Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
EIN 71-0787860 • 501(c)3 • Harrison, AR
Profile
We are dedicated to providing quality services that are comprehensive and affordable. We expect services to be delivered compassionately, appropriately, responsibly, safely and efficiently.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
Liabilities / Revenue
38th percentile
Higher debt load relative to revenue than 38% of similar nonprofits.
Net Margin
28th percentile
Higher net margin than 28% of similar nonprofits.
Top Officer Pay
84th percentile
Higher top officer pay than 84% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
24th percentile
Faster asset growth than 24% of similar nonprofits.
Revenue Growth
50th percentile
Faster revenue growth than 50% of similar nonprofits.
Assets
Up$76,312,887
Up $147,902 (+0.2%) from 2024
Liabilities
Up$30,311,440
Up $2,297,548 (+8.2%) from 2024
Net Assets
Down$46,001,447
Down $2,149,646 (-4.5%) from 2024
Revenue
Up$109,029,083
Up $8,179,985 (+8.1%) from 2024
Expenses
Up$110,322,961
Up $2,047,674 (+1.9%) from 2024
Net Income
Up-$1,293,878
Up $6,132,311 (+83%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
We are dedicated to providing quality services that are comprehensive and affordable. We expect services to be delivered compassionately, appropriately, responsibly, safely and efficiently.
Mission is to improve the health of our community by providing safe, quality healthcare and resources with compassion and integrity.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $29,650,436 | $28,074,098 | ▼ $1,576,338 |
| Investments Other Securities | $24,787,281 | $22,082,259 | ▼ $2,705,022 |
| Accounts Receivable | $15,155,927 | $16,928,929 | ▲ $1,773,002 |
| Inventories for Sale or Use | $2,649,500 | $2,433,256 | ▼ $216,244 |
| Savings and Temporary Cash Investments | $904,654 | $2,027,948 | ▲ $1,123,294 |
| Prepaid Expenses and Deferred Charges | $1,749,220 | $1,039,143 | ▼ $710,077 |
| Investments Program Related | $213,000 | $213,000 | → $0 |
| Other Notes and Loans Receivable, Net | $240,834 | $144,584 | ▼ $96,250 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Rtn Earn Endowment Incm Other Fnds | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $76,164,985 | $76,312,887 | ▲ $147,902 |
| Other Assets Total | $814,133 | $3,369,670 | ▲ $2,555,537 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $16,250,017 | $15,466,191 | ▼ $783,826 |
| Accounts Payable and Accrued Expenses | $10,684,874 | $12,087,526 | ▲ $1,402,652 |
| Mortgage Notes Payable Secured by Investment Property | $1,079,001 | $2,757,723 | ▲ $1,678,722 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Other Liabilities | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Total Liabilities | $28,013,892 | $30,311,440 | ▲ $2,297,548 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $48,151,093 | $46,001,447 | ▼ $2,149,646 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $48,151,093 | $46,001,447 | ▼ $2,149,646 |
| Total Liabilities and Net Assets / Fund Balance | $76,164,985 | $76,312,887 | ▲ $147,902 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $6,291,600 | $55,324,495 | $61,616,095 |
| Buildings | $20,301,485 | $33,283,705 | $53,585,190 |
| Other Land Buildings | $1,024,897 | $728,369 | $1,753,266 |
| Land | $456,116 | - | $456,116 |
| Leasehold Improvements | $0 | $0 | $0 |
| Other Securities | $3,099,926 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Richard B Chitsey | Physician | FT | $1,124,031 | $79,471 | $1,203,502 |
| Dr Brent Rosson | Board Member/physician | FT | $951,302 | $65,826 | $1,017,128 |
| Dr Ali F Abdelaal | Physician | FT | $813,489 | - | $813,489 |
| Dr Ross E Halsted | Board Member/physician | FT | $537,375 | $62,515 | $599,890 |
| Dr Nicole F Caton | Physician | FT | $519,756 | $40,611 | $560,367 |
| Dr Andrew L Coble | Physician | FT | $442,709 | $49,539 | $492,248 |
| Dr Joseph S Graves | Physician | FT | $413,371 | $62,114 | $475,485 |
| Sammie R Roberson | CEO | FT | $379,579 | $89,399 | $468,978 |
| Joshua C Bright | COO | FT | $215,614 | $39,865 | $255,479 |
| Donna K Boehm | CNO | FT | $153,940 | $19,184 | $173,124 |
| Andrea N Smith | CFO | FT | $146,922 | $25,297 | $172,219 |
| Name | Title |
|---|---|
| DAVID O'NEAL | Board Member |
| Dr Stephen Beeler | Board Member |
| Ken Milburn | Board Member |
| Kirk Campbell | Board Member |
| Larry Phillips | Board Member |
| Ryan Caughron | Board Member |
| Sherry Billings | Board Member |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| 360 Degree Medicine LLC | Er Professional Services | 800 HWY 248 SUITE 2E, STE 1-2, Branson, MO 65616 | $4,650,699 |
| Qualivis LLC | Nurse Staffing | PO BOX 123847, Dallas, TX 75312 | $2,415,642 |
| Billing Specialists INC | Medical Billing | 1223 COMMERCE DRIVE, Mountain Home, AR 72653 | $808,863 |
| Vitality Plus Urology | Urologist | 140 ARKANSAS HIGHWAY 201, Mountain Home, AR 72653 | $804,874 |
| Ge Healthcare | Machinery Service | PO BOX 96483, Chicago, IL 60693 | $737,871 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $57,405,974 |
| Other Expenses | $52,916,612 |
| Grants and Similar Amounts Paid | $375 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $33,209,448 | $12,424,218 | - | $45,633,666 |
| Fees for Services Other | $14,493,841 | $5,422,392 | $0 | $19,916,233 |
| Other Employee Benefits | $3,316,481 | $1,240,752 | - | $4,557,233 |
| Payroll Taxes | $2,318,801 | $867,503 | - | $3,186,304 |
| Office Expenses | $2,205,945 | $825,282 | - | $3,031,227 |
| Depreciation Depletion | $2,198,267 | $822,409 | - | $3,020,676 |
| Current Officers, Directors, Trustees, and Key Employees | - | $2,673,520 | - | $2,673,520 |
| Occupancy | $1,911,708 | $715,203 | - | $2,626,911 |
| Pension Plan Contributions | $948,719 | $354,932 | - | $1,303,651 |
| Insurance | $887,560 | $332,051 | - | $1,219,611 |
| All Other Expenses | $672,071 | $251,432 | $0 | $923,503 |
| Other Expenses | $351,702 | $131,578 | - | $483,280 |
| Interest | $329,644 | $123,325 | - | $452,969 |
| Fees for Services Accounting | $246,622 | $92,265 | - | $338,887 |
| Travel | $179,530 | $67,165 | - | $246,695 |
| Advertising | $179,262 | $67,065 | - | $246,327 |
| Fees for Services Legal | $102,024 | $38,169 | - | $140,193 |
| Comp Disqual Persons | $37,551 | $14,049 | - | $51,600 |
| Grants to Domestic Orgs | $375 | - | - | $375 |
| Total Functional Expenses | $83,859,651 | $26,463,310 | $0 | $110,322,961 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $110,322,961 |
| Expenses per Audited Statements | $110,311,961 |
| Total Expenses per Audited Statements | $110,311,961 |
| Expenses Not Reported on Financial Statements | $11,000 |
| Other Expense Adjustments | $11,000 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | See Supplemental Info | W-2 Wages | No | $51,600 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Boone County Ar | 2021-12-30 | $9,877,759 | Hospital revenue refunding bonds |
| B | Boone County Ar | 2022-01-18 | $7,543,066 | Hospital revenue refunding bonds |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $9,877,759 | $8,719,225 | $285,000 | $187,534 |
| B | $7,543,066 | $6,642,728 | $1,370,000 | $146,338 |
“North arkansas medical system is the sole member of north arkansas regional medical. The member reserves power over the following acts: - elect, appoint, or remove directors to fill vacancies of the board of directors or any of its committees. - waive any notice, whether required by statute, the articles of incorporation, or these bylaws, before or after the date and time stated in the notice.”
“Form 990 is provided to each board director during the board committee meetings. Management reviewed each section and all significant disclosures with the board of directors.”
“It is the policy of the board of directors that the existence of any conflict be disclosed before any transaction is consummated. It shall be the continuing responsibility of directors, officers, medical staff officers, management employees, and contracted/employed physicians to scrutinize their transactions for potential conflicts and to make such disclosures. Disclosures shall be made to the president of the hospital, and shall bring these matters to the attention to the board of directors and executive committee. The board of directors shall then determine whether a conflict exists or, in the presence of an existing conflict, whether the contemplated transaction may be authorized as just, fair, and reasonable as to the corporation, and, after so determining affirmatively, the directors may authorize the transaction in the best interests of the corporation.”
“Compensation for the top management official, CEO, is established by the board's executive committee, which is composed of independent directors. The committee reviews compensation surveys, comparable hospital data, and peer benchmarks. The review and approval are documented in the meeting minutes. The process was last conducted in 2025.”
“Compensation for the COO, CFO and CNO are reviewed and determined by the CEO. These reviews consider the individual's performance, tenure, and experience in the role, along with annual cost-of-living. The most recent review for these positions were completed in 2025.”
“PROVIDED UPON REQUEST.”
“- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“PROFESSIONAL FEES - Total Expense: 6659554, Program Service Expense: 4846425, Management and General Expenses: 1813129, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 7475977, Program Service Expense: 5440568, Management and General Expenses: 2035409, Fundraising Expenses: 0; SERVICE AGREEMENTS - Total Expense: 3119518, Program Service Expense: 2270198, Management and General Expenses: 849320, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 2661184, Program Service Expense: 1936650, Management and General Expenses: 724534, Fundraising Expenses: 0;”
“TRANSFER TO AFFILIATE - -33104; Total - -33104;”
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material tax positions to be recorded or disclosed in the financial statements.”
“LOSS ON DISPOSAL - 11000”
“LOSS ON DISPOSAL - 11000”
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 | 10684874 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 12087526 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 15155927 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 16928929 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE AND RESOURCES WITH COMPASSION AND INTEGRITY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 67065 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 179262 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 246327 |
| IRS990/AllOtherContributionsAmt | 0 | 97545 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 251432 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 672071 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 923503 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ANDREA SMITH |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8704145157 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 620 NORTH MAIN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | HARRISON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | AR |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 72601 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 16 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2673520 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2673520 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 14049 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 37551 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 51600 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 4650699 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2415642 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 808863 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 804874 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 737871 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 800 HWY 248 SUITE 2E |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 123847 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1223 COMMERCE DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 140 ARKANSAS HIGHWAY 201 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 96483 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 0 | STE 1-2 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | BRANSON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MOUNTAIN HOME |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | MOUNTAIN HOME |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | AR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | AR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 65616 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75312 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 72653 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 72653 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 60693 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | 360 DEGREE MEDICINE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | QUALIVIS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | BILLING SPECIALISTS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | VITALITY PLUS UROLOGY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | GE HEALTHCARE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ER PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | NURSE STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MEDICAL BILLING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | UROLOGIST |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | MACHINERY SERVICE |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2564386 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 375 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1552662 |
| IRS990/CYOtherExpensesAmt | 0 | 52916612 |
| IRS990/CYOtherRevenueAmt | 0 | 26375 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 104885660 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -1293878 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 57405974 |
| IRS990/CYTotalExpensesAmt | 0 | 110322961 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 109029083 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 822409 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2198267 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3020676 |
| IRS990/Desc | 0 | NARMC PROVIDED OVER 7,929 DAYS OF PATIENT CARE WITH 60.28% BEING PROVIDED TO MEDICARE AND MEDICAID PATIENTS. IN CONNECTION WITH THE PROVIDING OF CARE, NARMC WROTE OFF $239,759,658 OF CHARGES IN THE FORM OF CONTRACTUALS AND CHARITY EQUALING 71.1% OF TOTAL GROSS INCOME. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 968 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 82792746 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 92265 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 246622 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 338887 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 38169 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 102024 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 140193 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 5422392 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 14493841 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 19916233 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 45826 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 33016 |
| 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 | 20792 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 13917 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 30188 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 35399 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 39539 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 33614 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 32611 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 36971 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DAVID O'NEAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DR BRENT ROSSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DR ROSS E HALSTED |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DR STEPHEN BEELER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KEN MILBURN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KIRK CAMPBELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | LARRY PHILLIPS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | RYAN CAUGHRON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SHERRY BILLINGS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ANDREA N SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | DONNA K BOEHM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JOSHUA C BRIGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | SAMMIE R ROBERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | DR ALI F ABDELAAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DR ANDREW L COBLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DR JOSEPH S GRAVES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DR NICOLE F CATON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | DR RICHARD B CHITSEY |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 971302 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 566874 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 151427 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 159207 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 225291 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 433579 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 813489 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 452709 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 441871 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 527756 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 1166531 |
| 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/TitleTxt | 0 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1996 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 11000 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 761346 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 2336446 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 375 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 375 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 11000 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 11398453 |
| IRS990/GrossReceiptsAmt | 0 | 119666190 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 71 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 332051 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 887560 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1219611 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 123325 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 329644 |
| IRS990/InterestGrp/TotalAmt | 0 | 452969 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 2649500 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2433256 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 780316 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 780316 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 24787281 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 22082259 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 213000 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 213000 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 151 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 89336569 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 29650436 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 28074098 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 117410667 |
| IRS990/LegalDomicileStateCd | 0 | AR |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 10637107 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| 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/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | WE ARE DEDICATED TO PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE AND AFFORDABLE. WE EXPECT SERVICES TO BE DELIVERED COMPASSIONATELY, APPROPRIATELY, RESPONSIBLY, SAFELY AND EFFICIENTLY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1079001 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 2757723 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 48151093 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 46001447 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 772346 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 772346 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -822664 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 48151093 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 46001447 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 715203 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1911708 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 2626911 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 825282 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2205945 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 3031227 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 814133 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 3369670 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -33104 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1240752 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3316481 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4557233 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DRUGS |
| IRS990/OtherExpensesGrp/Desc | 2 | PROVIDER ASSESSMENT TAX |
| IRS990/OtherExpensesGrp/Desc | 3 | FOOD |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 131578 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 10436315 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 8350769 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1483016 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 351702 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 10436315 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 8350769 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1483016 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 483280 |
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