Liabilities / Assets
80th percentile
Higher debt load relative to assets than 80% of similar nonprofits.
EIN 55-0484469 • 501(c)3 • Spencer, WV
Profile
Roane General Hospital is dedicated to the delivery of high-quality, cost effective health care to all members of our community. The work we do makes a difference in people's lives.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
80th percentile
Higher debt load relative to assets than 80% of similar nonprofits.
Liabilities / Revenue
60th percentile
Higher debt load relative to revenue than 60% of similar nonprofits.
Net Margin
38th percentile
Higher net margin than 38% of similar nonprofits.
Top Officer Pay
80th percentile
Higher top officer pay than 80% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
41st percentile
Faster asset growth than 41% of similar nonprofits.
Revenue Growth
49th percentile
Faster revenue growth than 49% of similar nonprofits.
Assets
Up$51,935,091
Up $1,893,189 (+3.8%) from 2023
Liabilities
Up$33,920,655
Up $382,299 (+1.1%) from 2023
Net Assets
Up$18,014,436
Up $1,510,890 (+9.2%) from 2023
Revenue
Up$66,854,891
Up $4,339,384 (+6.9%) from 2023
Expenses
Up$66,334,151
Up $3,808,602 (+6.1%) from 2023
Net Income
Up$520,740
Up $530,782 (+5286%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Roane General Hospital is dedicated to the delivery of high-quality, cost effective health care to all members of our community. The work we do makes a difference in people's lives.
To promote the general health and welfare of Roane County and surrounding areas and all of the citizens thereof by furthering all legitimate methods for the prevention and treatment of disease and the positive promotion of health, both personal and public, including but not limited to the operation of hospitals, nursing schools, nursing homes and medical research facilities; to foster and conduct education in medicine in all its branches and in those adjacent and kindred arts and sciences such as nursing and technical training which contribute to the diagnosis, treatment, care and prevention of disease.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $31,466,766 | $30,061,142 | ▼ $1,405,624 |
| Savings and Temporary Cash Investments | $5,336,826 | $7,818,155 | ▲ $2,481,329 |
| Accounts Receivable | $7,583,828 | $7,444,093 | ▼ $139,735 |
| Investments in Publicly Traded Securities | $2,053,696 | $2,511,327 | ▲ $457,631 |
| Inventories for Sale or Use | $1,105,750 | $1,126,414 | ▲ $20,664 |
| Prepaid Expenses and Deferred Charges | $201,574 | $205,811 | ▲ $4,237 |
| Cash and Non-Interest-Bearing Accounts | $0 | $1,119 | ▲ $1,119 |
| Total Assets | $50,041,902 | $51,935,091 | ▲ $1,893,189 |
| Other Assets Total | $2,293,462 | $2,767,030 | ▲ $473,568 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $23,888,094 | $22,907,220 | ▼ $980,874 |
| Accounts Payable and Accrued Expenses | $7,554,870 | $8,427,967 | ▲ $873,097 |
| Other Liabilities | $2,095,392 | $2,585,468 | ▲ $490,076 |
| Total Liabilities | $33,538,356 | $33,920,655 | ▲ $382,299 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $16,201,245 | $17,460,131 | ▲ $1,258,886 |
| Net Assets With Donor Restrictions | $302,301 | $554,305 | ▲ $252,004 |
| Total Net Assets Fund Balance | $16,503,546 | $18,014,436 | ▲ $1,510,890 |
| Total Liabilities and Net Assets / Fund Balance | $50,041,902 | $51,935,091 | ▲ $1,893,189 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $21,115,073 | $7,717,840 | $28,832,913 |
| Equipment | $5,885,286 | $19,807,405 | $25,692,691 |
| Other Land Buildings | $2,739,972 | $419,731 | $3,159,703 |
| Land | $320,811 | - | $320,811 |
| Other Assets Org | $700,000 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $245,227 | - | ▲ $97 | - | $245,324 |
| 2022 | $245,130 | - | ▲ $97 | - | $245,227 |
| 2021 | $245,041 | - | ▲ $89 | - | $245,130 |
| 2020 | $244,870 | - | ▲ $171 | - | $245,041 |
| 2019 | $244,490 | - | ▲ $380 | - | $244,870 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Stephen Groves MD | Physician | FT | $649,372 | $71,192 | $720,564 |
| Brent Watson MD | Medical Director | FT | $508,971 | $179,115 | $688,086 |
| Scott Duffy MD | Chief of Med Staff until Sept 2024 | FT | $510,795 | $153,488 | $664,283 |
| Phillip Prusack | Physician | FT | $407,976 | $125,927 | $533,903 |
| Hong-Kin Ng MD | Physician | FT | $313,374 | $143,775 | $457,149 |
| Doug Bentz | CEO/Ex Officio | FT | $371,034 | $78,290 | $449,324 |
| Grant Parkins DO | Chief of Staff and Bd Member as of 9/2024 | FT | $379,078 | $55,975 | $435,053 |
| Grant Parkins DO | Chief of Staff and Bd Member as of 9 | - | $238,343 | $196,710 | $435,053 |
| Richard Bowman MD | Physician | FT | $218,127 | $210,083 | $428,210 |
| Roselyne Knopf MD | Hospitalist | FT | $291,048 | $92,455 | $383,503 |
| Julie Carr MSN | Chief Clinical Officer | FT | $167,922 | $45,306 | $213,228 |
| Amy W Downey CPA MPA | Chief Financial Officer | FT | $146,505 | $34,574 | $181,079 |
| Name | Title |
|---|---|
| Jack D Garrett II | Board President |
| William G Downey Jr | Board Vice President |
| Annie Hedges | Board Member |
| Emily Westfall | Board Member |
| John H Taylor | Board Member |
| Kevin M Gaughan | Board Member |
| Paul Hughes | Board Member |
| R Floyd Bowlby | Board Member |
| Robert E Zdanek | Board Member |
| G Jeanette Atkinson | Board Secretary |
| John A Varda | Board Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| FirstSource Solutions | hospital billing and collection services | 10400 Linn Station Rd Ste 100, Louisville, KY 40223 | $1,980,107 |
| First Settlement Orthopaedics | Orthopaedic physicians | 611 Second Street, Marietta, OH 45750 | $796,200 |
| CPS Solutions LLC | pharmacy, physical therapy and supply ch | 655 Metro Place South Suite 450, Dublin, OH 43017 | $634,064 |
| University Health Associates | nursing and health staffing | PO Box 740, Morgantown, WV 26507 | $398,691 |
| New Era Technology | Technology infrastructure and support | 152 Erskine Lane, Scott Depot, WV 25560 | $334,570 |
| Line Item | Amount |
|---|---|
| Other Expenses | $36,857,967 |
| Salaries, Compensation, and Employee Benefits | $29,476,184 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $14,472,908 | $6,330,467 | - | $20,803,375 |
| Fees for Services Other | $6,532,796 | $3,470,108 | - | $10,002,904 |
| Other Employee Benefits | $3,357,313 | $1,468,493 | - | $4,825,806 |
| Depreciation Depletion | $2,171,543 | $949,836 | - | $3,121,379 |
| Office Expenses | $1,589,371 | $695,193 | - | $2,284,564 |
| All Other Expenses | $1,315,370 | $575,344 | - | $1,890,714 |
| Current Officers, Directors, Trustees, and Key Employees | $1,208,100 | $528,424 | - | $1,736,524 |
| Payroll Taxes | $1,073,072 | $469,363 | - | $1,542,435 |
| Other Expenses | $836,547 | $365,906 | - | $1,202,453 |
| Information Technology | $632,283 | $276,562 | - | $908,845 |
| Insurance | $482,453 | $211,026 | - | $693,479 |
| Interest | - | $584,399 | - | $584,399 |
| Pension Plan Contributions | $395,188 | $172,856 | - | $568,044 |
| Occupancy | $361,484 | $158,114 | - | $519,598 |
| Advertising | $151,238 | $66,152 | - | $217,390 |
| Fees for Services Legal | - | $75,598 | - | $75,598 |
| Travel | $8,470 | $3,705 | - | $12,175 |
| Total Functional Expenses | $49,932,605 | $16,401,546 | $0 | $66,334,151 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $66,334,151 |
| Expenses per Audited Statements | $62,241,978 |
| Total Expenses per Audited Statements | $62,241,978 |
| Expenses Not Reported on Financial Statements | $4,092,173 |
| Other Expense Adjustments | $4,092,173 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| William Downey | Board Member | Employee compensation paid to daughter-in-law, Amy Downey | No | $182,973 |
| William Downey | Board Member | Employee compensation paid to daughter, Heather Downey | No | $91,930 |
| Liability | Amount |
|---|---|
| Third party payor settlements | $2,421,582 |
| Operating Lease Liability | $146,121 |
| Patient funds | $17,765 |
“Board Member William G. Downey is the father-in-law of CFO Amy Downey and another employee on Senior Mgmt, Heather Downey.”
“The corporation has one class of members which consist of (a) the original incorporators of the corporation; (b) each of the corporation's directors; (c) those individual residents of Roane County who are at least 25 years of age and have (i) contributed their time, talent or money to effectuate the purposes of the corporation, (ii) been invited by the Board of Directors of corporation of membership, (iii) received a notice of membership, and (iv) have been appointed as members by the Board of Directors in accordance with the bylaws of the corporation; and (d) who is at least 25 years of age of those companies (including sole proprietorships, partnerships, limited liability companies, and corporations) with their place of business located in Roane County that have (i) contributed their time, talent or money to effectuate the purposes of the corporation, (ii) been invited by the Board of Directors of corporation for a representative of the company identified by the Board of Directors to be a member, (iii) received a notice of membership, and (iv) had such representative approved as a member by the Board of Directors of the corporation in accordance with the bylaws of the corporation. However if such designated member ceases to be affiliated with such company, his membership in the corporation will be automatically revoked. Members of the corporation shall not be entitled to vote on any matter other than (a) election of directors at the annual meeting of the members of the corporation, (b) the removal of directors for cause, (c) the approval of any amendment to the articles of incorporation approved and recommended by the Board of Directors, (d) the amendment or repeal of the corporation's bylaws, and (e) the dissolution and liquidation of the corporation. There are 16 Board of Directors and 36 members that make up the class of members.”
“See line 6 explanation above.”
“The 990 is prepared by our accounting firm who works with the CEO and CFO. Once complete, the 990 is submitted to the CEO for review and approval prior to filing.”
“Board members are required to complete and sign a conflict of interest statement each year sent from either the hospital auditors or from the hospital compliance officer. We monitor compliance by making this part of the annual review of our compliance program.”
“The CEO's salary/benefits are identified in his employment contract and an annual increase is recommended based on comparison data from public records showing other CEO salaries of similar sized hospitals in West Virginia and is approved by the Executive Committee of the Board. The key employee and physician salaries are contract driven and negotiated by the CEO based on market data. All other employees' salaries are based on an annual review ranging from 2-4% (avg. 3%) and reviewed annually against the WVHA salary survey with pay scale market upgrades as appropriate.”
“An annual audited financial statement is published in the local newspaper as required by the Health Care Authority under Public Disclosure requirements. Audited financial statements are also submitted to any financing entities as required.”
“Administrative Purchased Services: Program service expenses 477,873. Management and general expenses 209,022. Fundraising expenses 0. Total expenses 686,895. Billing and Collection Services: Program service expenses 0. Management and general expenses 2,352,094. Fundraising expenses 0. Total expenses 2,352,094. ER Services: Program service expenses 648,826. Management and general expenses 0. Fundraising expenses 0. Total expenses 648,826. Lab Services: Program service expenses 544,059. Management and general expenses 0. Fundraising expenses 0. Total expenses 544,059. Nursing Services: Program service expenses 866,130. Management and general expenses 0. Fundraising expenses 0. Total expenses 866,130. OR Services: Program service expenses 856,450. Management and general expenses 0. Fundraising expenses 0. Total expenses 856,450. Pharmacy Services: Program service expenses 497,565. Management and general expenses 0. Fundraising expenses 0. Total expenses 497,565. Radiology Services: Program service expenses 433,009. Management and general expenses 0. Fundraising expenses 0. Total expenses 433,009. Physical Therapy: Program service expenses 130,720. Management and general expenses 0. Fundraising expenses 0. Total expenses 130,720. Other Purchased Services: Program service expenses 2,078,164. Management and general expenses 908,992. Fundraising expenses 0. Total expenses 2,987,156.”
“Change in interest in net assets of Foundation 197,037.”
“The income is restricted for the purchase of hospital equipment and for hospital operations.”
“The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (IRC) and is recognized as tax exempt under Section 501(a) of the IRC. Accordingly, no provision for income taxes has been provided. Accounting principles generally accepted in the United States of America require the Hospital to evaluate tax positions taken by the Hospital and recognize a tax liability or asset if the Hospital has taken an uncertain position that more likely than not would be sustained upon examination by the Internal Revenue Services (IRS). The Hospital has concluded that as of September 30, 2024 and 2023, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or asset or disclosure in the financial statements. Generally, tax returns for the year ended September 30, 2021, and thereafter remain subject to examination by federal and state tax authorities.”
“Net Assets Released from Restrictions 5,000.”
“Bad debt expense netted with revenue on financial statements 4,092,173. Restricted grant revenue reported on 990 237,566.”
“Bad debt expense netted with revenue on financial statements 4,092,173.”
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 | 7554870 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 8427967 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 7583828 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 7444093 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To promote the general health and welfare of Roane County and surrounding areas and all of the citizens thereof by furthering all legitimate methods for the prevention and treatment of disease and the positive promotion of health, both personal and public, including but not limited to the operation of hospitals, nursing schools, nursing homes and medical research facilities; to foster and conduct education in medicine in all its branches and in those adjacent and kindred arts and sciences such as nursing and technical training which contribute to the diagnosis, treatment, care and prevention of disease. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 66152 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 151238 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 217390 |
| IRS990/AllOtherContributionsAmt | 0 | 52505 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 575344 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1315370 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1890714 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | Amy Downey CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3049276201 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 200 Hospital Drive |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Spencer |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WV |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 25276 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1119 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 24 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 528424 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1208100 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1736524 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1980107 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 796200 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 634064 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 398691 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 334570 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 10400 Linn Station Rd Ste 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 611 Second Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 655 Metro Place South Suite 450 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 740 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 152 Erskine Lane |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Louisville |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Marietta |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Dublin |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Morgantown |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Scott Depot |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | WV |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WV |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 40223 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 45750 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 43017 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 26507 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 25560 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | FirstSource Solutions |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | First Settlement Orthopaedics |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CPS Solutions LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | University Health Associates |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | New Era Technology |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | hospital billing and collection services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Orthopaedic physicians |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | pharmacy, physical therapy and supply ch |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | nursing and health staffing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Technology infrastructure and support |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 304791 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 53702 |
| IRS990/CYOtherExpensesAmt | 0 | 36857967 |
| IRS990/CYOtherRevenueAmt | 0 | 988823 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 65507575 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 520740 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 29476184 |
| IRS990/CYTotalExpensesAmt | 0 | 66334151 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 66854891 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 949836 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2171543 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3121379 |
| IRS990/Desc | 0 | Roane General Hospital generated gross revenue of $136,874,971 of which $75,159,984 was uncollectible due to contractual agreements with Medicare, Medicaid and other third-party payors. Bad debts due to inability or unwillingness of patients to pay amounted to $3,988,206. Additionally, charges for patients meeting 200% of the poverty level and who qualified for charity care were written off totaling $860,664. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | Roane General Hospital |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 302301 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 554305 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 446 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 49932605 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 75598 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 75598 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3470108 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 6532796 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 10002904 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.50 |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | 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/OtherCompensationAmt | 0 | 53889 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 51868 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 52619 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 11964 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 41692 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 51985 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 55975 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 49578 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 29855 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 35106 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 25574 |
| 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/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Brent Watson MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Stephen Groves MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Scott Duffy MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | PHILLIP PRUSACK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Doug Bentz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Hong-Kin Ng MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Grant Parkins DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Richard Bowman MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Roselyne Knopf MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Julie Carr MSN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Amy W Downey CPA MPA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Jack D Garrett II |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | William G Downey Jr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | G Jeanette Atkinson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | John A Varda |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | John H Taylor |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Paul Hughes |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Emily Westfall |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | R Floyd Bowlby |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Robert E Zdanek |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Kevin M Gaughan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Annie Hedges |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 634197 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 668696 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 611664 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 521939 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 407632 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 405164 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 379078 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 378632 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 353648 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 178122 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 155505 |
| 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/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 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/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/TitleTxt | 0 | Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Chief of Med Staff until Sept 2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CEO/Ex Officio |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Chief of Staff and Bd Member as of 9/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Hospitalist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Chief Clinical Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Chief Financial Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Board President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Vice President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Board Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Board Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Board Member |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1966 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -39735 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 252286 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 66894626 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 37 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 276562 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 632283 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 908845 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 211026 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 482453 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 693479 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 584399 |
| IRS990/InterestGrp/TotalAmt | 0 | 584399 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1105750 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1126414 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 93437 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 93437 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 2053696 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2511327 |
| IRS990/IRPDocumentCnt | 0 | 90 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 27944976 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 31466766 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 30061142 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 58006118 |
| IRS990/LegalDomicileStateCd | 0 | WV |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 39735 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 542691 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 542691 |
| IRS990/MissionDesc | 0 | Roane General Hospital is dedicated to the delivery of high-quality, cost effective health care to all members of our community. The work we do makes a difference in people's lives. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 23888094 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 22907220 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 16503546 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 18014436 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -39735 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -39735 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 793113 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 16201245 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 17460131 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 158114 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 361484 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 519598 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 695193 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1589371 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2284564 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2293462 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2767030 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 197037 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1468493 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3357313 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4825806 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Bad debt expense |
| IRS990/OtherExpensesGrp/Desc | 2 | Health care provider ta |
| IRS990/OtherExpensesGrp/Desc | 3 | Other direct expenses |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 365906 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 9896834 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 4092173 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1355462 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 836547 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 9896834 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 4092173 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1355462 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1202453 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2095392 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 2585468 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Cafeteria |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Incentives |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | Rebates |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 336532 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 69657 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 2 | 39943 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 336532 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 69657 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 39943 |
| IRS990/OtherRevenueTotalAmt | 0 | 988823 |
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