Civic Intelligence

Tri-State Medical Group Inc

EIN 42-1435525 • 501(c)3 • Keokuk, IA

Profile

Providing primary and specialty care to residents of the tri-state region.

1600 Morgan StreetKeokuk, IA 52632

www.keokukhealthsystems.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2022

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2022

Net Margin

99th percentile

100%

Higher net margin than 99% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

71st percentile

18%

Faster revenue growth than 71% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Down

$0

Down $1,428,685 (-100%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$0

Down $1,428,685 (-100%) from 2021

Revenue

Up

$70,046

Up $10,872 (+18%) from 2021

Expenses

Flat

$0

Flat from 2021

Net Income

Up

$70,046

Up $10,872 (+18%) from 2021

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$2.0M$0-$2.0M-$4.0MAssets 2010: $1,328,222Liabilities 2010: $1,321,587Net Assets 2010: $6,6352010Assets 2011: $1,121,929Liabilities 2011: $1,112,933Net Assets 2011: $8,9962011Assets 2012: $1,030,513Liabilities 2012: $1,021,123Net Assets 2012: $9,3902012Assets 2013: $1,423,514Liabilities 2013: $1,414,878Net Assets 2013: $8,6362013Assets 2014: $1,633,153Liabilities 2014: $2,166,165Net Assets 2014: -$533,0122014Assets 2015: $871,326Liabilities 2015: $2,932,925Net Assets 2015: -$2,061,5992015Assets 2016: $798,700Liabilities 2016: $3,706,940Net Assets 2016: -$2,908,2402016Assets 2017: $604,649Liabilities 2017: $3,853,069Net Assets 2017: -$3,248,4202017Assets 2018: $656,284Liabilities 2018: $3,841,270Net Assets 2018: -$3,184,9862018Assets 2019: $734,477Liabilities 2019: $3,837,080Net Assets 2019: -$3,102,6032019Assets 2020: $823,854Liabilities 2020: $3,837,080Net Assets 2020: -$3,013,2262020Assets 2021: $1,428,685Liabilities 2021: $0Net Assets 2021: $1,428,6852021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2022

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $5,070,2862010Expenses 2011: $4,588,1392011Expenses 2012: $4,501,2732012Revenue 2013: $3,263,676Expenses 2013: $4,019,640Net Income 2013: -$755,9642013Revenue 2014: $2,973,270Expenses 2014: $3,903,579Net Income 2014: -$930,3092014Revenue 2015: $1,421,725Expenses 2015: $2,950,312Net Income 2015: -$1,528,5872015Revenue 2016: $1,217,485Expenses 2016: $2,064,126Net Income 2016: -$846,6412016Revenue 2017: $208,355Expenses 2017: $523,231Net Income 2017: -$314,8762017Revenue 2018: $95,120Expenses 2018: $31,686Net Income 2018: $63,4342018Revenue 2019: $111,236Expenses 2019: $28,853Net Income 2019: $82,3832019Revenue 2020: $112,719Expenses 2020: $23,342Net Income 2020: $89,3772020Revenue 2021: $59,174Expenses 2021: $0Net Income 2021: $59,1742021Revenue 2022: $70,046Expenses 2022: $0Net Income 2022: $70,0462022

Highlighted filing

2022

Revenue$70,046
Expenses$0
Net Income$70,046

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.07$0.00$0.07
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.43$0.00$1.43$0.06$0.00$0.06
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.82$3.84$3.01$0.11$0.02$0.09
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.73$3.84$3.10$0.11$0.03$0.08
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.66$3.84$3.18$0.10$0.03$0.06
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.60$3.85$3.25$0.21$0.52$0.31
2016Detailed filing. Detailed filing data is available for this year.$0.80$3.71$2.91$1.22$2.06$0.85
2015Detailed filing. Detailed filing data is available for this year.$0.87$2.93$2.06$1.42$2.95$1.53
2014Detailed filing. Detailed filing data is available for this year.$1.63$2.17$0.53$2.97$3.90$0.93
2013Summary only. Only limited summary data is available for this year.$1.42$1.41$0.01$3.26$4.02$0.76
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.03$1.02$0.01$4.50
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.12$1.11$0.01$4.59
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.33$1.32$0.01$5.07
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2021 to Sep 30, 2022
Signed
Aug 1, 2023
Return Version
2021v4.0
Gross Receipts
$112,076
Mission and Program Overview

Mission

Providing primary and specialty care to residents of the tri-state region.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$912,985--
Cash and Non-Interest-Bearing Accounts$506,369--
Accounts Receivable$9,331--
Total Assets$1,428,685$0▼ $1,428,685
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,428,685--
Total Net Assets Fund Balance$1,428,685$0▼ $1,428,685
Total Liabilities and Net Assets / Fund Balance$1,428,685$0▼ $1,428,685
Compensation and Service Providers

Employees

NameTitleOtherTotal
Vickie ReneauAdministrato$194,925$194,925
Kristina KarreTreasurer$89,136$89,136
Teresa ConleeSecretary$50,556$50,556

Board Members and Trustees

NameTitle
Michael MaherChair
Tom RichardsonVice Chair
Barb SmidtTrustee
Donza Worden MdTrustee
Kiran Khanolkar MdTrustee
Kyle KeckTrustee
Pat GervelerTrustee
Vickie ReneauAdministrator
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$108
Investment Income
$0
Other Revenue
$69,938
Change in Net Assets
$70,046
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

Blessing corporate services provides general management services.

Form 990, Page 6, Part VI, Line 6

Keokuk health systems, inc., a tax-exempt iowa nonprofit corporation, is the sole member.

Form 990, Page 6, Part VI, Line 7A

Decisions subject to approval of members the sole member, keokuk health systems, inc., has the power to approve changes in articles and bylaws, dissolutions or merger, and appoint board of directors. In addition, at least two board members must also be board members of keokuk health systems, inc.

Form 990, Page 6, Part VI, Line 7B

The sole member, keokuk health systems, inc., has the power to approve changes in articles and bylaws, dissolutions or merger, and appoint board of directors. In addition, at least two board members must also be board members of keokuk health systems, inc.

Form 990, Page 6, Part VI, Line 11B

Following management and legal review, form 990 was provided to the board of trustees for review and comment prior to filing.

Form 990, Page 6, Part VI, Line 12C

A copy of the conflict of interest policy is distributed annually to officers, directors, trustees, and key employees to be read, signed, and returned to the organization. The signed policies are retained in the corporate administrative files. In addition, each offer, director, or trustee is required to declare no conflict of interest in regards to agenda items being presented at the start of each monthly board meeting.

Form 990, Page 6, Part VI, Line 19

These forms are located in the corporate administrative offices and are available upon request for public inspection.

Filing and Contact Details

Filer

Filer Name
Tri-state Medical Group Inc
EIN
42-1435525
Phone
2172231200
Address
1600 MORGAN STREET, KEOKUK, IA 52632

Signing Officer

Name
Pat Gerveler
Title
Trustee
Phone
2172231200
Signed
2023-08-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Pat Gerveler
Formed
1997
Legal Domicile
Ia
Voting Board Members
7
Independent Board Members
7
Employees
0

Preparer

Firm
Gray Hunter Stenn Llp
Address
500 MAINE ST, QUINCY, IL 62301
Preparer
Erin J Wharton CPA
Phone
2172220304
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 3

Tsmg ceased operations on september 9, 2022. All assets were transferred to a sister 501(c)(3) entity, keokuk area hospital.

Form 990, Part XI, Line 9

Transfer to bhk -1,498,731

Raw XML AppendixShowing 400 of 598 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0PAT GERVELER 0 95,619 0
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PAGE 1, PART I, LINE 4
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0true
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0951 BROADWAY ST HAMILT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1400 N 17TH ST KOKUK, I
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc2CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc3ACCOUNTS RECEIVABLE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02022-09-09
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12022-09-09
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt22022-09-09
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt32022-09-09
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0420710268
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1420710268
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN2420710268
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN3420710268
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0357000
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt1577000
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt2618445
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt39331
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)3
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)3
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt2501(C)3
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt3501(C)3
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0APPRAISAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1APPRAISAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt2CASH VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt3CASH VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0KEOKUK AREA HOSPITAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm1KEOKUK AREA HOSPITAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm2KEOKUK AREA HOSPITAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm3KEOKUK AREA HOSPITAL
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TSMG CEASED OPERATIONS ON SEPTEMBER 9, 2022. ALL ASSETS WERE TRANSFERRED TO A SISTER 501(C)(3) ENTITY, KEOKUK AREA HOSPITAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BLESSING CORPORATE SERVICES PROVIDES GENERAL MANAGEMENT SERVICES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2KEOKUK HEALTH SYSTEMS, INC., A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS THE SOLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DECISIONS SUBJECT TO APPROVAL OF MEMBERS THE SOLE MEMBER, KEOKUK HEALTH SYSTEMS, INC., HAS THE POWER TO APPROVE CHANGES IN ARTICLES AND BYLAWS, DISSOLUTIONS OR MERGER, AND APPOINT BOARD OF DIRECTORS. IN ADDITION, AT LEAST TWO BOARD MEMBERS MUST ALSO BE BOARD MEMBERS OF KEOKUK HEALTH SYSTEMS, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE SOLE MEMBER, KEOKUK HEALTH SYSTEMS, INC., HAS THE POWER TO APPROVE CHANGES IN ARTICLES AND BYLAWS, DISSOLUTIONS OR MERGER, AND APPOINT BOARD OF DIRECTORS. IN ADDITION, AT LEAST TWO BOARD MEMBERS MUST ALSO BE BOARD MEMBERS OF KEOKUK HEALTH SYSTEMS, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5FOLLOWING MANAGEMENT AND LEGAL REVIEW, FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO BE READ, SIGNED, AND RETURNED TO THE ORGANIZATION. THE SIGNED POLICIES ARE RETAINED IN THE CORPORATE ADMINISTRATIVE FILES. IN ADDITION, EACH OFFER, DIRECTOR, OR TRUSTEE IS REQUIRED TO DECLARE NO CONFLICT OF INTEREST IN REGARDS TO AGENDA ITEMS BEING PRESENTED AT THE START OF EACH MONTHLY BOARD MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THESE FORMS ARE LOCATED IN THE CORPORATE ADMINISTRATIVE OFFICES AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8TRANSFER TO BHK -1,498,731
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 2, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XI, LINE 9
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd0false
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd2false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd3false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd4false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd5false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt0BCS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt1BCS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt2BCS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt3BCS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt4BCS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt5KHS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0371132117
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN1320481381
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN2431033473
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN3981454767
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN5421237312
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C CORP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt1C CORP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt2C CORP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt3C CORP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt4S CORP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt5C CORP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/AddressLine1Txt0PO BOX 1159
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/CityNm0GRAND CAYMAN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/CountryCd0CJ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/ForeignPostalCd0KY1-1102
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/ProvinceOrStateNm0CAYMAN ISLANDS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileForeignCountryCd0CJ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd1IL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd2MO
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd3IL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd4IL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0MED EQUIP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1GRP HLTH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt2MED SVCS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt3SELF-INS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt4PHARMACY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt5MED EQUIP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0DENMAN SERVICES INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1CHS HOLDING COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2HANNIBAL CLINIC INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt3BLESSING ASSURANCE COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt4THE BROWN DRUG COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt5KEOKUK AREA MEDICAL EQUIP & SUPPLY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0BROADWAY AT 14TH ST
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt11005 BROADWAY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt2100 MEDICAL DRIVE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt31121 MAINE STREET
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt4420 NORTH 17TH STREET
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0QUINCY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm1QUINCY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm2HANNIBAL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm3QUINCY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm4KEOKUK
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0IL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd1IL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd2MO
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd3IL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd4IA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd062306
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd162301
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd263401
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd362301
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd452632
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingEntityName/BusinessNameLine1Txt0DENMAN
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingEntityName/BusinessNameLine1Txt1CHS HLDGS
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DisproportionateAllocationsInd0false
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DisproportionateAllocationsInd1false
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN0470901851
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN1811681509
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/GeneralOrManagingPartnerInd0false
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/GeneralOrManagingPartnerInd1false
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd1IL
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt0PHARMACY
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt1PRVDR NTWK
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0ILLINI HEALTH SERVICES LLC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt1CURRENT HEALTH NETWORK LLC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt0PO BOX 40
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt11005 BROADWAY
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm0QUINCY
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm1QUINCY
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd0IL
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd1IL
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/ZIPCd062306
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/ZIPCd162301
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd1false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd2false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd3false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd4false
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd6false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd7false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd8false

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