Liabilities / Assets
97th percentile
Higher debt load relative to assets than 97% of similar nonprofits.
990 • Fiscal year 2019 • EIN 03-0179437
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
97th percentile
Higher debt load relative to assets than 97% of similar nonprofits.
Liabilities / Revenue
63rd percentile
Higher debt load relative to revenue than 63% of similar nonprofits.
Net Margin
8th percentile
Higher net margin than 8% of similar nonprofits.
Top Officer Pay
73rd percentile
Higher top officer pay than 73% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
1st percentile
Faster asset growth than 1% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
Assets
Down$23,192,779
Down $12,567,474 (-35%) from 2018
Net Assets
Down-$7,048,216
Down $16,499,870 (-175%) from 2018
Liabilities
Up$30,240,995
Up $3,932,396 (+15%) from 2018
Revenue
Down$50,195,187
Down $6,044,214 (-11%) from 2018
Expenses
Up$64,075,139
Up $536,616 (+0.8%) from 2018
Net Income
Down-$13,879,952
Down $6,580,830 (-90%) from 2018
Our mission is to excel at providing personalized, quality care; where people come first. Our vision is to be the provider of choice by creating a professional environment where patients want to receive care, clinicians want to practice medicine, and employees want to work. Our plan is to accomplish this by:1. Empowering our caregivers with education, technology, and opportunities for personal and professional development;2. Creating an environment which builds collaborative relationships among clinicians, staff, and patients;3. Providing our communities with the educational resources and support to make informed decisions emphasizing prevention and wellness; and4. Offering safe, personalized, high quality care.
25-Bed Critical Access Hospital
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $12,525,280 | - | - |
| Land, Buildings, and Equipment, Net | $12,392,957 | $11,951,599 | ▼ $441,358 |
| Accounts Receivable | $8,617,249 | $7,438,526 | ▼ $1,178,723 |
| Cash and Non-Interest-Bearing Accounts | $145,429 | $2,203,692 | ▲ $2,058,263 |
| Prepaid Expenses and Deferred Charges | $610,549 | $937,715 | ▲ $327,166 |
| Savings and Temporary Cash Investments | $65,497 | $356,526 | ▲ $291,029 |
| Inventories for Sale or Use | $272,042 | $247,471 | ▼ $24,571 |
| Receivables From Officers Etc | $60,250 | $57,250 | ▼ $3,000 |
| Total Assets | $35,760,253 | $23,192,779 | ▼ $12,567,474 |
| Other Assets Total | $1,071,000 | $0 | ▼ $1,071,000 |
| Liabilities | |||
| Other Liabilities | $2,905,067 | $25,759,712 | ▲ $22,854,645 |
| Mortgage Notes Payable Secured by Investment Property | $11,211,816 | - | - |
| Accounts Payable and Accrued Expenses | $12,191,716 | $4,481,283 | ▼ $7,710,433 |
| Total Liabilities | $26,308,599 | $30,240,995 | ▲ $3,932,396 |
| Net Assets / Fund Balance | |||
| Permanently Rstr Net Assets | $493,491 | $493,491 | → $0 |
| Temporarily Rstr Net Assets | $405,448 | $390,281 | ▼ $15,167 |
| Unrestricted Net Assets | $8,552,715 | $-7,931,988 | ▼ $16,484,703 |
| Total Net Assets Fund Balance | $9,451,654 | $-7,048,216 | ▼ $16,499,870 |
| Total Liabilities and Net Assets / Fund Balance | $35,760,253 | $23,192,779 | ▼ $12,567,474 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $4,208,241 | $19,030,022 | $23,238,263 |
| Buildings | $6,642,254 | $7,633,331 | $14,275,585 |
| Other Land Buildings | $643,842 | $1,476,142 | $2,119,984 |
| Leasehold Improvements | $370,105 | $578,214 | $948,319 |
| Land | $87,157 | - | $87,157 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| David Muller MD | Orthopaedic Surgeon | FT | $483,972 | $83,137 | $567,109 |
| Robert Cantu MD | Director | FT | $555,014 | $6,479 | $561,493 |
| Xiangtian Hu MD | Anesthesiologist | FT | $406,673 | $10,615 | $417,288 |
| Khalid Husain MD | General Surgeon | FT | $379,500 | $25,255 | $404,755 |
| Craig Hofsess MD | Anesthesiologist | FT | $335,860 | $16,086 | $351,946 |
| John Ciocchi MD | General Surgeon | FT | $330,259 | $10,519 | $340,778 |
| Name | Title |
|---|---|
| Jim Rumrill | Chairperson |
| Sarah Vail | Past Chairperson |
| Michael Halstead | Interim CEO/President |
| Timothy Ford | Past CEO/President |
| David Sandelman | Director |
| Gabriel St Pierre | Director |
| Gerald Drabyn MD | Director |
| Heather Presch | Director |
| Jim Remy | Director |
| Lynn Raymond-Empey | Director |
| Karen Murray | Past Director |
| Richard Summermatter MD | Past Director |
| Robert Beaudry | Past Director |
| Cecil Beehler MD | Chief Medical Officer |
| Allan Scroggins | Interim CFO |
| Scott Whittemore | Past CFO |
| Thomas Marshall | Past Interim CFO |
| Nathan Cobb | Past Treasurer |
| Stephen Lyon | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Emergency Services Of NE | Physicians | PO Box 12, Chester, VT 05143 | $4,178,734 |
| Comprehensive Benefits Administration | Benefits Administration | PO Box 2365, South Burlington, VT 05407-2365 | $886,872 |
| Comphealth Medical Staffing | Physicians | PO Box 972625, Dallas, TX 75397-2625 | $609,520 |
| Aureus Radiology LLC (C&A Industries In | Lab Services | PO Box 3037, Omaha, NE 68103-0037 | $526,675 |
| - | Physician | 1 Walnut Hill Ct, Springfield, VT 05156 | $518,416 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $31,429,574 |
| Other Expenses | $26,615,272 |
| Grants and Similar Amounts Paid | $6,030,293 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $18,745,312 | $2,836,134 | - | $21,581,446 |
| Fees for Services Other | $8,931,727 | $2,082,811 | - | $11,014,538 |
| Other Employee Benefits | $5,757,558 | $1,168,321 | - | $6,925,879 |
| Grants to Domestic Orgs | $6,030,293 | - | - | $6,030,293 |
| Payroll Taxes | $1,376,282 | $278,960 | - | $1,655,242 |
| Depreciation Depletion | $1,166,684 | $451,342 | - | $1,618,026 |
| Occupancy | $1,116,446 | $314,733 | - | $1,431,179 |
| All Other Expenses | $521,824 | $574,407 | - | $1,096,231 |
| Insurance | $665,683 | $84,627 | - | $750,310 |
| Pension Plan Contributions | $586,612 | $118,901 | - | $705,513 |
| Current Officers, Directors, Trustees, and Key Employees | $561,494 | - | - | $561,494 |
| Interest | $366,594 | $141,820 | - | $508,414 |
| Other Expenses | $337,989 | $471,733 | - | $471,733 |
| Office Expenses | $122,986 | $141,805 | - | $264,791 |
| Fees for Services Accounting | - | $150,501 | - | $150,501 |
| Fees for Services Legal | - | $97,031 | - | $97,031 |
| Travel | $39,581 | $26,929 | - | $66,510 |
| Advertising | $1,218 | $58,906 | - | $60,124 |
| Fees for Service Investment Mgmnt Fees | - | $24,927 | - | $24,927 |
| Total Functional Expenses | $53,813,905 | $10,261,234 | $0 | $64,075,139 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $64,075,139 |
| Total Expenses per Audited Statements | $58,056,732 |
| Expenses per Audited Statements | $58,044,846 |
| Expenses Not Reported on Financial Statements | $6,030,293 |
| Other Expense Adjustments | $6,030,293 |
| Expenses Not Reported on Form 990 | $11,886 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Springfield Medical Care Systems Inc | Springfield, VT | 501(c)(3) | The Organization received a contribution to be used for the benefit of Springfield Medical Care System, a related organization. The Organization transferred this money to Springfield Medical Care System to be used for its intended purpose. | $6,030,293 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $15,610 |
| Fundraising Direct Expenses | $11,886 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Golf Tournament | $26,610 | $15,610 | $4,656 | $10,954 |
| Total Events | $26,610 | $15,610 | $11,886 | $3,724 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $60,250 | $57,250 | ▼ $3,000 |
| Liability | Amount |
|---|---|
| Liabilities Subject to Compromise | $17,038,949 |
| Pension Liability | $3,994,478 |
| Other Current Liabilities | $3,005,108 |
| Estimated Third-Party Payor Settlements | $1,721,177 |
“The Organization has corporators.”
“The Organization has corporators who elect board members.”
“The corporators approve the selection of the Organization's auditors and approve by-law changes.”
“Form 990 is reviewed by the Organization's Chief Financial Officer and Director of Finance upon completion.”
“Conflicts of interest are reviewed by the Corporate Compliance Officer and Chief Executive Officer on an annual basis. Members must recuse themselves from voting on issues where a conflict is actual or implied.”
“The parent organization has a compensation committee which uses an independent compensation consultant who performs a market analysis on similar health care providers with similar revenue in order to establish the base salary of the CEO.”
“The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”
“Purchased Services: Program service expenses 8,931,727. Management and general expenses 2,082,811. Fundraising expenses 0. Total expenses 11,014,538.”
“Section 1.263(a)-3(n) Election: Springfield Hospital, Inc. PO Box 2003 Springfield, VT 05156 EIN: 03-0179437 Springfield Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).”
“Change in Net Assets to Recognize Funded Status of Pension Plan -1,256,731.”
“Fundraising Expenses 11,886.”
“Transfer to Affiliate 6,030,293. Change in Net Assets to Recognize Funded Status of Pension Plan 1,256,731.”
“Fundraising Expenses 11,886.”
“Transfer to Affiliate 6,030,293.”
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 | 12191716 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 4481283 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 8617249 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 7438526 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | 25-Bed Critical Access Hospital |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 58906 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1218 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 60124 |
| IRS990/AllOtherContributionsAmt | 0 | 181015 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 574407 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 521824 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1096231 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | Allan Scroggins |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8028857344 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO Box 2003 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Springfield |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | VT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 05156 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 145429 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2203692 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 22 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 561494 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 561494 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 4178734 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 886872 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 609520 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 526675 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 518416 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 12 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 2365 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 972625 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 3037 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1 Walnut Hill Ct |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Chester |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | South Burlington |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Omaha |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Springfield |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | VT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | VT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | VT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 05143 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 054072365 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 753972625 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 681030037 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 05156 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Emergency Services Of NE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Comprehensive Benefits Administration |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Comphealth Medical Staffing |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Aureus Radiology LLC (C&A Industries In |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | Rick Marasa MD |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Physicians |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Benefits Administration |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Physicians |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Lab Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Physician |
| IRS990/ContriRptFundraisingEventAmt | 0 | 11000 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 243556 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 6030293 |
| IRS990/CYInvestmentIncomeAmt | 0 | 316363 |
| IRS990/CYOtherExpensesAmt | 0 | 26615272 |
| IRS990/CYOtherRevenueAmt | 0 | 3724 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 49631544 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -13879952 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 31429574 |
| IRS990/CYTotalExpensesAmt | 0 | 64075139 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 50195187 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 451342 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1166684 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1618026 |
| IRS990/Desc | 0 | Springfield Hospital (SH) is a 25-bed critical access hospital located in Springfield, VT. SH is a subsidiary of Springfield Medical Care Systems, a nine-site federally qualified health center network. SH also operates The Windham Center, a comprehensive inpatient mental health program in Bellows Falls, VT; off-site physical therapy services, three hospital-owned specialty clinics (ENT, general surgery, orthopedics, and urology - transferred from Springfield Medical Care Systems in May 2019), and an adult day care center in Springfield, VT.Our mission is to excel at providing personalized, quality care; where people come first. Our vision is to be the provider of choice by creating a professional environment where patients want to receive care, clinicians want to practice medicine, and employees want to work. Our plan is to accomplish this by:o Empowering our caregivers with education, technology, and opportunities for personal and professional development;o Creating an environment, which builds collaborative relationships among clinicians, staff, and patients;o Providing our communities with the educational resources and support to make informed decisions emphasizing prevention and wellness; and,o Offering safe, personalized, high-quality care.SH provides health services to residents throughout its catchment area. Many of the services benefit the elderly, the poor, the indigent, the underinsured and the uninsured. SH receives minimal reimbursement from these programs, with 50% of Springfield Hospital net revenue coming from Medicare and Medicaid funding.Springfield Hospital has a charity care policy under which patients who meet certain criteria will receive care without charge, or at amounts less than established rates. Patients qualify for 100% charity care at up to 200% of the federal poverty guideline (FPG) and 50% assistance up to 300% of the FPG. The Hospital does not bill patients nor pursue collection of amounts determined to qualify as charity care. For FY19, charges foregone for charity care, based on established rates, amounted to $1,456K.Springfield Hospital operates a number of specialty practices to provide needed specialty care to health center patients. These clinics include Connecticut Valley ENT, Surgical Associates, and Connecticut Valley Orthopedics. In addition, SH provides an outpatient clinic serving patients needing treatment and minimizing their need to travel great distances for medical oncology or infusion services. Cardiology services are also offered onsite 6 days each month at the specialty clinic. Charitable support, in the form of gas cards and/or medication cards, is provided to patients who do not have needed funds. This charitable support program is through donations and grant funding. Other community benefit programs include the following:Job Training and Shadowing Programs: These programs, in cooperation with Vocational Rehab and training programs through the State of Vermont, provide opportunities to gain on-the-job experience in the healthcare field. We also work with area high school students to provide opportunities for career education and summer employment. Healthcare Scholarships: Springfield Hospital raises funds that are then donated to individuals to further their educational pursuits in healthcare careers. In FY 2019, we donated four scholarships of $1,000 each.BeSeatSmart Program: This program helps residents comply with Vermont's child passenger restraint law, while ensuring the safety of our smallest patients. During FY 2019, 22 child safety seats were provided to families in need, and 38 child safety seats were inspected by the Child Passenger Safety Technician, on site at Springfield Hospital. The safety seat checks are offered as a free community service. We estimate the value of this program to be $650 based on staff time to educate parents on the proper use and installation of the child safety seats and administrative assistant costs.Employee Donations For Community Caus |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 521 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 53813905 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 150501 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 150501 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 97031 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 97031 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2082811 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 8931727 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 11014538 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 24927 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 24927 |
| 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 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| 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 | 30.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 30.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 30.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 30.00 |
| 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/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/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 20363 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 6479 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 10128 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 15738 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 12154 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 7974 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 25637 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 25255 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 9415 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 15686 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 10519 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Jim Rumrill |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Stephen Lyon |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | David Sandelman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Gabriel St Pierre |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Gerald Drabyn MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Jim Remy |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Heather Presch |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Lynn Raymond-Empey |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Robert Cantu MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Sarah Vail |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Nathan Cobb |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Robert Beaudry |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Karen Murray |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Richard Summermatter MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Michael Halstead |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Timothy Ford |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Allan Scroggins |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Cecil Beehler MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Scott Whittemore |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Thomas Marshall |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | David Muller MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Khalid Husain MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Xiangtian Hu MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Craig Hofsess MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | John Ciocchi 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 | 555014 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 541472 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 379500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 407873 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 336260 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 330259 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 215579 |
| 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 | 251665 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 369031 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 395232 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 279180 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Chairperson |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Past Chairperson |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Past Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Past Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Past Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Past Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Interim CEO/President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Past CEO/President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Interim CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Chief Medical Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Past CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Past Interim CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Orthopaedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | General Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Anesthesiologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Anesthesiologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | General Surgeon |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1914 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 11000 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 11886 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 15610 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 223205 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 51541 |
| IRS990/GrantAmt | 0 | 6030293 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 6030293 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 6030293 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 13336992 |
| IRS990/GrossReceiptsAmt | 0 | 63320860 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 32 |
| 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/InsuranceGrp/ManagementAndGeneralAmt | 0 | 84627 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 665683 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 750310 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 141820 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 366594 |
| IRS990/InterestGrp/TotalAmt | 0 | 508414 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 272042 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 247471 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 93158 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 93158 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 12525280 |
| IRS990/IRPDocumentCnt | 0 | 83 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 28717709 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 12392957 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 11951599 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 40669308 |
| IRS990/LegalDomicileStateCd | 0 | VT |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 13113787 |
| IRS990/LoanOutstandingInd | 0 | 1 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | Our mission is to excel at providing personalized, quality care; where people come first. Our vision is to be the provider of choice by creating a professional environment where patients want to receive care, clinicians want to practice medicine, and employees want to work. Our plan is to accomplish this by:1. Empowering our caregivers with education, technology, and opportunities for personal and professional development;2. Creating an environment which builds collaborative relationships among clinicians, staff, and patients;3. Providing our communities with the educational resources and support to make informed decisions emphasizing prevention and wellness; and4. Offering safe, personalized, high quality care. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 11211816 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9451654 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -7048216 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 223205 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 223205 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | 3724 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 3724 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -1363187 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 314733 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1116446 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1431179 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 141805 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 122986 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 264791 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1071000 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 0 |
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Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.