Liabilities / Assets
74th percentile
Higher debt load relative to assets than 74% of similar nonprofits.
Cambridge Memorial Hospital Inc
EIN 47-6028103 • 501(c)3 • Cambridge, NE
Profile
To improve the lives we touch by providing care of the highest quality throughout life's journey.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.51x
Liabilities / Revenue
65th percentile
Higher debt load relative to revenue than 65% of similar nonprofits.
Net Margin
50th percentile
Higher net margin than 50% of similar nonprofits.
Top Officer Pay
87th percentile
Higher top officer pay than 87% of similar nonprofits.
Top officer pay equals 2.1% of source-year revenue.
Asset Growth
49th percentile
Faster asset growth than 49% of similar nonprofits.
Revenue Growth
59th percentile
Faster revenue growth than 59% of similar nonprofits.
Balance Sheet
Assets
Up$28,085,284
Up $1,285,404 (+4.8%) from 2024
Liabilities
Down$14,235,264
Down $186,745 (-1.3%) from 2024
Net Assets
Up$13,850,020
Up $1,472,149 (+12%) from 2024
Revenue
Up$28,836,091
Up $3,048,217 (+12%) from 2024
Expenses
Up$27,640,637
Up $604,034 (+2.2%) from 2024
Net Income
Up$1,195,454
Up $2,444,183 (+196%) from 2024
Trend Graphs
Filings
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $28,085,284
- Liabilities
- $14,235,264
- Net assets
- $13,850,020
- Revenue
- $28,836,091
- Expenses
- $27,640,637
- Net income
- $1,195,454
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- May 1, 2024 to Apr 30, 2025
- Signed
- Mar 4, 2026
- Return Version
- 2024v5.5
- Gross Receipts
- $29,598,878
Mission and Program Overview
Mission
To improve the lives we touch by providing care of the highest quality throughout life's journey.
Providing quality, compassionate, local healthcare services.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $9,452,390 | $8,523,108 | ▼ $929,282 |
| Investments in Publicly Traded Securities | $6,963,322 | $7,828,039 | ▲ $864,717 |
| Accounts Receivable | $3,727,979 | $4,199,347 | ▲ $471,368 |
| Savings and Temporary Cash Investments | $922,604 | $1,769,970 | ▲ $847,366 |
| Inventories for Sale or Use | $568,159 | $516,889 | ▼ $51,270 |
| Prepaid Expenses and Deferred Charges | $366,108 | $370,640 | ▲ $4,532 |
| Other Notes and Loans Receivable, Net | $88,432 | $203,765 | ▲ $115,333 |
| Investments Program Related | $117,015 | $200,006 | ▲ $82,991 |
| Pledges and Grants Receivable | $196,051 | $188,000 | ▼ $8,051 |
| Total Assets | $26,799,880 | $28,085,284 | ▲ $1,285,404 |
| Other Assets Total | $4,397,820 | $4,285,520 | ▼ $112,300 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $11,364,668 | $10,585,520 | ▼ $779,148 |
| Accounts Payable and Accrued Expenses | $2,389,507 | $2,312,061 | ▼ $77,446 |
| Other Liabilities | $575,434 | $1,321,672 | ▲ $746,238 |
| Deferred Revenue | $92,400 | $16,011 | ▼ $76,389 |
| Total Liabilities | $14,422,009 | $14,235,264 | ▼ $186,745 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $8,377,261 | $9,806,804 | ▲ $1,429,543 |
| Net Assets With Donor Restrictions | $4,000,610 | $4,043,216 | ▲ $42,606 |
| Total Net Assets Fund Balance | $12,377,871 | $13,850,020 | ▲ $1,472,149 |
| Total Liabilities and Net Assets / Fund Balance | $26,799,880 | $28,085,284 | ▲ $1,285,404 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $5,607,517 | $18,341,636 | $23,949,153 |
| Equipment | $2,195,034 | $11,551,617 | $13,746,651 |
| Other Land Buildings | $607,268 | $2,288,405 | $2,895,673 |
| Land | $113,289 | - | $113,289 |
| Other Assets Org | $156,745 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Shiuvaun Jaeger MD | Family Practice/Obstetrics | FT | $422,547 | $180,297 | $602,844 |
| Lennie Deaver MD | Family Practice/Obstetrics | FT | $403,996 | $66,230 | $470,226 |
| Rachelle Kaspar-Cope MD | Family Practice/Obstetrics | FT | $330,450 | $139,407 | $469,857 |
| Jessica Fisher | Former CEO | FT | $120,487 | $281,200 | $401,687 |
| Clay Jordan | CEO | FT | $192,987 | $39,191 | $232,178 |
| Cristin Soucie | Pharmacist | FT | $146,988 | $40,573 | $187,561 |
| Diana Swindler | CFO | FT | $134,179 | $17,299 | $151,478 |
| Cherl Mues APRN | Family Practice | FT | $143,367 | $7,687 | $151,054 |
Board Members and Trustees
| Name | Title |
|---|---|
| LaVern Banzhaf | President |
| James McGowen | Vice President |
| Jason Neseth | Trustee |
| Logan Baker | Trustee |
| Marcus Vontz | Trustee |
| Genny Kubik | Trustee as of December |
| Ginella Sweeney | Trustee as of December |
| James Jones | Trustee until Dec |
| Nanette Witte | Secretary until December |
| John Paulsen | Treasurer |
| Derek Downer - Trustee | until Dec/Secretary as of Dec |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Inspire Rehabilitation | Rehabilitation services | 8181 Arista Pl Ste 100, Broomfield, CO 80021 | $1,308,953 |
| Psychiatric Medical Care LLC | Behavioral healthcare services | PO BOX 734606, Dallas, TX 75373 | $561,797 |
| C & A Industries | Contract staffing | PO Box 850861, Minneapolis, MN 55485-0861 | $559,481 |
| Holly Lashment Dba Shadow Anesthesia Ser | Anesthesia services | 604 Simpson Street, Bartley, NE 69020 | $374,176 |
| Med-Care INC | Contract staffing | 152 Ponderosa Court, Grand Island, NE 68803 | $333,425 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $779,841
- Program Service Revenue
- $27,750,284
- Investment Income
- $267,972
- Other Revenue
- $37,994
- All Other Contributions
- $328,755
- Change in Net Assets
- $1,195,454
Noncash Contribution Practices
- Property subject to holding requirements
- No
- Reviewed unusual noncash gifts
- No
- Third parties used for noncash contributions
- No
Noncash Contributions
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Cars and Other Vehicles | 4 | $223,837 | Selling Price |
| Total Noncash Contributions | 4 | $223,837 | - |
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $28,833,817
- Revenue Not Reported on Financial Statements
- $2,274
- Revenue Not Reported on Form 990
- $276,695
- Total Revenue per Audited Statements
- $29,110,512
- Total Revenue per Form 990
- $28,836,091
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $13,865,928 |
| Other Expenses | $13,774,709 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $8,828,735 | $1,363,738 | - | $10,192,473 |
| Fees for Services Other | $5,868,161 | $298,777 | - | $6,166,938 |
| Other Employee Benefits | $1,550,142 | $298,844 | - | $1,848,986 |
| Depreciation Depletion | $1,605,342 | $143,196 | - | $1,748,538 |
| Payroll Taxes | $613,325 | $131,556 | - | $744,881 |
| Occupancy | $564,976 | - | - | $564,976 |
| Interest | $436,618 | $79,882 | - | $516,500 |
| Insurance | - | $428,009 | - | $428,009 |
| Current Officers, Directors, Trustees, and Key Employees | - | $409,243 | - | $409,243 |
| Office Expenses | $245,106 | $156,414 | - | $401,520 |
| Pension Plan Contributions | $317,806 | $54,817 | - | $372,623 |
| All Other Expenses | $230,233 | $113,452 | - | $343,685 |
| Comp Disqual Persons | $106,953 | $190,769 | - | $297,722 |
| Other Expenses | $199,542 | - | - | $199,542 |
| Advertising | $4,867 | $181,911 | - | $186,778 |
| Travel | $130,119 | $26,068 | - | $156,187 |
| Fees for Services Accounting | - | $129,179 | - | $129,179 |
| Fees for Services Legal | - | $34,058 | - | $34,058 |
| Fees for Service Investment Mgmnt Fees | - | $2,274 | - | $2,274 |
| Total Functional Expenses | $23,598,450 | $4,042,187 | $0 | $27,640,637 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $27,640,637 |
| Expenses per Audited Statements | $27,638,363 |
| Total Expenses per Audited Statements | $27,638,363 |
| Expenses Not Reported on Financial Statements | $2,274 |
| Expenses Not Reported on Form 990 | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Insider Transactions and Loans
Interested-Person Transactions
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Maranda Lee | Family member of Diana Swindler, CFO | Compensation and benefits as employee | No | $106,953 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Estimated third-party payor settlements | $1,159,000 |
| Finance lease liability | $162,672 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- Yes
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, line 6
“Members pay an annual membership fee of $10.”
Form 990, Part VI, Section A, line 7A
“Members select the Board of Trustees at the annual meeting. All members have the same voting rights.”
Form 990, Part VI, Section A, line 8B
“There are no committees with the authority to act on behalf of the governing body.”
Form 990, Part VI, Section B, line 11B
“The CEO and CFO will review the Form 990. The 990 will then be electronically distributed to the Board Trustees prior to it being filed.”
Form 990, Part VI, Section B, line 12C
“At the November board meeting the newly elected Board of Trustees complete an annual disclosure. At the January board meeting all Board of Trustees, CEO, and CFO complete an annual disclosure. The CEO reviews the disclosures. Anyone with a conflict must abstain from voting on the issue and is not able to participate in discussions regarding the issue.”
Form 990, Part VI, Section B, line 15A
“The Board of Trustees determines compensation and benefits for the CEO through an employment contract. Review and determination of compensation is done on an annual basis using the Nebraska Hospital Association Compensation Survey as comparability data. Documentation is provided in the CEO's personnel file. For the CFO, the Human Resources department participates in the Nebraska Hospital Association Compensation Survey on an annual basis. Once the results are received, they review the staffs' years of experience as well as their position responsibilities to determine if the salary range is appropriate. A wage range is recommended to the CEO and the CEO determines the final wage for the CFO. This process is completed on an annual basis and documentation is made in the CFO's personnel file. Market Wage Adjustments are made on an as-needed basis to adjust salaries that fall outside the survey guidelines.”
Form 990, Part VI, Section C, line 19
“The governing documents, conflict of interest policy and financial statements are available upon request. The financial statements are also attached to the Form 990.”
Filing and Contact Details
Filer
- Filer Name
- Cambridge Memorial Hospital Inc
- EIN
- 47-6028103
- Phone
- 3086973329
- Address
- 1305 W Hwy 6 34, Cambridge, NE 69022
- Doing Business As
- Tri Valley Health System
Signing Officer
- Name
- Clay Jordan
- Title
- Chief Executive Officer
- Phone
- 3086973329
- Signed
- 2026-03-04
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Clay Jordan
- Formed
- 1955
- Legal Domicile
- Ne
- Voting Board Members
- 9
- Independent Board Members
- 9
- Employees
- 224
- Volunteers
- 50
Preparer
- Firm
- Eide Bailly LLP
- Address
- 18081 Burt St Ste 200, Omaha, NE 68022-4722
- Preparer
- Wendy R Cooley CPA
- Phone
- 4023302660
Supplemental Narrative
Additional Explanations
Form 990, Part IX, line 11G
“Professional Fees: Program service expenses 4,024,145. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,024,145. Purchased Services: Program service expenses 1,696,646. Management and general expenses 203,558. Fundraising expenses 0. Total expenses 1,900,204. Pharmacy Fees: Program service expenses 35,440. Management and general expenses 0. Fundraising expenses 0. Total expenses 35,440. Other Fees: Program service expenses 111,930. Management and general expenses 95,219. Fundraising expenses 0. Total expenses 207,149.”
Form 990, Part XI, line 9:
“Change in interest in net assets of Tri Valley Medical Foundation 20,528.”
Form 990, Part XII, Line 2C:
“The Board of Trustees assumes responsibility for oversight of the audit and selection of an independent accountant.”
Financial Statement Notes
Part X, Line 2:
“The Health System 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 financial statements. The Health System 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.”
Part XI, Line 2D - Other Adjustments:
“Change in interest in net assets of Tri Vally Medical Foundation 20,528.”
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| IRS990/Desc | 0 | Cambridge Memorial Hospital, Inc., dba Tri Valley Health System operates a 20-bed critical access hospital located in Cambridge, Nebraska. The hospital provides short-term inpatient and outpatient care. Tri Valley Health System operates a full-time emergency room and provides emergency care regardless of the ability to pay. The emergency room had 1,153 emergency center visits this year. Through its integrated network of providers, Tri Valley Health System provides emergency and non-emergency services to the communities it serves. Tri Valley Health System initiated a "walk-in" clinic through one of their Rural Health Clinics. Statement continued on Schedule O.Throughout the year, 3,784 patients were seen through the "walk-in" clinics.Services are accessible to the communities through participation in government programs like Medicare and Medicaid and by offering assistance through the Tri Valley Health System Charity Program. The Tri Valley Health System Charity Program provides discounted and free services to patients who lack the resources to be fully responsible for the health care they receive. The Charity Program is designed to ensure the communities served by Tri Valley Health System have access to needed healthcare services. The Tri Valley Health System Board of Trustees oversees services delivered under the Charity Care Policy including assessing community needs, approving eligibility criteria and monitoring the effectiveness of the program in providing community access to medical care. Records are maintained to identify and monitor the level of charity care provided. The estimated cost of providing these services was $52,000 for the year ended April 30, 2025 calculated by multiplying the ratio of cost to gross charges for the Health System by the gross uncompensated charges associated with providing charity to its patients.In addition, the Health System provides services to other patients under certain government-reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided.The Health System also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable. |
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| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 2274 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| 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/FormerOfcrDirectorTrusteeInd | 0 | X |
| 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/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/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 | 38855 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 16894 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 41967 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 26898 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 44528 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 40031 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 7183 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 10380 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LaVern Banzhaf |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | James McGowen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Nanette Witte |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Derek Downer - Trustee |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | John Paulsen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Marcus Vontz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Logan Baker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | James Jones |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Jason Neseth |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Genny Kubik |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Ginella Sweeney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Clay Jordan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Diana Swindler |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Shiuvaun Jaeger MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Lennie Deaver MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Rachelle Kaspar-Cope MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Cristin Soucie |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Cherl Mues APRN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Jessica Fisher |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 192987 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 134179 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 560019 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 442583 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 424487 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 146988 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 143367 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 391181 |
| 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/TitleTxt | 0 | President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary until December |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | until Dec/Secretary as of Dec |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee until Dec |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Trustee as of December |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee as of December |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Family Practice/Obstetrics |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Family Practice/Obstetrics |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Family Practice/Obstetrics |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Pharmacist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Family Practice |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Former CEO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1955 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -28997 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -49762 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 451086 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 655336 |
| IRS990/GrossReceiptsAmt | 0 | 29598878 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 8200 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 58486 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 13 |
| 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 | 428009 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 428009 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 79882 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 436618 |
| IRS990/InterestGrp/TotalAmt | 0 | 516500 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 568159 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 516889 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 346731 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 346731 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 117015 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 200006 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 6963322 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 7828039 |
| IRS990/IRPDocumentCnt | 0 | 103 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 32181658 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 9452390 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 8523108 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 40704766 |
| IRS990/LegalDomicileStateCd | 0 | NE |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 28997 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 705098 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | To improve the lives we touch by providing care of the highest quality throughout life's journey. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 11364668 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 10585520 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 12377871 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 13850020 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -78759 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -78759 |
| IRS990/NetIncomeOrLossGrp/ExclusionAmt | 0 | 29794 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 29794 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 8200 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 8200 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 256167 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 8377261 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 9806804 |
| IRS990/NoncashContributionsAmt | 0 | 223837 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 564976 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 564976 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 156414 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 245106 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 401520 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 4397820 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 4285520 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 20528 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 298844 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1550142 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1848986 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Repairs and Maintenance |
| IRS990/OtherExpensesGrp/Desc | 2 | Food Costs |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2232275 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 664250 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 199542 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2232275 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 664250 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 199542 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 575434 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1321672 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1363738 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 8828735 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 10192473 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 88432 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 203765 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 131556 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 613325 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 744881 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 54817 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 317806 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 372623 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 196051 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 188000 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 366108 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 370640 |
| IRS990/PrincipalOfficerNm | 0 | Clay Jordan |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient & Resident Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Cafeteria Revenue |
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