Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
EIN 47-0542043 • 501(c)3 • Columbus, NE
Profile
Our mission is to improve the health of the communities we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
Liabilities / Revenue
16th percentile
Higher debt load relative to revenue than 16% of similar nonprofits.
Net Margin
59th percentile
Higher net margin than 59% of similar nonprofits.
Top Officer Pay
80th percentile
Higher top officer pay than 80% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
50th percentile
Faster asset growth than 50% of similar nonprofits.
Revenue Growth
42nd percentile
Faster revenue growth than 42% of similar nonprofits.
Assets
Up$236,038,460
Up $13,052,165 (+5.9%) from 2024
Liabilities
Down$16,890,605
Down $2,462,808 (-13%) from 2024
Net Assets
Up$219,147,855
Up $15,514,973 (+7.6%) from 2024
Revenue
Up$184,724,924
Up $9,456,724 (+5.4%) from 2024
Expenses
Up$170,473,359
Up $8,599,845 (+5.3%) from 2024
Net Income
Up$14,251,565
Up $856,879 (+6.4%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
Our mission is to improve the health of the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $139,576,440 | $132,738,006 | ▼ $6,838,434 |
| Investments in Publicly Traded Securities | $24,097,158 | $55,832,822 | ▲ $31,735,664 |
| Accounts Receivable | $29,646,106 | $31,427,264 | ▲ $1,781,158 |
| Cash and Non-Interest-Bearing Accounts | $21,020,795 | $7,040,898 | ▼ $13,979,897 |
| Inventories for Sale or Use | $3,400,687 | $3,811,025 | ▲ $410,338 |
| Prepaid Expenses and Deferred Charges | $3,707,331 | $3,547,356 | ▼ $159,975 |
| Other Notes and Loans Receivable, Net | $773,227 | $1,048,192 | ▲ $274,965 |
| Total Assets | $222,986,295 | $236,038,460 | ▲ $13,052,165 |
| Other Assets Total | $764,551 | $592,897 | ▼ $171,654 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $19,353,413 | $16,890,605 | ▼ $2,462,808 |
| Total Liabilities | $19,353,413 | $16,890,605 | ▼ $2,462,808 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $203,632,882 | $219,147,855 | ▲ $15,514,973 |
| Total Net Assets Fund Balance | $203,632,882 | $219,147,855 | ▲ $15,514,973 |
| Total Liabilities and Net Assets / Fund Balance | $222,986,295 | $236,038,460 | ▲ $13,052,165 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $94,155,579 | $61,992,914 | $156,148,493 |
| Equipment | $24,391,297 | $38,944,282 | $63,335,579 |
| Other Land Buildings | $11,987,886 | $8,274,632 | $20,262,518 |
| Land | $2,203,244 | - | $2,203,244 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $2,636,713 | $18,377 | - | - | $2,655,090 |
| 2023 | $2,618,510 | $18,203 | - | - | $2,636,713 |
| 2022 | $2,600,002 | $18,508 | - | - | $2,618,510 |
| 2021 | $2,580,574 | $19,428 | - | - | $2,600,002 |
| 2020 | $2,456,387 | $124,187 | - | - | $2,580,574 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Hansen | President/CEO/secretary | FT | $493,586 | $512,390 | $1,005,976 |
| Matthew Pieper | Physician | FT | $508,732 | $351,696 | $860,428 |
| Anthony Krueger | Physician | FT | $503,569 | $333,648 | $837,217 |
| John Beauvais | Physician | FT | $739,108 | $51,427 | $790,535 |
| Mark Howerter Md | Physician | - | $549,472 | $82,734 | $632,206 |
| Robert Miller | Physician | - | $392,240 | $23,800 | $416,040 |
| Chad Van Cleave | VP Finance | FT | $283,336 | $100,563 | $383,899 |
| Scott Messersmith | VP Operations | FT | $201,094 | $120,400 | $321,494 |
| Amy Blaser | VP Business Development | FT | $222,153 | $89,765 | $311,918 |
| Tanya Sandifer | VP Nursing | FT | $224,890 | $76,110 | $301,000 |
| Keith Luedders | VP Anciallary Services | FT | $204,306 | $84,240 | $288,546 |
| Name | Title |
|---|---|
| Julie Haney | Chairman |
| Sarah Pillen | Vice Chairman |
| Abbie Tessendorf | Director |
| Benjamin Hellbush | Director |
| Charles Seadschlag | Director |
| Craig Pekny Md | Director |
| Daniel Rosenquist Md | Director |
| Jacqueline Tessendorf | Director |
| Jeff Gokie | Director |
| Joe Citta Iii Md | Director |
| Rolando Samuel Renteria | Director |
| John Pavlik | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Amerisource Bergen Drug Corp | Pharmaceuticals | 27550 NETWORK PLACE, Chicago, IL 60673 | $5,262,900 |
| Rural Partners In Medicine LLC | Contracted Staffing | 8181 ARISTA PLACE STE 100, Broomfield, CO 80021 | $3,323,858 |
| Vital Solutions | Contracted Staffing | PO BOX 46344, Madison, WI 53744 | $2,921,983 |
| Stryker Orthopedics | Medical Supplies | BOX 93213, Chicago, IL 60673-3213 | $1,763,789 |
| Columbus Hospital Medicine INC | Hospitalist Services | 5733 S 24TH STREET SUITE 500, Lincoln, NE 68516 | $1,760,992 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $90,718,188 |
| Other Expenses | $73,247,142 |
| Grants and Similar Amounts Paid | $6,508,029 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $69,656,093 | - | - | $69,656,093 |
| Office Expenses | $21,514,325 | - | - | $21,514,325 |
| Fees for Services Other | $16,304,436 | - | - | $16,304,436 |
| Depreciation Depletion | $14,055,044 | - | - | $14,055,044 |
| Other Employee Benefits | $11,473,579 | - | - | $11,473,579 |
| Grants to Domestic Orgs | $6,508,029 | - | - | $6,508,029 |
| All Other Expenses | $4,871,094 | - | - | $4,871,094 |
| Payroll Taxes | $4,702,457 | - | - | $4,702,457 |
| Pension Plan Contributions | $2,725,277 | - | - | $2,725,277 |
| Occupancy | $2,319,086 | - | - | $2,319,086 |
| Current Officers, Directors, Trustees, and Key Employees | - | $2,160,782 | - | $2,160,782 |
| Information Technology | $2,159,799 | - | - | $2,159,799 |
| Insurance | $857,509 | - | - | $857,509 |
| Fees for Services Accounting | - | $824,269 | - | $824,269 |
| Advertising | - | $348,905 | - | $348,905 |
| Travel | - | $272,984 | - | $272,984 |
| Other Expenses | $230,245 | - | - | $230,245 |
| Conferences and Meetings | - | $162,539 | - | $162,539 |
| Fees for Service Investment Mgmnt Fees | $30,000 | - | - | $30,000 |
| Fees for Services Lobbying | - | $10,777 | - | $10,777 |
| Total Functional Expenses | $166,693,103 | $3,780,256 | $0 | $170,473,359 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Columbus Community Hospital Foundation | Columbus, NE | 501(c)(3) | Charity Care to Patients | $1,000,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“The form 990 will be available for all the members of the finance committee to review. Upon committee review, the 990 will then be submitted to the full board for review and the board will make any corrections if applicable.”
“Columbus community hospital monitors any conflict of interest based on their conflict of interest policy. Employees and volunteers are required to fully disclose any conflict of interest that may exist or appears to exist. Hospital reviews any of these conflicts and works with the vice president or ceo to determine if a conflict exists. If one does exist, the hospital initiates actions to manage, reduce, or eliminate the conflict.”
“The hospital's executive compensation committee, made up of independent hospital board members, reviews the ceo's compensation annually. The wage range is compared to information provided by third party consultants. Decisions are documented. The hospital's ceo and director of human resources, review the vp's and other highly compensated employee's compensation annually. The wage range is compared to information provided by third party consultants. Decisions are documented.”
“At columbus community hospital, a 3-ring binder exists in the executive assistant's office labeled for public disclosure which includes the most current of the following: a) governing documents which are the hospital's bylaws b) conflict of interest policy c) audited financial statements d) forms 990 and 990-t”
“Columbus community hospital (cch) is a 50 bed acute care hospital which currently employs over 800 people. It is a significant, positive economic force for the columbus area, returning dollars into the economy through local purchases by the organization and salaries that return to the community. It is an asset for the local communities where patients can obtain quality health care without the need to drive over 50 miles for care. Cch offers a variety of services that provide necessary care for area residents. Below is a brief summary of services offered by columbus community hospital. - all 50 beds of the hospital's acute care services are also certified as swing beds. - cch provides certified, dedicated medical interpreters to assist non-english speaking patients. The interpreters are available in-house or on-call 24/7 and serve as a liaison between the care providers and the patient. - the hospital provides icu, medical surgical, ob and orthopedic services, along with a variety of complimentary ancillary services. These ancillary services include wound care, diabetic education and cardiac rehab and also include clinical pharmacy services. To enhance patient safety, cch uses bar-coded medication administration, smart pumps and computerized physician order entry. - so that area residents can receive care close to home, cch offers rehabilitative services that include physical therapy, speech therapy, occupational therapy as well as specialized multidisciplinary therapy programs such as thrive cancer rehabilitation care, parkinson wellness program, rock steady boxing, concussion management team, complete decongestive lymphedema therapy clinic, a driver's rehabilitation program, visual and vestibular rehab, aquatic therapy program, and pelvic floor dysfunction (male/female urinary incontinence and pelvic pain) program. The hospital's wiggles and giggles therapy for kids offers pediatric physical, occupational and speech for children ranging in age from infants to adolescents. In november 2015, outpatient therapy services moved into first floor space with greater access for patients at the new columbus wellness center and now patients are integrated and transitioned into medical wellness programs after discharge such as the parkinson's exercise group, the loud crowd voice exercise group, tbi, & stroke support group, spinefit exercise classes, ai chi exercise classes, aquatic exercise classes, and tai chi for better balance classes. - nurses in the hospital's same day services (sds) department prepare patients for surgery and care for patients in both the inpatient and outpatient setting. The department oversees several outpatient procedures, including 90 to 100 endoscopy procedures each month. Sds nurses also administer blood transfusions and chemotherapy infusions. - cch offers some of the most advanced imaging services including mri, ct, digital mammography and ultrasound. Radiologists are on campus and/or available 24/7. All images are digital, and the dictation used by radiologists is voice recognized and becomes part of the digital image. - the hospital's laboratory performs an average of over 13,000 tests per month for both inpatients and outpatients. - the cch emergency department (ed) employs highly trained emergency physicians and nurses, offering 24/7 care. Other hospital departments providing support in the ed include respiratory care, social work, laboratory, medical interpreters and diagnostic imaging. In may 2006, the cch emergency department was designated as a level iii trauma center. The medical staff and personnel in the trauma center have received specialized training to resuscitate and stabilize trauma patients. The trauma program provides systematic review of trauma care and participates in injury prevention activities throughout the community. - cch opened wound care services in august 2008, offering clinic hours one day per week. The identified service area includes a 45-mile radius around columbus. By janua”
“- for services located in facilities off-site, the larger services are home health and hospice. Home health provides skilled health services for patients at their place of residence. The program is medically directed and must be ordered by the attending physician. Home health is medicare and medicaid certified and meets the requirements of the joint commission. Services provided within the program are: o supervision and administration of medications o intravenous therapy o instructing patients in diabetic management o nutritional assessments o home health aides o personal care services o occupational, speech and physical therapies - hospice services are provided to persons who are no longer receiving curative treatment and whose life expectancy is six months or less. Care is provided by an interdisciplinary team which consists of the physician, nurse, social worker, therapist, home health aide, spiritual advisor, volunteer and other health professionals. - our local healthy family nebraska program (hfn) targets young, primarily single, pregnant mothers and their families. Our voluntary hfn home visitation program targets the most vulnerable young women and their families by offering them intense, in-home education, support and resources. This home visiting program covers families in a four county area. The hfn requires each mother/family to actively participate in building an individualized family plan. This strength-based approach promotes self-improvement and enhances self-esteem and independence for our young parents that will help them make better decisions and break out of destructive cycles. - the cch sleep lab offers complete polysomnographic sleep testing by trained and licensed sleep technicians for the purpose of diagnosing obstructive/central sleep apnea. Both daytime and night sleep studies are performed. - occupational health services (ohs) offers a menu of health care services designed to prevent and treat injuries in the workplace. Partnering with employers in more than 800 companies and with other health care professions, ohs provides the columbus and regional area businesses and industry with a comprehensive range of services designed to support and maintain a healthy, safe workforce while assisting them in meeting osha and dot compliance regulations. Their full range of services include: o a comprehensive testing procedure called physical capacity profile (pcp) that matches employees to the job and is designed to accommodate individuals with handicaps. The pcp system was developed by an orthopedic physician. Through use of this testing, musculoskeletal imbalances are detected which helps employers place employees in the appropriate job to minimize the potential of injury. O 24/7 drug and alcohol testing services o pre-employment/post job offer physical assessments o on-site nursing services o hearing/vision testing o hearing conservation program management o respiratory fit testing o respiratory evaluation services o flu shots and immunization programs o wellness programs - lifeline, an in-home emergency response program, provides the vital safety net that many people need to continue living at home in familiar and comforting surroundings. The program is completely focused on ensuring the patient's independence, safety and well-being in their home. It operates with a bracelet worn by the patient with a button that can be pressed if help is needed. Pre-determined responders are summoned to their home or emergency transfer can be call if needed. - meals on wheels are prepared by the nutrition services department and are delivered by community volunteers. Seniors and physically handicapped adults qualify for the program. Special diets can also be accommodated. Financial assistance is available through the nebraska department of social services. - the hospital also participates in and has hosted county-wide natural disaster and pandemic drills. As a member of a larger preparedness team, rromrs, cch can assist or”
“Net asset change for healthpark and zarz -42,597. Other changes in net assets 43,848.”
“Endowment funds are held and maintained by columbus community hospital foundation. The endowment funds exist in support of improved health services by columbus community hospital.”
“The hospital adopted financial accounting standards board (fasb) interpretation no. 48, accounting for uncertainty in income taxes - an interpretation of fasb statement no, 109. Fin 48 provides specific guidance on how to address uncertainty in accounting for income tax assets and liabilities, prescribing recognition thresholds and measurement attributes. The adoption of fin 48 by columbus community hospital did not have a material impact on the hospital's financial position, results of operations, or cash flows. In fiscal years ending 2025 and 2024, management determined that there are no income tax positions requiring recognition in the financial statements.”
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/EOYAmt | 0 | 16890605 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 29646106 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 31427264 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 348905 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 348905 |
| IRS990/AllOtherContributionsAmt | 0 | 5946218 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 4871094 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 4871094 |
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| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JENNIFER WEICK |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4025624646 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4600 38TH STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | COLUMBUS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 68601 |
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| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 21020795 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 7040898 |
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| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 162539 |
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| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 5262900 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 3323858 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2921983 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1763789 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1760992 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | BOX 93213 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CHICAGO |
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| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 14055044 |
| IRS990/Desc | 0 | SEE SCHEDULE O |
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| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 824269 |
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| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 10777 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 16304436 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 16304436 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 30000 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 30000 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| 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 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 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/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 120197 |
| 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 | 65886 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 71799 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 67614 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 52026 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 57937 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 54497 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 23800 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 25378 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 45294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 45294 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JEFF GOKIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JULIE HANEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | SARAH PILLEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MICHAEL HANSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ROLANDO SAMUEL RENTERIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JACQUELINE TESSENDORF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOHN PAVLIK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | CRAIG PEKNY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ABBIE TESSENDORF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DANIEL ROSENQUIST MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | CHARLES SEADSCHLAG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JOE CITTA III MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BENJAMIN HELLBUSH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | AMY BLASER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | CHAD VAN CLEAVE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | SCOTT MESSERSMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | TANYA SANDIFER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KEITH LUEDDERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MARK HOWERTER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ROBERT MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JOHN BEAUVAIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ANTHONY KRUEGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MATTHEW PIEPER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 882246 |
| 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 | 243467 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 309111 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 251341 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 246391 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 228226 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 574370 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 392240 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 761624 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 788390 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 811601 |
| 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/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PRESIDENT/CEO/SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VP BUSINESS DEVELOPMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VP OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VP NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP ANCIALLARY SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1972 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -211 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GrantAmt | 0 | 6508029 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 6508029 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 6508029 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 185174646 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 707784 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 151 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2159799 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2159799 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 857509 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 857509 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 3400687 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 3811025 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1923533 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1923533 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 24097158 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 55832822 |
| IRS990/IRPDocumentCnt | 0 | 175 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 109211828 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 139576440 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 132738006 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 241949834 |
| IRS990/LegalDomicileStateCd | 0 | NE |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 211 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 449511 |
| 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/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 1722232 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 1921120 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 198888 |
| IRS990/MissionDesc | 0 | OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 203632882 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 219147855 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -211 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -211 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 258273 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 258273 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1262157 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 203632882 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 219147855 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 2319086 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 2319086 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 21514325 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 21514325 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 764551 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 592897 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 1251 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 11473579 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 11473579 |
| IRS990/OtherExpensesGrp/Desc | 0 | MINOR EQUIP & FINANCING |
| IRS990/OtherExpensesGrp/Desc | 1 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 2 | RECRUITING |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 5687091 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 3599039 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 230245 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 5687091 |
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