Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
EIN 02-0222118 • 501(c)3 • Claremont, NH
Profile
The mission of Valley Regional Hospital, Inc. is to improve community health, patient experience, and value. Our vision is to partner with the community to optimize health by ensuring access to high value health care.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
Liabilities / Revenue
41st percentile
Higher debt load relative to revenue than 41% of similar nonprofits.
Net Margin
59th percentile
Higher net margin than 59% of similar nonprofits.
Top Officer Pay
88th percentile
Higher top officer pay than 88% 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
47th percentile
Faster revenue growth than 47% of similar nonprofits.
Assets
Up$76,525,625
Up $3,992,383 (+5.5%) from 2023
Liabilities
Down$17,178,105
Down $6,951,316 (-29%) from 2023
Net Assets
Up$59,347,520
Up $10,943,699 (+23%) from 2023
Revenue
Up$70,142,208
Up $4,710,408 (+7.2%) from 2023
Expenses
Up$64,439,536
Up $2,389,264 (+3.9%) from 2023
Net Income
Up$5,702,672
Up $2,321,144 (+69%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
The mission of Valley Regional Hospital, Inc. is to improve community health, patient experience, and value. Our vision is to partner with the community to optimize health by ensuring access to high value health care.
Critical Access Hospital
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $31,234,448 | $36,673,791 | ▲ $5,439,343 |
| Land, Buildings, and Equipment, Net | $6,680,203 | $10,930,624 | ▲ $4,250,421 |
| Savings and Temporary Cash Investments | $17,773,166 | $10,727,863 | ▼ $7,045,303 |
| Accounts Receivable | $8,505,735 | $7,368,660 | ▼ $1,137,075 |
| Investments Other Securities | $5,147,651 | $6,250,147 | ▲ $1,102,496 |
| Intangible Assets | $885,003 | $1,856,812 | ▲ $971,809 |
| Inventories for Sale or Use | $1,168,455 | $1,303,896 | ▲ $135,441 |
| Prepaid Expenses and Deferred Charges | $566,847 | $760,865 | ▲ $194,018 |
| Cash and Non-Interest-Bearing Accounts | $3,698 | $9,137 | ▲ $5,439 |
| Total Assets | $72,533,242 | $76,525,625 | ▲ $3,992,383 |
| Other Assets Total | $568,036 | $643,830 | ▲ $75,794 |
| Liabilities | |||
| Other Liabilities | $16,601,125 | $9,712,119 | ▼ $6,889,006 |
| Accounts Payable and Accrued Expenses | $7,406,673 | $7,293,066 | ▼ $113,607 |
| Deferred Revenue | $121,623 | $172,920 | ▲ $51,297 |
| Total Liabilities | $24,129,421 | $17,178,105 | ▼ $6,951,316 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $41,050,735 | $50,438,249 | ▲ $9,387,514 |
| Net Assets With Donor Restrictions | $7,353,086 | $8,909,271 | ▲ $1,556,185 |
| Total Net Assets Fund Balance | $48,403,821 | $59,347,520 | ▲ $10,943,699 |
| Total Liabilities and Net Assets / Fund Balance | $72,533,242 | $76,525,625 | ▲ $3,992,383 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $2,915,931 | $2,808,458 | $5,724,389 |
| Other Land Buildings | $4,558,227 | $10,611 | $4,568,838 |
| Leasehold Improvements | $2,958,091 | $775,399 | $3,733,490 |
| Buildings | $247,708 | $334,196 | $581,904 |
| Land | $250,667 | - | $250,667 |
| Other Securities | $6,250,147 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $7,171,456 | - | ▲ $1,553,432 | - | $8,724,888 |
| 2022 | $6,314,371 | - | ▲ $941,032 | $83,947 | $7,171,456 |
| 2021 | $7,279,159 | - | ▼ $891,253 | $73,535 | $6,314,371 |
| 2020 | $6,058,402 | - | ▲ $1,287,893 | $67,136 | $7,279,159 |
| 2019 | $5,895,100 | - | ▲ $163,302 | - | $6,058,402 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Jeffrey A Hanissian | Past Physician | FT | $376,614 | $75,293 | $451,907 |
| Whitney F Hilton | Orthopedist | FT | $347,797 | $30,367 | $378,164 |
| Joel P Herrington | Past Physician | FT | $311,202 | $50,329 | $361,531 |
| Charles M Sawyer | Past Physician | FT | $320,367 | $39,269 | $359,636 |
| Joshua Rudner | Past ER Physician/CMO | FT | $315,640 | $36,421 | $352,061 |
| Fernanda Magalhaes De Melo Manara M | Physician | FT | $259,791 | $69,731 | $329,522 |
| Juliann Barrett DO | CMO | FT | $275,834 | $45,552 | $321,386 |
| William Palmer MD | Trustee | - | - | $140,395 | $140,395 |
| Alex Scott | Past Trustee | - | $3,707 | - | $3,707 |
| Name | Title |
|---|---|
| John Tansey | Chair |
| Jocelyn Caple MD | Interim President & CEO |
| Patricia Putnam | Vice Chair |
| James Borchert | Past Trustee |
| Katherine Lajoie | Past Trustee |
| Scott Bouranis | Past Trustee |
| Vincent Fusca III | Past Trustee |
| Bryan Huot | Trustee |
| Carol Vivian | Trustee |
| Deanna Howard | Trustee |
| Eric Crainich | Trustee |
| John Gilman | Trustee |
| Lisa Richmond | Trustee |
| Matthew Houde | Trustee |
| Michael Fuerst | Trustee |
| Pamela Brown | Trustee |
| Patrick Jordan | Trustee |
| Samuel Shields Jr | Trustee |
| Steven Surgenor | Trustee |
| Tom Sullivan | Trustee |
| Jean Shaw | Former CFO |
| Celeste Pitts | Interim CFO |
| Terri Decker | Secretary |
| Alan Keiller | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| American Healthcare Services Association | Contracted Staffing | PO Box 670529, Dallas, TX 75267-0529 | $3,766,301 |
| HMS Holdings LLC | Contracted Staffing | PO Box 660, Exeter, NH 03833 | $1,811,728 |
| Dartmouth Hitchcock | Medical Services | One Medical Center Drive, Lebanon, NH 03756 | $1,723,931 |
| EM Staff | Contracted Staffing | PO Box 540, Exeter, NH 03833-0540 | $1,026,517 |
| Jackson & Coker Locumtenens LLC | Contracted Staffing | PO Box 277638, Atlanta, GA 30384-7638 | $446,146 |
| Line Item | Amount |
|---|---|
| Other Expenses | $34,238,267 |
| Salaries, Compensation, and Employee Benefits | $30,201,269 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $19,918,625 | $2,620,929 | - | $22,539,554 |
| Fees for Services Other | $11,793,604 | $3,293,076 | - | $15,086,680 |
| Other Employee Benefits | $4,360,983 | $479,712 | - | $4,840,695 |
| Occupancy | $1,616,220 | $1,230,710 | - | $2,846,930 |
| Payroll Taxes | $1,518,757 | $166,638 | - | $1,685,395 |
| Depreciation Depletion | $1,237,092 | $127,883 | - | $1,364,975 |
| Information Technology | $925,790 | $190,258 | - | $1,116,048 |
| Insurance | $2,319 | $1,004,611 | - | $1,006,930 |
| Office Expenses | $614,779 | $195,237 | - | $810,016 |
| Current Officers, Directors, Trustees, and Key Employees | $677,154 | - | - | $677,154 |
| Pension Plan Contributions | $412,266 | $46,205 | - | $458,471 |
| Other Expenses | $154,135 | $79,754 | - | $233,889 |
| Fees for Service Investment Mgmnt Fees | - | $162,424 | - | $162,424 |
| Fees for Services Legal | - | $160,377 | - | $160,377 |
| Conferences and Meetings | $86,952 | $45,070 | - | $132,022 |
| Fees for Services Accounting | $30,465 | $28,854 | - | $59,319 |
| Interest | $39,418 | $317 | - | $39,735 |
| Travel | $14,155 | $1,818 | - | $15,973 |
| Advertising | $200 | - | - | $200 |
| Total Functional Expenses | $54,510,507 | $9,929,029 | $0 | $64,439,536 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Estimated Third-Party Payor Settlements | $6,988,058 |
| Lease Liabilities | $1,834,289 |
| Reserve for Self-Funded Insurance | $886,736 |
| Due To Affiliates | $3,036 |
“Celeste Pitts serves as the Interim Chief Financial Officer and is compensated by Helms & Co., an independent management company engaged by the organization. Ms. Pitts performs certain financial and management functions under the supervision of the board of directors.”
“Effective 7/31/24 Dartmouth-Hitchcock Health (DHH) became the sole member of Valley Regional Health Care, who is the sole member of the organization. DHH now has the right to appoint up to one third of the Hospital Board, and has reserve powers that include approval of Board of Trustee (BOT) actions. The DHH CEO or designee is now a member of the BOT Executive committee. The CEO of the organization now reports to the BOT and the DHH CEO or designee.”
“The sole member of the Organization is Valley Regional Healthcare, Inc. Effective 7/31/2024 the sole member of Valley Regional Healthcare, Inc. is Dartmouth-Hitchcock Health.”
“The Organization's trustees are nominated and elected by the Organization's member at the annual meeting of the Corporation. Effective 7/31/2024, the Member's member, Dartmouth-Hitchcock Health, has the right to appoint up to one-third of the directors of the board.”
“The following actions and undertakings involving the business of the Organization are subject to the ratification by the member: adoption of operating budget; adoption of capital budgets; adoption of strategic plans; initiation of significant fund-raising activities; implementation of institutional affiliations, mergers, consolidations or other reorganizations; material modification of service and business offerings; material acquisitions or dispositions of assets; changes in certified public accountants, fiscal year or material accounting practices; incurrence of material indebtedness; material changes in insurance programs and arrangements; material changes in employee benefits plans; adoption of quality improvements plans; election of directors; selection of the president/CEO; amendment of the Organization's bylaws; and amendment of the articles of association. The member, acting solely at the direction, or upon approval of Dartmouth-Hitchcock Health will have the right to initiate the following actions: Removal of Trustees, hiring, evaluating, compensating and termination of the CEO, participation in system programs and initiatives and strategies, changes in clinical services, reallocation of Dartmouth-Hitchcock Health system resources and allocation of the corporations share of system expenses.”
“The Form 990 is reviewed by the CFO and a full copy is shared and reviewed with the CEO and the Finance Committee members. The Finance Committee members are given an opportunity for comment prior to filing. The review is conducted by the CFO.”
“The Risk & Compliance Office requires annual review of the conflict of interest policy. All Officers, Directors, Trustees, and Key Employees must sign an acknowledgment of the policy and disclose any interests that could give rise to conflicts. The signed forms are held in the following locations: Officers and Trustees - Executive Assistant office Directors and Key Employees - In the Elsevier Human Resources system Contracted Services - within or alongside any contract in the corresponding administration or materials area”
“The executive committee of the board of trustees convenes two to four times annually to review the compensation of the CEO. Regional compensation of like-sized organizations are used. The amount of compensation shall be reviewed by the D-H independent compensation consultant for purposes of determining compliance with the rebuttable presumption, if necessary. The CEO compensation is tied to the strategic planning goals of the Organization.”
“The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”
“Physician Fees: Program service expenses 4,091,471. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,091,471. Purchased Services: Program service expenses 7,702,133. Management and general expenses 2,702,070. Fundraising expenses 0. Total expenses 10,404,203. Other Professional Fees: Program service expenses 0. Management and general expenses 591,006. Fundraising expenses 0. Total expenses 591,006.”
“Section 1.263(a)-3(n) Election: Valley Regional Hospital, Inc. 243 Elm Street Claremont, NH 03743 EIN: 02-0222118 Valley Regional Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).”
“Net Gain of Beneficial Interest In Perpetual Trust 1,102,496. Business Combination - Fair Value Adjustment -343,539.”
“The business combination was accounted for using the acquisition method of accounting. DHH has chosen to push-down the fair value adjustment of $2,901,000 related to the identifiable assets and liabilities, which consisted of land, buildings, and equipment of the Organization. The $343,539 represents the adjustment portion for Valley Regional Hospital, Inc.”
“The Organization uses its endowment funds in support of health care services, purchases of equipment, health education, and indigent care.”
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 | 7406673 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 7293066 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 8505735 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 7368660 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Critical Access Hospital |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 200 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 200 |
| IRS990/AllOtherContributionsAmt | 0 | 382904 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Celeste Pitts |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6035427771 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 243 Elm Street |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Claremont |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 03743 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3698 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 9137 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 1 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 12 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 677154 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 677154 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 1 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 45070 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 86952 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 132022 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3766301 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1811728 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1723931 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1026517 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 446146 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 670529 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 660 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | One Medical Center Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 540 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO Box 277638 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Exeter |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Lebanon |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Exeter |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Atlanta |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 752670529 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 03833 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 03756 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 038330540 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 303847638 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | American Healthcare Services Association |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | HMS Holdings LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Dartmouth Hitchcock |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | EM Staff |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Jackson & Coker Locumtenens LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Contracted Staffing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Contracted Staffing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Medical Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Contracted Staffing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Contracted Staffing |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 382904 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1472715 |
| IRS990/CYOtherExpensesAmt | 0 | 34238267 |
| IRS990/CYOtherRevenueAmt | 0 | -2488 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 68289077 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 5702672 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 30201269 |
| IRS990/CYTotalExpensesAmt | 0 | 64439536 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 70142208 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 121623 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 172920 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 127883 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1237092 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1364975 |
| IRS990/Desc | 0 | Valley Regional Hospital is a provider of health services with facilities in the Claremont, NH area. The Hospital grants credit to patients, substantially all of whom are local residents.The Hospital also provides care to patients who meet certain criteria under its Financial Assistance policy without charge or at amounts less than its established rates. The Hospital does not pursue collection of amounts determined to qualify as financially-assisted care.The Hospital maintains records to identify and monitor the level of financially-assisted care it provides. For the year ending September 30, 2024, charges forgone for services and supplies furnished under the charity care policy were approximately $803,000. The estimated cost of those services and supplies was approximately $538,000.In addition, the Hospital provides a number of other services to benefit certain poor and elderly patients. Medicaid and state programs do not cover the full cost of the Hospital incurred cost of providingmedical care to patients. The hospital provides services to residents throughout the region. Those services include health evaluations, screenings, and flu vaccine administration at community events and in the workplace. Health education, wellness, chronic disease management, fitness, and ergonomic programs are also widely offered. For these services, and many other community services, the hospital receives little or no payment.Other community benefits can't be quantified or assigned a value. For example, the hospital provides committee and board participants and expertise to address community needs; to support community health initiatives; to advocate for and support individuals who are socially, economically and physically challenged; and to collaborate with the local public safety organizations. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 7353086 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 8909271 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 447 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 54510507 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 28854 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 30465 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 59319 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 160377 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 160377 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3293076 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 11793604 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 15086680 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 162424 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 162424 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 39.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 39.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 39.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 39.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 39.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 28 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 29 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 30 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 31 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 32 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 39.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.90 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 29 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 30 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 31 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 32 | 0.00 |
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| 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/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 17 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 18 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 19 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 20 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 21 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 22 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 23 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 24 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | 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/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 6896 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 60242 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 71266 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 415 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 27595 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 72787 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 58356 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 16239 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 45478 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 30151 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 29 | 20834 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 30 | 33299 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 31 | 36691 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 32 | 29246 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | John Tansey |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Patricia Putnam |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Alan Keiller |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Terri Decker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Juliann Barrett DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Pamela Brown |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Eric Crainich |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Michael Fuerst |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | John Gilman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Matthew Houde |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Deanna Howard |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Bryan Huot |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Patrick Jordan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | William Palmer MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Lisa Richmond |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Samuel Shields Jr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Tom Sullivan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Steven Surgenor |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Carol Vivian |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | James Borchert |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Scott Bouranis |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Vincent Fusca III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Katherine Lajoie |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Alex Scott |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Jocelyn Caple MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | Celeste Pitts |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | Joshua Rudner |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | Jeffrey A Hanissian |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | Whitney F Hilton |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 29 | Charles M Sawyer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 30 | Joel P Herrington |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 31 | Fernanda Magalhaes De Melo Manara M |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 32 | Jean Shaw |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 314490 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 3707 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 335822 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 406429 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 348013 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 29 | 338802 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 30 | 328232 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 31 | 292831 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 32 | 0 |
| 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 | 285002 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 979872 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 139980 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 358191 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 496952 |
| 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 | 301934 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 37200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 29 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 30 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 31 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 32 | 173716 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CMO |
| 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 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Past Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Past Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Past Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Past Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Past Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Interim President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Interim CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | Past ER Physician/CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | Past Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | Orthopedist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 29 | Past Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 30 | Past Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 31 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 32 | Former CFO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1893 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
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