Liabilities / Assets
91st percentile
Higher debt load relative to assets than 91% of similar nonprofits.
EIN 20-3238867 • 501(c)3 • Hammond, IN
Profile
Bringing christ's ministry to those we serve through timely high-quality laboratory testing to our 25 not-for-profit hospitals and affiliates located throughout illinois and indiana.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
91st percentile
Higher debt load relative to assets than 91% of similar nonprofits.
Liabilities / Revenue
18th percentile
Higher debt load relative to revenue than 18% of similar nonprofits.
Net Margin
32nd percentile
Higher net margin than 32% of similar nonprofits.
Top Officer Pay
72nd percentile
Higher top officer pay than 72% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
5th percentile
Faster asset growth than 5% of similar nonprofits.
Revenue Growth
33rd percentile
Faster revenue growth than 33% of similar nonprofits.
Assets
Down$22,284,584
Down $3,293,839 (-13%) from 2023
Liabilities
Down$22,134,584
Down $3,293,839 (-13%) from 2023
Net Assets
Flat$150,000
Flat from 2023
Revenue
Up$199,080,692
Up $4,990,473 (+2.6%) from 2023
Expenses
Up$199,120,369
Up $4,982,389 (+2.6%) from 2023
Net Income
Up-$39,677
Up $8,084 (+17%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Bringing christ's ministry to those we serve through timely high-quality laboratory testing to our 14 not-for-profit hospitals and affiliates located throughout illinois and indiana.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Other Securities | $11,382,289 | $10,181,555 | ▼ $1,200,734 |
| Savings and Temporary Cash Investments | $7,516,349 | $8,258,769 | ▲ $742,420 |
| Accounts Receivable | $5,098,315 | $1,529,272 | ▼ $3,569,043 |
| Prepaid Expenses and Deferred Charges | $453,581 | $216,395 | ▼ $237,186 |
| Land, Buildings, and Equipment, Net | $0 | $6,246 | ▲ $6,246 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $25,578,423 | $22,284,584 | ▼ $3,293,839 |
| Other Assets Total | $1,127,889 | $2,092,347 | ▲ $964,458 |
| Liabilities | |||
| Other Liabilities | $11,927,261 | $11,774,912 | ▼ $152,349 |
| Accounts Payable and Accrued Expenses | $13,501,162 | $10,359,672 | ▼ $3,141,490 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $25,428,423 | $22,134,584 | ▼ $3,293,839 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $150,000 | $150,000 | → $0 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $150,000 | $150,000 | → $0 |
| Total Liabilities and Net Assets / Fund Balance | $25,578,423 | $22,284,584 | ▼ $3,293,839 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $6,246 | - | $6,246 |
| Other Assets Org | $2,092,347 | - | - |
| Other Securities | $10,181,555 | - | - |
| Name | Title | Full / Part Time | Other | Total |
|---|---|---|---|---|
| D Michele Lange | Hr Director (start Dec24) | FT | $138,892 | $138,892 |
| Name | Title |
|---|---|
| Thomas Gryzbek | Chair |
| Samuel C Terese | CEO/president |
| Robert Sumter | Vice Chair |
| Doug Carter | Vice Chair (term Jan24) |
| Abdelrahman Abdelhadi | Associate Regional Lab Director |
| Dean Hobson | Director |
| Dr James Callaghan | Director |
| Dr Janis Atkinson | Director |
| Jennifer Marion | Director |
| Mark Fritsch Md | Director |
| Chad Hanson | Lab Director Iii |
| Jennifer Binder | Lab Director Iii |
| Robin Ades | Regional Lab Director |
| Shirley Koren | Regional Lab Director |
| Steven G Wojnicki | VP Finance |
| Bernard H Henry | VP Human Resources |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Alverno Laboratories LLC | Lab & Management | 113 EAST 4TH ST, Michigan City, IN 46360 | $40,310,459 |
| Alverno Clinical Laboratories LLC | Lab & Management | 2434 INTERSTATE PLAZA DRIVE, Hammond, IN 46324 | $31,978,621 |
| Healthtrust Workforce Solutions LLC | Purchased Services | PO BOX 742697, Atlanta, GA 30374 | $1,325,785 |
| Medspeed LLC | Courier Services | 140 INDUSTRIAL DRIVE, Elmhurst, IL 60126 | $756,996 |
| Medical Instrumentation Co | Reference Lab | 1640 ELK BLVD, Des Plaines, IL 60016 | $133,353 |
| Line Item | Amount |
|---|---|
| Other Expenses | $199,120,369 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $59,235,403 | $3,034,350 | - | $62,269,753 |
| Other Expenses | $2,311,773 | $5,711,716 | - | $8,023,489 |
| Information Technology | $2,136,991 | - | - | $2,136,991 |
| Office Expenses | $1,061,207 | - | - | $1,061,207 |
| All Other Expenses | $245,810 | - | - | $245,810 |
| Travel | $74,864 | - | - | $74,864 |
| Conferences and Meetings | $558 | - | - | $558 |
| Total Functional Expenses | $181,271,255 | $17,849,114 | $0 | $199,120,369 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Due to Related Parties | $8,531,577 |
| Long-term Operating Lease Liability | $1,331,419 |
| Retirement Benefit Liability | $1,150,988 |
| Current Portion of Operating Lease | $760,928 |
“The organization has two classes of members, voting and non-voting. The organization has one class of voting members, referred to as participant hospitals. Each participant has the right to appoint board members who have the right to vote on all matters presented to the members of the corporation, including the election of directors. The patrons do not have voting rights. Currently, aphl, inc. Has three participants and no patrons.”
“Participant hospital system representatives are appointed by the participant hospital system of aphl's parent organizations. The participant hospital system representatives can act on behalf of the participant hospital system ceo on all matters.”
“The participant hospital systems shall have the exclusive power to: a) approve the admission of additional participants of the corporation. B) appoint and remove directors and fill vacancies on the board of directors. C) appoint and remove the president of the corporation. D) approve amendments and/or restatements from time to time to the articles proposed by the board of directors. E) approve amendment or repeal of the bylaws and the adoption of new bylaws. F) approve the sale, lease, purchase, exchange, or disposition of all or substantially all of the property and assets of the corporation or the disposition of assets of the corporation other than in the ordinary course of business. G) approve the voluntary dissolution of the corporation or the merger or consolidation of the corporation with another corporation. H) approve the plan for allocation and distribution of the corporation's property upon dissolution if not otherwise provided for under the bylaws. I) approve participants' required capital contributions to the corporation or dues payable to the corporation. J) approve the incurrence of debt by the corporation in excess of amounts determined from time to time by the participants. K) adopt the annual capital and operating budgets of the company, and any material deviations therefrom, such annual budgets to include any previously approved capital contributions. L) adopt the strategic plans for the corporation and approve any material changes to the services offered by the corporation which are not expressly identified in the previously approved strategic plans. M) organize or acquire, or authorize the organization or acquisition of, any subsidiary or affiliate of the corporation; and n) approve any amendments to the cooperative services agreement among the corporation and the participants, effective as of july 1, 2005, or such other date agreed upon by the participants.”
“The form 990 is reviewed in detail by the organization's management. Then a final draft of the full form 990, including applicable schedules, is made available to the finance committee at a regularly scheduled meeting with our tax advisors present. Each remaining member of the board of governance is also provided a final draft of the full form 990 for review. These reviews occur prior to filing with the irs.”
“Covered persons: all management personnel and members of the board of directors are covered under the organization's conflict of interest policy. Management personnel include supervisors through the president/ceo of the organization. Policy summary: the conflict-of-interest policy is sent out to covered persons for review. Each person is required to complete the conflict of interest questionnaire and return it. It is the responsibility of human resources and the executive assistant to ensure the questionnaires are returned and completed. The completed questionnaires are forwarded to the vice president of human resources for review to determine if conflicts exist. An interested person has a conflict of interest with respect to a contract, transaction or arrangement in which alverno provena hospital laboratories, inc. (aphl) is (or would be, if approved) a party if the person has, directly or indirectly, through a business, investment, family or other relationship: a) an ownership or investment interest in any entity involved in such contract, transaction or arrangement; b) a compensation arrangement with an individual or entity involved in such contract, transaction or arrangement; c) a potential ownership or investment interest in, or compensation arrangement with, an individual or entity with which aphl is negotiating such contract, transaction or arrangement; or d) a fiduciary position (e.g., member, officer, director, committee member) with respect to an entity in such contract, transaction or arrangement; or e) a non-economic affiliation or relationship, directly (or indirectly, through a third party) with an individual or entity with which aphl is negotiating or maintains a contract, transaction or arrangement such that the affiliation or relationship could render the interested person incapable of making a decision with only the best interests of aphl in mind. In addition, an interested person has a conflict of interest in any existing or potential compensation arrangement between aphl and that interested person or any business, investment or family member related to that person. For purposes of this section, compensation includes direct and indirect remuneration, as well as gifts or favors that are substantial in nature. Service of individuals on the board of directors for alverno provena hospital laboratories, inc. (and committees thereof), boards or committees of the member organizations or employment by a member organization or alverno clinical laboratories, a related organization, is not considered a conflict of interest, as defined in the policy. The vp of human resources compiles the results and forwards the results to the ceo. The assessments of any potential conflict are made in collaboration with legal counsel as appropriate. The ceo reviews any conflicts with the board during a scheduled board meeting. Policy violations: if the board or managers has reason to believe that an interested person has failed to comply with the disclosure obligations of this policy, the board of managers shall inform that person of the basis for its belief and provide that person an opportunity to address the alleged failure to disclose. After hearing the response of such a person and conducting further investigation as may be warranted under the circumstances, the board of managers shall determine whether such person has in fact, violated the disclosure requirements of the conflict-of-interest policy. If the board determines that there has been a violation, the board shall take appropriate disciplinary and corrective action, which may include removal (if the interested person is a board or committee member, director, or management employee) or termination (if the interested person is an employee of alverno provena hospital laboratories, inc., alverno clinical laboratories, llc or a member organization). Restrictions imposed on persons with a conflict are determined on a case-by-case basis by the ceo in collaboration with legal coun”
“Form 990 part vi line 15a the organization's top management official is paid by alverno clinical laboratories, llc, a related organization; therefore, this question has been answered no in accordance with the form 990 instructions. The board of directors appointed a compensation committee, which is a sub-committee of the board. The compensation for the president/ceo is reviewed by system representatives appointed to the board. Salary increases are approved annually. The budget is recommended for approval or approved annually by the finance committee, board members from each participating system and system representatives appointed to the board by the system ceo's. Form 990 part vi line 15b the organization's other officers and key employees are paid by alverno clinical laboratories, llc, a related organization; therefore, this question has been answered no in accordance with the form 990 instructions. See narrative for form 990, part vi, section b, line 15a.”
“The organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request.”
“Bringing christ's ministry to those we serve through timely high-quality laboratory testing to our 14 not-for-profit hospitals and affiliates located throughout illinois and indiana.”
“Program service accomplishments: aphl's long term objective is to continue to grow so as to provide quality laboratory services to our patron faith based hospitals. In so doing, aphl's long term objective is to control costs, and to increase the number of tests available, with a focus on highly reliable scientific test results while building a culture of service. Aphl seeks to attract a work force dedicated to service of its patients. Aphl's short term objectives include the enhancement of the cost model to improve the relative value unit that captures the complexity and quantitates the production cost so as to provide the cooperative with an integrated delivery system to provide for patient needs on the production side. The use of lean concepts promotes the elimination of waste and the efficient flow of production. Score cards are in place and monitored for quality intervention need. Approximately 16,690 tests a day are performed at the central laboratory while maintaining rapid response laboratories at each hospital site. Each laboratory site is inspected by cap and provided a certification in addition to the internal aphl quality department inspections and programs promoting excellence in laboratory science.”
“Purchased svc-other: program service expenses 4,795,437. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,795,437. Al lab services: program service expenses 47,665,401. Management and general expenses -1,250,340. Fundraising expenses 0. Total expenses 46,415,061. Acl management services: program service expenses 6,774,565. Management and general expenses 4,284,690. Fundraising expenses 0. Total expenses 11,059,255.”
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 | 13501162 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 10359672 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5098315 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1529272 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | BRINGING CHRIST'S MINISTRY TO THOSE WE SERVE THROUGH TIMELY HIGH-QUALITY LABORATORY TESTING TO OUR 14 NOT-FOR-PROFIT HOSPITALS AND AFFILIATES LOCATED THROUGHOUT ILLINOIS AND INDIANA. |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 245810 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 245810 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | STEVE WOJNICKI |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2198034789 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2434 INTERSTATE PLAZA DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | HAMMOND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 46324 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 9 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 558 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 558 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 40310459 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 31978621 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1325785 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 756996 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 133353 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 113 EAST 4TH ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2434 INTERSTATE PLAZA DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 742697 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 140 INDUSTRIAL DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1640 ELK BLVD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MICHIGAN CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | HAMMOND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ELMHURST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DES PLAINES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 46360 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 46324 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 30374 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 60126 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 60016 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | ALVERNO LABORATORIES LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | ALVERNO CLINICAL LABORATORIES LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | HEALTHTRUST WORKFORCE SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MEDSPEED LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | MEDICAL INSTRUMENTATION CO |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | LAB & MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | LAB & MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PURCHASED SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | COURIER SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | REFERENCE LAB |
| IRS990/CostOfGoodsSoldAmt | 0 | 3101528 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 582089 |
| IRS990/CYOtherExpensesAmt | 0 | 199120369 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 198498603 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -39677 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 199120369 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 199080692 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | ALVERNO PROVENA HOSPITAL LABORATORIES, INC.'S (APHL) PRIMARY FUNCTION IS TO PROVIDE LABORATORY TESTING SERVICES TO ITS FOURTEEN (14) AFFILIATED NOT-FOR-PROFIT HOSPITALS AND AFFILIATES LOCATED THROUGHOUT ILLINOIS AND INDIANA. THE ORGANIZATION MAINTAINS A STRATEGIC PLAN THAT IS STRUCTURED ON THE FOLLOWING FIVE AREAS: STEWARDSHIP, PEOPLE, SERVICE, GROWTH, AND QUALITY. (CONTINUED IN SCHEDULE O) |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 181271255 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3034350 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 59235403 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 62269753 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| 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/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 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 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/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/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 | 34547 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 34273 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 33467 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 12611 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 36551 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 20701 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 35523 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 19582 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 31315 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | THOMAS GRYZBEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DOUG CARTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ROBERT SUMTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JENNIFER MARION |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MARK FRITSCH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DEAN HOBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DR JAMES CALLAGHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DR JANIS ATKINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SAMUEL C TERESE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | STEVEN G WOJNICKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BERNARD H HENRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | D MICHELE LANGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | SHIRLEY KOREN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ROBIN ADES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ABDELRAHMAN ABDELHADI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JENNIFER BINDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | CHAD HANSON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/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 | 752652 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 449993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 370318 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 126281 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 180523 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 176449 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 161571 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 145078 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 141140 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR (TERM JAN24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CEO/PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VP HUMAN RESOURCES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | HR DIRECTOR (START DEC24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | REGIONAL LAB DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | REGIONAL LAB DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | ASSOCIATE REGIONAL LAB DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | LAB DIRECTOR III |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | LAB DIRECTOR III |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2005 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedInd | 0 | 0 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 202182220 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 3101528 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2136991 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2136991 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 582089 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 582089 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 11382289 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 10181555 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 24 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 0 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 0 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 6246 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 6246 |
| IRS990/LegalDomicileStateCd | 0 | IN |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 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 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 150000 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 150000 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 39677 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 150000 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 150000 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1061207 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1061207 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1127889 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2092347 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/Desc | 0 | COMPENSATION PAID BY AC |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | REFERENCE LABORATORY |
| IRS990/OtherExpensesGrp/Desc | 3 | ALL OTHER EXPENSES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 9103048 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 5711716 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 73224358 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 31142471 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 11837820 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 2311773 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 82327406 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 31142471 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 11837820 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 8023489 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 11927261 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 11774912 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 453581 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 216395 |
| IRS990/PrincipalOfficerNm | 0 | DALE KAHN |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621500 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | LAB SERVICES FOR PATRON HOSPITALS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 198498603 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 198498603 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 482145 |
| IRS990/PYOtherExpensesAmt | 0 | 194137980 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 193608074 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -47761 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/PYTotalExpensesAmt | 0 | 194137980 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 194090219 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -39677 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 1 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 198498603 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 7516349 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 8258769 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 6246 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 6246 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 0 | 2092347 |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | RIGHT OF USE ASSETS |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 8531577 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 1150988 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 2 | 760928 |
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