Liabilities / Assets
79th percentile
Higher debt load relative to assets than 79% of similar nonprofits.
EIN 73-0579295 • 501(c)3 • Elk City, OK
Profile
Great Plains Regional Medical Center will distinguish itself as the leader in Western Oklahoma and the Eastern Texas Panhandle for comprehensive, cost effective, high quality healthcare. We will meet the healthcare needs of patients in our service area while achieving cost effective quality outcomes. We will maintain and enhance collaborative relationships with physicians to better serve the healthcare needs of our service area. We will maintain and continually enhance health promotion, patient education and disease prevention for patients in our service area.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
79th percentile
Higher debt load relative to assets than 79% of similar nonprofits.
Liabilities / Revenue
69th percentile
Higher debt load relative to revenue than 69% of similar nonprofits.
Net Margin
14th percentile
Higher net margin than 14% of similar nonprofits.
Top Officer Pay
89th percentile
Higher top officer pay than 89% of similar nonprofits.
Top officer pay equals 2.1% of source-year revenue.
Asset Growth
20th percentile
Faster asset growth than 20% of similar nonprofits.
Revenue Growth
44th percentile
Faster revenue growth than 44% of similar nonprofits.
Assets
Down$62,498,665
Down $1,187,465 (-1.9%) from 2023
Liabilities
Up$40,478,949
Up $3,220,522 (+8.6%) from 2023
Net Assets
Down$22,019,716
Down $4,407,987 (-17%) from 2023
Revenue
Up$56,138,407
Up $3,253,200 (+6.2%) from 2023
Expenses
Up$63,089,803
Up $3,657,113 (+6.2%) from 2023
Net Income
Down-$6,951,396
Down $403,913 (-6.2%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Great Plains Regional Medical Center will distinguish itself as the leader in Western Oklahoma and the Eastern Texas Panhandle for comprehensive, cost effective, high quality healthcare. We will meet the healthcare needs of patients in our service area while achieving cost effective quality outcomes. We will maintain and enhance collaborative relationships with physicians to better serve the healthcare needs of our service area. We will maintain and continually enhance health promotion, patient education and disease prevention for patients in our service area.
To provide comprehensive, cost-effective, high quality healthcare to our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $26,579,022 | $25,093,783 | ▼ $1,485,239 |
| Investments in Publicly Traded Securities | $20,688,225 | $19,980,978 | ▼ $707,247 |
| Accounts Receivable | $9,196,961 | $9,363,914 | ▲ $166,953 |
| Investments Other Securities | $3,045,318 | $3,446,664 | ▲ $401,346 |
| Inventories for Sale or Use | $1,819,543 | $1,913,802 | ▲ $94,259 |
| Investments Program Related | $1,132,737 | $1,191,097 | ▲ $58,360 |
| Prepaid Expenses and Deferred Charges | $643,822 | $603,582 | ▼ $40,240 |
| Savings and Temporary Cash Investments | $392,811 | $375,424 | ▼ $17,387 |
| Intangible Assets | $84,000 | $84,000 | → $0 |
| Cash and Non-Interest-Bearing Accounts | $2,765 | $2,765 | → $0 |
| Total Assets | $63,686,130 | $62,498,665 | ▼ $1,187,465 |
| Other Assets Total | $100,926 | $442,656 | ▲ $341,730 |
| Liabilities | |||
| Other Liabilities | $27,314,385 | $27,732,061 | ▲ $417,676 |
| Accounts Payable and Accrued Expenses | $9,944,042 | $12,746,888 | ▲ $2,802,846 |
| Total Liabilities | $37,258,427 | $40,478,949 | ▲ $3,220,522 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $26,427,703 | $22,019,716 | ▼ $4,407,987 |
| Total Net Assets Fund Balance | $26,427,703 | $22,019,716 | ▼ $4,407,987 |
| Total Liabilities and Net Assets / Fund Balance | $63,686,130 | $62,498,665 | ▼ $1,187,465 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $19,413,603 | $41,394,582 | $60,808,185 |
| Equipment | $3,566,003 | $28,323,699 | $31,889,702 |
| Other Land Buildings | $172,241 | $1,535,255 | $1,707,496 |
| Land | $1,865,193 | - | $861,828 |
| Leasehold Improvements | $76,743 | $30,340 | $107,083 |
| Other Securities | $163,830 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Steven Riley Winham MD | Surgery | FT | $861,073 | $296,965 | $1,158,038 |
| Tyson Fisher MD | Member/Vice Chief of Staff | FT | $566,564 | $112,396 | $678,960 |
| Donald Lesslie III DO FACS FSSO | General & Bariatric Surgery | FT | $503,677 | $27,857 | $531,534 |
| Millard L Henry III MD | Urology | FT | $487,349 | $23,663 | $511,012 |
| Corey Lively | CEO | FT | $356,501 | $22,991 | $379,492 |
| Edward Zdobylak MD | Neurology | FT | $336,904 | $15,382 | $352,286 |
| Stacy Brown PA-C | Orthopedic Surgery | FT | $134,769 | $145,453 | $280,222 |
| Misty Carter | Chief Human Resources | FT | $153,446 | $24,182 | $177,628 |
| Monica R Scott | CFO | FT | $155,857 | $18,923 | $174,780 |
| Erick DeRocher DO | Member/Chief of Staff | PT | $11,700 | - | $11,700 |
| Name | Title |
|---|---|
| Kyle Zybach | Chair |
| Joe Allen | Vice Chair |
| Daniel Garbarino | Member |
| Danny Sprowls | Member |
| Edward Albert | Member |
| J Coffey MD | Member |
| Paul Kumpf | Member |
| Jeff Jackson | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Premier Physician Staffing | Physician ER coverage | 20 E 5th St Suite 620, Tulsa, OK 74103 | $3,021,754 |
| Prime Physician Staffing PLLC | Hospitalist physician coverage | 20 E 5th St Suite 620, Tulsa, OK 74103 | $1,364,625 |
| Qualivis LLC | Contract Labor Staffing | PO Box 123847, Dallas, TX 75312 | $986,695 |
| Lifepoint Rehabilitation | Rehab Management | PO Box 502096, St Louis, MO 63150 | $802,383 |
| Horizon Health | Senior Care Management | PO Box 840839, Dallas, TX 75284 | $627,875 |
| Line Item | Amount |
|---|---|
| Other Expenses | $34,635,141 |
| Salaries, Compensation, and Employee Benefits | $28,436,751 |
| Grants and Similar Amounts Paid | $17,911 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $15,342,822 | $4,170,363 | - | $19,513,185 |
| Fees for Services Other | $10,490,943 | $3,285,121 | - | $13,776,064 |
| Other Employee Benefits | $4,546,841 | $1,364,783 | - | $5,911,624 |
| Depreciation Depletion | $3,201,786 | $246,019 | - | $3,447,805 |
| Office Expenses | $1,051,525 | $726,279 | - | $1,777,804 |
| Current Officers, Directors, Trustees, and Key Employees | $687,716 | $761,119 | - | $1,448,835 |
| Interest | $1,290,730 | $95,418 | - | $1,386,148 |
| Payroll Taxes | $1,041,715 | $314,835 | - | $1,356,550 |
| Occupancy | $304,694 | $758,619 | - | $1,063,313 |
| Insurance | $185,943 | $614,545 | - | $800,488 |
| Information Technology | $237,533 | $231,448 | - | $468,981 |
| All Other Expenses | $64,664 | $333,960 | - | $398,624 |
| Other Expenses | $57,251 | $241,319 | - | $298,570 |
| Comp Disqual Persons | $144,723 | - | - | $144,723 |
| Advertising | $51 | $124,266 | - | $124,317 |
| Travel | $80,211 | $19,554 | - | $99,765 |
| Pension Plan Contributions | $48,607 | $13,227 | - | $61,834 |
| Conferences and Meetings | $25,167 | $12,671 | - | $37,838 |
| Fees for Services Legal | - | $33,426 | - | $33,426 |
| Grants to Domestic Individuals | $11,286 | - | - | $11,286 |
| Grants to Domestic Orgs | $6,625 | - | - | $6,625 |
| Total Functional Expenses | $48,549,455 | $14,540,348 | $0 | $63,089,803 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Jacob Jackson | Family relation to Jeff Jackson, Board Member | Compensation as employee | No | $144,723 |
| Liability | Amount |
|---|---|
| Payable to related party | $25,594,289 |
| Estimated third-party payor settlements | $1,091,328 |
| Finance Lease Liabilities | $627,220 |
| Operating Lease Liabilities | $419,224 |
“The Executive Committee is composed of the officers of the Board; President, Vice President, Secretary and Treasurer. The Hospital's Board President serves as the Chair of the Executive Committee. Other members may be added if advisable. The Executive Committee directly represents the Board and possesses the power to act for the Board within limits set for it by the Board, on matters needing immediate attention, prior to regular board meetings, and such other powers as delegated to it by the Board. The Executive Committee reports to the Board of Directors at the next regular or at the next special meeting called for that purpose.”
“Members are individuals who have voting shares in Great Plains Regional Medical Center. Membership is obtained through transfers of existing memberships. Transfers normally result either through voluntary surrender of a membership from a current member who is no longer interested in retaining their membership or through the death of a member who has no immediate family interested in retaining the membership. Each individual is allowed only one membership and there is only one vote allowed per membership.”
“Governing Board members are appointed through nomination and a majority vote election by the membership at annual meetings.”
“Any amendments to the Governing Board Bylaws and Rules & Regulations have to be approved by a majority vote of the membership. Per the Organization's Bylaws, the members are the supreme authority of the Association in all its affairs.”
“The Form 990 is presented and reviewed at the governing Board's monthly meeting. The 990 is also posted on the governing Board's website prior to the meeting.”
“All members of the governing board, officers and key employees receive a copy of the Conflict of Interest Policy on an annual basis. The individuals are required to review the policy and complete and sign the questionnaire attesting to their understanding of the policy and that their answers are true and accurate. The board as a whole reviews the conflict of interest statements. Any potential conflicts are discussed and depending on the conflict the board decides the appropriate action to take.”
“When determining the CEO's compensation, Human Resources conducts a comparative analysis of compensation by position using state, multi-state, regional and national compensation data. Data is selected from hospitals with similar bed size, revenue and other similar area comparatives. Human Resources then submits a report to the Executive Committee. This is completed on an annual basis. The Executive Committee reviews the data, confirms the data with an independent auditor and recommends appropriate CEO compensation to the Board of Directors. The CFO and Key employees' compensation is reviewed annually by Human Resources and approved by the CEO.”
“The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
“Consulting: Program service expenses 6,463,463. Management and general expenses 1,836,465. Fundraising expenses 0. Total expenses 8,299,928. Service contracts: Program service expenses 564,047. Management and general expenses 672,066. Fundraising expenses 0. Total expenses 1,236,113. Contract labor: Program service expenses 3,463,433. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,463,433. Purchased services: Program service expenses 0. Management and general expenses 776,590. Fundraising expenses 0. Total expenses 776,590.”
“The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.”
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 | 9944042 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 12746888 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 9196961 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 9363914 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To provide comprehensive, cost-effective, high quality healthcare to our communities. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 124266 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 51 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 124317 |
| IRS990/AllOtherContributionsAmt | 0 | 3376 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 333960 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 64664 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 398624 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Monica Scott |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5808215500 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1801 W 3rd Street |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Elk City |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | OK |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 73544 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2765 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2765 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 20 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 761119 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 687716 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1448835 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 144723 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 144723 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 12671 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 25167 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 37838 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3021754 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1364625 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 986695 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 802383 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 627875 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 20 E 5th St Suite 620 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 20 E 5th St Suite 620 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 123847 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 502096 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO Box 840839 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Tulsa |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Tulsa |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | St Louis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | OK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 74103 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 74103 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 75312 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 63150 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 75284 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Premier Physician Staffing |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Prime Physician Staffing PLLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Qualivis LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Lifepoint Rehabilitation |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Horizon Health |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Physician ER coverage |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Hospitalist physician coverage |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Contract Labor Staffing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Rehab Management |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Senior Care Management |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 123509 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 17911 |
| IRS990/CYInvestmentIncomeAmt | 0 | 829456 |
| IRS990/CYOtherExpensesAmt | 0 | 34635141 |
| IRS990/CYOtherRevenueAmt | 0 | 487787 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 54697655 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -6951396 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 28436751 |
| IRS990/CYTotalExpensesAmt | 0 | 63089803 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 56138407 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 246019 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3201786 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3447805 |
| IRS990/Desc | 0 | Farmers Union Hospital Association, DBA Great Plains Regional Medical Center in Elk City, Oklahoma (hereinafter referred to as GPRMC) is a 62-bed hospital that provides quality health care regardless of race, religion, creed, sex, national origin, handicap, age, or ability to pay. Reimbursement for services rendered is critical to the operation and stability of GPRMC, it is recognized that not all individuals possess the ability to purchase essential medical services. In keeping with the Hospital's commitment to serve all members of its community, free care and/or subsidized care, care provided to persons covered by government programs at below cost, and health care activities and programs to support the community will be considered whether the need and/or individual's inability to pay exists. Continued on Schedule O.GPRMC served over 1,619 Inpatients that include, Medical, Intensive Care, Inpatient Rehabilitation, Newborns, Swing Bed and Senior Care. These services produced more than 8,742 Inpatient days. During the year we treated 12,666 patients in the Emergency Department. Our Surgical teams performed 2,433 surgeries. GPRMC provides care to persons covered by governmental and other programs as part of its mission to the community. These programs may not pay full charges to the extent reimbursement is below full charges. GPRMC recognized these amounts as contractual adjustments in meeting its mission to the entire community. Also, in recognizing its mission to the community, GPRMC provides services for those unable to pay. Additionally, GPRMC has provided services to others who are either unwilling or unable to qualify for charity care guidelines but who are still unable to pay. Community benefit is also provided by GPRMC by providing reduced price services, free programs offered throughout the year which GPRMC believes will serve a bona fide community health need. See Schedule H for more information regarding these activities.The Hospital provides health care services to patients who meet certain criteria under its charity policy without charge or amounts less than established rates. GPRMC does not pursue collection amounts determined to qualify as charity care, they are not recorded as revenue. The amount of charges foregone for services provided under the Hospital's charity care policy were approximately $27,000 in 2024. Total direct and indirect cost related to these foregone charges were $9,000, based on an average ratio of cost to gross charges. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | Great Plains Regional Medical Center |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 567 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 48549455 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 33426 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 33426 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3285121 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 10490943 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 13776064 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form8899Filedind | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.00 |
| 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/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| 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/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 41541 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 21061 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 17256 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 22800 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 41252 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 26689 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 23327 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 14693 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 30020 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Kyle Zybach |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Joe Allen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Jeff Jackson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Edward Albert |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | J Coffey MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Danny Sprowls |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Erick DeRocher DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Paul Kumpf |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Daniel Garbarino |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Tyson Fisher MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Corey Lively |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Monica R Scott |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Misty Carter |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Steven Riley Winham MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Donald Lesslie III DO FACS FSSO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Millard L Henry III MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Edward Zdobylak MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Stacy Brown PA-C |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 11700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 636789 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 357051 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 156423 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 153742 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 1116786 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 504845 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 487685 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 337593 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 249950 |
| 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 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Member/Chief of Staff |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Member/Vice Chief of Staff |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Chief Human Resources |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Surgery |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | General & Bariatric Surgery |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Urology |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Neurology |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Orthopedic Surgery |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1938 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 58598 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 120133 |
| IRS990/GrantAmt | 0 | 17911 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 11286 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 11286 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 6625 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 6625 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 3132837 |
| IRS990/GrossReceiptsAmt | 0 | 59212646 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 452328 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 27 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 231448 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 237533 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 468981 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 614545 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 185943 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 800488 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 84000 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 84000 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 95418 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 1290730 |
| IRS990/InterestGrp/TotalAmt | 0 | 1386148 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1819543 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1913802 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 770858 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 770858 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 3045318 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 3446664 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1132737 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 1191097 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 20688225 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 19980978 |
| IRS990/IRPDocumentCnt | 0 | 309 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 71283876 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 26579022 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 25093783 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 96377659 |
| IRS990/LegalDomicileStateCd | 0 | OK |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 3074239 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | Great Plains Regional Medical Center will distinguish itself as the leader in Western Oklahoma and the Eastern Texas Panhandle for comprehensive, cost effective, high quality healthcare. We will meet the healthcare needs of patients in our service area while achieving cost effective quality outcomes. We will maintain and enhance collaborative relationships with physicians to better serve the healthcare needs of our service area. We will maintain and continually enhance health promotion, patient education and disease prevention for patients in our service area. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 26427703 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 22019716 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 58598 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 58598 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 452328 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 452328 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 2543407 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 26427703 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 22019716 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 758619 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 304694 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1063313 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 726279 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1051525 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1777804 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 100926 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 442656 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1364783 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 4546841 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 5911624 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Food |
| IRS990/OtherExpensesGrp/Desc | 2 | Repairs and maintenance |
| IRS990/OtherExpensesGrp/Desc | 3 | Dues and Subscriptions |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 26261 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 741323 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 425792 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 241319 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 9520445 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 4012 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 204165 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 57251 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 9546706 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 745335 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 629957 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 298570 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 27314385 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 27732061 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 4170363 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 15342822 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 19513185 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 314835 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1041715 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1356550 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 13227 |
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