Liabilities / Assets
83rd percentile
Higher debt load relative to assets than 83% of similar nonprofits.
EIN 23-1352181 • 501(c)3 • Sellersville, PA
Profile
Grand View Hospital provides a full range of medical, surgical, maternity and other ancillary services in a quality health care setting to meet the primary health needs of the communities we service in Bucks and Montgomery Counties.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
83rd percentile
Higher debt load relative to assets than 83% of similar nonprofits.
Liabilities / Revenue
80th percentile
Higher debt load relative to revenue than 80% of similar nonprofits.
Net Margin
9th percentile
Higher net margin than 9% of similar nonprofits.
Top Officer Pay
76th percentile
Higher top officer pay than 76% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
6th percentile
Faster asset growth than 6% of similar nonprofits.
Revenue Growth
63rd percentile
Faster revenue growth than 63% of similar nonprofits.
Assets
Down$455,424,531
Down $60,523,714 (-12%) from 2023
Liabilities
Down$364,121,981
Down $15,323,468 (-4.0%) from 2023
Net Assets
Down$91,302,550
Down $45,200,246 (-33%) from 2023
Revenue
Up$282,970,336
Up $32,973,862 (+13%) from 2023
Expenses
Up$330,104,716
Up $40,297,803 (+14%) from 2023
Net Income
Down-$47,134,380
Down $7,323,941 (-18%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Grand View Hospital provides a full range of medical, surgical, maternity and other ancillary services in a quality health care setting to meet the primary health needs of the communities we service in Bucks and Montgomery Counties.
Leading our community to a healthier future.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $276,960,021 | $267,556,751 | ▼ $9,403,270 |
| Investments in Publicly Traded Securities | $164,765,225 | $120,940,098 | ▼ $43,825,127 |
| Accounts Receivable | $39,466,149 | $44,141,100 | ▲ $4,674,951 |
| Inventories for Sale or Use | $6,278,168 | $6,898,584 | ▲ $620,416 |
| Savings and Temporary Cash Investments | $7,302,344 | $6,769,732 | ▼ $532,612 |
| Prepaid Expenses and Deferred Charges | $1,948,841 | $0 | ▼ $1,948,841 |
| Investments Other Securities | $2,141,878 | $1,437,698 | ▼ $704,180 |
| Total Assets | $515,948,245 | $455,424,531 | ▼ $60,523,714 |
| Other Assets Total | $17,085,619 | $7,680,568 | ▼ $9,405,051 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $311,780,686 | $310,428,598 | ▼ $1,352,088 |
| Accounts Payable and Accrued Expenses | $57,128,161 | $35,904,519 | ▼ $21,223,642 |
| Other Liabilities | $10,536,602 | $17,788,864 | ▲ $7,252,262 |
| Total Liabilities | $379,445,449 | $364,121,981 | ▼ $15,323,468 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $132,578,796 | $89,908,995 | ▼ $42,669,801 |
| Net Assets With Donor Restrictions | $3,924,000 | $1,393,555 | ▼ $2,530,445 |
| Total Net Assets Fund Balance | $136,502,796 | $91,302,550 | ▼ $45,200,246 |
| Total Liabilities and Net Assets / Fund Balance | $515,948,245 | $455,424,531 | ▼ $60,523,714 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $224,313,526 | $123,653,386 | $347,966,912 |
| Equipment | $37,107,167 | $99,439,696 | $136,546,863 |
| Land | $6,002,905 | - | $6,002,905 |
| Leasehold Improvements | $133,153 | - | $133,153 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Paul Weidner | Physician | FT | $1,639,987 | $84,670 | $1,724,657 |
| Dr Howard Eisenbrock | Physician | FT | $1,112,211 | $55,488 | $1,167,699 |
| Dr James Hurley | Physician | FT | $966,954 | $65,080 | $1,032,034 |
| Dr Peter Wang Jr | Physician | FT | $956,228 | $42,245 | $998,473 |
| Dr Ami B Raval | Physician | FT | $904,484 | $43,546 | $948,030 |
| Douglas Hughes Rn Mba Fache | Chief Executive Officer | FT | $603,237 | $128,740 | $731,977 |
| J Mark Horne | Sr. VP, Ambulatory/COO | FT | $408,077 | $102,568 | $510,645 |
| Arthur Anderson | CFO | FT | $378,588 | $82,226 | $460,814 |
| Michael Prasto | CMO | FT | $370,951 | $43,166 | $414,117 |
| Jane D Loveless | VP, CIO | FT | $265,646 | $103,189 | $368,835 |
| Keith Hammerschmidt | VP, Strategy / Exec. Director of Idn | FT | $227,581 | $70,308 | $297,889 |
| Jillian Laudenslager | CNO | FT | $211,145 | $42,075 | $253,220 |
| Renee Acconciamessa | VP, Physician Services | FT | $201,531 | $48,772 | $250,303 |
| Jacqueline Howenstein | Avp, Operations | FT | $173,302 | $48,597 | $221,899 |
| Anthony Grycewicz | VP, Human Resources | FT | $175,158 | $36,995 | $212,153 |
| Jean M Keeler | Former Officer | FT | $158,197 | $111 | $158,308 |
| Name | Title |
|---|---|
| Robert G Loughery | Chair |
| Robert W Pritchard Jd CPA | Trustee/ (vice Chair Thru Sept 2023) |
| Marc D Freeman Md | Vice Chair (begin Oct 2023) |
| Elaine S a Blue Md | Trustee |
| Jeffrey K Landis Esq | Trustee |
| Mark a Schlosser | Trustee |
| Mary M Mccartney Rn | Trustee |
| Philip Jackson | Trustee |
| Sandford Alderfer | Trustee |
| Judith D Ott Msw | Secretary |
| Blair T Rush | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Grand View Anesthesia Associates | Anesthesiology Physician Services | 700 LAWN AVENUE, Sellersville, PA 18960 | $11,690,514 |
| Univ Of Penn Medical Group | Trauma Physician Services | P O BOX 824320, Philadelphia, PA 19182-4320 | $4,303,844 |
| Upper Bucks Orthopaedic Associates | Billing & Clinical Staff Services | 915 LAWN AVENUE, Sellersville, PA 18960 | $4,176,000 |
| Critacuity Medical Group | Hospitalist Physician Services | 325 W GERMANTOWN PIKE, East Norriton, PA 19403 | $4,057,944 |
| General Healthcare Resources | Professional Services | 2250 HICKORY ROAD, Plymouth Meeting, PA 19462 | $3,625,640 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $173,896,451 |
| Other Expenses | $156,208,265 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $128,072,499 | $6,740,658 | - | $134,813,157 |
| Fees for Services Other | $48,404,084 | $2,530,583 | - | $50,934,667 |
| Depreciation Depletion | $19,099,480 | $1,005,236 | - | $20,104,716 |
| Payroll Taxes | $18,433,664 | $970,193 | - | $19,403,857 |
| Other Employee Benefits | $14,493,069 | $650,983 | - | $15,144,052 |
| Interest | $11,124,245 | $585,487 | - | $11,709,732 |
| Occupancy | $6,878,805 | $362,042 | - | $7,240,847 |
| Information Technology | $6,270,797 | $330,042 | - | $6,600,839 |
| Insurance | $4,589,938 | $241,576 | - | $4,831,514 |
| Current Officers, Directors, Trustees, and Key Employees | $1,555,762 | $2,166,093 | - | $3,721,855 |
| All Other Expenses | $2,767,099 | $145,636 | - | $2,912,735 |
| Other Expenses | $5,007,050 | $2,261,150 | - | $2,261,150 |
| Advertising | $1,709,387 | $89,968 | - | $1,799,355 |
| Pension Plan Contributions | $606,786 | $38,071 | - | $644,857 |
| Office Expenses | $577,213 | $30,380 | - | $607,593 |
| Fees for Services Legal | $423,595 | $22,294 | - | $445,889 |
| Conferences and Meetings | $280,517 | $14,764 | - | $295,281 |
| Travel | $238,282 | $12,541 | - | $250,823 |
| Comp Disqual Persons | $168,673 | - | - | $168,673 |
| Fees for Services Accounting | - | $17,000 | - | $17,000 |
| Total Functional Expenses | $309,580,212 | $20,524,504 | $0 | $330,104,716 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean | Expenditures | - | 0 | 0 | $1,389,000 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $163,159 |
| Fundraising Direct Expenses | $35,718 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Golf Outing | $137,581 | $125,442 | $25,287 | $100,155 |
| Festival of Lights | $26,548 | $26,548 | $10,431 | $16,117 |
| Total Events | $164,129 | $151,990 | $35,718 | $116,272 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Sister-in-law of Jean Keeler, Former President & CEO of Grand View Hospital | Employee Compensation | No | $168,673 |
| Liability | Amount |
|---|---|
| Estimated Settlements - 3rd Party Payors | $12,061,192 |
| Estimated Professional Insurance Liability | $5,340,019 |
| Other Liabilities | $387,653 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Bucks County Industrial Development Authority | 2021-03-11 | $318,976,760 | To refund 2008 series bonds & construction of new building |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $318,976,760 | $107,457,461 | - | - |
“The organization's sole corporate member is grand view health foundation, a related tax-exempt organization.”
“Grand view health foundation has the power to appoint the members of the board of grand view hospital”
“The organization does not have any committees with the authority to act on behalf of the governing body.”
“The board of trustees delegated responsibility for reviewing the form 990 to the finance committee. The finance committee was presented with a draft of the report for their review and input. In addition, a draft of the report was provided to the full board before being filed.”
“Grand view hospital has a conflict of interest policy that is strongly enforced. The conflict of interest policy is reviewed annually and all board members and vice presidents must disclose any conflicts or potential conflicts of interest. The board monitors potential conflicts throughout the year. Any person with a conflict is requested to leave the discussion and is not present during any voting about the conflict. In addition, legal counsel may be engaged to assist with resolving the conflict.”
“Process to establish compensation of top management official: the executive review committee of the board of trustees is charged with annually evaluating the performance and remuneration of the president/chief executive officer, and reviewing the actions taken by the president/chief executive officer with regard to the remuneration and appraisal of the performance of members of the organization's senior management team. As part of its charge, this committee also reviews third party compensation survey data, and has defined a compensation philosophy calling for compensation parameters to be maintained within fair market value ranges. Process to establish compensation of other officers or key employees: the executive review committee of the board of trustees is charged with annually evaluating the performance and remuneration of the other officers and key employees and reviewing the remuneration and appraisal of the performance of members of the organization's senior management team. As part of its charge, this committee also reviews third party compensation survey data, and has defined a compensation philosophy calling for compensation parameters to be maintained within fair market value ranges.”
“Grand view hospital's other governing documents, financial statements and conflict of interest policy are available to the public upon request and at the ceo, cfo or senior vp, general counsel's discretion and authorization.”
“Quality accreditations & awards grand view health - grand view health has the joint commission's gold seal of approval for accreditation by demonstrating compliance with standards for healthcare quality and safety. Cancer - grand view health has been granted an accreditation designation by the national accreditation program for breast centers (napbc), a program by the american college of surgeons. Accreditation by the napbc is only given to those centers that have voluntarily committed to provide the highest level of quality breast care. - american society for radiation oncology (astro) through apex accreditation program for excellence - accredited by the commission on cancer of the american college of surgeons for commitment to providing high-quality, multidisciplinary, patient-centered cancer care. - grand view health's breast care program has been recognized as a hidden scar center of excellence for hidden scar breast cancer surgery. - recognized as a comprehensive community cancer program by the commission on cancer of the american college of surgeons cardiovascular - get with the guidelines heart failure gold plus by the american heart association - grand view hospital's cardiac cath lab / coronary intervention program is accredited by corizon, inc., a national leader in services for the cardiovascular specialty. - cardiac rehabilitation and pulmonary rehabilitation certifications by the american association of cardiovascular and pulmonary rehabilitation (aacvpr) - echocardiography/vascular lab accreditation by the intersocietal commission for the accreditation of echocardiography laboratories diagnostic imaging - breast ultrasound, computed tomography (ct), nuclear medicine/pet, mri and ultrasound services accredited programs by the american college of radiology - breast imaging center of excellence designation by the american college of radiology maternity - blue distinction designation for maternity care by independence blue cross, an independent licensee of blue cross blue shield association - keystone 10 initiative participant by the pennsylvania department of health in partnership with the pa chapter of the american academy of pediatrics and with the support of the hospital and health system association of pennsylvania orthopaedics - recognized as a "high performer" for knee surgery and hip fractures by u.s. News & world reports stroke - accredited as a primary stroke center by the joint commission for demonstrating compliance with standards for healthcare quality and safety. - get with the guidelines stroke gold plus achievement award 2024 by the american heart association for maintaining specific stroke care measures over a designated time period. Trauma - level ii adult trauma center from the pennsylvania trauma systems foundation (ptsf)”
“Other purchased services: program service expenses 32,570,233. Management and general expenses 1,697,223. Fundraising expenses 0. Total expenses 34,267,456. Management services: program service expenses 5,702,957. Management and general expenses 300,156. Fundraising expenses 0. Total expenses 6,003,113. Consulting services: program service expenses 2,273,483. Management and general expenses 119,657. Fundraising expenses 0. Total expenses 2,393,140. Agency services: program service expenses 7,857,411. Management and general expenses 413,547. Fundraising expenses 0. Total expenses 8,270,958.”
“Net periodic pension credit 2,377,000. Pension settlement costs -15,012,069. Change in investment in subsidiary -4,780,936. Change in pension obligation 9,081,000.”
“The parent and the hospital are not-for-profit corporations as described in section 501(c)(3) of the internal revenue code (irc) and are exempt from federal income tax on their exempt income under section 501(a) of the irc. Trinity, gvhp and urgent care are limited liability companies and do not pay federal or state income taxes. The activity for trinity, gvhp and urgent care is included in the hospital's federal exempt organization business income tax return. Urgent care is a forprofit entity that files their income tax returns on the accrual basis of accounting for federal and state income tax purposes. Accounting principles generally accepted in the united states of america require the foundation to evaluate tax positions taken by the foundation and recognize a tax liability (or asset) if the foundation has taken an uncertain position that more likely than not would be sustained upon examination by the internal revenue service. The foundation has concluded that as of june 30, 2024 and 2023, 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.”
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 | 57128161 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 35904519 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 39466149 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 44141100 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | LEADING OUR COMMUNITY TO A HEALTHIER FUTURE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 89968 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1709387 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1799355 |
| IRS990/AllOtherContributionsAmt | 0 | 974950 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 145636 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 2767099 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 2912735 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | ARTHUR ANDERSON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2154534000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 700 LAWN AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SELLERSVILLE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 18960 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 60 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2166093 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1555762 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3721855 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 168673 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 168673 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 14764 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 280517 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 295281 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 11690514 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 4303844 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 4176000 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 4057944 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 3625640 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 700 LAWN AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | P O BOX 824320 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 915 LAWN AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 325 W GERMANTOWN PIKE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 2250 HICKORY ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SELLERSVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | PHILADELPHIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | SELLERSVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | EAST NORRITON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | PLYMOUTH MEETING |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 18960 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 191824320 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 18960 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 19403 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 19462 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | GRAND VIEW ANESTHESIA ASSOCIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | UNIV OF PENN MEDICAL GROUP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | UPPER BUCKS ORTHOPAEDIC ASSOCIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | CRITACUITY MEDICAL GROUP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | GENERAL HEALTHCARE RESOURCES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ANESTHESIOLOGY PHYSICIAN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | TRAUMA PHYSICIAN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | BILLING & CLINICAL STAFF SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | HOSPITALIST PHYSICIAN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PROFESSIONAL SERVICES |
| IRS990/ContriRptFundraisingEventAmt | 0 | 15050 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 9760000 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 5787837 |
| IRS990/CYOtherExpensesAmt | 0 | 156208265 |
| IRS990/CYOtherRevenueAmt | 0 | 11381636 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 256040863 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -47134380 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 173896451 |
| IRS990/CYTotalExpensesAmt | 0 | 330104716 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 282970336 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1005236 |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | FORMER OFFICER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1916 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 15050 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 35718 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 163159 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1254314 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 7930000 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1254314 |
| IRS990/GrossReceiptsAmt | 0 | 283006054 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 37097 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 9874073 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 346 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 330042 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 6270797 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 6600839 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 241576 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 4589938 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 4831514 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 585487 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 11124245 |
| IRS990/InterestGrp/TotalAmt | 0 | 11709732 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 6278168 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 6898584 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 4533523 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 4533523 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 2141878 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 1437698 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 164765225 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 120940098 |
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