSTS OF THE CHARGES FOREGONE, BASED UPON AN OVERALL COST-TO-CHARGE RATIO CALCULATION WERE $1,351,122. THE HEALTH CENTER 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. PALMER LUTHERAN HEALTH CENTER TAKES ITS MISSION TO IMPROVE HEALTH AND QUALITY OF LIFE OF THE PEOPLE IT SERVICES A STEP FURTHER BY REACHING OUT TO MEET THE BROAD HEALTH NEEDS OF THE COMMUNITY. IT STRIVES TO IDENTIFY |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | GUNDERSON PALMER LUTHERAN HOSPITAL AND CLINIC |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 1170599 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1186173 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 266 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 35748753 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 58450 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 58450 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 19122 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 19122 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 3953 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 3953 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 1168628 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 1168628 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 331575 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 5880022 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 6211597 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 48.00 |
| 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 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.00 |
| 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/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/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 67267 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 55101 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 42385 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 49570 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 68728 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 49974 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 51157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 39980 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 21394 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 32852 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 8942 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 2532 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 18108 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DR MORDECHAI LEDERMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | RACHEL ALBRECHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | TOM TORNSTROM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CHUCK JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KRISTI FLACK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LYNN LAUER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ANDREW WENTHE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | NICOLE HAVENSTRITE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SCOTT RATHGABER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | STEVE LITTLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | PATRICE KUENNEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | BRENDA MOSER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JOHN CEELEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KEN BEACH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DEBBIE BRINK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | EMILY MORK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DEB KELLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CHERYL MITTELSTED |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | GERALD OETZEL |
| 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 | 216238 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 163765 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 137235 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 143337 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 128345 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 292267 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 235056 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 163870 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 150958 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 1644221 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 333317 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 190270 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 177022 |
| 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 | 555068 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | SECRETARY/TREASURER (THRU 01/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR/VP AMBULATORY SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR/ENTERPRISE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CHAIR (THRU 01/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VICE CHAIR (THRU 05/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CEO-BGHS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | INTERIM CFO-BGHS (THRU 02/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | FINANCE ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO-BGHS (BEG. 02/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | RN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHARMACY DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR OF NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | RN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | FORMER CFO-BGHS |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1949 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 2932 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 50309243 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 26813 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 2 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 37 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1061216 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1061216 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 82760 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 82760 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 167547 |
| IRS990/InterestGrp/TotalAmt | 0 | 167547 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 783616 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 811021 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 87084 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 87084 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 72 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 11136693 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 9659643 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 8824362 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 19961055 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 149084 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 149084 |
| IRS990/MissionDesc | 0 | TOGETHER, WE INSPIRE YOUR BEST LIFE BY RELENTLESSLY CARING, LEARNING AND INNOVATING. LEADING WITH LOVE, WE COURAGEOUSLY COMMIT TO A FUTURE OF HEALTHY PEOPLE AND THRIVING COMMUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 2372779 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1824602 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 21005243 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 27722719 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 26813 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 26813 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 19834644 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 26536546 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 448026 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 595095 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1043121 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 174846 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 214524 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 389370 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2354857 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1980403 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 78574 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 486179 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1871527 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2357706 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 2 | MEDICAL EQUIPMENT |
| IRS990/OtherExpensesGrp/Desc | 3 | FOOD |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 30661 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 31386 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 139166 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4890954 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 680425 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 276672 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 2543 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4921615 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 680425 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 308058 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 141709 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 693567 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 3529782 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | CAFETERIA REVENUE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 63795 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 63795 |
| IRS990/OtherRevenueTotalAmt | 0 | 212879 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3130839 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 16926173 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 20057012 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 224656 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 886507 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1111163 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 287252 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 1354059 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 1641311 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 80918 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 68689 |
No mirrored PDF or thumbnail assets are attached yet.