Liabilities / Assets
84th percentile
Higher debt load relative to assets than 84% of similar nonprofits.
EIN 23-2777286 • 501(c)3 • East Petersburg, PA
Profile
Lancaster general medical group was organized principally to develop, own and operate outpatient health care practices at which primary and specialty medical services are provided by licensed providers. Lancaster general medical group operates primary care practices, specialty care practices, surgical practices, express care clinics and urgent care centers.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
84th percentile
Higher debt load relative to assets than 84% of similar nonprofits.
Liabilities / Revenue
20th percentile
Higher debt load relative to revenue than 20% of similar nonprofits.
Net Margin
4th percentile
Higher net margin than 4% of similar nonprofits.
Top Officer Pay
89th percentile
Higher top officer pay than 89% of similar nonprofits.
Top officer pay equals 0.9% of source-year revenue.
Asset Growth
5th percentile
Faster asset growth than 5% of similar nonprofits.
Revenue Growth
55th percentile
Faster revenue growth than 55% of similar nonprofits.
Assets
Down$28,090,901
Down $3,834,269 (-12%) from 2023
Liabilities
Up$23,500,206
Up $1,251,272 (+5.6%) from 2023
Net Assets
Down$4,590,695
Down $5,085,541 (-53%) from 2023
Revenue
Up$177,833,975
Up $14,210,247 (+8.7%) from 2023
Expenses
Up$272,340,222
Up $11,081,683 (+4.2%) from 2023
Net Income
Up-$94,506,247
Up $3,128,564 (+3.2%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Lancaster general medical group was organized principally to develop, own and operate outpatient health care practices at which primary and specialty medical services are provided by licensed providers. Lancaster general medical group operates primary care practices, specialty care practices, surgical practices, express care clinics and urgent care centers.
Provides superior, compassionate, integrated and multi-specialty health care to our patients and communities within a trusting and rewarding work envoronment.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $12,385,779 | $16,285,089 | ▲ $3,899,310 |
| Land, Buildings, and Equipment, Net | $13,225,351 | $11,320,346 | ▼ $1,905,005 |
| Prepaid Expenses and Deferred Charges | $1,340,325 | $417,510 | ▼ $922,815 |
| Inventories for Sale or Use | $321,538 | $0 | ▼ $321,538 |
| Savings and Temporary Cash Investments | $4,605,395 | $37,191 | ▼ $4,568,204 |
| Cash and Non-Interest-Bearing Accounts | $3,190 | $1,690 | ▼ $1,500 |
| 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 Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $31,925,170 | $28,090,901 | ▼ $3,834,269 |
| Other Assets Total | $43,592 | $29,075 | ▼ $14,517 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $19,607,994 | $22,051,860 | ▲ $2,443,866 |
| Other Liabilities | $2,640,940 | $1,448,346 | ▼ $1,192,594 |
| 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 | $22,248,934 | $23,500,206 | ▲ $1,251,272 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $9,665,936 | $4,580,395 | ▼ $5,085,541 |
| Net Assets With Donor Restrictions | $10,300 | $10,300 | → $0 |
| Total Net Assets Fund Balance | $9,676,236 | $4,590,695 | ▼ $5,085,541 |
| Total Liabilities and Net Assets / Fund Balance | $31,925,170 | $28,090,901 | ▼ $3,834,269 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Leasehold Improvements | $7,449,555 | $13,686,020 | $21,135,575 |
| Equipment | $3,870,791 | $9,618,640 | $13,489,431 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Christopher Kager MD | Neurosurgeon | FT | $890,267 | $741,649 | $1,631,916 |
| James Thurmond MD | Managing Phys. Neurosurgery | FT | $897,373 | $680,044 | $1,577,417 |
| Robert Hernandez MD | Neurosurgeon | FT | $801,586 | $316,503 | $1,118,089 |
| Daniel Calnan MD | Neurosurgeon | FT | $791,008 | $261,689 | $1,052,697 |
| Keith Ralph Kuhlengel MD | Neurosurgeon | FT | $561,071 | $275,902 | $836,973 |
| James Ku MD | Trustee | FT | $638,096 | $174,702 | $812,798 |
| James A Stuccio | Vice President | FT | $68,762 | $502,543 | $571,305 |
| Paul M Conslato MD | Director, Clinical Affairs | FT | $307,968 | $104,342 | $412,310 |
| Gary S Gehman MD | Trustee | FT | $316,216 | $58,665 | $374,881 |
| Sean P Reynolds | VP Operations, Physician Svcs | FT | $256,149 | $112,110 | $368,259 |
| T Raymond Foley | Former Officer | - | $116,317 | $116,317 | $116,317 |
| Gary A Welch | Chief Financial Officer | - | - | $54,878 | $54,878 |
| Name | Title |
|---|---|
| Michael Ripchinski | President |
| Tammy Ober | Vice President |
| John J Herman | Trustee |
| Margaret F Costella Esq | Secretary |
| Linda A Welker | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Vanguard Cleaning Systems | Cleaning Services | 115 ROUTE 46 WEST, Mountain Lakes, NJ 07046 | $689,025 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $199,779,630 |
| Other Expenses | $72,560,592 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $153,180,770 | $9,038,217 | $0 | $162,218,987 |
| Other Employee Benefits | $16,010,032 | $2,574,962 | $0 | $18,584,994 |
| Payroll Taxes | $9,249,972 | $626,542 | $0 | $9,876,514 |
| Pension Plan Contributions | $6,817,611 | $421,380 | $0 | $7,238,991 |
| Occupancy | $5,772,619 | $106,931 | $0 | $5,879,550 |
| Insurance | $4,199,585 | $26,054 | $0 | $4,225,639 |
| Depreciation Depletion | $2,454,291 | $29,466 | $0 | $2,483,757 |
| Current Officers, Directors, Trustees, and Key Employees | $747,225 | $1,112,919 | $0 | $1,860,144 |
| Office Expenses | $1,460,595 | $321,542 | $0 | $1,782,137 |
| Fees for Services Other | $647,514 | $76,646 | $0 | $724,160 |
| Advertising | $102,817 | $296,165 | $0 | $398,982 |
| Travel | $113,778 | $24,140 | $0 | $137,918 |
| Other Expenses | $53,245 | $45,404 | $0 | $98,649 |
| Information Technology | $15,816 | $0 | $0 | $15,816 |
| Total Functional Expenses | $253,950,423 | $18,389,799 | $0 | $272,340,222 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $272,340,222 |
| Total Expenses per Audited Statements | $272,340,222 |
| Total Expenses per Form 990 | $272,340,222 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Sharon S Conslato Md | Spouse of Key Employee | Compensation | No | $185,283 |
| Gary S Gehman Md | Trustee/senior Physician Leader | Rent | No | $174,774 |
| Alyssa Hernandez Md | Spouse of Highest Paid Ee | Compensation | No | $173,069 |
| 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 |
|---|---|
| Ibnr Medical & Dental | $1,067,898 |
| Other Liabilities | $380,448 |
| Due From Affiliates | $0 |
“Detail of members or stockholders the sole member of lancaster general medical group is lancaster general health. The sole member may initiate or implement any proposal with respect to any of the following; amendment of charter,certificate of articles of incorporation or bylaws; sale, purchase, lease or encumbrance with debt; the transfer of any assets of the corporation, excluding equipment; election or removal of the board of trustees of the corporation; the approval of the annual operating and capital budgets of the corporation; the approval of investment advisors, outside legal counsel, and auditors of the corporation; and the approval of non-budgeted expenditures. -------------------------”
“Detail of members or stockholders lancaster general health elects the board of trustees of lancaster general medical group. -------------------------”
“Detail of members or stockholders the sole member of lancaster general medical group is lancaster general health. The sole member may initiate or implement any proposal with respect to any of the following; amendment of charter, certificate of articles of incorporation or bylaws; sale, purchase, lease or encumbrance with debt; the transfer of any assets of the corporation, excluding equipment; election or removal of the board of trustees of the corporation; the approval of the annual operating and capital budgets of the corporation; the approval of investment advisors, outside legal counsel, and auditors of the corporation; and the approval of non-budgeted expenditures. -------------------------”
“Form 990 review process information related to this organization's form 990 filing was gathered and the return was prepared by the finance staff. The controller and select members of the finance management team reviewed the completed form 990. It was then provided to pwc us tax llp for their review. -------------------------”
“Conflict of interest policy in order to ascertain and evaluate actual or potential conflicts, certain interested persons are required to fill out a conflict of interest disclosure statement upon entering employment or becoming a trustee of lancaster general health or an affiliate, and others are also required to fill out such a statement on an annual basis. In addition to this requirement, all officers and trustees, regardless of whether or not they have filled out or have been asked to fill out a conflict of interest disclosure statement, have an ongoing affirmative duty to bring to the attention of lancaster general health, situations which may give rise to an actual or potential conflict of interest as described in the policy. -------------------------”
“Document retention and destruction policy the organization has the policies and procedures in place as mentioned in form 990, part vi, line 14. However, they are not currently approved by the governing board. -------------------------”
“Compensation process lancaster general health's executive compensation process includes the following review and action by the executive committee of the board of trustees which is comprised of independent trustees. An evaluation of performance against goals is conducted at the close of a fiscal year to determine the level of organizational and individual performance of the ceo and senior executives so as to determine merit and incentive pay actions. Market data for base salary,total cash compensation and total compensation is provided by an independent third party to the committee and reflects a market basket of similarly sized organizations with comparable executive positions. Upon review and discussion of the related data and information the committee takes action which is recorded in the meeting minutes which are then filed for future reference. -------------------------”
“Documents availability to the public lancaster general medical group does not make the governing documents, conflict of interest policy, or financial statements available to the public. -------------------------”
“Detail of officers, directors, trustees the hours noted in column (b) relate to the hours dedicated to the filing organization and/or to other organizations within the lancaster general health system. The hours disclosed relate to time served on a board and/or for services provided resulting in compensation paid. Members of the board are not compensated for their position on the board. Compensation disclosed relates to other services performed. Lancaster general medical group's board term runs july 1 to june 30. The following individuals listed on form 990, part vii, section a either started or termed during the june 30, 2024 fiscal year: gary a. Welch (start 12/04/23) compensation listed on form 990, part vii, section a and schedule j, part ii reflects compensation for calendar year 2023. --------------------------------”
“Detail of other changes in net assets related party transfers $89,409,440 other non-operating income 11,955 transfers other entities (689) ----------- total $89,420,706 ------------------------------”
“Audited financial statements the financial information for lancaster general health and its affiliates, including lancaster general medical group was included in the university of pennsylvania's combined financial statements and audited on a consolidated basis. -------------------------”
“Other revenues in audited financial statements related party transfers $89,404,440 other non-operating income 11,955 transfers other entities (689) ----------- total $89,420,706 ------------------------------”
“Text of fin 48 (asc 740) footnote this organization is an affiliate of the trustees of the university of pennsylvania ("university"). The fin 48 (asc 740) footnote below derives from the consolidated june 30, 2024 financial statements of the university: the university regularly evaluates its tax position and does not believe it has any uncertain tax positions that require disclosure or adjustment to 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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 19607994 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 22051860 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 12385779 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 16285089 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDES SUPERIOR, COMPASSIONATE, INTEGRATED AND MULTI-SPECIALTY HEALTH CARE TO OUR PATIENTS AND COMMUNITIES WITHIN A TRUSTING AND REWARDING WORK ENVORONMENT. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 0 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 296165 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 102817 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 398982 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | GARY A WELCH |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7175445658 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 555 NORTH DUKE STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LANCASTER |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 17602 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | true |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3190 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1690 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/FundraisingAmt | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1112919 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 747225 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1860144 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 689025 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 115 ROUTE 46 WEST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MOUNTAIN LAKES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NJ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 07046 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | VANGUARD CLEANING SYSTEMS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CLEANING SERVICES |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 72560592 |
| IRS990/CYOtherRevenueAmt | 0 | 17664655 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 160169320 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -94506247 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 199779630 |
| IRS990/CYTotalExpensesAmt | 0 | 272340222 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 177833975 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 29466 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2454291 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2483757 |
| IRS990/Desc | 0 | PATIENT CARE, GENERAL/OTHER; PRIMARY CARE (535,166 VISITS) |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | false |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 10300 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 10300 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 1777 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 105218019 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 76646 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 647514 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 724160 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 53.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 53.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 53.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 53.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 53.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 53.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 53.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 49.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 61015 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 60698 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 198994 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 72115 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 58202 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 7494 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 135497 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 34970 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 62358 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 23194 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 94261 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 62986 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 34356 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 58834 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 36837 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 1351 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Christopher Kager MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | James Thurmond MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Michael Ripchinski |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Robert Hernandez MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Daniel Calnan MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | John J Herman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Margaret F Costella Esq |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Keith Ralph Kuhlengel MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | James Ku MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | James A Stuccio |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Tammy Ober |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Paul M Conslato MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Gary S Gehman MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Sean P Reynolds |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Linda A Welker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | T Raymond Foley |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Gary A Welch |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1570901 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1516719 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 1045974 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 994495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 802003 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 750440 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 548111 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 349324 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 340525 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 309425 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 116317 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 1224064 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 993017 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 717658 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 456441 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 188644 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 53527 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Neurosurgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Managing Phys. Neurosurgery |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Neurosurgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Neurosurgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Neurosurgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Vice President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Vice President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director, Clinical Affairs |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VP Operations, Physician Svcs |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Former Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Chief Financial Officer |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 177833975 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 390 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 0 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 15816 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 15816 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 26054 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 4199585 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 4225639 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 321538 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 66 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 23304660 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 13225351 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 11320346 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 34625006 |
| IRS990/LegalDomicileStateCd | 0 | PA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 70507 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 6144250 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 6214757 |
| IRS990/MissionDesc | 0 | LANCASTER GENERAL MEDICAL GROUP WAS ORGANIZED PRINCIPALLY TO DEVELOP, OWN AND OPERATE OUTPATIENT HEALTH CARE PRACTICES AT WHICH PRIMARY AND SPECIALTY MEDICAL SERVICES ARE PROVIDED BY LICENSED PROVIDERS. LANCASTER GENERAL MEDICAL GROUP OPERATES PRIMARY CARE PRACTICES, SPECIALTY CARE PRACTICES, SURGICAL PRACTICES, EXPRESS CARE CLINICS AND URGENT CARE CENTERS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9676236 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 4590695 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 4325 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 9665936 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 4580395 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 106931 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 5772619 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 5879550 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 321542 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1460595 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1782137 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 43592 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 29075 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 89420706 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 2574962 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 16010032 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 18584994 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL/SURGICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | MANAGEMENT FEE |
| IRS990/OtherExpensesGrp/Desc | 2 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 3 | BAD DEBT-OTHER |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 2 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 3 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 559484 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 3129947 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 45404 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 25638380 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 10992126 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 16494047 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 53245 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 25638380 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 11551610 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 19623994 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 98649 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2640940 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1448346 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 541900 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 541900 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | SALES TO AFFILIATES FOR PROF. SRVCS |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | MANAGEMENT FEE REVENUE |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | SHARED SAVINGS |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 7668909 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 572798 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 2 | 3208191 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 7668909 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 572798 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 3208191 |
| IRS990/OtherRevenueTotalAmt | 0 | 17664655 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 9038217 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 153180770 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 162218987 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
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