Liabilities / Assets
55th percentile
Higher debt load relative to assets than 55% of similar nonprofits.
EIN 33-1007002 • 501(c)3 • Minot, ND
Profile
Trinity health is committed to preserving and improving the quality of health of the people we serve. Our mission is to excel at meeting the needs of the whole person through the provision of quality health care and health related services.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
55th percentile
Higher debt load relative to assets than 55% of similar nonprofits.
Liabilities / Revenue
87th percentile
Higher debt load relative to revenue than 87% of similar nonprofits.
Net Margin
23rd percentile
Higher net margin than 23% of similar nonprofits.
Top Officer Pay
19th percentile
Higher top officer pay than 19% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
12th percentile
Faster asset growth than 12% of similar nonprofits.
Revenue Growth
14th percentile
Faster revenue growth than 14% of similar nonprofits.
Assets
Down$835,958,262
Down $27,232,794 (-3.2%) from 2023
Liabilities
Down$523,148,704
Down $7,407,258 (-1.4%) from 2023
Net Assets
Down$312,809,558
Down $19,825,536 (-6.0%) from 2023
Revenue
Down$362,747,595
Down $5,694,582 (-1.5%) from 2023
Expenses
Up$375,697,481
Up $34,735,800 (+10%) from 2023
Net Income
Down-$12,949,886
Down $40,430,382 (-147%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
Trinity health is committed to preserving and improving the quality of health of the people we serve. Our mission is to excel at meeting the needs of the whole person through the provision of quality health care and health related services.
Meeting the needs of the whole person through quality health care and health related services.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $371,443,967 | $547,953,115 | ▲ $176,509,148 |
| Investments in Publicly Traded Securities | $284,615,474 | $125,255,869 | ▼ $159,359,605 |
| Savings and Temporary Cash Investments | $59,434,325 | $69,955,505 | ▲ $10,521,180 |
| Accounts Receivable | $41,755,533 | $39,397,938 | ▼ $2,357,595 |
| Cash and Non-Interest-Bearing Accounts | $28,979,348 | $25,366,935 | ▼ $3,612,413 |
| Inventories for Sale or Use | $10,057,923 | $9,452,543 | ▼ $605,380 |
| Receivables From Officers Etc | $6,013,905 | $6,089,338 | ▲ $75,433 |
| Prepaid Expenses and Deferred Charges | $5,407,325 | $5,280,402 | ▼ $126,923 |
| Pledges and Grants Receivable | $190,090 | $282,430 | ▲ $92,340 |
| Investments Program Related | $50,000 | $68,070 | ▲ $18,070 |
| Other Notes and Loans Receivable, Net | $15,991 | $15,973 | ▼ $18 |
| Total Assets | $820,361,355 | $839,517,479 | ▲ $19,156,124 |
| Other Assets Total | $12,397,474 | $10,399,361 | ▼ $1,998,113 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $419,464,016 | $419,149,863 | ▼ $314,153 |
| Accounts Payable and Accrued Expenses | $62,832,393 | $71,569,572 | ▲ $8,737,179 |
| Other Liabilities | $21,043,774 | $18,674,112 | ▼ $2,369,662 |
| Deferred Revenue | $2,318,866 | - | - |
| Escrow Account Liability | $43,909 | $28,964 | ▼ $14,945 |
| Grants Payable | $13,140 | $19,140 | ▲ $6,000 |
| Total Liabilities | $505,716,098 | $509,441,651 | ▲ $3,725,553 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $305,921,672 | $320,382,125 | ▲ $14,460,453 |
| Net Assets With Donor Restrictions | $8,723,585 | $9,693,703 | ▲ $970,118 |
| Total Net Assets Fund Balance | $314,645,257 | $330,075,828 | ▲ $15,430,571 |
| Total Liabilities and Net Assets / Fund Balance | $820,361,355 | $839,517,479 | ▲ $19,156,124 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $511,818,982 | - | $511,818,982 |
| Equipment | $22,493,427 | $195,157,045 | $217,650,472 |
| Buildings | $10,463,364 | $34,747,782 | $45,211,146 |
| Land | $3,177,342 | - | $3,177,342 |
| Leasehold Improvements | $0 | $19,447 | $19,447 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2021 | $2,638,524 | $96,458 | - | - | $2,734,982 |
| 2020 | $2,329,446 | $309,078 | - | - | $2,638,524 |
| 2019 | $2,082,983 | $246,463 | - | - | $2,329,446 |
| 2018 | $1,692,368 | $390,615 | - | - | $2,082,983 |
| 2017 | $1,692,368 | - | - | - | $1,692,368 |
| Name | Title | Full / Part Time | Other | Total |
|---|---|---|---|---|
| Thomas Warsocki | Vice President - Physician Operations | PT | $271,724 | $271,724 |
| Dave Kohlman | Vice President - Facilities Management | PT | $262,614 | $262,614 |
| Alison Frye | Executive Assistant | PT | $99,727 | $99,727 |
| Name | Title |
|---|---|
| Patrick Holien | Chairman |
| John Kutch | President & CEO |
| Steve Lysne | Vice Chair |
| Glen Taylor Wilson | Vice President & CFO |
| Karen Zimmerman Rn | Vice President - CNO |
| Dave Kohlman | Vice President - Facilities Manageme |
| Renae Lenertz | Vice President - Human Resources |
| Randy Schwan | Vice President - Mission Integration |
| Rhonda Walter | Vice President - Ncf Administator |
| Thomas Warsocki | Vice President - Physician Operation |
| Borgi Beeler | Director |
| Brent Mattson | Director |
| Clara Sue Price | Director |
| David Hogue | Director |
| Jeffrey Sather Md | Director |
| John Coughlin | Director |
| Scott Knutson Md | Director |
| Karen Krebsbach | Secretary/treasurer |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Other Non Cash Contri Table | 18 | $64,495 | Fair Market Value (FMV) |
| Clothing and Household Goods | - | $31,879 | Fair Market Value (FMV) |
| Other Non Cash Contri Table | 17 | $24,252 | Fair Market Value (FMV) |
| Other Non Cash Contri Table | 31 | $11,232 | Fair Market Value (FMV) |
| Works of Art | 1 | $600 | Fair Market Value (FMV) |
| Total Noncash Contributions | 67 | $132,458 | - |
| Line Item | Amount |
|---|---|
| Other Expenses | $206,137,474 |
| Salaries, Compensation, and Employee Benefits | $136,997,407 |
| Total Fundraising Expense | $1,388,135 |
| Grants and Similar Amounts Paid | $278,922 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $90,480,930 | $22,221,510 | $265,463 | $112,967,903 |
| Fees for Services Other | $47,657,240 | $24,005,061 | $20,368 | $71,682,669 |
| Other Employee Benefits | $8,385,758 | $6,972,782 | $30,700 | $15,389,240 |
| Occupancy | $5,584,271 | $7,688,404 | - | $13,272,675 |
| Depreciation Depletion | $6,803,779 | $1,876,353 | $7,054 | $8,687,186 |
| Payroll Taxes | $6,598,329 | $1,699,738 | $20,112 | $8,318,179 |
| Information Technology | $974,465 | $4,830,085 | $48,231 | $5,852,781 |
| All Other Expenses | $2,441,485 | $38,826 | $740,187 | $3,220,498 |
| Office Expenses | $2,004,879 | $1,105,719 | $29,912 | $3,140,510 |
| Advertising | $2,735,551 | $103,482 | $157,199 | $2,996,232 |
| Other Expenses | $2,110,598 | $1,291,327 | $68,851 | $2,110,598 |
| Insurance | $1,117,260 | $455,871 | - | $1,573,131 |
| Fees for Services Legal | - | $793,943 | - | $793,943 |
| Fees for Services Accounting | - | $385,660 | - | $385,660 |
| Conferences and Meetings | $167,371 | $206,520 | $905 | $374,796 |
| Pension Plan Contributions | $590,613 | $-267,681 | $-847 | $322,085 |
| Grants to Domestic Individuals | $170,722 | - | - | $170,722 |
| Travel | $128,791 | $62 | - | $128,853 |
| Grants to Domestic Orgs | $108,200 | - | - | $108,200 |
| Interest | $-339,035 | $49,338 | - | $-289,697 |
| Total Functional Expenses | $268,565,331 | $73,460,337 | $1,388,135 | $343,413,803 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Minot Family Ymca | Minot, ND | 501(c)(3) | Support Operations | $100,000 |
| Iowa State University | Ames, IA | Govt | Iowa State University Sporsorship | $0 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $31,226 |
| Fundraising Gross Income | $9,073 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Golf for Life | $25,845 | $5,087 | $1,094 | $3,993 |
| Building Hope | $31,828 | $3,986 | $1,559 | $2,427 |
| Total Events | $57,673 | $9,073 | $31,226 | $-22,153 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $6,013,905 | $6,089,338 | ▲ $75,433 |
| Liability | Amount |
|---|---|
| Deferred Compensation Plan | $10,399,361 |
| Estimated 3rd Party Settlements | $8,274,751 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Ward County North Dakota | 2017-12-28 | $382,748,522 | HOSPITAL CONSTRUCTION |
| A | Ward County North Dakota | 2017-09-27 | $56,875,000 | Refund series 2006 bonds; hospital construction |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $382,748,522 | - | - | $3,562,519 |
| A | $56,875,000 | $46,404,605 | $23,101,700 | $510,395 |
“The executive committee is composed of the officers of the board of directors, each vested with full voting authority. They meet as needed to plan for the board's work and to fulfill tasks assigned to them by the board. The executive committee is authorized to act and make decisions on behalf of the entire board when urgent matters arise between regularly scheduled board meetings. The executive committee is obligated to present its actions to the entire board if a decision has been made in its absence.”
“Trinity health is the sole member of each corporation included in this group return.”
“At each annual meeting, the sole member, trinity health, appoints the board of directors. At least seven of the board of directors also serve as a member of the board of directors of trinity health. In the bylaws of trinity health foundation, this overlap only needs to be three. Any director who ceases to be a member of the trinity health board of directors automatically becomes disqualified from serving as a director of the affiliates' board and is replaced with another board member currently serving on the board of trinity health, unless there are at least a minimum of seven (or three in the case of trinity health foundation) other board members currently serving as a director of trinity health.”
“The following powers are reserved exclusively to the sole member, trinity health: (a) approve the appointment of officers; (b) approve any amendments to the articles of incorporation or bylaws; (c) approve the annual operating and capital budgets; (d) approve the selection of auditors and legal counsel; (e) approve any strategic plans adopted; (f) approve any unbudgeted borrowing, any encumbrance of assets, and any expenditures for capital improvements where the amount exceeds five percent of the capital budget previously approved; (g) change the number of directors of the board of directors; and (h) approve any action that is not in the ordinary course of business.”
“Prior to being filed with the irs, a copy of the form 990 was given to the governing body of trinity health & affiliates for review.”
“All salaried employees (at manager level and above as determined by trinity) and such other employees as from time to time may be directed to do so, are required to complete trinity health's conflict of interest statement on an annual basis. Any employee who has assumed, or is about to assume, a financial or other interest or relationship that might involve a conflict of interest must immediately inform his/her supervisor, a member of the compliance committee, or the compliance officer. Issues involving conflict of interest shall be reviewed and a determination of each shall be made by the trinity compliance committee. If a conflict exists, the conflicted person must abstain from discussion of and voting on the conflicted topic.”
“The executive committee of the board of directors of trinity health reviewed compensation information for the ceo, which had been previously prepared by deloitte and tourche. Deloitte and touche analyzed four compensation surveys of health care employers and reviewed form 990 filings for a peer group analysis. In 2022, the executive committee of the bod of trinity health reviewed compensation information for the ceo, which was compared to annual survey results of wage suvery conducted by lockton benefits consulting.”
“On our website www.trinityhealth.org we list our board of directors, mission, vision, values and our annual report which includes financial information. The governing documents and conflict of interest policy are made available upon request.”
“Medical professionals: program service expenses 47,657,240. Management and general expenses 24,005,061. Fundraising expenses 20,368. Total expenses 71,682,669.”
“Net asset transfers -19,364,687.”
“The organization's process for selecting an independent auditor and for overseeing the financial statement audit did not change during the year.”
“To provide public education for hospice care.”
“Resident trust funds are held by trinity homes. These funds are tracked separately from the organizations and are held in a separate bank account.”
“The purpose of the endowment funds is to support staff education and scholarships and the purchase of new equipment.”
“Trinity hospitals, trinity homes, trinity health foundation, trinity kenmare hospital, and community ambulance service have all been recognized by the internal revenue service (irs) as a nonprofit corporation as described in sec. 501(c)(3) of the internal revenue code (irc) and are exempt from federal income taxes pursuant to sec. 501(a) of the irc. All unrelated business income generated by trinity is subject to federal income tax under section 511 of the irc. Trinity's policy is to evaluate the likelihood that its uncertain tax positions will prevail upon examination based on the extent to which those positions have substantial support within the internal revenue code and regulations, revenue rulings, court decisions, and other evidence. It is the opinion of management that the company has no significant uncertain tax positions that would be subject to change upon examination. Trinity's income tax returns are subject to review and examination by federal, state, and local authorities.”
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 | 62832393 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 71569572 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 41755533 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 39397938 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | MEETING THE NEEDS OF THE WHOLE PERSON THROUGH QUALITY HEALTH CARE AND HEALTH RELATED SERVICES. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 157199 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 103482 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 2735551 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2996232 |
| IRS990/AllAffiliatesIncludedInd | 0 | 1 |
| IRS990/AllOtherContributionsAmt | 0 | 1547006 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 740187 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 38826 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 2441485 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 3220498 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | TAYLOR WILSON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7018575178 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 5020 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MINOT |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 58702 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 28979348 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 25366935 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 905 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 206520 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 167371 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 374796 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContriRptFundraisingEventAmt | 0 | 48600 |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 14529441 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 278922 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2932449 |
| IRS990/CYOtherExpensesAmt | 0 | 206137474 |
| IRS990/CYOtherRevenueAmt | 0 | -1493571 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 371005979 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 43560495 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 136997407 |
| IRS990/CYTotalExpensesAmt | 0 | 343413803 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 1388135 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 386974298 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2318866 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 7054 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1876353 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 6803779 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 8687186 |
| IRS990/Desc | 0 | TRINITY HEALTH & AFFILIATES PROVIDES HOSPITAL SERVICES TO CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHEASTERN MONTANA. TRINITY HOSPITALS IS THE LARGEST HOSPITAL PROVIDER IN NORTHWEST NORTH DAKOTA, WITH AN ACUTE CARE FACILITY THAT IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL 2 TRAUMA CENTER. TRINITY SERVES AS A REFERRAL CENTER FOR THE FOLLOWING SERVICES: HEART, NEURO, GENERAL AND ROBOTIC SURGERY, CANCER AND CARDIAC CARE, OPHTHALMOLOGY AND RETINAL SURGERY, ADVANCED DIAGNOSTICS, NEWBORN INTENSIVE CARE, ORTHOPEDICS, SPORTS MEDICINE, INPATIENT REHABILITATION, BEHAVIORAL HEALTH, KIDNEY DIALYSIS AND LITHOTRIPSY. TRINITY HOSPITAL INCLUDES A JOINT REPLACEMENT AND GERIATRIC CENTER, CARDIAC CENTER, STROKE CENTER AND NEUROSURGERY CENTER. (SEE SCHEDULE O)TRINITY HOSPITAL - ST. JOSEPH'S INCLUDES AN INPATIENT REHABILITATION UNIT, KIDNEY DYALISIS UNIT, INPATIENT MENTAL HEALTH, OUTPATIENT BEHAVIORAL HEALTH, AND BOTH INPATIENT AND OUTPATIENT CHEMICAL DEPENDENCY UNITS. TRINITY'S NORTHSTAR CRITICAIR HELICOPTER PROVIDES CRITICAL CARE TRANSPORT WITHIN A 150-MILE RADIUS OF TRINITY HOSPITAL. TRINITY ALSO PROVIDES GROUND AMBULANCE SERVICES TO THE CITY OF MINOT AND THE SURROUNDING AREA THROUGH COMMUNITY AMBULANCE SERVICE OF MINOT, INC. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 8723585 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 9693703 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 43909 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 28964 |
| IRS990/ExpenseAmt | 0 | 248898238 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 385660 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 385660 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 793943 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 793943 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 20368 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 24005061 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 47657240 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 71682669 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 12.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 26.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 12.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 12.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 28.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 14.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 28.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 28.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 2.00 |
| 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/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/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 27300 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 27300 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 25675 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 27300 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 26817 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 22697 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 21350 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 21285 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 4996 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 20982 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 22716 |
| 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/PersonNm | 0 | JOHN KUTCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JEFFREY SATHER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | SCOTT KNUTSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GLEN TAYLOR WILSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | THOMAS WARSOCKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DAVE KOHLMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RANDY SCHWAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | RHONDA WALTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KAREN ZIMMERMAN RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RENAE LENERTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ALISON FRYE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | PATRICK HOLIEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | STEVE LYSNE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KAREN KREBSBACH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BORGI BEELER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JOHN COUGHLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DAVID HOGUE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | BRENT MATTSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | CLARA SUE PRICE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| 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 | 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/ReportableCompFromRltdOrgAmt | 0 | 927581 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 777134 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 705319 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 392056 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 244907 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 239917 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 229795 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 218641 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 218973 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 199895 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 77011 |
| 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/TitleTxt | 0 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE PRESIDENT & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | VICE PRESIDENT - PHYSICIAN OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VICE PRESIDENT - FACILITIES MANAGEMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VICE PRESIDENT - MISSION INTEGRATION |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VICE PRESIDENT - NCF ADMINISTATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VICE PRESIDENT - CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VICE PRESIDENT - HUMAN RESOURCES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | EXECUTIVE ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 48600 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 31226 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 9073 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -18854 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 12933835 |
| IRS990/GrantAmt | 0 | 278922 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 13140 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 19140 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 170722 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 170722 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 108200 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 108200 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 114755 |
| IRS990/GrossReceiptsAmt | 0 | 389869768 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 97222 |
| IRS990/GroupExemptionNum | 0 | 3904 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 1 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 48231 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 4830085 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 974465 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 5852781 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 455871 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1117260 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1573131 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 49338 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | -339035 |
| IRS990/InterestGrp/TotalAmt | 0 | -289697 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 10057923 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 9452543 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2951303 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2951303 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 50000 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 68070 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 284615474 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 125255869 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 229924274 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 371443967 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 547953115 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 777877389 |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 133609 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 2730635 |
| IRS990/LoanOutstandingInd | 0 | 1 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 1 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TRINITY HEALTH IS COMMITTED TO PRESERVING AND IMPROVING THE QUALITY OF HEALTH OF THE PEOPLE WE SERVE. OUR MISSION IS TO EXCEL AT MEETING THE NEEDS OF THE WHOLE PERSON THROUGH THE PROVISION OF QUALITY HEALTH CARE AND HEALTH RELATED SERVICES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 419464016 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 419149863 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 314645257 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 330075828 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -18854 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -18854 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -22153 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -22153 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -2633413 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -2633413 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -8765237 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 305921672 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 320382125 |
| IRS990/NoncashContributionsAmt | 0 | 132458 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 7688404 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 5584271 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 13272675 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 29912 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1105719 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2004879 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 3140510 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 12397474 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 10399361 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -19364687 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 30700 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 6972782 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 8385758 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 15389240 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES/DRUGS |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 2 | BOOKS & SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 3 | FOOD |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 68851 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 3337 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 1291327 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 71146376 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 15779080 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 3918668 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 2110598 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 71149713 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 15779080 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 5278846 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 2110598 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 21043774 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 18674112 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | VENDOR REBATES |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 1150436 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1150436 |
| IRS990/OtherRevenueTotalAmt | 0 | 1150436 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 265463 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 22221510 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 90480930 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 112967903 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 15991 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 15973 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 20112 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 1699738 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 6598329 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 8318179 |
| IRS990/PensionPlanContributionsGrp/FundraisingAmt | 0 | -847 |
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