Liabilities / Assets
57th percentile
Higher debt load relative to assets than 57% of similar nonprofits.
EIN 23-7036393 • 501(c)3 • Pulaski, NY
Profile
It is the mission of the northern oswego county health services, inc. To provide the community with quality healthcare services and promote the wellness of the community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
57th percentile
Higher debt load relative to assets than 57% of similar nonprofits.
Liabilities / Revenue
55th percentile
Higher debt load relative to revenue than 55% of similar nonprofits.
Net Margin
17th percentile
Higher net margin than 17% of similar nonprofits.
Top Officer Pay
32nd percentile
Higher top officer pay than 32% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
85th percentile
Faster asset growth than 85% of similar nonprofits.
Revenue Growth
54th percentile
Faster revenue growth than 54% of similar nonprofits.
Assets
Up$26,617,463
Up $3,736,734 (+16%) from 2021
Liabilities
Up$12,698,869
Up $10,657,436 (+522%) from 2021
Net Assets
Down$13,918,594
Down $6,920,702 (-33%) from 2021
Revenue
Up$32,613,023
Up $5,343,773 (+20%) from 2021
Expenses
Up$36,058,068
Up $9,955,818 (+38%) from 2021
Net Income
Down-$3,445,045
Down $4,612,045 (-395%) from 2021
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide the community with quality healthcare services and promote the wellness of the community.
To provide the community with quality healthcare and promote the wellness of the community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $7,214,707 | $11,352,597 | ▲ $4,137,890 |
| Intangible Assets | $2,054,514 | $6,103,179 | ▲ $4,048,665 |
| Cash and Non-Interest-Bearing Accounts | $2,493,794 | $3,169,475 | ▲ $675,681 |
| Accounts Receivable | $2,636,664 | $2,753,647 | ▲ $116,983 |
| Investments in Publicly Traded Securities | $3,370,474 | $2,028,558 | ▼ $1,341,916 |
| Savings and Temporary Cash Investments | $2,695,554 | $556,252 | ▼ $2,139,302 |
| Pledges and Grants Receivable | $912,391 | $464,374 | ▼ $448,017 |
| Prepaid Expenses and Deferred Charges | $274,106 | $189,381 | ▼ $84,725 |
| Total Assets | $21,652,204 | $26,617,463 | ▲ $4,965,259 |
| Liabilities | |||
| Other Liabilities | $2,388,567 | $6,198,442 | ▲ $3,809,875 |
| Accounts Payable and Accrued Expenses | $1,901,065 | $4,263,081 | ▲ $2,362,016 |
| Tax Exempt Bond Liabilities | - | $2,237,346 | - |
| Total Liabilities | $4,289,632 | $12,698,869 | ▲ $8,409,237 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $17,362,572 | $13,918,594 | ▼ $3,443,978 |
| Total Net Assets Fund Balance | $17,362,572 | $13,918,594 | ▼ $3,443,978 |
| Total Liabilities and Net Assets / Fund Balance | $21,652,204 | $26,617,463 | ▲ $4,965,259 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $5,612,358 | $3,553,554 | $9,165,912 |
| Other Land Buildings | $5,110,458 | - | $5,110,458 |
| Equipment | $429,183 | $4,245,451 | $4,674,634 |
| Leasehold Improvements | $184,598 | $229,934 | $414,532 |
| Land | $16,000 | - | $16,000 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Tricia Peter-clark | Chief Executive Officer | FT | $308,468 | $40,016 | $348,484 |
| Patrick Carguello | Physician Medical Director | FT | $277,829 | $56,538 | $334,367 |
| Melissa Noel | Dentist Dental Director | FT | $185,607 | $129,073 | $314,680 |
| Megan Pecha | Physician | FT | $255,529 | $57,435 | $312,964 |
| Thomas Hanna | Physician | FT | $259,129 | $41,117 | $300,246 |
| Scott C Van Gorder | Physician | FT | $259,185 | $31,506 | $290,691 |
| Marie Desravines | Physician | FT | $262,756 | $19,443 | $282,199 |
| Glenn F Thibault | Physician | FT | $266,250 | $7,988 | $274,238 |
| Tracy Wimmer | Chief Financial Officer | FT | $204,270 | $39,429 | $243,699 |
| Name | Title |
|---|---|
| Steven Gaffney | Chairperson |
| David Dingman | Vice Chairperson |
| Dr Michael Stephens | Director |
| Elizabeth Weimer | Director |
| Felicity Anne Hallanan | Director |
| James Oldenburg | Director |
| Kristin Labarge | Director |
| Lauren Seiter | Director |
| Robert Oustrich | Director |
| Robert Trainham | Director |
| Rose Ann Jerrett | Director |
| Tammie Nipper | Director |
| Kathy Mcleod | Secretary |
| Timothy Mcclusky | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Hudson Headwaters 340b LLC | Third Party Processer For 340b Pharmacut | GLENS FALLS, New York, NY 13601 | $234,469 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $24,641,271 |
| Other Expenses | $11,416,797 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $17,001,068 | $2,066,810 | - | $19,067,878 |
| Other Employee Benefits | $2,332,177 | $273,917 | - | $2,606,094 |
| Fees for Services Other | $1,439,406 | $113,499 | - | $1,552,905 |
| Payroll Taxes | $1,263,007 | $148,342 | - | $1,411,349 |
| Current Officers, Directors, Trustees, and Key Employees | $1,107,184 | $134,046 | - | $1,241,230 |
| Occupancy | $603,157 | $123,814 | - | $726,971 |
| Depreciation Depletion | $213,623 | $400,746 | - | $614,369 |
| All Other Expenses | $468,954 | $123,151 | - | $592,105 |
| Pension Plan Contributions | $281,641 | $33,079 | - | $314,720 |
| Other Expenses | $277,911 | $3,152 | - | $281,063 |
| Office Expenses | $61,468 | $177,355 | - | $238,823 |
| Insurance | $102,528 | $80,395 | - | $182,923 |
| Fees for Services Accounting | - | $106,107 | - | $106,107 |
| Advertising | $7,914 | $61,206 | - | $69,120 |
| Fees for Services Lobbying | $34,953 | - | - | $34,953 |
| Travel | $14,933 | $17,126 | - | $32,059 |
| Fees for Services Legal | $90 | $24,926 | - | $25,016 |
| Conferences and Meetings | $6,250 | $10,303 | - | $16,553 |
| Fees for Service Investment Mgmnt Fees | - | $7,993 | - | $7,993 |
| Interest | $159 | $121 | - | $280 |
| Total Functional Expenses | $31,652,945 | $4,405,123 | $0 | $36,058,068 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $36,086,710 |
| Total Expenses per Form 990 | $36,058,068 |
| Expenses per Audited Statements | $36,050,075 |
| Expenses Not Reported on Form 990 | $36,635 |
| Expenses Not Reported on Financial Statements | $7,993 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $36,635 |
| Fundraising Gross Income | $7,600 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Valentine Gala | $63,000 | $7,600 | $5,049 | $2,551 |
| Total Events | $63,000 | $7,600 | $36,635 | $-29,035 |
| Liability | Amount |
|---|---|
| Finance Lease Liabilities | $4,594,290 |
| Operating Lease Liability | $1,580,432 |
| Due to Third Party | $23,720 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Oswego County Civic Facilities Corporation | 2024-07-25 | $6,794,635 | Renovation and reconstruction for the health center |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $2,554,743 | $373,130 | - | $317,397 |
“The 990 is reviewed by the ceo, cfo and finance committee. Once approval has been received, a copy is provided to the full board of directors prior to being filed.”
“The organization regularly and consistently monitors and enforces compliance of the policy through the quality committee. After the annual review of the conflict of interest policy by the quality committee, officers, directors, board members, and key employees are required to sign-off. New staff and board members are required to read and sign off that they understand the policy.”
“The compensation for the ceo is determined by the board of directors, using healthcare industry standards, and is reflected contractually. The board then votes to approve the ceo's compensation.”
“The governing documents, conflict of interest policy and financial statements are made available to the public upon request only.”
“Dba: connextcare dba: connextcare”
“Management has analyzed the tax positions taken by the center and has concluded that, as of december 31, 2024 and 2023, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The center's federal and state information returns prior to fiscal year 2021 are closed and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings.”
“Fundraising event expenses -36,635.”
“Fundraising event expenses 36,635.”
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 | 1901065 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 4263081 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2636664 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2753647 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE THE COMMUNITY WITH QUALITY HEALTHCARE AND PROMOTE THE WELLNESS OF THE COMMUNITY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 61206 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 7914 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 69120 |
| IRS990/AllOtherContributionsAmt | 0 | 228811 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 123151 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 468954 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 592105 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | TRACY WIMMER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3152986569 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 61 DELANO STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PULASKI |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 13142 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2493794 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 3169475 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 134046 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1107184 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1241230 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 10303 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 6250 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 16553 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 234469 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | GLENS FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | NEW YORK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 13601 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | HUDSON HEADWATERS 340B LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | THIRD PARTY PROCESSER FOR 340B PHARMACUT |
| IRS990/ContriRptFundraisingEventAmt | 0 | 55400 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 4271154 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 238118 |
| IRS990/CYOtherExpensesAmt | 0 | 11416797 |
| IRS990/CYOtherRevenueAmt | 0 | 504300 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 27599451 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -3445045 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 24641271 |
| IRS990/CYTotalExpensesAmt | 0 | 36058068 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 32613023 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 400746 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 213623 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 614369 |
| IRS990/Desc | 0 | PROVIDED HEALTH CARE IN AN UNDERSERVED RURAL AREA OF UPSTATE NEW YORK, REGARDLESS OF THE ABILITY OF THE PATIENT TO PAY FOR THEIR CARE. THE CENTER HAD 101,044 VISITS DURING THE YEAR. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | CONNEXTCARE |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 357 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 25090160 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 106107 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 106107 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 24926 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 90 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 25016 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 34953 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 34953 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 113499 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1439406 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1552905 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 7993 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 7993 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/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/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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 39429 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 40016 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 29041 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 41732 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 41117 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 31506 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 40967 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 19443 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 7988 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DAVID DINGMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DR MICHAEL STEPHENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ELIZABETH WEIMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | FELICITY ANNE HALLANAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | TIMOTHY MCCLUSKY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JAMES OLDENBURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | KATHY MCLEOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KRISTIN LABARGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | LAUREN SEITER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | TAMMIE NIPPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | STEVEN GAFFNEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ROBERT OUSTRICH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ROBERT TRAINHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ROSE ANN JERRETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | TRACY WIMMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TRICIA PETER-CLARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MELISSA NOEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | PATRICK CARGUELLO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | THOMAS HANNA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | SCOTT C VAN GORDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | MEGAN PECHA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | MARIE DESRAVINES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | GLENN F THIBAULT |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| 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 | 204270 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 308468 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 285639 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 292635 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 259129 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 259185 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 271997 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 262756 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 266250 |
| 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/TitleTxt | 0 | VICE CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DENTIST DENTAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1969 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 55400 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 36635 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 7600 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 35085 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 3986943 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 4954582 |
| IRS990/GrossReceiptsAmt | 0 | 37569155 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 147516 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 14 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 45 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 80395 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 102528 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 182923 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 2054514 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 6103179 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 121 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 159 |
| IRS990/InterestGrp/TotalAmt | 0 | 280 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 203033 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 203033 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 3370474 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2028558 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 21 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 8028939 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 7214707 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 11352597 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 19381536 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 4919497 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
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| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 23486 |
| IRS990/MissionDesc | 0 | TO PROVIDE THE COMMUNITY WITH QUALITY HEALTHCARE AND PROMOTE THE WELLNESS OF THE COMMUNITY. |
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| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 13918594 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 35085 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 35085 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -29035 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -29035 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 147516 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 147516 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1067 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 17362572 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 13918594 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 123814 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 603157 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 726971 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 177355 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 61468 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 238823 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 273917 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2332177 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2606094 |
| IRS990/OtherExpensesGrp/Desc | 0 | PHARMACEUTICALS |
| IRS990/OtherExpensesGrp/Desc | 1 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | CONSUMABLE SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 3 | EQUIPMENT RENTAL |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 448785 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 50250 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 3152 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4593956 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1482786 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 359780 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 277911 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4593956 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1931571 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 410030 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 281063 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2388567 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 6198442 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | INSURANCE INCENTIVES |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 362333 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 362333 |
| IRS990/OtherRevenueTotalAmt | 0 | 385819 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 2066810 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 17001068 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 19067878 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 148342 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1263007 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1411349 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 33079 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 281641 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 314720 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 912391 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 464374 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 274106 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 189381 |
| IRS990/PrincipalOfficerNm | 0 | TRICIA PETER-CLARK |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
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