Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
EIN 54-2046110 • 501(c)3 • Meadowview, VA
Profile
Provide comprehensive primary
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
Liabilities / Revenue
40th percentile
Higher debt load relative to revenue than 40% of similar nonprofits.
Net Margin
34th percentile
Higher net margin than 34% of similar nonprofits.
Top Officer Pay
57th percentile
Higher top officer pay than 57% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
54th percentile
Faster asset growth than 54% of similar nonprofits.
Revenue Growth
67th percentile
Faster revenue growth than 67% of similar nonprofits.
Assets
Up$26,071,628
Up $1,524,781 (+6.2%) from 2024
Liabilities
Up$4,085,692
Up $1,414,789 (+53%) from 2024
Net Assets
Up$21,985,936
Up $109,992 (+0.5%) from 2024
Revenue
Up$21,893,937
Up $3,100,107 (+16%) from 2024
Expenses
Up$21,928,757
Up $3,165,647 (+17%) from 2024
Net Income
Down-$34,820
Down $65,540 (-213%) from 2024
Most recent year
2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Provide comprehensive primary medical care to the communites served.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $9,405,080 | $12,796,728 | ▲ $3,391,648 |
| Cash and Non-Interest-Bearing Accounts | $8,318,788 | $4,506,838 | ▼ $3,811,950 |
| Investments in Publicly Traded Securities | $2,997,385 | $4,364,102 | ▲ $1,366,717 |
| Accounts Receivable | $3,221,918 | $3,703,853 | ▲ $481,935 |
| Inventories for Sale or Use | $220,226 | $364,744 | ▲ $144,518 |
| Prepaid Expenses and Deferred Charges | $193,454 | $193,323 | ▼ $131 |
| Pledges and Grants Receivable | $166,976 | $142,040 | ▼ $24,936 |
| Total Assets | $24,546,847 | $26,071,628 | ▲ $1,524,781 |
| Other Assets Total | $23,020 | - | - |
| Liabilities | |||
| Other Liabilities | $2,001,336 | $3,475,434 | ▲ $1,474,098 |
| Accounts Payable and Accrued Expenses | $669,567 | $610,258 | ▼ $59,309 |
| Total Liabilities | $2,670,903 | $4,085,692 | ▲ $1,414,789 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $21,875,944 | $21,985,936 | ▲ $109,992 |
| Total Net Assets Fund Balance | $21,875,944 | $21,985,936 | ▲ $109,992 |
| Total Liabilities and Net Assets / Fund Balance | $24,546,847 | $26,071,628 | ▲ $1,524,781 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $12,139,717 | $3,272,561 | $15,412,278 |
| Equipment | $50,625 | $1,492,849 | $1,543,474 |
| Land | $606,386 | - | $606,386 |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| Bryan Haynes | CEO | FT | $293,681 | $293,681 |
| Roy Andrews | Doctor | FT | $274,159 | $274,159 |
| Kristin Bresowar | Doctor | FT | $256,927 | $256,927 |
| Andrea Mcclintic | Doctor | FT | $248,002 | $248,002 |
| Edgar Camargo | Doctor | FT | $233,493 | $233,493 |
| Vicente Ortiz | Doctor | FT | $230,423 | $230,423 |
| Name | Title |
|---|---|
| Mike Leake | Chair |
| Jean Chapman | Vice Chair |
| David Vance | Member |
| George Washington | Member |
| Jeff Campbell | Member |
| Norah Nutter | Member |
| Patty Fullen | Member |
| Shane Harris | Member |
| Vickie Davidson | Member |
| Gail Mullins | Secretary |
| Robert Ashley | Treasurer |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $14,785,685 |
| Other Expenses | $7,143,072 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $9,842,700 | $4,151,488 | - | $13,994,188 |
| Fees for Services Other | $506,836 | $434,185 | - | $941,021 |
| Other Employee Benefits | $531,715 | $259,782 | - | $791,497 |
| Information Technology | $314,671 | $262,439 | - | $577,110 |
| All Other Expenses | $234,298 | $169,113 | - | $403,411 |
| Depreciation Depletion | $321,385 | $57,471 | - | $378,856 |
| Occupancy | $275,728 | $74,956 | - | $350,684 |
| Other Expenses | $7,593 | $245,716 | - | $253,309 |
| Interest | - | $96,195 | - | $96,195 |
| Insurance | $15,372 | $65,972 | - | $81,344 |
| Travel | $39,320 | $36,784 | - | $76,104 |
| Office Expenses | $35,272 | $16,136 | - | $51,408 |
| Advertising | $39,002 | $7,249 | - | $46,251 |
| Conferences and Meetings | - | $11,573 | - | $11,573 |
| Total Functional Expenses | $15,620,159 | $6,308,598 | $0 | $21,928,757 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $21,928,757 |
| Total Expenses per Audited Statements | $21,928,757 |
| Total Expenses per Form 990 | $21,928,757 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Secured Notes | $2,841,871 |
| Accrued Compensated Absences | $338,252 |
| Accrued Wages and Salaries | $269,143 |
| Interest Payable | $21,999 |
| Taxes Payable | $4,169 |
“The form 990 is reviewed by the finance committee who then makes a recommendation to the board for approval before it is filed with the irs.”
“The board members are asked about conflicts of interest during discussions about the selection of employees and awards for contract for services.”
“All documents are available for public review during normal business hours.”
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 | 669567 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 610258 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3221918 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3703853 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDE COMPREHENSIVE PRIMARY MEDICAL CARE TO THE COMMUNITES SERVED. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 7249 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 39002 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 46251 |
| IRS990/AllOtherContributionsAmt | 0 | 162301 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 169113 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 234298 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 403411 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | THE ORGANIZATION |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2764964492 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 297 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MEADOWVIEW |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | VA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 24361 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 8318788 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 4506838 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 11573 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 11573 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 9446932 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 320649 |
| IRS990/CYOtherExpensesAmt | 0 | 7143072 |
| IRS990/CYOtherRevenueAmt | 0 | 119602 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 12006754 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -34820 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 14785685 |
| IRS990/CYTotalExpensesAmt | 0 | 21928757 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 21893937 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 57471 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 321385 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 378856 |
| IRS990/Desc | 0 | PROVIDES ACCESS TO AFFORDABLE, QUALITY, COMPREHENSIVE AND PREVENTATIVE HEALTHCARE THAT IS CULTURALLY SENSITIVE FOR ALL INDIVIDUALS OF THE SOUTHWESTERN VIRGINIA AREA, WHILE MAINTAINING PARTNERSHIPS WITH THE COMMUNITY IN ORDER TO ENHANCE ECONOMIC STABILITY AND PROVIDE LOCAL EMPLOYMENT OPPORTUNITIES. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 216 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 15620159 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 434185 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 506836 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 941021 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BRYAN HAYNES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROY ANDREWS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | KRISTIN BRESOWAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ANDREA MCCLINTIC |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | EDGAR CAMARGO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | VICENTE ORTIZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ROBERT ASHLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JEFF CAMPBELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JEAN CHAPMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | VICKIE DAVIDSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | PATTY FULLEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SHANE HARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MIKE LEAKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | GAIL MULLINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | NORAH NUTTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DAVID VANCE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | GEORGE WASHINGTON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 293681 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 274159 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 256927 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 248002 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 233493 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 230423 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/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/TitleTxt | 0 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2002 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | false |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 9284631 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 21893937 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 33 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 262439 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 314671 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 577110 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 65972 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 15372 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 81344 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 96195 |
| IRS990/InterestGrp/TotalAmt | 0 | 96195 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 220226 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 364744 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 320649 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 320649 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 2997385 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 4364102 |
| IRS990/IRPDocumentCnt | 0 | 11 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 4765410 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 9405080 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 12796728 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 17562138 |
| IRS990/LegalDomicileStateCd | 0 | VA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | PROVIDE COMPREHENSIVE PRIMARY MEDICAL CARE TO THE COMMUNITES SERVED. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 21875944 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 21985936 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 144812 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 21875944 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 21985936 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 74956 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 275728 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 350684 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 16136 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 35272 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 51408 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 23020 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 259782 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 531715 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 791497 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | EQUIPMENT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 2 | PATIENT CARE PHARMACEUTIC |
| IRS990/OtherExpensesGrp/Desc | 3 | DUES AND FEES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 77743 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 341796 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 245716 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2994005 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 63970 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 398292 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 7593 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 3071748 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 405766 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 398292 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 253309 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2001336 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 3475434 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 115002 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 4600 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 115002 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 4600 |
| IRS990/OtherRevenueTotalAmt | 0 | 119602 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 4151488 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 9842700 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 13994188 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 166976 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 142040 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 193454 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 193323 |
| IRS990/PrincipalOfficerNm | 0 | BRYAN HAYNES |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 12006754 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 12006754 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 4955860 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 182041 |
| IRS990/PYOtherExpensesAmt | 0 | 5778629 |
| IRS990/PYOtherRevenueAmt | 0 | 109930 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 13545999 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 30720 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 12984481 |
| IRS990/PYTotalExpensesAmt | 0 | 18763110 |
| IRS990/PYTotalRevenueAmt | 0 | 18793830 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -34820 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 12006754 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | MISCELLANEOUS 599,116 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | PART II, LINE 10 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 9446932 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 4955860 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 9695948 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 9078865 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 11091849 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 44269454 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 320649 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 182041 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 116156 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 10261 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 47883 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 676990 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 25662683 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt | 0 | 119602 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 109930 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 268734 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 100850 |
| IRS990ScheduleA/OtherIncome170Grp/TotalAmt | 0 | 599116 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.97200 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.97920 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 44269454 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 9446932 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 4955860 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 9695948 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 9078865 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 11091849 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 44269454 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 45545560 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 12139717 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 3272561 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 15412278 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 50625 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1492849 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 1543474 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 21928757 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 606386 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 606386 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 2841871 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 338252 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 2 | 269143 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 3 | 21999 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 4 | 4169 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | SECURED NOTES |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | ACCRUED COMPENSATED ABSENCES |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 2 | ACCRUED WAGES AND SALARIES |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 3 | INTEREST PAYABLE |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 4 | TAXES PAYABLE |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 21893937 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 12796728 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 21928757 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 3475434 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 21893937 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 21893937 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 21928757 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | false |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | false |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | false |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | false |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | false |
| IRS990/ScheduleJRequiredInd | 0 | true |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 293681 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 274159 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 256927 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 248002 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 4 | 233493 |
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