Liabilities / Assets
56th percentile
Higher debt load relative to assets than 56% of similar nonprofits.
EIN 91-1349657 • 501(c)3 • Tacoma, WA
Profile
To provide the highest quality health care with compassionate and accessible service for all including comprehensive primary medical, dental and behavioral health care through a clinic system.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
56th percentile
Higher debt load relative to assets than 56% of similar nonprofits.
Liabilities / Revenue
51st percentile
Higher debt load relative to revenue than 51% of similar nonprofits.
Net Margin
40th percentile
Higher net margin than 40% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
70th percentile
Faster asset growth than 70% of similar nonprofits.
Revenue Growth
23rd percentile
Faster revenue growth than 23% of similar nonprofits.
Assets
Up$115,255,378
Up $18,352,825 (+19%) from 2023
Liabilities
Up$54,725,881
Up $24,698,438 (+82%) from 2023
Net Assets
Down$60,529,497
Down $6,345,613 (-9.5%) from 2023
Revenue
Up$86,611,245
Up $1,355,286 (+1.6%) from 2023
Expenses
Up$93,516,853
Up $9,603,592 (+11%) from 2023
Net Income
Down-$6,905,608
Down $8,248,306 (-614%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Community health care provides comprehensive primary medical and dental care through a clinic system that includes seven medical and three dental clinics. In addition, care is also provided through a women's health clinic.
To provide the highest quality health care with compassionate and accessible service for all.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $42,485,197 | $56,076,134 | ▲ $13,590,937 |
| Investments in Publicly Traded Securities | - | $23,829,065 | - |
| Savings and Temporary Cash Investments | $29,415,515 | $17,215,101 | ▼ $12,200,414 |
| Accounts Receivable | $8,065,978 | $10,264,038 | ▲ $2,198,060 |
| Prepaid Expenses and Deferred Charges | $2,103,788 | $1,792,326 | ▼ $311,462 |
| Cash and Non-Interest-Bearing Accounts | $10,973,435 | $365,471 | ▼ $10,607,964 |
| Inventories for Sale or Use | $363,332 | $310,882 | ▼ $52,450 |
| Pledges and Grants Receivable | $1,262,942 | $11,859 | ▼ $1,251,083 |
| Total Assets | $96,902,553 | $115,255,378 | ▲ $18,352,825 |
| Other Assets Total | $2,232,366 | $5,390,502 | ▲ $3,158,136 |
| Liabilities | |||
| Other Liabilities | $5,488,117 | $16,150,013 | ▲ $10,661,896 |
| Mortgage Notes Payable Secured by Investment Property | $6,438,866 | $16,017,765 | ▲ $9,578,899 |
| Accounts Payable and Accrued Expenses | $7,925,909 | $13,290,020 | ▲ $5,364,111 |
| Tax Exempt Bond Liabilities | $9,425,790 | $9,198,177 | ▼ $227,613 |
| Deferred Revenue | $748,761 | $69,906 | ▼ $678,855 |
| Total Liabilities | $30,027,443 | $54,725,881 | ▲ $24,698,438 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $66,875,110 | $60,529,497 | ▼ $6,345,613 |
| Total Net Assets Fund Balance | $66,875,110 | $60,529,497 | ▼ $6,345,613 |
| Total Liabilities and Net Assets / Fund Balance | $96,902,553 | $115,255,378 | ▲ $18,352,825 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $28,080,868 | $23,482,754 | $51,563,622 |
| Equipment | $4,487,746 | $15,278,280 | $19,766,026 |
| Other Land Buildings | $16,710,346 | - | $16,710,346 |
| Land | $6,014,491 | - | $6,014,491 |
| Leasehold Improvements | $782,683 | $2,278,722 | $3,061,405 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Jeffrey Smith | CMO | FT | $409,995 | $30,186 | $440,181 |
| David Flentge | CEO | FT | $395,162 | $68,011 | $438,456 |
| Johnny Erkins | Md Obgyn | FT | $361,046 | $110,492 | $435,905 |
| Gayle Matthews | Md Obgyn | FT | $324,109 | $48,594 | $406,959 |
| Carrie Jo Timmer Do | Residency Di | FT | $309,591 | $42,133 | $351,724 |
| Carrie Jo Timmer Do | Residency Director | - | $301,791 | $31,947 | $351,724 |
| James Lenhart | Assoc. Prog. | FT | $310,634 | $37,794 | $348,428 |
| James Lenhart | Assoc. Prog. Director | - | $310,634 | $43,116 | $348,428 |
| Constance Campbell | Md Fp W Ob | FT | $302,963 | $45,953 | $335,089 |
| Jeff Reynolds Dmd | Dental Direc | FT | $270,081 | $42,711 | $312,792 |
| Jeff Reynolds Dmd | Dental Director | - | $256,791 | $25,541 | $312,792 |
| Dylan Peterson | Md Fp W Ob | FT | $264,858 | $40,707 | $296,879 |
| Godwin Asemota | Pharmacy Director | FT | $213,358 | $30,000 | $261,652 |
| Karen Park | CFO | FT | $215,372 | $28,192 | $230,753 |
| Name | Title |
|---|---|
| Katie Parker | Chair |
| Marco Viniegra | Chair (ended |
| Annie Tustison | Vice Chair |
| Alma Price | Board Member |
| Jeff Cathersal | Board Member |
| Jill Lowry | Board Member |
| Linda Bowman | Board Member |
| Lynese Redeemer | Board Member |
| Ladedria Griffin-stallworth | Secretary |
| Ken Repp | Treasurer |
| William Speaker | Vc (ended 12 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Pro Call Center | Call Center | 5013 PACIFIC HWY E 19, Fife, WA 98424 | $2,090,051 |
| Aldrich & Associates | Construction | 810 240TH ST SE, Bothell, WA 98021 | $1,425,573 |
| Semaphore | Software Svs | 9675 SE 36TH ST STE 110, Mercer Island, WA 98040 | $1,201,709 |
| Nextgen Healthcare | Ehr Services | PO BOX 511449, Los Angeles, CA 90051 | $1,009,835 |
| Diligence Security | Security | 621 PACIFIC AVE 104, Tacoma, WA 98402 | $836,791 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 1 | $410,160 | Cdc Pricing |
| Total Noncash Contributions | 1 | $410,160 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $61,197,338 |
| Other Expenses | $32,239,291 |
| Total Fundraising Expense | $144,601 |
| Professional Fundraising Fees | $56,190 |
| Grants and Similar Amounts Paid | $24,034 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $40,095,154 | $6,990,075 | $65,333 | $47,150,562 |
| Fees for Services Other | $6,788,431 | $1,315,615 | $4,383 | $8,108,429 |
| Other Employee Benefits | $5,268,522 | $1,208,269 | $7,662 | $6,484,453 |
| Payroll Taxes | $3,040,989 | $709,168 | $4,304 | $3,754,461 |
| Depreciation Depletion | $2,878,848 | $387,027 | $2,209 | $3,268,084 |
| Current Officers, Directors, Trustees, and Key Employees | $1,427,432 | $707,134 | - | $2,134,566 |
| Pension Plan Contributions | $1,366,617 | $304,670 | $2,009 | $1,673,296 |
| Other Expenses | $1,010,569 | $238,191 | $22 | $1,248,782 |
| Office Expenses | $740,314 | $409,636 | $1,389 | $1,151,339 |
| Occupancy | $967,662 | $101,166 | $301 | $1,069,129 |
| All Other Expenses | $128,797 | $678,589 | $195 | $807,581 |
| Insurance | $329,021 | $100,563 | $367 | $429,951 |
| Advertising | $243,823 | $100,829 | $114 | $344,766 |
| Interest | $271,390 | $26,394 | - | $297,784 |
| Travel | $100,821 | $191,247 | $113 | $292,181 |
| Conferences and Meetings | $251,063 | $29,084 | $10 | $280,157 |
| Fees for Services Legal | - | $204,315 | - | $204,315 |
| Fees for Services Accounting | - | $65,250 | - | $65,250 |
| Fees for Services Professional Fundraising | - | - | $56,190 | $56,190 |
| Grants to Domestic Orgs | $24,034 | - | - | $24,034 |
| Total Functional Expenses | $79,605,030 | $13,767,222 | $144,601 | $93,516,853 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $93,569,153 |
| Expenses per Audited Statements | $93,516,853 |
| Total Expenses per Form 990 | $93,516,853 |
| Expenses Not Reported on Form 990 | $52,300 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $56,190 |
| Fundraising Direct Expenses | $52,300 |
| Fundraising Gross Income | $17,532 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Lunch & Laughte | $101,138 | $17,532 | $1,798 | $15,734 |
| Total Events | $101,138 | $17,532 | $52,300 | $-34,768 |
| Liability | Amount |
|---|---|
| Estimated Third-party Payor Settleme | $11,957,989 |
| Operating Lease Liability | $4,192,024 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Wa Health Care Facilities Authority | 2022-02-04 | $23,000,000 | - |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $14,516,801 | $9,158,004 | - | $190,000 |
“The executive committee consists of the officers of board (chair or co- chairs, vice chair, secretary and treasurer) and the chairs of each standing committee. The executive committee has the powers and authority of the board to make decisions when the board is not in session. The executive committee also oversees the recruitment and hiring of the ceo along with overseeing the compensation process of the ceo.”
“A copy of the 990 is provided to the cfo who reviews the form, schedules and related attachments. Any comments or questions are addressed with the preparer and a final draft is reviewed by the finance committee and the board of directors for review. Once management is satisfied with the 990, the ceo signs the form 8879-te authorizing the preparer to e-file the return.”
“Board members and management team members are asked to sign a conflict-of- interest statement at initial orientation and again annually. Records are maintained by the human resources for the management team and the assistant to the ceo for the board. The compliance officer reviews and signs each conflict of interest form. Reported or potential conflicts are reviewed by the compliance officer and the human resources director for management team and ceo for the board. If a conflict of interest exists, the board member or management team member must excuse themselves from discussion or votes that involve the subject of their conflict. If a conflict is pervasive with a board member, then the co-chairs can proceed to remove the board member. If a conflict is pervasive with a management team member, they may be terminated.”
“Chc uses northwest regional primary care association, national association for community health centers, and milliman salary surveys and data from the pacific northwest region as comparative data. An outsourced independent consultant is also used to determine salary expectation. The board reviews the ceo's compensation and approves. This process was last completed in 2022.”
“Compensation of other officers and key employees is reviewed by the ceo and then the board of directors for final approval. This process was last completed in 2021.”
“Chc makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
“Chc offers maternity support, behavioral health services, nutrition and vision services through the chc clinics in pierce county according to a sliding fee scale based on income and family size. Chc provided 4,792 patients with 24,871 visits during the fiscal year.”
“Fundraising event expenses 52,300 risk pool adjustment 99,000 fundraising event expenses -52,300 total 99,000”
“The organization is exempt from federal income taxes under section 501(c)(3) of the internal revenue code. Accordingly, no provision for income tax is necessary. The organization evaluates uncertain tax positions whereby the effect of the uncertainty would be recorded if the outcome was considered probable and reasonably estimable. As of may 31, 2024 and 2023, the organization had no uncertain tax positions requiring accrual.”
“Fundraising event expenses 52,300 risk pool adjustment 99,000”
“Fundraising event expenses 52,300”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 7925909 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 13290020 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 8065978 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 10264038 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE THE HIGHEST QUALITY HEALTH CARE WITH COMPASSIONATE AND ACCESSIBLE SERVICE FOR ALL. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 114 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 100829 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 243823 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 344766 |
| IRS990/AllOtherContributionsAmt | 0 | 720436 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 195 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 678589 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 128797 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 807581 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | KAREN PARK |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2535974550 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1148 BROADWAY SUITE 100 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | TACOMA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 98402 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 10973435 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 365471 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 40 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 707134 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1427432 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2134566 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 10 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 29084 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 251063 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 280157 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2090051 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1425573 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1201709 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1009835 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 836791 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5013 PACIFIC HWY E 19 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 810 240TH ST SE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 9675 SE 36TH ST STE 110 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 511449 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 621 PACIFIC AVE 104 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | FIFE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BOTHELL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MERCER ISLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | LOS ANGELES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | TACOMA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 98424 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 98021 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 98040 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 90051 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 98402 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | PRO CALL CENTER |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | ALDRICH & ASSOCIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | SEMAPHORE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | NEXTGEN HEALTHCARE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | DILIGENCE SECURITY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CALL CENTER |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | SOFTWARE SVS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | EHR SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | SECURITY |
| IRS990/ContriRptFundraisingEventAmt | 0 | 83606 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 15996526 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 24034 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1809266 |
| IRS990/CYOtherExpensesAmt | 0 | 32239291 |
| IRS990/CYOtherRevenueAmt | 0 | 60208 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 68745245 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -6905608 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 61197338 |
| IRS990/CYTotalExpensesAmt | 0 | 93516853 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 144601 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 56190 |
| IRS990/CYTotalRevenueAmt | 0 | 86611245 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | true |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 748761 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 69906 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 2209 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 387027 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2878848 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3268084 |
| IRS990/Desc | 0 | COMMUNITY HEALTH CARE (CHC) MEDICAL CLINICS OFFER MEDICAL SERVICES IN VARIOUS LOCATIONS IN PIERCE COUNTY ACCORDING TO A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. CHC CONTINUES TO SUPPORT TWO MEDICAL RESIDENCY PROGRAMS: 1. A FAMILY PHYSICIAN RESIDENCY PROGRAM THAT ACCEPTS 6 TO 8 RESIDENTS EACH YEAR FOR A TOTAL OF 20 RESIDENTS DURING A 3 YEAR PROGRAM; AND 2. A 1-YEAR FAMILY ADVANCED REGISTERED NURSE PRACTITIONER RESIDENCY PROGRAM WITH TWO RESIDENTS (THROUGH NOVEMBER 2024). CHC PROVIDED 34,252 PATIENTS WITH MEDICAL CARE FROM 161,640 PATIENT VISITS AT 9 MEDICAL CLINICS DURING THE FISCAL YEAR. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 658 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 45195748 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 65250 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 65250 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 204315 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 204315 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 4383 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1315615 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 6788431 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 8108429 |
| IRS990/FeesForServicesProfFundraising/FundraisingAmt | 0 | 56190 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 56190 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 2.00 |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | 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/OtherCompensationAmt | 0 | 22386 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 43294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 50142 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 22500 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 37794 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 32126 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 42133 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 32021 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 42711 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 11022 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 48294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JEFFREY SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DAVID FLENTGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOHNNY ERKINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GAYLE MATTHEWS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JAMES LENHART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | CONSTANCE CAMPBELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CARRIE JO TIMMER DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DYLAN PETERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JEFF REYNOLDS DMD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KAREN PARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | GODWIN ASEMOTA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | KATIE PARKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MARCO VINIEGRA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ANNIE TUSTISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | WILLIAM SPEAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | KEN REPP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | LADEDRIA GRIFFIN-STALLWORTH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | LINDA BOWMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | LYNESE REDEEMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | JILL LOWRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | ALMA PRICE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JEFF CATHERSAL |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 417795 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 395162 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 385763 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 384459 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 310634 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 302963 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 309591 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 264858 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 270081 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 219731 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 213358 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| 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/TitleTxt | 0 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | MD OBGYN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | MD OBGYN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | ASSOC. PROG. |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | MD FP W OB |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | RESIDENCY DI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MD FP W OB |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DENTAL DIREC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PHARMACY DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHAIR (ENDED |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VC (ENDED 12 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | BOARD MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1987 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | true |
| IRS990/FundraisingAmt | 0 | 83606 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 52300 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 17532 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 15192484 |
| IRS990/GrantAmt | 0 | 24034 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 24034 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 24034 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 86663545 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 69845 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 116 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 367 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 100563 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 329021 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 429951 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 26394 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 271390 |
| IRS990/InterestGrp/TotalAmt | 0 | 297784 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 363332 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 310882 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1809266 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1809266 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 23829065 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 56 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 41039756 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 42485197 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 56076134 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 97115890 |
| IRS990/LegalDomicileStateCd | 0 | WA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | true |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO PROVIDE THE HIGHEST QUALITY HEALTH CARE WITH COMPASSIONATE AND ACCESSIBLE SERVICE FOR ALL INCLUDING COMPREHENSIVE PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE THROUGH A CLINIC SYSTEM. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 6438866 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 16017765 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 66875110 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 60529497 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -34768 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -34768 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 69845 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 69845 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 460995 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 66875110 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 60529497 |
| IRS990/NoncashContributionsAmt | 0 | 410160 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 301 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 101166 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 967662 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1069129 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 1389 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 409636 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 740314 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1151339 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2232366 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 5390502 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 99000 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 7662 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1208269 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 5268522 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 6484453 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL/DENTAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 22 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 238191 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 14671543 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1010569 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 14671543 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1248782 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 5488117 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 16150013 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
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