Liabilities / Assets
73rd percentile
Higher debt load relative to assets than 73% of similar nonprofits.
990 • Fiscal year 2018 • EIN 02-0222131
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
73rd percentile
Higher debt load relative to assets than 73% of similar nonprofits.
Liabilities / Revenue
47th percentile
Higher debt load relative to revenue than 47% of similar nonprofits.
Net Margin
12th percentile
Higher net margin than 12% of similar nonprofits.
Top Officer Pay
61st percentile
Higher top officer pay than 61% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
4th percentile
Faster asset growth than 4% of similar nonprofits.
Revenue Growth
49th percentile
Faster revenue growth than 49% of similar nonprofits.
Assets
Down$114,107,159
Down $17,850,365 (-14%) from 2017
Net Assets
Down$46,455,511
Down $17,089,177 (-27%) from 2017
Liabilities
Down$67,651,648
Down $761,188 (-1.1%) from 2017
Revenue
Up$156,794,818
Up $7,799,698 (+5.2%) from 2017
Expenses
Up$172,853,890
Up $2,641,300 (+1.6%) from 2017
Net Income
Up-$16,059,072
Up $5,158,398 (+24%) from 2017
The Organization legally terminated and dissolved during the period covered by this return.
To excel at caring for the community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $67,617,399 | $61,263,019 | ▼ $6,354,380 |
| Accounts Receivable | $24,784,938 | $16,624,306 | ▼ $8,160,632 |
| Investments Other Securities | $12,843,120 | $13,122,247 | ▲ $279,127 |
| Investments in Publicly Traded Securities | $11,243,311 | $8,584,835 | ▼ $2,658,476 |
| Inventories for Sale or Use | $4,040,135 | $3,449,405 | ▼ $590,730 |
| Savings and Temporary Cash Investments | $1,991,593 | $1,813,338 | ▼ $178,255 |
| Prepaid Expenses and Deferred Charges | $1,326,575 | $797,321 | ▼ $529,254 |
| Cash and Non-Interest-Bearing Accounts | $1,209,842 | $732,064 | ▼ $477,778 |
| Total Assets | $131,957,524 | $114,107,159 | ▼ $17,850,365 |
| Other Assets Total | $6,900,611 | $7,720,624 | ▲ $820,013 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $21,587,470 | $21,616,486 | ▲ $29,016 |
| Accounts Payable and Accrued Expenses | $19,385,785 | $21,131,279 | ▲ $1,745,494 |
| Other Liabilities | $10,395,648 | $11,129,755 | ▲ $734,107 |
| Mortgage Notes Payable Secured by Investment Property | $12,048,933 | $9,859,128 | ▼ $2,189,805 |
| Unsecured Notes Loans Payable | $4,995,000 | $3,915,000 | ▼ $1,080,000 |
| Total Liabilities | $68,412,836 | $67,651,648 | ▼ $761,188 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $61,024,294 | $43,498,277 | ▼ $17,526,017 |
| Permanently Rstr Net Assets | $1,916,692 | $1,916,692 | → $0 |
| Temporarily Rstr Net Assets | $603,702 | $1,040,542 | ▲ $436,840 |
| Total Net Assets Fund Balance | $63,544,688 | $46,455,511 | ▼ $17,089,177 |
| Total Liabilities and Net Assets / Fund Balance | $131,957,524 | $114,107,159 | ▼ $17,850,365 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $38,714,935 | $49,880,174 | $88,595,109 |
| Equipment | $21,491,369 | $46,586,521 | $68,077,890 |
| Other Land Buildings | $495,913 | $1,408,693 | $1,904,606 |
| Leasehold Improvements | $379,026 | $1,119,962 | $1,498,988 |
| Land | $181,776 | - | $181,776 |
| Other Assets Org | $2,915,158 | - | - |
| Other Securities | $7,940,702 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2017 | $17,792,984 | $206,456 | ▲ $1,327,943 | $4,600,638 | $14,647,540 |
| 2016 | $31,526,165 | $100,889 | ▲ $2,877,676 | $16,587,188 | $17,792,984 |
| 2015 | $29,464,678 | - | ▲ $2,195,487 | $134,000 | $31,526,165 |
| 2014 | $34,288,142 | - | ▼ $4,823,464 | - | $29,464,678 |
| 2013 | $31,227,443 | - | ▲ $3,323,272 | $262,573 | $34,288,142 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Trevor Eide MD | Physician | FT | $279,542 | $313,675 | $593,217 |
| John Freese MD | Physician | FT | $266,427 | $278,422 | $544,849 |
| Michael Southworth MD | Physician | FT | $456,005 | $27,211 | $483,216 |
| Mathurin Malby MD | Physician | FT | $246,188 | $226,559 | $472,747 |
| John Marzinsik | President & CEO (end 2/18) | FT | $429,753 | $39,720 | $469,473 |
| Michael Metzger MD | Physician | FT | $397,625 | $34,930 | $432,555 |
| Jocelyn Caple MD | President & CEO (start 2/18) | FT | $238,754 | $45,601 | $284,355 |
| Paula Mahoney | VP Physician Practices | FT | $200,532 | $78,539 | $279,071 |
| Robert Cochrane | VP Finance, CFO | FT | $235,529 | $32,461 | $267,990 |
| Joseph Shields | Senior VP | FT | $216,797 | $49,177 | $265,974 |
| Christi Green | VP Human Resources | FT | $172,748 | $26,088 | $198,836 |
| Name | Title |
|---|---|
| Brian Hughes | Chairman, Trustee |
| James Jalbert | Vice Chairman, Trustee |
| TJ Jean | Vice Chairman, Trustee (part year) |
| William Cormier | Secretary, Trustee |
| Jeanette Poulin | Treasurer, Trustee |
| Brian Szymanski MD | Trustee |
| Frank Jones | Trustee |
| John Britton MD | Trustee |
| John Hall | Trustee |
| Julie Reynolds | Trustee |
| Lisa Stanley | Trustee |
| Mark Farrell | Trustee |
| Ron Poulin | Trustee |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| HealthNET Systems Consulting | IT Consulting | 20 Burlington Mall Road, Burlington, MA 01803 | $3,179,022 |
| Crothall Healthcare | Facilities Management | 13028 Collections Center Drive, Chicago, IL 60693 | $3,139,263 |
| Unidine Corporation | Dietary Services | PO Box 360639, Pittsburgh, PA 15251-6639 | $1,891,623 |
| Surgical Associates of Rochester | Physician Practice | 21 Whitehall Road Suite 3, Rochester, NH 03867 | $1,683,465 |
| Navin Haffty & Associates LLC | IT Consulting | 1900 West Park Drive Suite 180, Westborough, MA 01581 | $852,818 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $87,276,240 |
| Other Expenses | $85,378,683 |
| Grants and Similar Amounts Paid | $198,967 |
| Total Fundraising Expense | $143,218 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $53,734,008 | $11,877,147 | $102,464 | $65,713,619 |
| Fees for Services Other | $13,785,305 | $6,773,391 | $11,152 | $20,569,848 |
| Other Employee Benefits | $10,619,829 | $2,767,964 | $20,093 | $13,407,886 |
| Depreciation Depletion | $7,755,163 | - | - | $7,755,163 |
| Occupancy | $5,555,918 | $1,837,101 | - | $7,393,019 |
| Payroll Taxes | $3,434,510 | $888,527 | $6,494 | $4,329,531 |
| All Other Expenses | $3,043,193 | $36,283 | - | $3,079,476 |
| Current Officers, Directors, Trustees, and Key Employees | $419,072 | $2,234,951 | - | $2,654,023 |
| Office Expenses | $1,103,559 | $835,498 | $1,255 | $1,940,312 |
| Insurance | $929,680 | $960,701 | - | $1,890,381 |
| Interest | $1,293,571 | - | - | $1,293,571 |
| Pension Plan Contributions | $928,070 | $241,354 | $1,757 | $1,171,181 |
| Fees for Services Legal | - | $366,359 | - | $366,359 |
| Grants to Domestic Orgs | $164,973 | - | - | $164,973 |
| Advertising | - | $160,282 | - | $160,282 |
| Fees for Services Accounting | - | $118,121 | - | $118,121 |
| Fees for Service Investment Mgmnt Fees | - | $79,204 | - | $79,204 |
| Travel | $72,181 | $1,700 | $3 | $73,884 |
| Grants to Domestic Individuals | $33,994 | - | - | $33,994 |
| Other Expenses | $4,434 | $461,940 | - | $4,434 |
| Total Functional Expenses | $143,070,149 | $29,640,523 | $143,218 | $172,853,890 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $172,853,890 |
| Expenses per Audited Statements | $172,770,252 |
| Total Expenses per Audited Statements | $172,770,252 |
| Expenses Not Reported on Financial Statements | $83,638 |
| Other Expense Adjustments | $4,434 |
| Expenses Not Reported on Form 990 | $0 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Foundation for Healthy Communities | Concord, NH | 501(c)(3) | Financial support for the recipient organization's mission. | $158,659 |
| Veterans Count (aka Easter Seals Maine Inc) | Portland, ME | 501(c)(3) | Financial support for the recipient organization's mission. | $6,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| John Britton MD | Board Member | Dr. Britton is a 33.33% owner of Surgical Associates of Rochester. The general surgeons at Surgical Associates of Rochester provide a wide range of services to patients of the Hospital, from minor office procedures to major surgery, done with both laparoscopic and open techniques, for adult and pediatric patients. During 2017, Frisbie Memorial Hospital paid $1,683,465 to Surgical Associates of Rochester for services rendered to the Hospital. All transactions were at arm's length. | No | $1,101,369 |
| Liability | Amount |
|---|---|
| Accrued Pension | $8,316,129 |
| Malpractice Liability Claims Payable | $2,361,090 |
| Due to Affiliates | $417,865 |
| Estimated Third Party Payor Settlements | $34,671 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Nhhefa | 2014-08-01 | $22,475,000 | Refunding Series 2006 Bonds |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $22,475,000 | - | - | - |
“Trustees Ronald Poulin and Jeanette Poulin have a family relationship.”
“The Form 990 is prepared with the assistance of the Hospital's independent public accounting firm and is thoroughly reviewed by key financial staff. The CFO then reviews the 990 and a copy is then made available to the board for review. After any questions are answered, the return is filed with the Internal Revenue Service.”
“In accordance with the written conflict of interest policy, the office of the President annually secures a signed copy of the Trustee/Officer Conflict of Interest Statement and maintains them on file.”
“Each year, the executive compensation committee comprised of four members of the FMH Board reviews the Hospital CEO performance and compensation. The VP of Human Resources presents the compensation committee with comparative salary and benefit data. Senior management compensation is also reviewed by the committee, but their compensation is determined by the CEO.”
“The Hospital will provide its governing documents, financial statements, and conflict of interest policy upon request.”
“Steve Guimond served as interim CFO of the Hospital from August 2016 to March 2017 when a permanent CFO was hired. Mr. Guimond was a contracted professional who was leased through a management company, Leaders for Today, an unrelated organization. The Hospital paid $71,416 to Leaders for Today for Mr. Guimond's services to the organization. This amount represents compensation for Mr. Guimond's services as interim CFO for a term that was completed prior to the fiscal year covered by this return. In accordance with IRS instructions, Mr. Guimond has not been listed in Form 990, Part VII as the reportable compensation paid to him in 2017 was below the filing threshold to be classified as a "former" officer. In the interest of transparency, the Hospital is disclosing this residual amount of compensation.”
“The Hospital does not have a formal joint venture policy in written format. However, any joint venture agreement the Hospital may consider is thoroughly vetted by the board or subcommittee to ensure that the joint venture significantly improves and furthers the Hospital's exempt charitable mission. On-going monitoring is also conducted to safeguard the Hospital's invested assets from private benefit or other misappropriation.”
“Purchased Medical Services: Program service expenses 13,785,305. Management and general expenses 6,773,391. Fundraising expenses 11,152. Total expenses 20,569,848.”
“The audit process has not changed from the prior year.”
“The Hospital's endowment funds are to be used in furtherance of the Hospital's charitable mission.”
“The Hospital and the Foundation are not-for-profit organizations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Hospital and Foundation's tax positions and concluded the Hospital and Foundation have maintained their tax-exempt status, do not have any significant unrelated business income and have taken no uncertain tax positions that require adjustment to the consolidated financial statements.”
“Unrelated Business Income Tax 4,434.”
“Unrelated Business Income Tax 4,434.”
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 | 19385785 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 21131279 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 24784938 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 16624306 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To excel at caring for the community. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 160282 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 160282 |
| IRS990/AllOtherContributionsAmt | 0 | 478413 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 36283 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 3043193 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 3079476 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | James Hutchinson |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6033325211 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 11 Whitehall Rd |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Rochester |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 03867 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1209842 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 732064 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 17 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2234951 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 419072 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2654023 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 1 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3179022 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 3139263 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1891623 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1683465 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 852818 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 20 Burlington Mall Road |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 13028 Collections Center Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 360639 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 21 Whitehall Road Suite 3 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1900 West Park Drive Suite 180 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Burlington |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Chicago |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Pittsburgh |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Rochester |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Westborough |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 01803 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 60693 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 152516639 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 03867 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 01581 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | HealthNET Systems Consulting |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Crothall Healthcare |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Unidine Corporation |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Surgical Associates of Rochester |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Navin Haffty & Associates LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | IT Consulting |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Facilities Management |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Dietary Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Physician Practice |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | IT Consulting |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 478413 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 198967 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2470869 |
| IRS990/CYOtherExpensesAmt | 0 | 85378683 |
| IRS990/CYOtherRevenueAmt | 0 | 1287648 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 152557888 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -16059072 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 87276240 |
| IRS990/CYTotalExpensesAmt | 0 | 172853890 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 143218 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 156794818 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 7755163 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 7755163 |
| IRS990/Desc | 0 | Frisbie Memorial Hospital is a nonprofit community hospital that continuously evaluates and addresses the comprehensive healthcare needs of Rochester, NH and the surrounding communities. In response to these healthcare needs, the hospital coordinates, develops, and provides high-quality, affordable, preventative, educational, acute, and chronic care services. In fiscal year ending September 30, 2018, 27,103 patients were treated in our emergency department, 14,660 ambulance calls were made, 3,126 inpatients were cared for, and surgeries on 7,303 patients were performed. Additionally, 314 newborns were welcomed into the world, 25,762 radiology procedures/tests provided, 65,976 rehabilitative treatments were provided, 421,288 laboratory tests were performed, and 4,131 oncology patients were treated. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 1231 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 135756862 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 118121 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 118121 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 366359 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 366359 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 11152 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 6773391 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 13785305 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 20569848 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 79204 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 79204 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| 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/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 3.00 |
| 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/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 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/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | 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/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 | 30489 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 26401 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 17461 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 11088 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 47039 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 29997 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 18302 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 23190 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 35937 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 34930 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 27211 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | John Britton MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Mark Farrell |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | John Hall |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Frank Jones |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Ron Poulin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Julie Reynolds |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Lisa Stanley |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Brian Szymanski MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Brian Hughes |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | James Jalbert |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | TJ Jean |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | William Cormier |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Jeanette Poulin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | John Marzinsik |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Jocelyn Caple MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Robert Cochrane |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Christi Green |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Paula Mahoney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Joseph Shields |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Trevor Eide MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | John Freese MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Mathurin Malby MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Michael Metzger MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Michael Southworth MD |
| 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 | 438984 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 257954 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 250529 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 187748 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 232032 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 235977 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 574915 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 521659 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 436810 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 397625 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 456005 |
| 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/TitleTxt | 0 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Chairman, Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Vice Chairman, Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Vice Chairman, Trustee (part year) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Secretary, Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Treasurer, Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | President & CEO (end 2/18) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | President & CEO (start 2/18) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VP Finance, CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VP Human Resources |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP Physician Practices |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Senior VP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1941 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1876499 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantAmt | 0 | 198967 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 33994 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 33994 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 164973 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 164973 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 3983270 |
| IRS990/GrossReceiptsAmt | 0 | 158901589 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 119 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 960701 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 929680 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1890381 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 1293571 |
| IRS990/InterestGrp/TotalAmt | 0 | 1293571 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 4040135 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 3449405 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 594370 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 594370 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 12843120 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 13122247 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 11243311 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 8584835 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 54 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 98995350 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 67617399 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 61263019 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 160258369 |
| IRS990/LegalDomicileStateCd | 0 | NH |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 2106771 |
| 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/MissionDesc | 0 | To excel at caring for the community by providing safe, effective, equitable, timely healthcare services. We will ally ourselves with other community healthcare providers to enhance our mutual ability to improve the health of our community, and the quality of life for the people we serve. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 12048933 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 9859128 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 63544688 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 46455511 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 1876499 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1876499 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 88566 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -1030105 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1837101 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 5555918 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 7393019 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 1255 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 835498 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1103559 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1940312 |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.