Liabilities / Assets
94th percentile
Higher debt load relative to assets than 94% of similar nonprofits.
EIN 26-4183569 • 501(c)3 • Ashland, KY
Profile
King's daughters medical specialties (kdms) is an intergrated system of medical specialists and primary care physicians designed to provide an avenue for physician recruitment, retention and employment. Kdms provides access to information technology, as well as leadership and direction in a rapidly transforming healthcare environment with changing payer demands. The goals of kdms include the delivery of quality service which provides value to the patient, the payer and king's daughters health system (kdhs).
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
94th percentile
Higher debt load relative to assets than 94% of similar nonprofits.
Liabilities / Revenue
31st percentile
Higher debt load relative to revenue than 31% of similar nonprofits.
Net Margin
5th percentile
Higher net margin than 5% of similar nonprofits.
Top Officer Pay
95th percentile
Higher top officer pay than 95% of similar nonprofits.
Top officer pay equals 2.1% of source-year revenue.
Asset Growth
54th percentile
Faster asset growth than 54% of similar nonprofits.
Revenue Growth
74th percentile
Faster revenue growth than 74% of similar nonprofits.
Assets
Up$15,875,809
Up $1,025,543 (+6.9%) from 2023
Liabilities
Up$16,186,620
Up $4,473,545 (+38%) from 2023
Net Assets
Down-$310,811
Down $3,448,002 (-110%) from 2023
Revenue
Up$97,383,154
Up $18,599,570 (+24%) from 2023
Expenses
Up$140,976,245
Up $44,328,426 (+46%) from 2023
Net Income
Down-$43,593,091
Down $25,728,856 (-144%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
King's daughters medical specialties (kdms) is an intergrated system of medical specialists and primary care physicians designed to provide an avenue for physician recruitment, retention, and employment. Continued on schedule "o".kdms provides access to information technology, as well as leadership and direction in a rapidly transforming healthcare environment with changing payer demands. The goals of kdms include the delivery of quality service which provides value to the patient, the payer, and king's daughters health system (kdhs).
To deliver quality healthcare services which provide value to the patient, payer, and kdhs.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $7,155,602 | $8,693,893 | ▲ $1,538,291 |
| Land, Buildings, and Equipment, Net | $1,926,385 | $1,784,695 | ▼ $141,690 |
| Other Notes and Loans Receivable, Net | - | $1,188,172 | - |
| Prepaid Expenses and Deferred Charges | $663,842 | $763,302 | ▲ $99,460 |
| Cash and Non-Interest-Bearing Accounts | $2,361,922 | $637,224 | ▼ $1,724,698 |
| Total Assets | $18,582,367 | $20,131,901 | ▲ $1,549,534 |
| Other Assets Total | $6,474,616 | $7,064,615 | ▲ $589,999 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $15,456,072 | $10,575,634 | ▼ $4,880,438 |
| Other Liabilities | $1,028,314 | $1,619,780 | ▲ $591,466 |
| Total Liabilities | $16,484,386 | $12,195,414 | ▼ $4,288,972 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $2,097,981 | $7,936,487 | ▲ $5,838,506 |
| Total Net Assets Fund Balance | $2,097,981 | $7,936,487 | ▲ $5,838,506 |
| Total Liabilities and Net Assets / Fund Balance | $18,582,367 | $20,131,901 | ▲ $1,549,534 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $912,077 | $4,522,607 | $5,434,684 |
| Buildings | $747,618 | $780,732 | $1,528,350 |
| Land | $125,000 | - | $125,000 |
| Other Assets Org | $1,612,803 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Zane Darnell Md | Physician | FT | $1,657,076 | $45,400 | $1,702,476 |
| Sriharsha Velury Md | Physician | FT | $1,618,374 | $42,694 | $1,661,068 |
| Omran Abul-khoudoud Md | Physician | FT | $1,427,936 | $67,933 | $1,495,869 |
| Jennifer Listerman Md | Physician | FT | $1,355,053 | $42,058 | $1,397,111 |
| Juan Bastidas Md | Physician | FT | $1,341,903 | $43,456 | $1,385,359 |
| Name | Title |
|---|---|
| David Jones | Board Chairman |
| Kristie Whitlatch Non-voting | President |
| Mark Newman | Board Vice Chair |
| Craig Collins | Director |
| Eric Monday | Director |
| John Stewart | Director |
| Mark Birdwhistell | Director |
| Stephen Addington | Director |
| Tom Burnette | Director |
| Sheryl Mahaney Non-voting | Secretary |
| Autumn Mcfann Non-voting | Treasurer |
| Sara Marks | VP/COO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Jackson & Coker Holdings LLC | Physician | 91 PRIVATE DR 1277, Ironton, OH 45638 | $668,663 |
| Millennial Psychiatric Services Pllc | Locum Tenens Physicians | PO BOX 277638, Atlanta, GA 30384-7638 | $601,311 |
| Sandeep Krishnan | Behavioral Medicine Physician | 201 PROVIDENCE HILL DR, Ashland, KY 41101 | $308,800 |
| - | Physician | 2300 LEXINGTON AVENUE, Ashland, KY 41101 | $127,350 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $96,214,673 |
| Other Expenses | $19,970,280 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $87,944,903 | - | - | $87,944,903 |
| Fees for Services Other | $12,141,093 | - | - | $12,141,093 |
| Other Employee Benefits | $3,270,522 | - | - | $3,270,522 |
| Payroll Taxes | $3,141,955 | - | - | $3,141,955 |
| Insurance | $3,062,799 | - | - | $3,062,799 |
| Pension Plan Contributions | $1,794,586 | - | - | $1,794,586 |
| Depreciation Depletion | $336,111 | - | - | $336,111 |
| Conferences and Meetings | $221,499 | - | - | $221,499 |
| Occupancy | $65,638 | - | - | $65,638 |
| Comp Disqual Persons | $62,707 | - | - | $62,707 |
| All Other Expenses | $11,627 | - | - | $11,627 |
| Other Expenses | $8,679 | - | - | $8,679 |
| Interest | $3,587 | - | - | $3,587 |
| Travel | $3,094 | - | - | $3,094 |
| Information Technology | $2,400 | - | - | $2,400 |
| Office Expenses | $1,214 | - | - | $1,214 |
| Total Functional Expenses | $116,184,953 | $0 | $0 | $116,184,953 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Brooke Vass | See Part V | See Part V | No | $62,707 |
| Liability | Amount |
|---|---|
| Operating Lease Liability | $1,613,910 |
| Kentucky Sales Tax Payable | $5,870 |
“Ashland hospital corporation (ahc) is the sole corporate member of king's daughters medical specialties, inc. (kdms). Ahc, a 501(c)(3) entity, is the parent organization of an integrated healthcare delivery system.”
“The kdms board is folded into the main board of trustees of ahc's parent corporation. The business of kdms is an agenda item of the full board independently or through its committee.”
“The 990 will be reviewed by the cfo and controller before it is filed with the irs. The 990 will be kept on file and available for review by board members upon request.”
“King's daughters medical center requires all directors, officers, and key employees to comply with its conflicts of interest policy, which tracks the irs' recommended policy with respect to such officers and directors. Members of the medical center's board of directors must annually identify, in writing, any interest that could give rise to a conflict, such as a leadership position in a conflicting organization; disclosure is not limited to financial conflicts. Leadership employees must annually certify, in writing, that they know our conflicts of interest policy and procedure and have no conflicts of interest. In addition, employees of the medical center certify that no conflicts of interest exist or obtain an advance waiver of any conflicts. The medical center's human resources and corporate compliance departments maintain all relevant disclosures and signatures. All employees provide annual conflict checks. If a conflict of interest is reported, the vice president to whom the reporting employee directly or indirectly reports, together with the ceo, corporate compliance officer and general counsel, determines if a conflict exists. If the reporting employee is a vice president, the ceo, in consultation with the general counsel, determines if a conflict exists. Annually, board members disclose personal and professional relationships to the secretary of the board. If a potential conflict exists, the board secretary or a board member will identify the conflict, or potential conflict, and the board member will be removed from any part of the decision-making process, and has no role in the instance in which the conflict exists. A board member who has a conflict of interest must abstain from any relevant discussion or vote. If a conflict of interest is discovered after the fact, the ceo and vice president, together with the general counsel, if appropriate, review the instance in which the conflict occurred. Those leaders determine whether the conflicted individual influenced the decision-making or profited from the conflict. The conflicted individual is removed from any further involvement. In addition, any failure to report conflicts of interest violates the medical center's policy and could result in disciplinary action, up to and including termination of employment or removal from the medical center's board of directors. Medical staff members are required by the medical staff bylaws to disclose conflicts of interest. Once disclosed, the medical staff member is removed from any discussion, decision-making, and/or vote on any related issue.”
“At the direction of the board of directors, kdmc set compensation for the team members and leaders using sedona partners as well as review of local and regional salary information provided through a marshall university survey. Mercer periodically performs a review of executive compensation and benefits. The primary objective of king's daughters compensation philosophy is to have compensation and benefits set that reflect other similar independent not for profit healthcare services as well as the work performance of the organization. Sullivan cotter, an independent compensation expert, reviews all physician compensation and benefits for determination of fair market value.”
“On a quarterly basis, the financial statements are reported to the municipal securities rulemaking board and made available on their website. Governing documents and the conflict of interest policy are available upon request.”
“There is no separate form 1096 filed by king's daughters medical specialities, inc. ("kdms"). All the payments are made by ashland hospital corporation ("ahc"), an affiliate entitiy, under its ein 61-0444716.”
“Physician fees: program service expenses 7,152,674. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,152,674. Locum tenens: program service expenses 4,481,611. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,481,611. Medical directorships: program service expenses 504,541. Management and general expenses 0. Fundraising expenses 0. Total expenses 504,541. Other program services expense: program service expenses 2,267. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,267.”
“Forgiveness of intercompany payables 38,117,001.”
“The medical center, khf, kbnh, cdc, khi, kdmt, kdms, kdhf and kdoh have been recognized by the irs as section 501(c)(3) charitable organizations. Section 501(c)(3) organizations are exempt from federal and state income taxes on related income. These organizations do not engage in significant unrelated activities and therefore no tax is recorded.”
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 | 15456072 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 10575634 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 7155602 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 8693893 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO DELIVER QUALITY HEALTHCARE SERVICES WHICH PROVIDE VALUE TO THE PATIENT, PAYER, AND KDHS. |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 11627 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 11627 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | LAURIE STEWART CONTROLLER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6064089640 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2201 LEXINGTON AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ASHLAND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 41101 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2361922 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 637224 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 4 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 62707 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 62707 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 221499 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 221499 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 668663 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 601311 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 308800 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 127350 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 91 PRIVATE DR 1277 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 277638 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 201 PROVIDENCE HILL DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 2300 LEXINGTON AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | IRONTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ASHLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ASHLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 45638 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 303847638 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 41101 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 41101 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | JACKSON & COKER HOLDINGS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MILLENNIAL PSYCHIATRIC SERVICES PLLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | SANDEEP KRISHNAN |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | KEVIN WILLIS MD |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PHYSICIAN |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | LOCUM TENENS PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | BEHAVIORAL MEDICINE PHYSICIAN |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PHYSICIAN |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 5057 |
| IRS990/CYOtherExpensesAmt | 0 | 19970280 |
| IRS990/CYOtherRevenueAmt | 0 | 186000 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 83715401 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -32278495 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 96214673 |
| IRS990/CYTotalExpensesAmt | 0 | 116184953 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 83906458 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 336111 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 336111 |
| IRS990/Desc | 0 | KDMS HAS 30 MEDICAL SPECIALTIES PLUS PRIMARY CARE PHYSICIANS PROVIDING SERVICES IN 40 DIFFERENT LOCATIONS. THERE ARE 140 PHYSICIANS AND 106 ADVANCED PRACTITIONERS THAT MAKE UP THE PROVIDERS. KDMS SAW APPROXIMATELY 92,854 PATIENTS DURING FY2022 AND PROVIDED $890,114.89 OF CHARITY CARE. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 277 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 116184953 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 12141093 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 12141093 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 59.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 6.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 5.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 2.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 2.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 2.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 59.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 59.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 41.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 44.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 2437 |
| 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 | 79681 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 32931 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 90218 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 17650 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 46501 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 43468 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 41218 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 42196 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KRISTIE WHITLATCH NON-VOTING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DAVID JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MARK NEWMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | STEPHEN ADDINGTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MARK BIRDWHISTELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | TOM BURNETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CRAIG COLLINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ERIC MONDAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN STEWART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | AUTUMN MCFANN NON-VOTING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | SHERYL MAHANEY NON-VOTING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SARA MARKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | SRIHARSHA VELURY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | OMRAN ABUL-KHOUDOUD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ZANE DARNELL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JENNIFER LISTERMAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JUAN BASTIDAS MD |
| 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 | 1643418 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 1449368 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 1659008 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 1355893 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 1343163 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 2269672 |
| 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 | 641478 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 681233 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 652411 |
| 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/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | VP/COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 2009 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 4918 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 19918 |
| IRS990/GrossReceiptsAmt | 0 | 83921458 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1656 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 197 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2400 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2400 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 3062799 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 3062799 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 3587 |
| IRS990/InterestGrp/TotalAmt | 0 | 3587 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 139 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 139 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 5303339 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1926385 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1784695 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 7088034 |
| IRS990/LegalDomicileStateCd | 0 | KY |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 15000 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | KING'S DAUGHTERS MEDICAL SPECIALTIES (KDMS) IS AN INTERGRATED SYSTEM OF MEDICAL SPECIALISTS AND PRIMARY CARE PHYSICIANS DESIGNED TO PROVIDE AN AVENUE FOR PHYSICIAN RECRUITMENT, RETENTION, AND EMPLOYMENT. CONTINUED ON SCHEDULE "O".KDMS PROVIDES ACCESS TO INFORMATION TECHNOLOGY, AS WELL AS LEADERSHIP AND DIRECTION IN A RAPIDLY TRANSFORMING HEALTHCARE ENVIRONMENT WITH CHANGING PAYOR DEMANDS. THE GOALS OF KDMS INCLUDE THE DELIVERY OF QUALITY SERVICE WHICH PROVIDES VALUE TO THE PATIENT, THE PAYOR, AND THE HEALTH SYSTEM. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 2097981 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 7936487 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 4918 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 4918 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 1656 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 1656 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 2097981 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 7936487 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 65638 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 65638 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1214 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1214 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 6474616 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 7064615 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 38117001 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3270522 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3270522 |
| IRS990/OtherExpensesGrp/Desc | 0 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | DUES & SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 2 | PATIENT CARE AUTO EXPEN |
| IRS990/OtherExpensesGrp/Desc | 3 | SUPPLIES |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 3881116 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 175946 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 55477 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 8679 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 3881116 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 175946 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 55477 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 8679 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1028314 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1619780 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | QUALITY INCENTIVE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 184344 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 184344 |
| IRS990/OtherRevenueTotalAmt | 0 | 184344 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 87944903 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 87944903 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 1188172 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 3141955 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 3141955 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 1794586 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 1794586 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 663842 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 763302 |
| IRS990/PrincipalOfficerNm | 0 | SARA MARKS |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | MEANINGFUL USE REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 83592613 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 122788 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 83592613 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 122788 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | -12336 |
| IRS990/PYOtherExpensesAmt | 0 | 9128591 |
| IRS990/PYOtherRevenueAmt | 0 | 21140 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 68093591 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -22617029 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 81590833 |
| IRS990/PYTotalExpensesAmt | 0 | 90719424 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 68102395 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -32278495 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 1656 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 83715401 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | MISCELLANEOUS - MEDICAL RECORDS - 2017 AMOUNT: $ 30,958. 2018 AMOUNT: $ 20,979. 2019 AMOUNT: $ 75. QUALITY INCENTIVE - 2017 AMOUNT: $ 36,656. 2018 AMOUNT: $ 6,001. 2019 AMOUNT: $ 18,534. 2020 AMOUNT: $ 19,484. 2021 AMOUNT: $ 184,344. EMPLOYEE RETENTION CREDIT - 2019 AMOUNT: $ 163,998. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1379977 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 1379977 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 1795 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 1683 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3036 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 10191 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 7280 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 23985 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 83715208 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 68093591 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 51182102 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 54133927 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 53254249 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 310379077 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 1795 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 1683 |
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