Liabilities / Assets
44th percentile
Higher debt load relative to assets than 44% of similar nonprofits.
EIN 63-0308739 • 501(c)3 • Birmingham, AL
Profile
Noland health services, inc. (nhs) is dedicated to identifying and meeting the healthcare needs of the communities it serves, with emphasis it has maintained for many years on special services and programs to meet the needs of the ederly and other unique patient
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
44th percentile
Higher debt load relative to assets than 44% of similar nonprofits.
Liabilities / Revenue
73rd percentile
Higher debt load relative to revenue than 73% of similar nonprofits.
Net Margin
54th percentile
Higher net margin than 54% of similar nonprofits.
Top Officer Pay
41st percentile
Higher top officer pay than 41% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
61st percentile
Faster asset growth than 61% of similar nonprofits.
Revenue Growth
43rd percentile
Faster revenue growth than 43% of similar nonprofits.
Assets
Up$573,021,588
Up $43,797,526 (+8.3%) from 2023
Liabilities
Up$138,216,217
Up $2,588,655 (+1.9%) from 2023
Net Assets
Up$434,805,371
Up $41,208,871 (+10%) from 2023
Revenue
Up$148,532,609
Up $9,482,993 (+6.8%) from 2023
Expenses
Up$140,482,891
Up $4,617,516 (+3.4%) from 2023
Net Income
Up$8,049,718
Up $4,865,477 (+153%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
SEE SCHEUDLE O.
Noland health services, inc. (nhs) is dedicated to identifying and meeting the healthcare needs of the communities it serves.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $216,414,388 | $236,400,718 | ▲ $19,986,330 |
| Investments Other Securities | $178,364,305 | $185,014,453 | ▲ $6,650,148 |
| Land, Buildings, and Equipment, Net | $90,610,453 | $97,077,241 | ▲ $6,466,788 |
| Savings and Temporary Cash Investments | $17,268,173 | $13,300,424 | ▼ $3,967,749 |
| Accounts Receivable | $7,368,775 | $9,715,327 | ▲ $2,346,552 |
| Intangible Assets | $4,679,157 | $2,601,914 | ▼ $2,077,243 |
| Prepaid Expenses and Deferred Charges | $782,766 | $1,123,304 | ▲ $340,538 |
| Inventories for Sale or Use | $141,385 | $380,017 | ▲ $238,632 |
| Total Assets | $529,224,062 | $573,021,588 | ▲ $43,797,526 |
| Other Assets Total | $13,594,660 | $27,408,190 | ▲ $13,813,530 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $106,609,078 | $102,384,214 | ▼ $4,224,864 |
| Accounts Payable and Accrued Expenses | $11,519,968 | $12,552,629 | ▲ $1,032,661 |
| Other Liabilities | $11,409,902 | $10,897,946 | ▼ $511,956 |
| Mortgage Notes Payable Secured by Investment Property | $6,088,614 | $10,393,783 | ▲ $4,305,169 |
| Deferred Revenue | - | $1,987,645 | - |
| Total Liabilities | $135,627,562 | $138,216,217 | ▲ $2,588,655 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $393,490,273 | $434,699,144 | ▲ $41,208,871 |
| Net Assets With Donor Restrictions | $106,227 | $106,227 | → $0 |
| Total Net Assets Fund Balance | $393,596,500 | $434,805,371 | ▲ $41,208,871 |
| Total Liabilities and Net Assets / Fund Balance | $529,224,062 | $573,021,588 | ▲ $43,797,526 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $50,748,671 | $52,926,035 | $103,674,706 |
| Equipment | $15,802,402 | $32,937,106 | $48,739,508 |
| Other Land Buildings | $17,978,236 | - | $17,978,236 |
| Land | $10,135,236 | - | $10,135,236 |
| Leasehold Improvements | $2,412,696 | $6,355,362 | $8,768,058 |
| Other Securities | $21,487,457 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Carol Knight | President & CEO | FT | $452,238 | $232,522 | $684,760 |
| John Heffner | VP Hospital Division | FT | $320,367 | $136,056 | $456,423 |
| Barbara E Estep | VP Administration | FT | $216,297 | $227,225 | $443,522 |
| Nicholas V Renda | Evp & CFO | FT | $271,990 | $157,753 | $429,743 |
| Kelley Johnson | VP Senior Living Division | FT | $249,938 | $61,221 | $311,159 |
| Laura Willis | Hospital Administrator | FT | $208,806 | $73,578 | $282,384 |
| Jack Gibson | Hospital Administrator | FT | $163,657 | $89,718 | $253,375 |
| Valerie Gayle Scoggins | Sl Executive Director | FT | $162,760 | $88,378 | $251,138 |
| Trina Woods | Hospital Administrator | FT | $164,706 | $67,065 | $231,771 |
| Joseph P Sestili | Chief Information Officer | FT | $168,584 | $60,062 | $228,646 |
| Dennis Stewart | Hospital Administrator | FT | $154,567 | $55,059 | $209,626 |
| Mark Doran | Director of Pharmacy | FT | $163,467 | $38,912 | $202,379 |
| Randolph Pickell | Sl Executive Director | FT | $161,412 | $40,077 | $201,489 |
| Marta Bardonner | Chief Clinical Officer | FT | $161,492 | $38,040 | $199,532 |
| Kathy Smothers | Avp Senior Living | FT | $165,554 | $32,236 | $197,790 |
| Nelvena Albert | Registered Nurse Supervisor | FT | $164,710 | $905 | $165,615 |
| Ripon Britton Jr | Chairman of the Board | PT | $4,200 | - | $4,200 |
| Robert Gary Goff Sr | Vice-chairman of the Board | PT | $4,200 | - | $4,200 |
| Debra Nelson | Director | - | $3,600 | - | $3,600 |
| Michelle B Adamson | Director | - | $3,000 | - | $3,000 |
| George H Smith | Director | - | $2,100 | - | $2,100 |
| Jabo Waggoner | Director | - | $1,500 | - | $1,500 |
| Larry S Dillard | Director | - | $1,500 | - | $1,500 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Champion Partners In Rehab Xvii LLC | Contract Therapy | P O BOX 1160, Gadsden, AL 35902 | $4,653,353 |
| Felder Services LLC | Environmental Services | 3400 N BELTLINE PARK DR, Mobile, AL 36617 | $3,007,342 |
| Morrison Management Services | Environmental Services | 400 NORTHRIDGE ROAD SUITE 600, Atlanta, GA 30350 | $2,887,339 |
| Regional Medical Center | Ancillary Services | 400 E 10TH STREET, Anniston, AL 36207 | $1,449,626 |
| Southeast Alabama Medical Center | Ancillary Services | 1108 ROSS CLARK CIR, Dothan, AL 36301 | $1,427,861 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $77,801,341 |
| Other Expenses | $62,681,550 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $61,003,033 | $475,945 | - | $61,478,978 |
| Office Expenses | $7,340,930 | $353,851 | - | $7,694,781 |
| Depreciation Depletion | $7,022,348 | $536,777 | - | $7,559,125 |
| Other Employee Benefits | $5,254,284 | $2,032,155 | - | $7,286,439 |
| Occupancy | $6,470,642 | $307,383 | - | $6,778,025 |
| Payroll Taxes | $4,366,057 | $435,983 | - | $4,802,040 |
| Current Officers, Directors, Trustees, and Key Employees | - | $3,784,565 | - | $3,784,565 |
| Insurance | $2,855,381 | $428,030 | - | $3,283,411 |
| Interest | $2,810,791 | $159,523 | - | $2,970,314 |
| Fees for Services Other | $1,439,169 | $633,535 | - | $2,072,704 |
| Information Technology | $383,405 | $1,142,322 | - | $1,525,727 |
| Fees for Service Investment Mgmnt Fees | $869,827 | - | - | $869,827 |
| Fees for Services Management | $472,483 | $28,673 | - | $501,156 |
| Pension Plan Contributions | $989,917 | $-540,598 | - | $449,319 |
| Travel | $144,135 | $269,344 | - | $413,479 |
| Other Expenses | $200,969 | $5,826 | - | $206,795 |
| Fees for Services Legal | $15,590 | $130,642 | - | $146,232 |
| Advertising | $26,359 | $84,877 | - | $111,236 |
| Fees for Services Accounting | - | $94,765 | - | $94,765 |
| Conferences and Meetings | $350 | $85,144 | - | $85,494 |
| All Other Expenses | $187,422 | $-278,251 | - | $-90,829 |
| Total Functional Expenses | $129,974,848 | $10,508,043 | $0 | $140,482,891 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $145,841,071 |
| Total Expenses per Form 990 | $140,482,891 |
| Expenses per Audited Statements | $139,613,064 |
| Expenses Not Reported on Form 990 | $6,228,007 |
| Expenses Not Reported on Financial Statements | $869,827 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Est Third Party Payor Settlements | $9,257,743 |
| Deferred Comp/serp Liabilites | $1,640,203 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | The Special Care Facilities Financing Authority of the City of Pell City | 2021-09-30 | $93,900,000 | To refund and retire prior |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $93,900,000 | - | $86,950,000 | $1,463,629 |
“Cp homes performs the management duties on behalf of kemp meadows assisted living, a wholly owned subsidiary of noland health services, inc.”
“The form 990 is provided to the board for review and is an agenda item at a regularly scheduled board meeting open for any discussion before the return is filed.”
“Directors, officers and key employees are required annually to complete conflict of interest statements. All potential conflicts of interest are reviewed by the corporate compliance department. There are no conflicts of interest for the period covered by this form 990.”
“Compensation for officers and key employees is reviewed annually by an independent compensation consultant and approved by the compensation committee.”
“As a general rule, the organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Any written request by the public would be reviewed and acted upon by the board.”
“Populations. In keeping with its mission and strategic plan, nhs has established itself as a premier provider of long-term acute care hospital (ltach) services and retirement community services in the state of alabama. In pursuit of this focus, nhs operates five ltachs throughout alabama totaling 187 beds, which admitted 775 patients and provided 18,887 days of patient care. Nhs operates five retirement communities and five skilled nursing communities in alabama, which includes 1,102 skilled nursing (snf) beds, 198 assisted living (alf) units, 76 specialty care assisted living (scalf) units and 200 independent lliving (il) apartments. Through these communities, nhs provided 319,042, 40,077, 14,677 and 50,215, reesident days of snf, alf, scalf, and il services, respectively.”
“Increase in prepaid pension costs 2,335,627.”
“This process has not changed from the prior year.”
“Noland adheres to the provisions of accounting standards codification (asc) guidance relating to uncertainty in income taxes. This guidance requires entities to assess their uncertain tax positions for the likelihood that they would be overturned upon internal revenue service (irs) examination or upon examination by state taxing authorities. In accordance with this guidance, noland has determined that it does not have any positions at june 30, 2024, and 2023, that it would be unable to substantiate. The tax returns for years ended june 30, 2021, and thereafter are subject to audit by the taxing authorities.”
“Pharmacy cost of goods sold 6,228,007.”
“Pharmacy cost of goods sold 6,228,007.”
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 | 11519968 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 12552629 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 7368775 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 9715327 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | NOLAND HEALTH SERVICES, INC. (NHS) IS DEDICATED TO IDENTIFYING AND MEETING THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 84877 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 26359 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 111236 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | -278251 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 187422 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | -90829 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | NICHOLAS V RENDA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2057838460 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 600 CORPORATE PARKWAY SUITE 100 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BIRMINGHAM |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | AL |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 35242 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 19 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 3784565 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3784565 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 85144 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 350 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 85494 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 4653353 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 3007342 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2887339 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1449626 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1427861 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | P O BOX 1160 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 3400 N BELTLINE PARK DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 400 NORTHRIDGE ROAD SUITE 600 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 400 E 10TH STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1108 ROSS CLARK CIR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | GADSDEN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MOBILE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ANNISTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DOTHAN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | AL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | AL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | AL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | AL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 35902 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 36617 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 30350 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 36207 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 36301 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | CHAMPION PARTNERS IN REHAB XVII LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | FELDER SERVICES LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MORRISON MANAGEMENT SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | REGIONAL MEDICAL CENTER |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | SOUTHEAST ALABAMA MEDICAL CENTER |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACT THERAPY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ENVIRONMENTAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ENVIRONMENTAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ANCILLARY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | ANCILLARY SERVICES |
| IRS990/CostOfGoodsSoldAmt | 0 | 6228007 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2873000 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 11956345 |
| IRS990/CYOtherExpensesAmt | 0 | 62681550 |
| IRS990/CYOtherRevenueAmt | 0 | 1908256 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 131795008 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 8049718 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 77801341 |
| IRS990/CYTotalExpensesAmt | 0 | 140482891 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 148532609 |
| IRS990/DAFExcessBusinessHoldingsInd | 0 | 0 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1987645 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 536777 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 7022348 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 7559125 |
| IRS990/Desc | 0 | NHS ALSO OPERATES TEN RETIREMENT COMMUNITIES IN ALABAMA, WHICH INCLUDES 1,102 SKILLED NURSING (SNF) BEDS, 198 ASSISTED LIVING (ALF) UNITS, 76 SPECIALTY CARE ASSISTED LIVING (SCALF) UNITS AND 200 INDEPENDENT LIVING (IL) APARTMENTS. THROUGH THESE COMMUNITIES, NHS PROVIDED 319,042, 40,077, 14,677 AND 50,215, RESIDENT DAYS OF SNF, ALF, SCALF, AND IL SERVICES, RESPECTIVELY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DistributionToDonorInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 106227 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 106227 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 2356 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 99247889 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 94765 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 94765 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 130642 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 15590 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 146232 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 28673 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 472483 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 501156 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 633535 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1439169 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2072704 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 869827 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 869827 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 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/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/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/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | 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 | 62539 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 22941 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 62858 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 16845 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 46981 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 182182 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 21495 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 19902 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 23376 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 57594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 51717 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 9802 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 5787 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 824 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 30682 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 38831 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | RIPON BRITTON JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROBERT GARY GOFF SR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | GEORGE H SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DEBRA NELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LARRY S DILLARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MICHELLE B ADAMSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JABO WAGGONER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | CAROL KNIGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | NICHOLAS V RENDA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JOHN HEFFNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KELLEY JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LAURA WILLIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BARBARA E ESTEP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | RANDOLPH PICKELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DENNIS STEWART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TRINA WOODS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | VALERIE GAYLE SCOGGINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JACK GIBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MARTA BARDONNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | KATHY SMOTHERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | NELVENA ALBERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JOSEPH P SESTILI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MARK DORAN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 2100 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 3600 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 1500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 3000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 1500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 622168 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 406721 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 393512 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 294233 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 235350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 261263 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 179913 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 189643 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 208314 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 193463 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 201577 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 189649 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 191950 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 164710 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 197883 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 163467 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN OF THE BOARD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE-CHAIRMAN OF THE BOARD |
| 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 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | EVP & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP HOSPITAL DIVISION |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VP SENIOR LIVING DIVISION |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | HOSPITAL ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | VP ADMINISTRATION |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SL EXECUTIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | HOSPITAL ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | HOSPITAL ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | SL EXECUTIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | HOSPITAL ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHIEF CLINICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | AVP SENIOR LIVING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | REGISTERED NURSE SUPERVISOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CHIEF INFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DIRECTOR OF PHARMACY |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1951 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -158490 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 2927020 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 2873000 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 268328822 |
| IRS990/GrossReceiptsAmt | 0 | 420320908 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 588919 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 7547049 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 72 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1142322 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 383405 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1525727 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 428030 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2855381 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 3283411 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 4679157 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 2601914 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 159523 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 2810791 |
| IRS990/InterestGrp/TotalAmt | 0 | 2970314 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 141385 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 380017 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 9187815 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 9187815 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 178364305 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 185014453 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 216414388 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 236400718 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 110 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 92218503 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 90610453 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 97077241 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 189295744 |
| IRS990/LegalDomicileStateCd | 0 | DE |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 158490 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 265401802 |
| 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/MissionDesc | 0 | NOLAND HEALTH SERVICES, INC. (NHS) IS DEDICATED TO IDENTIFYING AND MEETING THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES, WITH EMPHASIS IT HAS MAINTAINED FOR MANY YEARS ON SPECIAL SERVICES AND PROGRAMS TO MEET THE NEEDS OF THE EDERLY AND OTHER UNIQUE PATIENT |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 6088614 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 10393783 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 393596500 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 434805371 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 2768530 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 2768530 |
| IRS990/NetIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1319042 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 1319042 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 588919 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 588919 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
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