Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
EIN 31-0645626 • 501(c)3 • Lancaster, OH
Profile
Fairfield medical center delivers outstanding healthcare for our patients, their families and our communities.
Refreshing map…
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
Liabilities / Revenue
53rd percentile
Higher debt load relative to revenue than 53% of similar nonprofits.
Net Margin
51st percentile
Higher net margin than 51% of similar nonprofits.
Top Officer Pay
60th percentile
Higher top officer pay than 60% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
20th percentile
Faster asset growth than 20% of similar nonprofits.
Revenue Growth
49th percentile
Faster revenue growth than 49% of similar nonprofits.
Assets
Down$281,919,969
Down $2,568,414 (-0.9%) from 2023
Liabilities
Up$180,992,213
Up $4,923,928 (+2.8%) from 2023
Net Assets
Down$100,927,756
Down $7,492,342 (-6.9%) from 2023
Revenue
Up$351,630,396
Up $27,292,281 (+8.4%) from 2023
Expenses
Up$336,464,652
Up $13,015,721 (+4.0%) from 2023
Net Income
Up$15,165,744
Up $14,276,560 (+1606%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Fairfield medical center delivers outstanding healthcare for our patients, their families and our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $123,872,555 | $111,607,440 | ▼ $12,265,115 |
| Investments in Publicly Traded Securities | $49,786,643 | $54,193,530 | ▲ $4,406,887 |
| Accounts Receivable | $36,742,113 | $38,651,352 | ▲ $1,909,239 |
| Savings and Temporary Cash Investments | $27,015,946 | $24,280,583 | ▼ $2,735,363 |
| Investments Other Securities | $8,779,458 | $10,239,540 | ▲ $1,460,082 |
| Intangible Assets | $7,527,642 | $7,527,642 | → $0 |
| Inventories for Sale or Use | $6,033,479 | $6,498,660 | ▲ $465,181 |
| Prepaid Expenses and Deferred Charges | $6,608,392 | $5,569,184 | ▼ $1,039,208 |
| Cash and Non-Interest-Bearing Accounts | $4,055,607 | $1,071,655 | ▼ $2,983,952 |
| Other Notes and Loans Receivable, Net | $409,911 | $291,285 | ▼ $118,626 |
| Total Assets | $284,488,383 | $281,919,969 | ▼ $2,568,414 |
| Other Assets Total | $13,656,637 | $21,989,098 | ▲ $8,332,461 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $78,851,589 | $76,453,685 | ▼ $2,397,904 |
| Accounts Payable and Accrued Expenses | $37,796,107 | $50,896,588 | ▲ $13,100,481 |
| Other Liabilities | $52,594,684 | $46,816,035 | ▼ $5,778,649 |
| Mortgage Notes Payable Secured by Investment Property | $6,825,905 | $6,825,905 | → $0 |
| Total Liabilities | $176,068,285 | $180,992,213 | ▲ $4,923,928 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $108,420,098 | $100,927,756 | ▼ $7,492,342 |
| Total Net Assets Fund Balance | $108,420,098 | $100,927,756 | ▼ $7,492,342 |
| Total Liabilities and Net Assets / Fund Balance | $284,488,383 | $281,919,969 | ▼ $2,568,414 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $46,628,544 | $135,059,971 | $181,688,515 |
| Buildings | $51,942,676 | $111,653,984 | $163,596,660 |
| Leasehold Improvements | $7,081,098 | $4,687,610 | $11,768,708 |
| Land | $5,550,394 | - | $5,550,394 |
| Other Land Buildings | $404,728 | - | $404,728 |
| Other Assets Org | $2,252,746 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| John R Janoso Jr | Director, President, & CEO | FT | $661,947 | $406,604 | $1,068,551 |
| Mark T Darnell Md | CMO | FT | $390,221 | $138,237 | $528,458 |
| Alan F Greenslade | CIO, Treasurer | FT | $356,080 | $147,201 | $503,281 |
| Laura Moore | Chief Business Strategy & | FT | $345,267 | $136,415 | $481,682 |
| Julie Grow | CFO | FT | $322,779 | $106,682 | $429,461 |
| Mark E Vanderhoff | Chief Nursing Officer | FT | $281,485 | $124,776 | $406,261 |
| Mary Nash | Chief Human Resources Officer | FT | $183,064 | $138,284 | $321,348 |
| Julie Tharp | Staff Pharmacist | FT | $169,600 | $42,340 | $211,940 |
| Caroline V Segelken | Staff Pharmacist | FT | $179,239 | $31,887 | $211,126 |
| Elizabeth Brendsel | Staff Pharmacist | FT | $168,756 | $40,305 | $209,061 |
| Charles Dellick | Director Info. Services | FT | $162,625 | $44,669 | $207,294 |
| Theresa Dyar Do | Director/residency Program | PT | $182,000 | $9,153 | $191,153 |
| Troy Hampton | Residency Program Director | PT | $168,998 | $11,182 | $180,180 |
| Name | Title |
|---|---|
| Bradley Hedges Phd | Chair |
| Matthew Wideman | Vice Chair |
| Angela Krile | Director |
| Dan Fruth | Director |
| Laura Tussing | Director |
| Laurianne Scott Do | Director |
| Marie Ward Phd | Director |
| Mike Lieber | Director |
| Natalie Furniss | Director |
| Ron Burris | Director |
| Stephen Swick | Director |
| Lauri Lach | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Renovo Solutions | Biomedical Services | 4 EXECUTIVE CIRCLE, Irvine, CA 92614 | $1,983,405 |
| Oracle | Personnel Services | PO BOX 203448, Dallas, TX 75230 | $1,561,869 |
| Comtex | Laundry Services | 575 HARMON AVENUE, Columbus, OH 43223 | $1,019,579 |
| Blue & Co LLC | Accounting Services | 500 N MERIDIAN ST STE 200, Indianapolis, IN 46204 | $621,030 |
| Forvis Mazars LLP | Professional Services | 910 E ST LOUIS STREET STE 400, Springfield, MO 65806 | $541,590 |
| Line Item | Amount |
|---|---|
| Other Expenses | $201,055,939 |
| Salaries, Compensation, and Employee Benefits | $135,408,713 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $93,701,453 | $10,018,633 | - | $103,720,086 |
| Fees for Services Other | $37,435,962 | $21,369,461 | - | $58,805,423 |
| Other Employee Benefits | $13,982,140 | $1,667,270 | - | $15,649,410 |
| Depreciation Depletion | $10,787,775 | $4,224,716 | - | $15,012,491 |
| Fees for Services Management | - | $13,275,464 | - | $13,275,464 |
| Payroll Taxes | $6,852,636 | $817,128 | - | $7,669,764 |
| Interest | $5,386,389 | $972,391 | - | $6,358,780 |
| Pension Plan Contributions | $3,966,304 | $472,953 | - | $4,439,257 |
| Occupancy | $1,908,615 | $2,288,160 | - | $4,196,775 |
| Office Expenses | $3,370,111 | $756,045 | - | $4,126,156 |
| Current Officers, Directors, Trustees, and Key Employees | $3,550,567 | $379,629 | - | $3,930,196 |
| Insurance | $1,508,635 | $353,961 | - | $1,862,596 |
| All Other Expenses | $357,673 | $964,366 | - | $1,322,039 |
| Fees for Services Legal | - | $1,265,998 | - | $1,265,998 |
| Advertising | $337,644 | $243,662 | - | $581,306 |
| Fees for Services Accounting | - | $503,917 | - | $503,917 |
| Travel | $405,619 | $90,996 | - | $496,615 |
| Other Expenses | $238,058 | $53,406 | - | $291,464 |
| Royalties | $38,856 | - | - | $38,856 |
| Information Technology | $6,517 | $4,703 | - | $11,220 |
| Total Functional Expenses | $266,594,968 | $69,869,684 | $0 | $336,464,652 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean | Investments | - | 0 | 0 | $15,146,776 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Finance Lease Liability | $34,927,217 |
| Other Liabilities | $8,627,177 |
| Operating Lease Liability | $3,261,641 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | County of Fairfield Ohio | 2013-06-27 | $98,511,516 | To refund prior issue and to fund new surgical unit |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $98,511,516 | $56,264,480 | $22,666,516 | $926,511 |
“Various members of the board of directors are key employees and/or officers of organizations that may conduct normal, arms length transactions with one another.”
“The 990 is reviewed by the finance board and audit committee of the organization after review by the chief financial officer. Then, it is made available for board member review prior to filing.”
“Directors, president, vice presidents, managers, case management employees, contracts & collections employees, employees with direct purchasing responsibilities, employed physicians, and employees who are contracted or shared with other organizations are required to complete an annual questionnaire disclosing potential conflicts of interest. If a known or perceived conflict of interest arises, the compliance officer investigates, documents, and works to resolve the conflict of interest.”
“Annually, the compensation committee compares officer and key employee compensation to regional industry averages. This committee consists of independent members of the board of directors. Compensation adjustment recommendations are submitted, to be included in the budget, to the finance and audit committee. Compensation adjustments are taken to the board of directors for final approval, and if approved are then implemented.”
“The governing documents, conflict of interest, and financials are made available to the public by request made to fmc management.”
“Purchased services: program service expenses 19,152,377. Management and general expenses 13,821,422. Fundraising expenses 0. Total expenses 32,973,799. Physician fees: program service expenses 18,087,281. Management and general expenses 7,466,998. Fundraising expenses 0. Total expenses 25,554,279. Consultant fees: program service expenses 196,304. Management and general expenses 81,041. Fundraising expenses 0. Total expenses 277,345.”
“Asset transfer to affiliates -22,422,217. Change in interest of net assets of foundation -694,514.”
“The process of selecting an independent accountant and oversight of the audit has not changed from the prior year.”
“Other fees for services include lab testing, administrative consulting, outsourced biomedical services, outsourced collection services, outsourced it services and other general purchased services.”
“The other change in net assets reported represents intercompany transfers between fairfield medical center and related organizations (see schedule r) for fixed asset purchases, shared employees, expenses and other intercompany transactions.”
“The internal revenue services (irs) has ruled that the hospital and fhp are tax exempt under section 501(a) as organizations described in section 501(c)(3) of the internal revenue code (irc). Accordingly, no provision for federal income taxes has been made in the consolidated financial statements for the years ending december 31, 2024 and 2023.”
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 | 37796107 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 50896588 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 36742113 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 38651352 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | FAIRFIELD MEDICAL CENTER DELIVERS OUTSTANDING HEALTHCARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 243662 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 337644 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 581306 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 964366 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 357673 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1322039 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JOHN R JANOSO JR |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7406896825 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 401 NORTH EWING STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LANCASTER |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 431303371 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 4055607 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1071655 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 13 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 379629 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 3550567 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3930196 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1983405 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1561869 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1019579 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 621030 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 541590 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 4 EXECUTIVE CIRCLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 203448 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 575 HARMON AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 500 N MERIDIAN ST STE 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 910 E ST LOUIS STREET STE 400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | IRVINE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | COLUMBUS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | INDIANAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SPRINGFIELD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 92614 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75230 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 43223 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 46204 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 65806 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | RENOVO SOLUTIONS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | ORACLE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | COMTEX |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | BLUE & CO LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | FORVIS MAZARS LLP |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | BIOMEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PERSONNEL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | LAUNDRY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ACCOUNTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PROFESSIONAL SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 9979953 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 5963393 |
| IRS990/CYOtherExpensesAmt | 0 | 201055939 |
| IRS990/CYOtherRevenueAmt | 0 | 7215559 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 328471491 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 15165744 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 135408713 |
| IRS990/CYTotalExpensesAmt | 0 | 336464652 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 351630396 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 4224716 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 10787775 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 15012491 |
| IRS990/Desc | 0 | A) PATIENT CARE: INPATIENT MEDICAL, SURGICAL, EMERGENCY, MATERNITY, ICU, AND NURSING SERVICES (76,041 DISCHARGES, PROCEDURES & VISITS) |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 2003 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 266594968 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 503917 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 503917 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1265998 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1265998 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 13275464 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 13275464 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 21369461 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 37435962 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 58805423 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 28.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 41.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 43.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 26.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 194924 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 9103 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 56001 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 38477 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 47985 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 50627 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 24360 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 21242 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 31743 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 38169 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 41110 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 11030 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 43753 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JOHN R JANOSO JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | BRADLEY HEDGES PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MATTHEW WIDEMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LAURI LACH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | RON BURRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DAN FRUTH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ANGELA KRILE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MIKE LIEBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | LAURIANNE SCOTT DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | STEPHEN SWICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | LAURA TUSSING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARIE WARD PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | THERESA DYAR DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | NATALIE FURNISS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ALAN F GREENSLADE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MARK T DARNELL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | LAURA MOORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | MARK E VANDERHOFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MARY NASH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | JULIE GROW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | CAROLINE V SEGELKEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ELIZABETH BRENDSEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | JULIE THARP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | TROY HAMPTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | CHARLES DELLICK |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 873627 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 182050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 447280 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 489981 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 433697 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 355634 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 296988 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 408219 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 179383 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 170892 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 170830 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 169150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 163541 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR, PRESIDENT, & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR/RESIDENCY PROGRAM |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CIO, TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CHIEF BUSINESS STRATEGY & |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CHIEF NURSING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHIEF HUMAN RESOURCES OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | STAFF PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | STAFF PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | STAFF PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | RESIDENCY PROGRAM DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | DIRECTOR INFO. SERVICES |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1982 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 5621 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 3372149 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 8979953 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 5621 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 24297416 |
| IRS990/GrossReceiptsAmt | 0 | 372555663 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 28485 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 36390 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 150 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 4703 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 6517 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 11220 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 353961 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1508635 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1862596 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 7527642 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 7527642 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 972391 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 5386389 |
| IRS990/InterestGrp/TotalAmt | 0 | 6358780 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 6033479 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 6498660 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2585623 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2585623 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 8779458 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 10239540 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 49786643 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 54193530 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 121 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 251401565 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 123872555 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 111607440 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 363009005 |
| IRS990/LegalDomicileStateCd | 0 | OH |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 20925267 |
| IRS990/LessRentalExpensesGrp/PersonalAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 1742420 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 344208 |
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