Liabilities / Assets
51st percentile
Higher debt load relative to assets than 51% of similar nonprofits.
EIN 45-0231181 • 501(c)3 • Jamestown, ND
Profile
Exceed expectations and be the difference in the lives of those we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
51st percentile
Higher debt load relative to assets than 51% of similar nonprofits.
Liabilities / Revenue
68th percentile
Higher debt load relative to revenue than 68% of similar nonprofits.
Net Margin
58th percentile
Higher net margin than 58% of similar nonprofits.
Top Officer Pay
33rd percentile
Higher top officer pay than 33% of similar nonprofits.
Top officer pay equals 0.9% of source-year revenue.
Asset Growth
34th percentile
Faster asset growth than 34% of similar nonprofits.
Revenue Growth
32nd percentile
Faster revenue growth than 32% of similar nonprofits.
Assets
Up$103,489,414
Up $3,140,267 (+3.1%) from 2023
Liabilities
Down$54,727,575
Down $569,891 (-1.0%) from 2023
Net Assets
Up$48,761,839
Up $3,710,158 (+8.2%) from 2023
Revenue
Up$79,663,064
Up $3,307,141 (+4.3%) from 2023
Expenses
Up$77,850,469
Up $3,867,611 (+5.2%) from 2023
Net Income
Down$1,812,595
Down $560,470 (-24%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
Exceed expectations and be the difference in the lives of those we serve.
Jamestown Regional Medical Center will be the best rural hospital in the country for patients to receive care, employees to work, and physicians to practice.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $35,050,628 | $33,496,373 | ▼ $1,554,255 |
| Investments in Publicly Traded Securities | $28,853,349 | $26,825,012 | ▼ $2,028,337 |
| Savings and Temporary Cash Investments | $16,283,909 | $17,448,024 | ▲ $1,164,115 |
| Accounts Receivable | $6,519,482 | $8,433,092 | ▲ $1,913,610 |
| Inventories for Sale or Use | $869,012 | $1,026,560 | ▲ $157,548 |
| Prepaid Expenses and Deferred Charges | $367,808 | $443,528 | ▲ $75,720 |
| Other Notes and Loans Receivable, Net | $105,211 | $90,804 | ▼ $14,407 |
| Total Assets | $88,595,221 | $88,544,787 | ▼ $50,434 |
| Other Assets Total | $545,822 | $781,394 | ▲ $235,572 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $38,392,913 | $37,537,649 | ▼ $855,264 |
| Accounts Payable and Accrued Expenses | $5,169,903 | $5,887,292 | ▲ $717,389 |
| Other Liabilities | $2,733,372 | $2,528,825 | ▼ $204,547 |
| Deferred Revenue | $704,158 | $803,922 | ▲ $99,764 |
| Unsecured Notes Loans Payable | $391,994 | $269,466 | ▼ $122,528 |
| Total Liabilities | $47,392,340 | $47,027,154 | ▼ $365,186 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $40,851,102 | $40,951,785 | ▲ $100,683 |
| Net Assets With Donor Restrictions | $351,779 | $565,848 | ▲ $214,069 |
| Total Net Assets Fund Balance | $41,202,881 | $41,517,633 | ▲ $314,752 |
| Total Liabilities and Net Assets / Fund Balance | $88,595,221 | $88,544,787 | ▼ $50,434 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $23,110,733 | $23,667,100 | $46,777,833 |
| Equipment | $7,307,516 | $16,938,835 | $24,246,351 |
| Leasehold Improvements | $2,005,661 | $985,780 | $2,991,441 |
| Other Land Buildings | $639,034 | $562,645 | $1,201,679 |
| Land | $433,429 | - | $433,429 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Michael Dean | Orthopedic Surgeon | FT | $671,485 | $129,033 | $800,518 |
| Dr Timothy Volk | Orthopedic Surgeon | FT | $682,298 | $71,918 | $754,216 |
| Dr Christopher Cost | Urologist | FT | $674,417 | $53,327 | $727,744 |
| Dr Kent Diehl | ER Physician | FT | $454,761 | $31,433 | $486,194 |
| Dr Steve Inglish | ER Physician | FT | $407,117 | $40,503 | $447,620 |
| Mike Delfs | CEO | FT | $306,579 | $94,430 | $401,009 |
| Beverly Fiferlick | CFO | FT | $207,154 | $19,914 | $227,068 |
| Name | Title |
|---|---|
| Wanda Vining-Alber | Chairperson |
| Mark Anderson | Vice Chair |
| Randy Jaspers | Board Member |
| Steve Ottmar | Board Member |
| Teree Rittenbach | Board Member |
| Terry Wanzek | Board Member |
| Tim Burchill | Board Member |
| Casey Henderson | Secretary/Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| FocusOne | Contracted workers | 13609 California St, Omaha, NE 68154 | $1,153,986 |
| Jamestown Radiology LLC | Radiologist | 1400 10th Ave NE 220, Jamestown, ND 58401 | $935,519 |
| Eide Bailly | Accounting Firm | PO Box 2545, Fargo, ND 58108 | $128,534 |
| CommonSpirit Health | TelePharmacy | 198 Inverness Dr W, Engelwood, CO 80112 | $125,599 |
| Line Item | Amount |
|---|---|
| Other Expenses | $35,103,354 |
| Salaries, Compensation, and Employee Benefits | $29,451,348 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $20,898,954 | $1,672,709 | - | $22,571,663 |
| Fees for Services Other | $9,569,318 | $1,593,824 | - | $11,163,142 |
| Depreciation Depletion | $2,637,876 | $1,159,865 | - | $3,797,741 |
| Other Employee Benefits | $3,119,660 | $222,912 | - | $3,342,572 |
| Interest | $1,126,901 | $495,495 | - | $1,622,396 |
| Pension Plan Contributions | $1,388,580 | $102,569 | - | $1,491,149 |
| Payroll Taxes | $1,318,744 | $110,425 | - | $1,429,169 |
| Occupancy | $1,190,119 | $19,874 | - | $1,209,993 |
| Office Expenses | $355,639 | $299,989 | - | $655,628 |
| Current Officers, Directors, Trustees, and Key Employees | - | $616,795 | - | $616,795 |
| Other Expenses | $328,980 | $946 | - | $329,926 |
| Insurance | $49,590 | $265,086 | - | $314,676 |
| All Other Expenses | $68,671 | $238,605 | - | $307,276 |
| Advertising | $38,365 | $195,010 | - | $233,375 |
| Travel | $65,609 | $29,838 | - | $95,447 |
| Fees for Services Accounting | - | $84,086 | - | $84,086 |
| Conferences and Meetings | $55,607 | $7,484 | - | $63,091 |
| Fees for Services Legal | $2,325 | $40,521 | - | $42,846 |
| Total Functional Expenses | $57,390,315 | $7,164,387 | $0 | $64,554,702 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $64,575,805 |
| Total Expenses per Form 990 | $64,554,702 |
| Expenses per Audited Statements | $64,546,397 |
| Expenses Not Reported on Form 990 | $29,408 |
| Expenses Not Reported on Financial Statements | $8,305 |
| Other Expense Adjustments | $8,305 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Estimated Third Party | $2,396,825 |
| Insurance Payable | $132,000 |
“The Governance Committee consists of the officers of the Board of Directors. A majority of the members of the Governance Committee constitutes a quorum. The Governance Committee: A. Reviews the performance of the President/Chief Executive Officer of the Jamestown Regional Medical Center on the anniversary date of employment and report the findings to the Board of Directors. B. Assists our board to fulfill its responsibilities for ensuring high levels of governance performance and contribution. C. Assists our board to appoint and re-appoint directors; and formulating policies regarding making decisions about and overseeing governance effectiveness, efficiency, creativity and adaptability. D. Takes action on behalf of our board in emergency situations when we cannot be convened; emergency actions taken by the Governance Committee must be reported to the, and discussed/ratified by, our board at its next regularly scheduled meeting.”
“The preparer of the Form 990 provides an electronic copy of the final 990 to the organization's Chief Financial Officer. The Chief Financial Officer performs a detailed review of Form 990. The Chief Financial Officer provides each voting Board Member with a copy of the Form 990 prior to submitting to the Internal Revenue Service.”
“The conflict of interest policy covers employees and board members. The Compliance Officer reviews all potential conflicts and determines if a conflict exists. Directors are asked at every board meeting whether or not anyone has a duality of interest or conflict of interest. Directors having a duality of interest or a possible conflict of interest on any matter which comes before the board shall not vote on the matter or use their personal influence on the matter. The minutes of the meeting shall reflect that a disclosure of duality or conflict of interest was made, and the director making such a disclosure shall not be counted in declaring a quorum for the determination of the matter. This provision shall not be construed as preventing the director from briefly stating a position on the matter nor from answering pertinent questions.”
“For the CEO, the Board Chairman converses with an HR consultant on market wages and evaluation process. Evaluation forms are typically completed by board members and the Board Chairman conducts the actual evaluation. Comparability data was used by those without conflict and the decisions were documented. This process takes place annually. The CFO is evaluated and compensated based on the Employee Performance Assessment policy that is standard for the organization. Comparability data is also used to determine adjustments to compensation.”
“The organization does not make its governing documents, conflict of interest policy and financial statements available to the public.”
“Consulting Services: Program service expenses 652,124. Management and general expenses 202,040. Fundraising expenses 0. Total expenses 854,164. Maintenance and Repair: Program service expenses 1,357,165. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,357,165. Other Purchased Services: Program service expenses 7,560,029. Management and general expenses 465,409. Fundraising expenses 0. Total expenses 8,025,438. Contracts: Program service expenses 0. Management and general expenses 926,375. Fundraising expenses 0. Total expenses 926,375.”
“Change in Interest in Foundation 214,069. Change in Auxiliary Net Assets -2,526.”
“There is an auxiliary which operates under the EIN of the Organization.”
“The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.”
“Cost of Goods Sold Included in Expenses on Financial Statements -29,408. Auxiliary Revenues not included in Revenue on Financial Statements 10,831.”
“Cost of Goods Sold Included in Expenses on Financial Statements 29,408.”
“Auxiliary Expenses not included in Expenses on Financial Statements 8,305.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 5169903 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5887292 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6519482 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 8433092 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Jamestown Regional Medical Center will be the best rural hospital in the country for patients to receive care, employees to work, and physicians to practice. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 195010 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 38365 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 233375 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 238605 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 68671 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 307276 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Beverly Fiferlick |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7019521050 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2422 20th Street SW |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Jamestown |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 584013360 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 4 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 616795 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 616795 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 7484 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 55607 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 63091 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1153986 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 935519 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 128534 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 125599 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 13609 California St |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1400 10th Ave NE 220 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 2545 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 198 Inverness Dr W |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Omaha |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Jamestown |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Fargo |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Engelwood |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 68154 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 58401 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 58108 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 80112 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | FocusOne |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Jamestown Radiology LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Eide Bailly |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | CommonSpirit Health |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Contracted workers |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Radiologist |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Accounting Firm |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | TelePharmacy |
| IRS990/CostOfGoodsSoldAmt | 0 | 29408 |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1874335 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1837420 |
| IRS990/CYOtherExpensesAmt | 0 | 35103354 |
| IRS990/CYOtherRevenueAmt | 0 | 15281 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 64935964 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 4108298 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 29451348 |
| IRS990/CYTotalExpensesAmt | 0 | 64554702 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 68663000 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 704158 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 803922 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1159865 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2637876 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3797741 |
| IRS990/Desc | 0 | Jamestown Regional Medical Center is a 25 bed critical access hospital providing short-term acute inpatient, outpatient, swing bed, home health and hospice health care services. The nearest provider of health care services is more than 35 miles away and Jamestown Regional Medical Center is located 100 miles away from the nearest major health service centers in Fargo or Bismarck, North Dakota. Jamestown Regional Medical Center makes medical care accessible to the entire community it serves. In addition to the routine inpatient and outpatient health care services provided, our facility also provides specialty clinic services including OBGYN, ENT, podiatry, orthopedics, urology, and wound care. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | Jamestown Regional Medical Center |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 351779 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 565848 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 477 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 57390315 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 84086 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 84086 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 40521 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 2325 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 42846 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1593824 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 9569318 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 11163142 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| 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/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/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 | 48147 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 17728 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 21958 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 44836 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 51478 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 29425 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 33466 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Wanda Vining-Alber |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Mark Anderson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Casey Henderson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Teree Rittenbach |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Terry Wanzek |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Tim Burchill |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Randy Jaspers |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Steve Ottmar |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Mike Delfs |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Beverly Fiferlick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Dr Michael Dean |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Dr Timothy Volk |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Dr Christopher Cost |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Dr Kent Diehl |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Dr Steve Inglish |
| 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 | 352700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 209171 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 778398 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 709218 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 676104 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 456607 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 413992 |
| 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/TitleTxt | 0 | Chairperson |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board Member |
| 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 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Orthopedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Orthopedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Urologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | ER Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | ER Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1927 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 7500 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1319747 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 1575729 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 7500 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1319747 |
| IRS990/GrossReceiptsAmt | 0 | 68692447 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 2287 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 42441 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 46 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 265086 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 49590 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 314676 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 495495 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 1126901 |
| IRS990/InterestGrp/TotalAmt | 0 | 1622396 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 869012 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1026560 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 510173 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 510173 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 28853349 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 26825012 |
| IRS990/IRPDocumentCnt | 0 | 43 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 42154360 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 35050628 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 33496373 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 75650733 |
| IRS990/LegalDomicileStateCd | 0 | ND |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 39 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| 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 | Exceed expectations and be the difference in the lives of those we serve. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 38392913 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 37537649 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 41202881 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 41517633 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 1327247 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1327247 |
| IRS990/NetIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 13033 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 13033 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 2248 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 2248 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -4005089 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 40851102 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 40951785 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 19874 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1190119 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1209993 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 299989 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 355639 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 655628 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 545822 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 781394 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 211543 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 222912 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3119660 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3342572 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Equipment Lease and Ren |
| IRS990/OtherExpensesGrp/Desc | 2 | Food |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 6108 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 2246 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 946 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 13650135 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1525242 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 328980 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 13656243 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1527488 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 329926 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2733372 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 2528825 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1672709 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 20898954 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 22571663 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 105211 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 90804 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 110425 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1318744 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1429169 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 102569 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 1388580 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 1491149 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 367808 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 443528 |
| IRS990/PrincipalOfficerNm | 0 | Mike Delfs |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 812300 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Net Patient Service Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Cafeteria |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | Laundry Services |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | Auxiliary |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 64335973 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 275744 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 10831 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 64335973 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 275744 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 104287 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 10831 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 104287 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 9546938 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 1000 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1746899 |
| IRS990/PYOtherExpensesAmt | 0 | 29716345 |
| IRS990/PYOtherRevenueAmt | 0 | 28984 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 58807833 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 11565281 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 28848028 |
| IRS990/PYTotalExpensesAmt | 0 | 58565373 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 70130654 |
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