Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
EIN 42-1350092 • 501(c)3 • Des Moines, IA
Profile
Primary health care provides medical, mental health, dental, and supportive services with exceptional compassion and respect. We are accessible to those who need the most help, including the homeless, children, refugees, and those living with hiv.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
Liabilities / Revenue
39th percentile
Higher debt load relative to revenue than 39% of similar nonprofits.
Net Margin
31st percentile
Higher net margin than 31% of similar nonprofits.
Top Officer Pay
37th percentile
Higher top officer pay than 37% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
53rd percentile
Faster asset growth than 53% of similar nonprofits.
Revenue Growth
36th percentile
Faster revenue growth than 36% of similar nonprofits.
Assets
Up$36,744,976
Up $2,323,234 (+6.7%) from 2023
Liabilities
Up$14,182,436
Up $2,601,755 (+22%) from 2023
Net Assets
Down$22,562,540
Down $278,521 (-1.2%) from 2023
Revenue
Up$62,439,320
Up $1,934,747 (+3.2%) from 2023
Expenses
Up$62,717,841
Up $3,232,066 (+5.4%) from 2023
Net Income
Down-$278,521
Down $1,297,319 (-127%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Primary health care provides medical, mental health, dental, and supportive services with exceptional compassion and respect. We are accessible to those who need the most help, including the homeless, children, refugees, and those living with hiv.
Primary health care provides medical, mental health, dental, and supportive services with exceptional compassion and respect.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $13,618,484 | $14,141,277 | ▲ $522,793 |
| Savings and Temporary Cash Investments | $5,273,031 | $6,954,848 | ▲ $1,681,817 |
| Accounts Receivable | $2,385,459 | $3,097,564 | ▲ $712,105 |
| Pledges and Grants Receivable | $3,176,901 | $2,851,926 | ▼ $324,975 |
| Cash and Non-Interest-Bearing Accounts | $2,234,100 | $2,236,081 | ▲ $1,981 |
| Prepaid Expenses and Deferred Charges | $869,506 | $778,842 | ▼ $90,664 |
| Investments Program Related | $695,581 | $700,080 | ▲ $4,499 |
| Inventories for Sale or Use | $52,971 | $78,192 | ▲ $25,221 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $34,421,742 | $36,744,976 | ▲ $2,323,234 |
| Other Assets Total | $6,115,709 | $5,906,166 | ▼ $209,543 |
| Liabilities | |||
| Other Liabilities | $4,124,417 | $5,939,744 | ▲ $1,815,327 |
| Accounts Payable and Accrued Expenses | $4,166,876 | $5,086,444 | ▲ $919,568 |
| Mortgage Notes Payable Secured by Investment Property | $3,172,294 | $3,071,023 | ▼ $101,271 |
| Deferred Revenue | $117,094 | $85,225 | ▼ $31,869 |
| Total Liabilities | $11,580,681 | $14,182,436 | ▲ $2,601,755 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $22,445,949 | $22,312,734 | ▼ $133,215 |
| Net Assets With Donor Restrictions | $395,112 | $249,806 | ▼ $145,306 |
| Total Net Assets Fund Balance | $22,841,061 | $22,562,540 | ▼ $278,521 |
| Total Liabilities and Net Assets / Fund Balance | $34,421,742 | $36,744,976 | ▲ $2,323,234 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $9,079,459 | $8,423,974 | $17,503,433 |
| Equipment | $1,837,447 | $2,493,216 | $4,330,663 |
| Other Land Buildings | $1,712,392 | - | $1,712,392 |
| Land | $1,511,979 | - | $1,511,979 |
| Other Assets Org | $1,157,777 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Maureen Tacke | Physician - Family Practice | FT | $266,626 | $17,183 | $283,809 |
| Heidi Shreck | CMO | FT | $259,878 | $16,054 | $275,932 |
| Susan Kennedy | Physician - Family Practice | FT | $252,307 | $14,784 | $267,091 |
| Alan Bollinger | Physician - Family Practice | FT | $229,332 | $16,860 | $246,192 |
| Kelly Huntsman | CEO | FT | $223,756 | $21,283 | $245,039 |
| Jennifer Groos | Physician - Pediatrics | FT | $188,075 | $14,382 | $202,457 |
| Brian Wade Ancell | Dentist | FT | $185,300 | $12,170 | $197,470 |
| Elizabeth Frantum | CFO | FT | $144,988 | $10,205 | $155,193 |
| Nathaniel Simpson | COO | FT | $117,397 | $12,234 | $129,631 |
| Julie Raasch | CQO | FT | $120,388 | $6,548 | $126,936 |
| Jenny Brown | Hr Director | FT | $82,856 | $15,320 | $98,176 |
| Jason Kessler | Medical Director | FT | $89,622 | $1,630 | $91,252 |
| Bery Engebretsen | CVO | PT | $28,490 | $635 | $29,125 |
| Name | Title |
|---|---|
| Scott Emison Clair | Chair |
| Karin Derry | Past Chair |
| Ben Bellus | Vice Chair |
| Alicia Huguelet | Board Member |
| Billie Wade | Board Member |
| Denise Essman | Board Member |
| Janet Hicks | Board Member |
| Jeni Nosbisch | Board Member |
| Maryna Salas | Board Member |
| Sergio Hernandez | Board Member |
| Sandy Hansen | Board Member End 02/24 |
| Roger Lacoy | Board Secretary |
| Ted Johnson | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Azcon Corp | Contractor | 1920 SE 41ST ST, Grimes, IA 50111 | $535,488 |
| Propio Language Service | Language Services | 10801 MASTIN STREET STE 580, Overland Park, KS 66210 | $305,630 |
| Quest Diagnostics | Lab Testing Services | PO BOX 775460, Chicago, IL 60677-5460 | $267,521 |
| Forvis Mazars LLP | Audit/tax/consulting | PO BOX 1190, Springfield, MO 65801-1190 | $237,590 |
| Eric R Ziel | Rent | 1802 SE DELAWARE STE 103, Ankeny, IA 50021 | $230,628 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $31,459,130 |
| Other Expenses | $23,338,554 |
| Grants and Similar Amounts Paid | $7,910,623 |
| Professional Fundraising Fees | $9,534 |
| Total Fundraising Expense | $9,534 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $19,710,128 | $4,392,239 | - | $24,102,367 |
| Fees for Services Other | $4,802,085 | $616,022 | $0 | $5,418,107 |
| Grants to Domestic Orgs | $5,383,000 | - | - | $5,383,000 |
| Other Employee Benefits | $2,857,819 | $624,017 | - | $3,481,836 |
| Information Technology | $2,775,536 | $367,822 | - | $3,143,358 |
| Grants to Domestic Individuals | $2,527,623 | - | - | $2,527,623 |
| Payroll Taxes | $1,507,508 | $361,806 | - | $1,869,314 |
| Occupancy | $1,338,424 | $173,647 | - | $1,512,071 |
| Office Expenses | $1,211,719 | $230,565 | - | $1,442,284 |
| Depreciation Depletion | $1,111,273 | $129,837 | - | $1,241,110 |
| Current Officers, Directors, Trustees, and Key Employees | $768,284 | $383,000 | - | $1,151,284 |
| Pension Plan Contributions | $693,466 | $160,863 | - | $854,329 |
| Insurance | $86,049 | $239,600 | - | $325,649 |
| Travel | $180,498 | $27,578 | - | $208,076 |
| Fees for Services Accounting | - | $205,521 | - | $205,521 |
| Conferences and Meetings | $138,993 | $44,039 | - | $183,032 |
| Interest | - | $107,474 | - | $107,474 |
| Fees for Services Legal | - | $100,313 | - | $100,313 |
| Advertising | $42,942 | $41,280 | - | $84,222 |
| Other Expenses | $71,157 | $7,237 | - | $78,394 |
| Fees for Services Professional Fundraising | - | - | $9,534 | $9,534 |
| Total Functional Expenses | $54,298,400 | $8,409,907 | $9,534 | $62,717,841 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $62,717,841 |
| Total Expenses per Audited Statements | $61,706,835 |
| Expenses per Audited Statements | $61,385,731 |
| Expenses Not Reported on Financial Statements | $1,332,110 |
| Other Expense Adjustments | $1,332,110 |
| Expenses Not Reported on Form 990 | $321,104 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Iowa Medical Education Collaborative | Des Moines, IA | 501c3 | support | $5,280,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $9,534 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| ROU Liabilities | $3,839,744 |
| Due to Third Party | $2,100,000 |
“The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. The from 990 is reviewed at the first full board of directors meeting that is held after the return is completed.”
“The board of directors shall adopt and enforce a policy on conflicts of interest and self-dealing that requires disclosure by all directors and officers of the corporation, and other persons who are in a position to influence corporate decisions, of actual and potential conflicts of interest, and that will assure that no person holding such a position is permitted to vote on any issue, motion, or resolution that directly or indirectly inures to his or her benefit financially or with respect to which he or she may have any other conflict of interest, except that a voting director who has a conflict of interest may be counted in order to constitute a quorum, and may participate in the discussion of the issue, motion or resolution to the extent permitted by the conflict of interest policy or as otherwise determined by the board of directors.”
“Ceo salary is researched by the chief human resources officer, using market data. This information is given to the board personnel committee to review and recommend a salary to the full board. The board may approve, disapprove, or modify the recommendation. This detail is recorded in the board minutes.”
“The organization's governing documents and conflict of interest policy are available upon request in the organization's administrative offices.”
“Significant changes to governing documents: with a majority vote, any member may be removed for negligence of board duties and responsibilities, illegal activities, and acting in a manner detrimental to primary health care.”
“Form 990 review process: the form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. The from 990 is reviewed at the first full board of directors meeting that is held after the return is completed.”
“Monitoring compliance with the conflict of interest policy: the board of directors shall adopt and enforce a policy on conflicts of interest and self-dealing that requires disclosure by all directors and officers of the corporation, and other persons who are in a position to influence corporate decisions, of actual and potential conflicts of interest, and that will assure that no person holding such a position is permitted to vote on any issue, motion, or resolution that directly or indirectly inures to his or her benefit financially or with respect to which he or she may have any other conflict of interest, except that a voting director who has a conflict of interest may be counted in order to constitute a quorum, and may participate in the discussion of the issue, motion or resolution to the extent permitted by the conflict of interest policy or as otherwise determined by the board of directors.”
“Compensation determination: ceo salary is researched by the chief human resources officer, using market data. This information is given to the board personnel committee to review and recommend a salary to the full board. The board may approve, disapprove, or modify the recommendation. This detail is recorded in the board minutes.”
“Public disclosure: the organization's governing documents and conflict of interest policy are available upon request in the organization's administrative offices.”
“(Expenses $ 3,234,782 including grants of $ 0)(Revenue $ 0) OTHER PROGRAM SERVICES: PRIMARY HEALTH CARE, INC. PROVIDES HOMELESS SUPPORT SERVICES FOR THE HOMELESS POPULATION OF CENTRAL IOWA.”
“Uncertain tax positions: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
“Net Assets Released From Restriction - 372913”
“Temporarily Restricted Contributions - 227607 Contribution Revenue - 1332110 Loss on Disposal of Assets - -11774”
“Loss on Disposal of Assets - 11774”
“Grant Expense - 1332110”
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 | 4166876 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5086444 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2385459 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3097564 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PRIMARY HEALTH CARE PROVIDES MEDICAL, MENTAL HEALTH, DENTAL, AND SUPPORTIVE SERVICES WITH EXCEPTIONAL COMPASSION AND RESPECT. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 41280 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 42942 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 84222 |
| IRS990/AllOtherContributionsAmt | 0 | 4889267 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | PRIMARY HEALTH CARE INC |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5152481447 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1200 UNIVERSITY 200 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | DES MOINES |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 50314 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2234100 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2236081 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 383000 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 768284 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1151284 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 44039 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 138993 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 183032 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 535488 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 305630 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 267521 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 237590 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 230628 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1920 SE 41ST ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 10801 MASTIN STREET STE 580 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 775460 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 1190 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1802 SE DELAWARE STE 103 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | GRIMES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | OVERLAND PARK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SPRINGFIELD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | ANKENY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 50111 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 66210 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 606775460 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 658011190 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 50021 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | AZCON CORP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | PROPIO LANGUAGE SERVICE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | QUEST DIAGNOSTICS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | FORVIS MAZARS LLP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | ERIC R ZIEL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | LANGUAGE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | LAB TESTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | AUDIT/TAX/CONSULTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | RENT |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 29326717 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 7910623 |
| IRS990/CYInvestmentIncomeAmt | 0 | 96314 |
| IRS990/CYOtherExpensesAmt | 0 | 23338554 |
| IRS990/CYOtherRevenueAmt | 0 | 4499 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 33011790 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -278521 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 31459130 |
| IRS990/CYTotalExpensesAmt | 0 | 62717841 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 9534 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 9534 |
| IRS990/CYTotalRevenueAmt | 0 | 62439320 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 117094 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 85225 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 129837 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1111273 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1241110 |
| IRS990/Desc | 0 | COMMUNITY HEALTH CENTER CLUSTER OUR PRIMARY CARE CLINICS PROVIDE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES TO UNINSURED AND UNDER SERVED PATIENTS IN CENTRAL IOWA, REGARDLESS OF THEIR ABILITY TO PAY. PATIENT VISITS FOR THE FISCAL YEAR TOTALED 148,381. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 395112 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 249806 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 550 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 42150192 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FederatedCampaignsAmt | 0 | 18238 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 205521 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 205521 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 100313 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 100313 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 616022 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 4802085 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 5418107 |
| IRS990/FeesForServicesProfFundraising/FundraisingAmt | 0 | 9534 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 9534 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.0 |
| 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/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | 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/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | 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 | 635 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 10205 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 16054 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 1630 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 15320 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 6548 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 21283 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 12234 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 16860 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 12170 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 14382 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 17183 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 14784 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BEN BELLUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROGER LACOY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | SCOTT EMISON CLAIR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | TED JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ALICIA HUGUELET |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BILLIE WADE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DENISE ESSMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JANET HICKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JENI NOSBISCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KARIN DERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARYNA SALAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SANDY HANSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | SERGIO HERNANDEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | BERY ENGEBRETSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ELIZABETH FRANTUM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | HEIDI SHRECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JASON KESSLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JENNY BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JULIE RAASCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | KELLY HUNTSMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | NATHANIEL SIMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ALAN BOLLINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | BRIAN WADE ANCELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JENNIFER GROOS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | MAUREEN TACKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | SUSAN KENNEDY |
| 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 | 28490 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 144988 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 259878 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 89622 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 82856 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 120388 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 223756 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 117397 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 229332 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 185300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 188075 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 266626 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 252307 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PAST CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER END 02/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CVO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | HR DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CQO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN - FAMILY PRACTICE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN - PEDIATRICS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN - FAMILY PRACTICE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PHYSICIAN - FAMILY PRACTICE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1989 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -11774 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 24419212 |
| IRS990/GrantAmt | 0 | 2624074 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 2527623 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 2527623 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 5383000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 5383000 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 62451094 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 40 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 367822 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2775536 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 3143358 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 239600 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 86049 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 325649 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 107474 |
| IRS990/InterestGrp/TotalAmt | 0 | 107474 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 52971 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 78192 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 108088 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 108088 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 695581 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 700080 |
| IRS990/IRPDocumentCnt | 0 | 192 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 10917190 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 13618484 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 14141277 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 25058467 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 11774 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | PRIMARY HEALTH CARE PROVIDES MEDICAL, MENTAL HEALTH, DENTAL, AND SUPPORTIVE SERVICES WITH EXCEPTIONAL COMPASSION AND RESPECT. WE ARE ACCESSIBLE TO THOSE WHO NEED THE MOST HELP, INCLUDING THE HOMELESS, CHILDREN, REFUGEES, AND THOSE LIVING WITH HIV. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 3172294 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 3071023 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 22841061 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 22562540 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -11774 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -11774 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 22445949 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 22312734 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 173647 |
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