Liabilities / Assets
72nd percentile
Higher debt load relative to assets than 72% of similar nonprofits.
EIN 25-0965210 • 501(c)3 • Punxsutawney, PA
Profile
To provide high quality, cost effective, primary health care and to coordinate care for patients requiring secondary and tertiary services.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
72nd percentile
Higher debt load relative to assets than 72% of similar nonprofits.
Liabilities / Revenue
66th percentile
Higher debt load relative to revenue than 66% of similar nonprofits.
Net Margin
72nd percentile
Higher net margin than 72% of similar nonprofits.
Top Officer Pay
86th percentile
Higher top officer pay than 86% of similar nonprofits.
Top officer pay equals 1.6% of source-year revenue.
Asset Growth
96th percentile
Faster asset growth than 96% of similar nonprofits.
Revenue Growth
36th percentile
Faster revenue growth than 36% of similar nonprofits.
Assets
Up$68,438,199
Up $24,559,674 (+56%) from 2023
Liabilities
Up$34,802,719
Up $21,514,556 (+162%) from 2023
Net Assets
Up$33,635,480
Up $3,045,118 (+10.0%) from 2023
Revenue
Up$57,618,513
Up $1,762,262 (+3.2%) from 2023
Expenses
Down$48,190,966
Down $5,354,458 (-10.0%) from 2023
Net Income
Up$9,427,547
Up $7,116,720 (+308%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide high quality, cost effective, primary health care and to coordinate care for patients requiring secondary and tertiary services.
Valued as highest quality community hospital in the region and primary health care provider, committed to continuously improving services while containing cost.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $17,703,641 | $40,399,882 | ▲ $22,696,241 |
| Land, Buildings, and Equipment, Net | $9,001,594 | $11,042,084 | ▲ $2,040,490 |
| Accounts Receivable | $5,250,054 | $5,324,454 | ▲ $74,400 |
| Cash and Non-Interest-Bearing Accounts | $850,860 | $1,767,514 | ▲ $916,654 |
| Investments Other Securities | $1,669,625 | $1,708,939 | ▲ $39,314 |
| Prepaid Expenses and Deferred Charges | $1,518,142 | $1,564,566 | ▲ $46,424 |
| Savings and Temporary Cash Investments | $3,577,234 | $1,439,842 | ▼ $2,137,392 |
| Investments Program Related | $1,113,659 | $1,113,659 | → $0 |
| Inventories for Sale or Use | $1,029,173 | $818,840 | ▼ $210,333 |
| Other Notes and Loans Receivable, Net | $132,795 | $150,931 | ▲ $18,136 |
| Total Assets | $43,878,525 | $68,438,199 | ▲ $24,559,674 |
| Other Assets Total | $2,031,748 | $3,107,488 | ▲ $1,075,740 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | - | $20,812,451 | - |
| Accounts Payable and Accrued Expenses | $7,526,242 | $9,048,244 | ▲ $1,522,002 |
| Other Liabilities | $5,761,921 | $4,942,024 | ▼ $819,897 |
| Total Liabilities | $13,288,163 | $34,802,719 | ▲ $21,514,556 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $30,111,444 | $33,257,840 | ▲ $3,146,396 |
| Net Assets With Donor Restrictions | $478,918 | $377,640 | ▼ $101,278 |
| Total Net Assets Fund Balance | $30,590,362 | $33,635,480 | ▲ $3,045,118 |
| Total Liabilities and Net Assets / Fund Balance | $43,878,525 | $68,438,199 | ▲ $24,559,674 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $6,791,100 | $23,110,800 | $29,901,900 |
| Buildings | $3,449,171 | $11,189,279 | $14,638,450 |
| Other Land Buildings | $761,813 | $1,160,857 | $1,922,670 |
| Land | $40,000 | - | $40,000 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $425,029 | - | ▲ $40,048 | $6,100 | $458,977 |
| 2022 | $400,171 | - | ▲ $34,683 | $9,825 | $425,029 |
| 2021 | $478,570 | - | ▼ $69,098 | $16,617 | $400,171 |
| 2020 | $383,904 | - | ▲ $101,982 | $7,316 | $478,570 |
| 2019 | $409,994 | - | ▼ $17,074 | $9,016 | $383,904 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Eyad Khabbaz Md | Physician | FT | $672,805 | $108,639 | $781,444 |
| Timothy Clark Simpson Md | Director/physician | FT | $519,957 | $64,334 | $584,291 |
| Michael Stever Do | Physician | FT | $500,175 | $20,359 | $520,534 |
| Kyle Lingenfelter Md | Physician | FT | $414,056 | $46,853 | $460,909 |
| Bryan Doverspike Do | Physician | FT | $431,425 | $21,928 | $453,353 |
| Bryan Dempsey Md | Physician | FT | $400,781 | $22,773 | $423,554 |
| John G Sisk | President | FT | $255,723 | $66,080 | $321,803 |
| Daniel D Blough Jr | Former CEO | - | $115,862 | $52,777 | $168,639 |
| Christina Lubold Md | Director | - | - | $37,920 | $37,920 |
| Name | Title |
|---|---|
| Nathan Kovalchick | Chairman |
| Stephen a Wolfe | Director/president & CEO |
| T Michael Price | Vice Chairman |
| Hillary Creely | Director |
| James R Martin | Director |
| Laurie a Kuzneski | Director |
| Todd Brice | Director |
| Russell a Drozdiak Md | Director/physician |
| Robert a Gongaware | CFO |
| Michael F Ickowski | Chief Financial Officer |
| Frank Roberts | Secretary |
| Rebecca Stapleton | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Laboratory Corp Of America Holdings | Lab Services | PO BOX 12140, Burlington, NC 16501 | $572,941 |
| Aya Healthcare INC | Staffing Service | DEPT 3519 PO BOX 123519, Dallas, TX 75312 | $533,913 |
| Cura Hospitality LLC | Food Service | 2400 ANSYS DRIVE SUITE 404, Canonsburg, PA 15317 | $470,971 |
| Pennsylvania Mountains Healthcare | Revenue Cycle | 150 MCCRACKEN RUN ROAD, Dubois, PA 15801 | $360,422 |
| Plexsum Staffing INC | Staffing Service | 1375 MARTIN ST SUITE 201, State College, PA 16803 | $216,246 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $26,874,054 |
| Other Expenses | $21,316,912 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $16,496,437 | $4,155,926 | - | $20,652,363 |
| Fees for Services Other | $2,658,749 | $1,491,717 | - | $4,150,466 |
| Other Employee Benefits | $2,462,538 | $695,366 | - | $3,157,904 |
| Depreciation Depletion | $619,307 | $1,132,113 | - | $1,751,420 |
| Payroll Taxes | $1,117,155 | $345,117 | - | $1,462,272 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,005,612 | - | $1,005,612 |
| Office Expenses | $619,683 | $210,109 | - | $829,792 |
| Insurance | $72,496 | $601,021 | - | $673,517 |
| Other Expenses | $634,225 | $1,113,482 | - | $634,225 |
| Pension Plan Contributions | $455,261 | $140,642 | - | $595,903 |
| Occupancy | $259,047 | $151,571 | - | $410,618 |
| Travel | $222,971 | - | - | $222,971 |
| Advertising | $195,342 | - | - | $195,342 |
| All Other Expenses | $69,912 | $92,048 | - | $161,960 |
| Fees for Services Accounting | - | $58,973 | - | $58,973 |
| Fees for Services Lobbying | - | $53,833 | - | $53,833 |
| Fees for Services Legal | - | $6,765 | - | $6,765 |
| Interest | $2,850 | - | - | $2,850 |
| Total Functional Expenses | $35,650,781 | $12,540,185 | $0 | $48,190,966 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $48,190,966 |
| Total Expenses per Audited Statements | $47,288,946 |
| Expenses per Audited Statements | $47,077,484 |
| Expenses Not Reported on Financial Statements | $1,113,482 |
| Other Expense Adjustments | $1,113,482 |
| Expenses Not Reported on Form 990 | $211,462 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | See Part V | Wages | No | $81,488 |
| Liability | Amount |
|---|---|
| Estimated Medical Malpractice Claims Liability | $1,699,220 |
| Contract Liabilities | $1,436,687 |
| Pension & Post-retirement Liabilities | $1,158,466 |
| Finance Lease Liability | $647,651 |
“The sole member of punxsutawney area hospital, inc. Is pennsylvania mountains care network ("pmcn").”
“The individuals who serve as directors of pmcn shall constitute the board of this corporation. Their term of office shall coincide with their term of office as directors of pmcn. Resignation or removal as a director of pmcn shall constitute resignation or removal as a director of this corporation.”
“Pmcn shall possess all of the rights of a member, as defined by the pennsylvania nonprofit corporation law, and shall exercise the following reserved powers with respect to this corporation: (a) amendment to the articles of incorporation or bylaws of this corporation; (b) the sale, lease or exchange of all or substantially all the property or assets of this corporation; (c) merger or consolidation of this corporation with any other corporation; (d) dissolution of this corporation; (e) approval of the operating and capital budgets for this corporation; and (f) any other matter relating to this corporation that by law requires the approval of the members of a nonprofit corporation.”
“The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Prior to filing, a draft of the 990 will be reviewed by top management and will be discussed at a meeting of the finance committee of the board of directors. A final draft is provided to the full board of directors.”
“Every member of the board, and every individual appointed to the board or board committees, as well as all key management personnel and physician leaders, are required to execute a conflict of interest disclosure statement, which will be updated at least on an annual basis or as additional conflicting interests arise. In addition, every member of the board will specifically acknowledge the conflict of interest policy and his/her attempt to abide by it by signing the acknowledgement form. Every board committee member, officer, key management employee, and physician leader is required to sign this acknowledgement as well. The acknowledgement and disclosure forms will be kept on file by the chief executive officer, and the chairman and vice-chairman will be familiar with the statements that are filed by board members in order to guide their conduct in the event a conflict arises. Every person covered by this policy shall submit in writing to the chief executive officer a conflict of interest disclosure statement listing all financial and conflicting interests. Each statement will be resubmitted with any necessary changes each year or as any additional conflicting or financial interests arise. The chairman of the board shall become familiar with all such disclosure statements in case a conflict arises. The vice chairman of the board shall be familiar with the disclosure statement filed by the chairman. Penalties for non-compliance: failure to comply with this policy shall constitute grounds for removal from office and, in the case of key management personnel, termination of employment.”
“The ceo's compensation is paid by indiana regional medical center (irmc). Positions for officers and key employees are reviewed on an annual basis. Appropriate comparisons are made on a regional and national level in order to maintain a fair and equitable compensation structure. An external consultant is utilized to prepare comparative salary data for the board's review. All recommendations are approved by irmc's board of directors and documented in the board minutes.”
“Governing documents, conflict of interest policy, and financial statements are available to the public upon request.”
“Transfers to affiliates -6,504,039. Change in investment in irrevocable trust 21,075. Change in equity investments 239,459. Non-controlling interest in subsidiary 381,801. Net asset released from restriction -11,484. Equity distribution - noncontrolling -337,647. Net income of noncontrolling interests -44,154.”
“Income from endowment fund is used to purchase capital equipment.”
“The hospital is a tax-exempt organization and not subject to federal or state income taxes in accordance with section 501(c)(3) of the internal revenue code. On such basis, it will not incur any liability for income taxes, except for possible unrelated business income. Management annually reviews its tax provisions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements.”
“Change in equity investments 239,459.”
“Rental expenses -211,462. Fundraising expenses donor restricted contributions 321,219. Bad debt expense netted against revenue on financials 1,113,482.”
“Rental expenses 211,462. Fundraising expenses”
“Bad debt expense netted against revenue on financials 1,113,482.”
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 | 7526242 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 9048244 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5250054 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 5324454 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | VALUED AS HIGHEST QUALITY COMMUNITY HOSPITAL IN THE REGION AND PRIMARY HEALTH CARE PROVIDER, COMMITTED TO CONTINUOUSLY IMPROVING SERVICES WHILE CONTAINING COST. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 195342 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 195342 |
| IRS990/AllOtherContributionsAmt | 0 | 339764 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 92048 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 69912 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 161960 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | MICHAEL F ICKOWSKI CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8149381800 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 81 HILLCREST DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PUNXSUTAWNEY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 15767 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 850860 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1767514 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 12 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1005612 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1005612 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 572941 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 533913 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 470971 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 360422 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 216246 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 12140 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | DEPT 3519 PO BOX 123519 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2400 ANSYS DRIVE SUITE 404 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 150 MCCRACKEN RUN ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1375 MARTIN ST SUITE 201 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | BURLINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CANONSBURG |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | DUBOIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | STATE COLLEGE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 16501 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75312 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 15317 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 15801 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 16803 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | LABORATORY CORP OF AMERICA HOLDINGS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | AYA HEALTHCARE INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CURA HOSPITALITY LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | PENNSYLVANIA MOUNTAINS HEALTHCARE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | PLEXSUM STAFFING INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | LAB SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | STAFFING SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | FOOD SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | REVENUE CYCLE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | STAFFING SERVICE |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 339764 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 805268 |
| IRS990/CYOtherExpensesAmt | 0 | 21316912 |
| IRS990/CYOtherRevenueAmt | 0 | 623297 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 55850184 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 9427547 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 26874054 |
| IRS990/CYTotalExpensesAmt | 0 | 48190966 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 57618513 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1132113 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 619307 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1751420 |
| IRS990/Desc | 0 | PUNXSUTAWNEY AREA HOSPITAL PROVIDES ACUTE CARE INPATIENT AND OUTPATIENT HEALTH CARE TO PATIENTS IN A THREE COUNTY AREA. FOR THE FISCAL YEAR ENDED; THERE WERE 1,226 ADMISSIONS TO THE ACUTE CARE SETTING THAT GENERATED 3,809 PATIENT DAYS. THE HOSPITAL ALSO PROVIDED 88,852 OUTPATIENT VISITS TO PATIENTS. ALSO, THE HOSPITAL PROVIDED OVER $734,145 OF CHARITY CARE FOR 1,253 CUSTOMER ENCOUNTERS WHERE THE PATIENT DID NOT HAVE THE MEANS TO PAY FOR SERVICES RENDERED. NO PATIENTS WERE TURNED AWAY FOR LACK OF INSURANCE. SERVICES PROVIDED INCLUDE CARDIOPULMONARY, CLINICAL NUTRITION, COUNSELING, EMERGENCY, INTENSIVE CARE, SURGICAL, PHARMACY, RADIOLOGY, REHABILITATION, AND SHORT PROCEDURE. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 478918 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 377640 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 494 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 32558034 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 58973 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 58973 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 6765 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 6765 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 53833 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 53833 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1491717 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2658749 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 4150466 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 39.00 |
| 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 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 38.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| 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 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 46655 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 5461 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 23229 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 22014 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 48510 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 21442 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 19478 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 21502 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 22773 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 13501 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 2025 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | NATHAN KOVALCHICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | T MICHAEL PRICE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | FRANK ROBERTS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | REBECCA STAPLETON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | STEPHEN A WOLFE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | HILLARY CREELY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RUSSELL A DROZDIAK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | LAURIE A KUZNESKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JAMES R MARTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | TIMOTHY CLARK SIMPSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | TODD BRICE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CHRISTINA LUBOLD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JOHN G SISK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ROBERT A GONGAWARE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MICHAEL F ICKOWSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | BRYAN DOVERSPIKE DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | EYAD KHABBAZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KYLE LINGENFELTER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | BRYAN DEMPSEY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MICHAEL STEVER DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | DANIEL D BLOUGH JR |
| 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 | 561062 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 299789 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 431911 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 761966 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 439407 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 400781 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 507033 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 166614 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 886903 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 166992 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 37920 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 312538 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 193547 |
| 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/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR/PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | FORMER CEO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1889 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 4277 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 4277 |
| IRS990/GrossReceiptsAmt | 0 | 57829975 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 353579 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 45 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 601021 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 72496 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 673517 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 2850 |
| IRS990/InterestGrp/TotalAmt | 0 | 2850 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1029173 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 818840 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 800991 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 800991 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 1669625 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 1708939 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1113659 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 1113659 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 17703641 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 40399882 |
| IRS990/IRPDocumentCnt | 0 | 56 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 35460936 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 9001594 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 11042084 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 46503020 |
| IRS990/LegalDomicileStateCd | 0 | PA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 211462 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingCashInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE HIGH QUALITY, COST EFFECTIVE, PRIMARY HEALTH CARE AND TO COORDINATE CARE FOR PATIENTS REQUIRING SECONDARY AND TERTIARY SERVICES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 30590362 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 33635480 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 4277 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 4277 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 142117 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 142117 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1239318 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 30111444 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 33257840 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 151571 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 259047 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 410618 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 210109 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 619683 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 829792 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2031748 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 3107488 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -6254989 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 695366 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2462538 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3157904 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES & DRUG |
| IRS990/OtherExpensesGrp/Desc | 1 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 3 | EQUIPMENT LEASED & RENT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1285890 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 1113482 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 9475721 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 289087 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 634225 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 9475721 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1574977 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1113482 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 634225 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 5761921 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 4942024 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 541900 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | CONTRACTED LABOR REV. |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | JV BILLING |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 353148 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 128032 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 353148 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 128032 |
| IRS990/OtherRevenueTotalAmt | 0 | 481180 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 4155926 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 16496437 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 20652363 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 132795 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 150931 |
| IRS990/PartialLiquidationInd | 0 | 0 |
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