Liabilities / Assets
77th percentile
Higher debt load relative to assets than 77% of similar nonprofits.
EIN 82-0146328 • 501(c)3 • Moscow, ID
Profile
To provide extraordinary care to improve the health of the people in our communities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
77th percentile
Higher debt load relative to assets than 77% of similar nonprofits.
Liabilities / Revenue
69th percentile
Higher debt load relative to revenue than 69% of similar nonprofits.
Net Margin
20th percentile
Higher net margin than 20% of similar nonprofits.
Top Officer Pay
80th percentile
Higher top officer pay than 80% of similar nonprofits.
Top officer pay equals 0.8% of source-year revenue.
Asset Growth
64th percentile
Faster asset growth than 64% of similar nonprofits.
Revenue Growth
41st percentile
Faster revenue growth than 41% of similar nonprofits.
Assets
Up$146,474,031
Up $12,445,612 (+9.3%) from 2023
Liabilities
Up$96,071,501
Up $18,140,717 (+23%) from 2023
Net Assets
Down$50,402,530
Down $5,695,105 (-10%) from 2023
Revenue
Up$118,872,586
Up $5,702,472 (+5.0%) from 2023
Expenses
Up$125,108,622
Up $11,701,068 (+10%) from 2023
Net Income
Down-$6,236,036
Down $5,998,596 (-2526%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
To provide extraordinary care to improve the health of the people in our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $28,090,559 | $54,698,011 | ▲ $26,607,452 |
| Land, Buildings, and Equipment, Net | $45,095,354 | $46,517,059 | ▲ $1,421,705 |
| Accounts Receivable | $13,749,273 | $16,879,524 | ▲ $3,130,251 |
| Inventories for Sale or Use | $2,385,279 | $2,638,284 | ▲ $253,005 |
| Prepaid Expenses and Deferred Charges | $1,145,992 | $1,025,905 | ▼ $120,087 |
| Cash and Non-Interest-Bearing Accounts | $2,318,821 | $333,710 | ▼ $1,985,111 |
| Savings and Temporary Cash Investments | $303,485 | $72,923 | ▼ $230,562 |
| Total Assets | $94,936,436 | $124,076,402 | ▲ $29,139,966 |
| Other Assets Total | $1,847,673 | $1,910,986 | ▲ $63,313 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $16,850,000 | $46,743,565 | ▲ $29,893,565 |
| Accounts Payable and Accrued Expenses | $8,175,299 | $15,963,823 | ▲ $7,788,524 |
| Other Liabilities | $2,210,161 | $4,120,759 | ▲ $1,910,598 |
| Mortgage Notes Payable Secured by Investment Property | $287,484 | $3,308,988 | ▲ $3,021,504 |
| Deferred Revenue | $8,020,721 | $145,403 | ▼ $7,875,318 |
| Total Liabilities | $35,543,665 | $70,282,538 | ▲ $34,738,873 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $59,384,435 | $53,785,528 | ▼ $5,598,907 |
| Net Assets With Donor Restrictions | $8,336 | $8,336 | → $0 |
| Total Net Assets Fund Balance | $59,392,771 | $53,793,864 | ▼ $5,598,907 |
| Total Liabilities and Net Assets / Fund Balance | $94,936,436 | $124,076,402 | ▲ $29,139,966 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $4,891,864 | $33,455,168 | $38,347,032 |
| Buildings | $21,573,047 | $14,721,575 | $36,294,622 |
| Leasehold Improvements | $8,078,368 | $18,397,667 | $26,476,035 |
| Land | $7,861,638 | - | $7,861,638 |
| Other Land Buildings | $4,112,142 | - | $4,112,142 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Marvin Kym Md | Physician | FT | $571,691 | $25,394 | $597,085 |
| Bryan Anderson Md | Physician | FT | $480,955 | $26,640 | $507,595 |
| Brian Newell Md | Physician | FT | $474,253 | $21,738 | $495,991 |
| Pranabh Shrestha Md | Crna | FT | $349,092 | $35,282 | $384,374 |
| Christopher Standley Md | Physician | FT | $322,694 | $51,277 | $373,971 |
| Gretta Jarolimek | Chief Clinics Officer | FT | $194,109 | $49,316 | $243,425 |
| Marie Timlin | CNO | FT | $193,118 | $8,270 | $201,388 |
| Connie Osborn | CQO | FT | $163,478 | $15,176 | $178,654 |
| Danielle Lynas | CFO, Treasurer | FT | $157,461 | $20,390 | $177,851 |
| Candice Allen | Acno | FT | $145,719 | $16,716 | $162,435 |
| John Brown Md | CMO | PT | $141,527 | $19,106 | $160,633 |
| Danielle Breed | Admin Chief of Staff, Secretary | FT | $78,492 | $5,881 | $84,373 |
| Name | Title |
|---|---|
| Robin Woods | Board Chair |
| Kraig White | Board Chair (thru May 2022) |
| Lori Stinson | Board Vice Chair |
| Steve Busch | Board Vice Chair |
| Aaron Ranisate | Trustee |
| Barbara Wells | Trustee |
| Charles Jacobson Md | Trustee |
| Dick Heimsch | Trustee |
| Dr Ray Paz | Trustee |
| Janie Nirk | Trustee |
| Rula Awwad-rafferty | Trustee |
| Kara Besst | CEO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Medical Solutions LLC | Contracted Labor Services | PO BOX 850737, Minneapolis, MN 55485 | $3,041,290 |
| Palouse Specialties | Surgical Services | 825 SE BISHOP BLVDSTE 501, Pullman, WA 99163 | $2,337,315 |
| Moscow Emergency Physicians Pll | Er Services | 700 S MAIN STREET, Moscow, ID 83843 | $1,837,438 |
| Sprenger Construction INC | Construction Contracting Services | 1415 THATUNA ST, Moscow, ID 83843 | $703,928 |
| Allscripts Healthcare LLC | Emr Software Services | 24630 NETWORK PLACE, Chicago, IL 60673 | $587,035 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $51,611,867 |
| Other Expenses | $50,396,816 |
| Grants and Similar Amounts Paid | $233,368 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $39,686,282 | $2,185,764 | - | $41,872,046 |
| Fees for Services Other | $7,307,674 | $2,757,218 | - | $10,064,892 |
| Other Employee Benefits | $4,534,300 | $239,546 | - | $4,773,846 |
| Payroll Taxes | $2,508,898 | $138,180 | - | $2,647,078 |
| Depreciation Depletion | $2,331,802 | $69,620 | - | $2,401,422 |
| Occupancy | $1,201,509 | $454,183 | - | $1,655,692 |
| Office Expenses | $1,180,626 | $446,290 | - | $1,626,916 |
| Other Expenses | $1,620,793 | $2,475,589 | - | $1,620,793 |
| All Other Expenses | $1,096,488 | $414,485 | - | $1,510,973 |
| Current Officers, Directors, Trustees, and Key Employees | $1,030,908 | $177,851 | - | $1,208,759 |
| Interest | $464,042 | $683,259 | - | $1,147,301 |
| Pension Plan Contributions | $1,059,026 | $51,112 | - | $1,110,138 |
| Advertising | $505,772 | $191,187 | - | $696,959 |
| Insurance | $498,499 | $188,438 | - | $686,937 |
| Travel | $219,159 | $82,844 | - | $302,003 |
| Grants to Domestic Orgs | $233,368 | - | - | $233,368 |
| Fees for Services Accounting | - | $109,518 | - | $109,518 |
| Fees for Services Legal | $65,044 | $24,588 | - | $89,632 |
| Fees for Services Management | $52,641 | $19,899 | - | $72,540 |
| Conferences and Meetings | $15,937 | $6,025 | - | $21,962 |
| Fees for Services Lobbying | - | $3,746 | - | $3,746 |
| Total Functional Expenses | $84,415,190 | $17,826,861 | $0 | $102,242,051 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Gritman Medical Center Foundation Inc | Moscow, ID | 501(c)(3) | Operating Expenses | $111,488 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Line of Credit | $2,740,778 |
| Payable for Third-party Reimbursement Programs | $1,106,341 |
| Operating Lease Obligations | $273,640 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Idaho Health Facilities Authority | 2022-07-07 | $30,595,420 | Board approved capital projects |
| A | Idaho Health Facilities Authority | 2016-10-28 | $16,850,000 | Refinance 2003 bonds, new building |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $30,595,420 | $27,313,901 | $16,002 | $293,488 |
| A | $16,850,000 | $13,570,640 | $685,853 | $164,360 |
“Gritman medical center's cfo presents a copy of the form 990 to the board for review prior to signature of the return by the organization's ceo or cfo.”
“Potential conflicts are required to be disclosed to the board throughout the year. Legal counsel reviews all potential conflicts of interest and then determines if a conflict of interest is present. It is the policy of gritman medical center that any board member with an undisclosed conflict of interest may be subject to immediate termination from service on the board.”
“The organization's ceo is an employee of ovation healthcare (formerly qhr) as such, their pay rate is determined by ovation healthcare. Ovation performs a compensation survey to determine the ceo's compensation, the organization's board of directors reviews all contracts with ovation to determine reasonable salaries. Gritman has five other senior administrative staff, the chief financial officer (cfo), the chief nursing officer (cno), the chief quality officer (cqo), the chief clinic officer (cco) and the assistant chief nursing officer (acno) each year prior to the annual pay increase their positions are reviewed by the human resources director. Their salary grade minimum and maximum rates as well as their actual paid rates are compared to state and regional salary survey data to determine their relationship to our external market in addition to the external comparison. We ensure we have internal equity based on their salary grade level, years of experience and how their responsibilities compare to those in other positions. All pay increases are reviewed and approved by the ceo. The pay increases are then incorporated into the annual budget which is approved by the board of directors. Salary decisions are made by those without conflict and the decisions are documented the pay increase are not approved until the annual budget is approved by the board.”
“Financial information is made available at gritman's annual community meeting each year, which is open to the public.”
“In march of 2022, gritman hired dr. Marvin kym and began providing services at the orthopedic surgeons clinic. The specialty services include, but are not limited to, total hip replacement, joint reconstruction, sports medicine, and general orthopedic care.”
“Loss from subsidiaries -35,567. Other changes in net assets -40.”
“Requests for proposals are sent out to multiple auditing firms every 3 years. The ceo, cfo, and board members look over the proposals and the board votes on the accounting firm to conduct the audit. This process has not changed.”
“To account for any uncertain tax positions, the medical center and foundation determine whether it is more likely than not that a tax position will be sustained upon examination of the technical merits of the position, assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more-likely-than not recognition threshold, the benefit of the tax position is not recognized in the consolidated financial statements. The medical center recorded no assets or liabilities for uncertain tax positions. Federal returns for the tax years 2019 and beyond remain subject to examination by the irs.”
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 | 8175299 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 15963823 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 13749273 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 16879524 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 191187 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 505772 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 696959 |
| IRS990/AllOtherContributionsAmt | 0 | 28260 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 414485 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1096488 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1510973 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | DANIELLE LYNAS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2088832220 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 700 S MAIN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MOSCOW |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ID |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 83843 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2318821 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 333710 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 34 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 177851 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1030908 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1208759 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 1 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 6025 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 15937 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 21962 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3041290 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2337315 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1837438 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 703928 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 587035 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 850737 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 825 SE BISHOP BLVDSTE 501 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 700 S MAIN STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1415 THATUNA ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 24630 NETWORK PLACE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MINNEAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | PULLMAN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MOSCOW |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | MOSCOW |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | ID |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | ID |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 55485 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 99163 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 83843 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 83843 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 60673 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MEDICAL SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | PALOUSE SPECIALTIES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MOSCOW EMERGENCY PHYSICIANS PLL |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | SPRENGER CONSTRUCTION INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | ALLSCRIPTS HEALTHCARE LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACTED LABOR SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | SURGICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ER SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONSTRUCTION CONTRACTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | EMR SOFTWARE SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2210149 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 233368 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1226006 |
| IRS990/CYOtherExpensesAmt | 0 | 50396816 |
| IRS990/CYOtherRevenueAmt | 0 | 188710 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 98778025 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 160839 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 51611867 |
| IRS990/CYTotalExpensesAmt | 0 | 102242051 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 102402890 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 8020721 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 145403 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 69620 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2331802 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2401422 |
| IRS990/Desc | 0 | RADIOLOGY: GRITMAN'S COMPREHENSIVE IMAGING AND RADIOLOGY SERVICES ARE PROVIDED BY EXPERIENCED, COMPASSIONATE, BOARD-CERTIFIED TECHNOLOGISTS AND RADIOLOGISTS. WE ARE STAFFED 24 HOURS A DAY AND ALWAYS READY FOR YOUR EMERGENCY OR SCHEDULED IMAGING NEEDS. THE RADIOLOGY DEPARTMENT PROVIDES A VARIETY OF SERVICES INCLUDING CT SCANS, ECHOCARDIOGRAM, MRI, NUCLEAR MEDICINE, ULTRASOUND, 3D MAMMOGRAPHY, OSTEOPOROSIS SCREENING, AND X-RAY.EMERGENCY SERVICES: GRITMAN'S EMERGENCY SERVICES ARE ALWAYS OPEN AND READY TO HANDLE A WIDE RANGE OF MEDICAL AND TRAUMA CASES. OUR EMERGENCY PHYSICIANS, NURSES AND TECHNICIANS HAVE ALL GONE THROUGH EXTENSIVE TRAINING TO PROVIDE IMMEDIATE, COMPREHENSIVE AND SOPHISTICATED EMERGENCY CARE. WE ACCEPT ALL PATIENTS, REGARDLESS OF ABILITY TO PAY.LAB: THE GRITMAN MEDICAL CENTER LABORATORY PERFORMS MORE THAN 195,000 TESTS EACH YEAR. WE ARE THE ONLY LABORATORY ON THE PALOUSE TO PROVIDE IN-HOUSE, AUTOMATED BLOOD BANK SERVICES WITH ANTIBODY IDENTIFICATION AND PHENOTYPING. WE'RE ALSO THE ONLY LAB IN THE PACIFIC NORTHWEST TO OFFER PROSTRATE HEALTH INDEX TESTING. WE OFFER A FULL-SERVICE MICROBIOLOGY DEPARTMENT. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 8336 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 8336 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 849 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 1 |
| IRS990/ExpenseAmt | 0 | 84415190 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 109518 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 109518 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 24588 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 65044 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 89632 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 3746 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 3746 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 19899 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 52641 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 72540 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2757218 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 7307674 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 10064892 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| 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 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 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/IndividualTrusteeOrDirectorInd | 10 | 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/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 13256 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 7874 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 12430 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 16492 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 8036 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 18848 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 5881 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 6688 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 15527 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 21684 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 15222 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 15222 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KRAIG WHITE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROBIN WOODS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | STEVE BUSCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LORI STINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | RULA AWWAD-RAFFERTY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DICK HEIMSCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CHARLES JACOBSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JANIE NIRK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DR RAY PAZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | AARON RANISATE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BARBARA WELLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | GRETTA JAROLIMEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MARIE TIMLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CONNIE OSBORN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DANIELLE LYNAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CANDICE ALLEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JOHN BROWN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | DANIELLE BREED |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KARA BESST |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MARVIN KYM MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | BRYAN ANDERSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | BRIAN NEWELL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | PRANABH SHRESTHA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | CHRISTOPHER STANDLEY MD |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 230169 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 193514 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 166224 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 161359 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 154399 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 141785 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 78492 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 590397 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 492068 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 474307 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 369152 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 358749 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD CHAIR (THRU MAY 2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF CLINICS OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CQO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CFO, TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | ACNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | ADMIN CHIEF OF STAFF, SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1939 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 82917 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 2126430 |
| IRS990/GrantAmt | 0 | 233368 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 233368 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 233368 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 82917 |
| IRS990/GrossReceiptsAmt | 0 | 104357130 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1703148 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 261465 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 261465 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 82 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 188438 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 498499 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 686937 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 683259 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 464042 |
| IRS990/InterestGrp/TotalAmt | 0 | 1147301 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 2385279 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2638284 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 881624 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 881624 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 28090559 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 54698011 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 112 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 66574410 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 45095354 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 46517059 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 113091469 |
| IRS990/LegalDomicileStateCd | 0 | ID |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 1954240 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 287484 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 3308988 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 59392771 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 53793864 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 82917 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 82917 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 140203 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -251092 |
| IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | -391295 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -5724139 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 59384435 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 53785528 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 454183 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1201509 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1655692 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 446290 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1180626 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1626916 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1847673 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1910986 |
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