Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
EIN 34-4429514 • 501(c)3 • Van Wert, OH
Profile
Van Wert County Hospital will meet the community health care needs by continually endeavoring to improve the quality of patient care we provide within our resource capabilities. Programs and services sponsored by the Van Wert County Hospital will serve as an access point to health care within our community. We accept responsibility for providing community leadership. Van Wert County Hospital assures that health care services provided are available to all members of the communities we serve regardless of race, creed, sex, national origin, or ability to pay, while at the same time respecting both the rights and responsibilities of our patients.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
Liabilities / Revenue
63rd percentile
Higher debt load relative to revenue than 63% of similar nonprofits.
Net Margin
1st percentile
Higher net margin than 1% of similar nonprofits.
Top Officer Pay
6th percentile
Higher top officer pay than 6% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
2nd percentile
Faster asset growth than 2% of similar nonprofits.
Revenue Growth
1st percentile
Faster revenue growth than 1% of similar nonprofits.
Assets
Down$102,449,309
Down $18,362,347 (-15%) from 2021
Liabilities
Up$67,413,405
Up $328,137 (+0.5%) from 2021
Net Assets
Down$35,035,904
Down $18,690,484 (-35%) from 2021
Revenue
Down$68,587,926
Down $11,459,099 (-14%) from 2021
Expenses
Down$84,213,342
Down $3,134,390 (-3.6%) from 2021
Net Income
Down-$15,625,416
Down $8,324,709 (-114%) from 2021
Most recent year
2022 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Van Wert County Hospital will meet the community health care needs by continually endeavoring to improve the quality of patient care we provide within our resource capabilities. Programs and services sponsored by the Van Wert County Hospital will serve as an access point to health care within our community. We accept responsibility for providing community leadership. Van Wert County Hospital assures that health care services provided are available to all members of the communities we serve regardless of race, creed, sex, national origin, or ability to pay, while at the same time respecting both the rights and responsibilities of our patients.
To be the best community hospital.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $72,984,311 | $64,299,169 | ▼ $8,685,142 |
| Accounts Receivable | $12,716,334 | $10,907,566 | ▼ $1,808,768 |
| Investments in Publicly Traded Securities | $16,908,420 | $7,263,482 | ▼ $9,644,938 |
| Cash and Non-Interest-Bearing Accounts | $527,410 | $1,924,819 | ▲ $1,397,409 |
| Prepaid Expenses and Deferred Charges | $893,264 | $998,615 | ▲ $105,351 |
| Inventories for Sale or Use | $577,828 | $404,018 | ▼ $173,810 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $120,811,656 | $102,449,309 | ▼ $18,362,347 |
| Other Assets Total | $16,204,089 | $16,651,640 | ▲ $447,551 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $59,070,521 | $58,154,273 | ▼ $916,248 |
| Accounts Payable and Accrued Expenses | $5,602,605 | $7,638,528 | ▲ $2,035,923 |
| Other Liabilities | $0 | $1,574,266 | ▲ $1,574,266 |
| Mortgage Notes Payable Secured by Investment Property | $2,400,279 | $46,338 | ▼ $2,353,941 |
| Grants Payable | $11,863 | $0 | ▼ $11,863 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Total Liabilities | $67,085,268 | $67,413,405 | ▲ $328,137 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $49,208,519 | $30,988,588 | ▼ $18,219,931 |
| Net Assets With Donor Restrictions | $4,517,869 | $4,047,316 | ▼ $470,553 |
| Total Net Assets Fund Balance | $53,726,388 | $35,035,904 | ▼ $18,690,484 |
| Total Liabilities and Net Assets / Fund Balance | $120,811,656 | $102,449,309 | ▼ $18,362,347 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $7,491,609 | $64,231,234 | $71,722,843 |
| Equipment | $51,556,937 | $1,107,082 | $52,664,019 |
| Land | $5,224,695 | - | $5,224,695 |
| Other Land Buildings | $25,928 | - | $25,928 |
| Other Assets Org | $7,028,222 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2022 | $4,517,869 | - | ▼ $456,771 | - | $4,047,316 |
| 2021 | $4,484,658 | - | - | - | $4,484,658 |
| 2020 | $9,388,032 | $304,675 | ▲ $311,613 | $5,519,662 | $4,484,658 |
| 2019 | $9,053,290 | - | ▲ $714,479 | $285,100 | $9,388,032 |
| 2018 | $8,958,410 | - | ▲ $274,201 | $105,932 | $9,053,290 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Scott Shie | Physician | FT | $789,781 | $233,168 | $1,022,949 |
| Dr Nicholai Kiehl | Physician | FT | $790,346 | $227,564 | $1,017,910 |
| Thomas Conte MD | Chief of Staff | FT | $417,568 | $284,198 | $701,766 |
| Dr M Nizar Orfahli | Physician | FT | $424,442 | $157,262 | $581,704 |
| James Pope | CEO - Term Ended | FT | $471,152 | $54,112 | $525,264 |
| Dr Charles Hoehn | Physician | FT | $315,000 | $205,062 | $520,062 |
| Dr Jeremy Stoller | Physician | FT | $431,062 | $74,374 | $505,436 |
| Edgar Silalahi | CFO | FT | $222,086 | $48,654 | $270,740 |
| Jon Bagley | Interm CEO | FT | $199,388 | $12,639 | $212,027 |
| Paula Stabler | CNO/COO | FT | $186,249 | $15,566 | $201,815 |
| Leslie Beining | Asst CNO | FT | $87,538 | $6,697 | $94,235 |
| Elizabeth Neuschwanger | CNO/COO | FT | $41,914 | $7,252 | $49,166 |
| Adam Houg MD | Trustee | - | $35,993 | - | $35,993 |
| Ben Faurote | Trustee | - | $35,993 | - | $35,993 |
| Eric Jelinger Md | Trustee | - | $35,993 | - | $35,993 |
| Mike Keysor | Chairperson | - | $35,993 | - | $35,993 |
| Tom Turnwald | Vice-Chairperson | - | $35,993 | - | $35,993 |
| Tim Jurzyk | Past Chairperson | - | $22,639 | - | $22,639 |
| Aaron Baker | Secretary | - | $11,902 | - | $11,902 |
| Name | Title |
|---|---|
| Barb Kohnen | Trustee |
| Jeff Snyder | Trustee |
| Todd Wolfrum | Trustee |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Quorum Health Resources LLC | Rev Cycle | 1573 Mallory Lane Suite 200, Brentwood, TN 37027 | $2,964,749 |
| Therapy Solutions LLC | Rehabilitation | 120 West Main Street, Van Wert, OH 45891 | $2,495,727 |
| Cardinal Health Pharmacy | Pharmacy | 71 MIL Acres Drive, Columbus, OH 43218 | $1,586,717 |
| New Vision Medical Labs Inc | Laboratory | 750 West High Street Suite 400, Lima, OH 45801 | $1,374,100 |
| Medline Industries | Healthcare Supplies | Dept CH 1400, Palatine, IL 60055 | $1,342,328 |
| Line Item | Amount |
|---|---|
| Other Expenses | $47,574,324 |
| Salaries, Compensation, and Employee Benefits | $36,639,018 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $20,788,852 | $6,030,324 | - | $26,819,176 |
| Fees for Services Other | $16,332,001 | $4,737,504 | $0 | $21,069,505 |
| Depreciation Depletion | $5,295,128 | $1,535,984 | - | $6,831,112 |
| Other Employee Benefits | $4,329,667 | $1,255,928 | - | $5,585,595 |
| Interest | $3,179,346 | $922,249 | - | $4,101,595 |
| Current Officers, Directors, Trustees, and Key Employees | $1,604,185 | $465,334 | - | $2,069,519 |
| Payroll Taxes | $1,353,442 | $392,599 | - | $1,746,041 |
| Information Technology | $1,086,704 | $315,226 | - | $1,401,930 |
| Office Expenses | $1,080,601 | $313,455 | - | $1,394,056 |
| Occupancy | $916,644 | $265,896 | - | $1,182,540 |
| Other Expenses | $928,558 | $0 | - | $928,558 |
| Insurance | $624,259 | $181,082 | - | $805,341 |
| All Other Expenses | $421,742 | $122,336 | - | $544,078 |
| Pension Plan Contributions | $324,545 | $94,142 | - | $418,687 |
| Fees for Services Legal | $251,139 | $72,849 | - | $323,988 |
| Travel | $192,914 | $55,960 | - | $248,874 |
| Advertising | $171,778 | $49,829 | - | $221,607 |
| Fees for Services Accounting | $78,143 | $22,667 | - | $100,810 |
| Fees for Service Investment Mgmnt Fees | $15,990 | $4,638 | - | $20,628 |
| Total Functional Expenses | $66,982,966 | $17,230,376 | $0 | $84,213,342 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Ohio Medical Imaging Associates | See Part V | Radiology Services | Yes | $798,000 |
| 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 |
|---|---|
| Lease Liability | $1,574,266 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | County of Van Wert Oh | 2020-03-01 | $61,290,000 | Revenue refunding and improvement |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $36,376,499 | $2,772 | $9,728,003 | $1,645,468 |
“Members or stockholders any person, age 18 or older and residing in van wert county hospital's geographic service area, who shall have contributed the sum of one dollar or more to the association during the calendar year, shall be a member. A contribution of twenty five dollars at any time shall constitute a life membership.”
“Persons and rights the board of trustees shall be elected by the members of the association at the regular annual meeting. One shall be appointed by the van wert county board of commissioners.”
“Persons, decisions, and voting rights subject to the articles of incorporation and this code of regulations, each member of the association in good standing shall be qualified to vote on any issues that may properly come before any meeting of the members of the association.”
“Process to review the form 990 the process of reviewing the form 990 entails a detailed review by the organization's management prior to filing the return with the irs.”
“Practice for monitoring compliance the written conflict of interest policy is regularly and consistently monitored by the chairperson of the board of trustees and the president and ceo. The scope of this policy includes all staff and board of trustees members. A conflict of interest questionnaire is completed on an annual basis and reviewed by the executive committee. Any issues that arise are addressed with the individual at that point. Any issues that arise thoughout the year are dealt with as necessary. This may involve declaring the conflict of interest and abstaining from discussion or a vote on specific topics. This could also take the form of recusing oneself from part or a whole meeting as necessary and required depending upon the topic for discusion and/or action.”
“Compensation review the compensation committee contracts with an outside, independent firm to provide a compensation study and evaluation. The committee then uses the results of the study in consultation with the compensation firm and then compensation philosophy policy to make compensation decisions. The last compensation review was performed in 2019.”
“The organization's financial statements are made available to the public as an attachment to form 990 at www.guidestar.org or upon request. The governing documents and conflict of interest policy are made available upon request.”
“The amended form 990 included changes to the following parts/schedules: - form 990, part vii, section a, column (d) and column (f) - form 990, part ix, lines 5 and 7 - form 990, schedule j, part i, line 4b - form 990, schedule j, part ii - form 990, schedule j, part iii”
“Description:other fees for services total fees:21069505”
“The investment income generated by the endowment funds distributed to the hospital is able to be used for general operating and capital equipment needs.”
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 | 5602605 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 7638528 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 12716334 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 10907566 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO BE THE BEST COMMUNITY HOSPITAL. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 49829 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 171778 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 221607 |
| IRS990/AllOtherContributionsAmt | 0 | 110825 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 122336 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 421742 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 544078 |
| IRS990/AmendedReturnInd | 0 | X |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | FINANCE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6145444350 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3430 OHIOHEALTH PARKWAY |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | COLUMBUS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 43202 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | true |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 527410 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1924819 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 54 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 465334 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1604185 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2069519 |
| 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 | 2964749 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2495727 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1586717 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1374100 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1342328 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1573 Mallory Lane Suite 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 120 West Main Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 71 MIL Acres Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 750 West High Street Suite 400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | Dept CH 1400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | BRENTWOOD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | VAN WERT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | COLUMBUS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | LIMA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | PALATINE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 37027 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 45891 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 43218 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 45801 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 60055 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | Quorum Health Resources LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | Therapy Solutions LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | Cardinal Health Pharmacy |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | New Vision Medical Labs Inc |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | Medline Industries |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | REV CYCLE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Rehabilitation |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PHARMACY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | LABORATORY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Healthcare Supplies |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 907571 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 823002 |
| IRS990/CYOtherExpensesAmt | 0 | 47574324 |
| IRS990/CYOtherRevenueAmt | 0 | 2882056 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 63975297 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -15625416 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 36639018 |
| IRS990/CYTotalExpensesAmt | 0 | 84213342 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 68587926 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| 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 | 1535984 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 5295128 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 6831112 |
| IRS990/Desc | 0 | INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | VAN WERT HEALTH |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 4517869 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 4047316 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 340 |
| 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 | 66982966 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 22667 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 78143 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 100810 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 72849 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 251139 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 323988 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 4737504 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 16332001 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 21069505 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 4638 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 15990 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 20628 |
| 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 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.0 |
| 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 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 65201 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 59597 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 261991 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 64119 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 50920 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 58013 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 52383 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 46423 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 12014 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 14415 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 6697 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 7252 |
| 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/PersonNm | 0 | Dr Scott Shie |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Dr Nicholai Kiehl |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Thomas Conte MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Dr M Nizar Orfahli |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | James Pope |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Dr Charles Hoehn |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Dr Jeremy Stoller |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Edgar Silalahi |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Jon Bagley |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Paula Stabler |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Leslie Beining |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Elizabeth Neuschwanger |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Ben Faurote |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Adam Houg MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Eric Jelinger Md |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Mike Keysor |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Tom Turnwald |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Tim Jurzyk |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Aaron Baker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Barb Kohnen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Jeff Snyder |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Todd Wolfrum |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 957748 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 958313 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 439775 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 517585 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 474344 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 462049 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 453053 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 224317 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 200013 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 187400 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 87538 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 41914 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 35993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 35993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 35993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 35993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 35993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 22639 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 11902 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Chief of Staff |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CEO - TERM ENDED |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Interm CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CNO/COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Asst CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CNO/COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Chairperson |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Vice-Chairperson |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Past Chairperson |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Trustee |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 1905 |
| 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 | 527976 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 796746 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 11863 |
| 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 | 527976 |
| IRS990/GrossReceiptsAmt | 0 | 69233483 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1112841 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 43 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 315226 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1086704 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1401930 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 181082 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 624259 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 805341 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 922249 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 3179346 |
| IRS990/InterestGrp/TotalAmt | 0 | 4101595 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 577828 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 404018 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 295026 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 295026 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 16908420 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 7263482 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 188 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 65338316 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 72984311 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 64299169 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 129637485 |
| IRS990/LegalDomicileStateCd | 0 | OH |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 645557 |
| 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 |
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