Liabilities / Assets
77th percentile
Higher debt load relative to assets than 77% of similar nonprofits.
990 • Fiscal year 2017 • EIN 13-1893923
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
77th percentile
Higher debt load relative to assets than 77% of similar nonprofits.
Liabilities / Revenue
70th percentile
Higher debt load relative to revenue than 70% of similar nonprofits.
Net Margin
14th percentile
Higher net margin than 14% of similar nonprofits.
Top Officer Pay
32nd percentile
Higher top officer pay than 32% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
83rd percentile
Faster asset growth than 83% of similar nonprofits.
Revenue Growth
56th percentile
Faster revenue growth than 56% of similar nonprofits.
Assets
Up$48,050,105
Up $6,687,373 (+16%) from 2016
Net Assets
Down$19,173,336
Down $498,185 (-2.5%) from 2016
Liabilities
Up$28,876,769
Up $7,185,558 (+33%) from 2016
Revenue
Up$45,051,913
Up $2,928,688 (+7.0%) from 2016
Expenses
Down$48,000,366
Down $356,144 (-0.7%) from 2016
Net Income
Up-$2,948,453
Up $3,284,832 (+53%) from 2016
To advance and promote the improvement of health standards and the standards of nursing and to stimulate and promote the professional development of nurses and advance their economic and general welfare.
Don'to advance and promote the improvement of health standards and the standards of nursing.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $29,532,253 | $27,734,881 | ▼ $1,797,372 |
| Land, Buildings, and Equipment, Net | $8,258,768 | $9,494,785 | ▲ $1,236,017 |
| Pledges and Grants Receivable | $1,155,156 | $3,304,977 | ▲ $2,149,821 |
| Cash and Non-Interest-Bearing Accounts | $77,565 | $1,923,173 | ▲ $1,845,608 |
| Accounts Receivable | $2,660,168 | $1,117,815 | ▼ $1,542,353 |
| Investments Other Securities | $1,065,833 | $1,062,500 | ▼ $3,333 |
| Prepaid Expenses and Deferred Charges | $753,175 | $981,724 | ▲ $228,549 |
| Inventories for Sale or Use | $303,980 | $202,882 | ▼ $101,098 |
| Total Assets | $41,362,732 | $48,050,105 | ▲ $6,687,373 |
| Other Assets Total | $-2,444,166 | $2,227,368 | ▲ $4,671,534 |
| Liabilities | |||
| Other Liabilities | $15,031,418 | $22,696,452 | ▲ $7,665,034 |
| Accounts Payable and Accrued Expenses | $3,768,663 | $3,686,313 | ▼ $82,350 |
| Deferred Revenue | $2,548,537 | $2,494,004 | ▼ $54,533 |
| Mortgage Notes Payable Secured by Investment Property | $342,593 | - | - |
| Total Liabilities | $21,691,211 | $28,876,769 | ▲ $7,185,558 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $19,436,754 | $18,857,511 | ▼ $579,243 |
| Temporarily Rstr Net Assets | $201,267 | $282,325 | ▲ $81,058 |
| Permanently Rstr Net Assets | $33,500 | $33,500 | → $0 |
| Total Net Assets Fund Balance | $19,671,521 | $19,173,336 | ▼ $498,185 |
| Total Liabilities and Net Assets / Fund Balance | $41,362,732 | $48,050,105 | ▲ $6,687,373 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $6,419,831 | $4,367,968 | $10,787,799 |
| Leasehold Improvements | $2,769,767 | $1,330,418 | $4,100,185 |
| Equipment | $305,187 | $1,348,526 | $1,653,713 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2017 | $234,725 | - | ▲ $81,058 | - | $315,783 |
| 2016 | $197,725 | - | ▲ $37,000 | - | $234,725 |
| 2015 | $213,665 | - | ▼ $15,940 | - | $197,725 |
| 2014 | $211,490 | - | ▲ $2,175 | - | $213,665 |
| 2013 | $188,111 | - | ▲ $23,379 | - | $211,490 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Marla J Weston | Chief Executive Officer | FT | $417,756 | $25,141 | $442,897 |
| Debra Hatmaker | Executive Director & Evp | FT | $251,108 | $17,097 | $268,205 |
| Loressa Cole | Executive Director, Ancc | - | $243,839 | $17,213 | $261,052 |
| Vellore Gopinath | CIO | FT | $236,669 | $12,040 | $248,709 |
| Nancy Robert | Chief Mkt Prd Off & Evp | FT | $223,119 | $18,181 | $241,300 |
| Alice Bodley | Chief Oper. Officer & Evp | FT | $221,529 | $15,744 | $237,273 |
| Maureen Cones | Chief Legal Officer | FT | $204,683 | $10,573 | $215,256 |
| Catherine Judge | Executive Director, Anf | - | $195,297 | $18,527 | $213,824 |
| Stephen Fox | VP, Membership | FT | $191,271 | $19,533 | $210,804 |
| Pamela Cipriano Phdrnnea-bc | President | - | $202,905 | - | $202,905 |
| Donna Grande | VP, Products & Services | FT | $180,310 | $15,451 | $195,761 |
| Michael Pfeiffer | CFO (until 06/2017) | FT | $126,841 | $67,289 | $194,130 |
| Michelle Artz | Director, Govt Affairs | FT | $179,623 | $11,746 | $191,369 |
| Cheryl Peterson | VP, Nursing Programs | FT | $174,340 | $14,970 | $189,310 |
| Jacqueline Conrad | Vice President Mkt & Bd | FT | $175,804 | $10,170 | $185,974 |
| Denise Bailey Clark | VP, Human Res & Od | FT | $170,353 | $12,197 | $182,550 |
| Lynn Wasylina | CFO (as If 07/2017) | FT | $128,013 | $9,073 | $137,086 |
| Name | Title |
|---|---|
| Ernest J Grant Phd Rn Faan | Vice President |
| Elizabeth Fildes | Director-at Large |
| Faith M Jones Msn Rn Nea-bc | Director-at Large |
| Marylee Pakieser | Director-at Large |
| Tonisha Melvin | Director-at Large |
| Jesse Kennedy Bsn Rn | Director-at Large, Recent |
| Gayle Peterson Rn-bc | Director-at Large, Staff Nurse |
| Patricia Travis Phd Rn Ccrp | Secretary |
| Gingy Harshey-meademsnrncae | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Marketing General INC | Marketing & Communication | 625 N WASHINGTON STREET, Alexandria, VA 22314, Uk | $1,531,641 |
| Raffa PC | Accounting Services | 1899 L STREET NW SUITE 850, Washington, DC 20036 | $1,511,996 |
| Amaze | Digital Mktg, Tech. & Commerce | LATERN HILL BUSINESS PARK, Doylestown, PA 18901 | $1,144,754 |
| Healthcom Media | Publishing | 6810 CRAIN HIGHWAY, La Plata, MD 20646 | $984,780 |
| Outsource It | Information Technology | - | $701,609 |
| Line Item | Amount |
|---|---|
| Other Expenses | $24,168,899 |
| Salaries, Compensation, and Employee Benefits | $22,098,671 |
| Grants and Similar Amounts Paid | $1,732,796 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | - | - | - | $12,969,275 |
| Fees for Services Other | - | - | - | $5,632,259 |
| Occupancy | - | - | - | $3,644,165 |
| Information Technology | - | - | - | $2,884,469 |
| Current Officers, Directors, Trustees, and Key Employees | - | - | - | $2,873,441 |
| Office Expenses | - | - | - | $2,765,692 |
| Pension Plan Contributions | - | - | - | $2,457,824 |
| Advertising | - | - | - | $2,395,151 |
| Payroll Taxes | - | - | - | $1,959,316 |
| Other Employee Benefits | - | - | - | $1,838,815 |
| Travel | - | - | - | $1,775,290 |
| Depreciation Depletion | - | - | - | $1,404,770 |
| Grants to Domestic Individuals | - | - | - | $1,322,129 |
| Conferences and Meetings | - | - | - | $532,112 |
| Other Expenses | - | - | - | $472,200 |
| Fees for Services Legal | - | - | - | $436,929 |
| Grants to Domestic Orgs | - | - | - | $410,667 |
| Fees for Services Accounting | - | - | - | $325,204 |
| Insurance | - | - | - | $129,527 |
| Fees for Service Investment Mgmnt Fees | - | - | - | $120,797 |
| All Other Expenses | - | - | - | $112,973 |
| Royalties | - | - | - | $78,006 |
| Interest | - | - | - | $20,386 |
| Total Functional Expenses | $0 | $0 | $0 | $48,000,366 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $48,014,376 |
| Total Expenses per Form 990 | $48,000,366 |
| Expenses per Audited Statements | $47,879,569 |
| Expenses Not Reported on Form 990 | $134,807 |
| Expenses Not Reported on Financial Statements | $120,797 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| American Nurses Foundation Inc | Silver Spring, MD | 501(c)(3) | Healthy Nurse Healthy Nation | $410,667 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Europe (including Iceland & Greenland) | Program Services | International Council of Nurses, Annual Dues, Nursing Conferences | 0 | 0 | $294,599 |
| South Asia | Program Services | Publishing, Professional Fees | 0 | 0 | $10,293 |
| Middle East and North Africa | Program Services | Appraiser Services Fees | 0 | 0 | $1,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Amount |
|---|---|
| Current Year Nondeductible Lobbying and Political Cost | $3,159,433 |
| Total Nondeductible Lobbying and Political Cost | $-716,917 |
| Organization | Location | Amount |
|---|---|---|
| 52-1254413 | Silver Spring, MD | $0 |
| Liability | Amount |
|---|---|
| Unfunded Pension Liability | $11,265,668 |
| Due to Affiliates | $7,705,116 |
| Deferred Rent | $2,992,260 |
| Dues Collected on Behalf of C/snas | $652,171 |
| Multistate Division Investment Fund | $81,237 |
“Ana's executive committee of the board of directors is composed of the officers which have all powers of the board of directors to transact business between board meetings in accordance with the rules established by the board of directors. Such transactions are reported at the next regular meeting of the board of directors.”
“Ana has the following classes of members: constituent and state nurses associations: these include state nurses associations, multi-state nurses associations, nurses associations of the district of columbia, nurses associations of the territories of the united states of america, united states of america nurses overseas associations, and a federal nurses association composed of registered nurses whose employers are members of the federal nursing services council, limited to membership of the active component of the u.s. Army, navy, air force, and the uniformed public health service nurses are hereinafter referred to as c/snas. Organizational affiliates: ana has organizational affiliates that could be labor organizations, workforce advocacy organizations, or specialty nursing associations. An organizational affiliate would be a national organization that represents the interests of registered nurses that meets criteria established by the membership assembly. Individual members: an individual member would be a registered nurse who elects to join ana directly. This membership option is contingent upon the agreement between the c/sna and ana. Individual affiliates: an individual affiliate (also referred to as e-member) is a registered nurse who elects to join ana in accordance with the provisions of this section.”
“Ana membership assembly is responsible for selecting the members of the board of directors.”
“The draft version of the federal form 990 is reviewed in detail by the chief financial officer and controller to ensure that the details tie to the audited financial statements and appropriately represent all financial activities of ana. A copy of the draft federal form 990 is distributed to the treasurer of the board of directors and the executive director prior to filing the return with the internal revenue service.”
“The board members of ana sign disclosure statements upon election or appointment, and every two years. The board of directors formally adopted the use of conflict of interest statements and disclosure forms. The general counsel reviews the disclosure statements and discusses any conflict or potential conflict on the part of an ana board member with the ana chief executive officer (ceo) and president, and follow-up action would be taken as needed. Periodic training for the board of directors includes reference to the members' fiduciary. Obligations, including the avoidance of a conflict of interest. The ana board of directors has an operating policy that prohibits conflict of interest, and the ana president calls for disclosure of conflicts at the beginning of every meeting. Conflicted individuals will not vote on the matter about which they are conflicted, and may or may not participate in the discussion of the matter, depending upon the issue and whether disclosure of the conflict to the board provides enough protection to permit the board member to comment on the matter or to hear the discussion. For the past ten years, ana's practice has been for the board member to leave the room during the discussion. The minutes reflect references to and decisions about conflict of interest.”
“Jobs and salary grades are benchmarked to ensure that ana remains competitive in the current labor market. All union positions are covered by the union contract. These processes are documented and held in the human resources department by the director of human resources.”
“Ana does not make its governing documents, conflict of interest policy, or the financial statements available to the public.”
“Consulting services 5,632,259.”
“Ana's endowment investment policy is focused on preservation of capital and amounts are invested in equities, corporate and government bonds through exchange traded mutual funds.”
“Ana adopted the income tax standard for uncertain income tax positions. Ana evaluated its tax positions and determined that its positions are more-likely-than-not to be sustained on examination.”
“Cost of goods sold 134,807.”
“Cost of goods sold 134,807.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 3768663 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3686313 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2660168 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1117815 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | DON'TO ADVANCE AND PROMOTE THE IMPROVEMENT OF HEALTH STANDARDS AND THE STANDARDS OF NURSING. |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2395151 |
| IRS990/AllOtherContributionsAmt | 0 | 501392 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 112973 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | LYNN WASYLINA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3016285000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 8515 GEORGIA AVENUE NO 400 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SILVER SPRING |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 209103492 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 77565 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1923173 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 43 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2873441 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 532112 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1531641 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1511996 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1144754 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 984780 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 701609 |
| IRS990/ContractorCompensationGrp/ContractorAddress/ForeignAddress/AddressLine1Txt | 0 | ONE TONY WILSON PLACE |
| IRS990/ContractorCompensationGrp/ContractorAddress/ForeignAddress/CityNm | 0 | MANCHESTER |
| IRS990/ContractorCompensationGrp/ContractorAddress/ForeignAddress/CountryCd | 0 | UK |
| IRS990/ContractorCompensationGrp/ContractorAddress/ForeignAddress/ForeignPostalCd | 0 | M 154FN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 625 N WASHINGTON STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1899 L STREET NW SUITE 850 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | LATERN HILL BUSINESS PARK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 6810 CRAIN HIGHWAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | ALEXANDRIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | WASHINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | DOYLESTOWN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | LA PLATA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | DC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 22314 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 20036 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 18901 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 20646 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MARKETING GENERAL INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | RAFFA PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | AMAZE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | HEALTHCOM MEDIA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | OUTSOURCE IT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MARKETING & COMMUNICATION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ACCOUNTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | DIGITAL MKTG, TECH. & COMMERCE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PUBLISHING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | INFORMATION TECHNOLOGY |
| IRS990/CostOfGoodsSoldAmt | 0 | 134807 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 3066346 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 1732796 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1623159 |
| IRS990/CYOtherExpensesAmt | 0 | 24168899 |
| IRS990/CYOtherRevenueAmt | 0 | 4691684 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 35670724 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -2948453 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 22098671 |
| IRS990/CYTotalExpensesAmt | 0 | 48000366 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 45051913 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2548537 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 2494004 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1404770 |
| IRS990/Desc | 0 | REVISE AND EXPAND THE FOUNDATIONAL DOCUMENTS FOR NURSES AND NURSING PRACTICE:AMERICAN NURSES ASSOCIATION, INC. (ANA) MAINTAINS AND DISSEMINATES THE CODE OF ETHICS, THE NURSING SOCIAL POLICY STATEMENT, THE SCOPE AND STANDARDS OF CARE FOR NURSING (AND 28 SPECIALTY PRACTICES), POSITION STATEMENTS AND ISSUE BRIEFS. ACTIVITIES INCLUDE CONDUCTING AND SUPPORTING RESEARCH, EVALUATION AND DISSEMINATION OF INFORMATION RELATED TO HEALTH POLICY, NURSES AND NURSING CARE. |
| IRS990/DescribedInSection501c3Ind | 0 | 0 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 255 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 325204 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 436929 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 5632259 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 120797 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 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/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 25141 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 9073 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 14334 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 17097 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 18181 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 15744 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 17213 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 12040 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 10573 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 18527 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 19254 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 15451 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 11746 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 10170 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 14970 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 12197 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | PAMELA CIPRIANO PHDRNNEA-BC |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ERNEST J GRANT PHD RN FAAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | GINGY HARSHEY-MEADEMSNRNCAE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | PATRICIA TRAVIS PHD RN CCRP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ELIZABETH FILDES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | FAITH M JONES MSN RN NEA-BC |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JESSE KENNEDY BSN RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | TONISHA MELVIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MARYLEE PAKIESER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | GAYLE PETERSON RN-BC |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARLA J WESTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LYNN WASYLINA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MICHAEL PFEIFFER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | DEBRA HATMAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | NANCY ROBERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | ALICE BODLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | LORESSA COLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | VELLORE GOPINATH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MAUREEN CONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | CATHERINE JUDGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | STEPHEN FOX |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | DONNA GRANDE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MICHELLE ARTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JACQUELINE CONRAD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | CHERYL PETERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | DENISE BAILEY CLARK |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 202905 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 417756 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 128013 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 179796 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 251108 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 223119 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 221529 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 243839 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 236669 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 204683 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 195297 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 191550 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 180310 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 179623 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 175804 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 174340 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 170353 |
| 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/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR-AT LARGE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR-AT LARGE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR-AT LARGE, RECENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR-AT LARGE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR-AT LARGE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR-AT LARGE, STAFF NURSE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CFO (AS IF 07/2017) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO (UNTIL 06/2017) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | EXECUTIVE DIRECTOR & EVP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF MKT PRD OFF & EVP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF OPER. OFFICER & EVP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | EXECUTIVE DIRECTOR, ANCC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHIEF LEGAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | EXECUTIVE DIRECTOR, ANF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | VP, MEMBERSHIP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | VP, PRODUCTS & SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DIRECTOR, GOVT AFFAIRS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | VICE PRESIDENT MKT & BD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | VP, NURSING PROGRAMS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | VP, HUMAN RES & OD |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1917 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 642968 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 2362954 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 1322129 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 410667 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 6697247 |
| IRS990/GrossReceiptsAmt | 0 | 51240999 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1896850 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 2305077 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 60 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2884469 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 129527 |
| IRS990/InterestGrp/TotalAmt | 0 | 20386 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 303980 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 202882 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 910316 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 980191 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 69875 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 1065833 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 1062500 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 29532253 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 27734881 |
| IRS990/IRPDocumentCnt | 0 | 150 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 7046912 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8258768 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 9494785 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 16541697 |
| IRS990/LegalDomicileStateCd | 0 | DC |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 6054279 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO ADVANCE AND PROMOTE THE IMPROVEMENT OF HEALTH STANDARDS AND THE STANDARDS OF NURSING AND TO STIMULATE AND PROMOTE THE PROFESSIONAL DEVELOPMENT OF NURSES AND ADVANCE THEIR ECONOMIC AND GENERAL WELFARE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 342593 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 19671521 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 19173336 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 642968 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 642968 |
| IRS990/NetIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 2170270 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 2170270 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 1896850 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 1896850 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 55853 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 2450268 |
| IRS990/NondeductibleContributionsInd | 0 | 1 |
| IRS990/NondeductibleContriDisclInd | 0 | 1 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 3644165 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2765692 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501cInd | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | -2444166 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2227368 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1838815 |
| IRS990/OtherExpensesGrp/Desc | 0 | UBI TAXES |
| IRS990/OtherExpensesGrp/Desc | 1 | DUES & SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 2 | LOSS ON DISPOSAL OF F/A |
| IRS990/OtherExpensesGrp/Desc | 3 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 10691 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 732869 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 695409 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 472200 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 15031418 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 22696452 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | REFUNDS |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | AGENCY FEES |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | ADVERTISING INCOME |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 449436 |
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Displayed year
2017 • Form 990Detailed filing. Detailed filing data is available for this year.