Liabilities / Assets
61st percentile
Higher debt load relative to assets than 61% of similar nonprofits.
EIN 58-1519911 • 501(c)3 • Dalton, GA
Profile
We exist to serve people through the ministry of healthcare
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
61st percentile
Higher debt load relative to assets than 61% of similar nonprofits.
Liabilities / Revenue
70th percentile
Higher debt load relative to revenue than 70% of similar nonprofits.
Net Margin
70th percentile
Higher net margin than 70% of similar nonprofits.
Top Officer Pay
44th percentile
Higher top officer pay than 44% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
95th percentile
Faster asset growth than 95% of similar nonprofits.
Revenue Growth
82nd percentile
Faster revenue growth than 82% of similar nonprofits.
Assets
Up$1,256,741,711
Up $411,327,508 (+49%) from 2023
Liabilities
Up$496,011,690
Up $275,017,095 (+124%) from 2023
Net Assets
Up$760,730,021
Up $136,310,413 (+22%) from 2023
Revenue
Up$522,437,101
Up $109,582,506 (+27%) from 2023
Expenses
Up$449,572,509
Up $89,717,818 (+25%) from 2023
Net Income
Up$72,864,592
Up $19,864,688 (+37%) from 2023
Most recent year
2024 • Form 990Summary only. Only limited summary data is available for this year.
As an affiliate of hamilton health care system, hamilton medical center, inc. Supports the system mission of providing leadership, partnerships and seamless resource coordination to meet health care needs that advance the quality and dignity of life.
Hamilton medical center, inc. Operates a 255-bed, acute care hospital, including a 24-hour emergency room in dalton, ga. During the fiscal year ended 09/30/2024, the medical center had 42,549 patient days and 218,186 outpatient visits. Hamilton serves the needs of area residents without discrimination and regardless of ability to pay.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $329,505,333 | $459,164,814 | ▲ $129,659,481 |
| Investments in Publicly Traded Securities | $322,138,260 | $457,907,583 | ▲ $135,769,323 |
| Accounts Receivable | $40,071,832 | $93,383,463 | ▲ $53,311,631 |
| Investments Program Related | $59,524,947 | $90,680,568 | ▲ $31,155,621 |
| Cash and Non-Interest-Bearing Accounts | $15,947,996 | $30,821,477 | ▲ $14,873,481 |
| Prepaid Expenses and Deferred Charges | $22,852,804 | $25,807,865 | ▲ $2,955,061 |
| Investments Other Securities | $24,897,855 | $24,720,395 | ▼ $177,460 |
| Intangible Assets | $250,000 | $23,350,000 | ▲ $23,100,000 |
| Other Notes and Loans Receivable, Net | $14,691,246 | $17,321,115 | ▲ $2,629,869 |
| Savings and Temporary Cash Investments | $8,661,045 | $15,343,231 | ▲ $6,682,186 |
| Inventories for Sale or Use | $6,872,885 | $12,506,571 | ▲ $5,633,686 |
| Total Assets | $845,414,203 | $1,256,741,711 | ▲ $411,327,508 |
| Other Assets Total | $0 | $5,734,629 | ▲ $5,734,629 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $181,596,267 | $395,823,559 | ▲ $214,227,292 |
| Accounts Payable and Accrued Expenses | $38,119,831 | $58,867,399 | ▲ $20,747,568 |
| Unsecured Notes Loans Payable | $0 | $35,000,000 | ▲ $35,000,000 |
| Other Liabilities | $1,278,497 | $6,320,732 | ▲ $5,042,235 |
| Total Liabilities | $220,994,595 | $496,011,690 | ▲ $275,017,095 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $624,419,608 | $760,730,021 | ▲ $136,310,413 |
| Total Net Assets Fund Balance | $624,419,608 | $760,730,021 | ▲ $136,310,413 |
| Total Liabilities and Net Assets / Fund Balance | $845,414,203 | $1,256,741,711 | ▲ $411,327,508 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $274,940,256 | $180,423,251 | $455,363,507 |
| Equipment | $110,595,879 | $251,645,976 | $362,241,855 |
| Land | $51,149,685 | - | $51,149,685 |
| Other Land Buildings | $18,827,706 | - | $18,827,706 |
| Leasehold Improvements | $3,651,288 | $4,796,886 | $8,448,174 |
| Investment Program Related Org | $90,680,568 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Hartley Md | Physician | FT | $456,363 | $347,582 | $803,945 |
| James Turner | Physician | FT | $724,892 | $67,080 | $791,972 |
| Hector Dourron Md | Physician | FT | $455,646 | $307,231 | $762,877 |
| Christopher Delashmitt Md | VP & CMO | FT | $400,362 | $314,366 | $714,728 |
| Lisa Duhaime | Physician | FT | $430,945 | $240,675 | $671,620 |
| Tommy Bledsoe Jr | Phy. Exec. Population Heal | FT | $333,754 | $276,752 | $610,506 |
| Judean Guinn | Vice President | FT | $245,735 | $259,594 | $505,329 |
| Ernaldo Elemento | Vice President | FT | $214,433 | $216,818 | $431,251 |
| Ned Wiggs | Vice President | FT | $222,054 | $177,163 | $399,217 |
| Alfred D Wright | Vice President | FT | $194,702 | $187,173 | $381,875 |
| Name | Title |
|---|---|
| Robert M Chandler | Chairman |
| Jeffrey D Myers | President/CEO |
| Robert H Brooker | Vice Chairman |
| Ayman Rifai Md | Trustee |
| C Celeste Creswell | Trustee |
| Mathew D Smith Md | Trustee |
| Michael D Wilson Md | Trustee |
| Oliver F Cobb | Trustee |
| W Scott Sellers | Trustee |
| Zabdiel Mendez | Trustee |
| Randall F Foster | Assistant Treasurer |
| Julie a Soekoro | CFO/treasurer |
| Robert B Hubbs | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Epic Systems Corporation | Emr | 1979 MILKY WAY, Verona, WI 53593 | $10,302,486 |
| North Georgia Anethesia Services PC | Professional Services | 1200 MEMORIAL DR, Dalton, GA 30720-2529 | $7,417,233 |
| Medix Staffing Solutions | Staffing Services | 222 S RIVERSIDE PLAZA SUITE 2120, Chicago, IL 60606 | $4,204,301 |
| Tu Parks Construction Co | General Contractor | 711 E MAIN ST, Chattanooga, TN 37408 | $3,771,827 |
| Sodexo Operations | Food Services | 915 MEETING ST FL 15 PMB 1500, North Bethesda, MD 20852-2380 | $2,164,841 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Real Estate Commercial | 1 | $1,550,000 | Fair Market Value |
| Total Noncash Contributions | 1 | $1,550,000 | - |
| Line Item | Amount |
|---|---|
| Other Expenses | $238,891,544 |
| Salaries, Compensation, and Employee Benefits | $210,680,965 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $158,831,861 | $8,498,022 | - | $167,329,883 |
| Fees for Services Other | $42,779,303 | $2,820,000 | - | $45,599,303 |
| Depreciation Depletion | $28,787,006 | - | - | $28,787,006 |
| Other Employee Benefits | $23,746,771 | $1,596,755 | - | $25,343,526 |
| Office Expenses | $5,237,229 | $19,191,534 | - | $24,428,763 |
| Occupancy | - | $13,233,257 | - | $13,233,257 |
| Information Technology | $11,629,345 | - | - | $11,629,345 |
| Payroll Taxes | $10,151,556 | $682,600 | - | $10,834,156 |
| Interest | - | $9,272,950 | - | $9,272,950 |
| Insurance | - | $5,457,762 | - | $5,457,762 |
| Pension Plan Contributions | $4,676,940 | $314,482 | - | $4,991,422 |
| Fees for Services Management | - | $3,914,701 | - | $3,914,701 |
| Current Officers, Directors, Trustees, and Key Employees | - | $2,181,978 | - | $2,181,978 |
| Other Expenses | $1,166,500 | - | - | $1,166,500 |
| Fees for Service Investment Mgmnt Fees | - | $1,027,247 | - | $1,027,247 |
| Conferences and Meetings | - | $810,284 | - | $810,284 |
| Fees for Services Legal | - | $642,175 | - | $642,175 |
| Travel | $157,477 | - | - | $157,477 |
| Advertising | - | $100,417 | - | $100,417 |
| Fees for Services Accounting | - | $94,554 | - | $94,554 |
| Total Functional Expenses | $379,733,791 | $69,838,718 | $0 | $449,572,509 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Long-term Lease Liability | $3,685,973 |
| Short-term Lease Liability | $1,363,826 |
| Asset Retirement Obligation | $1,207,413 |
| Minority Interest | $63,520 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Dalton-whitfield County Joint Development Authority | 2017-12-21 | $90,000,000 | Acquire, construct, renovate and equip healthcare facilities |
| B | Dalton-whitfield County Joint Development Authority | 2024-07-31 | $74,625,000 | Acquire, construct, renovate and equip healthcare facilities |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $96,897,633 | - | - | $1,260,588 |
| B | $83,243,667 | - | - | $645,696 |
“The regular trustees of the organization are appointed by the board of trustees of hamilton health care system, inc.”
“Certain capital expenditure and contractual commitment decisions must be subsequently approved by the hamilton health care system board of trustees.”
“The form 990 is prepared by an independent cpa firm and reviewed by executive management. Subsequently, a draft copy of the unfiled form 990 is posted to a secure page on the hamilton health care system website for review and comment by all members of the boad of trustees prior to filing with the internal revenue service.”
“The organization has a clear and detailed conflict of interest policy which establishes a procedure for identifying, reviewing and addressing conflicts of interest. This policy also required each trustee and officer of the organization to annually sign a statement acknowledging receipt of the conflict of interest policy.”
“Under a board resolution, the finance & audit committee of hamilton health care system has the authority to take action on behalf of the board with respect to the compensation of officers and key employees. The finance & audit committee of hamilton health care system maintains minutes of its procedures. On an annual basis the finance & audit committee of hamilton health care system will meet to set the annual compensation of the president/ceo. This action is based on consultation with a third party consulting firm to review the total compensation of the ceo and key employees such that total compensation packages are considered fair market and not excessive.”
“The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request”
“During the year ended september 30, 2024, hamilton health care system, doing business as vitruvian health, completed the purchase of tennova healthcare - cleveland. The facility will be renamed vitruvian health - bradley medical center and is wholly-owned by hamilton medical center as a single member limited liability company. Bradley medical center is a 351-bed regional hospital offering specialized services, including an accredited chest pain center and orthopedic joint center. Vitruvian health is committed to investing in bradley medical center and its associated practices and locations through capital expenditures, expanding and reinforcing clinical capabilities, fortifying recruitment and retention efforts, and maintaining a commitment to providing care close to home. This will expand vitruvian's mission of providing quality healthcare across additional communities, including southeast tennessee.”
“Other: program service expenses 42,779,303. Management and general expenses 2,820,000. Fundraising expenses 0. Total expenses 45,599,303.”
“Distribution to related entity (hpg) 19,035,582. Change in liability claims accrual 4,125,444. Transfer of investment to(from) liability claims trust -1,500,000. Purchase of equity in bradley entities 902,844.”
“Financial statements of hamilton medical center, inc are audited on a consolidated basis to include hamilton ambulatory surgery center, inc. And hamilton physician group, inc, both of which are wholly-owned subsidiaries exempt under section 501(c)(3).”
“Hmc has adopted procedures for determining the existence of uncertain tax positions, and the related timing and amount of their impact on the consolidated financial statements, and determined that there are no uncertain tax positions as of september 30, 2024 and 2023.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 38119831 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 58867399 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 40071832 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 93383463 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | HAMILTON MEDICAL CENTER, INC. OPERATES A 255-BED, ACUTE CARE HOSPITAL, INCLUDING A 24-HOUR EMERGENCY ROOM IN DALTON, GA. DURING THE FISCAL YEAR ENDED 09/30/2024, THE MEDICAL CENTER HAD 42,549 PATIENT DAYS AND 218,186 OUTPATIENT VISITS. HAMILTON SERVES THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 100417 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 100417 |
| IRS990/AllOtherContributionsAmt | 0 | 3952200 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JULIE A SOEKORO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7062782105 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1200 MEMORIAL DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | DALTON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 30720 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 15947996 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 30821477 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 105 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2181978 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2181978 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 810284 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 810284 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 10302486 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 7417233 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 4204301 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 3771827 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 2164841 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1979 MILKY WAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1200 MEMORIAL DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 222 S RIVERSIDE PLAZA SUITE 2120 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 711 E MAIN ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 915 MEETING ST FL 15 PMB 1500 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | VERONA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CHATTANOOGA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | NORTH BETHESDA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 53593 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 307202529 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 60606 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 37408 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 208522380 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | EPIC SYSTEMS CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | NORTH GEORGIA ANETHESIA SERVICES PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MEDIX STAFFING SOLUTIONS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | TU PARKS CONSTRUCTION CO |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | SODEXO OPERATIONS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | EMR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | STAFFING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | GENERAL CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | FOOD SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 7927475 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 22724112 |
| IRS990/CYOtherExpensesAmt | 0 | 238891544 |
| IRS990/CYOtherRevenueAmt | 0 | 9684265 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 482101249 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 72864592 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 210680965 |
| IRS990/CYTotalExpensesAmt | 0 | 449572509 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 522437101 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 28787006 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 28787006 |
| IRS990/Desc | 0 | HAMILTON MEDICAL CENTER, INC. OPERATES A 255-BED, ACUTE CARE HOSPITAL, INCLUDING A 24-HOUR EMERGENCY ROOM, WHICH SERVES THE NEEDS OF RESIDENTS OF THE CITY OF DALTON, WHITFIELD COUNTY AND SURROUNDING AREAS OF NORTHWEST GEORGIA. DURING THE FISCAL YEAR ENDED 09/30/2024, THE MEDICAL CENTER HAD 42,549 PATIENT DAYS AND 218,186 OUTPATIENT VISITS. HAMILTON SERVES THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. ACCORDINGLY, THE HOSPITAL PROVIDED $85,599,887 IN CHARITY CARE AT ESTABLISHED RATES TO PATIENTS UNABLE TO PAY FOR THEIR HEALTH CARE SERVICES THIS FISCAL YEAR. IN ADDITION, CHARGES OF $812,223,576 WERE NOT COLLECTED DUE TO SHORTFALLS FROM MEDICARE AND MEDICAID. AS NOTED IN PART III, LINE 2, VITRUVIAN HEALTH - BRADLEY MEDICAL CENTER BECAME WHOLLY-OWNED BY HAMILTON MEDICAL CENTER AS OF SEPTEMBER 30, 2024 AS A SINGLE MEMBER LIMITED LIABILITY COMPANY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 2422 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 379733791 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 94554 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 94554 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 642175 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 642175 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 3914701 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 3914701 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2820000 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 42779303 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 45599303 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 1027247 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1027247 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/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/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | 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 | 119279 |
| 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 | 109497 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 13002 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 33151 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 53557 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 29904 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 66986 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 66824 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 38072 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 35348 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 73930 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 28014 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 39345 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JEFFREY D MYERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROBERT M CHANDLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ROBERT H BROOKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ROBERT B HUBBS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | AYMAN RIFAI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | W SCOTT SELLERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | OLIVER F COBB |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ZABDIEL MENDEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MICHAEL D WILSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MATHEW D SMITH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | C CELESTE CRESWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JULIE A SOEKORO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | RANDALL F FOSTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CHRISTOPHER DELASHMITT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ERNALDO ELEMENTO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | ALFRED D WRIGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JUDEAN GUINN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | NED WIGGS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MICHAEL HARTLEY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | HECTOR DOURRON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | TOMMY BLEDSOE JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | LISA DUHAIME |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | JAMES TURNER |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 681577 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 377694 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 351971 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 438343 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 332393 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 765873 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 727529 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 536576 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 643606 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 755767 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1554539 |
| 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 | 701558 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 250878 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 60943 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CFO/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | ASSISTANT TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VP & CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHY. EXEC. POPULATION HEAL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1983 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 227555 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 14739862 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 151135 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 227555 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 214466515 |
| IRS990/GrossReceiptsAmt | 0 | 722163754 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 4580719 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 291 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 11629345 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 11629345 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 5457762 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 5457762 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 250000 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 23350000 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 9272950 |
| IRS990/InterestGrp/TotalAmt | 0 | 9272950 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 6872885 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 12506571 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 7756695 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 7756695 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 24897855 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 24720395 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 59524947 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 90680568 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 322138260 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 457907583 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 444 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 436866113 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 329505333 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 459164814 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 896030927 |
| IRS990/LegalDomicileStateCd | 0 | GA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 199726653 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 2707087 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | -158287 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 2574605 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 25805 |
| IRS990/MissionDesc | 0 | AS AN AFFILIATE OF HAMILTON HEALTH CARE SYSTEM, HAMILTON MEDICAL CENTER, INC. SUPPORTS THE SYSTEM MISSION OF PROVIDING LEADERSHIP, PARTNERSHIPS AND SEAMLESS RESOURCE COORDINATION TO MEET HEALTH CARE NEEDS THAT ADVANCE THE QUALITY AND DIGNITY OF LIFE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 624419608 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 760730021 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 14967417 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 14967417 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 4580719 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 4580719 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 40881951 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 624419608 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 760730021 |
| IRS990/NoncashContributionsAmt | 0 | 1550000 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 13233257 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 13233257 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 19191534 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 5237229 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 24428763 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 5734629 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 22563870 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1596755 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 23746771 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 25343526 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 2 | PROVIDER TAX |
| IRS990/OtherExpensesGrp/Desc | 3 | MISCELLANEOUS |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 61135047 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 27206914 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 4227842 |
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