Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
EIN 58-1466368 • 501(c)3 • Winston Salem, NC
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Liabilities / Revenue
20th percentile
Tied with the lowest-debt nonprofits in its peer group.
Net Margin
23rd percentile
Higher net margin than 23% of similar nonprofits.
Top Officer Pay
40th percentile
Higher top officer pay than 40% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
2nd percentile
Faster asset growth than 2% of similar nonprofits.
Revenue Growth
1st percentile
Faster revenue growth than 1% of similar nonprofits.
Assets
Down$7,419,758
Down $4,478,950 (-38%) from 2021
Liabilities
Up$53,943,848
Up $3,792,726 (+7.6%) from 2021
Net Assets
Down-$46,524,090
Down $8,271,676 (-22%) from 2021
Revenue
Down$42,072,647
Down $4,243,241 (-9.2%) from 2021
Expenses
Up$50,344,323
Up $14,259,876 (+40%) from 2021
Net Income
Down-$8,271,676
Down $18,503,117 (-181%) from 2021
Most recent year
2022 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
SEE SCHEDULE O
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $4,107,937 | $3,846,278 | ▼ $261,659 |
| Accounts Receivable | $7,731,532 | $3,472,343 | ▼ $4,259,189 |
| Land, Buildings, and Equipment, Net | $59,239 | $101,137 | ▲ $41,898 |
| Total Assets | $11,898,708 | $7,419,758 | ▼ $4,478,950 |
| Liabilities | |||
| Other Liabilities | $42,048,593 | $53,016,763 | ▲ $10,968,170 |
| Accounts Payable and Accrued Expenses | $8,102,529 | $927,085 | ▼ $7,175,444 |
| Total Liabilities | $50,151,122 | $53,943,848 | ▲ $3,792,726 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-38,252,414 | $-46,524,090 | ▼ $8,271,676 |
| Total Net Assets Fund Balance | $-38,252,414 | $-46,524,090 | ▼ $8,271,676 |
| Total Liabilities and Net Assets / Fund Balance | $11,898,708 | $7,419,758 | ▼ $4,478,950 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $65,337 | $728,349 | $793,686 |
| Other Land Buildings | $35,800 | $2,914 | $38,714 |
| Leasehold Improvements | $0 | $35,334 | $35,334 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mohammad Kasaji | Urgent Care Practitioner Nmg | FT | $256,463 | $146,909 | $403,372 |
| Guangbin Zeng | Urgent Care Practitioner Nmg | FT | $262,121 | $90,248 | $352,369 |
| William Masius | Urgent Care Practitioner Nmg | FT | $249,695 | $62,938 | $312,633 |
| William Jennings | Urgent Care Practitioner Nmg | FT | $240,463 | $70,659 | $311,122 |
| John Holland | Urgent Care Practitioner Nmg | FT | $246,450 | $59,957 | $306,407 |
| Robert Barr Md | Secretary/treasurer | - | - | $468 | $468 |
| Joseph Ely | Vice Chair | - | - | $115 | $115 |
| Name | Title |
|---|---|
| Daniel Murphy Md | Chair |
| Pamela Oliver Md | Evp & Pres Phys Network/trustee |
| Danielle Squires | Trustee |
| Douglas Young Phd | Trustee |
| Eric Eskioglu Md | Trustee (until 12/9/2022) |
| Fred Hargett | Evp & CFO |
| Geoffrey Gardner | Fmr SVP (see Schedule O) |
| Marty Lambeth | Fmr VP (see Schedule O) |
| John Howard | SVP & COO Physician Network |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Novant Health Gohealth Urgent Care LLC | Management Services | 5555 GLENRIDGE CONNECTOR STE 700, Atlanta, GA 30342 | $44,572,402 |
| Magnolia Construction LLC | Construction Services | 514 S STRATFORD ROAD STE 140, Winstonsalem, NC 27103 | $314,432 |
| Line Item | Amount |
|---|---|
| Other Expenses | $36,569,723 |
| Salaries, Compensation, and Employee Benefits | $13,774,600 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Management | - | $36,000,000 | - | $36,000,000 |
| Other Salaries and Wages | $11,567,527 | - | - | $11,567,527 |
| Other Employee Benefits | $969,693 | - | - | $969,693 |
| Payroll Taxes | $817,173 | - | - | $817,173 |
| Pension Plan Contributions | $420,207 | - | - | $420,207 |
| Insurance | $113,507 | $8,544 | - | $122,051 |
| Occupancy | $82,933 | - | - | $82,933 |
| Office Expenses | $69,501 | $9,476 | - | $78,977 |
| Travel | $64,171 | - | - | $64,171 |
| Fees for Services Other | $15,205 | - | - | $15,205 |
| Conferences and Meetings | $15,028 | - | - | $15,028 |
| Depreciation Depletion | $9,750 | - | - | $9,750 |
| Other Expenses | $4,804 | - | - | $4,804 |
| All Other Expenses | $2,146 | $114 | - | $2,260 |
| Information Technology | $2,125 | - | - | $2,125 |
| Total Functional Expenses | $14,326,189 | $36,018,134 | $0 | $50,344,323 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $52,728,337 |
| Patient Refunds | $288,426 |
“Novant health-gohealth urgent care, llc ("manager") was formed to develop, outfit and manage certain urgent care practices of the filing organization carolina medicorp enterprises, inc. ("cme"). Cme retains operational control of exempt clinical operations and the provision of professional medical services. The manager is responsible for certain management and administrative services including non-clinical operational oversight, strategic planning, utilization review and quality assurance, marketing and branding, financial management including accounting, budget preparation, billing and collections, provider contracting and credentialing, facilities and information technology management, regulatory and risk management, contracting/purchasing services, and recruitment/personnel staffing services. No current or former officers, directors, trustees, key employees or highest compensated employees were compensated by the management company during the year.”
“Form 990, part vi, section a, line 6: classes of members or stockholders the corporation is a nonprofit corporation with members (or a member). Members have certain rights subject to the powers reserved by novant health, inc.”
“Form 990, part vi, section a, line 7a: election of members and their rights the board of novant health, inc. Appoints the carolina medicorp enterprise trustees.”
“Form 990, part vi, section a, line 7b: decisions subject to approval of members the board of novant health, inc. Approves changes to the bylaws.”
“Form 990, part vi, section b, line 11: organization's process to review form 990 the board has delegated review of the form 990 to novant health's board of trustees' audit and compliance committee ("the committee"), which oversees tax matters for entities in the novant health system. The committee is the review body for all of the form 990s filed for organizations within the novant health system. The committee meets before the form 990s are filed with the irs and after all board members have been provided a paper or electronic copy of the form 990 and a summary of its contents. The vice president of tax and legal counsel for novant health attend the meeting to answer any questions and address any significant disclosures within the form 990.”
“Form 990, part vi, section b, line 12c: monitoring and enforcement of coi the organization's trustee conflict of interest policy applies to all trustees, principal officers or members of a committee with board delegated powers including any applicable disregarded entities. All trustees are sent an annual disclosure questionnaire. The trustee annual disclosure questionnaires are reviewed by the compliance department. With respect to particular transactions that come before the board, the conflict of interest policy would be followed. The potential conflict of interest would be disclosed by the board member before a vote on the transaction and the rest of the board would determine whether a conflict of interest exists. If the rest of the board determined that a conflict of interest existed then the board member with the conflict of interest would not participate in the deliberations and vote.”
“Form 990, part vi, section b, line 15a/15b: the filing organization is an integral part of novant health, an integrated healthcare system collectively referred to as "novant health." novant health, inc. Is the parent organization and independent and disinterested members of the novant health, inc. Board of trustees (who comprise the compensation and leadership committee of the board) review, approve, and oversee all aspects of compensation and benefits for certain leaders and executives ("executives") serving as officers, including the top management official, or key employees for novant health entities. The committee works with an independent compensation consultant and uses third party comparability data for functionally similar positions at similarly situated organizations to ensure that total compensation and benefits for each executive is reasonable for that executive's position. The committee reviews and approves executive compensation and benefits annually, consistent with the written executive compensation philosophy of novant health, and in a manner that qualifies for the rebuttable presumption of reasonableness, thereby assuring that total compensation and benefits provided to each executive is reasonable.”
“Form 990, part vi, section c, line 19: governing documents disclosure the audited consolidated financial statements containing all organizations in the novant health system are posted to the novant health website. The governing documents and conflict of interest policy are not available to the public.”
“Upon internal analysis, we have determined two individuals that should not have been reported as key employees on prior forms 990, thus they are now disclosed as former key employees.”
“Carolina medicorp enterprises doing business as novant health-gohealth urgent care, is an integral part of the novant health system (collectively known as "novant health"), a not-for-profit integrated group of hospitals, physician clinics, outpatient centers and other healthcare service providers. The novant health network consists of more than 1,800 physicians and over 35,000 team members that provide care at nearly 800 locations, including 15 medical centers and hundreds of outpatient facilities and physician clinics. Headquartered in winston-salem, north carolina, novant health is committed to making healthcare remarkable for patients and communities providing nearly six million patient visits annually. In 2022, the novant health system reported $7.6 billion in revenues. General information novant health-gohealth urgent care provides provider and other clinical support to the joint venture operations of novant health-gohealth urgent care which operates multiple clinics providing urgent care and occupational medicine services in north carolina. Novant health-gohealth urgent care offers extended office hours and dependable medical coverage for unexpected health needs, minor medical emergencies and basic family medicine services. Each clinic provides medical care in local neighborhoods and communities, collectively working together to improve the practice of medicine. In addition to our quality of services and comprehensive categories of services, we are very proud of our patient financial assistance program. We work with patients to help qualify them for public assistance, establish a reasonable payment plan, discount their bill, or provide free care for those that qualify for financial assistance. By bringing together world-class technology and clinicians to provide quality care, we are committed to creating a healthcare experience that is simpler, more convenient and more affordable so patients can focus on getting better and staying healthy. New technology & services we continue to leverage mobile technology as patients at novant health-gohealth urgent care facilities are able to check-in and register online, view current wait times and search for same day or future appointments that are convenient for the patient. We also expanded services to include virtual visits for the north carolina community, so patients have access to the same quality of care from the comfort of their own home. All novant health-gohealth urgent care centers offer on-site laboratory and x-ray services. Current novant health patients will enjoy the same integrated electronic health records, with full access to novant health's online portal, mychart, as they do throughout the novant health network. Novant health-gohealth urgent care accepts most commercial insurance plans, as well as medicare and medicaid. Every novant health-gohealth urgent care is accredited through the urgent care association. Accreditation novant health-gohealth urgent care is fully accredited through the urgent care association. Community benefit report https://www.novanthealth.org/about/community/community-health-needs/ the community benefit report, referred to as a community impact report, prepared by novant health is a system-wide report that includes qualitative and quantitative information. Please note that the numeric data in this report is not based upon the form 990, schedule h criteria, but rather it has been prepared in accordance with the north carolina healthcare association reporting guidelines. It should not be relied upon as the organization's form 990, schedule h community benefit report, its community health needs assessment or community benefit implementation strategy. In this report, the novant health system's community benefit was approximately $1,566,000,000, including $213,000,000 in financial assistance for 2022.”
“Mission novant health exists to improve the health of our communities, one person at a time. Vision we, the novant health team, will deliver the most remarkable patient experience, in every dimension, every time. Values -compassion: we treat our customers and their families, staff and other healthcare providers as family members with kindness, patience, empathy and respect. -diversity and inclusion: we recognize that every person is different, each shaped by unique life experiences. This enables us to better understand each other and our customers. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. -personal excellence: we strive to grow personally and professionally and approach each service opportunity with a positive, flexible attitude. Honesty and personal integrity guide all we do. -teamwork: the needs and expectations of any one customer are greater than what one person's service efforts can satisfy. We support each other so that together as a team, we can be successful in the eye of the customer as a quality service provider. -courage: we act boldly in making the changes necessary to achieve our mission, vision and promise of delivering remarkable healthcare. -safety: we embrace a culture in which "first, do no harm" is the foundation of remarkable healthcare. Our work environment is one of open communication, high-reliability, and a relentless quest toward zero events of preventable harm. Our people we are an inclusive team of purpose-driven people inspired and united by our passion to care for each other, our patients and our communities. We always remember, our business is the care of all people, starting with our team members. Our promise we are relentlessly pursuing remarkable care every day - so you can expect the compassionate, expert, personal experience you deserve.”
“Part x, line 2: liability under fin 48 (asc 740) footnote the audit for novant health and its affiliates is prepared on a consolidated basis. The company is required to evaluate uncertain tax positions. This evaluation includes a quantification of tax risk in areas such as unrelated business taxable income and the taxation of our for-profit subsidiaries. This evaluation did not have a material effect on the company's consolidated statements of operations and changes in net assets for the years ended december 31, 2022 and 2021.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/Desc | 0 | CAROLINA MEDICORP ENTERPRISES, INC. (CME) IS MADE UP OF QUALITY PHYSICIANS IN A VARIETY OF PRIMARY AND SPECIALTY AREAS PROVIDING GENERAL MEDICAL AND OCCUPATIONAL MEDICINE SERVICES. CME EXISTS TO ADVANCE AND SUPPORT THE PROMOTION OF THE HEALTH OF THE INHABITANTS OF FORSYTH COUNTY, NC AND SURROUNDING AREAS THROUGH THE OPERATION OF URGENT AND OCCUPATIONAL CARE CENTERS AND THE OPERATION OF PRIMARY AND SPECIALTY PHYSICIAN PRACTICES. CME HAD 255,234 OUTPATIENT ENCOUNTERS IN 2022. |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 51291 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 125591 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 34307 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ERIC ESKIOGLU MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | PAMELA OLIVER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ROBERT BARR MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JOSEPH ELY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DANIEL MURPHY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DANIELLE SQUIRES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DOUGLAS YOUNG PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | FRED HARGETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN HOWARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MOHAMMAD KASAJI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | GUANGBIN ZENG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | WILLIAM MASIUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JOHN HOLLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | WILLIAM JENNINGS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | GEOFFREY GARDNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MARTY LAMBETH |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 347576 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 304753 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 273600 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 271869 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 259831 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1748678 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 1304291 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 468 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 115 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 2355664 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 865155 |
| 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 | 917398 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 630180 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TRUSTEE (UNTIL 12/9/2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | EVP & PRES PHYS NETWORK/TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | EVP & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | SVP & COO PHYSICIAN NETWORK |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | URGENT CARE PRACTITIONER NMG |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | URGENT CARE PRACTITIONER NMG |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | URGENT CARE PRACTITIONER NMG |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | URGENT CARE PRACTITIONER NMG |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | URGENT CARE PRACTITIONER NMG |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | FMR SVP (SEE SCHEDULE O) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | FMR VP (SEE SCHEDULE O) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1981 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 42072647 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 50 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2125 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2125 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 8544 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 113507 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 122051 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 7510 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 7510 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 766597 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 59239 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 101137 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 867734 |
| IRS990/LegalDomicileStateCd | 0 | NC |
| 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/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -38252414 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -46524090 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -38252414 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -46524090 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 82933 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 82933 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 9476 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 69501 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 78977 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 969693 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 969693 |
| IRS990/OtherExpensesGrp/Desc | 0 | CONTRACT LABOR |
| IRS990/OtherExpensesGrp/Desc | 1 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 2 | TRAINING & EDUCATION |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 100738 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 56258 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 15423 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 4804 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 100738 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 56258 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 15423 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 4804 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 42048593 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 53016763 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS REVENUE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 2432 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 2432 |
| IRS990/OtherRevenueTotalAmt | 0 | 2432 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 11567527 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 11567527 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 817173 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 817173 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 420207 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 420207 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | CARL ARMATO |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621111 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | VALUE BASED INCENTIVE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 42058267 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 4438 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 42058267 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 4438 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 739108 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 1300 |
| IRS990/PYInvestmentIncomeAmt | 0 | 90 |
| IRS990/PYOtherExpensesAmt | 0 | 22050230 |
| IRS990/PYOtherRevenueAmt | 0 | 207214 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 45369476 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 10231441 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 14032917 |
| IRS990/PYTotalExpensesAmt | 0 | 36084447 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 46315888 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -8271676 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 42062705 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | MISCELLANEOUS INCOME - 2018 AMOUNT: $ 917. 2019 AMOUNT: $ 2,880. 2022 AMOUNT: $ 2,432. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 739108 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 739108 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 7510 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 207214 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 272153 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 689663 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 1176540 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 42062705 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 45369476 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 32463800 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 24609085 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 36955336 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 181460402 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 7510 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 207214 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 272153 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 689663 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 1176540 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00640 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00670 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 2432 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2880 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 917 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 6229 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99360 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99330 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 182199510 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 42062705 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 46108584 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 32463800 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 24609085 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 36955336 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 182199510 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 42072647 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 46315798 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 32735953 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 25301628 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 36956253 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 183382279 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 65337 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 728349 |
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