Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
990 • Fiscal year 2016 • EIN 61-0523298
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
Liabilities / Revenue
39th percentile
Higher debt load relative to revenue than 39% of similar nonprofits.
Net Margin
74th percentile
Higher net margin than 74% of similar nonprofits.
Top Officer Pay
6th percentile
Higher top officer pay than 6% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
58th percentile
Faster asset growth than 58% of similar nonprofits.
Revenue Growth
35th percentile
Faster revenue growth than 35% of similar nonprofits.
Assets
Up$102,651,308
Up $3,278,788 (+3.3%) from 2015
Net Assets
Up$86,324,388
Up $4,596,326 (+5.6%) from 2015
Liabilities
Down$16,326,920
Down $1,317,538 (-7.5%) from 2015
Revenue
Down$42,985,681
Down $637,522 (-1.5%) from 2015
Expenses
Up$38,389,355
Up $1,001,525 (+2.7%) from 2015
Net Income
Down$4,596,326
Down $1,639,047 (-26%) from 2015
To provide quality medical healthcare to the grayson county, kentucky area.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Other Notes and Loans Receivable, Net | $35,339,205 | $38,707,915 | ▲ $3,368,710 |
| Land, Buildings, and Equipment, Net | $33,400,165 | $31,405,349 | ▼ $1,994,816 |
| Cash and Non-Interest-Bearing Accounts | $19,992,475 | $22,244,841 | ▲ $2,252,366 |
| Accounts Receivable | $6,093,303 | $6,075,532 | ▼ $17,771 |
| Investments in Publicly Traded Securities | $2,410,889 | $1,920,108 | ▼ $490,781 |
| Inventories for Sale or Use | $1,628,952 | $1,844,239 | ▲ $215,287 |
| Prepaid Expenses and Deferred Charges | $507,531 | $453,324 | ▼ $54,207 |
| Total Assets | $99,372,520 | $102,651,308 | ▲ $3,278,788 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $12,237,903 | $11,264,742 | ▼ $973,161 |
| Accounts Payable and Accrued Expenses | $4,053,060 | $3,667,604 | ▼ $385,456 |
| Other Liabilities | $1,353,495 | $1,394,574 | ▲ $41,079 |
| Total Liabilities | $17,644,458 | $16,326,920 | ▼ $1,317,538 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $81,728,062 | $86,324,388 | ▲ $4,596,326 |
| Total Net Assets Fund Balance | $81,728,062 | $86,324,388 | ▲ $4,596,326 |
| Total Liabilities and Net Assets / Fund Balance | $99,372,520 | $102,651,308 | ▲ $3,278,788 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $23,490,442 | $18,862,834 | $42,353,276 |
| Equipment | $6,023,964 | $17,106,248 | $23,130,212 |
| Other Land Buildings | $1,146,714 | $1,632,401 | $2,779,115 |
| Land | $744,229 | - | $744,229 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Catherine D Clemons | Chief Operat | FT | $133,036 | $18,000 | $151,036 |
| Catherine D Clemons | Chief Operating Offi | - | $133,036 | $18,000 | $151,036 |
| Richard Donovan | Pharmacist | FT | $121,193 | $18,000 | $139,193 |
| Angela Gibson | Pharmacist | FT | $136,450 | - | $136,450 |
| David Logsdon | Chief Nursin | FT | $124,051 | $6,989 | $131,040 |
| Anita Pleacher | Pharmacist | FT | $127,947 | $1,279 | $129,226 |
| Name | Title |
|---|---|
| Becky Miller | Director |
| David Downs | Director |
| Edwin Mckinney | Director |
| Ian Nunnally Md | Director |
| Kevin Brooks | Director |
| L Brett Abney Od | Director |
| Larry Perkins | Director |
| Linda French | Director |
| Ron Tyrer | Director |
| Tarek El-masri Md | Director |
| Trevor Ray | Director |
| Scott Arndell | CFO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Alliant Management Services | Facility Mgmt C | PO BOX 35070, Louisville, KY 40232 | $695,512 |
| Laboratory Corporation | Professional Se | PO BOX 12140, Burlington, NC 27216 | $657,228 |
| Kentucky Hospital Insurance Program | Managment Servi | 2501 NELSON MILLER PARKWAY, Louisville, KY 40223 | $531,476 |
| The Morris Center For Sports Medicin | Professional Se | PO BOX 6890, Evansville, IN 47719 | $417,026 |
| Proassurance Casualty Company | Professional Se | PO BOX 952295, Dallas, TX 75395-2295 | $369,343 |
| Line Item | Amount |
|---|---|
| Other Expenses | $26,113,154 |
| Salaries, Compensation, and Employee Benefits | $12,276,201 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $10,234,228 | $2,041,973 | - | $12,276,201 |
| All Other Expenses | $5,459,109 | - | - | $5,459,109 |
| Depreciation Depletion | $2,647,655 | $344,722 | - | $2,992,377 |
| Other Expenses | $1,160,768 | $11,099,528 | - | $1,160,768 |
| Interest | - | $468,245 | - | $468,245 |
| Total Functional Expenses | $24,434,887 | $13,954,468 | $0 | $38,389,355 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $42,233,257 |
| Total Expenses per Form 990 | $38,389,355 |
| Expenses per Audited Statements | $38,307,142 |
| Expenses Not Reported on Form 990 | $3,926,115 |
| Expenses Not Reported on Financial Statements | $82,213 |
| Other Expense Adjustments | $82,213 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Isaac Miller | Son of Director | Physician Assist Pro | No | $175,000 |
| Dr Tarek El-masri | Director | Rent of Pharmacy Spa | No | $52,524 |
| - | Director | Rent of Office Space | No | $37,884 |
| - | Director | Purchase of Bldg Mat | No | $3,669 |
| Liability | Amount |
|---|---|
| Capital Lease | $1,176,231 |
| Long-term Debt | $218,343 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Grayson County Public Hospital Dist | 2014-08-28 | $9,970,000 | Refund existing 2009 bond issue. |
| A | Grayson County Public Hospital Dist | 2007-04-15 | $5,930,000 | Refund existing 1978, 1993 & 1999 bonds and surgery department renovation |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $9,970,000 | - | $200,000 | $131,358 |
| A | $5,755,733 | - | $4,435,258 | $118,395 |
“The chief executive officer and chief financial officer of the hospital are employed by alliant management services and are responsible for controlling management duties.”
“The organization has stockholders. Each share of stock is valued at 25. Stockholders must be at least 18 years old and a resident of grayson county, kentucky.”
“Nine members of the board of directors are elected by the stockholders and the other member is the president of the medical staff (whom is voted on by the medical staff).”
“The form 990 is submitted to the governing board for review and approval before it is filed with the internal revenue service.”
“Corporate compliance requires each employee and board member to update and sign off on a conflict of interest policy on an annual basis.”
“Alliant management services, acting as the management company, brings comparable national data to the board of directors for the board to determine what compensation is to be paid.”
“Alliant management services, acting as the management company, brings comparable national data to the board of directors for the board to determine what compensation is to be paid.”
“Governing documents are made available upon request.”
“The twin lakes regional medical center (tlrmc) hospital auxiliary exists to support tlrmc in meeting the health care needs of the people it serves in the most caring, compassionate, and effective manner possible. The volunteers support the emotional well-being of the patients utilizing the hospital's services. They provide a friendly, caring and helpful atmosphere for patients and their families, and the hospital staff. Duties include staffing the information desk in the main lobby, providing general hospital information and directions to patients and the public, providing escorts when needed, and delivering flowers to patients. They volunteer in the specialty clinic, outpatient surgery and emergency department. The volunteers operate the gift shop located in the hospital. They make sock monkeys and other stuffed animals for children coming to the hospital. The animals are given to the young patients and their families at no charge. The volunteers raise the money needed to purchase any supplies and donate materials in addition to their time and talents. They give flowers to hospitalized patients on certain holidays and make "santa going home" outfits for all babies born at the hospital in december. The auxiliary has donated thousands of dollars in equipment to the hospital throughout the years.”
“Additional charges are written off due to arrangements with medicare, medicaid, and other third parties. The total unreimbursed charges forgone in fiscal year 2016 due to contractual agreements with payers amounted to 89,190,839. Also, 696,857 was paid as a "provider tax" to the commonwealth of kentucky to help defray the costs of covering indigent patients under a special state program. Write-offs from patients "unwilling" to pay - i.e. Bad debts - accounted for 4,163,652. The primary mission of twin lakes regional medical center is to heal the sick, relieve pain and suffering, and improve the quality of life for the people we serve. Tlrmc's vision is to be recognized by the people we serve as the provider of choice for their health care needs and as a leading force for progressive change within our community. To enhance quality, the hospital actively operates a performance improvement program which helps identify better patient care as well as efficiencies in operations. To enhance our community, tlrmc proves to be a driving force in change by educating the community on health & wellness issues and by recognizing community needs and working to fulfill those needs. The hospital cared for 2,314 inpatients and 94,937 outpatients. To assist those patients with limited resources, tlrmc also offers a patient financial assistance program. There are several options for patients who are uninsured or underinsured, and tlrmc's patient financial services department educates the patients of the different programs. Based on the results of our latest community health needs assessment (chna), twin lakes regional medical center created the population health committee. This group is made up of hospital employees and representatives from the local health department, school system, local factories, extension service leaders, government officials and others. The committee meets monthly at the hospital and led the effort to get a smoke free community ordinance passed. The group is now working on making positive differences in the health of our community in such topics as diabetes, exercise, nutrition and general health. The hospital partnered with the university of kentucky cooperative extension service and hosted a local farmer's market on the hospital campus. Time and some advertising budget were given to promoting this effort to support local farmers and to make fresh vegetables more readily available to the community. The hospital provided free meeting space to several groups throughout the year and several classes were sponsored by the hospital that educated interested community residents on health & wellness issues. They include: a. C.p.r. To healthcare providers and to the community b. Prepared childbirth and breast feeding classes c. Countywide baby shower in grayson county - provides information to women who are pregnant or want to become pregnant d. Community-wide baby shower in breckinridge county - provides information to women who are pregnant or want to become pregnant e. Sponsors the american red cross blood mobile two or three times each year f. Provided health information at the relay for life g. Participated in united way meetngs h. Cpr classes at crosspoint church in leitchfield upon request, the hospital also participates in local education by providing hospital employees as speakers for classrooms or civic organizations such as the following examples: i. Participated in operation preparation j. Assisted in providing translation services k. Participated in wilkey elementary health fair and career day l. Participated in mid-park health fair m. Participated in plastikon health fair n. Participated in health fair at hardinsburg elementary school o. Participated in nutrition day at clarkson elementary school p. Provided speakers for many health fairs, schools, and community events q. Participated in caneyville elementary school health fair in addition to serving our local community needs, tlrmc has also taken on measures to improv”
“Medical & surgical 929,063 0 0 materials management 886,297 0 0 surgery 780,417 0 0 physical therapy 715,602 0 0 wound care 470,372 0 0 emergency room 359,176 0 0 radiology 314,504 0 0 nuclear medicine 147,049 0 0 pain management 125,760 0 0 mri 123,173 0 0 sleep center 119,696 0 0 respiratory therapy 113,466 0 0 obstetrics 81,715 0 0 anesthesiology 80,546 0 0 ct scans 71,836 0 0 intensive care 70,148 0 0 specialty clinic 23,601 0 0 infusion center 19,201 0 0 cardiac 13,529 0 0 use of donated items 12,939 0 0 occupational therapy 872 0 0 fitness center 147 0 0”
“Value of donated items -12,939 donated services -69,274 operating loss reported under id 61-1269278 -3,926,115 donated services 69,274 use of donated items 12,939 total -3,926,115”
“The hospital as well as the foundation are not-for-profit corporations as described in section 501(c)(3) of the internal revenue code and are exempt from federal and state income taxes on related income pursuant to section 501(a) of the code. Accordingly, no provision for income taxes has been reflected in the hospital's financial statements. Management is not aware of any activity within the hospital or foundation during the current or prior reporting periods that would jeopardize or otherwise call into question the hospital or foundation's compliance with the above internal revenue code section. The organization's federal return of organization exempt from income tax (form 990) for fiscal years 2014, 2015 and 2016 are subject to examination by the internal revenue service for three years after they were filed. Currently, the hospital and foundation have no reporting requirements with any state or local tax jurisdictions. The hospital has investment interest in three companies as described in note 8. The hospital believes that it has appropriate support for any tax positions taken, and as such, does not have any uncertain tax positions that are material to the financial statements. The hospital and foundation's policy for recording any tax related interest and penalties is to recognize these items as operating expenses; however, none were incurred or recorded during the current or prior open operating periods.”
“Value of donated items 12,939 donated services 69,274”
“Operating loss reported under id 61-1269278 3,926,115”
“Donated services 69,274 use of donated items 12,939”
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 | TWIN LAKES REGIONAL MEDICAL CENTER PROVIDES QUALITY MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR THE ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND FINANCIAL STABILITY OF TWIN LAKES REGIONAL MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF THIS AREA, THE HOSPITAL PROVIDES FREE CARE TO THE MOST INDIGENT OF PATIENTS AND WRITES OFF PORTIONS OF BILLS TO OTHER PATIENTS WHO HAVE DEMONSTRATED THE INABILITY TO PAY FOR ALL HEALTH CARE SERVICES RECEIVED. ADDITIONAL CHARGES ARE WRITTEN OFF DUE TO ARRANGEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD PARTIES. THE TOTAL UNREIMBURSED CHARGES FORGONE IN FISCAL YEAR 2016 DUE TO CONTRACTUAL AGREEMENTS WITH PAYERS AMOUNTED TO 89,190,839. ALSO, 696,857 WAS PAID AS A "PROVIDER TAX" TO THE COMMONWEALTH OF KENTUCKY TO HELP DEFRAY THE COSTS OF COVERING INDIGENT PATIENTS UNDER A SPECIAL STATE PROGRAM. WRITE-OFFS FROM PATIENTS "UNWILLING" TO PAY - I.E. BAD DEBTS - ACCOUNTED FOR 4,163,652. THE PRIMARY MISSION OF TWIN LAKES REGIONAL MEDICAL CENTER IS TO HEAL THE SICK, RELIEVE PAIN AND SUFFERING, AND IMPROVE THE QUALITY OF LIFE FOR THE PEOPLE WE SERVE. TLRMC'S VISION IS TO BE RECOGNIZED BY THE PEOPLE WE SERVE AS THE PROVIDER OF CHOICE FOR THEIR HEALTH CARE NEEDS AND AS A LEADING FORCE FOR PROGRESSIVE CHANGE WITHIN OUR COMMUNITY. TO ENHANCE QUALITY, THE HOSPITAL ACTIVELY OPERATES A PERFORMANCE IMPROVEMENT PROGRAM WHICH HELPS IDENTIFY BETTER PATIENT CARE AS WELL AS EFFICIENCIES IN OPERATIONS. TO ENHANCE OUR COMMUNITY, TLRMC PROVES TO BE A DRIVING FORCE IN CHANGE BY EDUCATING THE COMMUNITY ON HEALTH & WELLNESS ISSUES AND BY RECOGNIZING COMMUNITY NEEDS AND WORKING TO FULFILL THOSE NEEDS. THE HOSPITAL CARED FOR 2,314 INPATIENTS AND 94,937 OUTPATIENTS. TO ASSIST THOSE PATIENTS WITH LIMITED RESOURCES, TLRMC ALSO OFFERS A PATIENT FINANCIAL ASSISTANCE PROGRAM. THERE ARE SEVERAL OPTIONS FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED, AND TLRMC'S PATIENT FINANCIAL SERVICES DEPARTMENT EDUCATES THE PATIENTS OF THE DIFFERENT PROGRAMS. BASED ON THE RESULTS OF OUR LATEST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), TWIN LAKES REGIONAL MEDICAL CENTER CREATED THE POPULATION HEALTH COMMITTEE. THIS GROUP IS MADE UP OF HOSPITAL EMPLOYEES AND REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT, SCHOOL SYSTEM, LOCAL FACTORIES, EXTENSION SERVICE LEADERS, GOVERNMENT OFFICIALS AND OTHERS. THE COMMITTEE MEETS MONTHLY AT THE HOSPITAL AND LED THE EFFORT TO GET A SMOKE FREE COMMUNITY ORDINANCE PASSED. THE GROUP IS NOW WORKING ON MAKING POSITIVE DIFFERENCES IN THE HEALTH OF OUR COMMUNITY IN SUCH TOPICS AS DIABETES, EXERCISE, NUTRITION AND GENERAL HEALTH. THE HOSPITAL PARTNERED WITH THE UNIVERSITY OF KENTUCKY COOPERATIVE EXTENSION SERVICE AND HOSTED A LOCAL FARMER'S MARKET ON THE HOSPITAL CAMPUS. TIME AND SOME ADVERTISING BUDGET WERE GIVEN TO PROMOTING THIS EFFORT TO SUPPORT LOCAL FARMERS AND TO MAKE FRESH VEGETABLES MORE READILY AVAILABLE TO THE COMMUNITY. THE HOSPITAL PROVIDED FREE MEETING SPACE TO SEVERAL GROUPS THROUGHOUT THE YEAR AND SEVERAL CLASSES WERE SPONSORED BY THE HOSPITAL THAT EDUCATED INTERESTED COMMUNITY RESIDENTS ON HEALTH & WELLNESS ISSUES. THEY INCLUDE: A. C.P.R. TO HEALTHCARE PROVIDERS AND TO THE COMMUNITY B. PREPARED CHILDBIRTH AND BREAST FEEDING CLASSES C. COUNTYWIDE BABY SHOWER IN GRAYSON COUNTY - PROVIDES INFORMATION TO WOMEN WHO ARE PREGNANT OR WANT TO BECOME PREGNANT D. COMMUNITY-WIDE BABY SHOWER IN BRECKINRIDGE COUNTY - PROVIDES INFORMATION TO WOMEN WHO ARE PREGNANT OR WANT TO BECOME PREGNANT E. SPONSORS THE AMERICAN RED CROSS BLOOD MOBILE TWO OR THREE TIMES EACH YEAR F. PROVIDED HEALTH INFORMATION AT THE RELAY FOR LIFE G. PARTICIPATED IN UNITED WAY MEETNGS H. CPR CLASSES AT CROSSPOINT CHURCH IN LEITCHFIELD UPON REQUEST, THE HOSPITAL ALSO PARTICIPATES IN LOCAL EDUCATION BY PROVIDING HOS |
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| 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 | 40.00 |
| 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/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 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 1279 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 18000 |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | RON TYRER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | L BRETT ABNEY OD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LARRY PERKINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | EDWIN MCKINNEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | IAN NUNNALLY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DAVID DOWNS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | TREVOR RAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KEVIN BROOKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | TAREK EL-MASRI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SCOTT ARNDELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ANGELA GIBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CATHERINE D CLEMONS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ANITA PLEACHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DAVID LOGSDON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | RICHARD DONOVAN |
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| 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 | 136450 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 133036 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 127947 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 124051 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 121193 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
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| 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 |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHIEF OPERAT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF NURSIN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHARMACIST |
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| IRS990/FormationYr | 0 | 1956 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
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| IRS990/GrossRentsGrp/RealAmt | 0 | 579870 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
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| IRS990/InterestGrp/TotalAmt | 0 | 468245 |
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| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1844239 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 71599 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 71599 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
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| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1920108 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 44 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
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| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 33400165 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 31405349 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 69006832 |
| IRS990/LegalDomicileStateCd | 0 | KY |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 329911 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
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| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | -390171 |
| IRS990/MissionDesc | 0 | TO PROVIDE QUALITY MEDICAL HEALTHCARE TO THE GRAYSON COUNTY, KENTUCKY AREA. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 86324388 |
| IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 249959 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 249959 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NoncashContributionsAmt | 0 | 12939 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
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| IRS990/OtherExpensesGrp/Desc | 1 | PHARMACY |
| IRS990/OtherExpensesGrp/Desc | 2 | LABORATORY |
| IRS990/OtherExpensesGrp/Desc | 3 | PROVISION FOR BAD DEBTS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 11099528 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2768388 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 2164739 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1160768 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 11099528 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 2768388 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 2164739 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1160768 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1353495 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1394574 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | TAX REVENUE |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | MANAGEMENT FEES |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | SALE OF EQUIPMENT |
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| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 202461 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 2 | -16619 |
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| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 202461 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | -16619 |
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| IRS990/PartialLiquidationInd | 0 | false |
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| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 453324 |
| IRS990/PrincipalOfficerNm | 0 | SCOTT ARNDELL |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | CAFETERIA REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | FITNESS CENTER & OTHER INCOME |
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| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 174957 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 25731 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 42050670 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 174957 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 25731 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 50 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 113835 |
| IRS990/PYOtherExpensesAmt | 0 | 25067672 |
| IRS990/PYOtherRevenueAmt | 0 | 1435317 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 42074001 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 6235373 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 12320158 |
| IRS990/PYTotalExpensesAmt | 0 | 37387830 |
| IRS990/PYTotalRevenueAmt | 0 | 43623203 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 4596326 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
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| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 42251358 |
| IRS990ScheduleA/HospitalInd | 0 | X |
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| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
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| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 6023964 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 17106248 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 23130212 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 3926115 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 82213 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 38307142 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 744229 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 744229 |
| IRS990ScheduleD/OtherExpensesIncludedAmt | 0 | 3926115 |
| IRS990ScheduleD/OtherExpensesNotIncludedAmt | 0 | 82213 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 1146714 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 1632401 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 2779115 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 1176231 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 218343 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | CAPITAL LEASE |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | LONG-TERM DEBT |
| IRS990ScheduleD/OtherRevenuesNotIncludedAmt | 0 | 82213 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 82213 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 42903468 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE HOSPITAL AS WELL AS THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE HOSPITAL'S FINANCIAL STATEMENTS. MANAGEMENT IS NOT AWARE OF ANY ACTIVITY WITHIN THE HOSPITAL OR FOUNDATION DURING THE CURRENT OR PRIOR REPORTING PERIODS THAT WOULD JEOPARDIZE OR OTHERWISE CALL INTO QUESTION THE HOSPITAL OR FOUNDATION'S COMPLIANCE WITH THE ABOVE INTERNAL REVENUE CODE SECTION. THE ORGANIZATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) FOR FISCAL YEARS 2014, 2015 AND 2016 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR THREE YEARS AFTER THEY WERE FILED. CURRENTLY, THE HOSPITAL AND FOUNDATION HAVE NO REPORTING REQUIREMENTS WITH ANY STATE OR LOCAL TAX JURISDICTIONS. THE HOSPITAL HAS INVESTMENT INTEREST IN THREE COMPANIES AS DESCRIBED IN NOTE 8. THE HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL AND FOUNDATION'S POLICY FOR RECORDING ANY TAX RELATED INTEREST AND PENALTIES IS TO RECOGNIZE THESE ITEMS AS OPERATING EXPENSES; HOWEVER, NONE WERE INCURRED OR RECORDED DURING THE CURRENT OR PRIOR OPEN OPERATING PERIODS. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | VALUE OF DONATED ITEMS 12,939 DONATED SERVICES 69,274 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 2 | OPERATING LOSS REPORTED UNDER ID 61-1269278 3,926,115 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 3 | DONATED SERVICES 69,274 USE OF DONATED ITEMS 12,939 |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE D, PAGE 3, PART X |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | SCHEDULE D, PAGE 4, PART XI, LINE 4B |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | SCHEDULE D, PAGE 4, PART XII, LINE 2D |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | SCHEDULE D, PAGE 4, PART XII, LINE 4B |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 31405349 |
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Displayed year
2016 • Form 990Detailed filing. Detailed filing data is available for this year.