Liabilities / Assets
78th percentile
Higher debt load relative to assets than 78% of similar nonprofits.
EIN 48-0684878 • 501(c)3 • Liberal, KS
Profile
The Medical Center is a county hospital dedicated to the provision of personalized and quality care of the sick and injured at a reasonable cost.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
78th percentile
Higher debt load relative to assets than 78% of similar nonprofits.
Liabilities / Revenue
67th percentile
Higher debt load relative to revenue than 67% of similar nonprofits.
Net Margin
19th percentile
Higher net margin than 19% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
9th percentile
Faster asset growth than 9% of similar nonprofits.
Revenue Growth
53rd percentile
Faster revenue growth than 53% of similar nonprofits.
Assets
Down$82,288,677
Down $15,968,061 (-16%) from 2022
Liabilities
Up$50,104,371
Up $2,960,549 (+6.3%) from 2022
Net Assets
Down$32,184,306
Down $18,928,610 (-37%) from 2022
Revenue
Up$76,722,932
Up $11,165,811 (+17%) from 2022
Expenses
Up$81,831,576
Up $4,517,164 (+5.8%) from 2022
Net Income
Up-$5,108,644
Up $6,648,647 (+57%) from 2022
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
The Medical Center is a county hospital dedicated to the provision of personalized and quality care of the sick and injured at a reasonable cost.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $49,872,978 | $43,177,270 | ▼ $6,695,708 |
| Land, Buildings, and Equipment, Net | $24,119,868 | $21,774,559 | ▼ $2,345,309 |
| Accounts Receivable | $18,234,606 | $15,311,542 | ▼ $2,923,064 |
| Prepaid Expenses and Deferred Charges | $2,644,557 | $2,325,430 | ▼ $319,127 |
| Inventories for Sale or Use | $1,945,784 | $1,897,508 | ▼ $48,276 |
| Investments in Publicly Traded Securities | $1,377,185 | $1,389,863 | ▲ $12,678 |
| Pledges and Grants Receivable | - | $315,000 | - |
| Cash and Non-Interest-Bearing Accounts | $7,624 | $10,124 | ▲ $2,500 |
| Total Assets | $107,680,952 | $98,256,738 | ▼ $9,424,214 |
| Other Assets Total | $9,478,350 | $12,055,442 | ▲ $2,577,092 |
| Liabilities | |||
| Other Liabilities | $25,190,612 | $28,188,778 | ▲ $2,998,166 |
| Tax Exempt Bond Liabilities | $13,255,000 | $12,690,000 | ▼ $565,000 |
| Accounts Payable and Accrued Expenses | $6,067,295 | $6,226,488 | ▲ $159,193 |
| Deferred Revenue | $297,838 | $38,556 | ▼ $259,282 |
| Total Liabilities | $44,810,745 | $47,143,822 | ▲ $2,333,077 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $60,965,669 | $48,760,830 | ▼ $12,204,839 |
| Net Assets With Donor Restrictions | $1,904,538 | $2,352,086 | ▲ $447,548 |
| Total Net Assets Fund Balance | $62,870,207 | $51,112,916 | ▼ $11,757,291 |
| Total Liabilities and Net Assets / Fund Balance | $107,680,952 | $98,256,738 | ▼ $9,424,214 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $12,549,157 | $15,545,943 | $28,095,100 |
| Equipment | $6,576,117 | $15,709,651 | $22,285,768 |
| Other Land Buildings | $2,545,239 | $1,087,581 | $3,632,820 |
| Land | $104,046 | - | $104,046 |
| Other Assets Org | $1,017,366 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2022 | $1,200,909 | - | ▼ $104,237 | - | $1,096,672 |
| 2021 | $1,064,399 | - | ▲ $156,510 | - | $1,200,909 |
| 2020 | $1,115,081 | - | ▲ $19,318 | - | $1,064,399 |
| 2019 | $1,298,500 | - | ▲ $81,081 | - | $1,115,081 |
| 2018 | $1,230,394 | - | ▲ $79,295 | - | $1,298,500 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Rama Chanda | Physician | FT | $292,572 | $732,111 | $1,024,683 |
| Pingal Desai | Physician | FT | $504,834 | $499,564 | $1,004,398 |
| Firas Kawtharani | Physician | FT | $502,144 | $495,200 | $997,344 |
| Lamberto Flores | Physician | FT | $153,439 | $643,233 | $796,672 |
| Jose Maeda | Physician | FT | $604,046 | $148,356 | $752,402 |
| Amber Williams | CFO/Interim CEO | FT | $168,868 | $101,261 | $270,129 |
| Robert Whitaker | CEO thru March 2022 | FT | $128,152 | $27,386 | $155,538 |
| Name | Title |
|---|---|
| Dennis Sander | Chairman |
| Mark Schepers | Chairman thru March 2022 |
| Ivanhoe Love Jr | Vice-Chairman |
| Maria Lauralynn Noblejas | Trustee |
| Tony McKee | Trustee beginning April 2022 |
| Dr Ray Allen | Trustee thru April 2022 |
| Dennis Knudsen | Asst. Secretary/Treasurer |
| John West | Secretary |
| Thomas Willis | Secretary thru April 2022 |
| Jose Lara | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Qualvis | Contract Services | 5930 Cornerstone Ct W 300, San Diego, CA 92121 | $6,631,817 |
| Xtend Healthcare LLC | Contract Services | 13865 Sunrise Valley Dr, Herndon, VA 37075 | $1,821,607 |
| Kansas Emergency Room Services PA | ER Services | 7032 Collection Center Drive, Chicago, IL 60693 | $1,242,307 |
| Avant Healthcare Professionals LLC | Contract Services | PO Box 744554, Atlanta, GA 30374 | $1,032,242 |
| Guymon Physical Therapy and Wellness | Therapy Services | 211 NW 5th Street, Guymon, OK 73942 | $840,615 |
| Line Item | Amount |
|---|---|
| Other Expenses | $39,470,611 |
| Salaries, Compensation, and Employee Benefits | $37,843,801 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $27,271,668 | $1,772,702 | - | $29,044,370 |
| Pension Plan Contributions | $3,325,946 | $255,278 | - | $3,581,224 |
| Depreciation Depletion | $2,747,674 | $817,243 | - | $3,564,917 |
| Fees for Services Other | $237,946 | $2,772,718 | - | $3,010,664 |
| All Other Expenses | $2,187,117 | $678,842 | - | $2,865,959 |
| Other Employee Benefits | $2,601,932 | $222,100 | - | $2,824,032 |
| Payroll Taxes | $1,765,391 | $203,376 | - | $1,968,767 |
| Other Expenses | $1,812,239 | $881,161 | - | $1,812,239 |
| Occupancy | $1,510,385 | $25,351 | - | $1,535,736 |
| Office Expenses | $573,526 | $143,062 | - | $716,588 |
| Insurance | $471,721 | $107,401 | - | $579,122 |
| Current Officers, Directors, Trustees, and Key Employees | - | $425,408 | - | $425,408 |
| Interest | $410,842 | - | - | $410,842 |
| Travel | $76,419 | $10,405 | - | $86,824 |
| Fees for Services Legal | - | $68,790 | - | $68,790 |
| Conferences and Meetings | $49,109 | $4,707 | - | $53,816 |
| Advertising | $19,901 | $16,121 | - | $36,022 |
| Information Technology | $20,390 | $14,415 | - | $34,805 |
| Fees for Service Investment Mgmnt Fees | - | $4,833 | - | $4,833 |
| Total Functional Expenses | $68,546,059 | $8,768,353 | $0 | $77,314,412 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $77,314,412 |
| Total Expenses per Audited Statements | $77,314,412 |
| Total Expenses per Form 990 | $77,314,412 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Caleb Whitaker | Son of Robert Whitaker, CEO thru March 2022 | Employment | No | $35,226 |
| Liability | Amount |
|---|---|
| Net pension liability | $24,889,639 |
| Deferred inflows of resources - pension | $2,807,328 |
| Unamortized bond premiums | $402,952 |
| Deferred inflows of resources - advance refunding | $88,859 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Seward County Kansas | 2016-03-30 | $9,921,376 | Partially refund 2010 bond issue |
| B | Seward County Kansas | 2021-03-31 | $4,833,152 | Partially refund 2010 bond issue |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $9,921,376 | $10,210,375 | $515,000 | $149,800 |
| B | $4,833,152 | $4,744,093 | $925,000 | $71,215 |
“The Form 990 is reviewed by the CEO.”
“A conflict of interest policy disclosure form is provided with a copy of the current conflict of interest policy. This disclosure is completed by each Trustee upon election and annually thereafter.”
“The Board of Trustees is responsible for determining the job performance standards for the Administrator/CEO and determining compensation according to the organization's policies.”
“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
“The organization has an audit committee that is responsible for the oversight of the financial statement audit and selection of the independent accountant.”
“Southwest Medical Center Foundation, Inc.'s endowment consists of approximately six individual funds established for scholarships and general support of Southwest Medical Center.”
“Management is not aware of any uncertainties in income tax positions.”
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 | 6067295 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 6226488 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 18234606 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 15311542 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | The Medical Center is a county hospital dedicated to the provision of personalized and quality care of the sick and injured at a reasonable cost. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 16121 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 19901 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 36022 |
| IRS990/AllOtherContributionsAmt | 0 | 128569 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 678842 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 2187117 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 2865959 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Amber Williams CEO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6206296680 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO Box 1340 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Liberal |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 679011340 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 7624 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 10124 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 33 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 425408 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 425408 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 4707 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 49109 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 53816 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 6631817 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1821607 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1242307 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1032242 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 840615 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5930 Cornerstone Ct W 300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 13865 Sunrise Valley Dr |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 7032 Collection Center Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 744554 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 211 NW 5th Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | San Diego |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Herndon |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Chicago |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Atlanta |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Guymon |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | OK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 92121 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 37075 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 60693 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 30374 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 73942 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Qualvis |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Xtend Healthcare LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Kansas Emergency Room Services PA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Avant Healthcare Professionals LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Guymon Physical Therapy and Wellness |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Contract Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Contract Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ER Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Contract Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Therapy Services |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 901194 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 111318 |
| IRS990/CYOtherExpensesAmt | 0 | 39470611 |
| IRS990/CYOtherRevenueAmt | 0 | 381364 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 64163245 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -11757291 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 37843801 |
| IRS990/CYTotalExpensesAmt | 0 | 77314412 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 65557121 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 297838 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 38556 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 817243 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2747674 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3564917 |
| IRS990/Desc | 0 | Southwest Medical Center provides necessary medical care to the community. It is the only facility in the area providing certain medical equipment and services. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 0 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 1904538 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 2352086 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 572 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 68546059 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 68790 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 68790 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2772718 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 237946 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3010664 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 4833 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 4833 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| 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/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/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 | 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 | 32542 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 18386 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 63907 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 60605 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 57851 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 47442 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 55373 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Dennis Sander |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Ivanhoe Love Jr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | John West |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Jose Lara |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Dennis Knudsen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Maria Lauralynn Noblejas |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Tony McKee |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Dr Ray Allen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Thomas Willis |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Mark Schepers |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Amber Williams |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Robert Whitaker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Rama Chanda |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Pingal Desai |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Firas Kawtharani |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Lamberto Flores |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Jose Maeda |
| 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 | 237587 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 137152 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 960776 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 943793 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 939493 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 749230 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 697029 |
| 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/TitleTxt | 0 | Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice-Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Asst. Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee beginning April 2022 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee thru April 2022 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Secretary thru April 2022 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Chairman thru March 2022 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CFO/Interim CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CEO thru March 2022 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1963 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 457625 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 65557121 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 43800 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 38 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 14415 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 20390 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 34805 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 107401 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 471721 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 579122 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 410842 |
| IRS990/InterestGrp/TotalAmt | 0 | 410842 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1945784 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1897508 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 111318 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 111318 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 1377185 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1389863 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 91 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 32343175 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 24119868 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 21774559 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 54117734 |
| IRS990/LegalDomicileStateCd | 0 | KS |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| 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 | 27656 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 27656 |
| IRS990/MissionDesc | 0 | The Medical Center is a county hospital dedicated to the provision of personalized and quality care of the sick and injured at a reasonable cost. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 62870207 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 51112916 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 43800 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 43800 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 60965669 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 48760830 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 25351 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1510385 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1535736 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 143062 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 573526 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 716588 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 9478350 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 12055442 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 222100 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2601932 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2824032 |
| IRS990/OtherExpensesGrp/Desc | 0 | Purchased services |
| IRS990/OtherExpensesGrp/Desc | 1 | Medical supplies |
| IRS990/OtherExpensesGrp/Desc | 2 | Repair & maintenance |
| IRS990/OtherExpensesGrp/Desc | 3 | Pharmacy drugs and supp |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 344440 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 881161 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 14530222 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 7538030 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1395601 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 1812239 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 14874662 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 7538030 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 2276762 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1812239 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 25190612 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 28188778 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 722210 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Cafeteria & dietary |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Miscellenous revenue |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | Purchase discounts |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 193873 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 26689 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 89346 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 193873 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 89346 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 26689 |
| IRS990/OtherRevenueTotalAmt | 0 | 337564 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1772702 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 27271668 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 29044370 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 203376 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1765391 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1968767 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 255278 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 3325946 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 3581224 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 315000 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 2644557 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 2325430 |
| IRS990/PrincipalOfficerNm | 0 | Amber Williams |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 622110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Net patient service revenue |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 64163245 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 64163245 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 15451745 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 106452 |
| IRS990/PYOtherExpensesAmt | 0 | 35356861 |
| IRS990/PYOtherRevenueAmt | 0 | 725343 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 73742079 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 12776497 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 41892261 |
| IRS990/PYTotalExpensesAmt | 0 | 77249122 |
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