Liabilities / Assets
59th percentile
Higher debt load relative to assets than 59% of similar nonprofits.
EIN 93-0602940 • 501(c)3 • Bend, OR
Profile
To own, manage and operate hospitals in Central Oregon, as well as the care of sick, injured and infirm and the carrying on, participation in and sponsorship of health-related services and activities in the communities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
59th percentile
Higher debt load relative to assets than 59% of similar nonprofits.
Liabilities / Revenue
38th percentile
Higher debt load relative to revenue than 38% of similar nonprofits.
Net Margin
28th percentile
Higher net margin than 28% of similar nonprofits.
Top Officer Pay
35th percentile
Higher top officer pay than 35% of similar nonprofits.
Top officer pay equals 0.1% of source-year revenue.
Asset Growth
33rd percentile
Faster asset growth than 33% of similar nonprofits.
Revenue Growth
24th percentile
Faster revenue growth than 24% of similar nonprofits.
Assets
Up$1,491,630,173
Up $53,099,051 (+3.7%) from 2023
Liabilities
Down$564,638,208
Down $4,414,699 (-0.8%) from 2023
Net Assets
Up$926,991,965
Up $57,513,750 (+6.6%) from 2023
Revenue
Up$1,267,377,489
Up $18,049,841 (+1.4%) from 2023
Expenses
Up$1,252,810,647
Up $93,268,748 (+8.0%) from 2023
Net Income
Down$14,566,842
Down $75,218,907 (-84%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To own, manage and operate hospitals in Central Oregon, as well as the care of sick, injured and infirm and the carrying on, participation in and sponsorship of health-related services and activities in the communities.
Mission: In a spirit of love and compassion, better health, better care, better value. Vision: Creating America's healthiest community, together.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $649,376,092 | $702,996,678 | ▲ $53,620,586 |
| Land, Buildings, and Equipment, Net | $381,042,811 | $376,884,683 | ▼ $4,158,128 |
| Savings and Temporary Cash Investments | $128,780,988 | $138,974,552 | ▲ $10,193,564 |
| Accounts Receivable | $165,848,154 | $137,108,715 | ▼ $28,739,439 |
| Investments Other Securities | $57,664,222 | $52,208,802 | ▼ $5,455,420 |
| Investments Program Related | $3,860,982 | $18,733,304 | ▲ $14,872,322 |
| Cash and Non-Interest-Bearing Accounts | $2,684,878 | $18,617,353 | ▲ $15,932,475 |
| Inventories for Sale or Use | $12,962,179 | $13,922,208 | ▲ $960,029 |
| Prepaid Expenses and Deferred Charges | $16,405,314 | $13,365,801 | ▼ $3,039,513 |
| Intangible Assets | $4,532,874 | $2,723,455 | ▼ $1,809,419 |
| Other Notes and Loans Receivable, Net | - | $0 | - |
| Pledges and Grants Receivable | - | $0 | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Total Assets | $1,438,531,122 | $1,491,630,173 | ▲ $53,099,051 |
| Other Assets Total | $15,372,628 | $16,094,622 | ▲ $721,994 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $355,497,222 | $348,070,029 | ▼ $7,427,193 |
| Accounts Payable and Accrued Expenses | $162,741,546 | $171,152,723 | ▲ $8,411,177 |
| Mortgage Notes Payable Secured by Investment Property | $26,799,670 | $21,005,862 | ▼ $5,793,808 |
| Other Liabilities | $16,371,376 | $18,842,278 | ▲ $2,470,902 |
| Deferred Revenue | $7,643,093 | $5,567,316 | ▼ $2,075,777 |
| Total Liabilities | $569,052,907 | $564,638,208 | ▼ $4,414,699 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $869,478,215 | $926,991,965 | ▲ $57,513,750 |
| Total Net Assets Fund Balance | $869,478,215 | $926,991,965 | ▲ $57,513,750 |
| Total Liabilities and Net Assets / Fund Balance | $1,438,531,122 | $1,491,630,173 | ▲ $53,099,051 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $246,400,164 | $252,722,600 | $499,122,764 |
| Equipment | $74,645,450 | $260,356,432 | $335,001,882 |
| Other Land Buildings | $35,404,721 | $13,857,622 | $49,262,343 |
| Land | $20,352,207 | - | $20,352,207 |
| Leasehold Improvements | $82,141 | $3,962,424 | $4,044,565 |
| Investment Program Related Org | $18,733,304 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $6,935,583 | $56,876 | ▲ $663,242 | - | $7,459,499 |
| 2023 | $5,660,614 | $1,059,575 | ▲ $519,503 | - | $6,935,583 |
| 2022 | $6,371,633 | - | ▼ $624,964 | - | $5,660,614 |
| 2021 | $5,634,453 | - | ▲ $1,023,377 | - | $6,371,633 |
| 2020 | $5,295,153 | $100,250 | ▲ $493,847 | $169,830 | $5,634,453 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Gordon Steve | President & CEO | FT | $1,312,825 | $202,232 | $2,082,782 |
| Mott Brian Md | Physician | FT | $1,109,534 | $145,739 | $1,187,901 |
| Sedehi Daniel Md | Physician | FT | $1,106,303 | $75,238 | $1,181,541 |
| Swafford Matthew | Senior VP/CFO | FT | $649,487 | $259,219 | $1,126,844 |
| Dixon Jennifer Md | Physician | FT | $1,041,159 | $266,888 | $1,108,047 |
| Sultan Michael Md | Physician | FT | $930,836 | $71,313 | $1,032,149 |
| Hallett Mark | Chief Clinical Officer | FT | $581,286 | $257,315 | $1,013,420 |
| Bergquist Curtis Md | Physician | FT | $956,052 | $195,630 | $1,011,533 |
| Simmons Iman | SVP COO | FT | $559,378 | $222,985 | $980,575 |
| Binder Darren | Secretary | FT | $438,062 | $307,451 | $807,213 |
| Fobi Lloyd | SVP Cido | FT | $432,655 | $768,875 | $747,429 |
| Berry Rebecca | VP Chief Hr Officer | FT | $400,148 | $299,946 | $686,712 |
| Ching Joan | VP Chief Nursing | FT | $146,736 | $444,582 | $642,895 |
| Mcleod Christine | SVP Specialty Services | FT | $417,966 | $118,938 | $593,280 |
| Golda David | VP Hospital Admin Bend/redmond | FT | $332,388 | $292,896 | $504,368 |
| Shields Todd | VP Hospital Admin Prineville/madras | FT | $265,993 | $298,666 | $443,893 |
| Edgar Shannon | VP CNO | FT | $285,285 | $151,113 | $392,749 |
| Powell Michael | Chief Pharmacy Officer | FT | $264,138 | $243,768 | $309,694 |
| Rhoads Ann | Chairman | PT | $75,000 | - | $75,000 |
| O'Brien Jenny | Director | PT | $40,000 | - | $40,000 |
| Rodriguez Glenn | Director | PT | $40,000 | - | $40,000 |
| Schuette Dan | Director | PT | $40,000 | - | $40,000 |
| Bullock Jon | Director | PT | $40,000 | - | $40,000 |
| Handkins Shelly | Director | PT | $40,000 | - | $40,000 |
| Orlikoff James | Director | PT | $40,000 | - | $40,000 |
| Schmid Corey | Director | PT | $25,000 | - | $25,000 |
| Davidson Andy | Director | - | $25,000 | - | $25,000 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Cascade Medical Imaging LLC | Imaging Services | 1460 NE MEDICAL CENTER DR, Bend, OR 97701 | $59,160,091 |
| Bend Anesthesiology Group | Anesthesiology | 150 W CIVIC CENTER DR STE 200, Sandy, UT 84070 | $15,121,712 |
| Central Oregon Mri LLC | Mri Services | PO BOX 6059, Bend, OR 97708 | $7,509,997 |
| Mayo Collaborative Services INC | Lab Services | PO BOX 9146, Minneapolis, MN 55480 | $3,443,438 |
| Adventure Medics LLC | Transportation | PO BOX 3510, Silverdate, WA 98383 | $2,571,145 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 49 | $153,710 | Cost or Stated |
| Total Noncash Contributions | 49 | $153,710 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $715,655,345 |
| Other Expenses | $536,456,255 |
| Total Fundraising Expense | $1,339,038 |
| Grants and Similar Amounts Paid | $699,047 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $476,468,782 | $86,939,006 | $769,321 | $564,177,109 |
| Fees for Services Other | $103,748,903 | $22,882,393 | $316,171 | $126,947,467 |
| Other Employee Benefits | $58,443,026 | $20,983,655 | $115,037 | $79,541,718 |
| Payroll Taxes | $31,464,276 | $6,696,645 | $52,135 | $38,213,056 |
| Depreciation Depletion | $26,929,807 | $11,157,138 | - | $38,086,945 |
| Information Technology | $234,508 | $27,710,529 | $3,360 | $27,948,397 |
| Pension Plan Contributions | $19,577,488 | $3,421,977 | $27,144 | $23,026,609 |
| Occupancy | $9,836,905 | $2,036,674 | $312 | $11,873,891 |
| Interest | $18,141 | $11,160,187 | - | $11,178,328 |
| Current Officers, Directors, Trustees, and Key Employees | - | $10,696,853 | - | $10,696,853 |
| Other Expenses | $7,726,915 | $1,265,851 | $100 | $8,992,866 |
| Office Expenses | $7,154,353 | $1,519,035 | $6,479 | $8,679,867 |
| All Other Expenses | $7,596,589 | $975,563 | $14,618 | $8,586,770 |
| Fees for Services Legal | - | $7,644,928 | - | $7,644,928 |
| Insurance | $97 | $3,744,418 | - | $3,744,515 |
| Conferences and Meetings | $1,160,675 | $1,028,453 | $15,130 | $2,204,258 |
| Payments to Affiliates | $701,763 | $1,199,442 | $7,331 | $1,908,536 |
| Fees for Service Investment Mgmnt Fees | - | $1,494,170 | - | $1,494,170 |
| Travel | $992,642 | $224,998 | $5,709 | $1,223,349 |
| Grants to Domestic Orgs | $699,047 | - | - | $699,047 |
| Advertising | $26,981 | $543,743 | $4,218 | $574,942 |
| Fees for Services Accounting | - | $282,944 | - | $282,944 |
| Fees for Services Lobbying | - | $120,000 | - | $120,000 |
| Total Functional Expenses | $1,025,265,346 | $226,206,263 | $1,339,038 | $1,252,810,647 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| St Charles Foundation | Bend, OR | 501(c)(3) | To support fundraising activities | $37,465 |
| Kids Center | Bend, OR | 501(c)(3) | Child Abuse Evaluation & Prevention | $28,000 |
| Bend Lapine School District | Bend, OR | Govt | Student Services | $22,561 |
| Destination Rehab | Bend, OR | 501(c)(3) | Community Based Physical Therapy | $20,000 |
| Latino Community Assoc | Bend, OR | 501(c)(3) | Support for Latino Community | $17,500 |
| Boys and Girls Club REDMOND | Redmond, OR | 501(c)(3) | Club Program for Children | $17,000 |
| Better Together Central or | Remond, OR | 501(c)(3) | Education & Training for Youth | $16,365 |
| High Desert Food and Farm All | Bend, OR | 501(c)(3) | Access to local, affordable food | $15,500 |
| Co Veterans Ranch | Bend, OR | 501(c)(3) | Improve Quality of Life for Vets | $15,000 |
| Jefferson County Ems | Madras, OR | Govt | Emergency Response | $15,000 |
| Newberry Regional Partnership | La Pine, OR | 501(c)(3) | Community Engagement | $15,000 |
| Rimrock Trails Adolescent Tre | Bend, OR | 501(c)(3) | Drug & Alcohol Treatment for Youth | $15,000 |
| Sriponya | Bend, OR | 501(c)(3) | Warm Springs Sports Program | $15,000 |
| The Peaceful Presence Project | Bend, OR | 501(c)(3) | End of Life Care | $14,885 |
| Partners in Care Hospice | Bend, OR | 501(c)(3) | End of Life Care | $14,720 |
| Seed to Table Oregon | Sisters, OR | 501(c)(3) | Seed to Table Program | $14,000 |
| Citizens4community | Sisters, OR | 501(c)(3) | Rural Community Engagement | $12,000 |
| Madras Aquatic Center Special | Madras, OR | Govt | Drop-In Voucher Program | $12,000 |
| Envision Bend | Bend, OR | 501(c)(3) | Community Engagement | $11,500 |
| Tower Theatre Foundation Inc | Bend, OR | 501(c)(3) | DEI Training & Community Engagement | $11,100 |
| Fathers Group | bEND, OR | 501(c)(3) | Community Advocacy | $11,000 |
| Bendnext Foundation | Bend, OR | 501(c)(3) | Strengthening Workforce | $10,000 |
| Heart of Oregon Corps Inc | Bend, OR | 501(c)(3) | Training Workforce | $10,000 |
| High Desert Education Service | Redmond, OR | Govt | Education Services | $10,000 |
| Horses on the Ranch | Prineville, OR | 501(c)(3) | Trauma Program | $10,000 |
| La Pine Senior Citizen Inc | Sunriver, OR | 501(c)(3) | Senior Center | $10,000 |
| Family Access Network | Bend, OR | 501(c)(3) | Family Services | $9,300 |
| Friends of the Children Co | Bend, OR | 501(c)(3) | Youth Mentorship | $9,000 |
| Intersectional Acts | Prineville, OR | 501(c)(3) | Support for Marginalized Individual | $8,085 |
| Bend Farmers Market | Bend, OR | 501(c)(3) | Market Supporting Local Farms | $8,000 |
| Casa of Central or | Bend, OR | 501(c)(3) | Court Appointed Special Advocates | $8,000 |
| Mountain Star Family Relief | Bend, OR | 501(c)(3) | Child Abuse & Neglect Prevention | $8,000 |
| Neighborimpact | Redmond, OR | 501(c)(3) | Provide families access to food | $8,000 |
| Camp Fire Central Oregon | Bend, OR | 501(c)(3) | Cultivating Community Connections | $7,500 |
| Mosaic Medical | Prineville, OR | 501(c)(3) | Health Care Services | $7,500 |
| Ronald Mcdonald House Chariti | Portland, OR | 501(c)(3) | Emergency Medical Housing Respite | $7,000 |
| Economic Development Co | Bend, OR | 501(c)(6) | Create a diversified local economy | $6,670 |
| Jericho Road | Redmond, OR | 501(c)(3) | Food & Shelter Support | $6,500 |
| Age Friendly Sisters Country | Sisters, OR | 501(c)(3) | Community Led Projects | $6,000 |
| Co Council on Aging | Bend, OR | 501(c)(3) | Services for Co Seniors | $6,000 |
| Giving Plate | Bend, OR | 501(c)(3) | Hunger Relief | $6,000 |
| Sisters Rodeo Assn | Sisters, OR | 501(c)(4) | Community Events | $6,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Laurie Morgan | Employee | Compensation | No | $158,912 |
| Alphonso Dawson | Employee | Compensation | No | $15,767 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Liability | Amount |
|---|---|
| Prof Liab Insurance | $12,850,000 |
| Cost Report Settlement Est Liabilities | $5,992,278 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Hospital Facility Authori | 2016-10-12 | $114,801,653 | SEE PART VI |
| A | Hospital Facility Authori | 2022-05-17 | $75,260,000 | SEE PART VI |
| C | Hospital Facility Authori | 2020-10-22 | $51,302,850 | SEE PART VI |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $115,768,627 | $45,969,500 | $480,000 | $1,200,176 |
| A | $75,260,000 | $75,000,000 | $10,150,000 | $260,000 |
| C | $52,737,917 | - | - | - |
“The updated 2024 Bylaws specify that President/CEO is designated as a director with voting rights. The updated Bylaws specify that the Designated Director shall not be a member of and shall not have voting rights on the following Board Committees: Governance Committee, Audit and Compliance Committee, Compensation and Excess Benefit Transaction Committee.The updated 2024 Bylaws specify the establishment of term limits for the positions of Board Chairperson and Vice Chairperson of three (3) consecutive one-year terms.The updated 2024 Bylaws specify that the Chief Financial Officer of the Corporation shall serve as Treasurer of the Corporation.”
“The 990 was prepared internally and reviewed by an external tax consultant. It was also reviewed by the organization's VP Finance and CFO. It was provided to the Audit & Compliance Committee to provide them an opportunity to review before filing.”
“The policy covers any SCHS director, principal officer, or member of a committee (hereinafter referred to as fiduciary) with powers delegated by the SCHS Board of Directors (the Board) who has a direct or indirect financial interest in SCHS or any entity within SCHS. This policy is intended to ensure that the business conducted by SCHS is free from the influence of actual or potential conflicts of interests by any SCHS fiduciary. Each fiduciary shall annually complete the Conflict of Interest Questionnaire. This completed form is automatically submitted to the SCHS VP Chief Compliance Officer who will evaluate the completed forms and present a report to the Governance Committee. The fiduciary is also required to update his/her responses to the Conflict of Interest Questionnaire should any new information regarding an actual or potential conflict of interest for that fiduciary arise. In addition, should a subsequent conflict arise after the submission of the previously completed Conflict of Interest Questionnaire each fiduciary shall orally disclose, prior to the Boards or the relevant committees consideration of a proposed transaction or arrangement, the existence of any financial interest that he or she may have with respect to the transaction or arrangement. The board will then review the transaction or arrangement to determine if it is in SCHS's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination, it shall make its decision as to whether to enter into the transaction or arrangement.”
“Schs utilizes an independent outside consultant to provide comparability data regarding compensation for the ceo and top management officials. The analysis covers all elements of total compensation. The ceo's compensation is reviewed and approved by the board of directors following a compensation review. The most recent study for the ceo and top management officials was performed in november of 2024.”
“Schs utilizes an independent outside consultant to provide comparability data regarding compensation for the key employees. The analysis covers all elements of total compensation. The compensation is reviewed by the board of directors following a compensation review. The evaluation and review process is prescribed in an internal policy and the process is documented. The most recent study for the key employees was performed in november of 2024.schs utilizes an independent outside consultant to provide comparability data regarding compensation for board members. The board of directors updated director compensation in 2023 based on a 2022 compensation study. Compensation and comparability data were reviewed and revised by the board of directors following documented processes and based on good governance principles. The evaluation and review process is prescribed within the boards internal governing documents.”
“Governing documents are available upon request. The Conflict of Interest policy is available to employees through a shared document management system. Financial reports are shared with employees monthly. Audited financial statements are available to the public upon request and on the internet at https://emma.msrb.org/Home/Index.”
“Jv goodwill previously excluded = $6526022”
“Removal of joint venture minority interest equity = -$5048294”
“Endowment Funds are reported in this section because they are held by St. Charles Foundation, Inc., a related entity of SCHS. Permanently restricted endowment funds are primarily to be used for continuing education scholarships for caregivers and the professional medical community, support of SCHS' Community Benefit Programs, and in the area of greatest need. The Floyd Dement Hospital Trust Fund Testamentary Trust is administered by US Bank, under a trust agreement which provides that the annual income be distributed to the Foundation for charity care to be provided to St. Charles Bend.St. Charles Health System and St. Charles Foundation Board Designated endowments consist of three individual funds established for community benefit, indigent care and education.”
“The audited financial statements contain the following footnote: Accounting principles generally accepted in the United States of America require SCHS management to evaluate tax positions taken by the Corporation and recognize a tax liability (or asset) if the Corporation has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. Management has analyzed tax positions taken by the Corporation and has concluded that as of December 31, 2024, 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. The Corporations management believes it is no longer subject to income tax examinations for years prior to 2021.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 162741546 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 171152723 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 165848154 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 137108715 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | Mission: In a spirit of love and compassion, better health, better care, better value. Vision: Creating America's healthiest community, together. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 4218 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 543743 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 26981 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 574942 |
| IRS990/AllOtherContributionsAmt | 0 | 221340 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 14618 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 975563 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 7596589 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 8586770 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | MATTHEW SWAFFORD |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5417067707 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2500 NE Neff Rd |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BEND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | OR |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 97701 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2684878 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 18617353 |
| IRS990/ChangeToOrgDocumentsInd | 0 | true |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 71 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 10696853 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 10696853 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 15130 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 1028453 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 1160675 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 2204258 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 59160091 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 7509997 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 3443438 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 15121712 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 2571145 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1460 NE MEDICAL CENTER DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 6059 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 9146 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 150 W CIVIC CENTER DR STE 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 3510 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | BEND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BEND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MINNEAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SANDY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SILVERDATE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | OR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | UT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 97701 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 97708 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 55480 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 84070 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 98383 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | CASCADE MEDICAL IMAGING LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | CENTRAL OREGON MRI LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MAYO COLLABORATIVE SERVICES INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | BEND ANESTHESIOLOGY GROUP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | ADVENTURE MEDICS LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | IMAGING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MRI SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | LAB SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ANESTHESIOLOGY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | TRANSPORTATION |
| IRS990/CostOfGoodsSoldAmt | 0 | 175786 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2266145 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 699047 |
| IRS990/CYInvestmentIncomeAmt | 0 | 17379153 |
| IRS990/CYOtherExpensesAmt | 0 | 536456255 |
| IRS990/CYOtherRevenueAmt | 0 | 10604604 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 1237127587 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 14566842 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 715655345 |
| IRS990/CYTotalExpensesAmt | 0 | 1252810647 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 1339038 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1267377489 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | true |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 7643093 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 5567316 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 11157138 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 26929807 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 38086945 |
| IRS990/Desc | 0 | ST. CHARLES HEALTH SYSTEM, INC. (SCHS) IS AN OREGON NONPROFIT CORPORATION THAT OPERATES A HEALTHCARE DELIVERY SYSTEM, WHICH INCLUDES HOSPITALS IN CENTRAL OREGON. SCHSS FLAGSHIP HOSPITAL IS LOCATED IN BEND WITH AN AFFILIATED CAMPUS IN REDMOND. IN ADDITION, SCHS OWNS AND OPERATES CRITICAL ACCESS HOSPITALS IN MADRAS AND PRINEVILLE. SCHS HOSPITALS PROVIDED SERVICES FOR 20,721 INPATIENTS, 2,246 BIRTHS, 23,516 SURGICAL CASES, 99,837 EMERGENCY ROOM VISITS, AND 202,294 OTHER OUTPATIENT VISITS IN 2024. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 5713 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 874926372 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 282944 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 282944 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 7644928 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 7644928 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 120000 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 120000 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 316171 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 22882393 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 103748903 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 126947467 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 1494170 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1494170 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form1098CFiledInd | 0 | false |
| IRS990/Form8282FiledCnt | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form8899Filedind | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 5.00 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 38534 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 47827 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 44698 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 131412 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 43348 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 47827 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 119999 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 47748 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 114605 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 108257 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 74401 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 76668 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 30871 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 86996 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 74736 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 69625 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 66765 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 43419 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Gordon Steve |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MOTT BRIAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | SEDEHI DANIEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Swafford Matthew |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DIXON JENNIFER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SULTAN MICHAEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | HALLETT MARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | BERGQUIST CURTIS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SIMMONS IMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Binder Darren |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | FOBI LLOYD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | BERRY REBECCA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | CHING JOAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MCLEOD CHRISTINE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | GOLDA DAVID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | SHIELDS TODD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | EDGAR SHANNON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | POWELL MICHAEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Rhoads Ann |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Handkins Shelly |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Schuette Dan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | O'Brien Jenny |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Bullock Jon |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Rodriguez Glenn |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Orlikoff James |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | Davidson Andy |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | Schmid Corey |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 2044248 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1140074 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 1136843 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 995432 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 1064699 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 984322 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 893421 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 963785 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 865970 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 698956 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 673028 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 610044 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 612024 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 506284 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 429632 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 374268 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 325984 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 266275 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 75000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 40000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 40000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 40000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 40000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 40000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 40000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 25000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 25000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Senior VP/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Chief Clinical Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | SVP COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | SVP CIDO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | VP CHIEF HR OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | VP CHIEF NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SVP SPECIALTY SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP HOSPITAL ADMIN BEND/REDMOND |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VP HOSPITAL ADMIN PRINEVILLE/MADRAS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VP CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CHIEF PHARMACY OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | Director |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 2001 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -86654 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 10618856 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 546677 |
| IRS990/GrantAmt | 0 | 699047 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 699047 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 699047 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 2255 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 115144604 |
| IRS990/GrossReceiptsAmt | 0 | 1372167932 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1823033 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 304080 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 2067 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 3360 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 27710529 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 234508 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 27948397 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 3744418 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 97 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 3744515 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 4532874 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 2723455 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 11160187 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 18141 |
| IRS990/InterestGrp/TotalAmt | 0 | 11178328 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 12962179 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 13922208 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 6846951 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 6846951 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 57664222 |
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