Civic Intelligence

Chg Foundation

990 • Fiscal year 2015 • EIN 33-0586911

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 15, 2016

2420 Fenton Street No 100Chula Vista, CA 91914

(619) 422-0422

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Up

$426,261,181

Up $237,025,306 (+125%) from 2014

Net Assets

Up

$137,077,293

Up $90,251,265 (+193%) from 2014

Liabilities

Up

$289,183,888

Up $146,774,041 (+103%) from 2014

Revenue And Expenses

Revenue

Up

$906,351,179

Up $283,904,790 (+46%) from 2014

Expenses

Up

$818,428,640

Up $230,154,293 (+39%) from 2014

Net Income

Up

$87,922,539

Up $53,750,497 (+157%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0B$1.5B$1.0B$500M$0Assets 2010: $46,066,147Liabilities 2010: $19,782,083Net Assets 2010: $26,284,0642010Assets 2011: $58,613,806Liabilities 2011: $27,506,459Net Assets 2011: $31,107,3472011Assets 2012: $63,024,151Liabilities 2012: $38,903,472Net Assets 2012: $24,120,6792012Assets 2013: $63,334,756Liabilities 2013: $50,680,770Net Assets 2013: $12,653,9862013Assets 2014: $189,235,875Liabilities 2014: $142,409,847Net Assets 2014: $46,826,0282014Assets 2015: $426,261,181Liabilities 2015: $289,183,888Net Assets 2015: $137,077,2932015Assets 2016: $736,586,696Liabilities 2016: $351,345,852Net Assets 2016: $385,240,8442016Assets 2017: $749,059,796Liabilities 2017: $218,836,195Net Assets 2017: $530,223,6012017Assets 2018: $710,886,080Liabilities 2018: $246,810,122Net Assets 2018: $464,075,9582018Assets 2019: $612,637,175Liabilities 2019: $173,613,322Net Assets 2019: $439,023,8532019Assets 2020: $637,171,330Liabilities 2020: $211,816,569Net Assets 2020: $425,354,7612020Assets 2021: $603,263,204Liabilities 2021: $244,680,410Net Assets 2021: $358,582,7942021Assets 2022: $779,485,719Liabilities 2022: $216,115,576Net Assets 2022: $563,370,1432022Assets 2023: $1,446,221,312Liabilities 2023: $603,890,653Net Assets 2023: $842,330,6592023Assets 2024: $1,718,361,471Liabilities 2024: $679,646,954Net Assets 2024: $1,038,714,5172024

Highlighted filing

2015

Assets$426,261,181
Liabilities$289,183,888
Net Assets$137,077,293

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0B$1.5B$1.0B$500M$0-$500MExpenses 2010: $152,091,2822010Expenses 2011: $195,043,3032011Expenses 2012: $279,638,0792012Revenue 2013: $323,865,197Expenses 2013: $335,331,890Net Income 2013: -$11,466,6932013Revenue 2014: $622,446,389Expenses 2014: $588,274,347Net Income 2014: $34,172,0422014Revenue 2015: $906,351,179Expenses 2015: $818,428,640Net Income 2015: $87,922,5392015Revenue 2016: $1,098,681,078Expenses 2016: $892,256,710Net Income 2016: $206,424,3682016Revenue 2017: $1,067,109,811Expenses 2017: $922,127,054Net Income 2017: $144,982,7572017Revenue 2018: $838,189,121Expenses 2018: $904,336,764Net Income 2018: -$66,147,6432018Revenue 2019: $943,115,999Expenses 2019: $968,168,104Net Income 2019: -$25,052,1052019Revenue 2020: $978,092,810Expenses 2020: $991,761,902Net Income 2020: -$13,669,0922020Revenue 2021: $1,199,988,965Expenses 2021: $1,266,760,932Net Income 2021: -$66,771,9672021Revenue 2022: $1,247,699,069Expenses 2022: $1,042,911,720Net Income 2022: $204,787,3492022Revenue 2023: $1,530,362,521Expenses 2023: $1,251,627,757Net Income 2023: $278,734,7642023Revenue 2024: $1,837,429,828Expenses 2024: $1,628,176,331Net Income 2024: $209,253,4972024

Highlighted filing

2015

Revenue$906,351,179
Expenses$818,428,640
Net Income$87,922,539
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 15, 2016
Return Version
2015v2.1
Gross Receipts
$906,431,389
Mission and Program Overview

Mission

CHG Foundation is dedicated to maintaining and improving the health of our members by providing access to quality care and offering exceptional service to diverse populations.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$71,453,855$359,441,916▲ $287,988,061
Accounts Receivable$93,385,391$50,480,091▼ $42,905,300
Land, Buildings, and Equipment, Net$13,728,901$13,632,815▼ $96,086
Total Assets$189,235,875$426,261,181▲ $237,025,306
Other Assets Total$10,667,728$2,706,359▼ $7,961,369
Liabilities
Accounts Payable and Accrued Expenses$142,383,278$289,156,521▲ $146,773,243
Deferred Revenue$26,569$27,367▲ $798
Total Liabilities$142,409,847$289,183,888▲ $146,774,041
Net Assets / Fund Balance
Unrestricted Net Assets$46,826,028$137,077,293▲ $90,251,265
Total Net Assets Fund Balance$46,826,028$137,077,293▲ $90,251,265
Total Liabilities and Net Assets / Fund Balance$189,235,875$426,261,181▲ $237,025,306

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,491,808$863,369$8,355,177
Land$3,500,000-$3,500,000
Leasehold Improvements$2,542,841$690,839$3,233,680
Equipment$65,320$65,587$130,907
Other Land Buildings$32,846$30,728$63,574
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Jonathan TamayoVP Info Systems (Thru 5/21/15)PT$111,174$111,174
Rene VegaChief Medical OfficerPT$29,930$29,930
Albert VitelaChairman-$13,795$13,795
Tito CalsadaBoard Member-$10,285$10,285
Carlos CesenaBoard Member-$9,865$9,865
Carlota SalasSecretary-$9,815$9,815
Jose Luis ValdiviaBoard Member-$9,645$9,645
Grace KojimaBoard Member-$9,035$9,035
Anita HoltBoard Member-$8,895$8,895
Jonathan BallBoard Member-$8,365$8,365
Paul DatoVice Chairman-$7,935$7,935

Board Members and Trustees

NameTitle
David RitchieDirector of Contracting
Diane ErkDirector of Finance
Nora PintadoDirector of Health Plan Operations
Noreen KoizumiDirector of Healthcare Operations
Adla TessierMedical Director
Edward HuttAssociate Chief Executive Officer
Norma DiazChief Executive Officer
Scott CarrollChief Financial Officer
Ann WarrenChief Gov't & Relations
Heidi ArndtChief Information Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$906,110,965
Investment Income
$0
Other Revenue
$240,214
Change in Net Assets
$87,922,539

Audited Revenue Reconciliation

Revenue per Audited Statements
$906,431,389
Revenue Not Reported on Financial Statements
$-80,210
Revenue Not Reported on Form 990
$132,629,082
Other Revenue Adjustments
$-80,210
Total Revenue per Audited Statements
$1,039,060,471
Total Revenue per Form 990
$906,351,179
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$818,428,640
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$177,480,447--$177,480,447
Other Expenses$65,817,563--$65,817,563
Fees for Services Management-$18,980,262-$18,980,262
All Other Expenses$13,391,534--$13,391,534
Depreciation Depletion$504,878--$504,878
Interest$482,070--$482,070
Total Functional Expenses$799,448,378$18,980,262$0$818,428,640

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$925,344,780
Expenses per Audited Statements$818,508,850
Total Expenses per Form 990$818,428,640
Expenses Not Reported on Form 990$106,835,930
Expenses Not Reported on Financial Statements$-80,210
Other Expense Adjustments$-80,210
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

990, Part V, Line 2A and Part VII, Section A

OFFICERS and employees are employed and compensated by Community Health Group (CHG), a related organization. CHG reports 100% of the individual's compensation on W-2's issued by CHG.

Form 990, Part VI, Section A, line 3

All administrative and management functions for CHG Foundation are performed by a related entity, Community Health Group, in accordance to the terms and conditions of an Administrative Services Agreement.

Form 990, Part VI, Section B, line 11

The Board of Directors engages the services of an independent public accounting firm (Moss Adams, LLP) to complete the annual certified audit. The certified financial statements are reviewed with and approved by the Board of Directors. The services of Moss Adams, LLP are also engaged to prepare and complete Form 990. The Form 990 is prepared under the direction, review and oversight of Community Health Groups' Finance Department. The Board of Directors relies on the expertise of internal management and Moss Adams, LLP as outside service providers. A complete copy of the Form 990 is provided to the members of the board for their review prior to filing with the Internal Revenue Service.

Form 990, Part VI, Section B, line 12C

Annually the board of directors and key management receive refresher training, conducted by outside legal counsel, on the importance of identifying any conflicts of interest and the disclosure of any real or potential conflicts of interest as an integral part of the culture at community health group. Any potential conflicts are reported to the compliance officer for investigation and follow-up. In the event of a conflict of interest, the board will determine what restrictions, if any, will be imposed on the person or persons with the conflict and the person will recuse him/herself from participating in a board deliberations and decisions involving the potential conflict.

Form 990, Part VI, Section C, line 19

Consolidated Audited Financial Statements, including Community Health Group and CHG Foundation, are available to the public on the Department of Managed health Care website. The Governing/Organizing documents are on file with the Department of Managed Health Care and can be obtained under the California Public Records Act. The conflict of interest policy is not made available to the public.

Filing and Contact Details

Filer

Filer Name
CHG Foundation
EIN
33-0586911
Phone
6194220422
Address
2420 Fenton Street No 100, Chula Vista, CA 91914
Doing Business As
Community Hlth Grp Ptnrshp plan

Signing Officer

Name
Scott Carroll
Title
CFO
Phone
6194220422
Signed
2016-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Carroll
Formed
1994
Legal Domicile
CA
Voting Board Members
9
Independent Board Members
7
Employees
0
Volunteers
0

Preparer

Firm
Moss Adams LLP
Address
101 Second Street Suite 900, San Francisco, CA 94105
Preparer
Renie Burbank
Phone
4159561500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

PROVIDER PROF'l FEES: Program service expenses 177,480,447. Management and general expenses 0. Fundraising expenses 0. Total expenses 177,480,447.

FORM 990, PART IX, LINE 11A

The fees for services consist of management fees paid to Community Health Group, a related organization, in accordance with an administrative service agreement.

Form 990, Part XII, Line 2 & Part IV, Line 12

THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE PREPARED ON A CONSOLIDATED BASIS; HOWEVER, THE ORGANIZATION maintains SEPARATE FINANCIAL RECORDS FOR EACH ENTITY. THIS SEPARATE FINANCIAL INFORMATION has been used to complete the reconciliation at Part XI. CONSOLIDATED INFORMATION FROM THE AUDITED FINANCIAL STATEMENTS HAS BEEN USED IN SCHEDULE D, PARTS XI & XII.

Financial Statement Notes

Part X, Line 2:

CHG and CHG Foundation have evaluated their tax positions and the certainty as to whether those positions will be sustained in the event of an audit by taxing authorities at the federal and state levels. The primary tax positions evaluated are related to CHG's and CHG Foundation's continued qualification as a tax-exempt organization and whether there is unrelated business income activities conducted that would be taxable. Management has determined that all income tax positions will be sustained upon potential audit or examination; therefore, no disclosures of uncertain income tax positions are required.

Part XI, Line 2D - Other Adjustments:

Management Fee Revenue from CHG Foundation (eliminated in consolidation) -18,980,262. Total Revenue Attributable to Community Health Group 151,609,344.

Part XI, Line 4B - Other Adjustments:

Reclassification of Depreciation exp to offset revenue for rental activity -80,210.

Part XII, Line 2D - Other Adjustments:

MANAGEMENT FEE EXPENSE FROM CHG FOUNDATION (ELIMINATED IN CONSOLIDATION) -18,980,262. Total Expenses Attributable to Community Health Group 125,816,192.

Part XII, Line 4B - Other Adjustments:

Reclassification of Depreciation exp to offset revenue for rental activity -80,210.

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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt190
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt18164975
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt19150079
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20148181
IRS990/Form990PartVIISectionAGrp/TitleTxt0Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt3Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt9Chief Executive Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt10Associate Chief Executive Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt11Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP Info Systems (Thru 5/21/15)
IRS990/Form990PartVIISectionAGrp/TitleTxt13Chief Gov't & Relations
IRS990/Form990PartVIISectionAGrp/TitleTxt14Chief Medical Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt15Chief Information Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt16Medical Director
IRS990/Form990PartVIISectionAGrp/TitleTxt17Director of Healthcare Operations
IRS990/Form990PartVIISectionAGrp/TitleTxt18Director of Health Plan Operations
IRS990/Form990PartVIISectionAGrp/TitleTxt19Director of Contracting
IRS990/Form990PartVIISectionAGrp/TitleTxt20Director of Finance
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/FormationYr01994
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0906431389
IRS990/GrossRentsGrp/RealAmt0320424
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IRS990/IndivRcvdGreaterThan100KCnt00
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IRS990/InterestGrp/ProgramServicesAmt0482070
IRS990/InterestGrp/TotalAmt0482070
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt01650523
IRS990/LandBldgEquipBasisNetGrp/BOYAmt013728901
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IRS990/LandBldgEquipCostOrOtherBssAmt015283338
IRS990/LegalDomicileStateCd0CA
IRS990/LessRentalExpensesGrp/RealAmt080210
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
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IRS990/MembersOrStockholdersInd00
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IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0CHG Foundation is dedicated to maintaining and improving the health of our members by providing access to quality care and offering exceptional service to diverse populations.
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IRS990/MoreThan5000KToOrgInd00
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IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt0240214
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IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt010667728
IRS990/OtherAssetsTotalGrp/EOYAmt02706359
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0Health Facility Pymts
IRS990/OtherExpensesGrp/Desc1Pharmacy & Med. Srvcs
IRS990/OtherExpensesGrp/Desc2Capitation
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IRS990/OtherExpensesGrp/ProgramServicesAmt1227815529
IRS990/OtherExpensesGrp/ProgramServicesAmt265817563
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IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Scott Carroll
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IRS990/ProfessionalFundraisingInd00
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IRS990/ReportOtherLiabilitiesInd00
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt05860
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt04346
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt0302031
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt0129397
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0906110965
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0622207475
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0321502780
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0272517668
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0199862768
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt0129397
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IRS990ScheduleA/InvestmentIncomePYPct00.00050
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IRS990ScheduleA/PublicSupportCY509Pct00.99950
IRS990ScheduleA/PublicSupportPY509Pct00.99950
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IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0321508640
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0272522014
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0199866586
IRS990ScheduleA/Total509Grp/TotalAmt02322223716
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0906431389
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0622526599
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0321810671
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0272651411
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0199866586
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02323286656
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt07491808
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0863369
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt08355177
IRS990ScheduleD/EquipmentGrp/BookValueAmt065320
IRS990ScheduleD/EquipmentGrp/DepreciationAmt065587
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0130907
IRS990ScheduleD/ExpensesNotReportedAmt0106835930
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0-80210
IRS990ScheduleD/ExpensesSubtotalAmt0818508850

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1,718$680$1,039$1,837$1,628$209
2023Detailed filing. Detailed filing data is available for this year.$1,446$604$842$1,530$1,252$279
2022Detailed filing. Detailed filing data is available for this year.$779$216$563$1,248$1,043$205
2021Detailed filing. Detailed filing data is available for this year.$603$245$359$1,200$1,267$66.8
2020Detailed filing. Detailed filing data is available for this year.$637$212$425$978$992$13.7
2019Detailed filing. Detailed filing data is available for this year.$613$174$439$943$968$25.1
2018Detailed filing. Detailed filing data is available for this year.$711$247$464$838$904$66.1
2017Detailed filing. Detailed filing data is available for this year.$749$219$530$1,067$922$145
2016Detailed filing. Detailed filing data is available for this year.$737$351$385$1,099$892$206
2015Detailed filing. Detailed filing data is available for this year.$426$289$137$906$818$87.9
2014Detailed filing. Detailed filing data is available for this year.$189$142$46.8$622$588$34.2
2013Detailed filing. Detailed filing data is available for this year.$63.3$50.7$12.7$324$335$11.5
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$63.0$38.9$24.1$280
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$58.6$27.5$31.1$195
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$46.1$19.8$26.3$152