Liabilities / Assets
24th percentile
Higher debt load relative to assets than 24% of similar nonprofits.
EIN 31-0970252 • 501(c)3 • Ashland, KY
Profile
Providing medical care to terminally ill patients
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
24th percentile
Higher debt load relative to assets than 24% of similar nonprofits.
Liabilities / Revenue
25th percentile
Higher debt load relative to revenue than 25% of similar nonprofits.
Net Margin
68th percentile
Higher net margin than 68% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
66th percentile
Faster asset growth than 66% of similar nonprofits.
Revenue Growth
60th percentile
Faster revenue growth than 60% of similar nonprofits.
Assets
Up$44,437,970
Up $3,381,863 (+8.2%) from 2023
Liabilities
Down$1,737,940
Down $461,240 (-21%) from 2023
Net Assets
Up$42,700,030
Up $3,843,103 (+9.9%) from 2023
Revenue
Up$17,174,927
Up $2,234,850 (+15%) from 2023
Expenses
Up$14,877,945
Up $1,166,238 (+8.5%) from 2023
Net Income
Up$2,296,982
Up $1,068,612 (+87%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Providing medical care to terminally ill patients
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $30,072,841 | $33,484,737 | ▲ $3,411,896 |
| Land, Buildings, and Equipment, Net | $5,720,292 | $5,830,315 | ▲ $110,023 |
| Savings and Temporary Cash Investments | $3,504,325 | $3,341,074 | ▼ $163,251 |
| Accounts Receivable | $1,625,852 | $1,525,388 | ▼ $100,464 |
| Prepaid Expenses and Deferred Charges | $99,239 | $123,151 | ▲ $23,912 |
| Inventories for Sale or Use | $21,637 | $19,560 | ▼ $2,077 |
| Cash and Non-Interest-Bearing Accounts | $-102,044 | $-75,610 | ▲ $26,434 |
| Total Assets | $41,056,107 | $44,437,970 | ▲ $3,381,863 |
| Other Assets Total | $113,965 | $189,355 | ▲ $75,390 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $2,199,180 | $1,628,732 | ▼ $570,448 |
| Other Liabilities | - | $109,208 | - |
| Total Liabilities | $2,199,180 | $1,737,940 | ▼ $461,240 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $38,856,927 | $42,700,030 | ▲ $3,843,103 |
| Total Net Assets Fund Balance | $38,856,927 | $42,700,030 | ▲ $3,843,103 |
| Total Liabilities and Net Assets / Fund Balance | $41,056,107 | $44,437,970 | ▲ $3,381,863 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $3,304,138 | $3,220,066 | $6,524,204 |
| Equipment | $515,526 | $1,100,523 | $1,616,049 |
| Other Land Buildings | $1,093,193 | $439,220 | $1,532,413 |
| Land | $917,458 | - | $917,458 |
| Leasehold Improvements | - | $72,053 | $72,053 |
| Investment Program Related Org | $2,964 | - | - |
| Name | Title | Base | Other | Total |
|---|---|---|---|---|
| Rodney N Hieneman | CEO | $172,275 | $66,027 | $238,302 |
| Sandy Zerkle | Chief Qualit | $134,569 | $34,824 | $169,393 |
| Sandy Zerkle | Chief Quality/compli | $122,445 | $46,948 | $169,393 |
| Charlotte Horn | CFO | $123,823 | $43,576 | $167,399 |
| Lori Ison | Chief Clinic | $125,925 | $22,606 | $148,531 |
| Victoria Gilliam | Arnp | $109,383 | $4,149 | $113,532 |
| Name | Title |
|---|---|
| Bruce Vanhorn | President |
| Bob Hammond | Board of Director |
| Dr Thuy Nguyen | Board of Director |
| Larry Brown | Board of Director |
| Mary Kay Mcginnis-ruark | Board of Director |
| Matthew Perkins | Board of Director |
| Shadow L Skaggs | Board of Director |
| Tom Burnette | Board of Director |
| Andrew Wheeler | Attorney |
| Theresa Hall | Secretary |
| Stan Vanderpool | Treasurer |
| Laurie Stewart | Vice Preside |
| Kathy Elam | Volunteer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Carter Nursing And Rehabilitation | Nursing Facilit | 250 MCDAVID BLVD, Grayson, KY 41143 | $949,834 |
| Family Medical Center | Contracted Serv | 1101 ST CHRISTOPHER DR SUITE 250, Ashland, KY 41101 | $408,725 |
| Enclara Pharmacy | Pharmacy | PO BOX 745791, Atlanta, GA 30374 | $406,949 |
| Woodland Oaks Healthcare Facility | Nursing Home Se | 1820 OAKVIEW RD, Ashland, KY 41101 | $333,131 |
| Wurtland Nursing And Rehabilitation | Nursing Facilit | PO BOX 677, Wurtland, KY 41144 | $307,286 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $7,486,347 |
| Other Expenses | $7,391,598 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,991,846 | $1,629,366 | - | $6,621,212 |
| All Other Expenses | $993,209 | $227,122 | - | $1,220,331 |
| Insurance | $476,976 | $158,991 | - | $635,967 |
| Payroll Taxes | $358,440 | $119,481 | - | $477,921 |
| Pension Plan Contributions | $290,411 | $96,803 | - | $387,214 |
| Other Expenses | $281,615 | $93,872 | - | $375,487 |
| Depreciation Depletion | $272,952 | $90,983 | - | $363,935 |
| Travel | $206,600 | $17,553 | - | $224,153 |
| Advertising | $84,155 | $28,052 | - | $112,207 |
| Conferences and Meetings | $34,700 | $11,567 | - | $46,267 |
| Fees for Services Accounting | $34,641 | $11,547 | - | $46,188 |
| Office Expenses | $29,443 | $9,789 | - | $39,232 |
| Information Technology | $14,428 | $4,810 | - | $19,238 |
| Total Functional Expenses | $12,348,562 | $2,529,383 | $0 | $14,877,945 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $14,884,005 |
| Expenses per Audited Statements | $14,877,945 |
| Total Expenses per Form 990 | $14,877,945 |
| Expenses Not Reported on Form 990 | $6,060 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $13,900 |
| Fundraising Direct Expenses | $6,060 |
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| City National Bank | Director Is Emp | Investment Account | No | $9,122,014 |
| Kings Daughters Medical Center | Directors Are E | Medical Services Pro | No | $423,105 |
| Liability | Amount |
|---|---|
| Leases Payable, Net of Current | $109,208 |
“The 990 is reviewed by the ceo, cfo, and the finance committee. The governing board is then notified that the return is completed and they are notified of the due date and that the return is available to them for review if they deem necessary in the business office.”
“Conflict of interest forms are completed when first joining the board.”
“Copies are provided at our administrative offices upon request.”
“Fundraising expenses 6,060 fundraising expenses -6,060”
“Fundraising expenses -6,060”
“Fundraising expenses 6,060”
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 | 2199180 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1628732 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1625852 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1525388 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDING MEDICAL CARE TO TERMINALLY ILL PATIENTS |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 28052 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 84155 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 112207 |
| IRS990/AllOtherContributionsAmt | 0 | 192672 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 227122 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 993209 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1220331 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | false |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | CHARLOTTE HORN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6063291890 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1480 CARTER AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ASHLAND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 41101 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | true |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | -102044 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | -75610 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 18 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 11567 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 34700 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 46267 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 949834 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 408725 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 406949 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 333131 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 307286 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 250 MCDAVID BLVD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1101 ST CHRISTOPHER DR SUITE 250 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 745791 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1820 OAKVIEW RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 677 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | GRAYSON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | ASHLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ASHLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | WURTLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 41143 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 41101 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 30374 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 41101 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 41144 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | CARTER NURSING AND REHABILITATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | FAMILY MEDICAL CENTER |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | ENCLARA PHARMACY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | WOODLAND OAKS HEALTHCARE FACILITY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | WURTLAND NURSING AND REHABILITATION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | NURSING FACILIT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONTRACTED SERV |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PHARMACY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | NURSING HOME SE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | NURSING FACILIT |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 192672 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2030440 |
| IRS990/CYOtherExpensesAmt | 0 | 7391598 |
| IRS990/CYOtherRevenueAmt | 0 | 76799 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 14875016 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2296982 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 7486347 |
| IRS990/CYTotalExpensesAmt | 0 | 14877945 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 17174927 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 90983 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 272952 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 363935 |
| IRS990/Desc | 0 | PROVIDING MEDICAL CARE, SOCIAL SERVICES, AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DistributionToDonorInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 154 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 12348562 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 11547 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 34641 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 46188 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form1098CFiledInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form8899Filedind | 0 | false |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | 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/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 | 48968 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 34824 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 31315 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 22606 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 4149 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | RODNEY N HIENEMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | SANDY ZERKLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | CHARLOTTE HORN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LORI ISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | VICTORIA GILLIAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LARRY BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | TOM BURNETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KATHY ELAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | THERESA HALL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | BOB HAMMOND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARY KAY MCGINNIS-RUARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | DR THUY NGUYEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MATTHEW PERKINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | SHADOW L SKAGGS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LAURIE STEWART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | BRUCE VANHORN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | STAN VANDERPOOL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ANDREW WHEELER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 189334 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 134569 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 136084 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 125925 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 109383 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHIEF QUALIT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | CHIEF CLINIC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | ARNP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD OF DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD OF DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VOLUNTEER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD OF DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD OF DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD OF DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD OF DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD OF DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VICE PRESIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | ATTORNEY |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1979 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 6060 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 13900 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1166170 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 8345852 |
| IRS990/GrossReceiptsAmt | 0 | 24360669 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 14 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 4810 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 14428 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 19238 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 158991 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 476976 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 635967 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 21637 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 19560 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 864270 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 864270 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 30072841 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 33484737 |
| IRS990/IRPDocumentCnt | 0 | 88 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 4831862 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 5720292 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 5830315 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 10662177 |
| IRS990/LegalDomicileStateCd | 0 | KY |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 7179682 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| 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/MissionDesc | 0 | PROVIDING MEDICAL CARE TO TERMINALLY ILL PATIENTS |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 38856927 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 42700030 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1166170 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1166170 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | 7840 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 7840 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1546121 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 38856927 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 42700030 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 9789 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 29443 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 39232 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 113965 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 189355 |
| IRS990/OtherExpensesGrp/Desc | 0 | CONTRACTED PROFESSIONAL S |
| IRS990/OtherExpensesGrp/Desc | 1 | OTHER MEDICAL PAYMENTS |
| IRS990/OtherExpensesGrp/Desc | 2 | MEDICATION |
| IRS990/OtherExpensesGrp/Desc | 3 | MAINTENANCE AND REPAIRS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 29447 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 93872 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 3073501 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 614919 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 590726 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 281615 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 3102948 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 614919 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 590726 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 375487 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 109208 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 68959 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 68959 |
| IRS990/OtherRevenueTotalAmt | 0 | 68959 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1629366 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4991846 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6621212 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 119481 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 358440 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 477921 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 96803 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 290411 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 387214 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 99239 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 123151 |
| IRS990/PrincipalOfficerNm | 0 | RODNEY N HIENEMAN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT CARE - HOME CARE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 14875016 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 14875016 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 215311 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 746163 |
| IRS990/PYOtherExpensesAmt | 0 | 6216484 |
| IRS990/PYOtherRevenueAmt | 0 | 169956 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 13808647 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1228370 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 7495223 |
| IRS990/PYTotalExpensesAmt | 0 | 13711707 |
| IRS990/PYTotalRevenueAmt | 0 | 14940077 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 2296982 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | true |
| IRS990/RevenueAmt | 0 | 14875016 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 3504325 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 3341074 |
| IRS990ScheduleA/FactsAndCircumstancesTestTxt | 0 | THE ORGANIZATION IS OPERATING AS A CHARITY, NOT A FOUNDATION. 14,875,016 OF THE 17,174,927 IN REVENUES IS FROM PATIENT CARE SERVICES, THEREFORE, WE REQUEST THAT THIS FACT BE TAKEN INTO CONSIDERATION WHEN REVIEWING THE 33 1/3% TEST. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | MISCELLANEOUS 473,362 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 1 | THE ORGANIZATION IS OPERATING AS A CHARITY, NOT A FOUNDATION. 14,875,016 OF THE 17,174,927 IN REVENUES IS FROM PATIENT CARE SERVICES, THEREFORE, WE REQUEST THAT THIS FACT BE TAKEN INTO CONSIDERATION WHEN REVIEWING THE 33 1/3% TEST. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 2 | THE ORGANIZATION IS OPERATING AS A CHARITY, NOT A FOUNDATION. 13,808,647 OF THE 14,940,077 IN REVENUES IS FROM PATIENT CARE SERVICES, THEREFORE, WE REQUEST THAT THIS FACT BE TAKEN INTO CONSIDERATION WHEN REVIEWING THE 33 1/3% TEST. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | PART II, LINE 10 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 1 | PART II, LINE 17A |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 2 | PART II, LINE 17B |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 192672 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 215311 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 152580 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 592594 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 299407 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 1452564 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 2030440 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 746163 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 288404 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 471211 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 422186 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 3958404 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 73402481 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt | 0 | 76799 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 169956 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 127046 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 35846 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 63715 |
| IRS990ScheduleA/OtherIncome170Grp/TotalAmt | 0 | 473362 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.24690 |
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