Liabilities / Assets
53rd percentile
Higher debt load relative to assets than 53% of similar nonprofits.
Swisher Memorial Healthcare System
EIN 45-2230827 • 501(c)3 • Tulia, TX
Profile
To provide quality healthcare to the citizens of swisher county and the surrounding areas.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.20x
Liabilities / Revenue
30th percentile
Higher debt load relative to revenue than 30% of similar nonprofits.
Net Margin
15th percentile
Higher net margin than 15% of similar nonprofits.
Top Officer Pay
84th percentile
Higher top officer pay than 84% of similar nonprofits.
Top officer pay equals 2.8% of source-year revenue.
Asset Growth
6th percentile
Faster asset growth than 6% of similar nonprofits.
Revenue Growth
64th percentile
Faster revenue growth than 64% of similar nonprofits.
Balance Sheet
Assets
Down$6,019,374
Down $1,505,640 (-20%) from 2023
Liabilities
Up$1,218,243
Up $237,569 (+24%) from 2023
Net Assets
Down$4,801,131
Down $1,743,209 (-27%) from 2023
Revenue
Up$13,107,704
Up $1,693,310 (+15%) from 2023
Expenses
Up$14,850,913
Up $1,993,900 (+16%) from 2023
Net Income
Down-$1,743,209
Down $300,590 (-21%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
- Assets
- $6,019,374
- Liabilities
- $1,218,243
- Net assets
- $4,801,131
- Revenue
- $13,107,704
- Expenses
- $14,850,913
- Net income
- -$1,743,209
Latest Detailed Filing
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2018 to Dec 31, 2018
- Signed
- Nov 15, 2019
- Return Version
- 2018v3.1
- Gross Receipts
- $11,004,222
Mission and Program Overview
Mission
To provide quality healthcare to the citizens of swisher county and the surrounding areas.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $2,506,479 | $1,925,897 | ▼ $580,582 |
| Accounts Receivable | $778,410 | $1,121,836 | ▲ $343,426 |
| Cash and Non-Interest-Bearing Accounts | $88,804 | $1,070,606 | ▲ $981,802 |
| Prepaid Expenses and Deferred Charges | $445,902 | $798,195 | ▲ $352,293 |
| Inventories for Sale or Use | $205,659 | $207,170 | ▲ $1,511 |
| Other Notes and Loans Receivable, Net | $5,000 | $0 | ▼ $5,000 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $5,374,907 | $5,945,115 | ▲ $570,208 |
| Other Assets Total | $1,344,653 | $821,411 | ▼ $523,242 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $109,317 | $923,678 | ▲ $814,361 |
| Accounts Payable and Accrued Expenses | $1,066,607 | $523,548 | ▼ $543,059 |
| Other Liabilities | $376,506 | $90,060 | ▼ $286,446 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $1,552,430 | $1,537,286 | ▼ $15,144 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $3,822,477 | $4,407,829 | ▲ $585,352 |
| Permanently Rstr Net Assets | $0 | $0 | → $0 |
| Temporarily Rstr Net Assets | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $3,822,477 | $4,407,829 | ▲ $585,352 |
| Total Liabilities and Net Assets / Fund Balance | $5,374,907 | $5,945,115 | ▲ $570,208 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $1,451,246 | $2,042,446 | $3,493,692 |
| Leasehold Improvements | $440,146 | $619,449 | $1,059,595 |
| Other Land Buildings | $34,505 | $48,562 | $83,067 |
| Other Assets Org | $65,591 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Luke Brewer | Interim CEO/CFO | FT | $119,108 | $140,264 | $259,372 |
| Cynthia Archer | PHYSICIAN'S ASSISTANT | FT | $232,778 | $9,897 | $242,675 |
| Scott Dyer | Physical Therapist | FT | $155,375 | $22,948 | $178,323 |
| Kara Dyer | Physical Therapist | FT | $163,657 | $9,696 | $173,353 |
| Kelly Maxwell | CNO | FT | $131,117 | $39,010 | $170,127 |
| Kim George | Nurse Practitioner | FT | $103,642 | $20,295 | $123,937 |
Board Members and Trustees
| Name | Title |
|---|---|
| Jory Runnels | President |
| Ray De Los Santos | Vice - President |
| Ka Wilfong | Director |
| Scot Blakeman Do | Director |
| CHARLOTTE O'DANIEL | Secretary |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Cardinal Health 411 INC | Pharmaceuticals | PO BOX 847384, Dallas, TX 75284 | $509,317 |
| Cerner Corporation | Ehr Services | 2800 ROCKCREEK PKWY, Kansas City, KS 64117 | $389,963 |
| US Foodservice | Dietary Services | PO BOX 840450, Dallas, TX 75284 | $134,806 |
| Bkd | Accounting Services | 510 N VALLEY MILLS DRIVE, Waco, TX 76710 | $134,366 |
| Siemens Medical | Lab Diagnostics | PO BOX 120001, Dallas, TX 75312 | $117,107 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $98,629
- Program Service Revenue
- $10,751,785
- Investment Income
- $6,424
- Other Revenue
- $147,384
- All Other Contributions
- $90,000
- Change in Net Assets
- $585,352
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $10,919,093
- Revenue Not Reported on Financial Statements
- $85,129
- Revenue Not Reported on Form 990
- $1,215,361
- Other Revenue Adjustments
- $85,129
- Total Revenue per Audited Statements
- $12,134,454
- Total Revenue per Form 990
- $11,004,222
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $5,570,921 |
| Salaries, Compensation, and Employee Benefits | $4,842,229 |
| Grants and Similar Amounts Paid | $5,720 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,791,707 | $542,816 | - | $3,334,523 |
| Fees for Services Other | $1,082,439 | $176,471 | - | $1,258,910 |
| Occupancy | $1,061,841 | $22,125 | - | $1,083,966 |
| Other Employee Benefits | $676,109 | $130,423 | $0 | $806,532 |
| Depreciation Depletion | $532,204 | $109,006 | - | $641,210 |
| Payroll Taxes | $238,317 | $48,132 | - | $286,449 |
| Current Officers, Directors, Trustees, and Key Employees | $129,686 | $129,686 | - | $259,372 |
| Information Technology | $240,211 | $8,812 | - | $249,023 |
| Office Expenses | $116,210 | $89,818 | - | $206,028 |
| Pension Plan Contributions | $128,943 | $26,410 | $0 | $155,353 |
| Fees for Services Accounting | - | $134,366 | - | $134,366 |
| All Other Expenses | $55,899 | $14,862 | - | $70,761 |
| Insurance | $58,612 | $12,005 | - | $70,617 |
| Fees for Services Legal | - | $70,445 | $0 | $70,445 |
| Interest | $45,831 | $9,387 | - | $55,218 |
| Other Expenses | $6,210 | $14,031 | - | $20,241 |
| Advertising | $2,883 | $11,651 | - | $14,534 |
| Conferences and Meetings | $7,695 | $6,212 | - | $13,907 |
| Grants to Domestic Orgs | $5,720 | - | - | $5,720 |
| Travel | $4,333 | $73 | - | $4,406 |
| Total Functional Expenses | $8,856,821 | $1,562,049 | $0 | $10,418,870 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $11,634,231 |
| Total Expenses per Form 990 | $10,418,870 |
| Expenses per Audited Statements | $10,186,569 |
| Expenses Not Reported on Form 990 | $1,447,662 |
| Expenses Not Reported on Financial Statements | $232,301 |
| Other Expense Adjustments | $232,301 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Est Self-Insurance Costs | $90,060 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 8B
“Documentation of committees acting on behalf of the governing body: any actions of the committees (medical staff, qapi, nursing) that are part of the system's operation are reported by the cno/ceo at quarterly board meetings. There are no committees of the board.”
Form 990, Part VI, Section B, Line 11B
“Process to review the form 990: the organization engages an outside accounting firm to prepare form 990. Once prepared, the organization's interim ceo reviews the return prior to filing. A copy is also sent out to the governing body for review and approval prior to filing.”
Form 990, Part VI, Section B, Line 12C
“Process for monitoring compliance with conflict of interest policy: board members are polled annually to determine if/where conflicts may occur. Debbie garza of the hr deparment monitors compliance, and if a member has a possible conflict they abstain from voting on the transaction.”
Form 990, Part VI, Section B, Lines 15A & 15B
“COMPENSATION REVIEW: ALL KEY POSITIONS ARE EVALUATED IN COMPARISON TO THE TORCH ANNUAL SURVEY OF HOSPITAL SALARIES AND OTHER SOURCES. EVALUATIONS ARE CONDUCTED EACH YEAR ON COMPENSATION. ONCE THEY HAVE BEEN REVIEWED, WE TAKE IT TO THE BOARD FOR FURTHER REVIEW AND APPROVAL. THIS WAS DONE IN OCTOBER IN PRIOR YEARS AND PRESENTED TO THE BOARD AT THE OCTOBER BOARD MEETING. HOWEVER, WE HAVE SINCE MOVED ANNUAL REVIEWS AND RAISES TO BE CONDUCTED IN APRIL AND AWARDED IN MAY. ALL OF THE COMPENSATION APPROVAL IS DOCUMENTED IN THE BOARD MEETING MINUTES. HOWEVER, THERE WERE NO COMPENSATION REVIEWS AND/OR RAISES FOR THE 2018 YEAR. THE LAST COmpENSATION REVIEW WAS COMpLETED IN 2017 BY THE HOSPITAL CEO.”
Form 990, Part VI, Section C, Line 19
“Availability of documents: the organization's governing documents, conflict of interest policy and financial statements are available by request at the organization's office.”
Filing and Contact Details
Filer
- Filer Name
- Swisher Memorial Healthcare System
- EIN
- 45-2230827
- In Care Of
- % LUKE BREWER
- Phone
- 8069953581
- Address
- PO Box 808, Tulia, TX 79088
Signing Officer
- Name
- Luke Brewer
- Title
- Interim CEO/CFO
- Phone
- 9727028262
- Signed
- 2019-11-15
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Luke Brewer
- Formed
- 2011
- Legal Domicile
- TX
- Voting Board Members
- 5
- Independent Board Members
- 5
- Employees
- 102
- Volunteers
- 5
Preparer
- Firm
- Bkd Llp
- Address
- 14241 DALLAS PARKWAY STE 1100, DALLAS, TX 75254
- Preparer
- Jeanette Verrelli
- Phone
- 9727028262
Supplemental Narrative
Additional Explanations
Form 990, Part XII, Line 2C
“Responsibility for oversight of audit: due to the size of the board, there is no committee that assumes responsibility for the oversight of the audit. Instead, the full board is responsibile.”
Form 990 Part IX Line 11G
“Description:purchased services total fees:473129”
Form 990 Part IX Line 11G
“Description:contract services total fees:166556”
Form 990 Part IX Line 11G
“Description:physician fees total fees:521347”
Form 990 Part IX Line 11G
“Description:professional fees total fees:97878”
Financial Statement Notes
Schedule D, Part XI, Line 2D
“RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Bad Debt Expense $(232,301)”
Schedule D, Part XI, Line 4B
“RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Contribution for acquisition of Property & Equipment $85,129”
Schedule D, Part XII, Line 4B
“Reconciliation of expenses per audited financial statements with return: Bad Debt Expense $232,301”
Schedule D, Part X, Line 2
“Asc 740 footnote: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
Raw XML AppendixShowing 400 of 875 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1066607 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 523548 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 778410 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1121836 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE QUALITY HEALTHCARE TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 11651 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 2883 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 14534 |
| IRS990/AllOtherContributionsAmt | 0 | 90000 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 14862 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 55899 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 70761 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | false |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | LUKE BREWER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8069958268 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 539 SE SECOND STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | TULIA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 79088 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 88804 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1070606 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 129686 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 129686 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 259372 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 6212 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 7695 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 13907 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 389963 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 509317 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 134806 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 134366 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 117107 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2800 ROCKCREEK PKWY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 847384 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 840450 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 510 N VALLEY MILLS DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 120001 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | KANSAS CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | WACO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 64117 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75284 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 75284 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 76710 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 75312 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | CERNER CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | CARDINAL HEALTH 411 INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | US FOODSERVICE |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | BKD |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | SIEMENS MEDICAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | EHR SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PHARMACEUTICALS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | DIETARY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ACCOUNTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LAB DIAGNOSTICS |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 98629 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 5720 |
| IRS990/CYInvestmentIncomeAmt | 0 | 6424 |
| IRS990/CYOtherExpensesAmt | 0 | 5570921 |
| IRS990/CYOtherRevenueAmt | 0 | 147384 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 10751785 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 585352 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 4842229 |
| IRS990/CYTotalExpensesAmt | 0 | 10418870 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 11004222 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 109006 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 532204 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 641210 |
| IRS990/Desc | 0 | PROVIDED ACCESSIBLE AND QUALITY HEALTHCARE SERVICES TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. THE HOSPITAL HAD 23,004 ENCOUNTERS - 14,162 CLINIC, 1,945 ER, 219 INPATIENT, 6,557 OUTPATIENT, 90 SWINGBED, 25 OBSERVATION, 6 ASSISTED LIVING; 0 SURGERIES; 661 INPATIENT DAYS; 963 SWINGBED DAYS. IN 2018, SWISHER MEMORIAL CONTINUED TO OFFER CHIROPRACTIC SERVICES ONCE A WEEK. THE MEDICAL ADVICE LINE THAT IS AVAILABLE 24/7 TO OUR PATIENTS AND COMMUNITY IS STILL RUNNING SMOOTHLY. SMHS HOSTED ITS 4TH ANNUAL COMMUNITY WIDE HEALTH FAIR. THE HEALTH FAIR INCLUDED HEALTH EDUCATION, HEALTH SCREENINGS, INFLUENZA AND PNEUMONIA VACCINATIONS, AND MORE. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 102 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 8856821 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 134366 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 134366 |
| IRS990/FeesForServicesLegalGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 70445 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 70445 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 176471 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1082439 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1258910 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| 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/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 57.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | 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 | 20264 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 9321 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 19861 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 33680 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 9321 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 20295 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CHARLOTTE O'DANIEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JORY RUNNELS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | RAY DE LOS SANTOS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | SCOT BLAKEMAN DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KA WILFONG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LUKE BREWER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CYNTHIA ARCHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | SCOTT DYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KELLY MAXWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KARA DYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Kim George |
| 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 | 239108 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 233354 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 158462 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 136447 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 164032 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 103642 |
| 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/TitleTxt | 0 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE - PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | INTERIM CEO/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICIAN'S ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PHYSICAL THERAPIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PHYSICAL THERAPIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Nurse Practitioner |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2011 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 8629 |
| IRS990/GrantAmt | 0 | 5720 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 5720 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 5720 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 11004222 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 7 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 8812 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 240211 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 249023 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 12005 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 58612 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 70617 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 9387 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 45831 |
| IRS990/InterestGrp/TotalAmt | 0 | 55218 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 205659 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 207170 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 6424 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 6424 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 24 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2710457 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 2506479 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1925897 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 4636354 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | false |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 3166 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 50034 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 53200 |
| IRS990/MissionDesc | 0 | TO PROVIDE QUALITY HEALTHCARE TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 109317 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 923678 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 3822477 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 4407829 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 22125 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1061841 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1083966 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 89818 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 116210 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 206028 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1344653 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 821411 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 130423 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 676109 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 806532 |
| IRS990/OtherExpensesGrp/Desc | 0 | Bad Debt Expense |
| IRS990/OtherExpensesGrp/Desc | 1 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 5318 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 14031 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 232301 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1414498 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 25172 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 6210 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 232301 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1414498 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 30490 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 20241 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 376506 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 90060 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 722514 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 713940 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 561000 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Guest & Employee Meals |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Wellness Center Revenue |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | Medical Records |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 70087 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 22359 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 1738 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 70087 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 22359 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 1738 |
| IRS990/OtherRevenueTotalAmt | 0 | 147384 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 542816 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 2791707 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 3334523 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 5000 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 48132 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 238317 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 286449 |
| IRS990/PensionPlanContributionsGrp/FundraisingAmt | 0 | 0 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 26410 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 128943 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 155353 |
| IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 445902 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 798195 |
| IRS990/PrincipalOfficerNm | 0 | LUKE BREWER |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 446110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient Service Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Incentive Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | PHARMACY |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 9279158 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 1072876 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 399751 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 9279158 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 1072876 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 399751 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
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