Liabilities / Assets
28th percentile
Higher debt load relative to assets than 28% of similar nonprofits.
EIN 34-1369963 • 501(c)3 • Findlay, OH
Profile
Our mission: our extraordinary people provide caring for a lifetime through a broad continuum of exceptional health-related services in northwest ohio.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
28th percentile
Higher debt load relative to assets than 28% of similar nonprofits.
Liabilities / Revenue
23rd percentile
Higher debt load relative to revenue than 23% of similar nonprofits.
Net Margin
82nd percentile
Higher net margin than 82% of similar nonprofits.
Top Officer Pay
62nd percentile
Higher top officer pay than 62% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
30th percentile
Faster asset growth than 30% of similar nonprofits.
Revenue Growth
22nd percentile
Faster revenue growth than 22% of similar nonprofits.
Assets
Up$677,291,082
Up $57,503,999 (+9.3%) from 2022
Liabilities
Down$79,133,000
Down $24,587,000 (-24%) from 2022
Net Assets
Up$598,158,082
Up $82,090,999 (+16%) from 2022
Revenue
Up$413,666,615
Up $30,174,855 (+7.9%) from 2022
Expenses
Up$319,919,534
Up $32,109,774 (+11%) from 2022
Net Income
Down$93,747,081
Down $1,934,919 (-2.0%) from 2022
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.
Our mission: our extraordinary people provide caring for a lifetime through a broad continuum of exceptional health-related services in northwest ohio.
Blanchard valley regional health center operates two hospitals offering inpatient, emergency, maternity, and outpatient services.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $423,976,021 | $389,988,729 | ▼ $33,987,292 |
| Land, Buildings, and Equipment, Net | $98,066,000 | $95,782,000 | ▼ $2,284,000 |
| Accounts Receivable | $52,598,000 | $48,604,000 | ▼ $3,994,000 |
| Inventories for Sale or Use | $8,662,000 | $9,872,000 | ▲ $1,210,000 |
| Savings and Temporary Cash Investments | $2,600,979 | $1,192,354 | ▼ $1,408,625 |
| Investments Other Securities | $688,000 | $688,000 | → $0 |
| Pledges and Grants Receivable | $10,000 | $8,000 | ▼ $2,000 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Prepaid Expenses and Deferred Charges | $0 | $0 | → $0 |
| Total Assets | $676,495,000 | $619,787,083 | ▼ $56,707,917 |
| Other Assets Total | $89,894,000 | $73,652,000 | ▼ $16,242,000 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $92,667,000 | $86,298,000 | ▼ $6,369,000 |
| Other Liabilities | $28,008,917 | $14,455,000 | ▼ $13,553,917 |
| Accounts Payable and Accrued Expenses | $3,382,000 | $2,676,000 | ▼ $706,000 |
| Mortgage Notes Payable Secured by Investment Property | $285,000 | $291,000 | ▲ $6,000 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Total Liabilities | $124,342,917 | $103,720,000 | ▼ $20,622,917 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $533,358,083 | $499,054,083 | ▼ $34,304,000 |
| Net Assets With Donor Restrictions | $18,794,000 | $17,013,000 | ▼ $1,781,000 |
| Total Net Assets Fund Balance | $552,152,083 | $516,067,083 | ▼ $36,085,000 |
| Total Liabilities and Net Assets / Fund Balance | $676,495,000 | $619,787,083 | ▼ $56,707,917 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $66,092,330 | $84,001,995 | $150,094,325 |
| Equipment | $16,569,951 | $95,975,151 | $112,545,102 |
| Other Land Buildings | $8,715,904 | $9,798,854 | $18,514,758 |
| Land | $4,403,815 | - | $4,403,815 |
| Leasehold Improvements | $0 | $1,101,000 | $1,101,000 |
| Other Assets Org | $6,963,000 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2022 | $18,794,799 | - | ▲ $71,853 | $1,854,576 | $17,012,076 |
| 2021 | $17,867,633 | - | ▲ $1,697,188 | $770,022 | $18,794,799 |
| 2020 | $18,500,407 | $-10,000 | ▼ $890,275 | $-267,501 | $17,867,633 |
| 2019 | $17,238,000 | - | ▲ $2,261,340 | $998,933 | $18,500,407 |
| 2018 | $19,078,085 | - | ▼ $645,890 | $1,194,195 | $17,238,000 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Myron Lewis | Chief Executive Officer | PT | $421,174 | $220,541 | $641,715 |
| Richard Polder Md | Trustee | - | $409,928 | $111,186 | $521,114 |
| Dr Jinga Janani | Physician | FT | $465,321 | $54,121 | $519,442 |
| Dr Derek Thomas | Physician | FT | $483,650 | $32,653 | $516,303 |
| Dr Rodney Moody | Physician | FT | $474,039 | $28,624 | $502,663 |
| Name | Title |
|---|---|
| Kimberly Stumpp | Chair |
| Ginger Jones | Vice Chair |
| Adele Webb | Trustee |
| Beth Kroetz | Trustee |
| Cheryl Buckland | Trustee |
| Dan Kennard | Trustee |
| Fank a Casiano | Trustee |
| Jamie Stall | Trustee |
| Jeff Shrader | Trustee |
| John Reineke | Trustee |
| Michael Brough | Trustee |
| Richard States | Trustee |
| William Hopkins Md | Trustee |
| Dave Cytlak | Chief Financial Officer |
| Dr Angelo Collins | Physician |
| Dr Kyle Barden | Physician |
| James PF Dowling Md | Secretary |
| Joseph Longo | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Mckesson Plasma Biologics LLC | Medical Supplies | 401 MASON ROAD SUITE 100, Lavergne, TN 37086 | $520,702 |
| Covidien LP | Medical Supplies | 15 HAMPSHIRE STREET, Mansfield, MA 02048 | $493,975 |
| Edwards Lifesciences LLC | Medical Supplies | ONE EDWARDS WAY, Irvine, CA 92614 | $140,274 |
| Line Item | Amount |
|---|---|
| Other Expenses | $152,931,680 |
| Salaries, Compensation, and Employee Benefits | $134,878,080 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $91,664,377 | $16,176,067 | - | $107,840,444 |
| Other Employee Benefits | $18,461,978 | $3,257,996 | - | $21,719,974 |
| Depreciation Depletion | $10,580,413 | $1,867,132 | - | $12,447,545 |
| Office Expenses | $10,130,141 | $1,787,672 | - | $11,917,813 |
| Fees for Services Other | $7,373,307 | $1,301,172 | - | $8,674,479 |
| Information Technology | $7,039,293 | $1,242,228 | - | $8,281,521 |
| All Other Expenses | $6,999,214 | $1,235,155 | - | $8,234,369 |
| Interest | $4,646,072 | $819,895 | - | $5,465,967 |
| Pension Plan Contributions | $2,311,933 | $407,988 | - | $2,719,921 |
| Current Officers, Directors, Trustees, and Key Employees | $2,208,080 | $389,661 | $0 | $2,597,741 |
| Occupancy | $1,758,368 | $310,300 | - | $2,068,668 |
| Fees for Services Accounting | $1,175,387 | $207,421 | - | $1,382,808 |
| Insurance | $822,191 | $145,093 | - | $967,284 |
| Advertising | $720,658 | $127,175 | - | $847,833 |
| Other Expenses | $530,540 | $78,054 | - | $608,594 |
| Travel | $509,056 | $89,833 | - | $598,889 |
| Fees for Services Lobbying | - | $15,571 | - | $15,571 |
| Total Functional Expenses | $258,054,745 | $29,755,015 | $0 | $287,809,760 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $287,809,760 |
| Expenses per Audited Statements | $270,845,857 |
| Total Expenses per Audited Statements | $270,845,857 |
| Expenses Not Reported on Financial Statements | $16,963,903 |
| Other Expense Adjustments | $16,963,903 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Interest Rate Swap Obligation | $7,003,000 |
| Pension Liability | $4,640,000 |
| Third Party Settlements | $1,541,000 |
| Minority Interest in Pain Mana | $661,000 |
| Lease Liability | $610,000 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | County of Hancock | 2011-04-14 | $108,706,899 | Refund issue dated 11/4/2004 |
| C | Village of Bluffton Ohio | 2017-12-14 | $85,150,000 | REFUNDING |
| A | Village of Bluffton Ohio | 2017-12-28 | $7,575,000 | Refund issue dated 6/13/2012 |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $108,706,899 | $106,832,052 | $104,325,000 | $1,874,847 |
| C | $85,150,000 | $84,023,573 | $10,040,000 | $1,106,427 |
| A | $7,575,000 | $7,478,790 | $1,750,000 | $96,210 |
“Myron lewis and dr. Richard polder are board members and paid employees of a related organization. Due to their employment, they are considered non independent voting members of the board.”
“Blanchard valley health system, an ohio non-profit corporation, is the sole member of blanchard valley regional health center.”
“A detailed review of the form 990 is performed by the organization's compliance & audit committee. This committee is comprised of members of the board of trustees, members of the community, and members of upper management. The compliance & audit committee reports to the board of trustees any areas of concern regarding the form 990's. Once the form 990's have been finalized, reviewed and approved, the members of board of trustees receive electronic communication that the form 990's are complete and available for review. Any questions arising from board members are addressed by the compliance & audit committee, upper management, the accounting department, and/or external accountants.”
“Annually, the organization asks its board members, corporate officers, upper management, and key employees to complete conflict of interest surveys. These surveys also include relationship & activity questions that these individuals are asked to complete for the form 990 filing year. Board members are required to bring to the attention of executive management any conflicts as they arise. These conflicts are documented in the board minutes. Board members that have conflicts are to excuse themselves from discussions and/or voting on issues with which a conflict exists.”
“The organization reviews executive compensation, benefits, and prerequesites on a periodic basis to ensure consistency with compensation philosophy and market practice. A subset of members from the board of trustees serves as the executive compensation review committee, and this committee meets to approve wage increases as well as reviews the organization's position in the market when it comes to executive compensation. In addition, the executive compensation review committee regularly engages a human resources consulting firm to assess the reasonableness of the compensation program used for its executives. The organization is committed to a decision-making process for executive compensation that is consistent with internal revenue code section 4958 requirements for obtaining a rebuttable presumption of reasonableness. *the members of the committee approving executive compensation decisions are individuals who are disinterested (i.e., do not have a conflict of interest with respect to the arrangements). *the committee reviews objective data, including survey data prepared by independent firms, as part of the decision-making process. *the market data provided in the compensation report from the consulting firm assists the organization in establishing the rebuttable presumption of reasonableness. The organization consults with sullivan cotter and associates (an external consultant) on an annual basis to review compensation matters. On a biennial basis, the organization performs a full compensation and benefit analysis and review. The results of the review by sullivan cotter and associates are shared/discussed with the board.”
“The same process applies for all other executive steering committee members as detailed for the ceo.”
“Financial statements, required tax forms (i.e., form 990), as well as governing documents and conflict of interest policies are available upon request through the administrative and finance offices.”
“Change in interest rate swap agreement 10,698,000 defined benefit pension plan 15,673,000 other changes in noncontrolling interest -13,010,000 transfers to affiliates -75,260,000 change in perpetual trusts -1,574,000 pension settlement cost -4,177,000 total $ -67,650,000”
“Endowment funds are utilized for donor designated purposes, including charity care, capital projects and purchases, and continuing education for staff and physicians.”
“Change in interest rate swap agreement 10,698,000 defined benefit pension plan 15,673,000 total $26,371,000”
“Bad debt reclass 16,963,903 other changes in noncontrolling interest 13,010,000 transfers to affiliates 75,260,000 pension settlement cost 4,177,000 change in perpetual trust 1,574,000 total $110,984,903”
“Bad debt reclass $16,963,903”
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 3382000 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2676000 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 52598000 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 48604000 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | BLANCHARD VALLEY REGIONAL HEALTH CENTER OPERATES TWO HOSPITALS OFFERING INPATIENT, EMERGENCY, MATERNITY, AND OUTPATIENT SERVICES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 127175 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 720658 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 847833 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1235155 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 6999214 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 8234369 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | DAVID CYTLAK |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4194234500 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1900 SOUTH MAIN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | FINDLAY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 45840 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/FundraisingAmt | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 389661 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 2208080 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2597741 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 140274 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 493975 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 520702 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | ONE EDWARDS WAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 15 HAMPSHIRE STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 401 MASON ROAD SUITE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | IRVINE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MANSFIELD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | LAVERGNE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 92614 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 02048 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 37086 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | EDWARDS LIFESCIENCES LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | COVIDIEN LP |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | MCKESSON PLASMA BIOLOGICS LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MEDICAL SUPPLIES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL SUPPLIES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MEDICAL SUPPLIES |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 25160898 |
| IRS990/CYOtherExpensesAmt | 0 | 152931680 |
| IRS990/CYOtherRevenueAmt | 0 | 8936500 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 349394362 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 95682000 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 134878080 |
| IRS990/CYTotalExpensesAmt | 0 | 287809760 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 383491760 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1867132 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 10580413 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 12447545 |
| IRS990/Desc | 0 | NEUROSCIENCES SERVICES: NEUROSCIENCES SERVICES AT BLANCHARD VALLEY REGIONAL HEALTH CENTER (BVRHC) INCLUDE: SPINAL SURGERY, CRANIAL SURGERY, PERIPHERAL NERVE SURGERY, PAIN MANAGEMENT SURGERY, AND MANY OTHER PROCEDURES. ALSO, BVRHC PROVIDES SERVICES THAT DIAGNOSE, TREAT, AND MANAGE DISORDERS OF THE BRAIN AND NERVOUS SYSTEM. WE WORK DIRECTLY WITH OUR PATIENTS TO CREATE A HEALTH CARE PLAN TO FIT THEIR NEEDS. OUR CONTINUING GOAL IS TO PROVIDE SUPERIOR OUTCOMES BY UTILIZING THE LATEST SURGICAL TECHNIQUES AND EVIDENCE-BASED MEDICINE GUIDELINES TO ACHIEVE CLINICAL EXCELLENCE. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 18794000 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 17013000 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 2772 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 17186827 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 207421 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 1175387 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 1382808 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 15571 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 15571 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1301172 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 7373307 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 8674479 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 39.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 32.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 32.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.5 |
| 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/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | 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 | 26386 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 21871 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 18778 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 26386 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 15788 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 24620 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 20671 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 24491 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MYRON LEWIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DR DEREK THOMAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DR JINGA JANANI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DR KYLE BARDEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DR RODNEY MOODY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DAVE CYTLAK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DR ANGELO COLLINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | RICHARD POLDER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KIMBERLY STUMPP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | GINGER JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JOSEPH LONGO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JAMES PF DOWLING MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | FANK A CASIANO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CHERYL BUCKLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MICHAEL BROUGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | WILLIAM HOPKINS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DAN KENNARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | BETH KROETZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | RICHARD STATES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ADELE WEBB |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JOHN REINEKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JEFF SHRADER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | JAMIE STALL |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 619844 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 502336 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 493056 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 500515 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 481992 |
| 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/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 779794 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 491422 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 381109 |
| 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/TitleTxt | 0 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | TRUSTEE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1982 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 3126845 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 35456579 |
| IRS990/GrossReceiptsAmt | 0 | 415821494 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 32000 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 15 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 267 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1242228 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 7039293 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 8281521 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 145093 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 822191 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 967284 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 819895 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 4646072 |
| IRS990/InterestGrp/TotalAmt | 0 | 5465967 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 8662000 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 9872000 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 22008053 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 22008053 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 688000 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 688000 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 423976021 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 389988729 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 285 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 190877000 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 98066000 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 95782000 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 286659000 |
| IRS990/LegalDomicileStateCd | 0 | OH |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 32329734 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | OUR MISSION: OUR EXTRAORDINARY PEOPLE PROVIDE CARING FOR A LIFETIME THROUGH A BROAD CONTINUUM OF EXCEPTIONAL HEALTH-RELATED SERVICES IN NORTHWEST OHIO. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 285000 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 291000 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 552152083 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 516067083 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 3126845 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 26000 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 3152845 |
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