Liabilities / Assets
55th percentile
Higher debt load relative to assets than 55% of similar nonprofits.
EIN 48-1302204 • 501(c)3 • Dubuque, IA
Profile
Our mission is to provide high-quality, respectful and affordable primary medical and oral health care to the community, including preventive and wellness activities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
55th percentile
Higher debt load relative to assets than 55% of similar nonprofits.
Liabilities / Revenue
53rd percentile
Higher debt load relative to revenue than 53% of similar nonprofits.
Net Margin
23rd percentile
Higher net margin than 23% of similar nonprofits.
Top Officer Pay
61st percentile
Higher top officer pay than 61% of similar nonprofits.
Top officer pay equals 1.4% of source-year revenue.
Asset Growth
32nd percentile
Faster asset growth than 32% of similar nonprofits.
Revenue Growth
28th percentile
Faster revenue growth than 28% of similar nonprofits.
Assets
Up$26,297,933
Up $122,559 (+0.5%) from 2023
Liabilities
Down$6,886,967
Down $99,282 (-1.4%) from 2023
Net Assets
Up$19,410,966
Up $221,841 (+1.2%) from 2023
Revenue
Down$22,669,336
Down $434,972 (-1.9%) from 2023
Expenses
Up$23,693,415
Up $3,218,069 (+16%) from 2023
Net Income
Down-$1,024,079
Down $3,653,041 (-139%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Our mission is to provide high-quality, respectful and affordable primary medical and oral health care to the community, including preventive and wellness activities.
Crescent community health center provides high-quality, respectful, affordable, and comprehensive care to improve the health and well-being of our communities. See schedule o.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $6,432,336 | $6,934,541 | ▲ $502,205 |
| Land, Buildings, and Equipment, Net | $3,498,487 | $5,334,915 | ▲ $1,836,428 |
| Accounts Receivable | $2,110,247 | $2,887,588 | ▲ $777,341 |
| Savings and Temporary Cash Investments | $3,682,725 | $2,253,192 | ▼ $1,429,533 |
| Intangible Assets | $1,023,717 | $958,466 | ▼ $65,251 |
| Investments Program Related | $694,012 | $746,406 | ▲ $52,394 |
| Cash and Non-Interest-Bearing Accounts | $815,533 | $579,683 | ▼ $235,850 |
| Inventories for Sale or Use | $382,601 | $410,304 | ▲ $27,703 |
| Pledges and Grants Receivable | $361,456 | $118,672 | ▼ $242,784 |
| Prepaid Expenses and Deferred Charges | $334,103 | $72,400 | ▼ $261,703 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $26,175,374 | $26,297,933 | ▲ $122,559 |
| Other Assets Total | $6,840,157 | $6,001,766 | ▼ $838,391 |
| Liabilities | |||
| Other Liabilities | $4,919,541 | $4,651,130 | ▼ $268,411 |
| Accounts Payable and Accrued Expenses | $2,066,708 | $2,235,837 | ▲ $169,129 |
| Total Liabilities | $6,986,249 | $6,886,967 | ▼ $99,282 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $18,061,829 | $18,249,191 | ▲ $187,362 |
| Net Assets With Donor Restrictions | $1,127,296 | $1,161,775 | ▲ $34,479 |
| Total Net Assets Fund Balance | $19,189,125 | $19,410,966 | ▲ $221,841 |
| Total Liabilities and Net Assets / Fund Balance | $26,175,374 | $26,297,933 | ▲ $122,559 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Leasehold Improvements | $3,371,672 | $749,908 | $4,121,580 |
| Equipment | $1,364,089 | $822,244 | $2,186,333 |
| Other Land Buildings | $599,154 | - | $599,154 |
| Other Assets Org | $86,107 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $4,649,695 | $88,283 | ▲ $1,131,361 | $0 | $5,547,805 |
| 2023 | $4,685,613 | $97,697 | ▲ $180,128 | $47 | $4,649,695 |
| 2022 | $5,770,097 | $77,593 | ▼ $846,910 | $45 | $4,685,613 |
| 2021 | $4,448,973 | $86,859 | ▲ $1,505,604 | $146 | $5,770,097 |
| 2020 | $4,646,727 | $63,676 | ▼ $1,069 | $6 | $4,448,973 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Ursula Livermore | Chief Medical Officer | FT | $270,300 | $40,574 | $310,874 |
| Dr Marco Rouman | Chief Dental Officer | FT | $225,300 | $51,314 | $276,614 |
| Dr Lydia Goodson | Dentist | FT | $191,825 | $46,074 | $237,899 |
| Gary Collins | Chief Executive Officer End 08/24 | FT | $174,241 | $27,482 | $201,723 |
| Dr Heather Rickertsen | Pharmacist | FT | $146,506 | $37,258 | $183,764 |
| Katie Campbell | Nurse Practitioner | FT | $138,948 | $32,529 | $171,477 |
| Josh Feldmann | Director of Midwest Medical Pharmacy Services | FT | $143,292 | $27,668 | $170,960 |
| Dr Kevin Stingley | Dentist | PT | $131,788 | $33,847 | $165,635 |
| Jennifer Raber | Chief Financial Officer End 03/24 | FT | $131,640 | $19,760 | $151,400 |
| Name | Title |
|---|---|
| John Mcandrew | Board Chair Beg 09/24 |
| Ronelle Clark | Board Past Chair Beg 02/24 |
| Ann Decker | Board Past Chair End 12/23 |
| Kenny Garlow | Board Vice Chair |
| Robin Kennicker | Board Vice Chair |
| Mike Wright | Board Vice Chair Beg 02/24 |
| America Westerband-vasquez | Board Member |
| Dan White | Board Member |
| Derek Olberding | Board Member |
| Mary Rose Corrigan | Board Member |
| Kole Gallick | Board Member Beg 01/24 |
| Gail Hoffman | Board Member Beg 05/24 |
| Matthew Schmid | Board Member End 08/24 |
| Deb Hickmon | Board Secretary |
| Lynee Robson | Board Treasurer |
| Chad Wolbers | Chief Executive Officer Beg 10/24 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Damien Miller Construction | Construction | 917 Badger Rd, Hazel Green, WI 53811 | $1,545,464 |
| Metx LLC | Real Estate Development | 1690 ELM STREET, Dubuque, IA 52001 | $962,112 |
| Inconcertcare INC | Information Technology | 500 SW 7TH STREET, Des Moines, IA 50309 | $571,311 |
| Forvis Mazars LLP | Accounting Services | 910 E ST LOUIS 200 PO BOX 1190, Springfield, MO 65806-2523 | $140,778 |
| Robert Half International | Consulting | PO box 743295, Los Angeles, CA 94583 | $140,156 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $13,824,473 |
| Other Expenses | $9,868,942 |
| Total Fundraising Expense | $253,727 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $7,738,676 | $2,457,273 | $95,652 | $10,291,601 |
| Fees for Services Other | $1,311,928 | $281,369 | $0 | $1,593,297 |
| Other Employee Benefits | $940,348 | $405,024 | $14,294 | $1,359,666 |
| Depreciation Depletion | $326,482 | $743,985 | - | $1,070,467 |
| Current Officers, Directors, Trustees, and Key Employees | $587,488 | $353,123 | - | $940,611 |
| Payroll Taxes | $615,894 | $219,088 | - | $834,982 |
| Office Expenses | $142,921 | $191,375 | $143,781 | $478,077 |
| Occupancy | $362,016 | $74,408 | - | $436,424 |
| Pension Plan Contributions | $282,230 | $115,383 | - | $397,613 |
| Fees for Services Accounting | - | $242,638 | - | $242,638 |
| Interest | $193,404 | $47,398 | - | $240,802 |
| Advertising | $20,964 | $184,063 | - | $205,027 |
| Information Technology | $5,823 | $147,332 | - | $153,155 |
| Conferences and Meetings | $67,029 | $82,528 | - | $149,557 |
| Insurance | $21,657 | $79,627 | - | $101,284 |
| Fees for Service Investment Mgmnt Fees | - | $69,296 | - | $69,296 |
| Other Expenses | $19,169 | $41,503 | - | $60,672 |
| Travel | $12,893 | $27,298 | - | $40,191 |
| Fees for Services Legal | $2,250 | $34,555 | - | $36,805 |
| Total Functional Expenses | $17,518,720 | $5,920,968 | $253,727 | $23,693,415 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $23,693,415 |
| Total Expenses per Audited Statements | $23,642,295 |
| Expenses per Audited Statements | $23,624,119 |
| Expenses Not Reported on Financial Statements | $69,296 |
| Expenses Not Reported on Form 990 | $18,176 |
| Other Expense Adjustments | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Rou Liability | $4,651,130 |
“Crescent community health center contracted both robert half international and dara groop consulting to carry out the roles of chief financial officer and chief executive officer until those positions could be filed by the organization.”
“The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. After to filing, the form 990 is submitted to the finance director of the organization, the finance committee and the full board.”
“Board members shall provide full disclosure of potential conflicts of interest, including completing an initial conflict of potential or actual interest statement when appointed, and completing a conflict of potential or actual interest statement at least annually (january each year thereafter.) board members are required to disclose potential and/or actual conflicts of interest prior to specific board decisions. The board chairperson may ask persons with potential conflicts to not participate in discussions at the board meetings if an issue before the board is sensitive to allegations of conflict. No employee, officer or agent shall participate in the selection, award or administration of a contract supported by federal funds if a real or apparent conflict of interest would be involved. Such a conflict would arise when the employee, officer, or agent, or any member of his or her immediate family, his or her partner, or an organization which employs or is about to employ any of the parties indicated herein, has a financial or other interest in the firm selected for an award. The officers, employees and agents of the recipient shall neither solicit nor accept gratuities, favors, or anything of monetary value from contractors, or parties to sub-agreements. However, recipients may set standards for situations in which the financial interest is not substantial or the gift is an unsolicited item of nominal value. The standards of conduct shall provide for disciplinary actions to be applied for violations of such standards by officers, employees or agents of the recipients.”
“The compensation of the organization's ceo, other officers, and key employees was reviewed by the personnel committee of the board of directors using comparative data from the iowa workforce development for dubuque county. In addition to comparative data from various national websites such as simplyhired.com, salarylist.com, and indeed.com, as well as the health associations of the iowa primary care association and the national association of community health centers. The review process was documented in the committee's minutes and occurred during numerous meetings in fiscal year 2024.”
“The compensation of the organization's ceo, other officers, and key employees was reviewed by the personnel committee of the board of directors using comparative data from the iowa workforce development for dubuque county. In addition to comparative data from various national websites such as simplyhired.com, salarylist.com, and indeed.com, as well as the health associations of the iowa primary care association and the national association of community health centers. The review process was documented in the committee's minutes and occurred during numerous meetings in fiscal year 2024.”
“The organization's governing documents, conflict of interest policy, and financial statements are made available to the public to be viewed on-site or to be mailed upon written request.”
“The organization provides primary healthcare services by physicians and allied health professionals, oral health services by dentists and dental hygienists, diagnostic laboratory services diagnostic x-ray services, preventive health services, patient case management, pharmacy services, referrals for ob, mental health, and substance abuse services, preventive and restorative dental services, and translation services.”
“(Expenses $ 1,559,983 including grants of $ 0)(Revenue $ 2,318,074) DURING THE FISCAL YEAR, THE HEALTH CARE CENTER PROVIDED BRAIN HEALTH SERVICES TO 7,168 PATIENTS. BRAIN HEALTH SERVICES INCLUDE: PSYCHIATRY, PSYCHOLOGY, COUNSELING, AND OTHER SERVICES.”
“Organization's mission: crescent community health center is a local medical and dental clinic providing basic (primary) medical, oral and brain health care. Our doctors, dentists, nurse practitioners, dental hygienists and other staff offer high-quality and affordable care to anyone needing a medical and/or dental home. Our philosophy is to make you, the patient, the center of care and a partner in your treatment. The cost of our services for uninsured patients are figured on a sliding fee scale and discounted based upon the household income and size. We serve individuals and families who are uninsured, underinsured and those with various types of insurance. Patients from any area are welcomed to our practice. Value statements accessibility: we believe all individuals, regardless of ability to pay, should have access to quality healthcare services. Collaboration: we believe collaboration and affiliation with other providers/agencies will strengthen our program with regard to levels of care and breadth of services. Diversity and dignity: we value diversity and believe in the dignity of each person. Quality: we believe that the highest standard of care should be available for all. We exist to enhance and promote the health and well being of everyone through education, prevention and treatment. Advocacy: we will represent the people we serve and promote the right of everyone to receive the highest quality health care available. Service: we believe every aspect of our services provided by a caring staff should reflect that meeting the needs of each patient is paramount to the dignity of each person. Support: we believe individuals and families are successful with community support, and our communities can and should work together for the needs of all in the tri-state area.”
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
“Community foundation of greater dubuque, an unrelated organization, holds endowment funds which include monies donated to be used for specific expenses and the income from each fund is to be spent on specific services and program functions on a fund by fund basis. Crescent community health center endowment's intended use is for the support of public, charitable, scientific, literary and educational programs of crescent community health center. Diabetes fund for crescent community health center endowment's intended use is support the diabetes program at crescent community health center.”
“Net assets released from restrictions - 306981”
“Temporarily restricted contributions - 341460 loss on disposal of fixed assets - -3205”
“Loss on disposal of fixed assets - 3205”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2066708 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2235837 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2110247 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2887588 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | CRESCENT COMMUNITY HEALTH CENTER PROVIDES HIGH-QUALITY, RESPECTFUL, AFFORDABLE, AND COMPREHENSIVE CARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. SEE SCHEDULE O. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 184063 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 20964 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 205027 |
| IRS990/AllOtherContributionsAmt | 0 | 799018 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | SAMANTHA LAMMERS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5636902860 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1690 ELM ST SUITE 300 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | DUBUQUE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 52001 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 815533 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 579683 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 353123 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 587488 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 940611 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
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| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 67029 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 149557 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1545464 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 962112 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 571311 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 140778 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 140156 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 917 Badger Rd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1690 ELM STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 500 SW 7TH STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 910 E ST LOUIS 200 PO BOX 1190 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO box 743295 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Hazel Green |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DUBUQUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | DES MOINES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SPRINGFIELD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Los Angeles |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 53811 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 52001 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 50309 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 658062523 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 94583 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Damien Miller Construction |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | METX LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | INCONCERTCARE INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | FORVIS MAZARS LLP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Robert Half International |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Construction |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | REAL ESTATE DEVELOPMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | INFORMATION TECHNOLOGY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Accounting Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Consulting |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 3706395 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 465052 |
| IRS990/CYOtherExpensesAmt | 0 | 9868942 |
| IRS990/CYOtherRevenueAmt | 0 | 52394 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 18445495 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -1024079 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 13824473 |
| IRS990/CYTotalExpensesAmt | 0 | 23693415 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 253727 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 22669336 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | true |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 743985 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 326482 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1070467 |
| IRS990/Desc | 0 | DURING THE FISCAL YEAR THE HEALTH CARE CENTER PROVIDED PHARMACY SERVICES TO 4,145 PATIENTS. PHARMACY SERVICES PROVIDED INCLUDE: DIABETES EDUCATION, ANTICOAGULATION EDUCATION, MED-PACKS, FILLING PERSCRIPTIONS, AND OTHER PHARMACY SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | false |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 1127296 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1161775 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 203 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 6091810 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 242638 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 242638 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 34555 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 2250 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 36805 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 281369 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1311928 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1593297 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 69296 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 69296 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 32.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | 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/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 27162 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 9515 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 30440 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 35545 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 28258 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 23500 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 25200 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 27668 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 10339 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ANN DECKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DEB HICKMON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOHN MCANDREW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LYNEE ROBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MIKE WRIGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ROBIN KENNICKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RONELLE CLARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | AMERICA WESTERBAND-VASQUEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DAN WHITE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DEREK OLBERDING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | GAIL HOFFMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | KENNY GARLOW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KOLE GALLICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MARY ROSE CORRIGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MATTHEW SCHMID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CHAD WOLBERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | GARY COLLINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JENNIFER RABER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | DR MARCO ROUMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | DR URSULA LIVERMORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | DR HEATHER RICKERTSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | DR KEVIN STINGLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | DR LYDIA GOODSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JOSH FELDMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | KATIE CAMPBELL |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 174561 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 141885 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 246174 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 275329 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 155506 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 142135 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 212699 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 143292 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 161138 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD PAST CHAIR END 12/23 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD CHAIR BEG 09/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD VICE CHAIR BEG 02/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD PAST CHAIR BEG 02/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER BEG 05/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER BEG 01/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER END 08/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF EXECUTIVE OFFICER BEG 10/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CHIEF EXECUTIVE OFFICER END 08/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CHIEF FINANCIAL OFFICER END 03/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHIEF DENTAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | DIRECTOR OF MIDWEST MEDICAL PHARMACY SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | NURSE PRACTITIONER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 2003 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -3205 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 71017 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 2907377 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 71017 |
| IRS990/GrossReceiptsAmt | 0 | 22672541 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 13 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 28 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 147332 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 5823 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 153155 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 79627 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 21657 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 101284 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 1023717 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 958466 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 47398 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 193404 |
| IRS990/InterestGrp/TotalAmt | 0 | 240802 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 382601 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 410304 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 397240 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 397240 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 694012 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 746406 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 6432336 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 6934541 |
| IRS990/IRPDocumentCnt | 0 | 17 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 1572152 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3498487 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 5334915 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 6907067 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 3205 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
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