Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
EIN 43-0662495 • 501(c)3 • Hannibal, MO
Profile
Your health is our mission
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
Liabilities / Revenue
32nd percentile
Higher debt load relative to revenue than 32% of similar nonprofits.
Net Margin
25th percentile
Higher net margin than 25% of similar nonprofits.
Top Officer Pay
88th percentile
Higher top officer pay than 88% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
23rd percentile
Faster asset growth than 23% of similar nonprofits.
Revenue Growth
61st percentile
Faster revenue growth than 61% of similar nonprofits.
Assets
Up$199,318,413
Up $354,458 (+0.2%) from 2023
Liabilities
Up$83,162,640
Up $1,748,182 (+2.1%) from 2023
Net Assets
Down$116,155,773
Down $1,393,724 (-1.2%) from 2023
Revenue
Up$301,905,675
Up $33,230,310 (+12%) from 2023
Expenses
Up$308,403,818
Up $34,468,516 (+13%) from 2023
Net Income
Down-$6,498,143
Down $1,238,206 (-24%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide exceptional healthcare services for a better life.
The system operates a full service acute care facility.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $79,327,951 | $73,059,168 | ▼ $6,268,783 |
| Investments in Publicly Traded Securities | $47,186,126 | $45,362,455 | ▼ $1,823,671 |
| Accounts Receivable | $33,027,665 | $44,530,500 | ▲ $11,502,835 |
| Cash and Non-Interest-Bearing Accounts | $14,344,009 | $9,401,715 | ▼ $4,942,294 |
| Inventories for Sale or Use | $6,509,911 | $6,027,616 | ▼ $482,295 |
| Investments Program Related | $3,864,009 | $3,561,095 | ▼ $302,914 |
| Prepaid Expenses and Deferred Charges | $2,350,079 | $3,163,919 | ▲ $813,840 |
| Other Notes and Loans Receivable, Net | $1,661,526 | $2,288,232 | ▲ $626,706 |
| Savings and Temporary Cash Investments | $1,088,007 | $1,102,729 | ▲ $14,722 |
| Pledges and Grants Receivable | $59,778 | - | - |
| Investments Other Securities | $49,942 | $49,942 | → $0 |
| Total Assets | $198,963,955 | $199,318,413 | ▲ $354,458 |
| Other Assets Total | $9,494,952 | $10,771,042 | ▲ $1,276,090 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $40,196,313 | $39,204,956 | ▼ $991,357 |
| Accounts Payable and Accrued Expenses | $34,520,756 | $35,515,234 | ▲ $994,478 |
| Other Liabilities | $6,595,823 | $8,355,259 | ▲ $1,759,436 |
| Mortgage Notes Payable Secured by Investment Property | $101,566 | $68,486 | ▼ $33,080 |
| Deferred Revenue | - | $18,705 | - |
| Total Liabilities | $81,414,458 | $83,162,640 | ▲ $1,748,182 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $111,316,254 | $110,811,777 | ▼ $504,477 |
| Net Assets With Donor Restrictions | $6,233,243 | $5,343,996 | ▼ $889,247 |
| Total Net Assets Fund Balance | $117,549,497 | $116,155,773 | ▼ $1,393,724 |
| Total Liabilities and Net Assets / Fund Balance | $198,963,955 | $199,318,413 | ▲ $354,458 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $28,663,867 | $87,030,271 | $115,694,138 |
| Buildings | $34,063,316 | $55,200,889 | $89,264,205 |
| Leasehold Improvements | $2,131,102 | $9,302,501 | $11,433,603 |
| Land | $6,283,577 | - | $6,283,577 |
| Other Land Buildings | $1,917,306 | - | $1,917,306 |
| Other Assets Org | $2,792,084 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| C Todd Ahrens | President & CEO | FT | $711,872 | $2,245,145 | $2,957,017 |
| Blake Kramer | Radiologist | FT | $551,094 | $496,836 | $1,047,930 |
| Lance Dorsey | Radiologist | FT | $594,426 | $430,752 | $1,025,178 |
| John Bennett | Obstetrician and Gynecologist | FT | $506,512 | $471,977 | $978,489 |
| Joseph Bass | Radiologist | FT | $564,401 | $371,184 | $935,585 |
| Laura Maple | Obstetrician and Gynecologist | FT | $549,484 | $348,673 | $898,157 |
| Pranav Parikh Md | VP - Chief Medical Officer | FT | $607,358 | $272,304 | $879,662 |
| Richard Valuck Md | Director & Cardiologist | FT | $602,237 | $87,816 | $690,053 |
| Rob Gasaway | VP - Finance | FT | $343,352 | $155,504 | $498,856 |
| Aaron Zook | VP - Operations | FT | $332,208 | $152,431 | $484,639 |
| Teresa Generous | VP - General Counsel | FT | $292,980 | $130,521 | $423,501 |
| Wendy Harrington | VP - Hrhs Development | PT | $252,494 | $122,202 | $374,696 |
| Susan Wathen | VP- Human Resources | FT | $232,727 | $121,499 | $354,226 |
| Patricia Brawner | VP - Nursing | FT | $237,046 | $40,033 | $277,079 |
| Karmon Kindhart | VP - Nursing | FT | $154,674 | $56,275 | $210,949 |
| John Bleigh | Secretary | - | $1,740 | - | $1,740 |
| Devon Mcclain | Director | - | $1,191 | - | $1,191 |
| Name | Title |
|---|---|
| Brad Kurz | Chair |
| Michael Holliday | Vice Chair |
| Amy Lehenbauer | Director |
| Carolyn Shaw | Director |
| Deborah Thornburg | Director |
| Eric Jones | Director |
| Justin Trantham | Director |
| Rahul Basho Md | Director |
| Susan Johnson | Director |
| Dirk Sauer | Director (term Ended 01/24) |
| Jason Poage | Director (term Ended 01/24) |
| Pat Benson | Director (term Ended 01/24) |
| John Zimmer | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Qualivis LLC | Professional Services | 2000 CENTER POINT RD SUITE 2360, Columbia, SC 29210 | $8,504,167 |
| Interim Physicians LLC | Professional Services | PO BOX 679139, Dallas, TX 75267 | $2,817,979 |
| Allscripts LLC | It Systems | 24630 NETWORK PLACE, Chicago, IL 60673 | $2,145,851 |
| Trimedx Holdings LLC | Contracted Maintenance | 5451 LAKEVIEW PKWY S DRIVE, Indianapolis, IN 46268 | $1,722,158 |
| Advance Hannibal Regional Hospital LLC | Therapy Services | 188 MEDICAL DRIVE, Hannibal, MO 63401 | $1,452,368 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $178,331,172 |
| Other Expenses | $129,793,231 |
| Grants and Similar Amounts Paid | $279,415 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $117,642,840 | $13,633,056 | - | $131,275,896 |
| Fees for Services Other | $31,080,439 | $5,809,729 | - | $36,890,168 |
| Other Employee Benefits | $24,065,075 | $3,781,051 | - | $27,846,126 |
| Office Expenses | $27,053,498 | $762,984 | - | $27,816,482 |
| Depreciation Depletion | $9,257,216 | $945,019 | - | $10,202,235 |
| Payroll Taxes | $7,256,714 | $1,140,159 | - | $8,396,873 |
| Current Officers, Directors, Trustees, and Key Employees | $690,053 | $5,052,128 | - | $5,742,181 |
| Pension Plan Contributions | $4,381,660 | $688,436 | - | $5,070,096 |
| Information Technology | $3,038,191 | $1,212,469 | - | $4,250,660 |
| Occupancy | $2,633,325 | $258,291 | - | $2,891,616 |
| Insurance | $2,428,890 | - | - | $2,428,890 |
| All Other Expenses | $480,540 | $1,708,843 | - | $2,189,383 |
| Interest | $1,570,506 | $160,325 | - | $1,730,831 |
| Other Expenses | $1,278,071 | - | - | $1,278,071 |
| Advertising | $3,267 | $1,224,767 | - | $1,228,034 |
| Travel | $831,238 | $154,315 | - | $985,553 |
| Grants to Domestic Orgs | $279,415 | - | - | $279,415 |
| Fees for Services Legal | - | $240,292 | - | $240,292 |
| Fees for Services Accounting | - | $166,200 | - | $166,200 |
| Conferences and Meetings | $114,129 | $24,640 | - | $138,769 |
| Fees for Services Lobbying | $67,951 | $10,140 | - | $78,091 |
| Total Functional Expenses | $271,430,974 | $36,972,844 | $0 | $308,403,818 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Culver-stockton College | Canton, MO | 501(c)(3) | Year 1 Nursing Program Mou Pledge, 2024 Summit Sponsor | $201,000 |
| Mha Center for Education | Jefferson City, MO | 501(c)(3) | Mce Health Impr Research and Scholarship Fund, Mha Special Projects, Missouri Center for Patient Safety Contribution, Mha Health Institute, and Missouri Poison Center Contribution. | $51,765 |
| Ymca of Hannibal | Hannibal, MO | 501(c)(3) | Corporate Sponsorships, Strong Community Campaign Pledge, 2024 Gold Level Giving | $19,150 |
| Hannibal Regional Economic Development Council | Hannibal, MO | 501(c)(6) | To Provide Assistance to New and Existing Businesses in the Hannibal Region That Will Help Them Sustain, Grow, and Excel. | $7,500 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Financing and Operating Lease Obligations | $5,342,628 |
| Supplemental Employee Retirement Plan | $3,012,631 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | The Industrial Development Authority of the City of Hannibal Missouri | 2017-11-06 | $44,088,479 | CONSTRUCTION |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $44,088,479 | - | $2,955,000 | $445,241 |
“The board of directors has delegated to the compensation committee, pursuant to a charter adopted by the board of directors, the responsibility to act on behalf of the board of directors in administering compensation plans and in making decisions on the compensation of the chief executive officer and those executives who report directly to the chief executive officer who qualify as "disqualified persons" within the meaning of section 4958 of the internal revenue code. The committee then reports its actions to the board of directors. The committee is composed solely of independent members of the board of directors. The scope of the committee includes, but is not limited to, reviewing and approving the annual base salary levels, annual incentive opportunity levels, executive perquisites, employment agreements, benefits and supplemental benefits. The board of directors has also delegated to the finance committee the responsibility to approve the annual financial audit. The committee then reports its actions to the board of directors, and shares and discusses the audit report with the board.”
“The form 990 is reviewed in detail by management. The form is then provided to the finance committee and board of directors for review and comment. Any changes are incorporated prior to filing.”
“The organization has a policy titled business ethics, conflict of interest and tax exempt compliance which requires that all directors, officers, and employees of the hospital always act in the best interest of the hospital without conflicts of interest. Annually each member of the board of directors, each officer of the organization, and certain other managers receive a copy of the policy and are required to complete a confidentiality agreement and a conflict of interest questionnaire whereby the individual answers questions regarding family members, substantial business or investment holdings, and other transactions or affiliations with businesses or other organizations that might affect their relationship with the hospital. As part of the conflicts of interest questionnaire the individual is asked to acknowledge that they have received and read a copy of the policy, agree to comply with the policy, acknowledge that the hospital is a charitable organization, which must engage primarily in activities which accomplish our tax exempt purposes in order to maintain our tax exempt status, agree to report promptly to the board of directors any changes in their answers to the questions or any change in circumstance that might develop prior to the completion of their next annual questionnaire. With respect to directors of the organization, they also acknowledge that none of the conditions of the policy which would make them ineligible to remain on the board exist at the time they sign the acknowledgment and that they would report any conditions which become applicable immediately to the chairperson of the board of directors. On an annual basis the general counsel sends these documents to each director, officer and certain key employees. Once the documents are completed and returned, the general counsel reviews the questionnaires and confers with both the secretary of the organization and chair of the governance committee as to the results and any issues that need to be addressed regarding actual or potential conflicts disclosed or any other fact that might make the individual not independent for irs tax exempt purposes. The secretary, with the assistance of the general counsel, then submits to the board of directors a confidential report concerning any interest of employees of the hospital disclosed by such questionnaire, any interest of directors and officers who are not employees of the hospital, and what actions the president of the organization may take as a result of any conflicts disclosed by such individuals. An individual is ineligible to serve on the board of directors for any of the following reasons as taken from hannibal regional healthcare system board of directors policy b-iii: a. Failure to adhere completely to disclosure requirements; b. The individual is an owner, partner, employee, board member or investor in a direct competitor of the hospital, or any entity affiliated with the hospital. An ownership or investment interest in a direct competitor of the hospital, or any entity affiliated with the hospital, of five (5) percent or less will not make individual ineligible to serve on the board of directors; c. The individual is an employee of the hospital, or any entity affiliated with the hospital, or a family member is a member of the management team of the hospital, or any entity affiliated with the hospital; d. The individual receives direct compensatory benefit for ongoing services provided to the hospital, or any entity affiliated with the hospital (serving as a "de facto employee"); e. The individual is an owner, partner, employee, board member or has a material investment interest in an entity which has contracted for the exclusive provision of any medical services with the hospital or any of its affiliates.”
“The board of directors has delegated to the compensation committee, pursuant to a charter adopted by the board of directors, the responsibility to act on behalf of the board of directors in administering compensation plans and in making decisions on the compensation of the chief executive officer and those executives who report directly to the chief executive officer who qualify as "disqualified persons" within the meaning of section 4958 of the internal revenue code. The committee engages an independent consultant to assist the committee with its governance and oversight role and its compliance with section 4958 of the internal revenue code, by providing an opinion on the reasonableness of the organization's compensation plan. The consultant uses published survey data to provide comparative market data for each position. The committee then reports its actions to the board of directors. The committee is composed solely of independent members of the board of directors. The scope of the committee includes, but is not limited to, reviewing and approving the annual base salary levels, annual incentive opportunity levels, executive perquisites, employment agreements, benefits and supplemental benefits. Annually, hrhs, through its compensation committee engages an independent outside compensation consultant to provide opinions related to the reasonableness of executive compensation and to provide advice and guidance as to current trends and issues.”
“The articles of incorporation and amendments thereto are available on the missouri secretary of state's website.”
“Purchased services/professional fees: program service expenses 30,163,317. Management and general expenses 5,155,101. Fundraising expenses 0. Total expenses 35,318,418. Laundry service: program service expenses 511,095. Management and general expenses 13,751. Fundraising expenses 0. Total expenses 524,846. Cleaning service: program service expenses 366,789. Management and general expenses 1,575. Fundraising expenses 0. Total expenses 368,364. Consulting fees: program service expenses 35,684. Management and general expenses 0. Fundraising expenses 0. Total expenses 35,684. Collection fees: program service expenses 3,554. Management and general expenses 639,302. Fundraising expenses 0. Total expenses 642,856.”
“The organization's policy regarding oversight of audit is consistent with the prior year.”
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 | 34520756 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 35515234 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 33027665 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 44530500 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | THE SYSTEM OPERATES A FULL SERVICE ACUTE CARE FACILITY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1224767 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 3267 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1228034 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1708843 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 480540 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 2189383 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ROB GASAWAY |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5732481300 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 6500 HOSPITAL DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | HANNIBAL |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 63401 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 14344009 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 9401715 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 80 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 5052128 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 690053 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 5742181 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 24640 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 114129 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 138769 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 8504167 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2817979 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2145851 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1722158 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1452368 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2000 CENTER POINT RD SUITE 2360 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 679139 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 24630 NETWORK PLACE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 5451 LAKEVIEW PKWY S DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 188 MEDICAL DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | COLUMBIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | INDIANAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | HANNIBAL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | SC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 29210 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75267 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 60673 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 46268 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 63401 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | QUALIVIS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | INTERIM PHYSICIANS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | ALLSCRIPTS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | TRIMEDX HOLDINGS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | ADVANCE HANNIBAL REGIONAL HOSPITAL LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | IT SYSTEMS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONTRACTED MAINTENANCE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | THERAPY SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 5880588 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 279415 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1083087 |
| IRS990/CYOtherExpensesAmt | 0 | 129793231 |
| IRS990/CYOtherRevenueAmt | 0 | 2328788 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 292613212 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -6498143 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 178331172 |
| IRS990/CYTotalExpensesAmt | 0 | 308403818 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 301905675 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 18705 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 945019 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 9257216 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 10202235 |
| IRS990/Desc | 0 | THE SYSTEM OPERATES A FULL SERVICE 86 BED ACUTE CARE HOSPITAL FACILITY, A 13 BED INPATIENT REHAB FACILITY, SEVERAL PHYSICIAN PRACTICES AND PRIMARY CARE CLINICS, HOSPICE SERVICES, AND A HOME HEALTH AGENCY IN HANNIBAL MISSOURI AND SURROUNDING COUNTIES. THE SYSTEM PROVIDES SERVICES TO PATIENTS THAT MEET THE HOSPITAL'S CHARITY CARE POLICY AS WELL AS SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT-REIMBURSED PUBLIC AID PROGRAMS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 1 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 6233243 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 5343996 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 1840 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 268979536 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 166200 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 166200 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 240292 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 240292 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 10140 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 67951 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 78091 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 5809729 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 31080439 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 36890168 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 16.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 28 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 29 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 41.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 24.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 29 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | 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 | 43351 |
| 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 | 150712 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 93217 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 94205 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 94577 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 51449 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 32514 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 57427 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 70415 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 54603 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 39317 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 14850 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 53619 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 14850 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 29 | 54441 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | PAT BENSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DEBORAH THORNBURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JASON POAGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CAROLYN SHAW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BRAD KURZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DIRK SAUER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RICHARD VALUCK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MICHAEL HOLLIDAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JUSTIN TRANTHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RAHUL BASHO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | DEVON MCCLAIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JOHN BLEIGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ERIC JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JOHN ZIMMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SUSAN JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | AMY LEHENBAUER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | C TODD AHRENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ROB GASAWAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | AARON ZOOK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | PRANAV PARIKH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | SUSAN WATHEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | PATRICIA BRAWNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | WENDY HARRINGTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | TERESA GENEROUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | KARMON KINDHART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JOSEPH BASS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | LAURA MAPLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | LANCE DORSEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | BLAKE KRAMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 29 | JOHN BENNETT |
| 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 | 646702 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 1191 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 1740 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 2806305 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 405639 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 390434 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 785085 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 302777 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 244565 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 317269 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 353086 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 156346 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 896268 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 883307 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 971559 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 1033080 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 29 | 924048 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 29 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR (TERM ENDED 01/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR (TERM ENDED 01/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR (TERM ENDED 01/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR & CARDIOLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP - FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | VP - OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | VP - CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | VP- HUMAN RESOURCES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | VP - NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | VP - HRHS DEVELOPMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | VP - GENERAL COUNSEL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | VP - NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | RADIOLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | OBSTETRICIAN AND GYNECOLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | RADIOLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | RADIOLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 29 | OBSTETRICIAN AND GYNECOLOGIST |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1987 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 3085 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 184434 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 3000000 |
| IRS990/GrantAmt | 0 | 279415 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 279415 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 279415 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 3086 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1196764 |
| IRS990/GrossReceiptsAmt | 0 | 302944595 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 305620 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 229 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
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