Liabilities / Assets
49th percentile
Higher debt load relative to assets than 49% of similar nonprofits.
EIN 82-2577178 • 501(c)3 • Lexington, KY
Profile
To improve health and promote well-being of all people in central appalachia in partnership with our communities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
49th percentile
Higher debt load relative to assets than 49% of similar nonprofits.
Liabilities / Revenue
21st percentile
Higher debt load relative to revenue than 21% of similar nonprofits.
Net Margin
57th percentile
Higher net margin than 57% of similar nonprofits.
Top Officer Pay
90th percentile
Higher top officer pay than 90% of similar nonprofits.
Top officer pay equals 0.8% of source-year revenue.
Asset Growth
94th percentile
Faster asset growth than 94% of similar nonprofits.
Revenue Growth
32nd percentile
Faster revenue growth than 32% of similar nonprofits.
Assets
Up$116,507,614
Up $30,897,610 (+36%) from 2023
Liabilities
Down$29,321,424
Down $480,862 (-1.6%) from 2023
Net Assets
Up$87,186,190
Up $31,378,472 (+56%) from 2023
Revenue
Up$217,860,151
Up $4,457,167 (+2.1%) from 2023
Expenses
Down$202,730,641
Down $7,384,118 (-3.5%) from 2023
Net Income
Up$15,129,510
Up $11,841,285 (+360%) 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 2021 below.
To improve health and promote well-being of all people in central appalachia in partnership with our communities.
To provide central appalachia an abundance of healthcare and community-oriented services through its hospital, clinics and home health operations as well as community outreach services.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $24,541,389 | $27,690,117 | ▲ $3,148,728 |
| Investments in Publicly Traded Securities | $11,780,903 | $14,418,659 | ▲ $2,637,756 |
| Inventories for Sale or Use | $2,060,176 | $2,696,708 | ▲ $636,532 |
| Accounts Receivable | $2,586,267 | $0 | ▼ $2,586,267 |
| Prepaid Expenses and Deferred Charges | $2,909,769 | $1,453,283 | ▼ $1,456,486 |
| Investments Program Related | $1,511,151 | $1,419,036 | ▼ $92,115 |
| Cash and Non-Interest-Bearing Accounts | $0 | $553,990 | ▲ $553,990 |
| Intangible Assets | $330,229 | $330,229 | → $0 |
| Total Assets | $46,450,356 | $69,863,888 | ▲ $23,413,532 |
| Other Assets Total | $730,472 | $21,301,866 | ▲ $20,571,394 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $5,012,177 | $15,490,185 | ▲ $10,478,008 |
| Mortgage Notes Payable Secured by Investment Property | $12,520,790 | $8,209,742 | ▼ $4,311,048 |
| Other Liabilities | $6,647,288 | $4,600,430 | ▼ $2,046,858 |
| Deferred Revenue | $473,182 | $0 | ▼ $473,182 |
| Total Liabilities | $24,653,437 | $28,300,357 | ▲ $3,646,920 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $21,796,919 | $41,563,531 | ▲ $19,766,612 |
| Total Net Assets Fund Balance | $21,796,919 | $41,563,531 | ▲ $19,766,612 |
| Total Liabilities and Net Assets / Fund Balance | $46,450,356 | $69,863,888 | ▲ $23,413,532 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $15,980,759 | $40,243,100 | $56,223,859 |
| Equipment | $7,766,553 | $35,582,939 | $43,349,492 |
| Other Land Buildings | $1,293,839 | $9,493,009 | $10,786,848 |
| Land | $2,648,966 | - | $2,648,966 |
| Leasehold Improvements | $0 | $827,056 | $827,056 |
| Other Assets Org | $21,301,866 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2016 | $742 | - | - | $742 | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Robert N Royalty | Orthopedic Surgeon | FT | $2,605,906 | $43,280 | $2,649,186 |
| Andrew Burchett | Cardiologist | FT | $647,046 | $49,180 | $696,226 |
| Chad Patterson | General Surgeon | FT | $539,663 | $38,978 | $578,641 |
| Terry Hall | Radiologist | FT | $529,993 | $45,478 | $575,471 |
| Swaty Arora | Oncologist | FT | $510,545 | $38,978 | $549,523 |
| Tim Hatfield | Cceo | FT | $178,984 | $110,851 | $289,835 |
| Name | Title |
|---|---|
| Hollie P Harris | President/CEO |
| Joseph Grossman | President/CEO (term Ended 5/21) |
| Maria Braman | CMO/VP Medical Affairs |
| Danny Harris | Treasurer/CFO |
| Bessie Ellen Wright | VP and Chief Nursing Officer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Qualivis LLC | Contract Nurses | 2000 CENTER POINT RD STE 2360, Columbia, SC 29210 | $2,818,133 |
| Cardiosolution | Cardiovascular Staffing | 4675 CORNELL ROAD, Cincinnati, OH 45241 | $1,673,968 |
| Conexus Medstaff LLC | Contract Nurses | PO BOX 4652 DEPT 566, Houston, TX 77210 | $1,371,987 |
| Beaver Creek Emergency Group | Emergency Medical Services | PO BOX 677979, Dallas, TX 75267 | $1,070,633 |
| Jackson & Coker Medical Group LLC | Surgery Locum Tenens | 2655 NORTHWINDS PARKWAY, Alpharetta, GA 30009 | $996,394 |
| Line Item | Amount |
|---|---|
| Other Expenses | $65,661,050 |
| Salaries, Compensation, and Employee Benefits | $51,903,068 |
| Grants and Similar Amounts Paid | $6,667 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $37,912,455 | $2,217,391 | - | $40,129,846 |
| Fees for Services Other | $11,450,755 | $1,755,618 | - | $13,206,373 |
| Other Employee Benefits | $7,812,604 | $311,534 | - | $8,124,138 |
| Other Expenses | $767,494 | $1,949,978 | - | $2,717,472 |
| Payroll Taxes | $2,176,652 | $119,824 | - | $2,296,476 |
| Depreciation Depletion | $2,025,448 | $176,118 | - | $2,201,566 |
| Insurance | $405,077 | $1,277,535 | - | $1,682,612 |
| All Other Expenses | $1,528,196 | $131,557 | - | $1,659,753 |
| Fees for Services Accounting | $16,935 | $1,373,895 | - | $1,390,830 |
| Occupancy | $1,220,955 | $114,577 | - | $1,335,532 |
| Pension Plan Contributions | $1,016,930 | $45,842 | - | $1,062,772 |
| Interest | $107,747 | $940,051 | - | $1,047,798 |
| Office Expenses | $426,278 | $34,895 | - | $461,173 |
| Current Officers, Directors, Trustees, and Key Employees | $289,836 | - | - | $289,836 |
| Conferences and Meetings | $33,271 | $63,959 | - | $97,230 |
| Travel | $7,646 | $539 | - | $8,185 |
| Grants to Domestic Orgs | $6,667 | - | - | $6,667 |
| Fees for Services Lobbying | - | $4,293 | - | $4,293 |
| Total Functional Expenses | $100,961,525 | $16,609,260 | $0 | $117,570,785 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Floyd County Board of Education | Eastern, KY | Government | Support Ongoing Operations | $6,667 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Medicare and Medicaid Estimated Settlements | $1,389,353 |
| Health Insurance Accrual | $963,236 |
| Interest Rate Swap | $886,499 |
| Capital Lease Obligations | $744,280 |
| Refunds Due to Patients | $617,062 |
“The director of accounting and cfo both review the 990 prior to the board review. The board then reviews the 990 prior to filing with the irs.”
“A secure website is provided to officers and trustees for annual disclosures, and is monitored regularly by the vice president of legal affairs and the corporate compliance officers. Potential conflicts of interest are reported directly to the chairman of the board. Trustees identified as having a conflict of interest in a particular matter before the board may not participate in the board's decision-making process. Failure to disclose is subject to discipline, including censure, and in some cases, removal from the board. Employee officers are subject to discipline in accordance with the corporation's human resource policies and the arh code of business and professional conduct.”
“Appalachian regional healthcare, inc.'s (arh) board sets compensation levels for president/ceo and other arh executives and key employees through its compensation and contracts committee. The board contracts with a consulting firm to review the market for the positions on the system operating council who makes recommendations on the salary ranges and assesses the competitiveness of the salaries. With that information, the compensation and contracts committee sets the ranges and the president's compensation. The board reviews and ratifies compensation amounts. The consulting firm follows up with a letter attesting to the reasonableness of compensation.”
“While arh has not yet adopted a policy of sharing its financial statements with the public, it does provide financial information through the form 990 and also provides certain financial information in other public documents, including its periodic reports to the communities it serves.”
“Professional fees physicians: program service expenses 8,707,580. Management and general expenses 145,369. Fundraising expenses 0. Total expenses 8,852,949. Outside services: program service expenses 2,743,175. Management and general expenses 1,610,249. Fundraising expenses 0. Total expenses 4,353,424.”
“Change in fair value of interest rate swap 352,224. Highlands acquisition 544,640.”
“There is a committee of the board of directors that assumes responsibility for the audit of the financial statements and the selection of the independent accountant. This process has not changed from the prior year.”
“The corporation is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code (irc) and is exempt from federal income taxes on related income pursuant to section 501(a) of the irc. However, the corporation is subject to federal income tax on any unrelated business taxable income. Gaap requires the corporation to evaluate its tax positions and recognize a tax liability (or asset) if it has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service (irs). The corporation has evaluated its tax positions and has concluded that there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the consolidated financial statements. The corporation is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.”
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 | 5012177 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 15490185 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2586267 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE CENTRAL APPALACHIA AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES THROUGH ITS HOSPITAL, CLINICS AND HOME HEALTH OPERATIONS AS WELL AS COMMUNITY OUTREACH SERVICES. |
| IRS990/AllOtherContributionsAmt | 0 | 250000 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 131557 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1528196 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1659753 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | DANNY HARRIS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8592262440 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2260 EXECUTIVE DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LEXINGTON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 40505 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 553990 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 28 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 289836 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 289836 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 63959 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 33271 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 97230 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2818133 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1673968 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1371987 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1070633 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 996394 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2000 CENTER POINT RD STE 2360 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 4675 CORNELL ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 4652 DEPT 566 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 677979 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 2655 NORTHWINDS PARKWAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | COLUMBIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CINCINNATI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | HOUSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | ALPHARETTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | SC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 29210 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 45241 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 77210 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 75267 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 30009 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | QUALIVIS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | CARDIOSOLUTION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CONEXUS MEDSTAFF LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | BEAVER CREEK EMERGENCY GROUP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | JACKSON & COKER MEDICAL GROUP LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACT NURSES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CARDIOVASCULAR STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONTRACT NURSES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | EMERGENCY MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | SURGERY LOCUM TENENS |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 408776 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 6667 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1693511 |
| IRS990/CYOtherExpensesAmt | 0 | 65661050 |
| IRS990/CYOtherRevenueAmt | 0 | 1357940 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 131844573 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 17734015 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 51903068 |
| IRS990/CYTotalExpensesAmt | 0 | 117570785 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 135304800 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 473182 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 176118 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2025448 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2201566 |
| IRS990/Desc | 0 | HIGHLANDS ARH REGIONAL MEDICAL CENTER SERVES FLOYD, JOHNSON, MARTIN, AND MAGOFFIN COUNTIES AND JOINED THE ARH SYSTEM IN AUGUST OF 2019. HIGHLANDS ARH MEDICAL STAFF CONSISTS OF OVER 225 CREDENTIALED PHYSICIANS AND MEDICAL SPECIALISTS. THESE PHYSICIANS REPRESENT FAMILY MEDICINE, INTERVENTIONAL CARDIOLOGY, INVASIVE CARDIOLOGY, OBSTETRICS/GYNECOLOGY, GENERAL SURGERY, INTERNAL MEDICINE, ORTHOPEDICS, UROLOGY, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY NEPHROLOGY, NEUROLOGY, SPORTS MEDICINE AND OTHER FIELDS OF MEDICINE. IN TOTAL, HIGHLANDS EMPLOYS MORE THAN 600 PEOPLE, EACH WHO PLAY A VITAL ROLE IN PROVIDING COMPASSIONATE CARE TO PEOPLE IN APPALACHIA. TO BETTER MEET THE NEEDS OF ITS PATIENTS, HIGHLANDS ARH REGIONAL MEDICAL CENTER LAUNCHED ITS NEW TELE-STROKE AND TELE-NEUROLOGY PATIENT CARE AND MONITORING PROGRAM. WITH A SHORTAGE OF NEUROLOGISTS IN THE UNITED STATES, ESPECIALLY IN RURAL AREAS, TELE-STROKE AND TELE-NEUROLOGY PROGRAMS ALLOW EXPERT-LEVEL CARE FROM A NEUROLOGIST IN OUR LOCAL COMMUNITY. THE TELE-STROKE PROGRAM ALLOWS ARH TO PROVIDE TIME-CRITICAL DIAGNOSIS TREATMENT SUCH AS THE CLOT DISSOLVING DRUGS (THROMBOLYTICS) USED TO TREAT THE MOST COMMON TYPE OF STROKE. PROVIDING TELE-STROKE AND TELE-NEUROLOGY SERVICES GIVE ALL PATIENTS IN APPALACHIA A BETTER CHANCE OF STROKE SURVIVAL AND RECOVERY.AS THE COVID-19 PANDEMIC CONTINUED, HIGHLANDS ARH MADE TESTING, TREATMENT AND VACCINATIONS FOR THE VIRUS A PRIORITY, OFFERING TESTING AND VACCINATION THROUGH CURBSIDE TESTING AND EASILY ACCESSIBLE APPOINTMENT LOCATIONS WITHIN THE HOSPITALS.DESPITE LIMITATIONS FOR EVENTS AND GATHERINGS BROUGHT ON BY THE COVID-19 PANDEMIC, DURING THE PAST FISCAL YEAR, HIGHLANDS ARH CONTINUED TO PROVIDE OUTREACH AND COMMUNITY BENEFIT TO THE BIG SANDY REGION, FINDING INNOVATIVE WAYS OF REACHING OUR COMMUNITY DURING THE PANDEMIC. IN AN EFFORT TO MEET THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT GOALS, HOSPITAL STAFF HAVE: -PROVIDED DRIVE-THRU HEALTH SCREENING EVENTS, INCLUDING THE HIGHLANDS ARH COLON CANCER AWARENESS DAY EVENT, WHICH PROVIDED TAKE-HOME COLON CANCER SCREENING (FIT) KITS TO 27 PARTICIPANTS. -ADMINISTERED 110 FREE SPORTS PHYSICALS FOR AREA STUDENTS.- PARTICIPATED IN OVER 20 HEALTH COALITIONS AND COUNCILS THAT WORK TO BETTER THE HEALTH OF OUR REGION - GROWING UP SAFE JOHNSON COUNTY, BIG SANDY DIABETES COALITION, FLOYD COUNTY HOMELESS SHELTER BOARD OF DIRECTORS, AND AREA AGENCIES FOR SUBSTANCE ABUSE PREVENTION, TO NAME A FEW. -PRESENTED COVID-19 EDUCATION AND UPDATES REGULARLY TO AREA LEADERS, SCHOOL SYSTEMS, AND WIDELY THROUGHOUT OUR COMMUNITIES. -PROVIDED OVER $30,000 IN DONATIONS TO LOCAL COMMUNITY BUILDING ACTIVITIES, LOCAL SCHOOLS, AND COMMUNITY EVENTS. -PROVIDED EXPERIENTIAL LEARNING OPPORTUNITIES FOR 143 NURSING STUDENTS. -DONATED OVER $25,000 IN FOOD TO PATIENT'S FAMILIES AND CAREGIVERS ON-SITE. -HIGHLANDS ARH STAFF PRESENTED IN NUMEROUS EDUCATIONAL WEBINARS, INCLUDING THOSE FOR LUNG CANCER, DIABETES, LIFE AFTER A CANCER DIAGNOSIS, PREVENTATIVE MEDICINE, AND OVARIAN CANCER. -ORGANIZED A NUTRITION EDUCATION PRESCRIPTION PROGRAM, IN WHICH ARH PHYSICIANS COULD "PRESCRIBE" FREE NUTRITION EDUCATION AND COOKING CLASSES TO PATIENTS IN PARTNERSHIP WITH OUR LOCAL UK EXTENSION OFFICE. IN TOTAL, THE HOSPITAL PROVIDED $239,666.74 IN COMMUNITY BENEFIT ACTIVITIES. MORE THAN 2,700 PEOPLE ATTENDED ACROSS 318 EVENTS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 764 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 100961525 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 1373895 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 16935 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 1390830 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 4293 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 4293 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1755618 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 11450755 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 13206373 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 5.00 |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 43280 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 63601 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 49180 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 38978 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 45478 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 38978 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 49180 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 18186 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 51999 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 61827 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 36245 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ROBERT N ROYALTY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JOSEPH GROSSMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ANDREW BURCHETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CHAD PATTERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | TERRY HALL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SWATY ARORA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MARIA BRAMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DANNY HARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | HOLLIE P HARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | TIM HATFIELD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BESSIE ELLEN WRIGHT |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 2605906 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 647046 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 539663 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 529993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 510545 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 228008 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 934080 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 349042 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 331680 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 272466 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 189386 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | ORTHOPEDIC SURGEON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT/CEO (TERM ENDED 5/21) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CARDIOLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | GENERAL SURGEON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | RADIOLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | ONCOLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CMO/VP MEDICAL AFFAIRS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TREASURER/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CCEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VP AND CHIEF NURSING OFFICER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2013 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -1135 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1490416 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GovernmentGrantsAmt | 0 | 158776 |
| IRS990/GrantAmt | 0 | 6667 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 6667 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 6667 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1490416 |
| IRS990/GrossReceiptsAmt | 0 | 135560444 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 372216 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 31 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1277535 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 405077 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1682612 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 330229 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 330229 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 940051 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 107747 |
| IRS990/InterestGrp/TotalAmt | 0 | 1047798 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 2060176 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2696708 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 204230 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 204230 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1511151 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 1419036 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 11780903 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 14418659 |
| IRS990/IRPDocumentCnt | 0 | 71 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 86146104 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 24541389 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 27690117 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 113836221 |
| IRS990/LegalDomicileStateCd | 0 | KY |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 1135 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 254509 |
| 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 IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 12520790 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 8209742 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 21796919 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 41563531 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 1489281 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1489281 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 117707 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 117707 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 371834 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1135733 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 21796919 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 41563531 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 114577 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1220955 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1335532 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 34895 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 426278 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 461173 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 730472 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 21301866 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 896864 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 311534 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 7812604 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 8124138 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 2 | PROVIDER TAX |
| IRS990/OtherExpensesGrp/Desc | 3 | MISCELLANEOUS EXPENSE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1832103 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 2671883 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 1587668 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 1949978 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 19685319 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 12754200 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1317060 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 767494 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 21517422 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 15426083 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 2904728 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 2717472 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 6647288 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 4600430 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 722210 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | CAFETERIA INCOME |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 335015 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 894235 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 905218 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 335015 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 10983 |
| IRS990/OtherRevenueTotalAmt | 0 | 1240233 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 2217391 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 37912455 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 40129846 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 119824 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 2176652 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 2296476 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 45842 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 1016930 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 1062772 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 2909769 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 1453283 |
| IRS990/PrincipalOfficerNm | 0 | HOLLIE HARRIS |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 812300 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | HOSPITAL RATE IMPROVEMENT PROGRAM |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | PHARMACY AND LAB |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | TRANSCRIPT FEES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 108875665 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 13328520 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 6869886 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 4433 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 108875665 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 13328520 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 9635955 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 4433 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 2766069 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 5206256 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 24500 |
| IRS990/PYInvestmentIncomeAmt | 0 | 268023 |
| IRS990/PYOtherExpensesAmt | 0 | 68681973 |
| IRS990/PYOtherRevenueAmt | 0 | 542733 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 113792053 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 11354615 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 39747977 |
| IRS990/PYTotalExpensesAmt | 0 | 108454450 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 119809065 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 17734015 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 1 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 117707 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 129972739 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
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