Liabilities / Assets
61st percentile
Higher debt load relative to assets than 61% of similar nonprofits.
EIN 35-6067049 • 501(c)3 • Batesville, IN
Profile
Improve the health of the communities it serves.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
61st percentile
Higher debt load relative to assets than 61% of similar nonprofits.
Liabilities / Revenue
69th percentile
Higher debt load relative to revenue than 69% of similar nonprofits.
Net Margin
59th percentile
Higher net margin than 59% of similar nonprofits.
Top Officer Pay
59th percentile
Higher top officer pay than 59% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
97th percentile
Faster asset growth than 97% of similar nonprofits.
Revenue Growth
28th percentile
Faster revenue growth than 28% of similar nonprofits.
Assets
Up$276,460,458
Up $97,904,520 (+55%) from 2023
Liabilities
Up$113,317,545
Up $88,028,928 (+348%) from 2023
Net Assets
Up$163,142,913
Up $9,875,592 (+6.4%) from 2023
Revenue
Up$139,856,673
Up $3,603,563 (+2.6%) from 2023
Expenses
Up$130,096,082
Up $3,129,484 (+2.5%) from 2023
Net Income
Up$9,760,591
Up $474,079 (+5.1%) 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.
Improve the health of the communities it serves.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $118,415,383 | $90,232,709 | ▼ $28,182,674 |
| Land, Buildings, and Equipment, Net | $52,347,882 | $50,321,989 | ▼ $2,025,893 |
| Accounts Receivable | $18,579,943 | $17,116,362 | ▼ $1,463,581 |
| Savings and Temporary Cash Investments | $6,802,841 | $5,584,760 | ▼ $1,218,081 |
| Inventories for Sale or Use | $1,305,709 | $1,513,421 | ▲ $207,712 |
| Prepaid Expenses and Deferred Charges | $2,281,592 | $1,312,125 | ▼ $969,467 |
| Total Assets | $200,618,179 | $171,043,976 | ▼ $29,574,203 |
| Other Assets Total | $884,829 | $4,962,610 | ▲ $4,077,781 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $16,934,291 | $14,860,388 | ▼ $2,073,903 |
| Accounts Payable and Accrued Expenses | $17,874,308 | $13,850,578 | ▼ $4,023,730 |
| Other Liabilities | $16,269,472 | $3,820,063 | ▼ $12,449,409 |
| Unsecured Notes Loans Payable | $979,966 | $0 | ▼ $979,966 |
| Total Liabilities | $52,058,037 | $32,531,029 | ▼ $19,527,008 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $148,431,143 | $138,398,745 | ▼ $10,032,398 |
| Net Assets With Donor Restrictions | $128,999 | $114,202 | ▼ $14,797 |
| Total Net Assets Fund Balance | $148,560,142 | $138,512,947 | ▼ $10,047,195 |
| Total Liabilities and Net Assets / Fund Balance | $200,618,179 | $171,043,976 | ▼ $29,574,203 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $26,095,840 | $54,639,584 | $80,735,424 |
| Equipment | $17,355,880 | $58,416,939 | $75,772,819 |
| Land | $5,798,684 | - | $5,798,684 |
| Other Land Buildings | $1,071,585 | - | $1,071,585 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2022 | $117,852,374 | $2,379 | ▼ $28,167,878 | $17,176 | $89,669,699 |
| 2021 | $102,459,356 | $18,079 | ▲ $15,387,588 | $12,649 | $117,852,374 |
| 2020 | $81,198,046 | $96,800 | ▲ $21,320,366 | $155,856 | $102,459,356 |
| 2019 | $71,470,580 | $147,770 | ▲ $9,641,331 | $61,635 | $81,198,046 |
| 2018 | $82,670,632 | $12,504 | ▼ $11,193,041 | $19,515 | $71,470,580 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Maggio | Physician | FT | $695,992 | $38,628 | $734,620 |
| Jeffrey Hatcher Md | Physician | FT | $616,413 | $63,120 | $679,533 |
| Jon Geers Md | Physician | FT | $499,240 | $125,380 | $624,620 |
| Paul Jarvis Md | Physician | FT | $523,566 | $70,650 | $594,216 |
| John Gryspeerdt Md | Member/chief of Staff | FT | $311,423 | $237,407 | $548,830 |
| Brian Albers | Physician | FT | $467,867 | $40,939 | $508,806 |
| Liz Leising | President | FT | $341,552 | $105,008 | $446,560 |
| Brian Daeger | VP Operations | FT | $258,829 | $117,672 | $376,501 |
| Craig Polkow | VP Finance | FT | $259,708 | $108,913 | $368,621 |
| Timothy Putnam | Former President | - | $316,874 | $17,944 | $334,818 |
| Kim Inscho | VP Human Resources | FT | $220,387 | $99,474 | $319,861 |
| Julie Keene | VP Physician Services | FT | $204,576 | $89,084 | $293,660 |
| Devan Reuss | VP Patient Services | FT | $164,048 | $44,997 | $209,045 |
| Name | Title |
|---|---|
| George Junker | Board Chair |
| Mary Ann Wise-castner | Board Vice Chair |
| Tim Ziemke | Board Secretary |
| Ronald Knueven | Board Treasurer |
| Arnie Kirschner | Member |
| Charles Mcgovern Md | Member |
| Jeff Ollier | Member |
| Joe Moorman | Member |
| Jorge Lopez | Member |
| Kristina Cerniglia | Member |
| Lea Ann King | Member |
| Sister Diane Jamison | Member |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Kpm-edllc | Er Physician Staffing Service | 7770 COOPER ROAD SUITE 8, Montgomery, OH 45242 | $2,539,986 |
| Medical Solutions LLC | Nurse Staffing Service | PO BOX 636128, Cincinnati, OH 45262 | $1,947,916 |
| Trimedx | Clinical Equipment Maintenance | PO BOX 636129, Cincinnati, OH 45263 | $1,134,012 |
| Orthopaedic Surgical Care Institute | Professional Services - Physicians | 309 EGS BLVD, Batesville, IN 47006 | $957,884 |
| Indiana University Health | Professional Services - Physicians | 950 N MERIDIAN STREET SUITE 800, Indianapolis, IN 46204 | $878,826 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $69,608,115 |
| Other Expenses | $59,027,120 |
| Grants and Similar Amounts Paid | $344,610 |
| Total Fundraising Expense | $95,773 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $38,885,711 | $9,947,793 | - | $48,833,504 |
| Fees for Services Other | $13,130,651 | $6,653,718 | - | $19,784,369 |
| Other Employee Benefits | $10,672,735 | $2,522,848 | - | $13,195,583 |
| Depreciation Depletion | $6,107,662 | $1,550,696 | - | $7,658,358 |
| All Other Expenses | $4,148,659 | $1,425,518 | $95,773 | $5,669,950 |
| Payroll Taxes | $2,774,876 | $709,872 | - | $3,484,748 |
| Current Officers, Directors, Trustees, and Key Employees | $2,307,570 | $590,326 | - | $2,897,896 |
| Occupancy | $1,613,541 | $405,098 | - | $2,018,639 |
| Pension Plan Contributions | $952,671 | $243,713 | - | $1,196,384 |
| Office Expenses | $790,300 | $275,880 | - | $1,066,180 |
| Insurance | $781,214 | $81,074 | - | $862,288 |
| Interest | $570,449 | $125,915 | - | $696,364 |
| Advertising | $445,873 | $155,647 | - | $601,520 |
| Other Expenses | $359,243 | $125,405 | - | $484,648 |
| Fees for Services Legal | $160,968 | $197,753 | - | $358,721 |
| Grants to Domestic Orgs | $324,610 | - | - | $324,610 |
| Travel | $231,077 | $80,665 | - | $311,742 |
| Conferences and Meetings | $203,462 | $71,025 | - | $274,487 |
| Grants to Domestic Individuals | $20,000 | - | - | $20,000 |
| Total Functional Expenses | $103,421,913 | $25,462,159 | $95,773 | $128,979,845 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Margaret Mary Health Foundation | Batesville, IN | 501c3 | In-kind Expenses Paid to Assist the Foundation. | $324,610 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Estimated Third-party Settlement | $3,153,308 |
| Right of Use Liabilities | $434,562 |
| Derivative Liability | $232,193 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Indiana Health Facility Financing Authority | 2004-04-01 | $22,000,000 | SEE PART VI |
| B | Indiana Health Facility Financing Authority | 2010-12-16 | $16,625,235 | SEE PART VI |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $22,000,000 | $8,625,235 | - | $264,000 |
| B | $16,625,235 | - | - | $16,625 |
“The organization has members. All adult residents of the area served by margaret mary health shall be eligible for membership in the organization. Any such resident may become a member by payment of the annual membership fee provided for in the by-laws of the organization.”
“Each member whose current annual membership has been paid at least ten days in advance of any meeting shall be entitled to one vote at any meeting of the members. The members of the organization elect the board of directors.”
“The process of reviewing the form 990 entails a detailed review by the organization's accounting department. The form 990 is then presented and reviewed with the finance committee. Once approved by the finance committee, the governing body receives an electronic copy of the form 990 including requested schedules, as ultimately filed with the irs, for review and approval prior to filing with the irs.”
“The governing documents, conflict of interest policy, and financial statements are made available to the public upon written request.”
“The written conflict of interest policy is regularly and consistently monitored and compliance enforced by kim inscho, mmh corporate compliance officer. The scope of this policy includes all board and finance committee members, senior management of mmh, and any physician who holds a medical directorship position at mmh. The policy is in place to identify and appropriately deal with a conflict of interest situation that may exist. The covered persons are to refrain from transactions that could potentially create a conflict of interest. A self disclosure from covered persons to kim inscho, mmh corporate compliance officer, is required on any potential conflicts of interest. Depending on the type of conflict of interest, the covered person would not participate in any deliberation or decisions on such transactions. This would include abstaining from voting on certain matters. Kim inscho, mmh corporate compliance officer, is responsible for reviewing and researching the conflicts disclosed.”
“The process for determining compensation for the chief executive officer is made by the independent board of directors. The board thoroughly reviews compensation information and hires outside consultants to advise appropriate salary ranges. The deliberation and decision is documented in the minutes. Other officers or key employees compensation is determined by ceo.”
“The governing documents, conflict of interest policy, and financial statements are made available to the public upon written request.”
“Margaret mary health margaret mary health partners osgood primary care margaret mary health hospice”
“Contract labor/purchased services: program service expenses 5,376,805. Management and general expenses 6,653,718. Fundraising expenses 0. Total expenses 12,030,523. Professional fees - medical: program service expenses 7,753,846. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,753,846.”
“Net unrealized gains/(losses) derivative 843,544.”
“The finance committee of the board of directors assumes responsibility for the oversight of the audit of the financial statements and no processes have changed from the prior year.”
“The assets whose use is limited are assets whose use is limited by internal board designation including cash and cash equivalents, accrued interest receivable, and market securities which are being used for capital improvements, retirement plan, and for debt service payments. Temporarily restricted net assests are the funds whose use has been limited by exteranal sources for a specific time period or purpose which are being used for scholarships and other hospital programs.”
“Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the hospital and the foundation and recognize a tax liability if the hospital and foundation have taken an uncertain position that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by the hospital and the foundation, and has concluded that as of december 31, 2022 and 2021, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying consolidated financial statements. The hospital and foundation are subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.”
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 | 17874308 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 13850578 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 18579943 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 17116362 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 155647 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 445873 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 601520 |
| IRS990/AllOtherContributionsAmt | 0 | 253591 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 95773 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1425518 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 4148659 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 5669950 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | TISHA OWENS CONTROLLER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8129346624 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 321 MITCHELL AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BATESVILLE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 470060226 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 13 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 590326 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 2307570 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2897896 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 71025 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 203462 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 274487 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2539986 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1947916 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1134012 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 957884 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 878826 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 7770 COOPER ROAD SUITE 8 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 636128 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 636129 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 309 EGS BLVD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 950 N MERIDIAN STREET SUITE 800 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MONTGOMERY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CINCINNATI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CINCINNATI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BATESVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | INDIANAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 45242 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 45262 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 45263 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 47006 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 46204 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | KPM-EDLLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MEDICAL SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | TRIMEDX |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | ORTHOPAEDIC SURGICAL CARE INSTITUTE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | INDIANA UNIVERSITY HEALTH |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ER PHYSICIAN STAFFING SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | NURSE STAFFING SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CLINICAL EQUIPMENT MAINTENANCE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PROFESSIONAL SERVICES - PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PROFESSIONAL SERVICES - PHYSICIANS |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 3232339 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 344610 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2818872 |
| IRS990/CYOtherExpensesAmt | 0 | 59027120 |
| IRS990/CYOtherRevenueAmt | 0 | 3090090 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 124518672 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 4680128 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 69608115 |
| IRS990/CYTotalExpensesAmt | 0 | 128979845 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 95773 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 133659973 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1550696 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 6107662 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 7658358 |
| IRS990/Desc | 0 | HEALTH CARE SERVICES RELATED TO IMPROVING THE HEALTH OF THE COMMUNITY FOR BOTH INPATIENT AND OUTPATIENT PROGRAMS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | MARGARET MARY HEALTH |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 128999 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 114202 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 914 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 93562060 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 197753 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 160968 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 358721 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 6653718 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 13130651 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 19784369 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| 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/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 | 25594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 28567 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 28587 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 28588 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 28374 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 26308 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 23504 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 28628 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 47084 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 28650 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 33645 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 29846 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 17944 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LIZ LEISING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GEORGE JUNKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MARY ANN WISE-CASTNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | TIM ZIEMKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | RONALD KNUEVEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KRISTINA CERNIGLIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | SISTER DIANE JAMISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | LEA ANN KING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ARNIE KIRSCHNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JORGE LOPEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | CHARLES MCGOVERN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JOE MOORMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JEFF OLLIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JOHN GRYSPEERDT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BRIAN DAEGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CRAIG POLKOW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | KIM INSCHO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JULIE KEENE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | DEVAN REUSS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MICHAEL MAGGIO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JEFFREY HATCHER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | PAUL JARVIS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | JON GEERS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | BRIAN ALBERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | TIMOTHY PUTNAM |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 420966 |
| 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 | 520263 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 347914 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 340033 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 291487 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 267352 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 185541 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 705992 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 632449 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 565566 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 590975 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 478960 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 316874 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | MEMBER/CHIEF OF STAFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VP FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VP HUMAN RESOURCES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP PHYSICIAN SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | VP PATIENT SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | FORMER PRESIDENT |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1967 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -1520744 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 2803364 |
| IRS990/GrantAmt | 0 | 344610 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 20000 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 20000 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 324610 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 324610 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 22285732 |
| IRS990/GrossReceiptsAmt | 0 | 157466449 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 114325 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 93 |
| 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/InsuranceGrp/ManagementAndGeneralAmt | 0 | 81074 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 781214 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 862288 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 125915 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 570449 |
| IRS990/InterestGrp/TotalAmt | 0 | 696364 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1305709 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1513421 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 4339616 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 4339616 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 118415383 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 90232709 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 158 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 113056523 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 52347882 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 50321989 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 163378512 |
| IRS990/LegalDomicileStateCd | 0 | IN |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 23806476 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 2190522 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 2190522 |
| IRS990/MissionDesc | 0 | IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 148560142 |
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