Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
EIN 16-0743905 • 501(c)3 • Elmira, NY
Profile
Arnot Ogden Medical Center is an independent, not-for-profit, 201-bed tertiary medical facility with more than 120 physicians from over 50 specialties. Arnot Ogden Medical Center offers specialty services at the Falck Cancer Center, Heart and Vascular Institute, Stroke Care, Maternity, Surgery.
Refreshing map…
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
Liabilities / Revenue
22nd percentile
Higher debt load relative to revenue than 22% of similar nonprofits.
Net Margin
55th percentile
Higher net margin than 55% of similar nonprofits.
Top Officer Pay
24th percentile
Higher top officer pay than 24% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
18th percentile
Faster asset growth than 18% of similar nonprofits.
Revenue Growth
54th percentile
Faster revenue growth than 54% of similar nonprofits.
Assets
Down$259,651,022
Down $2,129,281 (-0.8%) from 2023
Liabilities
Down$124,146,926
Down $138,669 (-0.1%) from 2023
Net Assets
Down$135,504,096
Down $1,990,612 (-1.4%) from 2023
Revenue
Up$457,056,601
Up $39,048,470 (+9.3%) from 2023
Expenses
Up$441,762,088
Up $57,833,957 (+15%) from 2023
Net Income
Down$15,294,513
Down $18,785,487 (-55%) from 2023
Most recent year
2024 • Form 990Summary only. Only limited summary data is available for this year.
Arnot Ogden Medical Center is a not-for-profit, 225-bed tertiary medical facility with more than 115 physicians from over 50 specialties. Arnot Ogden Medical Center offers specialty services at the Wilmot Cancer Center, Heart and Vascular Institute, Stroke Care, Maternity, Surgery. St Joseph's Hospital, merged with Arnot Ogden in March 2019, offers a Behavioral Science Unit, Acute Rehabilitation Unit, and Skilled Nursing Facility with some similar program services as Arnot Ogden offers.
Arnot Ogden Medical Center is a community based hospital with an open emergency room and selected highly specialized services that are part of a high quality health care delivery system that serves Chemung County, NY and the Twin Tier Regions of New York and Pennsylvania.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $96,669,056 | $91,710,496 | ▼ $4,958,560 |
| Accounts Receivable | $35,413,827 | $38,271,045 | ▲ $2,857,218 |
| Savings and Temporary Cash Investments | $13,480,077 | $19,894,095 | ▲ $6,414,018 |
| Investments in Publicly Traded Securities | $13,489,611 | $14,441,907 | ▲ $952,296 |
| Other Notes and Loans Receivable, Net | $20,227,648 | $5,242,537 | ▼ $14,985,111 |
| Inventories for Sale or Use | $2,443,102 | $2,987,568 | ▲ $544,466 |
| Prepaid Expenses and Deferred Charges | $4,901,700 | $2,701,366 | ▼ $2,200,334 |
| Cash and Non-Interest-Bearing Accounts | $69,483 | $81,407 | ▲ $11,924 |
| Pledges and Grants Receivable | $73,844 | $34,632 | ▼ $39,212 |
| 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 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $261,780,303 | $259,651,022 | ▼ $2,129,281 |
| Other Assets Total | $75,011,955 | $84,285,969 | ▲ $9,274,014 |
| Liabilities | |||
| Other Liabilities | $61,957,448 | $64,309,481 | ▲ $2,352,033 |
| Accounts Payable and Accrued Expenses | $39,445,998 | $38,636,532 | ▼ $809,466 |
| Tax Exempt Bond Liabilities | $19,410,600 | $18,234,200 | ▼ $1,176,400 |
| Mortgage Notes Payable Secured by Investment Property | $3,339,779 | $2,966,392 | ▼ $373,387 |
| Deferred Revenue | $131,770 | $321 | ▼ $131,449 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Total Liabilities | $124,285,595 | $124,146,926 | ▼ $138,669 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $125,047,327 | $122,575,834 | ▼ $2,471,493 |
| Net Assets With Donor Restrictions | $12,447,381 | $12,928,262 | ▲ $480,881 |
| Total Net Assets Fund Balance | $137,494,708 | $135,504,096 | ▼ $1,990,612 |
| Total Liabilities and Net Assets / Fund Balance | $261,780,303 | $259,651,022 | ▼ $2,129,281 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $28,036,539 | $180,453,447 | $208,489,986 |
| Buildings | $55,290,739 | $114,031,899 | $167,685,333 |
| Land | $7,561,145 | - | $7,561,145 |
| Other Land Buildings | $0 | $3,735,546 | $3,735,546 |
| Leasehold Improvements | $822,073 | $1,305,716 | $2,127,789 |
| Other Assets Org | $500,231 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $3,096,325 | $0 | → $0 | $0 | $3,096,325 |
| 2023 | $3,096,325 | $0 | → $0 | $0 | $3,096,325 |
| 2022 | $3,096,325 | $0 | → $0 | $0 | $3,096,325 |
| 2021 | $3,035,390 | $60,935 | → $0 | $0 | $3,096,325 |
| 2020 | $3,017,390 | $18,000 | → $0 | $0 | $3,035,390 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Gary Valvano | Gastroenterologist | FT | $1,032,320 | $60,532 | $1,092,852 |
| Jonathan Lawrence | President & Chief Executive Officer | FT | $1,004,832 | $37,423 | $1,042,255 |
| Bryan Jarvis | Orthopedics | FT | $937,695 | $50,486 | $988,181 |
| Vidyasagar Mokureddy | Pain Mgmt Physician | FT | $908,657 | $49,096 | $957,753 |
| Matthew R Brand | Orthopedic Surgeon | FT | $865,386 | $57,400 | $922,786 |
| Jared Smith MD | Physician | FT | $755,895 | $44,059 | $799,954 |
| John Mallia | Interim CFO | FT | $638,472 | - | $638,472 |
| Ronette Wiley | Senior VP Chief Operating Officer | FT | $538,574 | $37,278 | $575,852 |
| Aleksander Rupik | President AMS | FT | $477,385 | $57,394 | $534,779 |
| James Bohan MD | Director | FT | $466,642 | $63,933 | $530,575 |
| Steven Henegan MD | Senior VP / Chief Medical Officer | FT | $410,967 | $34,903 | $445,870 |
| Jeremy Lux MD | Director | FT | $370,878 | $47,747 | $418,625 |
| Name | Title |
|---|---|
| Jan van den Blink | Chair of the Board |
| Richard Simons | Vice Chair of the Board |
| Andrea Miles Ogunwumi | Board Director |
| Dr Joyce Carr | Board Director |
| Jeffrey Streeter | Board Director |
| Jeffrey W Evenson PhD | Board Director |
| John MacMahon | Board Director |
| Krista Niles-Updyke | Board Director |
| Richard Terry DO | Director |
| Thomas Wirth | Director |
| Werner Brammer MD | Director |
| Donald Quick CPA | Ex-Officio* |
| John R Alexander Esq | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| The Mallia Group LLC | Contracted Medical Staff | 169 Commack Rd Ste 246, Commack, NY 11725 | $1,136,500 |
| - | Contracted as Interim CFO | PO Box 47088, Tampa, FL 33646 | $638,472 |
| Dr Ahmad Morshed | Contracted Medical Staff | 4229 Bedford Ave, Brooklyn, NY 11229 | $600,500 |
| Dheerah Khurana MD | Contracted Medical Staff | 6 Roads End, Brookville, NY 11545 | $198,000 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $254,703,336 |
| Other Expenses | $187,058,752 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $141,711,728 | $38,468,701 | $0 | $180,180,429 |
| Other Employee Benefits | $44,801,070 | $7,693,578 | $0 | $52,494,648 |
| Fees for Services Other | $21,313,321 | $11,275,762 | $0 | $32,589,083 |
| Payroll Taxes | $11,143,096 | $2,920,298 | $0 | $14,063,394 |
| Information Technology | $2,085,349 | $10,466,745 | $0 | $12,552,094 |
| Depreciation Depletion | $0 | $12,470,669 | $0 | $12,470,669 |
| Fees for Services Management | $6,908,737 | $3,485,214 | $0 | $10,393,951 |
| Insurance | $1,266,580 | $4,263,708 | $0 | $5,530,288 |
| Pension Plan Contributions | $0 | $5,307,964 | $0 | $5,307,964 |
| Office Expenses | $2,911,082 | $2,328,832 | $0 | $5,239,914 |
| Occupancy | $850,328 | $4,056,955 | $0 | $4,907,283 |
| All Other Expenses | $1,581,328 | $2,144,661 | $0 | $3,725,989 |
| Current Officers, Directors, Trustees, and Key Employees | $0 | $2,656,901 | $0 | $2,656,901 |
| Advertising | $11,451 | $1,196,082 | $0 | $1,207,533 |
| Interest | $0 | $887,982 | $0 | $887,982 |
| Travel | $362,033 | $75,818 | $0 | $437,851 |
| Fees for Services Legal | $9,663 | $314,217 | $0 | $323,880 |
| Conferences and Meetings | $264,740 | $43,166 | $0 | $307,906 |
| Fees for Services Accounting | $23,500 | $203,727 | $0 | $227,227 |
| Fees for Service Investment Mgmnt Fees | $0 | $58,848 | $0 | $58,848 |
| Fees for Services Lobbying | $0 | $9,419 | $0 | $9,419 |
| Other Expenses | $-1,330,320 | $-803,706 | $0 | $-2,134,026 |
| Total Functional Expenses | $325,463,709 | $116,298,379 | $0 | $441,762,088 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $26,649 |
| Fundraising Direct Expenses | $24,210 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Radiothon | $87,736 | $0 | $3,994 | $-3,994 |
| CMN Golf Tournament | $79,249 | $26,649 | $6,006 | $20,643 |
| Total Events | $166,985 | $26,649 | $24,210 | $2,439 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Thomas Wirth | Chemung Canal Trust Co. Executive | Competitively bids loans | No | $318,009 |
| Jeffrey Streeter | Owner of Streeter Associates | Streeter Associates provides construction | No | $62,382 |
| 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 |
|---|---|
| Minimum Pension Liability | $14,412,043 |
| Third Party Liabilities | $9,131,680 |
| NP Investment Funds-AOMC Foundation | $8,965,986 |
| 457 Plan - Long Term Liability | $8,639,617 |
| Operating Lease Obligations | $7,899,801 |
| Self Insurance Reserves | $7,179,328 |
| Other Liabilities | $6,674,328 |
| Finance Lease Obligations | $1,406,698 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Chemung County Capital Resource Corp | 2015-06-25 | $29,410,000 | Payoff Series A & B Bonds/Energy Infrastructure Upgrade |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $29,410,000 | $0 | $11,175,800 | $847,745 |
“In October 2022, Arnot Health contracted with The Mallia Group, in which John Mallia, CPA, became the interim Chief Financial Officer. For 2024, John received reportable income of $638,472.”
“The AOMC 990 Form is prepared by members of the Finance team of Arnot Health. Upon completion of the Form 990, a draft is reviewed by the Medical Center's Vice President of Finance, as well as our auditing firm, Bonadio Co. After review, the form is submitted online with the President and Chief Executive Officer's approval. The return is made available to all Board Members for review and questions.”
“When hiring and promotion decisions are being considered, the COI (conflict of interest) policy is always consulted. The COI policy is monitored by the system's compliance team as well as reviewed yearly by the compliance committee. The compliance committee meets quarterly to ensure any issues or conflicts are addressed.”
“Compensation for the President and Vice President are set pursuant to a policy and compensation philosophy adopted by the Board of Managers. The Board has a Compensation Committee consisting of outside directors. The Compensation Committee uses a consultant to advise on compensation for the officers. The consultant collects and reports compensation on similar positions in similar nonprofit hospitals from upstate New York and Western Pennsylvania. The Compensation Committee recommends adjustments to the Executive Committee of the Board which reviews the recommendation and approves or disapproves with employees in the room. This action is then reviewed with the entire Board also in executive session.”
“Items required for public disclosure are made available for those who request the information.”
“Donations for Capital Funding $578,624; Net Assets Released from Restriction $373,810; Net Realized Gain on Temporarily Restricted Investments $105,709; AMS Net Assets $2,422,621 reported on separate 990 (EIN 45-3800308).”
“The organization has interpreted the NYS Prudent Management of Institutional Funds Act Law, NYPMIFA as requiring the preservation of the historic dollar value of corpus of the permanently restricted endowment funds absent of donor stipulations to the contrary. The net appreciation of the permanently restricted net assets is considered temporarily restricted net assets until those amounts are appropriated for expenditure by the Organization in a manner consistent with the standard of prudence prescribed by NYPMIFA. If the fair value of the investment's assets falls below the level of the donor, NYPMIFA requires the center to retain the fund in perpetual duration. There were no such deficiencies as of December 31, 2024. To ensure the preservation of the corpus of the permanently restricted endowment funds, the total fair value of all commingled investment assets are classified first to the level of the permanently restricted endowment fund's corpus. An endowment fund deficiency receivable from the unrestricted net assets would be recognized until the deficiency is recovered.”
“NA”
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 | 39445998 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 38636532 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 35413827 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 38271045 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Arnot Ogden Medical Center is a community based hospital with an open emergency room and selected highly specialized services that are part of a high quality health care delivery system that serves Chemung County, NY and the Twin Tier Regions of New York and Pennsylvania. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 0 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1196082 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 11451 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1207533 |
| IRS990/AllOtherContributionsAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 2144661 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1581328 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 3725989 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | FINANCE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6077374507 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 600 ROE AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ELMIRA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 14905 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 1 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 69483 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 81407 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 4 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/FundraisingAmt | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2656901 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2656901 |
| IRS990/CompDisqualPersonsGrp/FundraisingAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 43166 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 264740 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 307906 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1136500 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 600500 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 198000 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 638472 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 169 Commack Rd Ste 246 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 4229 Bedford Ave |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 6 Roads End |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 47088 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Commack |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Brooklyn |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Brookville |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Tampa |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 11725 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 11229 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 11545 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 33646 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | The Mallia Group LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | Kanwar Iqbal Singh Gill MD |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | Dr Ahmad Morshed |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | Dheerah Khurana MD |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Contracted Medical Staff |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Contracted Medical Staff |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Contracted Medical Staff |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Contracted as Interim CFO |
| IRS990/ContriRptFundraisingEventAmt | 0 | 140336 |
| IRS990/CostOfGoodsSoldAmt | 0 | 3050183 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 64799667 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2810518 |
| IRS990/CYOtherExpensesAmt | 0 | 187058752 |
| IRS990/CYOtherRevenueAmt | 0 | 8799243 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 380647173 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 15294513 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 254703336 |
| IRS990/CYTotalExpensesAmt | 0 | 441762088 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 457056601 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 131770 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 321 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 12470669 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 12470669 |
| IRS990/Desc | 0 | The Arnot Ogden Medical Center continues to provide health care related services since it opened in 1889, serving Chemung County and the Twin Tier Regions of New York and Pennsylvania. The Medical Center specialized in the fields of Cardiology, Oncology, Renal, Neonatology, Bariatric and Emergency Care. Other sub specialized services include, but are not limited to, Anesthesiology, Surgery, Laboratory, Imaging, Physical Therapy, Obstetrics, and Gynecology. In 2024, the Medical Center's 2,492 Full-time equivalent of employees cared for 40,341 inpatient admissions in its 191 staffed beds. The Medical Center provided Outpatient Services to approximately 433,858 Outpatient Visits in its subspecialty services. The approximately 187 Full-time equivalents of providers provided for 263,466 office visits in the areas of primary care and specialty services. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonatedServicesAndUseFcltsAmt | 0 | 0 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 12447381 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 12928262 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 3496 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 297769193 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FederatedCampaignsAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 203727 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 23500 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 227227 |
| IRS990/FeesForServicesLegalGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 314217 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 9663 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 323880 |
| IRS990/FeesForServicesLobbyingGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 9419 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 9419 |
| IRS990/FeesForServicesManagementGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 3485214 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 6908737 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 10393951 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 11275762 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 21313321 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 32589083 |
| IRS990/FeesForServicesProfFundraising/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 58848 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 58848 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignGrantsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 0 |
| 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/IndividualTrusteeOrDirectorInd | 18 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 60532 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 37423 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 50486 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 49096 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 57401 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 44060 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 37278 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 57395 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 63933 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 34903 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 47747 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 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/PersonNm | 0 | Gary Valvano |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Jonathan Lawrence |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Bryan Jarvis |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Vidyasagar Mokureddy |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Matthew R Brand |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Jared Smith MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | John Mallia |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Ronette Wiley |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Aleksander Rupik |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | James Bohan MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Steven Henegan MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Jeremy Lux MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | John R Alexander Esq |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Werner Brammer MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Dr Joyce Carr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Jeffrey W Evenson PhD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | John MacMahon |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Andrea Miles Ogunwumi |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Krista Niles-Updyke |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Donald Quick CPA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Richard Simons |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Jeffrey Streeter |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Richard Terry DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Thomas Wirth |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Jan van den Blink |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1032320 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1004832 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 937695 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 908657 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 865386 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 755895 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 638472 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 538574 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 477385 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 466642 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 410967 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 370878 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| 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/TitleTxt | 0 | Gastroenterologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | President & Chief Executive Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Orthopedics |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Pain Mgmt Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Orthopedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Interim CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Senior VP Chief Operating Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | President AMS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Senior VP / Chief Medical Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Board Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Board Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Board Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Board Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Board Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Ex-Officio* |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Vice Chair of the Board |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Board Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Chair of the Board |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1889 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 140336 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 24210 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 26649 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 28305 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1494370 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 20 |
| IRS990/GovernmentGrantsAmt | 0 | 64659331 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 28305 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1754090 |
| IRS990/GrossReceiptsAmt | 0 | 460771237 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 0 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 448218 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 1307336 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
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