Liabilities / Assets
37th percentile
Higher debt load relative to assets than 37% of similar nonprofits.
EIN 47-0481628 • 501(c)3 • Holdrege, NE
Profile
Phelps memorial health center is a progressive family-centered health care provider providing exceptional quality and compassionate care for the families we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
37th percentile
Higher debt load relative to assets than 37% of similar nonprofits.
Liabilities / Revenue
36th percentile
Higher debt load relative to revenue than 36% of similar nonprofits.
Net Margin
77th percentile
Higher net margin than 77% of similar nonprofits.
Top Officer Pay
66th percentile
Higher top officer pay than 66% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
68th percentile
Faster asset growth than 68% of similar nonprofits.
Revenue Growth
84th percentile
Faster revenue growth than 84% of similar nonprofits.
Assets
Up$191,694,775
Up $18,070,718 (+10%) from 2023
Liabilities
Down$29,755,036
Down $1,706,877 (-5.4%) from 2023
Net Assets
Up$161,939,739
Up $19,777,595 (+14%) from 2023
Revenue
Up$116,890,959
Up $30,942,931 (+36%) from 2023
Expenses
Up$93,280,357
Up $9,353,820 (+11%) from 2023
Net Income
Up$23,610,602
Up $21,589,111 (+1068%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Phelps memorial health center is a progressive family-centered health care provider providing exceptional quality and compassionate care for the families we serve.
Progressive family-centered health care providing exceptional quality and compassionate care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $76,350,800 | $77,221,942 | ▲ $871,142 |
| Land, Buildings, and Equipment, Net | $58,916,946 | $53,132,462 | ▼ $5,784,484 |
| Savings and Temporary Cash Investments | $10,441,508 | $33,427,769 | ▲ $22,986,261 |
| Accounts Receivable | $8,771,535 | $11,803,644 | ▲ $3,032,109 |
| Receivables From Officers Etc | $8,742,703 | $9,297,854 | ▲ $555,151 |
| Prepaid Expenses and Deferred Charges | $1,729,374 | $1,327,036 | ▼ $402,338 |
| Inventories for Sale or Use | $1,194,502 | $1,262,828 | ▲ $68,326 |
| Investments Program Related | $445,394 | $681,980 | ▲ $236,586 |
| Investments Other Securities | $49,641 | $47,863 | ▼ $1,778 |
| Cash and Non-Interest-Bearing Accounts | $5,203 | $5,201 | ▼ $2 |
| Total Assets | $173,624,057 | $191,694,775 | ▲ $18,070,718 |
| Other Assets Total | $6,976,451 | $3,486,196 | ▼ $3,490,255 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $12,662,003 | $10,691,923 | ▼ $1,970,080 |
| Mortgage Notes Payable Secured by Investment Property | $11,162,442 | $9,264,735 | ▼ $1,897,707 |
| Accounts Payable and Accrued Expenses | $6,514,080 | $7,999,652 | ▲ $1,485,572 |
| Other Liabilities | $1,123,388 | $1,798,726 | ▲ $675,338 |
| Total Liabilities | $31,461,913 | $29,755,036 | ▼ $1,706,877 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $141,679,051 | $161,414,567 | ▲ $19,735,516 |
| Net Assets With Donor Restrictions | $483,093 | $525,172 | ▲ $42,079 |
| Total Net Assets Fund Balance | $142,162,144 | $161,939,739 | ▲ $19,777,595 |
| Total Liabilities and Net Assets / Fund Balance | $173,624,057 | $191,694,775 | ▲ $18,070,718 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $39,317,866 | $45,882,302 | $85,200,168 |
| Equipment | $10,154,348 | $31,014,291 | $41,168,639 |
| Other Land Buildings | $2,964,990 | $1,987,954 | $4,952,944 |
| Land | $695,258 | - | $695,258 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $667,727 | - | ▲ $48,006 | - | $715,733 |
| 2023 | $640,264 | - | ▲ $27,463 | - | $667,727 |
| 2022 | $606,685 | - | ▲ $33,579 | - | $640,264 |
| 2021 | $567,283 | - | ▲ $39,402 | - | $606,685 |
| 2020 | $545,964 | - | ▲ $21,319 | - | $567,283 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mark Harrel | CEO | FT | $490,757 | $189,999 | $680,756 |
| Loren D Schroder | CFO | FT | $356,756 | $145,412 | $502,168 |
| Ruben Chavez | Crna | FT | $290,195 | $78,868 | $369,063 |
| Jamie Rooks | Crna | FT | $287,123 | $81,707 | $368,830 |
| Sara Mcquistan | Crna | FT | $289,880 | $56,057 | $345,937 |
| Ryan Lieske | Physician Assistant | FT | $180,136 | $79,283 | $259,419 |
| Tyler Fries | Director of Pharmacy | FT | $173,315 | $74,405 | $247,720 |
| Tiffany Weeder | Aprn | FT | $165,734 | $80,542 | $246,276 |
| Lacie Westcott | Chief Experience Officer | FT | $163,864 | $81,158 | $245,022 |
| Tesha Broadfoot | CNO | FT | $150,810 | $75,390 | $226,200 |
| Rachel Dallmann | SVP of Clinical Operations | FT | $134,536 | $90,770 | $225,306 |
| Tracie Elliott | Director of Imaging | FT | $139,383 | $71,079 | $210,462 |
| Tammy Nelson | Director of Surgical Services | FT | $133,890 | $62,446 | $196,336 |
| Jeff Berney Md | Chief of Staff | - | $16,560 | - | $16,560 |
| William Sandy Md | Chief Medical Officer | - | $15,315 | - | $15,315 |
| Name | Title |
|---|---|
| Mike Pelster | President |
| Kyle Anderson | Vice President |
| Don Kraus | Member |
| Doug Hohman | Member |
| Heather Mcquillan | Member |
| Lance Thorell | Member |
| Mark Kraus | Member |
| Stephanie Dannehl | Member |
| Wayne Quincy | Member (thru 04/24) |
| Linda Heiden | Secretary |
| Steve Kness | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Papjv LLC P00546 | Prof Fees & Services | 1215 TIBBALS ST, Holdrege, NE 68949 | $2,969,491 |
| Rural Partners In Medicine LLC P01264 | Multiple Surgeons | PO BOX 772519, Steamboat Springs, CO 80477 | $2,759,810 |
| Inspire Rehabilitation P00246 | Multiple Pts, Ots, And Sts | 2810 W 35TH ST, Kearney, NE 68845 | $2,165,210 |
| Holdrege Medical Clinic P00064 | Emergency Room And Rehab. Coverage | 516 WEST 14TH AVENUE, Holdrege, NE 68949-2215 | $1,596,126 |
| Ruralmed Management Resources P01688 | Physicians Fees, Pfs Collections & Consu | PO BOX 470, Holdrege, NE 68949 | $1,475,848 |
| Line Item | Amount |
|---|---|
| Other Expenses | $55,631,852 |
| Salaries, Compensation, and Employee Benefits | $37,581,505 |
| Grants and Similar Amounts Paid | $67,000 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $20,701,039 | $2,671,265 | - | $23,372,304 |
| Fees for Services Other | $18,332,512 | $1,947,387 | - | $20,279,899 |
| Other Employee Benefits | $7,421,492 | $1,799,823 | - | $9,221,315 |
| Office Expenses | $8,367,890 | $420,592 | - | $8,788,482 |
| Depreciation Depletion | $7,541,523 | $844,415 | - | $8,385,938 |
| Travel | $3,680,199 | $398,983 | - | $4,079,182 |
| Current Officers, Directors, Trustees, and Key Employees | - | $2,369,509 | - | $2,369,509 |
| Payroll Taxes | $1,412,497 | $328,295 | - | $1,740,792 |
| Occupancy | $1,074,794 | $159,665 | - | $1,234,459 |
| Pension Plan Contributions | $722,864 | $122,846 | - | $845,710 |
| Insurance | $700,028 | $87,526 | - | $787,554 |
| Interest | $524,221 | $72,217 | - | $596,438 |
| Fees for Service Investment Mgmnt Fees | $368,987 | - | - | $368,987 |
| Advertising | $3,497 | $354,595 | - | $358,092 |
| Fees for Services Legal | $11,043 | $103,328 | - | $114,371 |
| Grants to Domestic Orgs | $67,000 | - | - | $67,000 |
| All Other Expenses | $30,838 | $15,755 | - | $46,593 |
| Fees for Services Accounting | $40,929 | - | - | $40,929 |
| Comp Disqual Persons | $31,875 | - | - | $31,875 |
| Other Expenses | $18,467 | $97,474 | - | $18,467 |
| Fees for Services Lobbying | - | $5,448 | - | $5,448 |
| Total Functional Expenses | $81,481,234 | $11,799,123 | $0 | $93,280,357 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Phelps County Community Foundation | Holdrege, NE | 501(c)(3) | Economic Development | $30,000 |
| Holdrege Chamber of Commerce | Holdrege, NE | 501(c)(3) | Project Management - Iron Horse District | $10,000 |
| LOOMIS RURAL FIRE DISTRICT #4 | Loomis, NE | Village of Loomis | Cardiac Monitor | $10,000 |
| Christian Homes Care Community | Holdrege, NE | 501(c)(3) | Financial Assistance for Counseling Sessions, Sober Living Arrangements, Alcohol Education Classes and Victim Impact Panels | $6,000 |
| South Central Area Recovery | Holdrege, NE | 501(c)(3) | Cement Benches and Concrete for Walking Path Extention | $6,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | JEFFREY BERNEY AND WILLIAM SANDY, BOARD MEMBERS, OWN 40% | Contracted Services/chronic Care | No | $1,475,848 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $8,742,703 | $9,297,854 | ▲ $555,151 |
| Liability | Amount |
|---|---|
| Due To/from - Ehr Incentive | $677,727 |
| Other Lt Liab - 457b Deferred Comp | $625,181 |
| Lease Liability | $495,818 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | The County of Phelps in the State of Nebraska | 2021-03-16 | $9,585,509 | Refund bond issued 12/20/2018 |
| B | The County of Phelps in the State of Nebraska | 2021-04-29 | $8,267,757 | Refund bonds issued 10/30/2012 and 12/12/2012 |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $9,585,509 | $9,585,509 | $2,480,006 | - |
| B | $8,267,757 | $8,267,757 | $4,447,675 | - |
“The executive committee consists of the officers of the board and has authority to make decisions on behalf of the board in instances deemed to be an emergency situation.”
“Jeff berney, chief of staff, and william sandy, chief medical officer, share a business relationship.”
“Every donor of a gift of $100 or more to phelps county memorial hospital association shall be a member of phelps memorial health center.”
“Each member of phelps memorial health center has one vote in the election of directors.”
“A copy of the form 990 will be provided to the board of directors before it is filed. The ceo and cfo review the form 990.”
“Pmhc board of trustees disclose conflicts of interest on an annual basis by signing a conflict of interest statement. All members of the board of directors, the top management official (ceo) and the top financial official (cfo) are required to disclose, on an annual basis, all interests that could give rise to a conflict. These disclosures are reviewed by the board of directors, the ceo and the organization's compliance officer. Actual conflicts are also reviewed by the entire board of directors. Upon a director's disclosure of a conflict of interest, that director withdraws from board consideration and discussion, does not participate in the voting or decision-making and, at the request of the president, is excused from the board meeting during discussion and voting.”
“The board of directors conducts an annual evaluation for the ceo and cfo. A national comparative benchmark is presented to the board of directors. This comparative data is based on similar hospital size and similar annual net revenue. This data is utilized by the board of directors in addition to the annual performance of the ceo and cfo to determine compensation. The deliberation and determination is documented in the personnel files.”
“Phelps memorial health center does not make its governing documents, conflict of interest policy, and financial statements available to the public.”
“Physician and medical fees: program service expenses 10,612,314. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,612,314. Outside physical and occupational therapy fees: program service expenses 1,579,837. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,579,837. X-ray services: program service expenses 625,694. Management and general expenses 0. Fundraising expenses 0. Total expenses 625,694. Other fees for service: program service expenses 5,069,214. Management and general expenses 1,947,387. Fundraising expenses 0. Total expenses 7,016,601. Surgical services: program service expenses 445,453. Management and general expenses 0. Fundraising expenses 0. Total expenses 445,453.”
“Change in interest in nebraska provider alliance, llc 313,246. Book-tax difference in license revenue -236,517. Distribution to majority owner interest 1,141,436.”
“The finance committee of the board of directors has responsibility for oversight of the audit and selection of an independent accountant. This process has not changed from the prior year.”
“The intended uses for the endowment funds are child healthcare and unusual hardship costs.”
“The health center accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in the financial accounting standards board (fasb) asc topic 740, income taxes. The health center recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At december 31, 2024 and 2023, the health center had no uncertain tax positions accrued.”
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 | 6514080 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 7999652 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 8771535 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 11803644 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PROGRESSIVE FAMILY-CENTERED HEALTH CARE PROVIDING EXCEPTIONAL QUALITY AND COMPASSIONATE CARE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 354595 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 3497 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 358092 |
| IRS990/AllOtherContributionsAmt | 0 | 74204 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 15755 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 30838 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 46593 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | LOREN D SCHRODER CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3089952211 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1215 TIBBALS STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | HOLDREGE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 68949 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 1 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 5203 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 5201 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 18 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2369509 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2369509 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 31875 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 31875 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2969491 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2759810 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2165210 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1596126 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1475848 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1215 TIBBALS ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 772519 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2810 W 35TH ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 516 WEST 14TH AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 470 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | HOLDREGE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | STEAMBOAT SPRINGS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | KEARNEY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | HOLDREGE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | HOLDREGE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 68949 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 80477 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 68845 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 689492215 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 68949 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | PAPJV LLC P00546 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | RURAL PARTNERS IN MEDICINE LLC P01264 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | INSPIRE REHABILITATION P00246 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | HOLDREGE MEDICAL CLINIC P00064 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | RURALMED MANAGEMENT RESOURCES P01688 |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PROF FEES & SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MULTIPLE SURGEONS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MULTIPLE PTS, OTS, AND STS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | EMERGENCY ROOM AND REHAB. COVERAGE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PHYSICIANS FEES, PFS COLLECTIONS & CONSU |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 87516 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 67000 |
| IRS990/CYInvestmentIncomeAmt | 0 | 16259228 |
| IRS990/CYOtherExpensesAmt | 0 | 55631852 |
| IRS990/CYOtherRevenueAmt | 0 | 1252008 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 99292207 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 23610602 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 37581505 |
| IRS990/CYTotalExpensesAmt | 0 | 93280357 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 116890959 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 844415 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 7541523 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 8385938 |
| IRS990/Desc | 0 | PHELPS MEMORIAL HEALTH CENTER (HEALTH CENTER) IS A NOT-FOR-PROFIT NEBRASKA CORPORATION THAT OPERATES A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN HOLDREGE, NEBRASKA. THE HEALTH CENTER PROVIDES INPATIENT, OUTPATIENT, SWING BED, EMERGENCY, CLINIC AND AMBULANCE SERVICES IN THE LOCAL AREA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. THE HEALTH CENTER PROVIDES PATIENT FINANCIAL ASSISTANCE TO PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR HEALTHCARE SERVICES THEY RECEIVE. IT IS THE POLICY OF THE HEALTH CENTER NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS PATIENT FINANCIAL ASSISTANCE. ACCORDINGLY, THE HEALTH CENTER DOES NOT REPORT THESE AMOUNTS IN PATIENT SERVICE REVENUE. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 483093 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 525172 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 387 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 62392990 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 40929 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 40929 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 103328 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 11043 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 114371 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 5448 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 5448 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1947387 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 18332512 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 20279899 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 368987 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 368987 |
| 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 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 36.00 |
| 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/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 62598 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 62639 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 53854 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 50879 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 46722 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 58775 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 54289 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 45430 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 76463 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 76614 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 52714 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 58615 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 61256 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JEFF BERNEY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WILLIAM SANDY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MIKE PELSTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KYLE ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LINDA HEIDEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | STEVE KNESS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MARK KRAUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | STEPHANIE DANNEHL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | HEATHER MCQUILLAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DOUG HOHMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | DON KRAUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LANCE THORELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | WAYNE QUINCY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MARK HARREL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LOREN D SCHRODER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TYLER FRIES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | LACIE WESTCOTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | TESHA BROADFOOT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | RACHEL DALLMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | TRACIE ELLIOTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | TAMMY NELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | RUBEN CHAVEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | JAMIE ROOKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | SARA MCQUISTAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | RYAN LIESKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | TIFFANY WEEDER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 16560 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 15315 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 616528 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 438318 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 193153 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 193491 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 178829 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 160697 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 155582 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 150305 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 290195 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 289623 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 292380 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 200171 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 184410 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHIEF OF STAFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | MEMBER (THRU 04/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR OF PHARMACY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CHIEF EXPERIENCE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | SVP OF CLINICAL OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIRECTOR OF IMAGING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DIRECTOR OF SURGICAL SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | APRN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1963 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -9250 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 13170581 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 13312 |
| IRS990/GrantAmt | 0 | 67000 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 67000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 67000 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 3945 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 13170581 |
| IRS990/GrossReceiptsAmt | 0 | 116904154 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 886302 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 56 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 87526 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 700028 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 787554 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 72217 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 524221 |
| IRS990/InterestGrp/TotalAmt | 0 | 596438 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1194502 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1262828 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3097897 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3097897 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 49641 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 47863 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 445394 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 681980 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 76350800 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 77221942 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 82 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 78884547 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 58916946 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 53132462 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 132017009 |
| IRS990/LegalDomicileStateCd | 0 | NE |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 13195 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 1 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO ALWAYS PROVIDE EXCEPTIONAL QUALITY AND COMPASSIONATE CARE FOR THE FAMILIES WE SERVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 11162442 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 9264735 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 142162144 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 161939739 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 13161331 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 13161331 |
| IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 886302 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 886302 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 226454 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -5051172 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 141679051 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 161414567 |
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