Liabilities / Assets
52nd percentile
Higher debt load relative to assets than 52% of similar nonprofits.
EIN 61-1033691 • 501(c)3 • Vanceburg, KY
Profile
Providing quality affordable health care to low income families residing in lewis and surrounding counties
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
52nd percentile
Higher debt load relative to assets than 52% of similar nonprofits.
Liabilities / Revenue
25th percentile
Higher debt load relative to revenue than 25% of similar nonprofits.
Net Margin
42nd percentile
Higher net margin than 42% of similar nonprofits.
Top Officer Pay
58th percentile
Higher top officer pay than 58% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
34th percentile
Faster asset growth than 34% of similar nonprofits.
Revenue Growth
64th percentile
Faster revenue growth than 64% of similar nonprofits.
Assets
Up$64,582,832
Up $1,497,633 (+2.4%) from 2024
Liabilities
Down$18,047,745
Down $634,716 (-3.4%) from 2024
Net Assets
Up$46,535,087
Up $2,132,349 (+4.8%) from 2024
Revenue
Up$107,127,446
Up $12,877,121 (+14%) from 2024
Expenses
Up$105,040,063
Up $12,056,099 (+13%) from 2024
Net Income
Up$2,087,383
Up $821,022 (+65%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
Providing quality affordable health care to low income families residing in lewis and surrounding counties
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $31,172,279 | $32,347,793 | ▲ $1,175,514 |
| Savings and Temporary Cash Investments | $24,352,510 | $22,899,227 | ▼ $1,453,283 |
| Accounts Receivable | $5,269,270 | $6,438,436 | ▲ $1,169,166 |
| Inventories for Sale or Use | $1,744,147 | $2,349,213 | ▲ $605,066 |
| Prepaid Expenses and Deferred Charges | $540,443 | $541,613 | ▲ $1,170 |
| Cash and Non-Interest-Bearing Accounts | $6,550 | $6,550 | → $0 |
| Total Assets | $63,085,199 | $64,582,832 | ▲ $1,497,633 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $14,411,545 | $13,599,556 | ▼ $811,989 |
| Accounts Payable and Accrued Expenses | $4,270,916 | $4,448,189 | ▲ $177,273 |
| Total Liabilities | $18,682,461 | $18,047,745 | ▼ $634,716 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $44,156,738 | $46,289,087 | ▲ $2,132,349 |
| Net Assets With Donor Restrictions | $246,000 | $246,000 | → $0 |
| Total Net Assets Fund Balance | $44,402,738 | $46,535,087 | ▲ $2,132,349 |
| Total Liabilities and Net Assets / Fund Balance | $63,085,199 | $64,582,832 | ▲ $1,497,633 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $21,118,176 | $10,563,802 | - |
| Land | $8,801,855 | - | - |
| Equipment | $2,427,762 | $7,861,944 | - |
| Name | Title |
|---|---|
| Joni Pugh | President |
| Loretta Dixon | Vice President |
| Ali Doyle | Director |
| Diana Wilson | Director |
| Ed Connors | Director |
| Jeremy Faulkner | Director |
| Margaret Snedegar | Director |
| Mike Kennedy | Director |
| Rita Harrison | Director |
| Tara Blevins | Director |
| Jerry Urgin | Chief Executive Officer |
| Casey Keeton | Physician |
| Gary Coleman | Physician |
| Kallie Craig | Physician |
| Samantha Olzeski | Physician |
| William Denham | Physician |
| Lindsay Phillips | Secretary |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $57,569,021 |
| Other Expenses | $47,471,042 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $37,561,339 | $3,524,882 | - | $41,086,221 |
| Pension Plan Contributions | $12,611,499 | $1,186,864 | - | $13,798,363 |
| Fees for Services Management | $5,499,162 | $589,086 | - | $6,088,248 |
| Other Employee Benefits | $2,453,534 | $230,903 | - | $2,684,437 |
| Depreciation Depletion | $2,216,308 | $307,894 | - | $2,524,202 |
| Occupancy | $1,113,064 | - | - | $1,113,064 |
| Conferences and Meetings | $769,767 | $5,857 | - | $775,624 |
| Interest | $736,056 | - | - | $736,056 |
| Advertising | $88,151 | $258,364 | - | $346,515 |
| Insurance | $192,289 | $114,011 | - | $306,300 |
| Travel | $174,765 | $52,295 | - | $227,060 |
| Other Expenses | $71,067 | $2,872 | - | $73,939 |
| Office Expenses | - | $27,382 | - | $27,382 |
| All Other Expenses | $7,155 | - | - | $7,155 |
| Total Functional Expenses | $98,506,358 | $6,533,705 | $0 | $105,040,063 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $105,040,063 |
| Total Expenses per Audited Statements | $105,040,063 |
| Total Expenses per Form 990 | $105,040,063 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Federal income taxes | - |
“The organizations governing documents, conflict of interest policy and financial statements are available to the public at the organizations main office located at the intersection of the aa highway and rt 59, vanceburg, ky 41179.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 4270916 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 4448189 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5269270 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 6438436 |
| IRS990/AcctCompileOrReviewBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDING QUALITY AFFORDABLE HEALTH CARE TO LOW INCOME FAMILIES RESIDING IN LEWIS AND SURROUNDING COUNTIES |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 258364 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 88151 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 346515 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 7155 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 7155 |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | AMBER RUGGLES- FISCAL OFFICER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6067963029 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 550 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | VANCEBURG |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 41179 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 6550 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 6550 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 5857 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 769767 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 775624 |
| IRS990/ConflictOfInterestPolicyInd | 0 | false |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 6483067 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 715916 |
| IRS990/CYOtherExpensesAmt | 0 | 47471042 |
| IRS990/CYOtherRevenueAmt | 0 | 174205 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 99754258 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2087383 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 57569021 |
| IRS990/CYTotalExpensesAmt | 0 | 105040063 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 107127446 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 307894 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2216308 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2524202 |
| IRS990/Desc | 0 | PROGRAM EXPENSES ENABLE THE CENTER TO PROVIDE AFFORDIABLE HEALTH CARE TO LOW INCOME FAMILIES RESIDING IN LEWIS AND SURROUNDING COUNTIES |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | false |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 246000 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 246000 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 521 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 98506358 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 589086 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 5499162 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 6088248 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 040.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 040.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 040.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 040.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 040.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 040.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 001.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 001.00 |
| 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/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | SAMANTHA OLZESKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GARY COLEMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | CASEY KEETON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KALLIE CRAIG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | WILLIAM DENHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JERRY URGIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RITA HARRISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | TARA BLEVINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JONI PUGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MIKE KENNEDY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ED CONNORS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LORETTA DIXON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MARGARET SNEDEGAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JEREMY FAULKNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LINDSAY PHILLIPS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DIANA WILSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ALI DOYLE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 561385 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 519810 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 467467 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 459486 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 342987 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 298739 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1983 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 6483067 |
| IRS990/GrantAmt | 0 | 6483067 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 107127446 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 174205 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 6 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 114011 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 192289 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 306300 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 736056 |
| IRS990/InterestGrp/TotalAmt | 0 | 736056 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1744147 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2349213 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 715916 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 715916 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 9 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 18425746 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 31172279 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 32347793 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 50773539 |
| IRS990/LegalDomicileStateCd | 0 | KY |
| IRS990/LicensedMoreThanOneStateInd | 0 | false |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | true |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | PROVIDING QUALITY AFFORDABLE HEALTH CARE TO LOW INCOME FAMILIES RESIDING IN LEWIS AND SURROUNDING COUNTIES |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 14411545 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 13599556 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 44402738 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 46535087 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 174205 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 44966 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 44156738 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 46289087 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1113064 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1113064 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 27382 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 27382 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 230903 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2453534 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2684437 |
| IRS990/OtherExpensesGrp/Desc | 0 | COST OF SALES |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | RECRUITMENT |
| IRS990/OtherExpensesGrp/Desc | 3 | LICENSES AND PERMITS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 233295 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 2872 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 30901728 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 3878646 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 231828 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 71067 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 30901728 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 4111941 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 231828 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 73939 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3524882 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 37561339 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 41086221 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 0 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 1186864 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 12611499 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 13798363 |
| IRS990/PoliciesReferenceChaptersInd | 0 | true |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 540443 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 541613 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | JERRY UGRIN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 99754258 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 99754258 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 3979344 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 494539 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 42375214 |
| IRS990/PYOtherRevenueAmt | 0 | 209702 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 89566740 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1266361 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 50608750 |
| IRS990/PYTotalExpensesAmt | 0 | 92983964 |
| IRS990/PYTotalRevenueAmt | 0 | 94250325 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 2087383 |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 174205 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 100689345 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 24352510 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 22899227 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 6483067 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 3979344 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 9369772 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 10175891 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 6025912 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 36033986 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 890121 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 702650 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 309032 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 244451 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 374637 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 2520891 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.93460 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.95020 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 36033986 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 6483067 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 3979344 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 9369772 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 10175891 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 6025912 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 36033986 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 38554877 |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 21118176 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 10563802 |
| IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt | 0 | 31681978 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 2427762 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 7861944 |
| IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt | 0 | 10289706 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 105040063 |
| IRS990ScheduleD/InclEscrowCustodialAcctLiabInd | 0 | false |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 8801855 |
| IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt | 0 | 8801855 |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | 44966 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | Federal income taxes |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 0 | Financial derivatives and other financial products |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 1 | Closely-held equity interests |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 44966 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 107127446 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 32347793 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 105040063 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 107127446 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 107172412 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 105040063 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | false |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | false |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | false |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | false |
| IRS990/ScheduleJRequiredInd | 0 | true |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | JERRY URGIN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | WILLIAM DENHAM |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | KALLIE CRAIG |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | GARY COLEMAN |
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