Liabilities / Assets
52nd percentile
Higher debt load relative to assets than 52% of similar nonprofits.
EIN 02-0226774 • 501(c)3 • Plymouth, NH
Profile
To maintain a hospital and other such institutions within the state of New Hampshire, with facilities that include medical services to provide for the diagnosis and treatment of patients that may require inpatient, outpatient, emergency care and other pursuits designed to promote the general health of the community. SMH does not discriminate relative to race, religion or national origin, or ability to pay. SMH will ensure that all patients receive the same level of care through quality assessment monitoring and improvement activities. Speare's formal mission statement is to work together to serve the needs of our patients and community, and a vision of a community where all can achieve optimal health.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
52nd percentile
Higher debt load relative to assets than 52% of similar nonprofits.
Liabilities / Revenue
45th percentile
Higher debt load relative to revenue than 45% of similar nonprofits.
Net Margin
37th percentile
Higher net margin than 37% of similar nonprofits.
Top Officer Pay
75th percentile
Higher top officer pay than 75% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
39th percentile
Faster asset growth than 39% of similar nonprofits.
Revenue Growth
44th percentile
Faster revenue growth than 44% of similar nonprofits.
Assets
Up$91,674,134
Up $2,694,964 (+3.0%) from 2024
Liabilities
Up$23,765,419
Up $398,214 (+1.7%) from 2024
Net Assets
Up$67,908,715
Up $2,296,750 (+3.5%) from 2024
Revenue
Up$85,362,123
Up $4,951,996 (+6.2%) from 2024
Expenses
Up$84,642,125
Up $4,479,784 (+5.6%) from 2024
Net Income
Up$719,998
Up $472,212 (+191%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
To maintain a hospital and other such institutions within the state of New Hampshire, with facilities that include medical services to provide for the diagnosis and treatment of patients that may require inpatient, outpatient, emergency care and other pursuits designed to promote the general health of the community. SMH does not discriminate relative to race, religion or national origin, or ability to pay. SMH will ensure that all patients receive the same level of care through quality assessment monitoring and improvement activities. Speare's formal mission statement is to work together to serve the needs of our patients and community, and a vision of a community where all can achieve optimal health.
We are a patient and family-centered hospital committed to kindness and collaboration,. Our mission is to work together to serve the needs of our patients and community. We envision a community who works together to achieve optimal health.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $36,541,886 | $38,791,772 | ▲ $2,249,886 |
| Land, Buildings, and Equipment, Net | $15,312,076 | $15,583,754 | ▲ $271,678 |
| Accounts Receivable | $9,881,226 | $13,479,193 | ▲ $3,597,967 |
| Other Notes and Loans Receivable, Net | $7,670,226 | $7,680,186 | ▲ $9,960 |
| Savings and Temporary Cash Investments | $8,460,385 | $4,696,377 | ▼ $3,764,008 |
| Inventories for Sale or Use | $1,621,772 | $1,677,698 | ▲ $55,926 |
| Prepaid Expenses and Deferred Charges | $1,026,359 | $1,124,849 | ▲ $98,490 |
| Intangible Assets | $838,502 | $531,500 | ▼ $307,002 |
| Investments Other Securities | $5,000 | $5,000 | → $0 |
| Cash and Non-Interest-Bearing Accounts | $2,442 | $2,691 | ▲ $249 |
| Total Assets | $88,979,170 | $91,674,134 | ▲ $2,694,964 |
| Other Assets Total | $7,619,296 | $8,101,114 | ▲ $481,818 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $7,968,761 | $10,576,223 | ▲ $2,607,462 |
| Tax Exempt Bond Liabilities | $10,285,931 | $9,656,440 | ▼ $629,491 |
| Other Liabilities | $5,112,513 | $3,532,756 | ▼ $1,579,757 |
| Total Liabilities | $23,367,205 | $23,765,419 | ▲ $398,214 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $64,716,982 | $67,049,139 | ▲ $2,332,157 |
| Net Assets With Donor Restrictions | $894,983 | $859,576 | ▼ $35,407 |
| Total Net Assets Fund Balance | $65,611,965 | $67,908,715 | ▲ $2,296,750 |
| Total Liabilities and Net Assets / Fund Balance | $88,979,170 | $91,674,134 | ▲ $2,694,964 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $6,240,899 | $19,998,161 | $26,239,060 |
| Buildings | $6,992,468 | $18,945,697 | $25,938,165 |
| Other Land Buildings | $1,495,357 | $1,247,913 | $2,743,270 |
| Land | $855,030 | - | $855,030 |
| Other Assets Org | $181,724 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $213,461 | - | ▲ $2,895 | - | $216,356 |
| 2023 | $210,160 | - | ▲ $3,301 | - | $213,461 |
| 2022 | $272,633 | - | ▼ $62,473 | - | $210,160 |
| 2021 | $272,591 | - | ▲ $42 | - | $272,633 |
| 2020 | $272,584 | - | ▲ $7 | - | $272,591 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Paul Musco | Physician | FT | $443,553 | $146,790 | $590,343 |
| Andrew Seefeld | Physician | FT | $459,507 | $79,816 | $539,323 |
| Michelle McEwen | President/CEO | FT | $346,871 | $133,652 | $480,523 |
| James Koren | Physician | FT | $345,761 | $101,907 | $447,668 |
| Joanie Peter | Physician | FT | $378,081 | $64,261 | $442,342 |
| Elizabeth Disney | Physician | FT | $319,948 | $104,867 | $424,815 |
| Joseph Ebner MD | CMO | FT | $319,534 | $88,532 | $408,066 |
| Meaghan Smith | CNO | FT | $190,230 | $60,470 | $250,700 |
| Joseph Caristi | CFO | FT | $175,678 | $41,755 | $217,433 |
| Daniel Sherman | CSO | FT | $163,863 | $52,613 | $216,476 |
| Name | Title |
|---|---|
| Steven Camerino | Board Chair |
| Kevin Young | Past Board Chair |
| Patrick Miller | Board Vice Chair |
| Dolores Hopper | Board Member |
| Donna Driscoll | Board Member |
| Elizabeth Kleiner | Board Member |
| John Moulton | Board Member |
| Ken Evans | Board Member |
| Margaret Turner | Board Member |
| Susan Scrimshaw | Board Member |
| Lisa Baker | Past Board Member |
| Nancy Puglisi | Past Board Member |
| Robert Maloney | Past Board Member |
| Thomas Myrick | Past Board Member |
| Julie Bernier | Secretary |
| Walter Johnson | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| American Healthcare Staffing Association | Nursing and Tech Contract Labor | PO Box 1928, Edmond, OK 73083 | $3,657,431 |
| Medical Information Technology | EHR System | PO Box 74569, Chicago, IL 60696 | $1,520,038 |
| National Partners in Healthcare LLC | Anesthesia Contract Labor | PO Box 650823, Dallas, TX 95265 | $967,793 |
| Concord Orthopaedics | Ortho Provider Contract Labor | 264 Pleasant Street, Concord, NH 03301 | $900,900 |
| Alliance Healthcare Services Inc | Contracted Imaging | 18201 Von Karman Avenue Suite 600, Irvine, CA 92612 | $787,513 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $48,850,351 |
| Other Expenses | $35,704,979 |
| Total Fundraising Expense | $113,952 |
| Grants and Similar Amounts Paid | $86,795 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $37,493,255 | $382,437 | $90,405 | $37,966,097 |
| Fees for Services Other | $10,589,968 | $345,535 | $4,631 | $10,940,134 |
| Other Employee Benefits | $4,800,828 | $60,483 | - | $4,861,311 |
| Depreciation Depletion | $3,488,653 | $105,803 | - | $3,594,456 |
| Information Technology | $2,475,873 | $126,528 | - | $2,602,401 |
| Payroll Taxes | $2,305,256 | $117,809 | $5,959 | $2,429,024 |
| Occupancy | $2,087,894 | $106,701 | - | $2,194,595 |
| Pension Plan Contributions | $1,988,372 | $32,349 | - | $2,020,721 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,573,198 | - | $1,573,198 |
| Insurance | $1,127,781 | $57,635 | - | $1,185,416 |
| Office Expenses | $1,073,634 | $53,118 | $1,749 | $1,128,501 |
| Interest | $297,628 | $9,069 | - | $306,697 |
| Other Expenses | $263,663 | $13,474 | $11,208 | $277,137 |
| Travel | $122,276 | $6,249 | - | $128,525 |
| Advertising | $121,319 | $6,200 | - | $127,519 |
| Fees for Services Accounting | $110,598 | $5,652 | - | $116,250 |
| Fees for Service Investment Mgmnt Fees | - | $115,784 | - | $115,784 |
| Fees for Services Legal | $85,083 | $4,348 | - | $89,431 |
| Grants to Domestic Orgs | $84,595 | - | - | $84,595 |
| Grants to Domestic Individuals | $2,200 | - | - | $2,200 |
| Total Functional Expenses | $80,956,545 | $3,571,628 | $113,952 | $84,642,125 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Lakes Region Mental Health Center | Laconia, NH | 501(c)(3) | To support mental health services in Speare's service area | $14,375 |
| Transport Central | Plymouth, NH | 501(c)(3) | Provide mileage reimbursement for Transport Central volunteer drivers | $12,875 |
| Grafton County Senior Citizens Council | Lebanon, NH | 501(c)(3) | To provide healthcare transportation for older adults and adults with disabilities in Speares service area | $10,000 |
| New Hampshire Catholic Charities | Manchester, NH | 501(c)(3) | To aid in the prevention of cruelty to children or animals. | $8,438 |
| Archways | Tilton, NH | 501(c)(3) | Interim funding to cover a portion of the cost for a recovery coach focused on serving the Plymouth community. | $6,688 |
| Responders Together NH | Bristol, NH | 501(c)(3) | Funding is for two trainings per year, through the International Critical Incident Stress Foundation group, for 25 to 35 responders to become certified peer supporters. | $6,563 |
| Communities for Alcohol and Drug Free Youth | Plymouth, NH | 501(c)(3) | Program expenses for Newfound middle school Thriving in the Middle School program; speakers for annual Shout Out to Parents event; youth leadership programs; and Pemi-Baker teacher in-service programs | $5,750 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $22,496 |
| Fundraising Gross Income | $7,854 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Golf Tournament | $61,454 | $7,854 | $775 | $7,079 |
| Total Events | $61,454 | $7,854 | $22,496 | $-14,642 |
| Liability | Amount |
|---|---|
| Estimated Third-Party Payor Settlements | $4,867,000 |
| Deferred Compensation | $678,924 |
| Operating Lease Liabilities | $172,188 |
| Investment in Subsidiary - Boulder Point | $-2,185,356 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | New Hampshire Health And Education Facilities Authority | 2022-05-26 | $11,683,764 | To pay off and provide advanced refunding for 2012 Bond |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $11,683,764 | $11,683,764 | $1,919,887 | - |
“The Association consists of all persons who are members at the time of the adoption of the bylaws and other persons who may be elected.”
“A candidate for membership may be elected by a majority vote of members present at any annual or special meeting of the Association provided that a quorum is present. Alternatively, a candidate for membership may be elected by a two-thirds vote of the Board of Directors present at any regular or special meeting of the Board provided that a quorum is present.”
“The Association members reserve the right to approve changes to the Organization's By-Laws.”
“The Form 990 is provided to and reviewed with the Board of Directors, annually, prior to submitting.”
“Speare Memorial Hospital has a set of procedures to follow to avoid the possibility that those in positions of authority over the Organization may receive an inappropriate benefit. Any possible conflict of interest on the part of any member of the Board, Officer or Employee of the Organization, shall be disclosed in writing to the Board and made a matter of record through an annual procedure and also when the interest involves a specific issue before the Board.”
“Executive compensation, along with the compensation of all of our employees, is tied to survey results that we receive on an annual basis. We participate in a Northern New England Healthcare survey along with 60 other hospitals in our region, which involves sending them our current compensation rates and salary ranges. Once the data is compiled, we receive a comprehensive report that allows us adjust our salary ranges if indicated by the market data. The Board of Directors Compensation Committee is also involved in CEO and other executive compensation decisions.”
“The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
“Other Fees: Program service expenses 6,741,328. Management and general expenses 339,880. Fundraising expenses 4,631. Total expenses 7,085,839. Contract Nursing & Technicians: Program service expenses 3,848,640. Management and general expenses 5,655. Fundraising expenses 0. Total expenses 3,854,295.”
“Section 1.263(a)-3(n) Election: Speare Memorial Hospital 16 Hospital Road Plymouth, NH 03264 EIN 02-0226774 Speare Memorial Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).”
“Change in Beneficial Interest in Perpetual Trusts 5,393.”
“The Hospital's artwork is intended to provide artistic pleasure and a calming appearance for patients of the Hospital to enjoy during their stay.”
“The intended use of the endowment fund is to provide long term operational support for the mission of the Organization.”
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 | 7968761 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 10576223 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 9881226 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 13479193 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | We are a patient and family-centered hospital committed to kindness and collaboration,. Our mission is to work together to serve the needs of our patients and community. We envision a community who works together to achieve optimal health. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 6200 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 121319 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 127519 |
| IRS990/AllOtherContributionsAmt | 0 | 858436 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Joseph Caristi |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6035361120 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 16 Hospital Road |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Plymouth |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 03264 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2442 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2691 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 27 |
| IRS990/CollectionsOfArtInd | 0 | 1 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1573198 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1573198 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3657431 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1520038 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 967793 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 900900 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 787513 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 1928 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 74569 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 650823 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 264 Pleasant Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 18201 Von Karman Avenue Suite 600 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Edmond |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Chicago |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Concord |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Irvine |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | OK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 73083 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 60696 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 95265 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 03301 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 92612 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | American Healthcare Staffing Association |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Medical Information Technology |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | National Partners in Healthcare LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Concord Orthopaedics |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Alliance Healthcare Services Inc |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Nursing and Tech Contract Labor |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | EHR System |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Anesthesia Contract Labor |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Ortho Provider Contract Labor |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Contracted Imaging |
| IRS990/ContriRptFundraisingEventAmt | 0 | 53600 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 912036 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 86795 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1945457 |
| IRS990/CYOtherExpensesAmt | 0 | 35704979 |
| IRS990/CYOtherRevenueAmt | 0 | 23100 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 82481530 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 719998 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 48850351 |
| IRS990/CYTotalExpensesAmt | 0 | 84642125 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 113952 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 85362123 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 105803 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3488653 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3594456 |
| IRS990/Desc | 0 | Speare Memorial Hospital is a nonprofit 25-bed acute-care critical access hospital that provides inpatient and outpatient services to the residents and visitors of the surrounding Central New Hampshire communities that includes those who are uninsured, underinsured, Medicaid/Medicare dependents, and rural, low-income families. Services include emergency medicine (24 hours/ 7-days per week), intensive care, labor and delivery, rehabilitation (physical therapy, occupational therapy, cardiac, pulmonary, medical fitness), advanced imaging (3D mammography, MRI, bone density, CT, nuclear medicine, ultrasound), infusion therapy, nutrition, and essential wellness and prevention programs. SMH owns six practices staffed with physicians and mid-level professionals providing primary care, surgery (in-office, outpatient, and inpatient), obstetrics and gynecology, pediatrics, orthopedics, and ophthalmology services. In fiscal year 2025, SMH provided the following services: 13,278 emergency room visits, 2,224 surgical services, 33,816 physical and occupational therapy treatments, 155,692 laboratory tests, 28,767 radiology exams, and 3,474 oncology services. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 894983 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 859576 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 614 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 80956545 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 5652 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 110598 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 116250 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 4348 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 85083 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 89431 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 4631 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 345535 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 10589968 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 10940134 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 115784 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 115784 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 1.00 |
| 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/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| 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/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 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/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | 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 | 64510 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 34255 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 49532 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 53216 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 52613 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 65418 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 43270 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 74877 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 79566 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 64261 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Michelle McEwen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Steven Camerino |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Patrick Miller |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Julie Bernier |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Walter Johnson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Donna Driscoll |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Ken Evans |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Dolores Hopper |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Elizabeth Kleiner |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | John Moulton |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Susan Scrimshaw |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Margaret Turner |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Lisa Baker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Robert Maloney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Thomas Myrick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Nancy Puglisi |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Kevin Young |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Joseph Caristi |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Joseph Ebner MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Meaghan Smith |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Daniel Sherman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | James Koren |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Elizabeth Disney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Paul Musco |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Andrew Seefeld |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | Joanie Peter |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 416013 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 183178 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 358534 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 197484 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 163863 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 382250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 381545 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 515466 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 459757 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 378081 |
| 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/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Board Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Board Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Past Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Past Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Past Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Past Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Past Board Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | CSO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1899 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 53600 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 22496 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 7854 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -14312 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 617680 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantAmt | 0 | 86795 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 2200 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 2200 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 84595 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 84595 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 906795 |
| IRS990/GrossReceiptsAmt | 0 | 85688046 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 37742 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 73 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 126528 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2475873 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2602401 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 57635 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1127781 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1185416 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 838502 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 531500 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 9069 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 297628 |
| IRS990/InterestGrp/TotalAmt | 0 | 306697 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1621772 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1677698 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1342089 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1342089 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 5000 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 5000 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 36541886 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 38791772 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 505 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 40191771 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 15312076 |
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