Liabilities / Assets
87th percentile
Higher debt load relative to assets than 87% of similar nonprofits.
EIN 23-2394345 • 501(c)3 • Towanda, PA
Profile
Establish, maintain, and support home health agency, provide for home health services, provide for hospice services.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
87th percentile
Higher debt load relative to assets than 87% of similar nonprofits.
Liabilities / Revenue
94th percentile
Higher debt load relative to revenue than 94% of similar nonprofits.
Net Margin
43rd percentile
Higher net margin than 43% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
96th percentile
Faster asset growth than 96% of similar nonprofits.
Revenue Growth
21st percentile
Faster revenue growth than 21% of similar nonprofits.
Assets
Up$76,605,804
Up $31,507,272 (+70%) from 2023
Liabilities
Up$62,840,428
Up $30,592,057 (+95%) from 2023
Net Assets
Up$13,765,376
Up $915,215 (+7.1%) from 2023
Revenue
Down$11,820,250
Down $709,711 (-5.7%) from 2023
Expenses
Down$11,554,109
Down $105,525 (-0.9%) from 2023
Net Income
Down$266,141
Down $604,186 (-69%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Establish, maintain, and support home health agency, provide for home health services, provide for hospice services.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $17,493,938 | $19,915,054 | ▲ $2,421,116 |
| Accounts Receivable | $1,391,207 | $2,048,956 | ▲ $657,749 |
| Cash and Non-Interest-Bearing Accounts | $89,409 | $412,685 | ▲ $323,276 |
| Prepaid Expenses and Deferred Charges | $106,264 | $139,188 | ▲ $32,924 |
| Land, Buildings, and Equipment, Net | $47,663 | $31,958 | ▼ $15,705 |
| Pledges and Grants Receivable | $10,080 | $9,140 | ▼ $940 |
| Inventories for Sale or Use | $618 | $0 | ▼ $618 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $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 | $45,098,532 | $76,605,804 | ▲ $31,507,272 |
| Other Assets Total | $25,959,353 | $54,048,823 | ▲ $28,089,470 |
| Liabilities | |||
| Other Liabilities | $30,947,701 | $61,434,028 | ▲ $30,486,327 |
| Accounts Payable and Accrued Expenses | $1,090,403 | $1,235,931 | ▲ $145,528 |
| Deferred Revenue | $210,267 | $170,469 | ▼ $39,798 |
| 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 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $32,248,371 | $62,840,428 | ▲ $30,592,057 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $12,827,519 | $13,743,674 | ▲ $916,155 |
| Net Assets With Donor Restrictions | $22,642 | $21,702 | ▼ $940 |
| Total Net Assets Fund Balance | $12,850,161 | $13,765,376 | ▲ $915,215 |
| Total Liabilities and Net Assets / Fund Balance | $45,098,532 | $76,605,804 | ▲ $31,507,272 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $5,047 | $674,827 | $679,874 |
| Leasehold Improvements | $26,911 | $50,908 | $77,819 |
| Investment Program Related Org | $105,254 | - | - |
| Other Assets Org | $4,719 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Disa Delauro | Director, Home Health | FT | $126,729 | $38,095 | $164,824 |
| Anja Miller | Director, Hospice Care | FT | $130,715 | $16,408 | $147,123 |
| Mary Twigg | Physical Therapist | FT | $109,999 | $23,634 | $133,633 |
| Heather Healey | Director, Home Health | FT | $110,005 | $14,319 | $124,324 |
| Timothy Fullmer | Physical Therapist | FT | $110,425 | $7,557 | $117,982 |
| Lori Barnett | Director president Tch(termed 5/23) | FT | - | $91,133 | $91,133 |
| Name | Title |
|---|---|
| Kenneth R Levitzky Esq | Chairman - Director |
| Debra Raupers | Director |
| Denise Ives | Director |
| Edward L Jones Md | Director |
| Janeen Sheehe | Director |
| Jerry E Carr | Director |
| Meade T Murtland | Director |
| Richard M Robinson | Director |
| Vance a Good Md | Director |
| Paul G Vervalin | Director - Evp/COO Tgc |
| Janet Lewis | Secretary/treasurer - Director |
| Francis M Macafee | Former Officer |
| Elizabeth Kleber | VP,post-acute Care & Home Svc. |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $8,285,266 |
| Other Expenses | $3,268,843 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,572,407 | $2,010,334 | - | $6,582,741 |
| Fees for Services Management | - | $1,368,814 | - | $1,368,814 |
| Other Employee Benefits | - | $925,117 | - | $925,117 |
| Fees for Services Other | $101,229 | $468,863 | $0 | $570,092 |
| Payroll Taxes | $340,226 | $139,885 | - | $480,111 |
| Travel | $326,625 | $39,646 | - | $366,271 |
| Pension Plan Contributions | - | $297,297 | - | $297,297 |
| Office Expenses | $113,593 | $160,242 | - | $273,835 |
| Information Technology | - | $198,352 | - | $198,352 |
| Occupancy | $3,975 | $128,309 | - | $132,284 |
| Insurance | $42,742 | $35,225 | - | $77,967 |
| Conferences and Meetings | $25,360 | $38,933 | - | $64,293 |
| Fees for Service Investment Mgmnt Fees | - | $30,506 | - | $30,506 |
| Depreciation Depletion | - | $15,885 | - | $15,885 |
| Other Expenses | $8,059 | $-2,727 | - | $8,059 |
| Total Functional Expenses | $5,699,428 | $5,854,681 | $0 | $11,554,109 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $21,543 |
| Fundraising Gross Income | $21,543 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Golf 4 Hospice | $48,383 | $21,543 | $8,631 | $12,912 |
| Total Events | $48,383 | $21,543 | $21,543 | - |
| 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 |
|---|---|
| Due to Affiliates | $61,433,606 |
| Third Party Payable | $422 |
“The organization is an affiliate within the guthrie clinic and affiliates; a tax-exempt integrated healthcare delivery system. The organization's form 990 reflects no top five independent contractors for services and reports that no forms 1099 were filed with the internal revenue service ("irs"). The guthrie clinic, a related internal revenue code section 501(c)(3) tax-exempt organization pays all outstanding accounts payable invoices on behalf of this organization. In conjunction with this service, the guthrie clinic also prepares and issues forms 1099 to these vendors receiving payments where applicable and files these forms 1099 with the irs. The guthrie clinic allocates these payments to the organization via an intercompany account.”
“The guthrie clinic is the sole member of this organization. The guthrie clinic has the right to elect the members of this organization's board of directors and has certain reserved powers as defined in this organization's bylaws.”
“The organization is an affiliate within the guthrie clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). The guthrie clinic is the tax-exempt parent entity of the system. The organization's federal form 990 was provided to each voting member of the organization's governing body (its board of directors) prior to the filing of the federal form 990 with the internal revenue service ("irs"). As part of the tax return preparation process the organization hired a professional certified public accounting ("cpa") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with the organization's finance personnel and internal working group to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to the organization's finance personnel and internal working group for their review. The organization's finance personnel and internal working group reviewed the draft federal form 990 and discussed questions and comments with the cpa firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm to the organization's finance personnel and internal working group for final review and approval. Following this review, the final form 990 was provided to each voting member of this organization's governing body prior to filing with the irs.”
“The conflict of interest disclosure policy sets forth that all persons, including employees, agents and board/committee members, particularly those involved in decision-making for the guthrie clinic ("tgc"), act in an appropriate manner and will not participate in any actions that might create a personal or professional conflict of interest and/or not be in the best interest of tgc. All members of any tgc board/committee and tgc senior management must make full disclosure of any possible conflict of interest through the use of the conflict of interest disclosure form and refrain from voting or participating in decision-making involving any possible conflict of interest. The form is distributed to all board/committee members and employees (when applicable) annually by the tgc administration office. Tgc board/committee members or employees must complete the conflict of interest disclosure form. This form should be completed when there is any situation where a possible conflict of interest exists, and/or on an annual basis and/or at the time of appointment or election of new board/committee members. If the form is not completed within 13 months of the last signing, the tgc board chairman will be advised. Any individual having a conflict of interest or possible conflict of interest on any matter should excuse themselves from the portion of the meeting or meetings where the matter is discussed and not vote or use his or her personal influence on the matter. The minutes of the meeting or meetings should reflect the disclosure, the abstention from voting, and any action taken to determine whether a conflict of interest existed.”
“The organization is an affiliate within the guthrie clinic and affiliates; a tax-exempt integrated healthcare delivery system which includes the guthrie clinic ("tgc"); a related internal revenue code section 501(c)(3) tax-exempt organization. Tgc's board of directors maintains the guthrie clinic compensation committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves of the compensation and benefits of tgc's senior management. The committee also reviews the compensation and benefits of other officers and key employees of the guthrie clinic and affiliates; including, without limitation, the chief executive officers of the guthrie clinic and affiliates hospitals and medical centers. The committee, which is required by the corporation's bylaws to be comprised solely of independent directors, seeks guidance and substantiation from a nationally recognized compensation consultant. The committee reviews the "total compensation" of the individuals which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee's review is done on at least an annual basis and ensures that the "total compensation" of senior management of the organization is reasonable. The actions taken by the committee enable the organization to receive the rebuttable presumption of reasonableness for purposes of internal revenue code section 4958 with respect to the total compensation of certain members of the senior management team. The three factors which must be satisfied in order to receive the rebuttable presumption of reasonableness are the following: 1. The compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement; 2. The authorized body obtained and relied upon "appropriate data as to comparability" prior to making its determination; and 3. The authorized body "adequately documented the basis for its determination" concurrently with making that determination. The committee is comprised of members of the board of directors each of who are independent and are free from any conflicts of interest. The committee relied upon appropriate comparable data; specifically, the committee obtained a written compensation study from an independent firm which specializes in the review of hospital and healthcare system executive compensation and benefits throughout the united states. This study used comparable geographic and demographic market data including, but not limited to, similarly sized healthcare systems and hospitals, # of licensed beds and net patient service revenue. The committee adequately documented the basis for its determination through the timely preparation of written minutes of the compensation committee meetings during which the executive compensation and benefits was reviewed and subsequently approved. The actions outlined above with respect to the committee and the establishment of the rebuttable presumption of reasonableness applies to certain tgc senior management personnel. The compensation and benefits of certain other individuals contained in this form 990, where applicable, are reviewed annually by the guthrie clinic and affiliates president/chief executive officer with assistance from the organization's human resources department in conjunction with the individual's job performance during the year and is based upon other objective factors designed to ensure that reasonable and fair market value compensation is paid by the organization. Other objective factors include market survey data for comparable positions, individual goals and objectives, personnel reviews, evaluations, self-evaluations and performance feedback meetings.”
“The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the commonwealth of pennsylvania. The organization's conflict of interest policy and questionnaire is not open for public inspection.”
“Core form, part vii and schedule j reflect certain board members and officers receiving compensation and benefits from a related organization. Please note this remuneration was for services rendered as full-time employees of a related organization and not for services rendered as a voting member or officer of this organization's board of directors. Francis m. Macafee is still employed within the guthrie clinic and serves as the vp/chief financial officer of our lady of lourdes memorial hospital; a related internal revenue code section 501(c)(3) tax-exempt organization.”
“This organization is an affiliate within the guthrie clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Certain board of directors members, officers and/or directors listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990, for board members who receive no compensation for services rendered in a non-board capacity, represent the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of directors of other related organizations in the system, their respective hours per week per organization are approximately the same as reflected in core form, part vii of this form 990. The hours reflected on core form, part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers and key employees, reflect total hours worked per week on behalf of the guthrie clinic and affiliates; not solely this organization.”
“Other changes in net assets or fund balance includes: - minimum pension liability adjustment - ($25,496); - temporarily restricted net assets released from restriction - ($28,980); - temporarily restricted net assets realeased from grants - ($3,446); and - other comprehensive net periodic pension cost - $10,024.”
“The organization is an affiliate within the guthrie clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). The guthrie clinic is the tax-exempt parent entity of the system. An independent cpa firm audited the consolidated financial statements of the guthrie clinic and all entities within the system for the years ended june 30, 2024 and june 30, 2023; respectively. The independent cpa firm issued an unmodified opinion with respect to the audited consolidated financial statements.”
“This organization is an affiliate within the guthrie clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). The system engaged an independent accounting firm to prepare and issue a system wide consolidated audit under the single audit act and omb circular a-133 audit. This organization was included in the system wide a-133 audit.”
“The organization is an affiliate within the guthrie clinic and affiliates; a tax-exempt integrated healthcare delivery system ("system"). The system's parent entity is the guthrie clinic. An independent cpa firm audited the consolidated financial statements of the system and all entities within the system for the years ended june 30, 2024 and june 30, 2023; including this organization; respectively. The independent cpa firm issued an unmodified opinion with respect to the audited consolidated financial statements. The following footnote is included in the system's audited consolidated financial statements that reports the system's liability for uncertain tax positions under fin 48 (asc 740): accounting principles generally accepted in the united states of america require the corporation to evaluate tax positions taken by the corporation and recognize a tax liability (or asset) if the corporation has taken an uncertain position that more likely than not would be sustained upon examination by the internal revenue service. The corporation has concluded that as of june 30, 2024 and 2023, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the consolidated financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1090403 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1235931 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1391207 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2048956 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | ESTABLISH, MAINTAIN, AND SUPPORT HOME HEALTH AGENCY, PROVIDE FOR HOME HEALTH SERVICES, PROVIDE FOR HOSPICE SERVICES. |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 0 |
| IRS990/AllOtherContributionsAmt | 0 | 77604 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | SEAN MONAHAN CPA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5708875981 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | ONE GUTHRIE SQUARE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SAYRE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 18840 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 89409 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 412685 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
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| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 25360 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 64293 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContriRptFundraisingEventAmt | 0 | 26840 |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
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| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 843646 |
| IRS990/CYOtherExpensesAmt | 0 | 3268843 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 10860857 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 266141 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 8285266 |
| IRS990/CYTotalExpensesAmt | 0 | 11554109 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 11820250 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 210267 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 170469 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 15885 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 15885 |
| IRS990/Desc | 0 | ACTIVITIES CONDUCTED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES WHICH INCLUDES: ESTABLISHMENT, MAINTAIN, AND SUPPORT OF HEALTH AGENCIES; PROVIDING HOME HEALTH SERVICES; AND PROVIDE HOSPICE SERVICES TO TERMINALLY ILL PATIENTS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 22642 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 21702 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 116 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 5699428 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
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| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
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| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 101229 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 570092 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 30506 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 30506 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.0 |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 82674 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 56715 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 42076 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 30819 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 25417 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 16408 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 23634 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 14319 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 7557 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 12741 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| 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/PersonNm | 0 | PAUL G VERVALIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DEBRA RAUPERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | FRANCIS M MACAFEE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ELIZABETH KLEBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DISA DELAURO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ANJA MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MARY TWIGG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | HEATHER HEALEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | TIMOTHY FULLMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | LORI BARNETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KENNETH R LEVITZKY ESQ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JANET LEWIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JERRY E CARR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | VANCE A GOOD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DENISE IVES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | EDWARD L JONES MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MEADE T MURTLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | RICHARD M ROBINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JANEEN SHEEHE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 139407 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 130715 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 109999 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 110005 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 110425 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 712623 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 487269 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 352426 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 317424 |
| 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 | 78392 |
| 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/TitleTxt | 0 | DIRECTOR - EVP/COO TGC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | FORMER OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VP,POST-ACUTE CARE & HOME SVC. |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR, HOME HEALTH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR, HOSPICE CARE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICAL THERAPIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR, HOME HEALTH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PHYSICAL THERAPIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIR-PRESIDENT TCH(TERMED 5/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHAIRMAN - DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SECRETARY/TREASURER - DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1986 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | true |
| IRS990/FundraisingAmt | 0 | 26840 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 21543 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 21543 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 3908 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 403963 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 11303 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 3908 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 8375633 |
| IRS990/GrossReceiptsAmt | 0 | 19813463 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 13 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 198352 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 198352 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 35225 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 42742 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 77967 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 618 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 435775 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 435775 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 17493938 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 19915054 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 725735 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 47663 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 31958 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 757693 |
| IRS990/LegalDomicileStateCd | 0 | PA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 7971670 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | ESTABLISH, MAINTAIN, AND SUPPORT HOME HEALTH AGENCY, PROVIDE FOR HOME HEALTH SERVICES, PROVIDE FOR HOSPICE SERVICES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 12850161 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 13765376 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 407871 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 407871 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 696972 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 12827519 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 13743674 |
| IRS990/NoncashContributionsAmt | 0 | 1858 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 128309 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 3975 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 132284 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 160242 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 113593 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 273835 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 25959353 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 54048823 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -47898 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 925117 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 925117 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | OTHER EXPENSES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | -2727 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 165212 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 8059 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 162485 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 8059 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 30947701 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 61434028 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 2010334 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4572407 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6582741 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 139885 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 340226 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 480111 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 297297 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 297297 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 10080 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 9140 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 106264 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 139188 |
| IRS990/PrincipalOfficerNm | 0 | PAUL G VERVALIN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621610 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER PROGRAM RELATED REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 10826745 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 34112 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 10826745 |
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