Liabilities / Assets
26th percentile
Higher debt load relative to assets than 26% of similar nonprofits.
EIN 91-1462366 • 501(c)3 • Spokane, WA
Profile
To provide quality services that promote wellness and balance of mind, body and spirit for individuals, staff, families and communities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
26th percentile
Higher debt load relative to assets than 26% of similar nonprofits.
Liabilities / Revenue
26th percentile
Higher debt load relative to revenue than 26% of similar nonprofits.
Net Margin
89th percentile
Higher net margin than 89% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
90th percentile
Faster asset growth than 90% of similar nonprofits.
Revenue Growth
79th percentile
Faster revenue growth than 79% of similar nonprofits.
Assets
Up$52,809,178
Up $12,597,604 (+31%) from 2023
Liabilities
Up$3,286,267
Up $835,779 (+34%) from 2023
Net Assets
Up$49,522,911
Up $11,761,825 (+31%) from 2023
Revenue
Up$24,205,512
Up $5,031,468 (+26%) from 2023
Expenses
Up$12,443,687
Up $912,599 (+7.9%) from 2023
Net Income
Up$11,761,825
Up $4,118,869 (+54%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
The native project and native health clinic's mission is to provide quality services that promote wellness and balance of mind, body and spirit for individuals, staff, families and communities.
To provide quality services that promote wellness and balance of mind, body and spirit for individuals, staff, families and communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $29,740,758 | $28,934,352 | ▼ $806,406 |
| Land, Buildings, and Equipment, Net | $6,227,636 | $17,365,234 | ▲ $11,137,598 |
| Cash and Non-Interest-Bearing Accounts | $1,789,724 | $3,693,648 | ▲ $1,903,924 |
| Pledges and Grants Receivable | $1,561,164 | $1,862,443 | ▲ $301,279 |
| Accounts Receivable | $635,277 | $546,550 | ▼ $88,727 |
| Prepaid Expenses and Deferred Charges | $156,691 | $301,209 | ▲ $144,518 |
| Inventories for Sale or Use | $100,324 | $105,742 | ▲ $5,418 |
| Total Assets | $40,211,574 | $52,809,178 | ▲ $12,597,604 |
| Liabilities | |||
| Other Liabilities | $834,088 | $1,768,347 | ▲ $934,259 |
| Accounts Payable and Accrued Expenses | $865,320 | $900,321 | ▲ $35,001 |
| Deferred Revenue | $751,080 | $617,599 | ▼ $133,481 |
| Total Liabilities | $2,450,488 | $3,286,267 | ▲ $835,779 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $37,761,086 | $49,522,911 | ▲ $11,761,825 |
| Total Net Assets Fund Balance | $37,761,086 | $49,522,911 | ▲ $11,761,825 |
| Total Liabilities and Net Assets / Fund Balance | $40,211,574 | $52,809,178 | ▲ $12,597,604 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $11,818,700 | - | $11,818,700 |
| Buildings | $3,567,099 | $2,471,350 | $6,038,449 |
| Equipment | $574,561 | $1,689,488 | $2,264,049 |
| Land | $1,404,874 | - | $1,404,874 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Douglas Tanner | Physician | FT | $271,700 | $40,395 | $312,095 |
| Toni Lodge | CEO | FT | $268,347 | $26,628 | $285,317 |
| Justin Vanriper | Dentist | FT | $248,631 | $20,920 | $271,723 |
| Maureen Rosette | COO | FT | $198,001 | $28,803 | $227,579 |
| Kendra Darnell | Physician | FT | $202,725 | $13,883 | $223,319 |
| Kenneth Stewart | Finance Dire | FT | $182,531 | $19,338 | $201,869 |
| Kenneth Stewart | Finance Director | - | $182,531 | $19,338 | $201,869 |
| John Mccarthy | Physician | PT | $163,430 | - | $163,430 |
| Name | Title |
|---|---|
| Pamela Austin | Chair |
| Tom Tremaine | Vice Chair |
| Heleen Dewey | Member |
| Jason Campbell | Member |
| Larry Vanderberg | Secretary/tr |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Halme Cascade General Contracting | Construction | 725 N STANLEY ST SUITE B, Medical Lake, WA 99022 | $8,672,612 |
| Meddock Construction LLC | Bldg. Maint. | PO BOX 14574, Spokane, WA 99214 | $182,783 |
| Womer & Associates | Architectural | 165 S HOWARD ST, Spokane, WA 99201 | $144,052 |
| Pronet INC | It Support | 816 W FRANCIS SUITE 131, Spokane, WA 99205 | $135,630 |
| Wenaha Group INC | Cons Proj Mgmt | 505 S 336TH ST SUITE 630, Federal Way, WA 98003 | $107,278 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $8,030,754 |
| Other Expenses | $4,382,910 |
| Grants and Similar Amounts Paid | $30,023 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,544,583 | $1,177,365 | - | $5,721,948 |
| Other Employee Benefits | $1,016,981 | $277,483 | - | $1,294,464 |
| Information Technology | $46,268 | $589,553 | - | $635,821 |
| Office Expenses | $336,008 | $207,274 | - | $543,282 |
| Payroll Taxes | $396,491 | $130,666 | - | $527,157 |
| Current Officers, Directors, Trustees, and Key Employees | - | $487,185 | - | $487,185 |
| Depreciation Depletion | $236,076 | $223,065 | - | $459,141 |
| Conferences and Meetings | $130,977 | $117,750 | - | $248,727 |
| Occupancy | $128,301 | $116,972 | - | $245,273 |
| Fees for Services Other | $91,883 | $141,615 | - | $233,498 |
| Fees for Services Legal | - | $138,816 | - | $138,816 |
| All Other Expenses | $8,952 | $124,852 | - | $133,804 |
| Insurance | $4,197 | $73,990 | - | $78,187 |
| Travel | $32,005 | $26,946 | - | $58,951 |
| Grants to Domestic Orgs | $30,023 | - | - | $30,023 |
| Other Expenses | $5,827 | $82,957 | - | $5,827 |
| Advertising | - | $5,590 | - | $5,590 |
| Total Functional Expenses | $8,521,608 | $3,922,079 | $0 | $12,443,687 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $12,443,687 |
| Total Expenses per Audited Statements | $12,443,687 |
| Total Expenses per Form 990 | $12,443,687 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Maureen Rosette | Family Member | Employment | No | $227,579 |
| Dylan Dressler | Family Member | Employment | No | $173,707 |
| Liability | Amount |
|---|---|
| Medicaid Managed Care Recoupment | $909,779 |
| Est. Medicaid Enhancement Payable | $858,568 |
“Maureen rosette pamela austin coo chair family relationship”
“A copy of the 990 is provided to the ceo and finance director who review the form, schedules and related attachments. The board of directors is included in the review process. Any comments or questions are addressed with the preparer. Once management is satisfied with the 990, the ceo signs the form and 8879-te authorizing the preparer to e-file the return.”
“A conflict of interest statement is completed annually by the board of directors and self disclosure in the interim disclosing any possible conflicts of interest. Any potential conflicts of interest that arise are considered during the decision-making process for all transactions. Any director involved in a potential conflict of interest is excluded from discussion and voting on that decision. All employees are required to report to their supervisor any potential instances that create a conflict of interest situation.”
“The process of determining compensation is based on payscale and regional labor and industries postings/surveys as provided by human resources which are reviewed by the board of directors in approving officers wages.”
“See form 990, part vi, line 15a.”
“The native project makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
“Line 4a - first accomplishment the native project provides care to persons covered by governmental programs at below cost and to individuals who are unable to pay. The unreimbursed value of providing care to clinic patients during the fiscal year was 61,678, which includes sliding fee and native cost share. The native project had 9,729 medical visits, 2,370 mental health visits, and 2,086 substance abuse visits, 2,070 dental visits, 59 summer program participants, 88 leadership camp students and over 1,900 wellness program participants during the fiscal year.”
“The organization is exempt from federal income taxes under section 501(c) (3) of the internal revenue code. 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 december 31, 2024 and 2023, the organization had no uncertain tax positions requiring accrual.”
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 | 865320 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 900321 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 635277 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 546550 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE QUALITY SERVICES THAT PROMOTE WELLNESS AND BALANCE OF MIND, BODY AND SPIRIT FOR INDIVIDUALS, STAFF, FAMILIES AND COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 5590 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 5590 |
| IRS990/AllOtherContributionsAmt | 0 | 41744 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 124852 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 8952 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 133804 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | KENNETH STEWART |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5093255502 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1803 W MAXWELL |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SPOKANE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 99201 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1789724 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 3693648 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 487185 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 487185 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 117750 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 130977 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 248727 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 8672612 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 182783 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 144052 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 135630 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 107278 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 725 N STANLEY ST SUITE B |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 14574 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 165 S HOWARD ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 816 W FRANCIS SUITE 131 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 505 S 336TH ST SUITE 630 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MEDICAL LAKE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SPOKANE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | SPOKANE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SPOKANE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | FEDERAL WAY |
| 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 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 99022 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 99214 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 99201 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 99205 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 98003 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | HALME CASCADE GENERAL CONTRACTING |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MEDDOCK CONSTRUCTION LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | WOMER & ASSOCIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | PRONET INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | WENAHA GROUP INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | BLDG. MAINT. |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ARCHITECTURAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | IT SUPPORT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONS PROJ MGMT |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 15025004 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 30023 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1424629 |
| IRS990/CYOtherExpensesAmt | 0 | 4382910 |
| IRS990/CYOtherRevenueAmt | 0 | 29951 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 7725928 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 11761825 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 8030754 |
| IRS990/CYTotalExpensesAmt | 0 | 12443687 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 24205512 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 751080 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 617599 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 223065 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 236076 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 459141 |
| IRS990/Desc | 0 | THE NATIVE PROJECT PROVIDED ALCOHOL, DRUG, AND GANG/VIOLENCE PREVENTION, EDUCATION THROUGH LEADERSHIP CAMP, SUMMER PROGRAM, AND WELLNESS PROGRAM. OUT-PATIENT AND INTENSIVE OUT-PATIENT DRUG AND ALCOHOL TREATMENT, AND ADOLESCENT CHILDREN COUNSELING SERVICES WERE PROVIDED. THE NATIVE PROJECT PROVIDED PRIMARY MEDICAL CARE, ALONG WITH A DIABETES PROGRAM, LIMITED ADULT COUNSELING SERVICES, DENTAL SERVICES, AND PHARMACY SERVICES TO A PRIMARILY LOW INCOME/UNDER-SERVED POPULATION. SEE CONTINUATION ON SCHEDULE O. |
| 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 | 120 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 8521608 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 138816 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 138816 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 141615 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 91883 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 233498 |
| 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 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.50 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 40395 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 16970 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 23092 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 29578 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 20594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 19338 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DOUGLAS TANNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | TONI LODGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JUSTIN VANRIPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MAUREEN ROSETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KENDRA DARNELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KENNETH STEWART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOHN MCCARTHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | PAMELA AUSTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | TOM TREMAINE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | LARRY VANDERBERG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | HELEEN DEWEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JASON CAMPBELL |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 271700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 268347 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 248631 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 198001 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 202725 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 182531 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 163430 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 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/TitleTxt | 0 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | FINANCE DIRE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | SECRETARY/TR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MEMBER |
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| IRS990/FormationYr | 0 | 1989 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 14983260 |
| IRS990/GrantAmt | 0 | 30023 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 30023 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 30023 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 24205512 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
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| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 21 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
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| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 46268 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 635821 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 73990 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 4197 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 78187 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 100324 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 105742 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1424629 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1424629 |
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| IRS990/IRPDocumentW2GCnt | 0 | 0 |
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| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 17365234 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 21526072 |
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| IRS990/LocalChaptersInd | 0 | false |
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| IRS990/MembersOrStockholdersInd | 0 | false |
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| IRS990/MinutesOfGoverningBodyInd | 0 | true |
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| IRS990/MoreThan5000KToOrgInd | 0 | false |
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| IRS990/OccupancyGrp/TotalAmt | 0 | 245273 |
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| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 336008 |
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| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
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| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1016981 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1294464 |
| IRS990/OtherExpensesGrp/Desc | 0 | DRUGS & MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | REPAIR & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | INCENTIVES |
| IRS990/OtherExpensesGrp/Desc | 3 | PROGRAM SERVICES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 82957 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1404927 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 88630 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 19479 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 5827 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1404927 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 171587 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 19479 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 5827 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 834088 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1768347 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | QUALITY IMPROVEMENT INCENTIVE |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | MEDICAL RECORDS & OTHER |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 19941 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 10010 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 19941 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 10010 |
| IRS990/OtherRevenueTotalAmt | 0 | 29951 |
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| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4544583 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5721948 |
| IRS990/OwnWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 130666 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 396491 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 527157 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 1561164 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 1862443 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 156691 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 301209 |
| IRS990/PrincipalOfficerNm | 0 | TONI LODGE |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 624100 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENUE, NET |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 7725928 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 7725928 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 9136480 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 128803 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1166597 |
| IRS990/PYOtherExpensesAmt | 0 | 3767844 |
| IRS990/PYOtherRevenueAmt | 0 | 58085 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 8812882 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 7642956 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 7634441 |
| IRS990/PYTotalExpensesAmt | 0 | 11531088 |
| IRS990/PYTotalRevenueAmt | 0 | 19174044 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 11761825 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 7725928 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 29740758 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 28934352 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | FUNDRAISING & OTHER INCOME 215,355 MEDICAID TRANSFORMATION 210,114 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | PART II, LINE 10 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 15025004 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 9136480 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 6415994 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 7528704 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 6914575 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 45020757 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 1424629 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 1195736 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 222727 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 4013 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 5527 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 2852632 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 46282676 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt | 0 | 29951 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 58085 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 12481 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 113009 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 241894 |
| IRS990ScheduleA/OtherIncome170Grp/TotalAmt | 0 | 455420 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.93160 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.93180 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 45020757 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 15025004 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 9136480 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 6415994 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 7528704 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 6914575 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 45020757 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 48328809 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 3567099 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 2471350 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 6038449 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 574561 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1689488 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 2264049 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 12443687 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
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