Liabilities / Assets
49th percentile
Higher debt load relative to assets than 49% of similar nonprofits.
EIN 14-1731786 • 501(c)3 • Saranac Lake, NY
Profile
The medical center provides excellent healthcare close to home.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
49th percentile
Higher debt load relative to assets than 49% of similar nonprofits.
Liabilities / Revenue
45th percentile
Higher debt load relative to revenue than 45% of similar nonprofits.
Net Margin
57th percentile
Higher net margin than 57% of similar nonprofits.
Top Officer Pay
28th percentile
Higher top officer pay than 28% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
43rd percentile
Faster asset growth than 43% of similar nonprofits.
Revenue Growth
34th percentile
Faster revenue growth than 34% of similar nonprofits.
Assets
Up$106,092,711
Up $5,232,107 (+5.2%) from 2023
Liabilities
Up$51,995,354
Up $1,525,905 (+3.0%) from 2023
Net Assets
Up$54,097,357
Up $3,706,202 (+7.4%) from 2023
Revenue
Up$152,035,172
Up $7,061,110 (+4.9%) from 2023
Expenses
Up$148,681,634
Up $5,029,364 (+3.5%) from 2023
Net Income
Up$3,353,538
Up $2,031,746 (+154%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
The medical center provides acute, skilled nursing and outpatient services to residents of the local geographical area.
The medical center provides acute, skilled nursing and outpatient services to residents of the local geographic region.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $64,753,399 | $59,799,215 | ▼ $4,954,184 |
| Accounts Receivable | $17,648,690 | $15,051,719 | ▼ $2,596,971 |
| Investments in Publicly Traded Securities | $8,125,683 | $7,354,558 | ▼ $771,125 |
| Savings and Temporary Cash Investments | $17,395,664 | $5,510,399 | ▼ $11,885,265 |
| Prepaid Expenses and Deferred Charges | $5,127,794 | $3,627,395 | ▼ $1,500,399 |
| Inventories for Sale or Use | $3,273,923 | $3,441,353 | ▲ $167,430 |
| Cash and Non-Interest-Bearing Accounts | $3,415,428 | $-122,616 | ▼ $3,538,044 |
| Total Assets | $124,890,673 | $100,557,905 | ▼ $24,332,768 |
| Other Assets Total | $5,150,092 | $5,895,882 | ▲ $745,790 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $27,059,638 | $24,483,028 | ▼ $2,576,610 |
| Accounts Payable and Accrued Expenses | $20,107,960 | $19,155,959 | ▼ $952,001 |
| Other Liabilities | $11,557,990 | $6,051,306 | ▼ $5,506,684 |
| Unsecured Notes Loans Payable | $1,172,000 | $1,172,000 | → $0 |
| Deferred Revenue | $2,092,508 | $1,084,043 | ▼ $1,008,465 |
| Total Liabilities | $61,990,096 | $51,946,336 | ▼ $10,043,760 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $61,911,529 | $47,617,608 | ▼ $14,293,921 |
| Net Assets With Donor Restrictions | $989,048 | $993,961 | ▲ $4,913 |
| Total Net Assets Fund Balance | $62,900,577 | $48,611,569 | ▼ $14,289,008 |
| Total Liabilities and Net Assets / Fund Balance | $124,890,673 | $100,557,905 | ▼ $24,332,768 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $49,952,280 | $39,137,153 | $89,089,433 |
| Equipment | $7,742,680 | $51,210,290 | $58,952,970 |
| Other Land Buildings | $1,849,553 | $1,141,019 | $2,990,572 |
| Land | $254,702 | - | $254,702 |
| Other Assets Org | $957,461 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2022 | $989,048 | - | ▲ $4,913 | - | $993,961 |
| 2021 | $988,665 | - | ▲ $383 | - | $989,048 |
| 2020 | $988,287 | - | ▲ $378 | - | $988,665 |
| 2019 | $987,886 | - | ▲ $401 | - | $988,287 |
| 2018 | $993,598 | - | ▲ $2,390 | $8,102 | $987,886 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Eve Burns | Physician | FT | $672,422 | $64,652 | $737,074 |
| Anthony Tramontano | Physician | FT | $643,185 | $29,027 | $672,212 |
| Claude Roland | Physician | FT | $557,019 | $12,418 | $569,437 |
| John Esper | Physician | FT | $486,529 | $33,868 | $520,397 |
| Darci Beiras | CMO | FT | $403,923 | $86,705 | $490,628 |
| Henri Gaboriau | Physician | FT | $460,186 | $29,183 | $489,369 |
| Aaron Kramer | CEO/president | FT | $326,842 | $42,528 | $369,370 |
| Irwin Lieb Md | Ex-officio Med Staff Pres | - | $348,450 | $17,439 | $365,889 |
| Robert Laba | CFO | FT | $245,591 | $36,193 | $281,784 |
| David Mader | CNO | FT | $183,790 | $51,390 | $235,180 |
| Daniel Hill | COO (starting 10/25/2021) | FT | $187,583 | $35,896 | $223,479 |
| William Smith Md | Trustee | - | $60,544 | $50,050 | $110,594 |
| Sylvia Getman | President/CEO (until 07/21) | FT | $100,000 | - | $100,000 |
| Elizabeth Buck Md | Trustee | - | $39,761 | $34,400 | $74,161 |
| Name | Title |
|---|---|
| Susan Delehanty | Chair |
| Dan Kelleher | Ex-officio Chair, Ah Found |
| Glenn Keet | Vice Chair |
| Ernest Stretton Phd | Trustee |
| Harris Semegram | Trustee |
| Janet Bliss | Trustee |
| Jon Plehn Md | Trustee |
| Kathy Woughter | Trustee |
| Michael Bettmann Md | Trustee |
| Randy Quayle Phd | Trustee |
| Rebecca Leahy | Trustee |
| Tim Reilly CPA | Trustee |
| Craig Sheldon | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ahsa LLC | Contracted Labor | 10126 E CHERRY BEND RD, Traverse City, MI 49684 | $3,695,516 |
| Premier Anesthesia On New Yorkpc | Anesthesia Services | 2655 NORTHWINDS PARKWAY, Alpharetta, GA 30368 | $2,436,347 |
| Adirondack Gastrointestinal And Colorect | Gastroenterology Services | 2249 NY-86 2, Saranac Lake, NY 12983 | $1,728,749 |
| Laboratory Corporation Of America | Lab Services | PO BOX 12140, Burlington, NC 27216 | $899,971 |
| Weatherby Locum INC | Physician Services | PO BOX 972633, Dallas, TX 75397 | $800,373 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $67,878,936 |
| Other Expenses | $64,252,518 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $48,329,880 | $7,139,119 | - | $55,468,999 |
| Fees for Services Other | $16,541,810 | $5,399,847 | - | $21,941,657 |
| Other Employee Benefits | $5,245,079 | $-222,261 | - | $5,022,818 |
| Depreciation Depletion | $4,870,700 | - | - | $4,870,700 |
| Payroll Taxes | $3,600,268 | $344,290 | - | $3,944,558 |
| All Other Expenses | $2,444,077 | $804,538 | - | $3,248,615 |
| Occupancy | $1,721,381 | $156,920 | - | $1,878,301 |
| Current Officers, Directors, Trustees, and Key Employees | $760,609 | $1,059,083 | - | $1,819,692 |
| Pension Plan Contributions | $1,484,717 | $138,152 | - | $1,622,869 |
| Insurance | $1,131,856 | - | - | $1,131,856 |
| Office Expenses | $731,090 | $399,622 | - | $1,130,712 |
| Interest | $835,014 | - | - | $835,014 |
| Fees for Services Legal | $15,278 | $438,874 | - | $454,152 |
| Other Expenses | $242,140 | $149,214 | - | $391,354 |
| Advertising | $189,638 | - | - | $189,638 |
| Conferences and Meetings | $118,056 | $23,360 | - | $141,416 |
| Fees for Services Lobbying | - | $94,586 | - | $94,586 |
| Fees for Services Accounting | - | $91,206 | - | $91,206 |
| Fees for Service Investment Mgmnt Fees | - | $26,626 | - | $26,626 |
| Total Functional Expenses | $116,082,432 | $16,049,022 | $0 | $132,131,454 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Debt-current | $3,440,105 |
| Capital Lease Payable | $1,448,469 |
| Asset Retirement and Other Lt | $815,267 |
| Estimated Third Party Liability | $307,715 |
| Resident Funds Liability | $39,750 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Franklin County Civic Development Corporation | 2016-10-18 | $24,455,000 | Multi-mode revenue bonds for capital projects- refinance |
| B | Essex County Capital Resource Corporation | 2017-10-05 | $9,500,000 | Multi-mode revenue bonds for capital projects |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $24,455,000 | $349,674 | - | $479,474 |
| B | $9,500,000 | $71,250 | - | $190,000 |
“The 990 is presented and reviewed by the board of trustees prior to filing the 990.”
“All members of the board of trustees are required to complete and sign conflict of interest statements annually. These are then reviewed by the audit and compliance committee.”
“Compensation decisions are developed based on the use of national and regional salary survey data which is analyzed by the compensation committee and then approved by the full board.”
“The organization makes its governing documents, conflict interest policy, and financial statements available to the public upon request.”
“In october 2022, adirondack health entered into a non-binding letter of intent to sell mercy living center. The planned divestiture of mercy living center includes the operating license and certain property and equipment. On july 17, 2023, adirondack health executed purchasing and consulting agreements related to the sale of the property and equipment associated with mercy living center.”
“Contracted services: program service expenses 4,323,878. Management and general expenses 4,542,756. Fundraising expenses 0. Total expenses 8,866,634. Physician fees: program service expenses 6,747,346. Management and general expenses 35,000. Fundraising expenses 0. Total expenses 6,782,346. Professional fees: program service expenses 487,617. Management and general expenses 419,742. Fundraising expenses 0. Total expenses 907,359. Contract labor: program service expenses 4,303,472. Management and general expenses 71,494. Fundraising expenses 0. Total expenses 4,374,966. Consulting fees: program service expenses 158,972. Management and general expenses 210,412. Fundraising expenses 0. Total expenses 369,384. Laundry services: program service expenses 290,136. Management and general expenses 0. Fundraising expenses 0. Total expenses 290,136. Trash removal: program service expenses 230,389. Management and general expenses 0. Fundraising expenses 0. Total expenses 230,389. Collection agencies: program service expenses 0. Management and general expenses 120,443. Fundraising expenses 0. Total expenses 120,443.”
“The process has not changed from the prior year.”
“The system's endowments consist of funds established for a variety of purposes. Its endowments include donor-restricted endowment funds and funds designated by the board of trustees to function as an endowment. As required by generally accepted accounting principles, net assets associated with endowment funds, including funds designated by the board of trustees to function as endowments, are classified and reported based on the existence or absence of donor-imposed restrictions. Temporarily restricted funds are available for nursing education & other programs. Permanently restricted funds are to be held in perpetuity, the income from which is expendable for various healthcare services.”
“Adirondack health (previously defined as the collective entity) qualifies as not-for-profit corporations and are exempt organizations under section 501(c)(3) of the internal revenue code. Adirondack health and the foundation have been classified by the internal revenue service (irs) as entities that are not private foundations. As of december 31, 2022 and 2021, adirondack health did not have any unrecognized tax benefits or liabilities or any related accrued interest or penalties. Adirondack health does not anticipate that the total unrecognized tax benefits or liabilities will change in the next twelve months. The tax years open to examination by federal state taxing authorities are 2019 through 2022.”
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 | 20107960 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 19155959 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 17648690 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 15051719 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | THE MEDICAL CENTER PROVIDES ACUTE, SKILLED NURSING AND OUTPATIENT SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHIC REGION. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 189638 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 189638 |
| IRS990/AllOtherContributionsAmt | 0 | 273762 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 804538 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 2444077 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 3248615 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ROBERT LABA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5188914141 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 471 2233 STATE ROUTE 86 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SARANAC LAKE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 12983 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3415428 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | -122616 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 34 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1059083 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 760609 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1819692 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 23360 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 118056 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 141416 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3695516 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2436347 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1728749 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 899971 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 800373 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 10126 E CHERRY BEND RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2655 NORTHWINDS PARKWAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2249 NY-86 2 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 12140 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 972633 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | TRAVERSE CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | ALPHARETTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | SARANAC LAKE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BURLINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 49684 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 30368 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 12983 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 27216 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 75397 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | AHSA LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | PREMIER ANESTHESIA ON NEW YORKPC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | ADIRONDACK GASTROINTESTINAL AND COLORECT |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | LABORATORY CORPORATION OF AMERICA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | WEATHERBY LOCUM INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACTED LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ANESTHESIA SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | GASTROENTEROLOGY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | LAB SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PHYSICIAN SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1087583 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 814178 |
| IRS990/CYOtherExpensesAmt | 0 | 64252518 |
| IRS990/CYOtherRevenueAmt | 0 | 2091734 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 115385057 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -12752902 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 67878936 |
| IRS990/CYTotalExpensesAmt | 0 | 132131454 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 119378552 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2092508 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1084043 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 4870700 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 4870700 |
| IRS990/Desc | 0 | ADIRONDACK MEDICAL CENTER IS A 95-BED ACUTE CARE FACILITY IN SARANAC LAKE. IT PROVIDES A FULL RANGE OF INPATIENT SERVICES (SURGICAL, MATERNITY AND PEDIATRIC) AS WELL AS MAINTAINS A 60 BED LONG-TERM CARE FACILITY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 989048 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 993961 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 1083 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 29235102 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 91206 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 91206 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 438874 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 15278 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 454152 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 94586 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 94586 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 5399847 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 16541810 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 21941657 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 26626 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 26626 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 3.00 |
| 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 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/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 | 34400 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 50050 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 17439 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 13438 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 11755 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 64373 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 26640 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 25896 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 29027 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 64652 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 12418 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 29183 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 33868 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | SUSAN DELEHANTY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GLENN KEET |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | CRAIG SHELDON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ERNEST STRETTON PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MICHAEL BETTMANN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JANET BLISS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | REBECCA LEAHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ELIZABETH BUCK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JON PLEHN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RANDY QUAYLE PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | TIM REILLY CPA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | HARRIS SEMEGRAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | WILLIAM SMITH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KATHY WOUGHTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | IRWIN LIEB MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DAN KELLEHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | AARON KRAMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ROBERT LABA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | DARCI BEIRAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | DAVID MADER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | DANIEL HILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ANTHONY TRAMONTANO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | EVE BURNS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | CLAUDE ROLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | HENRI GABORIAU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JOHN ESPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | SYLVIA GETMAN |
| 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 | 39761 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 60544 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 348450 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 355932 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 270029 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 426255 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 208540 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 197583 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 643185 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 672422 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 557019 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 460186 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 486529 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 100000 |
| 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/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | EX-OFFICIO MED STAFF PRES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | EX-OFFICIO CHAIR, AH FOUND |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CEO/PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | COO (STARTING 10/25/2021) |
| 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/Form990PartVIISectionAGrp/TitleTxt | 26 | PRESIDENT/CEO (UNTIL 07/21) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1991 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -2297 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 705103 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 16 |
| IRS990/GovernmentGrantsAmt | 0 | 151583 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 550 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 17034732 |
| IRS990/GrossReceiptsAmt | 0 | 135711028 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 372624 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 13 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 145 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1131856 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1131856 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 835014 |
| IRS990/InterestGrp/TotalAmt | 0 | 835014 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 3273923 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 3441353 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 111372 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 111372 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 8125683 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 7354558 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 304 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 91488462 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 64753399 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 59799215 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 151287677 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 2847 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 16329629 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| 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/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 332950 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 332950 |
| IRS990/MissionDesc | 0 | THE MEDICAL CENTER PROVIDES ACUTE, SKILLED NURSING AND OUTPATIENT SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHICAL AREA. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 27059638 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 24483028 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 62900577 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 48611569 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 702806 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 702806 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 372624 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 372624 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -1536106 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 61911529 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 47617608 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 156920 |
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