Liabilities / Assets
78th percentile
Higher debt load relative to assets than 78% of similar nonprofits.
Dimmit Regional Hospital
EIN 26-3091251 • 501(c)3 • Carrizo Springs, TX
Profile
Excellent care to each patient, no exceptions.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.59x
Liabilities / Revenue
56th percentile
Higher debt load relative to revenue than 56% of similar nonprofits.
Net Margin
17th percentile
Higher net margin than 17% of similar nonprofits.
Top Officer Pay
84th percentile
Higher top officer pay than 84% of similar nonprofits.
Top officer pay equals 1.5% of source-year revenue.
Asset Growth
62nd percentile
Faster asset growth than 62% of similar nonprofits.
Revenue Growth
37th percentile
Faster revenue growth than 37% of similar nonprofits.
Balance Sheet
Assets
Up$22,447,798
Up $3,090,022 (+16%) from 2023
Liabilities
Up$13,300,262
Up $6,887,912 (+107%) from 2023
Net Assets
Down$9,147,536
Down $3,797,890 (-29%) from 2023
Revenue
Down$37,121,893
Down $1,866,675 (-4.8%) from 2023
Expenses
Up$40,919,783
Up $3,684,989 (+9.9%) from 2023
Net Income
Down-$3,797,890
Down $5,551,664 (-317%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $22,447,798
- Liabilities
- $13,300,262
- Net assets
- $9,147,536
- Revenue
- $37,121,893
- Expenses
- $40,919,783
- Net income
- -$3,797,890
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Oct 1, 2023 to Sep 30, 2024
- Signed
- Aug 15, 2025
- Return Version
- 2023v6.0
- Gross Receipts
- $37,121,893
Mission and Program Overview
Mission
Excellent care to each patient, no exceptions.
To operate and manage dimmit regional hospital; to raise funds on behalf of the hospital; and to promote the health of residents of dimmit county.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $5,871,087 | $5,429,487 | ▼ $441,600 |
| Accounts Receivable | $2,794,920 | $3,063,980 | ▲ $269,060 |
| Cash and Non-Interest-Bearing Accounts | $4,125,025 | $2,536,414 | ▼ $1,588,611 |
| Savings and Temporary Cash Investments | $0 | $1,016,581 | ▲ $1,016,581 |
| Prepaid Expenses and Deferred Charges | $798,763 | $281,954 | ▼ $516,809 |
| Inventories for Sale or Use | $162,891 | $176,033 | ▲ $13,142 |
| Intangible Assets | $180,155 | $60,035 | ▼ $120,120 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $19,357,776 | $22,447,798 | ▲ $3,090,022 |
| Other Assets Total | $5,424,935 | $9,883,314 | ▲ $4,458,379 |
| Liabilities | |||
| Other Liabilities | $3,560,180 | $10,128,967 | ▲ $6,568,787 |
| Accounts Payable and Accrued Expenses | $1,463,512 | $1,963,109 | ▲ $499,597 |
| Mortgage Notes Payable Secured by Investment Property | $1,388,658 | $1,208,186 | ▼ $180,472 |
| Total Liabilities | $6,412,350 | $13,300,262 | ▲ $6,887,912 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $12,945,426 | $9,147,536 | ▼ $3,797,890 |
| Total Net Assets Fund Balance | $12,945,426 | $9,147,536 | ▼ $3,797,890 |
| Total Liabilities and Net Assets / Fund Balance | $19,357,776 | $22,447,798 | ▲ $3,090,022 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $1,832,681 | $6,275,642 | $8,108,323 |
| Buildings | $3,415,212 | $1,021,309 | $4,436,521 |
| Other Land Buildings | $151,794 | - | $151,794 |
| Land | $29,800 | - | $29,800 |
| Other Assets Org | $6,431,019 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Richard Pham | Physician | FT | $440,146 | $106,432 | $546,578 |
| Michelle Grace | Nurse Practitioner | FT | $236,523 | $17,757 | $254,280 |
| David M Peterson | Physician Assistant | FT | $145,560 | $25,174 | $170,734 |
| Veronica Luevano | Nurse Practitioner | FT | $137,518 | $28,028 | $165,546 |
| Gabriella Martinez | Physical Therapist | FT | $142,195 | $15,444 | $157,639 |
| Carmen Esquivel | CNO | FT | $131,504 | $21,361 | $152,865 |
| Melissa Wilson | COO | FT | $126,029 | $6,152 | $132,181 |
| Alma Melendez | CFO | FT | $111,029 | $13,498 | $124,527 |
| Alfredo Castaneda | Chairman | - | $495 | - | $495 |
| Bruce E Leonard Jr | Director | - | $495 | - | $495 |
| Cleo Bustamante Jr | Vice-Chairman | - | $495 | - | $495 |
| Elia Ramirez | Director | - | $495 | - | $495 |
| Jeanie Frazier | Director | - | $495 | - | $495 |
| Johnny Estrada | Director | - | $495 | - | $495 |
| Mary A Valdez | Secretary | - | $495 | - | $495 |
Board Members and Trustees
| Name | Title |
|---|---|
| Andres Duran | CEO |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Southwest Medical Associates | 24hr Er Cover/hospit | 638 E MARKET PO BOX 2168, Rockport, TX 78381 | $2,448,960 |
| Signature Performance | Billing & Coding Svc | 10250 REGENCY CIRCLE STE 500, Omaha, NE 68114 | $1,310,447 |
| Tab Anesthesia | Anesthesia Services | 9 BUENA VISTA CIRCLE, Uvalde, TX 78801 | $625,000 |
| Methodist Healthcare System | Hospital Admin/manag | 8109 FREDICKSBURG RD, San Antonio, TX 78229 | $343,761 |
| Avel Ecare | Telehealth Services | 4500 North Lewis Ave, Sioux Falls, SD 57104 | $180,993 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $2,797,711
- Program Service Revenue
- $33,722,025
- Investment Income
- $94,223
- Other Revenue
- $507,934
- All Other Contributions
- $532
- Change in Net Assets
- $-3,797,890
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $37,121,893
- Revenue Not Reported on Financial Statements
- $0
- Revenue Not Reported on Form 990
- $-10,442,069
- Other Revenue Adjustments
- $0
- Total Revenue per Audited Statements
- $26,679,824
- Total Revenue per Form 990
- $37,121,893
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $24,755,068 |
| Salaries, Compensation, and Employee Benefits | $16,164,715 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $9,633,107 | $2,837,959 | - | $12,471,066 |
| Fees for Services Other | $5,317,059 | $1,565,456 | $0 | $6,882,515 |
| Office Expenses | $2,016,775 | $787,008 | - | $2,803,783 |
| Other Employee Benefits | $1,265,903 | $406,205 | - | $1,672,108 |
| Depreciation Depletion | $1,215,299 | $405,100 | - | $1,620,399 |
| Payroll Taxes | $690,071 | $230,024 | - | $920,095 |
| Pension Plan Contributions | $534,455 | $153,253 | - | $687,708 |
| Occupancy | $418,959 | $245,740 | - | $664,699 |
| Insurance | $468,884 | - | - | $468,884 |
| Current Officers, Directors, Trustees, and Key Employees | - | $413,738 | - | $413,738 |
| Information Technology | $225,134 | $75,045 | - | $300,179 |
| Fees for Services Management | - | $206,897 | - | $206,897 |
| Interest | $48,241 | $157,497 | - | $205,738 |
| Fees for Services Accounting | - | $163,675 | - | $163,675 |
| Advertising | $120,200 | $40,067 | - | $160,267 |
| Travel | $74,564 | $24,855 | - | $99,419 |
| Other Expenses | $41,893 | $56,578 | - | $98,471 |
| Fees for Services Legal | - | $8,915 | - | $8,915 |
| Conferences and Meetings | - | $4,320 | - | $4,320 |
| Total Functional Expenses | $33,137,451 | $7,782,332 | $0 | $40,919,783 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $40,919,783 |
| Expenses per Audited Statements | $30,477,714 |
| Total Expenses per Audited Statements | $30,477,714 |
| Expenses Not Reported on Financial Statements | $10,442,069 |
| Other Expense Adjustments | $10,442,069 |
| Expenses Not Reported on Form 990 | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
Insider Transactions and Loans
Loans and Receivables
| 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 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Subscription Liabilities | $5,690,191 |
| Lease Liabilities | $2,937,793 |
| Est Amounts Due To Third Parties | $1,281,826 |
| Estimated Self Insurance | $219,157 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- No
- Management duties delegated
- Yes
Governance Explanations
Form 990, Part VI, Line 3 Delegation of management duties
“THE HOSPITAL ENTERED INTO A MANAGEMENT AGREEMENT WITH METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP (METHODIST) TO DEVELOP AND MAINTAIN CREDIBLE MANAGEMENT AND ADMINISTRATIVE LEADERSHIP PERSONNEL ON-SITE FOR THE HOPSITAL SUBJECT TO THE DIRECTION OF THE BOARD OF DIRECTORS. THE RENEWED AGREEMENT BECAME EFFECTIVE JULY 1, 2022 FOR A TERM OF TWO YEARS. THE HOSPITAL PAYS AN ANNUAL FEE OF $79,000, AND REIMBURSES METHODIST FOR THE SALARY AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER, AS WELL AS OTHER REASONABLE EXPENSES DURING THE TERM OF THE AGREEMENT. PER IRS GUIDANCE, THE COMPENSATION PAID BY THE MANAGEMENT COMPANY IS NOT SHOWN ON FORM 990, PART VII, FOR THE 2023 CALENDAR YEAR FOR THE FOLLOWING INDIVIDUAL: Andres Duran $65,624”
Form 990, Part VI, Line 11B Review of form 990 by governing body
“The form 990 was prepared by an independent accounting firm following the completion of an audit of the financial statements. An officer reviews the return prior to filing.”
Form 990, Part VI, Line 12C Conflict of interest policy
“Each director, principal officer, board committee member and highest compensated employee annually signs a statement which affirms that they agree to comply with the conflict of interest policy. When a possible conflict of interest arises, the director or officer must disclose the interest and related facts. The person must leave the meeting and the rest of the board must decide if a conflict of interest exists. If it is decided that a conflict of interest exists, the interested person is not allowed to participate in discussion or vote on the transaction or arrangement involved.”
Form 990, Part VI, Line 15A Process to establish compensation of top management official
“DIMMIT REGIONAL HOSPITAL IS UNDER A ADMINISTRATIVE SERVICES AGREEMENT FOR HOSPITAL ADMINISTRATIVE SERVICES. THE MANAGER IS METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD, LLP (METHODIST). THE CEO IS AN EMPLOYEE OF METHODIST. THE CEO IS EVALUATED ANNUALLY BY BOTH METHODIST AND THE HOSPITAL BOARD OF DIRECTORS. COMPENSATION IS RECOMMENDED BY METHODIST AND APPROVED BY THE BOARD. THE MOST RECENT COMPENSATION REVIEW WAS in April 2024.”
Form 990, Part VI, Line 15B Process to establish compensation of other employees
“THE CEO COMPLETES AN EVALUATION FORM FOR ALL OTHER OFFICERS AND MEETS WITH EACH INDIVIDUAL TO DISCUSS. THE SCORE OR POINTS ON THE EVALUATION DETERMINES THE PERCENTAGE OF ANY COMPENSATION ADJUSTMENTS. THE MOST RECENT REVIEW WAS CONDUCTED April 2024.”
Form 990, Part VI, Line 19 Required documents available to the public
“The organization's governing documents, conflict of interest policies and financial statements are made available to the public upon request.”
Filing and Contact Details
Filer
- Filer Name
- Dimmit Regional Hospital
- EIN
- 26-3091251
- Phone
- 8308762424
- Address
- PO Box 1016, Carrizo Springs, TX 78834
Signing Officer
- Name
- Pat Solis
- Title
- CFO
- Phone
- 8308762424
- Signed
- 2025-08-15
- Discuss with paid preparer
- Yes
Organization Details
- Formed
- 2008
- Legal Domicile
- TX
- Voting Board Members
- 7
- Independent Board Members
- 7
- Employees
- 203
- Volunteers
- 10
Preparer
- Firm
- Forvis Mazars LLP
- Address
- 14221 Dallas Parkway Suite 400, Dallas, TX 75254
- Preparer
- Andrew Gray
- Phone
- 9727028262
Supplemental Narrative
Additional Explanations
Form 990, Part IX, Line 11G Other Fees
“Contract Services - Total Expense: 2390912, Program Service Expense: 1793184, Management and General Expenses: 597728, Fundraising Expenses: ; Outside Services - Total Expense: 422195, Program Service Expense: 316646, Management and General Expenses: 105549, Fundraising Expenses: ; Contract Labor - Total Expense: 4011098, Program Service Expense: 3163496, Management and General Expenses: 847602, Fundraising Expenses: ; Collection Services - Total Expense: 15663, Program Service Expense: 11747, Management and General Expenses: 3916, Fundraising Expenses: ; Physician Recruitment - Total Expense: 42647, Program Service Expense: 31986, Management and General Expenses: 10661, Fundraising Expenses: ;”
Financial Statement Notes
Schedule D, Part X, Line 2 ASC 740 FOOTNOTE
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
Schedule D, Part XI, Line 2(D) Other revenues in audited financial statements not in form 990
“Interest Expense - -205738 Bad Debt Expense - -10236331”
Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements
“Interest Expense - 205738 Bad Debt Expense - 10236331”
Raw XML AppendixShowing 400 of 944 raw XML fields
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1463512 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1963109 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2794920 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3063980 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO OPERATE AND MANAGE DIMMIT REGIONAL HOSPITAL; TO RAISE FUNDS ON BEHALF OF THE HOSPITAL; AND TO PROMOTE THE HEALTH OF RESIDENTS OF DIMMIT COUNTY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 40067 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 120200 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 160267 |
| IRS990/AllOtherContributionsAmt | 0 | 532 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Pat Solis |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8308762424 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 704 HOSPITAL DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | CARRIZO SPRINGS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 78834 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
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| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2536414 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 413738 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 413738 |
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| IRS990/CompensationProcessCEOInd | 0 | true |
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| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 4320 |
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| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1310447 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 625000 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 343761 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 180993 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 638 E MARKET PO BOX 2168 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 10250 REGENCY CIRCLE STE 500 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 9 BUENA VISTA CIRCLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 8109 FREDICKSBURG RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 4500 North Lewis Ave |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | UVALDE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SAN ANTONIO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Sioux Falls |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 68114 |
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| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | SOUTHWEST MEDICAL ASSOCIATES |
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| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | METHODIST HEALTHCARE SYSTEM |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Avel Ecare |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | 24HR ER COVER/HOSPIT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | BILLING & CODING SVC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ANESTHESIA SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | HOSPITAL ADMIN/MANAG |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Telehealth Services |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2797711 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 94223 |
| IRS990/CYOtherExpensesAmt | 0 | 24755068 |
| IRS990/CYOtherRevenueAmt | 0 | 507934 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 33722025 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -3797890 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 16164715 |
| IRS990/CYTotalExpensesAmt | 0 | 40919783 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 37121893 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | true |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 405100 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1215299 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1620399 |
| IRS990/Desc | 0 | PROVIDED MEDICAL CARE TO RESIDENTS IN THE DIMMIT COUNTY AREA, INCLUDING 300 OPERATIONS; 9,461 EMERGENCY ROOM VISITS; 575 OBSERVATIONS VISITS AND 2,123 PATIENT DAYS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 203 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 24301846 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 163675 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 163675 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 8915 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 8915 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 206897 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 206897 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1565456 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 5317059 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 6882515 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/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/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 | 13498 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 21011 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 6152 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 24924 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 15094 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 17507 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 24332 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 27778 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Alfredo Castaneda |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Cleo Bustamante Jr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Mary A Valdez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Bruce E Leonard Jr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Elia Ramirez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Jeanie Frazier |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Johnny Estrada |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Alma Melendez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Andres Duran |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Carmen Esquivel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Melissa Wilson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | David M Peterson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Gabriella Martinez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Michelle Grace |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Richard Pham |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Veronica Luevano |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 111029 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 131854 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 126029 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 145810 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 142545 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 236773 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 522246 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 137768 |
| 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/TitleTxt | 0 | Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice-Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Physician Assistant |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Physical Therapist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Nurse Practitioner |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Nurse Practitioner |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 2008 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 575 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 2797179 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 575 |
| IRS990/GrossReceiptsAmt | 0 | 37121893 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 10 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 75045 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 225134 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 300179 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 468884 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 468884 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 180155 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 60035 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 157497 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 48241 |
| IRS990/InterestGrp/TotalAmt | 0 | 205738 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 162891 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 176033 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 93648 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 93648 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 257 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 7296951 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 5871087 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 5429487 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 12726438 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | EXCELLENT CARE TO EACH PATIENT, NO EXCEPTIONS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1388658 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1208186 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 12945426 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 9147536 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 575 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 575 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 12945426 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 9147536 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 245740 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 418959 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 664699 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 787008 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2016775 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2803783 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 5424935 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 9883314 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 406205 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1265903 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1672108 |
| IRS990/OtherExpensesGrp/Desc | 0 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 56578 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 10236331 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 830576 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 41893 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 10236331 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 830576 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 98471 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 3560180 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 10128967 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS REVENUE |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 507934 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 507934 |
| IRS990/OtherRevenueTotalAmt | 0 | 507934 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 2837959 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 9633107 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 12471066 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 230024 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 690071 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 920095 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 153253 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 534455 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 687708 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 798763 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 281954 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | ANDRES DURAN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 531390 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 722210 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 561000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | CLINIC RENT |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | Dietary Meals |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | Medical Transcripts |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 33560015 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 93714 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 63240 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 5056 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 33560015 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 93714 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 63240 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 5056 |
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