Liabilities / Assets
38th percentile
Higher debt load relative to assets than 38% of similar nonprofits.
EIN 24-0795508 • 501(c)3 • Pittsburgh, PA
Profile
The Williamsport Hospital (TWH) is a subsidiary of Susquehanna Health System (SHS). The mission of SHS and affiliates is as follows: To extend God's healing love by improving the health of those we serve. Our vision is to create an integrated community health system that delivers world class care. Our values are to carefully place our patients and their families first, share ownership with all of our caregivers and lead with a servant's heart.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
38th percentile
Higher debt load relative to assets than 38% of similar nonprofits.
Liabilities / Revenue
16th percentile
Higher debt load relative to revenue than 16% of similar nonprofits.
Net Margin
73rd percentile
Higher net margin than 73% of similar nonprofits.
Top Officer Pay
63rd percentile
Higher top officer pay than 63% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
9th percentile
Faster asset growth than 9% of similar nonprofits.
Revenue Growth
23rd percentile
Faster revenue growth than 23% of similar nonprofits.
Assets
Down$289,908,890
Down $21,139,633 (-6.8%) from 2019
Liabilities
Up$53,837,874
Up $39,074,922 (+265%) from 2019
Net Assets
Down$236,071,016
Down $60,214,555 (-20%) from 2019
Revenue
Up$417,811,475
Up $1,490,836 (+0.4%) from 2019
Expenses
Down$360,207,697
Down $14,741,664 (-3.9%) from 2019
Net Income
Up$57,603,778
Up $16,232,500 (+39%) from 2019
Most recent year
2020 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
SEE SCHEDULE O
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $239,379,835 | $226,034,799 | ▼ $13,345,036 |
| Accounts Receivable | $52,239,396 | $48,263,501 | ▼ $3,975,895 |
| Other Notes and Loans Receivable, Net | $12,852,211 | $12,730,237 | ▼ $121,974 |
| Inventories for Sale or Use | $1,975,324 | $2,059,438 | ▲ $84,114 |
| Savings and Temporary Cash Investments | $3,292,976 | $679,614 | ▼ $2,613,362 |
| Cash and Non-Interest-Bearing Accounts | $6,138 | $7,698 | ▲ $1,560 |
| 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 |
| Prepaid Expenses and Deferred Charges | $445,003 | $-473,956 | ▼ $918,959 |
| Total Assets | $311,048,523 | $289,908,890 | ▼ $21,139,633 |
| Other Assets Total | $857,640 | $607,559 | ▼ $250,081 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $7,909,902 | $48,350,667 | ▲ $40,440,765 |
| Other Liabilities | $5,796,650 | $3,557,671 | ▼ $2,238,979 |
| Deferred Revenue | $1,056,400 | $1,929,536 | ▲ $873,136 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $14,762,952 | $53,837,874 | ▲ $39,074,922 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $291,420,548 | $231,191,940 | ▼ $60,228,608 |
| Net Assets With Donor Restrictions | $4,865,023 | $4,879,076 | ▲ $14,053 |
| Total Net Assets Fund Balance | $296,285,571 | $236,071,016 | ▼ $60,214,555 |
| Total Liabilities and Net Assets / Fund Balance | $311,048,523 | $289,908,890 | ▼ $21,139,633 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $157,334,143 | $177,870,846 | $335,204,989 |
| Equipment | $30,134,434 | $93,668,507 | $123,802,941 |
| Land | $22,329,804 | - | $22,329,804 |
| Other Land Buildings | $16,236,418 | $5,620,123 | $21,856,541 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Steven Johnson | Director/Regional President | PT | $540,704 | $455,648 | $996,352 |
| Kenneth Young ESQ | VP, Legal | PT | $255,000 | $147,564 | $402,564 |
| Daniel Glunk | VP & Chief Quality Officer | FT | $236,049 | $160,423 | $396,472 |
| Eric Pohjala | Former CFO (R 10/31/2018) | - | $289,436 | $78,844 | $368,280 |
| Susan Duchman | VP, Chief Transition Officer | FT | $176,137 | $135,270 | $311,407 |
| Dung Vu | Crna | FT | $259,783 | $45,580 | $305,363 |
| Robert Kane | Regional President | FT | $177,449 | $123,342 | $300,791 |
| Name | Title |
|---|---|
| Ann S Pepperman | Board Chair |
| Donald Owrey | President/COO (J 9/1/2019) |
| Davie Jane Gilmour | Board Vice Chair |
| Sister Teresa Ann Jacobs | Board Secretary |
| Philip Johnson | Board Treasurer |
| Alexander Nesbitt MD | Director |
| Daniel A Klingerman | Director |
| Durriya Essa MD | Director |
| Kevin Kist DO | Director |
| Patrick Wilson | Director |
| Ronald E DiSimone MD | Director |
| Shailesh Patel MD | Director |
| Susan Branton MD | Director |
| Christopher Stockhausen | CFO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Health Carousel LLC | Employment Services | 3805 Edwards Rd Ste 700, Cincinnati, OH 45209 | $6,680,269 |
| Mccormick Law Firm | Legal Services | 835 W 4th St, Williamsport, PA 17701 | $1,020,623 |
| Susquehanna Lithotripsy | Medical Services | 4310 Londonderry Rd Suite 1, Harrisburg, PA 17109 | $592,450 |
| Enginuity LLC | Equip. Maintanence | 203 Lynndale Ct, Mechanicsburg, PA 17050 | $521,593 |
| Biofire Diagnostics LLC | Lab Services | 515 S COLOROW DR, Salt Lake City, UT 84108 | $499,684 |
| Line Item | Amount |
|---|---|
| Other Expenses | $203,413,614 |
| Salaries, Compensation, and Employee Benefits | $156,321,854 |
| Grants and Similar Amounts Paid | $472,229 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $109,481,313 | $10,970,385 | - | $120,451,698 |
| Other Employee Benefits | $23,345,874 | $2,658,629 | - | $26,004,503 |
| Depreciation Depletion | $23,978,672 | - | - | $23,978,672 |
| Occupancy | $20,182,157 | $1,699,862 | - | $21,882,019 |
| All Other Expenses | $-6,442,493 | $26,705,505 | - | $20,263,012 |
| Other Expenses | $18,401,014 | - | - | $18,401,014 |
| Payroll Taxes | $7,512,750 | $855,552 | - | $8,368,302 |
| Information Technology | $4,855,515 | $596,469 | - | $5,451,984 |
| Fees for Services Other | $1,309,205 | $2,570,621 | - | $3,879,826 |
| Insurance | $1,582,452 | $1,684,803 | - | $3,267,255 |
| Office Expenses | $1,745,522 | $1,290,402 | - | $3,035,924 |
| Advertising | $2,719,346 | - | - | $2,719,346 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,497,351 | - | $1,497,351 |
| Travel | $517,570 | $202,729 | - | $720,299 |
| Grants to Domestic Orgs | $472,229 | - | - | $472,229 |
| Fees for Services Legal | - | $50,366 | - | $50,366 |
| Conferences and Meetings | $26,849 | $3,550 | - | $30,399 |
| Interest | $3,075 | - | - | $3,075 |
| Fees for Services Management | $-29,578 | $18,784 | - | $-10,794 |
| Total Functional Expenses | $309,402,689 | $50,805,008 | $0 | $360,207,697 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| River Valley Health and Dental Clinic | Williamsport, PA | 501(c)(3) | Charitable Donation | $412,229 |
| Hope Enterprises | Williamsport, PA | 501(c)(3) | Charitable Donation | $60,000 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| 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 |
|---|---|
| Credit Balances Accounts Rec | $2,086,957 |
| Malpractice Loss Rsrv Ibnr | $1,210,000 |
| Other Liabilities | $309,821 |
| Due to Third Party Payors | $-49,107 |
“Section a: governing body and management question 6: upmc williamsport has one sole member, the exempt entity upmc susquehanna.”
“Section b: policies question 11 b - the board of directors members of the filing entity have been provided a copy of the form 990 prior to filing.”
“Section b: policies question 15 - to support upmc's mission as set forth in the upmc bylaws, the board of directors has formed an executive compensation committee ("committee") and delegated to it the responsibility for establishment and implementation of officer and key employee total compensation programs. As part of this responsibility the committee reports regularly to the board of directors. With board of directors approval, the committee has adopted a formal charter, which includes the establishment of a compensation philosophy and related policies with respect to the total compensation paid by upmc to its officers and key employees. The upmc total compensation program for officers and key employees is predicated upon an incentive compensation component. This component is based upon the accomplishment of predetermined performance goals and objectives which focus on the achievement of multiple annual and three year individual and group performance criteria in the context of appropriate risk taking. These criteria directly support upmc's mission and include patient quality and satisfaction, community benefits, operational and financial strength, leadership development, and strategic business initiatives among others. The total compensation program is integrated with and reinforces the upmc business planning cycle as well as management development and succession planning processes. It is the committee's judgment that the structure of the total compensation program is vital to, and strongly supportive of, the high level of ongoing success of upmc and fosters the retention of critical officer and key employment talent. The total compensation determination process utilized by the committee is intended to satisfy the "rebuttable presumption of reasonableness" as set forth in the regulations to section 4958 of the internal revenue code ("code").this means that compensation programs and levels are approved in advance by the committee which is composed entirely of outside directors who do not have a conflict of interest, as defined by the relevant regulations, with respect to the compensation program and levels. The committee obtains and relies upon a broad range of appropriate data as to comparability prior to making its determinations. The committee then contemporaneously documents, in formal meeting minutes, the basis and reasons for its determinations. The total compensation program is designed and administered in accordance with the upmc bylaws, sound business practices, the tenets of common law business judgment and fiduciary responsibility as well as adherence to all relevant federal, state and local laws. In addition to code section 4958, as set forth above, this includes but is not limited to code section 501(c)(3) and the applicable regulations thereunder as well as all laws and regulations prohibiting private inurement, private benefit transactions and discrimination. Further, the committee has identified and adopted as appropriately modified for upmc, compensation program "best practices" from the business world (e.g. Sarbanes oxley, sec,etc.). The committee believes that while these practices are not required in the tax exempt sector, they are in the best interests of the organization and further support upmc's nonprofit mission. In accordance with the above, determination of total compensation for the ceo is made exclusively by the committee. Determination of total compensation for other officers and key employees is recommended by the ceo and subject to review and approval by the committee. The committee, which meets at least four times a year, obtains professional advice from its own experts, including accountants, executive compensation consultants and legal counsel.”
“Section c: disclosure question 19 form 990 is available to the public upon request. Other governing documents, conflicts of interest policy and financial statements may be made available to the public upon request.”
“UPMC Williamsport (TWH) is a 224 bed acute care community hospital primarily serving Lycoming and surrounding counties. Services provided include, but are not limited to, Acute and Intensive Care, Surgical Services, Heart and Lung Services, Rehabilitation Services, Dialysis, Laboratory, Radiology, Psychology and Emergency Room Services.”
“UPMC Williamsport is a subsidiary of UPMC Susquehanna. The mission of UPMC Susquehanna and its subsidiaries is to serve the community by providing outstanding patient care and shaping tomorrow's health care through clinical and technological innovation, research, and education.”
“THE WILLIAMSPORT HOSPITAL EIN: 24-0795508 FORM 990 FOR TAX YEAR ENDING JUNE 30, 2020 Part III, Statement of Program Service Accomplishments UPMC Williamsport (TWH) is a 255-bed acute care community hospital primarily serving Lycoming and surrounding counties. Services provided include, but are not limited to, acute and intensive care, surgical services, heart and lung services, rehabilitation services, dialysis, laboratory, radiology, psychology and emergency room services. UPMC Williamsport hospital treats all patients without regard to their ability to pay. For fiscal year ended June 30, 2020, the hospital admitted 10,855 patients rendering 54,513 patient days. The Williamsport hospital had 37,473 emergency room visits and performed 9,607 surgeries. During the fiscal year ended June 30, 2020, UPMC Williamsport hospital provided charity care and other uncompensated care, including Medicaid And Medicare shortfalls, at a cost of over $63,500,000. The Williamsport hospital provided community outreach and support programs as well as contributions and educational support in fiscal year 2020. The value of these programs funds to the community was approximately $5,089,606.”
“Upmc requires key employed and non-employed personnel to comply with its conflict of interest policies when they engage in upmc related business. Persons covered by the policies included upmc board members, board committee members, corporate officers, key employees, upmc physicians and non physicians employees who hold a position of influence,non employed members of the upmc medical staff who hold a position of influence or trust, individuals conducting clinical research at upmc whether or not they are employed by upmc. These people are required to complete a questionnaire at least annually, which along with other data is used to identify possible individual and institutional conflicts of interest. If a potential conflict is identified regarding a specific upmc activity, the corporate compliance department, with the assistance of the legal department, either develops a written plan to prevent the conflict from influencing decisions related to that activity, or requires that the conflicting relationship be divested, as appropriate. For employed personnel and non board members, non employed personnel, the conflict of interest identification and management process is ultimately overseen by an ethics and compliance committee of the upmc board of directors on behalf of upmc and all of its subsidiaries. Potential conflict of interest transactions involving upmc board members and entities with which they are affiliated are monitored and subject to pre-approval by the governance and nominating committee of the upmc board of directors. In addition to the general corporate and board policies described above, upmc has also developed and implemented a separate tax questionnaire distributed to officers, directors, trustees and key employees annually that specifically addresses disclosure requirements of form 990.”
“Transfer to exempt parent (137,952,096) Transfer to exempt affiliate 20,000,000 Other 133,762 Total (117,818,334)”
“Question 2b : the organization's financial statements are part of a consolidated financial statement audit performed by ey for upmc and all subsidiaries. The entire system's financial statements, of which this organizations is part of, are posted on the upmc website. (www.upmc.com) the financial statement audit during the 990 filing period is for the calendar year ended december 31,2019. Question 2c: upmc has an audit committee that is established to assist the board of directors in fulfilling its oversight responsibilities by monitoring upmc consolidated financial reports and other financial information provided by upmc to governmental bodies, the public or other external entities. The upmc's system of internal controls regarding finance, accounting,legal compliance and ethics that management and the board have established and upmc's internal auditing, accounting and financial reporting processes also provided oversight.”
“UPMC has no uncertain tax positions recorded. Tax benefits are recognized when it is more likely than not that a tax position will be sustained upon examination by the tax authorities based on the technical merits of the position. Such tax positions are measured as the largest amount of tax benefit that is greater than 50% likely to be realized upon ultimate settlement with the tax authorities assuming full knowledge of the position and all relevant facts. As of June 30, 2020, UPMC does not have any unrecorded tax benefits. An external audit is completed at a consolidated UPMC System level only, including UPMC and all taxable and tax-exempt subsidiaries.”
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 | 7909902 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 48350667 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 52239396 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 48263501 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 2719346 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2719346 |
| IRS990/AllOtherContributionsAmt | 0 | 364608 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 26705505 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | -6442493 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 20263012 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | CHRISTOPHER STOCKHAUSEN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5703213175 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 700 HIGH STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WELLSBORO |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 17701 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 6138 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 7698 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 12 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1497351 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1497351 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 3550 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 26849 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 30399 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 6680269 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1020623 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 592450 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 521593 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 499684 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 3805 Edwards Rd Ste 700 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 835 W 4th St |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 4310 Londonderry Rd Suite 1 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 203 Lynndale Ct |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 515 S COLOROW DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | CINCINNATI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | WILLIAMSPORT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | HARRISBURG |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | MECHANICSBURG |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SALT LAKE CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | OH |
| 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 | UT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 45209 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 17701 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 17109 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 17050 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 84108 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | HEALTH CAROUSEL LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | MCCORMICK LAW FIRM |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | SUSQUEHANNA LITHOTRIPSY |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | ENGINUITY LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | BIOFIRE DIAGNOSTICS LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | EMPLOYMENT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | LEGAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | EQUIP. MAINTANENCE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LAB SERVICES |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 7757509 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 472229 |
| IRS990/CYInvestmentIncomeAmt | 0 | 40647 |
| IRS990/CYOtherExpensesAmt | 0 | 203413614 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 410013319 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 57603778 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 156321854 |
| IRS990/CYTotalExpensesAmt | 0 | 360207697 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 417811475 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1056400 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1929536 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 23978672 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 23978672 |
| IRS990/Desc | 0 | SEE SCHEDULE O |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 4865023 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 4879076 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 2237 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 309402689 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 50366 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 50366 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 18784 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | -29578 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | -10794 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2570621 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1309205 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3879826 |
| 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 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 7.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 10.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 1.0 |
| 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/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | 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 | 53182 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 132719 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 58915 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 42379 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 20830 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 31692 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 2230 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 35225 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 39418 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 36478 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 46379 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Ronald E DiSimone MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Steven Johnson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Kevin Kist DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Susan Branton MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Kenneth Young ESQ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Daniel Glunk |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Eric Pohjala |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Susan Duchman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Dung Vu |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Robert Kane |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Alexander Nesbitt MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Durriya Essa MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Davie Jane Gilmour |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Sister Teresa Ann Jacobs |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Philip Johnson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Daniel A Klingerman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Shailesh Patel MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Ann S Pepperman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Patrick Wilson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Christopher Stockhausen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Donald Owrey |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 996352 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 381734 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 364780 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 366050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 276182 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 265945 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 264313 |
| 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/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1100612 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 461594 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 464464 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 249762 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director/Regional President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | VP, Legal |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VP & Chief Quality Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Former CFO (R 10/31/2018) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP, Chief Transition Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Regional President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Board Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Board Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Board Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | President/COO (J 9/1/2019) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1873 |
| 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 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 7219407 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 472229 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 472229 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 417811475 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 7 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 596469 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 4855515 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 5451984 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1684803 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1582452 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 3267255 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 3075 |
| IRS990/InterestGrp/TotalAmt | 0 | 3075 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1975324 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2059438 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 40647 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 40647 |
| 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 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 277159477 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 239379835 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 226034799 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 503194276 |
| 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/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 296285571 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 236071016 |
| 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 | 3150 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 291420548 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 231191940 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1699862 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 20182157 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 21882019 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1290402 |
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