Liabilities / Assets
79th percentile
Higher debt load relative to assets than 79% of similar nonprofits.
EIN 48-0764456 • 501(c)3 • Seneca, KS
Profile
To provide personalized, compassionate healthcare while promoting wellness in the communities we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
79th percentile
Higher debt load relative to assets than 79% of similar nonprofits.
Liabilities / Revenue
77th percentile
Higher debt load relative to revenue than 77% of similar nonprofits.
Net Margin
60th percentile
Higher net margin than 60% of similar nonprofits.
Top Officer Pay
66th percentile
Higher top officer pay than 66% of similar nonprofits.
Top officer pay equals 1.5% of source-year revenue.
Asset Growth
48th percentile
Faster asset growth than 48% of similar nonprofits.
Revenue Growth
69th percentile
Faster revenue growth than 69% of similar nonprofits.
Assets
Up$53,337,979
Up $2,785,322 (+5.5%) from 2024
Liabilities
Up$33,250,319
Up $172,775 (+0.5%) from 2024
Net Assets
Up$20,087,660
Up $2,612,547 (+15%) from 2024
Revenue
Up$31,114,629
Up $4,909,915 (+19%) from 2024
Expenses
Up$28,515,785
Up $3,563,229 (+14%) from 2024
Net Income
Up$2,598,844
Up $1,346,686 (+108%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide personalized, compassionate healthcare while promoting wellness in the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $16,964,950 | $27,673,696 | ▲ $10,708,746 |
| Savings and Temporary Cash Investments | $16,906,164 | $17,691,512 | ▲ $785,348 |
| Accounts Receivable | $2,102,019 | $3,363,743 | ▲ $1,261,724 |
| Investments in Publicly Traded Securities | $13,234,805 | $2,937,785 | ▼ $10,297,020 |
| Inventories for Sale or Use | $346,036 | $378,813 | ▲ $32,777 |
| Prepaid Expenses and Deferred Charges | $416,779 | $362,828 | ▼ $53,951 |
| Cash and Non-Interest-Bearing Accounts | $512 | $512 | → $0 |
| Total Assets | $50,552,657 | $53,337,979 | ▲ $2,785,322 |
| Other Assets Total | $581,392 | $929,090 | ▲ $347,698 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $27,411,887 | $26,965,000 | ▼ $446,887 |
| Accounts Payable and Accrued Expenses | $5,505,657 | $5,252,319 | ▼ $253,338 |
| Other Liabilities | $160,000 | $1,033,000 | ▲ $873,000 |
| Total Liabilities | $33,077,544 | $33,250,319 | ▲ $172,775 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $17,447,985 | $20,036,851 | ▲ $2,588,866 |
| Net Assets With Donor Restrictions | $27,128 | $50,809 | ▲ $23,681 |
| Total Net Assets Fund Balance | $17,475,113 | $20,087,660 | ▲ $2,612,547 |
| Total Liabilities and Net Assets / Fund Balance | $50,552,657 | $53,337,979 | ▲ $2,785,322 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $17,089,802 | $9,557,187 | $26,646,989 |
| Equipment | $3,241,720 | $6,827,046 | $10,068,766 |
| Other Land Buildings | $7,270,748 | - | $7,270,748 |
| Land | $71,426 | - | $71,426 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Jarod Snyder | Physician | FT | $315,805 | $165,237 | $481,042 |
| Dr William Bartkoski | Physician | FT | $352,498 | $93,359 | $445,857 |
| Harry Stewart | Crna | FT | $376,228 | $54,400 | $430,628 |
| Dr Alexander Hermesch | Trustee/Physician | FT | $301,477 | $110,162 | $411,639 |
| Dr Heather Myers | Physician | FT | $293,724 | $81,212 | $374,936 |
| Tiffany Engelken | Aprn | FT | $171,444 | $154,687 | $326,131 |
| Kiley Floyd | CEO | FT | $213,270 | $27,441 | $240,711 |
| Niki Buesing | Contract CFO (Thru 02/2025) | FT | $128,742 | $25,751 | $154,493 |
| Name | Title |
|---|---|
| Mike Steinlage | Chairman |
| Justin Lueger | Vice-Chairman |
| Don Strathman | Trustee |
| Dr James Lueger | Trustee |
| Galen Niehues | Trustee |
| Katie Nordhus | Trustee |
| Kris Enneking | Trustee |
| Leah Hermesch | Trustee |
| TJ Haverkamp | Trustee |
| Sarah Windmeyer | CFO (Eff. 02/2025) |
| Nikki Honeyman | Secretary |
| Ed Mohney | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Holistic Pain Management of Kansas LLC | Pain Management Services | 3780 N Garfield Avenue Suite 101, Loveland, CO 80538 | $684,029 |
| Cerner Corporation | Patient Accounting System | PO Box 959156, St Louis, MO 63195 | $561,541 |
| Stormont Vail Healthcare | Lab and Admin Contract Services | 1500 SW 10th Avenue, Topeka, KS 66604 | $388,869 |
| Rural Partners in Medicine | Surgeon Services | 100 Technology Dr Bldg C STE 300, Broomfield, CO 80021 | $253,996 |
| Holton Community Hospital | Surgeon Services | 1110 Columbine Drive, Holton, KS 66436 | $185,100 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $16,512,568 |
| Other Expenses | $12,003,217 |
| Total Fundraising Expense | $43,361 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $11,101,295 | $1,227,189 | $32,041 | $12,360,525 |
| Fees for Services Other | $2,741,499 | $310,119 | $2 | $3,051,620 |
| Other Employee Benefits | $1,758,998 | $217,991 | $5,013 | $1,982,002 |
| Depreciation Depletion | $1,372,011 | $64,008 | $1,258 | $1,437,277 |
| Payroll Taxes | $761,229 | $99,125 | $2,130 | $862,484 |
| Current Officers, Directors, Trustees, and Key Employees | $386,811 | $405,944 | - | $792,755 |
| Interest | $506,110 | $31,841 | $808 | $538,759 |
| Pension Plan Contributions | $461,533 | $51,936 | $1,333 | $514,802 |
| Occupancy | $230,815 | $15,303 | $359 | $246,477 |
| Insurance | $182,158 | $55,070 | $112 | $237,340 |
| All Other Expenses | $130,038 | $58,613 | $25 | $188,676 |
| Other Expenses | $268,411 | $158,265 | $73 | $158,265 |
| Office Expenses | $102,844 | $25,820 | $70 | $128,734 |
| Travel | $67,716 | $13,313 | $3 | $81,032 |
| Information Technology | $64,587 | $12,181 | - | $76,768 |
| Advertising | $18,297 | $56,627 | $1 | $74,925 |
| Fees for Services Legal | $7,040 | $9,213 | - | $16,253 |
| Fees for Service Investment Mgmnt Fees | - | $6,793 | - | $6,793 |
| Total Functional Expenses | $25,419,229 | $3,053,195 | $43,361 | $28,515,785 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Lori Lueger | Family member of Justin Lueger, Board Member | Employment | No | $222,682 |
| Lynda Cross | Family member of Mike Steinlage, Board Member | Employment | No | $163,958 |
| Patricia Hermesch | Family member of Alexander Hermesch, Board Member | Employment | No | $106,528 |
| Liability | Amount |
|---|---|
| Estimated third-party payor settlements | $1,033,000 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | City of Seneca Kansas | 2023-06-14 | $25,064,361 | To fund renovation costs to hospital and purchase equipment |
| A | City of Seneca Kansas | 2015-02-19 | $4,455,000 | To refund a portion of 2008 series bond |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $25,064,361 | - | - | $477,380 |
| A | $4,455,000 | $4,517,530 | $2,370,000 | $88,270 |
“James Lueger, Board Member, is a family relation to Justin Lueger, Board Member.”
“The Form 990 is reviewed by the CEO and CFO prior to filing.”
“The board is required to annually sign conflict of interest statements.”
“The CEO salary and compensation is approved by the Hospital's board and is based on information from a compensation study.”
“Documents are available upon request.”
“Professional: Program service expenses 2,741,499. Management and general expenses 310,119. Fundraising expenses 2. Total expenses 3,051,620.”
“The Finance Committee selects the independent auditor of the financial statements.”
“The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal taxes on related income pursuant to Section 501(a) of the Code. Management is not aware of any uncertain 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 | 5505657 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5252319 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2102019 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3363743 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To provide personalized, compassionate healthcare while promoting wellness in the communities we serve. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 1 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 56627 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 18297 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 74925 |
| IRS990/AllOtherContributionsAmt | 0 | 446499 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 25 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 58613 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 130038 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 188676 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Sarah Windmeyer |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7853366181 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1600 Community Drive |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Seneca |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 66538 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 512 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 512 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 12 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 405944 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 386811 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 792755 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 684029 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 561541 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 388869 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 253996 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 185100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 3780 N Garfield Avenue Suite 101 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 959156 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1500 SW 10th Avenue |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 100 Technology Dr Bldg C STE 300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1110 Columbine Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Loveland |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | St Louis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Topeka |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Broomfield |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Holton |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 80538 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 63195 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 66604 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 80021 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 66436 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Holistic Pain Management of Kansas LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Cerner Corporation |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Stormont Vail Healthcare |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Rural Partners in Medicine |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Holton Community Hospital |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Pain Management Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Patient Accounting System |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Lab and Admin Contract Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Surgeon Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Surgeon Services |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2510847 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 240255 |
| IRS990/CYOtherExpensesAmt | 0 | 12003217 |
| IRS990/CYOtherRevenueAmt | 0 | 561532 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 27801995 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2598844 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 16512568 |
| IRS990/CYTotalExpensesAmt | 0 | 28515785 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 43361 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 31114629 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 1258 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 64008 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1372011 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1437277 |
| IRS990/Desc | 0 | Nemaha Valley Community Hospital provides inpatient and outpatient hospital services and clinic services to patients in its service area. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 27128 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 50809 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 193 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 25419229 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 9213 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 7040 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 16253 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 2 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 310119 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2741499 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3051620 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 6793 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 6793 |
| 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 | 1.00 |
| 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/AverageHoursPerWeekRt | 19 | 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/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 | 54235 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 27441 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 25751 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 52796 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 56511 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 54400 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 45099 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 50909 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Mike Steinlage |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Justin Lueger |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Nikki Honeyman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Ed Mohney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Kris Enneking |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Katie Nordhus |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Leah Hermesch |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Don Strathman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Dr James Lueger |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | TJ Haverkamp |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Galen Niehues |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Dr Alexander Hermesch |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Kiley Floyd |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Niki Buesing |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Sarah Windmeyer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Dr Jarod Snyder |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Dr William Bartkoski |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Harry Stewart |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Dr Heather Myers |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Tiffany Engelken |
| 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 | 357404 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 213270 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 128742 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 428246 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 389346 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 376228 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 329837 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 275222 |
| 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/TitleTxt | 0 | Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice-Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Trustee/Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Contract CFO (Thru 02/2025) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CFO (Eff. 02/2025) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | APRN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1969 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -262880 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 1294025 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 31377509 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1500 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 19 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 12181 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 64587 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 76768 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 112 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 55070 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 182158 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 237340 |
| IRS990/InterestGrp/FundraisingAmt | 0 | 808 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 31841 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 506110 |
| IRS990/InterestGrp/TotalAmt | 0 | 538759 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 346036 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 378813 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 503135 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 503135 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 13234805 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2937785 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 42 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 16384233 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 16964950 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 27673696 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 44057929 |
| IRS990/LegalDomicileStateCd | 0 | KS |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 262880 |
| 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/RelatedOrExemptFuncIncomeAmt | 0 | 12694 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 12694 |
| IRS990/MissionDesc | 0 | To provide personalized, compassionate healthcare while promoting wellness in the communities we serve. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 17475113 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 20087660 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -262880 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -262880 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 1500 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 1500 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 13703 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 17447985 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 20036851 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 359 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 15303 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 230815 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 246477 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 70 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 25820 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 102844 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 128734 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 581392 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 929090 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 5013 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 217991 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1758998 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1982002 |
| IRS990/OtherExpensesGrp/Desc | 0 | Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Equipment rental and ma |
| IRS990/OtherExpensesGrp/Desc | 2 | Suicide Prevention Gran |
| IRS990/OtherExpensesGrp/Desc | 3 | Collection fees |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 133 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 73 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 91397 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 142447 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 158265 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4384380 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 873457 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 268411 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4475910 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1015977 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 268411 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 158265 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 160000 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1033000 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 621110 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 722210 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Contracted labor |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Purchase Rebates |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | Dietary Income |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 29370 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 300584 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 217384 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 300584 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 217384 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 29370 |
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