Liabilities / Assets
87th percentile
Higher debt load relative to assets than 87% of similar nonprofits.
EIN 63-1143638 • 501(c)3 • Atmore, AL
Profile
The organization's primary mission is dedicated to meeting the healthcare needs in escambia county alabama and the surrounding communities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
87th percentile
Higher debt load relative to assets than 87% of similar nonprofits.
Liabilities / Revenue
69th percentile
Higher debt load relative to revenue than 69% of similar nonprofits.
Net Margin
11th percentile
Higher net margin than 11% of similar nonprofits.
Top Officer Pay
84th percentile
Higher top officer pay than 84% of similar nonprofits.
Top officer pay equals 1.9% of source-year revenue.
Asset Growth
12th percentile
Faster asset growth than 12% of similar nonprofits.
Revenue Growth
27th percentile
Faster revenue growth than 27% of similar nonprofits.
Assets
Down$12,459,971
Down $1,234,294 (-9.0%) from 2023
Liabilities
Up$9,776,387
Up $2,420,828 (+33%) from 2023
Net Assets
Down$2,683,584
Down $3,655,122 (-58%) from 2023
Revenue
Down$19,370,245
Down $768,022 (-3.8%) from 2023
Expenses
Down$23,608,778
Down $443,244 (-1.8%) from 2023
Net Income
Down-$4,238,533
Down $324,778 (-8.3%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
The organizations primary mission is dedicated to meeting the healthcare needs in escambia county alabama and surrounding communities.
The organization's primary mission is dedicated to meeting the healthcare needs in escambia county alabama and the surrounding communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $3,167,761 | $3,731,589 | ▲ $563,828 |
| Accounts Receivable | $3,076,426 | $2,748,359 | ▼ $328,067 |
| Savings and Temporary Cash Investments | $431,486 | - | - |
| Inventories for Sale or Use | $294,983 | $310,457 | ▲ $15,474 |
| Prepaid Expenses and Deferred Charges | $673,544 | $308,608 | ▼ $364,936 |
| Investments in Publicly Traded Securities | $256,876 | $131,544 | ▼ $125,332 |
| Cash and Non-Interest-Bearing Accounts | $203,045 | $77,977 | ▼ $125,068 |
| Total Assets | $13,694,265 | $12,459,971 | ▼ $1,234,294 |
| Other Assets Total | $5,590,144 | $5,151,437 | ▼ $438,707 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,973,350 | $5,384,585 | ▲ $1,411,235 |
| Other Liabilities | $3,261,254 | $2,559,657 | ▼ $701,597 |
| Mortgage Notes Payable Secured by Investment Property | $120,955 | $1,765,038 | ▲ $1,644,083 |
| Deferred Revenue | - | $67,107 | - |
| Total Liabilities | $7,355,559 | $9,776,387 | ▲ $2,420,828 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $6,338,706 | $2,683,584 | ▼ $3,655,122 |
| Total Net Assets Fund Balance | $6,338,706 | $2,683,584 | ▼ $3,655,122 |
| Total Liabilities and Net Assets / Fund Balance | $13,694,265 | $12,459,971 | ▼ $1,234,294 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $3,142,395 | $4,857,287 | $7,999,682 |
| Buildings | $565,859 | $5,547,010 | $6,112,869 |
| Leasehold Improvements | $1,283 | $49,743 | $51,026 |
| Land | $22,052 | - | $22,052 |
| Other Assets Org | $415 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Sheldon J Harigel Md | Physician | FT | $340,388 | $26,684 | $367,072 |
| William S Harigel Md | Physician | FT | $344,556 | $22,278 | $366,834 |
| Jonah M Mcintyre Md | Physician | FT | $306,313 | $26,204 | $332,517 |
| Layla Lundquist-smith Md | Physician | FT | $266,163 | $26,204 | $292,367 |
| Stephen Fischer | CEO (left 12 | PT | - | $232,871 | $232,871 |
| Stephen Fischer | CEO (left 12/23) | - | $152,810 | $26,204 | $179,014 |
| Brad Lowery | Admin | FT | $128,772 | - | $128,772 |
| Name | Title |
|---|---|
| Deborah Rowell | Chair |
| Sharon Davidson | Vice Chair |
| A G Bo Brantley | Board Member |
| Al Fonto Holley Jr | Board Member |
| Delois Wilson | Board Member |
| Jim Johnson | Board Member |
| Keith Horton | Board Member |
| Tony Sanks | Board Member |
| Wes Nall | CFO |
| Brent Yoder | Crnp |
| Nancy W Lowery | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Forefront Healthcare LLC | Housekeep/maint | PO BOX 30516, Lansing, MI 48909 | $1,151,276 |
| Western Healthcare LLC | Staffing | PO BOX 224892, Dallas, TX 75222 | $717,658 |
| Ge Precision Healthcare LLC | It | 120 WEST OPUS DRIVE, Oak Creek, WI 53188 | $659,984 |
| Quest Diagnostics INC | Lab Svcs | P O BOX 740736, Atlanta, GA 30374-0736 | $603,995 |
| Trubridge LLC | Billing | PO BOX 11407, Birmingham, AL 35246 | $510,862 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $13,323,852 |
| Other Expenses | $10,284,926 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $10,419,164 | $354,117 | - | $10,773,281 |
| Fees for Services Other | $3,749,766 | $166,347 | - | $3,916,113 |
| Office Expenses | $1,276,356 | $163,256 | - | $1,439,612 |
| Depreciation Depletion | $1,245,163 | $48,647 | - | $1,293,810 |
| Other Employee Benefits | $859,706 | $112,152 | - | $971,858 |
| Occupancy | $847,474 | $33,110 | - | $880,584 |
| Information Technology | $360,492 | $470,566 | - | $831,058 |
| Payroll Taxes | $708,349 | $92,407 | - | $800,756 |
| Current Officers, Directors, Trustees, and Key Employees | - | $520,357 | - | $520,357 |
| Interest | - | $461,259 | - | $461,259 |
| Insurance | - | $284,522 | - | $284,522 |
| Pension Plan Contributions | $227,873 | $29,727 | - | $257,600 |
| Fees for Services Accounting | - | $114,454 | - | $114,454 |
| Other Expenses | $35,707 | $28,043 | - | $63,750 |
| Travel | $57,069 | $5,423 | - | $62,492 |
| Advertising | $17,045 | $10,503 | - | $27,548 |
| All Other Expenses | $11,295 | $11,279 | - | $22,574 |
| Conferences and Meetings | $9,172 | $9,061 | - | $18,233 |
| Fees for Services Legal | - | $3,232 | - | $3,232 |
| Total Functional Expenses | $20,636,015 | $2,972,763 | $0 | $23,608,778 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $3,648 |
| Fundraising Direct Expenses | $2,102 |
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due Related Parties | $1,327,715 |
| Other Liabilities | $560,157 |
| Third Party Settlements | $426,520 |
| Lease Liability | $245,265 |
“Escambia county health care authority (echca), an alabama non-profit organization, is the sole member of escambia county alabama community hospitals, inc. Dba atmore community hospital (ach). Echca has the right to elect the board of directors of the hospital.”
“Escambia county commission appoints the members of echca's board of directors. Per ach's bylaws, all current directors of echca, the sole member, serve as ach's board of directors.”
“The following actions shall require advance approval by the echca, the sole member: - election of the board of directors of the hospital, - removal of a board director, - all amendments to the articles of incorporation and bylaws before they may become effective, - appointment or termination of the administrator of the hospital and any healthcare facility operated by the hospital, - any contract or purchase order in excess of 250,000, - incurrance of indebtedness in excess of 250,000, - annual capital and operating budgets, - transfer of any assets exceeding 100,000 in net value.”
“Form 990 is prepared by an independent accounting firm from financial and other information furnished by management. Management reviews the return and makes it available to the members of the board of directors prior to filing with the irs.”
“Board members and officers complete and sign a conflict of interest questionnaire. Officers and key staff also are required to sign an attestation form confirming that they will disclose any conflicts that violate the system's policy. The board reviews all conflicts and determine if further action needs to be taken. Board members are recused from all discussions and votes on any conflicted matters.”
“The hospital has all governing documents, the conflict of interest policy, and the annual financial statements on file in the accounting and administration departments. All documents are available to the public upon request.”
“Contract labor 271,895 9,999 0 professional fees 976,308 0 0 purchased services 2,439,446 112,480 0 consulting fees 62,117 43,868 0 total 3,749,766 166,347 0”
“The audited financial statements were not issued at the filing date, but this is a draft of the disclosure that will be included once they are issued - the authority and mcmillan are organized under section 501(a) of the internal revenue code and considered governmental entities and are exempt from income taxes. Accordingly, no provision for income taxes has been considered in the accompanying financial statements. The foundation, atmore and urgent care are not-for-profit corporations that have been recognized as tax-exempt pursuant to section 501(c)(3) of the internal revenue code. They are required to file a form 990 with the internal revenue service. Any income earned from non-related business services is subject to taxation. The foundation, atmore and urgent care apply accounting policies that prescribe when to recognize and how to measure the financial statement effects of income tax positions taken or expected to be taken on its income tax returns. These rules require management to evaluate the likelihood that, upon examination by the relevant taxing jurisdictions, those income tax positions would be sustained. Based on that evaluation, they only recognize the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of management's evaluation, no liability is recognized in the accompanying balance sheet for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of september 30, 2024 and 2023, or for the years then ended. The foundation, atmore and urgent care's tax returns are subject to possible examination by the taxing authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing deadlines of those returns.”
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 | 3973350 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5384585 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3076426 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2748359 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | THE ORGANIZATION'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN ESCAMBIA COUNTY ALABAMA AND THE SURROUNDING COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 10503 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 17045 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 27548 |
| IRS990/AllOtherContributionsAmt | 0 | 107527 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 11279 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 11295 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 22574 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | WES NALL |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2518098313 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1301 BELLEVILLE AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BREWTON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | AL |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 364261306 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 203045 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 77977 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 26 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 520357 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 520357 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 9061 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 9172 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 18233 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1151276 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 717658 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 659984 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 603995 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 510862 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 30516 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 224892 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 120 WEST OPUS DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | P O BOX 740736 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 11407 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | LANSING |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | OAK CREEK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BIRMINGHAM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | AL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 48909 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75222 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 53188 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 303740736 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 35246 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | FOREFRONT HEALTHCARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | WESTERN HEALTHCARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | GE PRECISION HEALTHCARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | QUEST DIAGNOSTICS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | TRUBRIDGE LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | HOUSEKEEP/MAINT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | IT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | LAB SVCS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | BILLING |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1991527 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3485 |
| IRS990/CYOtherExpensesAmt | 0 | 10284926 |
| IRS990/CYOtherRevenueAmt | 0 | 366869 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 17008364 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -4238533 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 13323852 |
| IRS990/CYTotalExpensesAmt | 0 | 23608778 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 19370245 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 67107 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
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| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1245163 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1293810 |
| IRS990/Desc | 0 | ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS DBA ATMORE COMMUNITY HOSPITAL (ACH) OPERATES ONE ACUTE CARE HOSPITAL IN THE ESCAMBIA COUNTY COMMUNITY. ACH ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2023, THE HOSPITAL TREATED 626 INPATIENTS FOR A TOTAL OF 2,784 PATIENT DAYS. FOUR RURAL HEALTH CLINICS SAW 39,922 PATIENT VISITS DURING THE FISCAL YEAR. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | ATMORE COMMUNITY HOSPITAL |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 316 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 20636015 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 114454 |
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| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 3232 |
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| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 3749766 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3916113 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 26.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 2.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
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| 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 |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
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| 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/OfficerInd | 0 | X |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 26684 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 22278 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 26204 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 26204 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 26204 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 26204 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 14796 |
| 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 | SHELDON J HARIGEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WILLIAM S HARIGEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JONAH M MCINTYRE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LAYLA LUNDQUIST-SMITH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | STEPHEN FISCHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BRENT YODER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | WES NALL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | BRAD LOWERY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | A G BO BRANTLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | SHARON DAVIDSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KEITH HORTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JIM JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | AL FONTO HOLLEY JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | NANCY W LOWERY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DEBORAH ROWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TONY SANKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DELOIS WILSON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 340388 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 344556 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 306313 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 266163 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 152810 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 128772 |
| 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 | 206667 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 150112 |
| 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 | CEO (LEFT 12 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CRNP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | ADMIN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1995 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 2102 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 3648 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 1884000 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 19372347 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 76321 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 6 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 470566 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 360492 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 831058 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 284522 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 284522 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 461259 |
| IRS990/InterestGrp/TotalAmt | 0 | 461259 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 294983 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 310457 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3485 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3485 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 256876 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 131544 |
| IRS990/IRPDocumentCnt | 0 | 3 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 10454040 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3167761 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 3731589 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 14185629 |
| IRS990/LegalDomicileStateCd | 0 | AL |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 55642 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 55642 |
| IRS990/MissionDesc | 0 | THE ORGANIZATION'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN ESCAMBIA COUNTY ALABAMA AND THE SURROUNDING COMMUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 120955 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1765038 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 6338706 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 2683584 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 1546 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 76321 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 76321 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 28211 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 6338706 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 2683584 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 33110 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 847474 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 880584 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 163256 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1276356 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1439612 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 5590144 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 5151437 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 112152 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 859706 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 971858 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES & SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 3 | MISCELLANEOUS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 54301 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 28043 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 456615 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 325675 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 29094 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 35707 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 456615 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 325675 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 83395 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 63750 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 3261254 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 2559657 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621990 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 722514 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 621990 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS REVENUES |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | VENDING & CAFETERIA |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | DISCOUNTS & REBATES |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 73615 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 108955 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 50790 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 108955 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 73615 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 50790 |
| IRS990/OtherRevenueTotalAmt | 0 | 289002 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 354117 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 10419164 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 10773281 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 92407 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 708349 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 800756 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 29727 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 227873 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 257600 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 673544 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 308608 |
| IRS990/PrincipalOfficerNm | 0 | DEBORAH ROWELL |
| IRS990/PriorPeriodAdjustmentsAmt | 0 | 555200 |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621990 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PROGRAM SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 17008364 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 17008364 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 2067170 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 222449 |
| IRS990/PYOtherExpensesAmt | 0 | 10073413 |
| IRS990/PYOtherRevenueAmt | 0 | 388925 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 17459723 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -3913755 |
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