Liabilities / Assets
34th percentile
Higher debt load relative to assets than 34% of similar nonprofits.
EIN 52-2132761 • 501(c)3 • Salisbury, MD
Profile
To improve the health of the community we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
34th percentile
Higher debt load relative to assets than 34% of similar nonprofits.
Liabilities / Revenue
68th percentile
Higher debt load relative to revenue than 68% of similar nonprofits.
Net Margin
7th percentile
Higher net margin than 7% of similar nonprofits.
Top Officer Pay
68th percentile
Higher top officer pay than 68% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
66th percentile
Faster asset growth than 66% of similar nonprofits.
Revenue Growth
50th percentile
Faster revenue growth than 50% of similar nonprofits.
Assets
Up$928,715,887
Up $80,123,719 (+9.4%) from 2023
Liabilities
Down$153,130,360
Down $8,884,897 (-5.5%) from 2023
Net Assets
Up$775,585,527
Up $89,008,616 (+13%) from 2023
Revenue
Up$194,711,624
Up $15,699,345 (+8.8%) from 2023
Expenses
Up$243,301,933
Up $10,794,374 (+4.6%) from 2023
Net Income
Up-$48,590,309
Up $4,904,971 (+9.2%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To improve the health of the community we serve.
To improve the health of the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $15,453,065 | $30,540,660 | ▲ $15,087,595 |
| Land, Buildings, and Equipment, Net | $14,305,768 | $14,965,202 | ▲ $659,434 |
| Savings and Temporary Cash Investments | $4,937,849 | $7,424,693 | ▲ $2,486,844 |
| Receivables From Officers Etc | $4,381,073 | $4,503,072 | ▲ $121,999 |
| Prepaid Expenses and Deferred Charges | $802,073 | $770,747 | ▼ $31,326 |
| Inventories for Sale or Use | $276,764 | $276,764 | → $0 |
| Total Assets | $848,592,168 | $928,715,887 | ▲ $80,123,719 |
| Other Assets Total | $808,435,576 | $870,234,749 | ▲ $61,799,173 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $96,132,553 | $94,414,796 | ▼ $1,717,757 |
| Accounts Payable and Accrued Expenses | $57,997,620 | $48,119,017 | ▼ $9,878,603 |
| Other Liabilities | $7,885,084 | $10,596,547 | ▲ $2,711,463 |
| Total Liabilities | $162,015,257 | $153,130,360 | ▼ $8,884,897 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $620,860,638 | $703,289,883 | ▲ $82,429,245 |
| Net Assets With Donor Restrictions | $65,716,273 | $72,295,644 | ▲ $6,579,371 |
| Total Net Assets Fund Balance | $686,576,911 | $775,585,527 | ▲ $89,008,616 |
| Total Liabilities and Net Assets / Fund Balance | $848,592,168 | $928,715,887 | ▲ $80,123,719 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $12,534,864 | $8,746,088 | $21,280,952 |
| Equipment | $2,055,889 | $8,428,936 | $10,484,825 |
| Other Land Buildings | $374,449 | $5,917 | $380,366 |
| Other Assets Org | $185,246 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $87,652,533 | - | ▲ $11,952,711 | - | $99,244,283 |
| 2022 | $87,537,245 | - | ▲ $10,561,995 | $10,000,000 | $87,652,533 |
| 2021 | $102,246,212 | - | ▼ $14,214,441 | - | $87,537,245 |
| 2020 | $79,165,301 | - | ▲ $23,584,799 | - | $102,246,212 |
| 2019 | $71,424,439 | - | ▲ $8,133,343 | - | $79,165,301 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| William Doran Do | Physician | FT | $875,096 | $451,031 | $1,326,127 |
| Steven Leonard | President/CEO | - | $874,064 | $406,154 | $1,280,218 |
| Steven Hearne Md | Physician | FT | $854,685 | $354,406 | $1,209,091 |
| Zachary Baker Md | Physician | FT | $893,370 | $313,389 | $1,206,759 |
| Emmanuel Nsah Md | Physician | FT | $811,898 | $262,000 | $1,073,898 |
| John Hamilton Md | Physician | FT | $977,254 | $85,296 | $1,062,550 |
| Lura Lunsford | V.p. Operations | - | $697,278 | $195,845 | $893,123 |
| Trudy Hall Md | V.p. Chief Medical Officer | - | $514,873 | $146,025 | $660,898 |
| Stephanie Gary | CFO | - | $509,284 | $139,419 | $648,703 |
| Bruce Ritchie | Former CFO (thru 01/23) | - | $167,966 | $287,839 | $455,805 |
| Vel Natesan Md | Board Member/physician | - | $63,144 | - | $63,144 |
| Ryan Mclaughlin | Immediate Past Chairperson | - | $22,500 | - | $22,500 |
| Memo Diriker | Chairperson (beg 11/23) | PT | $7,500 | - | $7,500 |
| Name | Title |
|---|---|
| David Rommel | Vice-chairman (beg 11/23) |
| Heidi Anderson | Board Member |
| Herbert J Geary Iii | Board Member |
| Karen Poisker | Board Member |
| Maria Lehman | Board Member |
| Mark Higdon | Board Member |
| Michele Procino-wells | Board Member |
| Thomas Coates | Board Member |
| Timothy Benning Md | Board Member |
| Julius Zant Md | Board Member (beg 01/24) |
| Deborah Abbott | Board Member (thru 12/23) |
| Andrea Williams | Secretary/treasurer (beg 11/23) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Intermed Group | Biomedical Services | 13301 N W HWY 441, Alachua, FL 32615-8512 | $8,078,456 |
| Focusone Solutions LLC | Temporary Labor Services | PO BOX 850861, Minneapolis, MN 55485-0861 | $8,053,588 |
| Epic Systems Corporation | Technical Services | PO BOX 88314, Milwaukee, WI 53288-0314 | $5,887,615 |
| Crothall Services | Environmental Services | 13208 COLLECTIONS CENTER DR, Chicago, IL 60693 | $5,396,101 |
| Apogee Medical Management | Hospitalist Services | 15059 N SCOTTSDALE RD SUITE 600, Scottsdale, AZ 85254 | $4,260,830 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $158,179,555 |
| Other Expenses | $85,122,378 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $129,559,116 | $8,255,234 | - | $137,814,350 |
| Fees for Services Other | $18,317,541 | $1,996,205 | - | $20,313,746 |
| Office Expenses | $860,515 | $6,570,822 | - | $7,431,337 |
| Payroll Taxes | $6,417,192 | $953,481 | - | $7,370,673 |
| Occupancy | $5,496,102 | $196,514 | - | $5,692,616 |
| Other Employee Benefits | $290,231 | $5,389,771 | - | $5,680,002 |
| Pension Plan Contributions | $186,711 | $3,467,346 | - | $3,654,057 |
| Current Officers, Directors, Trustees, and Key Employees | - | $3,402,415 | - | $3,402,415 |
| Depreciation Depletion | $1,939,148 | - | - | $1,939,148 |
| Insurance | $1,575,889 | - | - | $1,575,889 |
| Information Technology | $593,867 | $20,796 | - | $614,663 |
| Comp Disqual Persons | - | $258,058 | - | $258,058 |
| Other Expenses | $184,636 | $2,729 | - | $187,365 |
| Travel | $119,442 | $36,833 | - | $156,275 |
| Total Functional Expenses | $212,745,188 | $30,556,745 | $0 | $243,301,933 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean | Investments | - | 1 | 1 | $100,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | See Below | Services | No | $451,817 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $4,381,073 | $4,503,072 | ▲ $121,999 |
| Liability | Amount |
|---|---|
| Accrued Self-insurance Liabilities | $4,761,481 |
| Section 457(f) Plan Deferred Compensation | $4,408,613 |
| Right of Use - Lease Liability | $1,426,453 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Maryland Health & Higher Education Facilities Authority | 2020-05-13 | $101,939,325 | Refunding & new money, see part vi |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $103,818,788 | - | $4,600,000 | - |
“Business relationships steven leonard, david rommel, memo diriker, ryan mclaughlin and thomas coates are members of the board of directors of peninsula health ventures, a wholly-owned taxable subsidiary of tidalhealth, inc. Stephanie gary, thi's cfo, also serves as secretary/treasurer of peninsula health ventures.”
“Contemporaneous documentation of meetings held/written actions undertaken the governing body of tidalhealth, inc. Documents all meetings held. Committees of the health system also document all meetings held, but do not have the authority to act on behalf of the board. Committee chairs present resolutions to the governing body for approval.”
“Review process of form 990 once the form 990 and all schedules have been prepared by the organization's independent tax services provider, the organization's form 990 is reviewed by the president of the health system prior to filing. A copy of the form 990 was made available to all members of the governing body prior to the filing with irs.”
“Monitoring and enforcement of conflict of interest policy the board of directors are required to disclose annually, in writing, any and all interests which they or any member of their immediate family, may have in any business entity which has or seeks a contractual or competitive relationship with the corporation or any of its affiliates. The board has the authority to determine if a violation has occurred and whether any interest which should be disclosed should disqualify a director from participating in any specific board discussion or board membership. All disclosures are reviewed by the organization's chief compliance officer. Any conflicts are presented to the board. If a person is conflicted, they will recuse themselves from all discussions and deliberations to which they would appear to be conflicted.”
“Process for determining compensation the organization uses a compensation committee to determine the compensation of the ceo/executive director and other key employees. The compensation committee uses an independent consultant, compensation surveys and other organization's form 990 in the determination process.”
“Availability of documents to public the organization's governing documents, conflict of interest policy, financial statements, and form 990 are available to the public upon request to the public information office of tidalhealth peninsula regional at 100 east carroll street, salisbury, md 21801.”
“Changes in pension cost 8,619,239. Decrease in equity in investment in subsidiaries 128,460,814.”
“Intended uses of endowment funds the organization's endowment funds are used for capital, patient services or educational purposes. The health system administers the endowment for the benefit of tidalhealth peninsula regional inc. And tidalhealth foundation.”
“Liability for uncertain tax position (asc 740) the organization is included in the consolidated financial statements of tidalhealth, inc. The relevant text of the income tax footnote from those financials is: the health system has determined there are no material uncertain tax positions that require recognition or disclosure in the consolidated financial statements at june 30, 2024 and 2023.”
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 | 57997620 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 48119017 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 15453065 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 30540660 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | DEAN A SWINGLE DIRECTOR OF FINANCE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3025365203 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 100 EAST CARROLL STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SALISBURY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 21801 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 1 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 95 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 3402415 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3402415 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 258058 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 258058 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 8078456 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 8053588 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 5887615 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 5396101 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 4260830 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 13301 N W HWY 441 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 850861 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 88314 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 13208 COLLECTIONS CENTER DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 15059 N SCOTTSDALE RD SUITE 600 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | ALACHUA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MINNEAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MILWAUKEE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SCOTTSDALE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | AZ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 326158512 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 554850861 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 532880314 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 60693 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 85254 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | INTERMED GROUP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | FOCUSONE SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | EPIC SYSTEMS CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | CROTHALL SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | APOGEE MEDICAL MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | BIOMEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | TEMPORARY LABOR SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | TECHNICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ENVIRONMENTAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | HOSPITALIST SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2276813 |
| IRS990/CYOtherExpensesAmt | 0 | 85122378 |
| IRS990/CYOtherRevenueAmt | 0 | 12095 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 192422716 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -48590309 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 158179555 |
| IRS990/CYTotalExpensesAmt | 0 | 243301933 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 194711624 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1939148 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1939148 |
| IRS990/Desc | 0 | TIDALHEALTH, INC. (THI) OWNS AND INVESTS IN HEALTHCARE ORGANIZATIONS ON THE DELMARVA PENINSULA IN ORDER TO IMPROVE THE HEALTH OF THE CITIZENS OF THE COMMUNITY WE SERVE. THROUGH THI'S DISREGARDED ENTITY SUBSIDIARIES, THE FILING ORGANIZATION OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES AND AN AMBULATORY SURGERY CENTER FOR THE HEALTH SYSTEM. DURING FY24, THE ORGANIZATION PROVIDED PATIENT CARE IN 734,456 PHYSICIAN VISITS AND 5,357 SURGICAL CASES. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 65716273 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 72295644 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 5778 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 212745188 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1996205 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 18317541 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 20313746 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignCountryCd | 0 | CJ |
| IRS990/ForeignFinancialAccountInd | 0 | 1 |
| IRS990/ForeignOfficeInd | 0 | 1 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 51.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 51.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 53.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| 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 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| 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/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 | 97448 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 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 | 75715 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 58529 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 59652 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 69173 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 142322 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 66207 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 67904 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 64078 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 29687 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | STEVEN LEONARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | RYAN MCLAUGHLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MEMO DIRIKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DAVID ROMMEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ANDREA WILLIAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DEBORAH ABBOTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | HEIDI ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | TIMOTHY BENNING MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | THOMAS COATES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | HERBERT J GEARY III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARK HIGDON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARIA LEHMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | VEL NATESAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KAREN POISKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MICHELE PROCINO-WELLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JULIUS ZANT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | LURA LUNSFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | TRUDY HALL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | STEPHANIE GARY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | WILLIAM DORAN DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | STEVEN HEARNE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ZACHARY BAKER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | EMMANUEL NSAH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JOHN HAMILTON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | BRUCE RITCHIE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1182770 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 22500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 7500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 63144 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 817408 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 602369 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 589051 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 1256954 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 1066769 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 1140552 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 1005994 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 998472 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 426118 |
| 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/TitleTxt | 0 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | IMMEDIATE PAST CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHAIRPERSON (BEG 11/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE-CHAIRMAN (BEG 11/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY/TREASURER (BEG 11/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER (THRU 12/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER (BEG 01/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | V.P. OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | V.P. CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | FORMER CFO (THRU 01/23) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1998 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 15 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 194717542 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 15023 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 907 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 20796 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 593867 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 614663 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1575889 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1575889 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 276764 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 276764 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2276813 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2276813 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 411 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 17180941 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 14305768 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 14965202 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 32146143 |
| IRS990/LegalDomicileStateCd | 0 | MD |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 5918 |
| IRS990/LoanOutstandingInd | 0 | 1 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 686576911 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 775585527 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 9105 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 9105 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 518872 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 620860638 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 703289883 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 196514 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 5496102 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 5692616 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 6570822 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 860515 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 7431337 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 808435576 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 870234749 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 137080053 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 5389771 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 290231 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 5680002 |
| IRS990/OtherExpensesGrp/Desc | 0 | DRUGS EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 2 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 3 | DUES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 6541 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 2729 |
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