Civic Intelligence

Shc Medical Center - Toppenish

EIN 81-4670687 • 501(c)3 • Sunnyside, WA

Profile

Provide healthcare services to the communities served.

1016 Tacoma AveSunnyside, WA 98944

www.astria.health

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

99th percentile

2.02x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

74th percentile

0.91x

Higher debt load relative to revenue than 74% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

12th percentile

-14%

Higher net margin than 12% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

91st percentile

$1,312,421

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 2.5% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

17th percentile

-3.2%

Faster asset growth than 17% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

16th percentile

-9.8%

Faster revenue growth than 16% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Down

$23,628,718

Down $769,841 (-3.2%) from 2023

Liabilities

Up

$47,725,188

Up $7,755,198 (+19%) from 2023

Net Assets

Down

-$24,096,470

Down $8,525,039 (-55%) from 2023

Revenue

Down

$52,456,949

Down $5,695,646 (-9.8%) from 2023

Expenses

Down

$59,927,991

Down $4,293,830 (-6.7%) from 2023

Net Income

Down

-$7,471,042

Down $1,401,816 (-23%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0-$20M-$40MAssets 2017: $16,745,550Liabilities 2017: $18,131,836Net Assets 2017: -$1,386,2862017Assets 2018: $18,866,476Liabilities 2018: $22,735,748Net Assets 2018: -$3,869,2722018Assets 2019: $20,706,716Liabilities 2019: $31,104,927Net Assets 2019: -$10,398,2112019Assets 2020: $18,570,913Liabilities 2020: $21,227,908Net Assets 2020: -$2,656,9952020Assets 2021: $20,059,733Liabilities 2021: $22,228,877Net Assets 2021: -$2,169,1442021Assets 2022: $26,733,218Liabilities 2022: $36,235,423Net Assets 2022: -$9,502,2052022Assets 2023: $24,398,559Liabilities 2023: $39,969,990Net Assets 2023: -$15,571,4312023Assets 2024: $23,628,718Liabilities 2024: $47,725,188Net Assets 2024: -$24,096,4702024

Highlighted filing

2024

Assets$23,628,718
Liabilities$47,725,188
Net Assets-$24,096,470

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MRevenue 2017: $6,897,844Expenses 2017: $8,284,130Net Income 2017: -$1,386,2862017Revenue 2018: $20,741,770Expenses 2018: $23,224,756Net Income 2018: -$2,482,9862018Revenue 2019: $24,741,143Expenses 2019: $26,810,704Net Income 2019: -$2,069,5612019Revenue 2020: $47,073,752Expenses 2020: $36,782,733Net Income 2020: $10,291,0192020Revenue 2021: $52,228,854Expenses 2021: $53,989,606Net Income 2021: -$1,760,7522021Revenue 2022: $57,774,751Expenses 2022: $65,107,812Net Income 2022: -$7,333,0612022Revenue 2023: $58,152,595Expenses 2023: $64,221,821Net Income 2023: -$6,069,2262023Revenue 2024: $52,456,949Expenses 2024: $59,927,991Net Income 2024: -$7,471,0422024

Highlighted filing

2024

Revenue$52,456,949
Expenses$59,927,991
Net Income-$7,471,042

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 11, 2025
Return Version
2024v5.0
Gross Receipts
$52,456,949
Mission and Program Overview

Mission

To provide healthcare services to the communities we serve.

Provide healthcare services to the communities served.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$7,814,163$8,589,000▲ $774,837
Accounts Receivable$9,552,270$8,512,909▼ $1,039,361
Inventories for Sale or Use$2,749,186$3,046,163▲ $296,977
Prepaid Expenses and Deferred Charges$307,478$319,825▲ $12,347
Cash and Non-Interest-Bearing Accounts$174,047$145,752▼ $28,295
Total Assets$24,398,559$23,628,718▼ $769,841
Other Assets Total$3,801,415$3,015,069▼ $786,346
Liabilities
Other Liabilities$34,549,132$40,590,635▲ $6,041,503
Accounts Payable and Accrued Expenses$4,777,150$5,804,678▲ $1,027,528
Grants Payable$495,947$1,194,055▲ $698,108
Unsecured Notes Loans Payable$147,761$135,820▼ $11,941
Total Liabilities$39,969,990$47,725,188▲ $7,755,198
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-15,571,431$-24,096,470▼ $8,525,039
Total Net Assets Fund Balance$-15,571,431$-24,096,470▼ $8,525,039
Total Liabilities and Net Assets / Fund Balance$24,398,559$23,628,718▼ $769,841

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,152,199$3,536,046$8,688,245
Equipment$625,226$2,113,918$2,739,144
Other Land Buildings$2,261,575$9,847$2,271,422
Land$550,000-$550,000
Other Assets Org$3,015,069--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sikarin Upala MdPhysicianFT$1,288,961$189,370$1,312,421
Vu Le MdPhysicianFT$1,211,448$58,704$1,270,152
Charles Bulfinch MdPhysicianFT$867,758$56,296$924,054
Brian P Gibbons JrPresident &PT-$846,002$846,002
Brian P Gibbons JrPresident & CEO-$523,732$37,199$560,931
Adrian Obuch MdPhysicianFT$279,986$55,063$500,959
Maxwell OwensCFO (ended 6PT-$455,221$455,221
Catherine BambrickAdministratoFT-$342,035$342,035
Matthew MatthiessenCFO (beg. 6/PT-$145,198$145,198

Board Members and Trustees

NameTitle
Bertha OrtegaChair
Carrie StoryVice Chair
Michael Marples MdTrustee
Steve YoungTrustee
Catherine BambrickAdministrator
Maxwell OwensCFO (ended 6/24)
Craig Whittlesey MdPhysician

Highest Paid Contractors

ContractorServicesLocationCompensation
Rural Physicians GroupPhysician10624 S EASTERN AVE SUITE A263, Henderson, NV 89052$1,886,431
Sunnyside Emergency GroupPhysicianPO BOX 677979, Dallas, TX 75267$1,190,169
Evergreen Anesthesia AssociatesPhysicianPO BOX 3442, Idaho Falls, ID 83403$1,131,710
Pulmonary ExchangeMedical SupportPO BOX 809258, Chicago, IL 60680$690,735
Aya HealthcareContract LaborPO BOX 674907, Dallas, TX 75267$519,153
Revenue and Support

Revenue Composition

Contributions and Grants
$1,527,066
Program Service Revenue
$49,547,909
Investment Income
$1,052,273
Other Revenue
$329,701
Change in Net Assets
$-7,471,042
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$31,491,187
Salaries, Compensation, and Employee Benefits$28,436,804
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$22,711,163$856,542-$23,567,705
Fees for Services Other$9,496,213$481,452-$9,977,665
Interest$32,712$2,423,289-$2,456,001
Other Employee Benefits$2,268,739$82,648-$2,351,387
All Other Expenses$1,738,495$569,317-$2,307,812
Payroll Taxes$1,791,978$65,280-$1,857,258
Occupancy$1,217,676$54,138-$1,271,814
Office Expenses$737,872$248,712-$986,584
Depreciation Depletion$732,228$51,420-$783,648
Pension Plan Contributions$637,240$23,214-$660,454
Insurance$566,594$37,336-$603,930
Fees for Services Management-$542,810-$542,810
Other Expenses$245,152$14,299-$259,451
Information Technology$112,730$2,058-$114,788
Conferences and Meetings$65,243$9,538-$74,781
Fees for Services Legal-$58,017-$58,017
Travel$28,811$3,129-$31,940
Fees for Services Accounting-$15,875-$15,875
Total Functional Expenses$45,611,830$14,316,161$0$59,927,991
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$36,492,656
Lease Liabilities$3,067,979
Third Party Settlements$1,030,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

Pursuant to a contractual arrangement, the organization obtains certain management and administrative services from astria health (ah). Ah, as the parent and system entity, provides the services to its subsidiary tax- exempt nonprofit corporate entities on a centralized basis. The services include the following management of: executive activities, information systems, financial operations, health information and records, scheduling and referrals, human resources, materials and supplies, medical staff and physicians services, quality resources, risk management, marketing and community relations, shared services, directors for laboratory. Shc medical center - toppenish utilizes employees of astria health as its ceo and cfo. The following persons listed in part vii were compensated by ah: brian gibbons ceo (compensation for services as an officer of ah and related tax-exempt entities), maxwell owens cfo (compensation for services as an officer of ah and related tax-exempt entities), matthew matthiessen cfo(compensation for services as an officer of ah and related tax-exempt entities).

Form 990, Page 6, Part VI, Line 6

Shc holdco, llc, a disregarded entity of astria health, is the sole member of shc medical center toppenish dba astria toppenish hospital.

Form 990, Page 6, Part VI, Line 7A

Shc holdco, llc, a disregarded entity of astria health, as the member of the organization has sole authority to appoint the organization's board members.

Form 990, Page 6, Part VI, Line 7B

Shc holdco, llc, a disregarded entity of astria health, as the member of the organization has sole authority to: appoint or remove officers, oversight and approval of officer and physician compensation, change the mission and philosophy, adopt, amend or repeal governing documents, establish parameters around acquiring or disposing of assets, incurring indebtedness or entering leases, approve any corporate restructuring including mergers and dissolutions, approve annual strategic plans and capital budgets, appoint auditors, cause the issuance or redemption of a membership to or from any person or entity.

Form 990, Page 6, Part VI, Line 11B

A copy of the 990 is provided to the ceo and cfo who review the form, schedules and related attachments. Any comments or questions are addressed with the preparer prior to approval of the 990. A draft is also distributed to the board of directors for review. Once management is satisfied with the 990, the ceo authorizes the preparer to finalize the return.

Form 990, Page 6, Part VI, Line 12C

Each member of the board fills out a conflict of interest form disclosing any potential conflicts of interest on an annual basis or through self disclosure in the interim. If a potential conflict arises, the affected person shall fully disclose the nature of the interest and withdraw from discussion and voting on the matter. Any transaction or vote involving a potential conflict of interest shall be approved only when a majority of disinterested directors determine that it is in the best interest of the hospital to do so. The hospital has a compliance and monitoring policy that is enforced by the ceo.

Form 990, Page 6, Part VI, Line 19

Shc toppenish makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Shc Medical Center - Toppenish
EIN
81-4670687
Phone
5098653105
Address
1016 TACOMA AVE, SUNNYSIDE, WA 98944
Doing Business As
Astria Toppenish Hospital

Signing Officer

Name
Brian P Gibbons Jr
Title
President & CEO
Phone
5098653105
Signed
2025-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brian P Gibbons Jr
Formed
2016
Legal Domicile
Wa
Voting Board Members
6
Independent Board Members
4
Employees
369
Volunteers
4

Preparer

Firm
Dza Pllc
Address
12015 E MAIN AVE, SPOKANE VALLEY, WA 99206
Preparer
Rikki Patch
Phone
5092420874
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

9,496,213 481,452 0

Financial Statement Notes

Schedule D, Page 3, Part X

The organization is annually required to file a return of organization exempt from income tax, form 990, with the irs. In addition, they are subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The organization believes that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to the financial statements.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm3BRIAN P GIBBONS JR
IRS990/Form990PartVIISectionAGrp/PersonNm4ADRIAN OBUCH MD
IRS990/Form990PartVIISectionAGrp/PersonNm5CRAIG WHITTLESEY MD
IRS990/Form990PartVIISectionAGrp/PersonNm6MAXWELL OWENS
IRS990/Form990PartVIISectionAGrp/PersonNm7CATHERINE BAMBRICK
IRS990/Form990PartVIISectionAGrp/PersonNm8MATTHEW MATTHIESSEN
IRS990/Form990PartVIISectionAGrp/PersonNm9BERTHA ORTEGA
IRS990/Form990PartVIISectionAGrp/PersonNm10CARRIE STORY
IRS990/Form990PartVIISectionAGrp/PersonNm11STEVE YOUNG
IRS990/Form990PartVIISectionAGrp/PersonNm12MICHAEL MARPLES MD
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt01289306
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt11212289
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2868353
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt4528088
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt5454864
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt3786652
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt6432076
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt7324547
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt8135226
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/TitleTxt0PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt3PRESIDENT &
IRS990/Form990PartVIISectionAGrp/TitleTxt4PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt5PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt6CFO (ENDED 6
IRS990/Form990PartVIISectionAGrp/TitleTxt7ADMINISTRATO
IRS990/Form990PartVIISectionAGrp/TitleTxt8CFO (BEG. 6/
IRS990/Form990PartVIISectionAGrp/TitleTxt9CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt10VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt12TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr02016
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GainOrLossGrp/OtherAmt01050000
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GovernmentGrantsAmt01527066
IRS990/GrantsPayableGrp/BOYAmt0495947
IRS990/GrantsPayableGrp/EOYAmt01194055
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossAmountSalesAssetsGrp/OtherAmt01050000
IRS990/GrossReceiptsAmt052456949
IRS990/GrossRentsGrp/RealAmt0158489
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0true
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt04
IRS990/IndivRcvdGreaterThan100KCnt059
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt02058
IRS990/InformationTechnologyGrp/ProgramServicesAmt0112730
IRS990/InformationTechnologyGrp/TotalAmt0114788
IRS990/InsuranceGrp/ManagementAndGeneralAmt037336
IRS990/InsuranceGrp/ProgramServicesAmt0566594
IRS990/InsuranceGrp/TotalAmt0603930
IRS990/InterestGrp/ManagementAndGeneralAmt02423289
IRS990/InterestGrp/ProgramServicesAmt032712
IRS990/InterestGrp/TotalAmt02456001
IRS990/InventoriesForSaleOrUseGrp/BOYAmt02749186
IRS990/InventoriesForSaleOrUseGrp/EOYAmt03046163
IRS990/InvestmentIncomeGrp/ExclusionAmt02273
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt02273
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt059
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt05659811
IRS990/LandBldgEquipBasisNetGrp/BOYAmt07814163
IRS990/LandBldgEquipBasisNetGrp/EOYAmt08589000
IRS990/LandBldgEquipCostOrOtherBssAmt014248811
IRS990/LegalDomicileStateCd0WA
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0-15571431
IRS990/NetAssetsOrFundBalancesEOYAmt0-24096470
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt01050000
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt01050000
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt0158489
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt0158489
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-15571431
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-24096470
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ManagementAndGeneralAmt054138
IRS990/OccupancyGrp/ProgramServicesAmt01217676
IRS990/OccupancyGrp/TotalAmt01271814
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0248712
IRS990/OfficeExpensesGrp/ProgramServicesAmt0737872
IRS990/OfficeExpensesGrp/TotalAmt0986584
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0true
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt03801415
IRS990/OtherAssetsTotalGrp/EOYAmt03015069
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt082648
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt02268739
IRS990/OtherEmployeeBenefitsGrp/TotalAmt02351387
IRS990/OtherExpensesGrp/Desc0CORPORATE OVERHEAD
IRS990/OtherExpensesGrp/Desc1MEDICAL SUPPLIES & DRUGS
IRS990/OtherExpensesGrp/Desc2MAINTENANCE & REPAIRS
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt08777087
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt114299
IRS990/OtherExpensesGrp/ProgramServicesAmt03228984
IRS990/OtherExpensesGrp/ProgramServicesAmt1245152
IRS990/OtherExpensesGrp/TotalAmt08777087
IRS990/OtherExpensesGrp/TotalAmt13228984
IRS990/OtherExpensesGrp/TotalAmt2259451
IRS990/OtherLiabilitiesGrp/BOYAmt034549132
IRS990/OtherLiabilitiesGrp/EOYAmt040590635
IRS990/OtherRevenueMiscGrp/BusinessCd0722514
IRS990/OtherRevenueMiscGrp/BusinessCd1900099
IRS990/OtherRevenueMiscGrp/Desc0DIETARY REVENUE
IRS990/OtherRevenueMiscGrp/Desc1OTHER REVENUE
IRS990/OtherRevenueMiscGrp/ExclusionAmt0111361
IRS990/OtherRevenueMiscGrp/ExclusionAmt159851
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt0111361
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt159851
IRS990/OtherRevenueTotalAmt0171212
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0856542
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt022711163
IRS990/OtherSalariesAndWagesGrp/TotalAmt023567705
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt065280
IRS990/PayrollTaxesGrp/ProgramServicesAmt01791978
IRS990/PayrollTaxesGrp/TotalAmt01857258
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt023214
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0637240
IRS990/PensionPlanContributionsGrp/TotalAmt0660454
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0307478
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0319825
IRS990/PrincipalOfficerNm0BRIAN P GIBBONS JR
IRS990/PriorPeriodAdjustmentsAmt0-1053997
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0624100
IRS990/ProgramServiceRevenueGrp/BusinessCd1621990
IRS990/ProgramServiceRevenueGrp/Desc0NET PATIENT SERVICE REVENUE
IRS990/ProgramServiceRevenueGrp/Desc1NET AMBULATORY SURGERY CENTER
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt047822018
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt11725891
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt047822018
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt11725891
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt04653268
IRS990/PYExcessBenefitTransInd0false
IRS990/PYOtherExpensesAmt036681310
IRS990/PYOtherRevenueAmt0292872
IRS990/PYProgramServiceRevenueAmt053206455
IRS990/PYRevenuesLessExpensesAmt0-6069226
IRS990/PYSalariesCompEmpBnftPaidAmt027540511
IRS990/PYTotalExpensesAmt064221821
IRS990/PYTotalRevenueAmt058152595
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-7471042
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/RealAmt0158489
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt049547909
IRS990ScheduleA/HospitalInd0X
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt05152199
IRS990ScheduleD/BuildingsGrp/DepreciationAmt03536046
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt08688245
IRS990ScheduleD/EquipmentGrp/BookValueAmt0625226
IRS990ScheduleD/EquipmentGrp/DepreciationAmt02113918
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt02739144
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LandGrp/BookValueAmt0550000
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0550000
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt03015069
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0LEASE RIGHT-OF-USE ASSETS
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt02261575
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt09847
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt02271422
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt036492656
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt13067979
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt21030000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1LEASE LIABILITIES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2THIRD PARTY SETTLEMENTS
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FORM 990, WITH THE IRS. IN ADDITION, THEY ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION BELIEVES THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X

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