Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
EIN 43-1679687 • 501(c)3 • Cape Girardeau, MO
Profile
To provide affordable, accessible, quality health care to all within the designated service area. See schedule o for additional information.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
Liabilities / Revenue
23rd percentile
Higher debt load relative to revenue than 23% of similar nonprofits.
Net Margin
38th percentile
Higher net margin than 38% of similar nonprofits.
Top Officer Pay
86th percentile
Higher top officer pay than 86% of similar nonprofits.
Top officer pay equals 2.6% of source-year revenue.
Asset Growth
20th percentile
Faster asset growth than 20% of similar nonprofits.
Revenue Growth
63rd percentile
Faster revenue growth than 63% of similar nonprofits.
Assets
Down$18,434,377
Down $733,224 (-3.8%) from 2023
Liabilities
Down$884,827
Down $806,671 (-48%) from 2023
Net Assets
Up$17,549,550
Up $73,447 (+0.4%) from 2023
Revenue
Up$14,933,474
Up $1,851,819 (+14%) from 2023
Expenses
Up$14,860,027
Up $2,292,267 (+18%) from 2023
Net Income
Down$73,447
Down $440,448 (-86%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide affordable, accessible, quality health care to all within the designated service area. See schedule o for additional information.
To provide affordable, accessible, quality health care to all without regard to age, race, creed, disability or economic status within the designated service area.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $7,940,000 | $7,939,225 | ▼ $775 |
| Savings and Temporary Cash Investments | $6,601,769 | $6,006,101 | ▼ $595,668 |
| Accounts Receivable | $905,526 | $1,149,832 | ▲ $244,306 |
| Pledges and Grants Receivable | $289,381 | $580,131 | ▲ $290,750 |
| Cash and Non-Interest-Bearing Accounts | $460,286 | $275,299 | ▼ $184,987 |
| Prepaid Expenses and Deferred Charges | $168,864 | $207,837 | ▲ $38,973 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $19,167,601 | $18,434,377 | ▼ $733,224 |
| Other Assets Total | $2,801,775 | $2,275,952 | ▼ $525,823 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $887,630 | - | - |
| Accounts Payable and Accrued Expenses | $803,868 | $884,827 | ▲ $80,959 |
| Grants Payable | $0 | - | - |
| Unsecured Notes Loans Payable | $0 | - | - |
| Other Liabilities | $0 | $0 | → $0 |
| Deferred Revenue | $0 | - | - |
| Escrow Account Liability | $0 | - | - |
| Tax Exempt Bond Liabilities | $0 | - | - |
| Total Liabilities | $1,691,498 | $884,827 | ▼ $806,671 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $17,476,103 | $17,549,550 | ▲ $73,447 |
| Net Assets With Donor Restrictions | $0 | - | - |
| Total Net Assets Fund Balance | $17,476,103 | $17,549,550 | ▲ $73,447 |
| Total Liabilities and Net Assets / Fund Balance | $19,167,601 | $18,434,377 | ▼ $733,224 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $6,327,967 | $4,879,041 | $11,207,008 |
| Equipment | $699,900 | $1,606,740 | $2,306,640 |
| Land | $911,358 | - | $911,358 |
| Other Assets Org | $32,898 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Curtis Jansen | Physician | FT | $312,309 | $75,282 | $387,591 |
| Robert Anderson | Dentist/dental Director | FT | $246,226 | $67,141 | $313,367 |
| Amanda Murugaser | Physician | PT | $254,091 | $37,799 | $291,890 |
| Kalisha Mclendon | Dentist | FT | $204,251 | $23,945 | $228,196 |
| Christina Warren | COO | FT | $187,724 | $35,386 | $223,110 |
| Mona Wells | CFO END 06/24; BOARD MEMBER BEG 07/24 | FT | $133,157 | $18,337 | $151,494 |
| Amy Lanzotti | CFO Beg 06/24 | FT | $105,114 | $35,456 | $140,570 |
| Rick Francis | PRESIDENT END 03/24; CEO BEG 04/24 | FT | $109,251 | $10,381 | $119,632 |
| Ron Camp | CEO End 03/24 | FT | $82,562 | $10,106 | $92,668 |
| Name | Title |
|---|---|
| Laura Griffin | President Beg 06/24 |
| Jo Burford | Vice President |
| Cathi Greer | Board Member |
| Greg Nenninger | Board Member |
| Kathy Hotop-raines | Board Member |
| Robert Harris | Board Member |
| Val Crader | Board Member |
| Rebecca Garris | Board Member Beg 02/24 |
| Cindy Beussink | Secretary |
| Fran Seabaugh | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Southeast Oral And Maxillofacial Surgery | Oral Surgery | 66 DOCTORS PARK, Cape Girardeau, MO 63703 | $325,625 |
| Forvis Mazars LLP | Accounting | PO BOX 200870, Dallas, TX 75320 | $128,939 |
| Cape Cleaning | Custodial | 2103 MONTGOMERY ST, Cape Girardeau, MO 63703 | $111,206 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 12,871 | $330,326 | Cost |
| Total Noncash Contributions | 12,871 | $330,326 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $8,904,849 |
| Other Expenses | $5,955,178 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $5,626,912 | $1,002,349 | - | $6,629,261 |
| Other Employee Benefits | $853,801 | $137,385 | - | $991,186 |
| Office Expenses | $242,524 | $456,306 | - | $698,830 |
| Depreciation Depletion | $333,888 | $237,263 | - | $571,151 |
| Payroll Taxes | $400,339 | $109,981 | - | $510,320 |
| Current Officers, Directors, Trustees, and Key Employees | - | $504,364 | - | $504,364 |
| Fees for Services Other | $388,296 | $76,597 | $0 | $464,893 |
| Pension Plan Contributions | $232,829 | $36,889 | - | $269,718 |
| Occupancy | $134,663 | $26,646 | - | $161,309 |
| Information Technology | $90,959 | $62,719 | - | $153,678 |
| Fees for Services Accounting | - | $121,934 | - | $121,934 |
| All Other Expenses | $0 | $120,535 | $0 | $120,535 |
| Insurance | $61,476 | $42,390 | - | $103,866 |
| Conferences and Meetings | $19,206 | $56,291 | - | $75,497 |
| Travel | $47,023 | $19,253 | - | $66,276 |
| Other Expenses | $22,162 | $19,008 | - | $41,170 |
| Interest | $28,788 | - | - | $28,788 |
| Advertising | - | $25,193 | - | $25,193 |
| Fees for Services Legal | - | $6,834 | - | $6,834 |
| Total Functional Expenses | $11,611,894 | $3,248,133 | $0 | $14,860,027 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $14,862,271 |
| Expenses per Audited Statements | $14,860,027 |
| Total Expenses per Form 990 | $14,860,027 |
| Expenses Not Reported on Form 990 | $2,244 |
| Expenses Not Reported on Financial Statements | $0 |
| Other Expense Adjustments | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
“The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. A copy of the form 990 is distributed to each board member, ceo, cfo, and coo. The form 990 is reviewed by the cfo prior to completion.”
“The organization requires annual corporate compliance training for all employees and board members which includes signing a statement stating their understanding and compliance of the plan. Any director having a duality of interest or possible conflict of interest on any matter shall not vote or use his personal influence on the matter and he/she shall not be counted in determining quorum for the meeting. The minutes of the meeting shall reflect the disclosure, the abstention from voting, and the quorum status. Employees and members of their immediate families are considered to have a conflict of interest and are not eligible for board membership. Likewise, board members and members of their immediate family are prohibited from being employees or contractors to the health center.”
“In 2024, the board of directors hired a new ceo upon the former ceo's retirement. A contract was written for the new ceo and the board determined compensation based on comparison of ceo compensation from other similarly sized community health centers. Actions in this process are documented within the board documents for the year. The board evaluates the ceo on an annual basis.”
“In 2024, the ceo reviewed a comparability study conducted by state pca in determining officer and key employee compensation. The board reviews key employee contracts annually.”
“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public only upon request. The documents can either be mailed or made available for viewing at the organization.”
“These services will be provided without regard to age, race, creed, disability, economic status. These services consist of usual and customary services as defined by the term primary care. Every effort will be made to refer patients with health care issues outside the primary care focus to qualified providers.”
“The center provides physician, dentist related health care services through health clinics located in cape girardeau, marble hill, advance & perryville, missouri. The center provides charity care to patients who are unable to pay for services. The center served 11,224 patients for the year ended december 31, 2024. Uninsured patients were 876, medicaid 4,915, medicare 2,293, insured 3,140. The center had 22,023 medical care service encounters, 14,153 dental service encounters, 974 mental health encounters, 815 enabling service encounters for a total of 37,965 encounters. The organization adjusted off $591,800 in charges to indigent patients that qualified. The center also provides full chronic disease program, laboratory services, x-ray services, mental health/counseling, patient medication assistance program, telehealth, contract pharmacy program, and case management.”
“(Expenses $ 247,975 including grants of $ 0)(Revenue $ 249,614) THE ORGANIZATION PROVIDES SPECIAL PROGRAMS TO PATIENTS INCLUDING: CHRONIC DISEASE PROGRAM THE FOCUS OF THE CHRONIC DISEASE PROGRAM IS TO IMPROVE THE QUALITY OF CARE FOR PATIENTS WITH CHRONIC ILLNESS, SUCH AS DIABETES, CARDIOVASCULAR DISEASE AND DEPRESSION. LIVING WITH A CHRONIC DISEASE IS EASIER WHEN YOU KNOW WHAT TO EXPECT. CROSS TRAILS MEDICAL CENTER WORKS ONE-ON-ONE WITH PATIENTS TO MAKE SURE THEY HAVE THE EDUCATION AND SKILLS TO MANAGE THEIR CHRONIC DISEASE. SOME OF THE RESOURCES AVAILABLE INCLUDE THE FOLLOWING: GROUP EDUCATION CLASSES, CASE MANAGEMENT, COUNSELING SERVICES, SELF-MANAGEMENT SUPPORT, AND DIABETIC FOOT EXAMS. OUTREACH CROSS TRAILS MEDICAL CENTER IS AN ACTIVE PARTICIPANT IN ALL FOUR COMMUNITIES SERVED, INCLUDING BOLLINGER COUNTY, CAPE GIRARDEAU COUNTY, STODDARD COUNTY, PERRY COUNTY AND SURROUNDING COMMUNITIES. CROSS TRAILS MEDICAL CENTER WORKS WITH OTHER COMMUNITIES AND AGENCIES TO HELP PATIENTS RECEIVE ACCESS TO SERVICES. A FULL-TIME CASE MANAGER IS AVAILABLE TO PATIENTS TO HELP THEM FIND NEEDED SERVICES. MEDICATION ASSISTANCE PROGRAM A PART-TIME PATIENT ASSISTANCE COORDINATOR IS ON STAFF TO HELP PATIENTS COMPLETE PAPERWORK FOR THE MEDICATION ASSISTANCE PROGRAM. THROUGH THIS PROGRAM, PATIENTS CAN RECEIVE LOW-COST MEDICATIONS, IF THEY QUALIFY FINANCIALLY. SHOW-ME HEALTHY WOMEN PROGRAM CROSS TRAILS MEDICAL CENTER IS A PARTICIPANT IN THIS IMPORTANT PROGRAM THAT PROVIDES ACCESS TO WOMEN'S HEALTHCARE. THE SHOW-ME HEALTHY WOMEN PROGRAM PROVIDES PAP SMEARS, CERVICAL EXAMS AND MAMMOGRAMS FREE OF CHARGE. VACCINES FOR CHILDREN THE VACCINES FOR CHILDREN PROGRAM PROVIDES VACCINES AT NO COST TO CHILDREN WHO MIGHT NOT OTHERWISE BE VACCINATED BECAUSE OF INABILITY TO PAY.”
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
“Loss on disposal of assets - -2244”
“Loss on disposal of assets - 2244”
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 | 803868 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 884827 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 905526 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1149832 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHOUT REGARD TO AGE, RACE, CREED, DISABILITY OR ECONOMIC STATUS WITHIN THE DESIGNATED SERVICE AREA. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 25193 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 25193 |
| IRS990/AllOtherContributionsAmt | 0 | 20000 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 120535 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 120535 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | AMY LANZOTTI |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5733391196 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 408 S BROADVIEW |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | CAPE GIRARDEAU |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 63703 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 460286 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 275299 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 504364 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 504364 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 56291 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 19206 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 75497 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 325625 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 128939 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 111206 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 66 DOCTORS PARK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 200870 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2103 MONTGOMERY ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | CAPE GIRARDEAU |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CAPE GIRARDEAU |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 63703 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75320 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 63703 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | SOUTHEAST ORAL AND MAXILLOFACIAL SURGERY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | FORVIS MAZARS LLP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CAPE CLEANING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ORAL SURGERY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ACCOUNTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CUSTODIAL |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 3016783 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 200145 |
| IRS990/CYOtherExpensesAmt | 0 | 5955178 |
| IRS990/CYOtherRevenueAmt | 0 | 27849 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 11688697 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 73447 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 8904849 |
| IRS990/CYTotalExpensesAmt | 0 | 14860027 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 14933474 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | true |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 237263 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 333888 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 571151 |
| IRS990/Desc | 0 | THE CENTER PROVIDES MEDICAL SERVICES FOCUSED ON PROVIDING PRIMARY HEALTH CARE TO MEET THE IMMEDIATE AND LONG TERM NEEDS OF PATIENTS. DURING 2024 THE ORGANIZATION HAD 20,023 MEDICAL CARE SERVICE ENCOUNTERS. MEDICAL SERVICES OFFERED AT ALL FOUR CLINICAL SITES INCLUDE: PRIMARY MEDICAL CARE, PREVENTIVE HEALTH SCREENINGS AND ADULT IMMUNIZATIONS, ACUTE CARE FOR MINOR ILLNESS OR INJURY, CHILDREN'S CARE, INCLUDING IMMUNIZATIONS AND WELL CHILD CHECKS, ADOLESCENT HEALTH, PEDIATRICS, GERIATRICS, WOMEN'S HEALTH CARE, INCLUDING FAMILY PLANNING AND ANNUAL GYNECOLOGICAL EXAMS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 119 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 6736678 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 121934 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 121934 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 6834 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 6834 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 76597 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 388296 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 464893 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 32.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 18337 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 10381 |
| 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 | 35456 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 10106 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 37799 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 30907 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 25115 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 23053 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 46015 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CINDY BEUSSINK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | FRAN SEABAUGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JO BURFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LAURA GRIFFIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MONA WELLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | RICK FRANCIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CATHI GREER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | GREG NENNINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KATHY HOTOP-RAINES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | REBECCA GARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ROBERT HARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | VAL CRADER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | AMY LANZOTTI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | RON CAMP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | AMANDA MURUGASER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CHRISTINA WARREN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | CURTIS JANSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KALISHA MCLENDON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | ROBERT ANDERSON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 133157 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 109251 |
| 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 | 105114 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 82562 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 254091 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 192203 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 362476 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 205143 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 267352 |
| 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/TitleTxt | 0 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PRESIDENT BEG 06/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CFO END 06/24; BOARD MEMBER BEG 07/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PRESIDENT END 03/24; CEO BEG 04/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER BEG 02/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO BEG 06/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CEO END 03/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DENTIST/DENTAL DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -2244 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 2996783 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 14935718 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 19 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 62719 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 90959 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 153678 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 42390 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 61476 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 103866 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 28788 |
| IRS990/InterestGrp/TotalAmt | 0 | 28788 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 202389 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 202389 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 10 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 6485781 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 7940000 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7939225 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 14425006 |
| IRS990/LegalDomicileStateCd | 0 | MO |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 2244 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | THE MISSION OF CROSS TRAILS MEDICAL CENTER, A COMMUNITY HEALTH CENTER, IS TO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHIN THE DESIGNATED SERVICE AREA. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 887630 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 17476103 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 17549550 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -2244 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -2244 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 17476103 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 17549550 |
| IRS990/NoncashContributionsAmt | 0 | 330326 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 26646 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 134663 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 161309 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 456306 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 242524 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 698830 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2801775 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2275952 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 137385 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 853801 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 991186 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES & DRUGS |
| IRS990/OtherExpensesGrp/Desc | 1 | RECRUITING & RETENTION |
| IRS990/OtherExpensesGrp/Desc | 2 | LICENSES, DUES, SUBSCRIPTION |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 186196 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 19008 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 3129028 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 22162 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 3129028 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 186196 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 41170 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | GAIN ON INVOLUNTARY CONVERSION |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 27849 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 27849 |
| IRS990/OtherRevenueTotalAmt | 0 | 27849 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1002349 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5626912 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6629261 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 109981 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 400339 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 510320 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 36889 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 232829 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 269718 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 289381 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 580131 |
| IRS990/PoliciesReferenceChaptersInd | 0 | false |
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