Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
EIN 42-1473142 • 501(c)3 • Atlantic, IA
Profile
See schedule o for mission statement.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on the latest valid filing.
Top Officer Pay
81st percentile
Higher top officer pay than 81% of similar nonprofits.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
3rd percentile
Faster revenue growth than 3% of similar nonprofits.
Assets
Down$0
Down $1,014,937 (-100%) from 2017
Liabilities
Down$0
Down $604,994 (-100%) from 2017
Net Assets
Down$0
Down $409,943 (-100%) from 2017
Revenue
Down$0
Down $3,171,763 (-100%) from 2017
Expenses
Down$0
Down $3,155,256 (-100%) from 2017
Net Income
Down$0
Down $16,507 (-100%) from 2017
Most recent year
2018 • Form 990EZXML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2018 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2015 below.
See schedule o for mission statement.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $287,017 | $352,406 | ▲ $65,389 |
| Accounts Receivable | $141,942 | $230,325 | ▲ $88,383 |
| Inventories for Sale or Use | $128,703 | $135,646 | ▲ $6,943 |
| Land, Buildings, and Equipment, Net | $90,953 | $61,062 | ▼ $29,891 |
| Prepaid Expenses and Deferred Charges | - | $31,491 | - |
| Total Assets | $648,615 | $810,930 | ▲ $162,315 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $656,652 | $712,941 | ▲ $56,289 |
| Other Liabilities | $48,267 | $100,264 | ▲ $51,997 |
| Total Liabilities | $704,919 | $813,205 | ▲ $108,286 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $-56,304 | $-2,275 | ▲ $54,029 |
| Total Net Assets Fund Balance | $-56,304 | $-2,275 | ▲ $54,029 |
| Total Liabilities and Net Assets / Fund Balance | $648,615 | $810,930 | ▲ $162,315 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $45,524 | $450,147 | - |
| Leasehold Improvements | $15,538 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Chad Mccance | Doctor | FT | $353,191 | $50,680 | $403,871 |
| Angela Weppler | Doctor | FT | $199,499 | $187,792 | $387,291 |
| Mark Johnson | Doctor | FT | $257,968 | $60,023 | $317,991 |
| Elaine Berry | Doctor | FT | $189,600 | $109,488 | $299,088 |
| Sean Atkinson | Doctor/director | FT | $181,487 | $94,178 | $275,665 |
| Vanessa Cook | Doctor | FT | $172,513 | $78,417 | $250,930 |
| Todd Bean | Secretary/doctor | FT | $161,407 | $71,777 | $233,184 |
| Name | Title |
|---|---|
| Julie Pollock | President |
| Roger Herring | Vice Chair |
| Phyllis Stakey | Director |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $3,584,759 |
| Other Expenses | $1,044,277 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,801,656 | - | - | $2,801,656 |
| Current Officers, Directors, Trustees, and Key Employees | $407,871 | - | - | $407,871 |
| Other Employee Benefits | $243,000 | - | - | $243,000 |
| Occupancy | $139,974 | - | - | $139,974 |
| Payroll Taxes | $132,232 | - | - | $132,232 |
| Insurance | - | $51,664 | - | $51,664 |
| Depreciation Depletion | - | $29,891 | - | $29,891 |
| Other Expenses | $262,925 | $24,776 | - | $24,776 |
| Travel | - | $10,755 | - | $10,755 |
| Total Functional Expenses | $4,511,950 | $117,086 | $0 | $4,629,036 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $4,629,036 |
| Total Expenses per Audited Statements | $4,629,036 |
| Total Expenses per Form 990 | $4,629,036 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Related Parties | $87,412 |
| Deferred Revenue | $12,852 |
“Reviewed by ceo, cfo, and governing board.”
“Statements signed annually, board member abstains from voting when they have a possible conflict of interest. Monitored by all administration, staff, and board members.”
“Compensation is compared to information provided by medical group management association for peer groups, and other available surveys, and is discussed with board members and the cpa providing accounting services to the organization.”
“Governing documents and financial information are made available to the public by request at organization's business office during normal business hours.”
“Consistent with prior year”
“The corporation provides support for cass county memorial hospital and other similar organizations in the area. The support includes recruiting, employing and furnishing physicians and other medical professionals to staff rural health clinics and other medical enterprises owned and operated by the supported organizations. The support also includes conducting charitable, educational, and scientific activities designed or carried on in furtherance of the supported organizations.”
“The mission of the corporation is to operate for the benefit of, to perform the functions of, or to carry out the purposes of, cass county memorial hosptial and other charitable health care, scientific and educational entities which qualify as nonprofit corporations and which operate, supervise or control this organization or are supervised or controlled in connection with this organization, either directly or through the hospital. The purposes therefor include, without limitation: 1. To engage in, support and conduct charitable, educational and scientific activiites designed or carried on in furtherance of the purposes described above; 2. To solicit and receive contributions, gifts, grants, devises, or bequests of real or personal property, or both from individuals, foundations, and public and private entities; 3. To recruit, employ, and furnish physicians and other medical professionals to staff rural health clinics and other medical enterprises owned and operated by supported organizations; 4. To maintain, use, and apply, directly or indirectly, the whole or any part of the income therefrom and the principal thereof, exclusively for the benefit of supported organizations; and 5. To enter in joint and cooperative ventures with supported organizations in order to carry out the foregoing objectives.”
“Cass county memorial hospital”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 656652 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 712941 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 141942 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 230325 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O FOR MISSION STATEMENT. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | Beth Spieker |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7122432850 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1501 EAST 10TH ST PO BOX 429 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ATLANTIC |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 50022 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 287017 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 352406 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
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| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 407871 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 407871 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
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| IRS990/CompensationProcessOtherInd | 0 | 1 |
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| IRS990/ConservationEasementsInd | 0 | 0 |
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| IRS990/CYContributionsGrantsAmt | 0 | 180000 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2 |
| IRS990/CYOtherExpensesAmt | 0 | 1044277 |
| IRS990/CYOtherRevenueAmt | 0 | 50678 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 4452385 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 54029 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 3584759 |
| IRS990/CYTotalExpensesAmt | 0 | 4629036 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 4683065 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 29891 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 29891 |
| IRS990/Desc | 0 | CASS COUNTY MEDICAL CLINICS INC. RECRUITED, EMPLOYED, AND FURNISHED PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS FOR RURAL HEALTH CLINICS, OTHER CLINCS, A SURGICAL PRACTICE, AND A HOSPITAL PHYSICIAN PRACTICE AT CASS COUNTY MEMORIAL HOSPITAL. SERVICES PROVIDED INCLUDED SERVING AS MEDICAL STAFF FOR THE HOSPITAL AND APPROXIMATELY 53,500 PATIENT SERVICE VISITS WITHOUT DISCRIMINATION BASED ON ABILITY TO PAY, RACE, SEX, RELIGION, OR NATIONAL ORIGIN. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
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| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 23 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 4511950 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 55.00 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | 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 | 50330 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 50680 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 50055 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 54874 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 60023 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 44074 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JULIE POLLOCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROGER HERRING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | PHYLLIS STAKEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | TODD BEAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SEAN ATKINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | CHAD MCCANCE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | VANESSA COOK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ELAINE BERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MARK JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ANGELA WEPPLER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 182536 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 225335 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 353191 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 200875 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 244214 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 257968 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 343217 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 42690 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 39960 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 1080 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY/DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DOCTOR/DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DOCTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2000 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 4683065 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 19380 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 3 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 11 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 51664 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 51664 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 128703 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 135646 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 2 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 450147 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 90953 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 61062 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 511209 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O FOR MISSION STATEMENT. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -56304 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -2275 |
| IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 19380 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 19380 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
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| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 139974 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 139974 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
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| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 243000 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 243000 |
| IRS990/OtherExpensesGrp/Desc | 0 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | ADMINISTRATIVE EXPENSE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 24776 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 524292 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 262925 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 524292 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 262925 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 24776 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 48267 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 100264 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621110 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | PATIENT MANAGEMENT |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 31298 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 31298 |
| IRS990/OtherRevenueTotalAmt | 0 | 31298 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 2801656 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 2801656 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 132232 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 132232 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 31491 |
| IRS990/PrincipalOfficerNm | 0 | BETH SPIEKER |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PROGRAM REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 4452385 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 4452385 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 180000 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 7 |
| IRS990/PYOtherExpensesAmt | 0 | 586523 |
| IRS990/PYOtherRevenueAmt | 0 | 44235 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 4205123 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 81525 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 3761317 |
| IRS990/PYTotalExpensesAmt | 0 | 4347840 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 4429365 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 54029 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/RelatedOrganizationsAmt | 0 | 180000 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 19380 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 4503065 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | 1 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | 0 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd | 0 | 1 |
| IRS990ScheduleA/IRSWrittenDeterminationInd | 0 | X |
| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 420921296 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 0 | 4629036 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | SEE SCH O |
| IRS990ScheduleA/SupportingOrganization509a3Ind | 0 | X |
| IRS990ScheduleA/SupportingOrgType1Ind | 0 | X |
| IRS990ScheduleA/SupportSumAmt | 0 | 4629036 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 45524 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 450147 |
| IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt | 0 | 495671 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 4629036 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 15538 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/InvestmentCostOrOtherBasisAmt | 0 | 15538 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 87412 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 12852 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | DUE TO RELATED PARTIES |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | DEFERRED REVENUE |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 4683065 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 61062 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 4629036 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 100264 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 4683065 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 4683065 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 4629036 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 1 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 161407 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 181487 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 353191 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 172513 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 4 | 189600 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 5 | 257968 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 6 | 199499 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 21129 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 43848 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 3 | 28362 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 4 | 54614 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 6 | 143718 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 6 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 1 | 42690 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 3 | 39960 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 6 | 1080 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 6 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 6 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 6 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 6 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 50648 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 50330 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 2 | 50680 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 3 | 50055 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 4 | 54874 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 5 | 60023 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 6 | 44074 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 6 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 1 | 0 |
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