Liabilities / Assets
58th percentile
Higher debt load relative to assets than 58% of similar nonprofits.
EIN 03-0179418 • 501(c)3 • Randolph, VT
Profile
As a community hospital, gifford medical center's mission is to improve and manage the health of the people we serve by providing and assuring access to affordable, high-quality health care, and by promoting the health and well-being of everyone in our service area.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
58th percentile
Higher debt load relative to assets than 58% of similar nonprofits.
Liabilities / Revenue
53rd percentile
Higher debt load relative to revenue than 53% of similar nonprofits.
Net Margin
23rd percentile
Higher net margin than 23% of similar nonprofits.
Top Officer Pay
56th percentile
Higher top officer pay than 56% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
19th percentile
Faster asset growth than 19% of similar nonprofits.
Revenue Growth
48th percentile
Faster revenue growth than 48% of similar nonprofits.
Assets
Down$101,156,177
Down $1,283,687 (-1.3%) from 2023
Liabilities
Up$35,331,395
Up $4,273,555 (+14%) from 2023
Net Assets
Down$65,824,782
Down $5,557,242 (-7.8%) from 2023
Revenue
Up$75,341,174
Up $5,088,196 (+7.2%) from 2023
Expenses
Up$77,804,073
Up $4,022,641 (+5.5%) from 2023
Net Income
Up-$2,462,899
Up $1,065,555 (+30%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
As a community hospital, gifford medical center's mission is to improve and manage the health of the people we serve by providing and assuring access to affordable, high-quality health care, and by promoting the health and well-being of everyone in our service area.
Gifford Medical Center is a non-profit acute care hospital providing healthcare on an inpatient and outpatient basis.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $34,672,216 | $31,847,254 | ▼ $2,824,962 |
| Investments in Publicly Traded Securities | $29,020,032 | $21,947,501 | ▼ $7,072,531 |
| Accounts Receivable | $5,956,889 | $10,728,378 | ▲ $4,771,489 |
| Intangible Assets | $3,843,500 | $2,782,170 | ▼ $1,061,330 |
| Savings and Temporary Cash Investments | $1,299,819 | $1,930,432 | ▲ $630,613 |
| Prepaid Expenses and Deferred Charges | $1,463,577 | $1,433,435 | ▼ $30,142 |
| Inventories for Sale or Use | $1,081,795 | $1,152,261 | ▲ $70,466 |
| Cash and Non-Interest-Bearing Accounts | $1,024 | $1,025 | ▲ $1 |
| Total Assets | $102,439,864 | $101,156,177 | ▼ $1,283,687 |
| Other Assets Total | $25,101,012 | $29,333,721 | ▲ $4,232,709 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $14,800,524 | $13,956,240 | ▼ $844,284 |
| Accounts Payable and Accrued Expenses | $8,260,128 | $13,594,834 | ▲ $5,334,706 |
| Other Liabilities | $7,997,188 | $7,780,321 | ▼ $216,867 |
| Total Liabilities | $31,057,840 | $35,331,395 | ▲ $4,273,555 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $68,719,821 | $62,648,627 | ▼ $6,071,194 |
| Net Assets With Donor Restrictions | $2,662,203 | $3,176,155 | ▲ $513,952 |
| Total Net Assets Fund Balance | $71,382,024 | $65,824,782 | ▼ $5,557,242 |
| Total Liabilities and Net Assets / Fund Balance | $102,439,864 | $101,156,177 | ▼ $1,283,687 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $13,626,333 | $34,678,352 | $48,304,685 |
| Buildings | $15,012,175 | $25,180,187 | $40,192,362 |
| Other Land Buildings | $2,518,234 | $3,222,860 | $5,741,094 |
| Land | $677,616 | - | $677,616 |
| Leasehold Improvements | $12,896 | $143,846 | $156,742 |
| Other Assets Org | $29,333,721 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $9,521,049 | $100,000 | ▲ $1,671,571 | - | $7,769,319 |
| 2022 | $9,660,042 | $100,000 | ▲ $957,215 | - | $9,521,049 |
| 2021 | $11,519,437 | $200,000 | ▼ $1,634,182 | - | $9,660,042 |
| 2020 | $10,540,908 | $100,000 | ▲ $1,315,462 | - | $11,519,437 |
| 2019 | $10,156,593 | $100,000 | ▲ $666,849 | - | $10,540,908 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Jeffrey J Bath | Physician | FT | $451,645 | $94,692 | $546,337 |
| Dennis P Gilroy | Physician | FT | $452,049 | $93,098 | $545,147 |
| Bruce W Andrus | Physician | FT | $425,609 | $54,171 | $479,780 |
| Aleksandr Sokolovsky | Surgeon | FT | $397,361 | $81,641 | $479,002 |
| John A Dreslin | Physician Specialty Clinic | FT | $434,618 | $29,590 | $464,208 |
| Daniel Bennett | President & CEO | FT | $391,213 | $58,937 | $450,150 |
| William King | Past Inteirm CFO | FT | $369,968 | - | $369,968 |
| Jennifer Bertrand | Past CFO | FT | $238,310 | $55,442 | $293,752 |
| Emilija Florance | Trustee/Med. Staff President | FT | $220,509 | $65,225 | $285,734 |
| Cheyenne Holland | CFO | FT | $158,925 | - | $158,925 |
| Name | Title |
|---|---|
| Victor Ribaudo | Chair |
| Megan Cicio | Vice Chair |
| Cindy Rosalbo | Director/Trustee |
| Clay Westbrook | Director/Trustee |
| Jeffrey Nelb | Director/Trustee |
| Jody Davignon | Director/Trustee |
| Matthew Considine | Director/Trustee |
| Morgan Rilling | Director/Trustee |
| Sarah Jackson | Director/Trustee |
| Theron Manning | Past Director/Trustee |
| Todd Winslow | Past Director/Trustee |
| Frederick Hauser | Trustee |
| Kristin Chandler | Secretary |
| Peter Reed | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| FocusOne Solutions LLC | Contract Nursing | PO Box 850861, Minneapolis, MN 55485-0861 | $2,072,308 |
| Forvis Mazars | Coding & Billing | PO Box 60282, Charlotte, NC 28260 | $2,009,832 |
| Medstream Anesthesia PLLC | Contract Anesthesia | PO Box 63467, Charlotte, NC 28263-3467 | $1,250,695 |
| OBHG Vermont PC | Contract Providers | 77 Londes Hill Road, Greenville, SC 29607 | $1,077,844 |
| Weatherby Locums Inc | Contract Providers | PO Box 972633, Dallas, TX 75397 | $878,106 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $44,119,544 |
| Other Expenses | $33,486,088 |
| Grants and Similar Amounts Paid | $198,441 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $22,795,160 | $10,823,987 | - | $33,619,147 |
| Fees for Services Other | $11,529,408 | $3,651,927 | - | $15,181,335 |
| Other Employee Benefits | $3,510,229 | $2,228,061 | - | $5,738,290 |
| Depreciation Depletion | $3,139,095 | $929,441 | - | $4,068,536 |
| Payroll Taxes | $1,579,675 | $467,719 | - | $2,047,394 |
| Occupancy | $1,520,045 | $246,473 | - | $1,766,518 |
| Current Officers, Directors, Trustees, and Key Employees | $886,769 | $671,760 | - | $1,558,529 |
| Pension Plan Contributions | $888,671 | $267,513 | - | $1,156,184 |
| Other Expenses | $287,694 | $590,793 | - | $878,487 |
| Insurance | $540,914 | $160,157 | - | $701,071 |
| Interest | $368,675 | $109,159 | - | $477,834 |
| Office Expenses | $358,491 | $106,144 | - | $464,635 |
| Grants to Domestic Individuals | $188,268 | - | - | $188,268 |
| Information Technology | $114,735 | $33,972 | - | $148,707 |
| Fees for Services Accounting | - | $111,264 | - | $111,264 |
| Fees for Services Legal | - | $51,267 | - | $51,267 |
| Fees for Services Lobbying | - | $11,872 | - | $11,872 |
| Grants to Domestic Orgs | $10,173 | - | - | $10,173 |
| Travel | $7,284 | $2,157 | - | $9,441 |
| Total Functional Expenses | $57,054,762 | $20,749,311 | $0 | $77,804,073 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Tri-Valley Transit Inc | Middlebury, VT | 501(c)(3) | Operations support | $10,173 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $162,348 |
| Fundraising Direct Expenses | $23,877 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Last Mile Ride | $170,893 | $162,348 | $10,055 | $152,293 |
| Total Events | $170,893 | $162,348 | $23,877 | $138,471 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Entity more than 35% owned by Todd Winslow, Past Director/Trustee | Purchased Supplies | No | $140,190 |
| - | Family member of Clay Westbrook, Director/Trustee | Employment | No | $124,504 |
| Liability | Amount |
|---|---|
| Deferred Compensation | $4,340,946 |
| Operating Lease Liabilities | $1,734,919 |
| Estimated Amounts Due to Third-Party Payers | $1,132,758 |
| Deferred Annuities | $571,698 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Vermont Educational and Health Buildings Financing Agency | 2021-04-01 | $16,899,942 | To Refinance Existing Bond |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $16,899,942 | $16,662,894 | $2,756,312 | $237,048 |
“The Form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. The completed Form 990 is presented and reviewed by the Finance Committee of the Board of Trustees and an electronic copy of the complete Form 990 is made available to all Board Members prior to filing.”
“Gifford Medical Center, Inc. requires board members to complete an annual conflict of interest survey. Any duality of interest or possible conflict of interest on the part of any director shall be disclosed to the other board members. Any director having duality of interest or possible conflict of interest on any matter shall not vote or use his personal influence on the matter, and shall not be present for discussion of the matter. The minutes of the meeting shall reflect that a disclosure was made and that the director abstained from voting and discussion.”
“Gifford Medical Center's Chief Executive Officer is evaluated annually by a board compensation committee that relies on data and input from a variety of independent sources. The compensation information is then reviewed by the Executive Committee of the Board of Trustees and resultant recommendations are presented to the Board of Trustees for final approval. To evaluate the compensation of the Organization's other officers and key employees, the compensation review is administered by human resources and the CEO. The human resources department has some internal and external sources that are utilized to compare compensation amounts.”
“The Organization makes its conflict of interest policy available upon request. The financial statements are available on the Organization's website, and upon request.”
“Board Member Compensation: Emilija Florance (Medical Staff President), and Daniel Bennett (CEO) are employees of Gifford Medical Center/Gifford Health Care as well as members of the Board of Directors. Their compensation is related to their roles as employees. No trustees receive compensation for their roles as trustees.”
“Gifford Medical Center files all W-2s & 1099s for its related organizations, Gifford Health Care, Inc. (GHC) and Gifford Retirement Community, Inc. (GRC). The amounts reported on Part V, lines 1a & 1b are the allocable amounts specific to Gifford Medical Center, Inc. The compensation, employee benefits and payroll taxes are then allocated to GHC and GRC for the amounts that represent work performed for those organizations. Therefore, the amount reported on Part IX includes only those amounts allocated to work performed directly for Gifford Medical Center. The highest paid employees are determined by the work performed for each organization. Therefore, the five highest paid employees listed on Part VII and Schedule J are those employees who work directly for Gifford Medical Center, Inc. In addition the CEO and CFO's compensation has been shown in Part IX as paid by Gifford Medical Center only, although their time spent is attributable to all three entities.”
“Contract Labor: Program service expenses 3,652,137. Management and general expenses 1,115,438. Fundraising expenses 0. Total expenses 4,767,575. Other Professional Fees: Program service expenses 4,729,045. Management and general expenses 2,133,238. Fundraising expenses 0. Total expenses 6,862,283. Service Contracts: Program service expenses 3,148,226. Management and general expenses 403,251. Fundraising expenses 0. Total expenses 3,551,477.”
“Section 1.263(a)-3(n) Election: Gifford Medical Center, Inc. 44 South Main Street Randolph, VT 05060 EIN 03-0179418 Gifford Medical Center, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).”
“Transfers to Affiliates -3,032,441.”
“The intended uses of the Organization's endowment funds are for health care services and capital, indigent care, community outreach initiatives, nursing, buildings, maintenance, and operations.”
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 | 8260128 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 13594834 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5956889 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 10728378 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Gifford Medical Center is a non-profit acute care hospital providing healthcare on an inpatient and outpatient basis. |
| IRS990/AllOtherContributionsAmt | 0 | 615086 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | Cheyenne Holland |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8027287000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 44 South Main Street |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Randolph |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | VT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 05060 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 1 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1024 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1025 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 671760 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 886769 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1558529 |
| 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 | 2072308 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2009832 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1250695 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1077844 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 878106 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 850861 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 60282 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 63467 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 77 Londes Hill Road |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO Box 972633 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Minneapolis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Charlotte |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Charlotte |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Greenville |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | SC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 554850861 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 28260 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 282633467 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 29607 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 75397 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | FocusOne Solutions LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Forvis Mazars |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Medstream Anesthesia PLLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | OBHG Vermont PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Weatherby Locums Inc |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Contract Nursing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Coding & Billing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Contract Anesthesia |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Contract Providers |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Contract Providers |
| IRS990/ContriRptFundraisingEventAmt | 0 | 8545 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 657691 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 198441 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3897517 |
| IRS990/CYOtherExpensesAmt | 0 | 33486088 |
| IRS990/CYOtherRevenueAmt | 0 | 963891 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 69822075 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -2462899 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 44119544 |
| IRS990/CYTotalExpensesAmt | 0 | 77804073 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 75341174 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 929441 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3139095 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 4068536 |
| IRS990/Desc | 0 | Gifford Medical Center Inc. ("Gifford") operates a not-for-profit, 25 bed critical access hospital whereby medical providers and nurses provide around the clock care to patients. Inpatient care services include a medical/surgical unit, a birthing center, and end of life care. Gifford also offers a range of clinical and ancillary services: diagnostic imaging, laboratory testing, anesthesiology, cardiology, chiropractic care, hospitalists, neurology, oncology, orthopedics, pathology, podiatry, sports medicine, general surgery, and urology.Gifford Medical Center's caring and knowledgeable surgery team offers general surgery services including skin lesion and cyst removal, comprehensive breast care, diagnosis and treatment of all forms of cancer, wound care, pill endoscopy, colonoscopies and appendix removal. General surgeons provide a wide range of procedures (primarily focusing on the abdominal organs as well as diseases of the skin, breast, soft tissue and hernias) in both office and operating room settings.Gifford Medical Center offers various other health care services to the central Vermont area. Other services available include radiology, laboratory, respiratory therapy, physical therapy, occupationaltherapy, speech pathology, electro cardiology, chemotherapy, emergency, skilled nursing, labor and delivery, nursery, radioisotope, and electroencephalography. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 2662203 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 3176155 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 512 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 57054762 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 111264 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 111264 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 51267 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 51267 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 11872 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 11872 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3651927 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 11529408 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 15181335 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 2.00 |
| 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 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| 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/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 27817 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 50757 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 14407 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 58938 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 58388 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 31875 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 19148 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 41239 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Victor Ribaudo |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Megan Cicio |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Peter Reed |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Kristin Chandler |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Matthew Considine |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Jody Davignon |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Frederick Hauser |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Sarah Jackson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Jeffrey Nelb |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Morgan Rilling |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Cindy Rosalbo |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Clay Westbrook |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Theron Manning |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Todd Winslow |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Emilija Florance |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Daniel Bennett |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Jennifer Bertrand |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Cheyenne Holland |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | William King |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Jeffrey J Bath |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Dennis P Gilroy |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Aleksandr Sokolovsky |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | John A Dreslin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Bruce W Andrus |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 257917 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 399393 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 279345 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 158925 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 369968 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 487399 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 486759 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 447127 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 445060 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 438541 |
| 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 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Director/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Director/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Director/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Past Director/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Past Director/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Trustee/Med. Staff President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Past CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Past Inteirm CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Physician Specialty Clinic |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1905 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 8545 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 23877 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 162348 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 92517 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 3443042 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 34060 |
| IRS990/GrantAmt | 0 | 198441 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 188268 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 188268 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 10173 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 10173 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 435865 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 35026737 |
| IRS990/GrossReceiptsAmt | 0 | 107495685 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1029011 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 53 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 33972 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 114735 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 148707 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 160157 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 540914 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 701071 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 3843500 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 2782170 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 109159 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 368675 |
| IRS990/InterestGrp/TotalAmt | 0 | 477834 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1081795 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1152261 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 361958 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 361958 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 29020032 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 21947501 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 103 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 63225245 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 34672216 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 31847254 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 95072499 |
| IRS990/LegalDomicileStateCd | 0 | VT |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 343348 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 31583695 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 203591 |
| 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 | The mission of Gifford Healthcare Inc. and its subsidiaries is to enhance the health and well-being of our communities by providing excellent patient-centered care including senior living services. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 71382024 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 65824782 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 3535559 |
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