Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
EIN 16-0743037 • 501(c)3 • Rochester, NY
Profile
Highland hospital of rochester ("highland") provides inpatient and outpatient healthcare services without regard to a patient's ability to pay. Highland operates a 261 bed acute care hospital, as well as 13 primary care satellite clinics, 4 ob/midwifery clinics, 1 cardiology clinic, 3 breastcare clinics and 3 radiation oncology treatment centers. Highland is also a teaching affiliate of the university of rochester school of medicine and dentistry. Highland's service area includes monroe county, new york, as well as several counties surrounding the rochester, new york region. During the fiscal year ending june 30, 2024, highland had 14,862 adult admissions, delivered 2,575 newborns and had 42,970 patients treated in its emergency department. Highland is committed to service excellencee in healthcare- one person at a time. Highland's mission is to be the community healthcare provider renowned for unmatched service, excellence and best patient outcomes. Highland's policy is to treat patie
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
Liabilities / Revenue
36th percentile
Higher debt load relative to revenue than 36% of similar nonprofits.
Net Margin
60th percentile
Higher net margin than 60% of similar nonprofits.
Top Officer Pay
55th percentile
Higher top officer pay than 55% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
53rd percentile
Faster asset growth than 53% of similar nonprofits.
Revenue Growth
58th percentile
Faster revenue growth than 58% of similar nonprofits.
Assets
Up$573,674,527
Up $39,217,918 (+7.3%) from 2023
Liabilities
Up$214,732,512
Up $1,743,375 (+0.8%) from 2023
Net Assets
Up$358,942,015
Up $37,474,543 (+12%) from 2023
Revenue
Up$547,342,445
Up $49,622,019 (+10.0%) from 2023
Expenses
Up$519,115,154
Up $25,697,898 (+5.2%) from 2023
Net Income
Up$28,227,291
Up $23,924,121 (+556%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Highland hospital of rochester ("highland") provides inpatient and outpatient healthcare services without regard to a patient's ability to pay. Highland operates a 261 bed acute care hospital, as well as 13 primary care satellite clinics, 4 ob/midwifery clinics, 1 cardiology clinic, 3 breastcare clinics and 3 radiation oncology treatment centers. Highland is also a teaching affiliate of the university of rochester school of medicine and dentistry. Highland's service area includes monroe county, new york, as well as several counties surrounding the rochester, new york region. During the fiscal year ending june 30, 2024, highland had 14,862 adult admissions, delivered 2,575 newborns and had 42,970 patients treated in its emergency department. Highland is committed to service excellencee in healthcare- one person at a time. Highland's mission is to be the community healthcare provider renowned for unmatched service, excellence and best patient outcomes. Highland's policy is to treat patie
Operation of an acute care hospital committed to service excellence in the healthcare industry
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $209,160,050 | $217,647,027 | ▲ $8,486,977 |
| Savings and Temporary Cash Investments | $203,316,044 | $215,598,535 | ▲ $12,282,491 |
| Accounts Receivable | $28,109,749 | $41,001,485 | ▲ $12,891,736 |
| Cash and Non-Interest-Bearing Accounts | $40,455,760 | $35,735,668 | ▼ $4,720,092 |
| Inventories for Sale or Use | $7,374,382 | $7,826,170 | ▲ $451,788 |
| Prepaid Expenses and Deferred Charges | $2,157,744 | $1,987,417 | ▼ $170,327 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $534,456,609 | $573,674,527 | ▲ $39,217,918 |
| Other Assets Total | $43,882,880 | $53,878,225 | ▲ $9,995,345 |
| Liabilities | |||
| Other Liabilities | $91,003,231 | $88,301,544 | ▼ $2,701,687 |
| Accounts Payable and Accrued Expenses | $56,594,002 | $63,022,632 | ▲ $6,428,630 |
| Tax Exempt Bond Liabilities | $64,210,699 | $62,178,873 | ▼ $2,031,826 |
| Deferred Revenue | $1,181,205 | $1,229,463 | ▲ $48,258 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Total Liabilities | $212,989,137 | $214,732,512 | ▲ $1,743,375 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $321,467,472 | $358,942,015 | ▲ $37,474,543 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $321,467,472 | $358,942,015 | ▲ $37,474,543 |
| Total Liabilities and Net Assets / Fund Balance | $534,456,609 | $573,674,527 | ▲ $39,217,918 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $152,369,796 | $136,429,129 | $288,798,925 |
| Equipment | $48,351,292 | $189,470,278 | $237,821,570 |
| Other Land Buildings | $12,392,121 | $0 | $12,392,121 |
| Leasehold Improvements | $4,326,049 | $6,867,905 | $11,193,954 |
| Land | $207,769 | - | $207,769 |
| Other Assets Org | $7,061,501 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $3,763,080 | $37,236 | ▲ $291,231 | $8,250 | $4,083,297 |
| 2022 | $3,510,045 | $54,503 | ▲ $198,881 | $349 | $3,763,080 |
| 2021 | $3,878,353 | $4,000 | ▼ $367,308 | $5,000 | $3,510,045 |
| 2020 | $3,395,619 | $32,831 | ▲ $449,903 | $0 | $3,878,353 |
| 2019 | $3,413,941 | $25,229 | ▼ $43,551 | $0 | $3,395,619 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Lori Ferris Md | Physician | FT | $348,313 | $134,210 | $482,523 |
| Ahmad Matloubieh Md | Physician | FT | $370,664 | $35,010 | $405,674 |
| Maureen Perry Md | Physician | FT | $283,773 | $98,813 | $382,586 |
| Carlos Diaz-balzac Md | Physician | FT | $339,359 | $34,626 | $373,985 |
| Julietta Fiscella Md | Physician | FT | $353,876 | $16,517 | $370,393 |
| Cindy Becker | Former COO | PT | $141,313 | $134,210 | $275,523 |
| Melissa Derleth | CNO | FT | $241,506 | $32,394 | $273,900 |
| Name | Title |
|---|---|
| Thomas Greiner Jr | Chair |
| Kenneth Marvald | Vice Chair |
| Ann Marie Cook | Board Member |
| Coral Surgeon Md | Board Member |
| Curt Provenzo | Board Member |
| Jerome Underwood | Board Member |
| John Lefrois | Board Member |
| Joseph Nicholas Md | Board Member |
| Mark Cronin | Board Member |
| Mark Siwiec | Board Member |
| Michael Mcrae | Board Member |
| Michael Riordan | Board Member |
| Patrick Guisto | Board Member |
| Richard Lefrois | Board Member |
| Robert Mccann Md | Board Member |
| Steven I Goldstein | CEO |
| Carrie Fuller Spencer | CFO |
| Michael Apostolakos Md | Chief Medical Officer |
| Adam Anolik | Former CFO |
| Christine Wagner Ssj Phd | Secretary |
| Kathleen Whelehan | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Trusted Nurse Staffing LLC | Temporary Services | 500 SENECA ST SUITE 501, Buffalo, NY 14204 | $14,079,106 |
| Sunbelt Staffing Solutions LLC | Temporary Services | 501 BROOKER CREEK BLVD STE A-400, Oldsmar, FL 34677 | $1,872,934 |
| Soliant Health | Temporary Services | 5550 PEACHTREE PARKWAY SUITE 500, Peachtree Corners, GA 30092 | $1,415,452 |
| Calkins Corporate Park LLC | Rental Services | 200 RED CREEK DRSUITE 200, Rochester, NY 14623 | $389,573 |
| Dga Builders LLC | Construction Srvcs | 7612 COUNTY RD 42, Victor, NY 14564 | $349,693 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $311,834,494 |
| Other Expenses | $207,280,660 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $210,140,627 | $36,054,772 | $0 | $246,195,399 |
| Other Employee Benefits | $34,621,320 | $5,966,394 | $0 | $40,587,714 |
| Fees for Services Other | $35,872,057 | $1,043,857 | $0 | $36,915,914 |
| All Other Expenses | $22,587,577 | $1,171,678 | - | $23,759,255 |
| Depreciation Depletion | $14,301,679 | $8,855,828 | $0 | $23,157,507 |
| Payroll Taxes | $11,487,922 | $1,979,747 | $0 | $13,467,669 |
| Pension Plan Contributions | $9,674,902 | $1,667,304 | $0 | $11,342,206 |
| Office Expenses | $5,569,325 | $1,392,331 | $0 | $6,961,656 |
| Information Technology | $3,504,241 | $2,336,161 | $0 | $5,840,402 |
| Other Expenses | $3,704,455 | $926,113 | $0 | $4,630,568 |
| Occupancy | $4,045,733 | $551,691 | $0 | $4,597,424 |
| Interest | $0 | $2,197,313 | $0 | $2,197,313 |
| Insurance | $2,123,221 | $59,859 | $0 | $2,183,080 |
| Payments to Affiliates | $0 | $1,209,094 | $0 | $1,209,094 |
| Advertising | $0 | $437,789 | $0 | $437,789 |
| Conferences and Meetings | $295,131 | $32,792 | $0 | $327,923 |
| Fees for Services Accounting | $0 | $280,325 | $0 | $280,325 |
| Current Officers, Directors, Trustees, and Key Employees | $0 | $241,506 | $0 | $241,506 |
| Fees for Services Legal | $0 | $237,160 | $0 | $237,160 |
| Travel | $164,697 | $8,668 | $0 | $173,365 |
| Total Functional Expenses | $446,261,499 | $72,853,655 | $0 | $519,115,154 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Accrued Pension Liability | $31,996,394 |
| Est. Third Party Settlements | $30,426,713 |
| Est. Professional Liability | $13,401,221 |
| Operating Lease Liability | $7,196,368 |
| ACCRUED WORKERS' COMP LIABILIT | $5,280,848 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Monroe County Industrial Development Corporation | 2015-09-24 | $40,469,568 | Medical facilty, equip & technlgy |
| C | Monroe County Industrial Development Corporation | 2020-10-21 | $35,262,881 | Medical facility, equip & technolo |
| A | Dormitory Authority of State of New York | 2010-06-25 | $10,932,064 | Medical facilty, equip & technlgy |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $40,469,568 | $0 | $9,090,000 | $572,717 |
| C | $35,262,881 | $0 | $0 | $671,286 |
| A | $10,932,064 | $0 | $4,675,000 | $218,641 |
“Form 990 review process the form 990 of highland hospital is prepared by finance staff and provided to pwc us tax llp and senior management for review prior to filing. The form 990 for the year ended june 30, 2024 was also provided to the finance committee and also to the entire board of directors prior to filing. --------------------”
“Conflict of interest policy directors, committee members, officers and key employees are required to disclose a conflict of interest: (a) prior to voting on or otherwise discharging their duties with respect to any matter involving the conflict which comes before the board or any committee; (b) prior to entering into any contract or transaction involving the conflict; (c) as soon as possible after the director, committee member or officer learns of the conflict; and (d) on an annual conflict of interest disclosure form. The form is distributed annually and requires disclosure of all conflicts of interest, including specific information concerning the terms of any contract or transaction with the hospital that involves a potential conflict of interest for the individual. The forms are reviewed by the board chair and legal counsel, any conflicts disclosed on the forms or on an ad hoc basis are reviewed by a board committee. The committee considers the material facts concerning any proposed contract or transaction, including the process by which the decision was made to approve or recommend entering into the arrangement on the terms proposed, and approves such contracts or transactions only if the terms are fair and reasonable to the hospital and the arrangements are consistent with the best interests of the hospital. --------------------”
“Compensation review and approval written self-evaluations and performance evaluations for highland hospital's officers and key employees annually are reviewed by the committee on compliance and compensation of the university of rochester medical center board. The committee has available the evaluations from highland hospital's board, as well as from the ceo of urmc health system and in some cases highland's ceo. The committee reviews and approves total compensation for officers and key employees and considers, in addition to the evaluations, the scope of the individual's job responsibilities, previous compensation and comparable compensation paid to people with similar responsibilities at comparable institutions. The comparable information is provided by an independent consultant and is based on local, regional and national compensation surveys. --------------------”
“Governing documents highland hospital's form 1023 and form 990 are available upon request. Highland hospital's governing documents, conflict of interest policy and audited financial statements are not routinely made available to the public. --------------------”
“Compensation information certain officers, directors and key employees of highland hospital receive compensation from the university of rochester, a related irc section 501(c)(3) organization. A portion of the salaries of these individuals is allocated to highland hospital and is included as a part of other salary and wages on the statement of functional expenses. Certain officers and key employees of highland hospital also devote significant time each week to other related organizations. None of the board members of highland hospital are compensated for their board service. --------------------”
“Membership information the sole member of highland hospital is strong partners health system, inc.("sphs"). Sphs, acting through its board of directors, has the authority to elect the governing body of highland hospital, and certain decisions of the highland hospital board are subject to the approval of the sphs board. Such decisions include appointment of the highland hospital president and ceo, amendment of the certificate of incorporation and bylaws, approval of extraordinary corporate actions such as merger or dissolution, and approval of capital and operating budgets, strategic plans, and incurrence of certain debt. --------------------”
“Detail of other changes in net assets or fund balances change in accrued pension liability $9,247,252 ----------- total changes in net assets $9,247,252 --------------------”
“DETAIL OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY HIGHLAND FOUNDATION INC., A RELATED IRC SECTION 501(c)(3) ORGANIZATION, FOR THE BENEFIT OF HIGHLAND HOSPITAL IN FURTHERANCE OF ITS CHARITABLE HEALTH CARE SERVICES. --------------------”
“Text of fin 48 (asc 740) footnote this organization is an affiliate of the university of rochester ("university"). The fin 48 (asc 740) footnote below derives from the consolidated june 30, 2024 financial statements of the university the university regularly evaluates its tax position and does not believe it has any uncertain tax positions that require disclosure or adjustment to the consolidated financial statements based on currently available regulatory guidance.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 56594002 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 63022632 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 28109749 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 41001485 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | OPERATION OF AN ACUTE CARE HOSPITAL COMMITTED TO SERVICE EXCELLENCE IN THE HEALTHCARE INDUSTRY |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 0 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 437789 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 437789 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1171678 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 22587577 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 23759255 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | CARRIE FULLER SPENCER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5852753033 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1000 SOUTH AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ROCHESTER |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 14620 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 40455760 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 35735668 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 15 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/FundraisingAmt | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 241506 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 241506 |
| IRS990/CompDisqualPersonsGrp/FundraisingAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 32792 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 295131 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 327923 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 14079106 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1872934 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1415452 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 389573 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 349693 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 500 SENECA ST SUITE 501 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 501 BROOKER CREEK BLVD STE A-400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 5550 PEACHTREE PARKWAY SUITE 500 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 200 RED CREEK DRSUITE 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 7612 COUNTY RD 42 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | BUFFALO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | OLDSMAR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PEACHTREE CORNERS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ROCHESTER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | VICTOR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 14204 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 34677 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 30092 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 14623 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 14564 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | TRUSTED NURSE STAFFING LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | SUNBELT STAFFING SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | SOLIANT HEALTH |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | CALKINS CORPORATE PARK LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | DGA BUILDERS LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | TEMPORARY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | TEMPORARY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | TEMPORARY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | RENTAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONSTRUCTION SRVCS |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 4789672 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 12389443 |
| IRS990/CYOtherExpensesAmt | 0 | 207280660 |
| IRS990/CYOtherRevenueAmt | 0 | 18556490 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 511606840 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 28227291 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 311834494 |
| IRS990/CYTotalExpensesAmt | 0 | 519115154 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 547342445 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1181205 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1229463 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 8855828 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 14301679 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 23157507 |
| IRS990/Desc | 0 | PROVISION OF HEALTHCARE SERVICES, INCLUDING INPATIENT SERVICES, ANCILLARY SERVICES AND ED/CLINIC/AMBULATORY SERVICES. ALSO SEE SCHEDULE O ATTACHMENT FOR FURTHER DETAILS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonatedServicesAndUseFcltsAmt | 0 | 0 |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 3863 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 446261499 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 280325 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 280325 |
| IRS990/FeesForServicesLegalGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 237160 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 237160 |
| IRS990/FeesForServicesLobbyingGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1043857 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 35872057 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 36915914 |
| IRS990/FeesForServicesProfFundraising/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/FundraisingAmt | 0 | 0 |
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| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/ProgramServicesAmt | 0 | 0 |
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| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 63.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 64.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 63.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 58.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 58.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 9.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 12.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | 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/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 17 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | 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/OtherCompensationAmt | 0 | 214557 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 158521 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 112217 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 90963 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 69444 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 134210 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 35010 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 42887 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 98813 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 34626 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 16517 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 55665 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 134210 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 32394 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | STEVEN I GOLDSTEIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ADAM ANOLIK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MICHAEL APOSTOLAKOS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CARRIE FULLER SPENCER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ROBERT MCCANN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LORI FERRIS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | AHMAD MATLOUBIEH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOSEPH NICHOLAS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MAUREEN PERRY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | CARLOS DIAZ-BALZAC MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JULIETTA FISCELLA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARK CRONIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | CINDY BECKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MELISSA DERLETH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | THOMAS GREINER JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | RICHARD LEFROIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | CORAL SURGEON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JEROME UNDERWOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KENNETH MARVALD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | CURT PROVENZO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | KATHLEEN WHELEHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | PATRICK GUISTO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MICHAEL RIORDAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MICHAEL MCRAE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | CHRISTINE WAGNER SSJ PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | ANN MARIE COOK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | JOHN LEFROIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | MARK SIWIEC |
| 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 | 348313 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 370664 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 283773 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 339359 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 353876 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 141313 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 241506 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1633548 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 820514 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 721333 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 582619 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 501910 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 352059 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 278113 |
| 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/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | FORMER CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | FORMER COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | BOARD MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1889 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
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