Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
EIN 36-3366652 • 501(c)3 • St Louis, MO
Profile
The corporation is organized for charitable, religious, and educational purposes, to be carried out consistently with the ethical and religious directives. The purposes of the corporation are set forth in the corporations articles of incorporation and include: acting as a member of the integrated health care delivery system with other health care providers and affiliated support organizations sponsored by the sponsoring congregations, and acting in accordance with and in furtherance of the presence health system's mission and values.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
Liabilities / Revenue
100th percentile
Higher debt load relative to revenue than 100% of similar nonprofits.
Net Margin
1st percentile
Higher net margin than 1% of similar nonprofits.
Top Officer Pay
96th percentile
Higher top officer pay than 96% of similar nonprofits.
Top officer pay equals 49.6% of source-year revenue.
Asset Growth
3rd percentile
Faster asset growth than 3% of similar nonprofits.
Revenue Growth
74th percentile
Faster revenue growth than 74% of similar nonprofits.
Assets
Down$87,435,250
Down $63,570,937 (-42%) from 2022
Liabilities
Down$1,165,654,153
Down $169,743,999 (-13%) from 2022
Net Assets
Up-$1,078,218,903
Up $106,173,062 (+9.0%) from 2022
Revenue
Down$4,305,604
Down $509,551 (-11%) from 2022
Expenses
Up$57,803,184
Up $7,296,101 (+14%) from 2022
Net Income
Down-$53,497,580
Down $7,805,652 (-17%) from 2022
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Rooted in the loving ministry of jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.
To improve the health and well-being of all people in the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $32,162,647 | $32,162,647 | → $0 |
| Land, Buildings, and Equipment, Net | $25,260,484 | $6,878,077 | ▼ $18,382,407 |
| Intangible Assets | $9,236,153 | $5,301,336 | ▼ $3,934,817 |
| Savings and Temporary Cash Investments | $3,582,380 | $5,114,292 | ▲ $1,531,912 |
| Prepaid Expenses and Deferred Charges | $199,119 | $116,746 | ▼ $82,373 |
| Accounts Receivable | $23,624 | $183 | ▼ $23,441 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $117,430,506 | $87,435,250 | ▼ $29,995,256 |
| Other Assets Total | $46,966,099 | $37,861,969 | ▼ $9,104,130 |
| Liabilities | |||
| Other Liabilities | $1,225,684,707 | $1,160,746,214 | ▼ $64,938,493 |
| Accounts Payable and Accrued Expenses | $4,295,595 | $4,695,645 | ▲ $400,050 |
| Deferred Revenue | $212,294 | $212,294 | → $0 |
| Total Liabilities | $1,230,192,596 | $1,165,654,153 | ▼ $64,538,443 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $22,645 | $22,291 | ▼ $354 |
| Net Assets Without Donor Restrictions | $-1,112,784,735 | $-1,078,241,194 | ▲ $34,543,541 |
| Total Net Assets Fund Balance | $-1,112,762,090 | $-1,078,218,903 | ▲ $34,543,187 |
| Total Liabilities and Net Assets / Fund Balance | $117,430,506 | $87,435,250 | ▼ $29,995,256 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $2,815,295 | $50,498,360 | $53,313,655 |
| Equipment | $3,235,447 | $42,431,536 | $45,666,983 |
| Other Land Buildings | $237,335 | $4,866,957 | $5,104,292 |
| Leasehold Improvements | $0 | $1,762,750 | $1,762,750 |
| Land | $590,000 | - | $590,000 |
| Investment Program Related Org | $32,162,647 | - | - |
| Other Assets Org | $73,657 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $22,646 | - | - | $355 | $22,291 |
| 2022 | $27,157 | - | - | $4,511 | $22,646 |
| 2021 | $31,191 | - | - | $4,034 | $27,157 |
| 2020 | $54,607 | $1,515 | - | $24,931 | $31,191 |
| 2019 | $537,242 | $39,127 | - | $521,762 | $54,607 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Gaurav Kapoor Md | Physician | FT | $1,357,458 | $171,112 | $1,528,570 |
| Hadi Shaaban Md | Physician | FT | $610,470 | $843,784 | $1,454,254 |
| Nicholas C Frisch Md | Physician | FT | $1,170,233 | $109,533 | $1,279,766 |
| Tamir Hersonskey Md | Physician | FT | $1,060,126 | $181,831 | $1,241,957 |
| John Song Md | Physician | FT | $945,317 | $130,873 | $1,076,190 |
| Name | Title |
|---|---|
| Dana L Gilbert | President |
| Polly Davenport | Director |
| Keith a Parrott | Former Officer (end 9/2022) |
| Julie P Roknich | Secretary |
| Richard Douglas Carter | Treasurer/CFO, Ascension Illinois |
| Line Item | Amount |
|---|---|
| Other Expenses | $49,209,245 |
| Salaries, Compensation, and Employee Benefits | $8,496,679 |
| Grants and Similar Amounts Paid | $97,260 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Insurance | - | $15,790,778 | - | $15,790,778 |
| Depreciation Depletion | $8,006,487 | $2,571,054 | - | $10,577,541 |
| Other Salaries and Wages | $5,386,443 | $1,729,702 | - | $7,116,145 |
| Occupancy | $2,548,800 | $818,474 | - | $3,367,274 |
| Fees for Services Other | $1,969 | $1,298,393 | $0 | $1,300,362 |
| Office Expenses | $723,474 | $500,905 | - | $1,224,379 |
| Payroll Taxes | $827,322 | $265,671 | - | $1,092,993 |
| Information Technology | $957,120 | - | - | $957,120 |
| Pension Plan Contributions | $194,360 | $62,413 | - | $256,773 |
| All Other Expenses | $127,974 | $110,126 | $0 | $238,100 |
| Grants to Domestic Orgs | $97,260 | - | - | $97,260 |
| Other Expenses | $3,210 | $80,353 | - | $80,353 |
| Other Employee Benefits | $23,289 | $7,479 | - | $30,768 |
| Conferences and Meetings | - | $6,021 | - | $6,021 |
| Travel | $4,585 | $993 | - | $5,578 |
| Total Functional Expenses | $33,447,661 | $24,355,523 | $0 | $57,803,184 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Advocatia Solutions Inc | Lake Bluff, IL | - | General Support | $97,260 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Family Member of Julie Roknich | Chaplain Specialist | No | $67,361 |
| 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 |
|---|---|
| Debt with Ascension Health Alliance | $947,022,078 |
| Due to Affiliates | $95,537,706 |
| PGL IBNR Liability | $67,036,425 |
| Other Miscellaneous Liabilities | $24,672,018 |
| PGL Deductible Liability | $11,298,288 |
| Lease Liability | $9,439,568 |
| Self Insurance Reserves | $4,500,181 |
| Worker's Compensation Deductible Liability | $642,439 |
| Valuation Allowance Liability | $597,511 |
“The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.”
“Presence care transformation corporation has one member, alexian brothers health system.”
“Filing organization has a single corporate member, alexian brothers health system, who has the ability to elect members to the governing body of filing organization.”
“All decisions that have a material impact to filing organization's financial information or corporation as a whole are subject to approval by its sole corporate member, alexian brothers health system.”
“During the return preparation process, the tax department works with other functional areas which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax in lieu of the full board.”
“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.”
“The organization will provide any documents open to public inspection upon request.”
“The organization utilizes an affiliate as the common pay agent. Employees reported in part vii may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.”
“Miscellaneous Revenue - Total Revenue: 35705, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 35705;”
“The organization is part of ascension health system. Ascension health alliance, d/b/a ascension, is a missouri nonprofit corporation. Ascension is the sole corporate member and parent organization of ascension health. Ascension health alliance is either the borrower for, or secures, tax exempt hospital revenue bonds. The organization may hold an intercompany note payable with ascension health alliance, and this information is reported on the balance sheet.”
“Transfers with Affiliates - 88040767;”
“The activity of the filing organization is reported in the consolidated financial statements of ascension health alliance. No individual audit of the filing organization is completed. Therefore, the audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.”
“The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.”
“THE PHYSICAL ADDRESS FOR THIS ENTITY IS 200 South Wacker Drive, Suite 1200, Chicago, Illinois 60606. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY.”
“Presence Health Presence Healthcare Presence Health Care”
“The endowment funds are temporarily restricted for the use of chapels within the organization”
“The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2024.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 4695645 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 23624 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 183 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE. |
| IRS990/AllOtherContributionsAmt | 0 | 5 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 110126 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 127974 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 238100 |
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| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Sara O'Brien |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3147338000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4600 EDMUNDSON ROAD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ST LOUIS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 631343806 |
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| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
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| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 6021 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 6021 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/CreditCounselingInd | 0 | false |
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| IRS990/CYContributionsGrantsAmt | 0 | 312198 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 97260 |
| IRS990/CYInvestmentIncomeAmt | 0 | 139179 |
| IRS990/CYOtherExpensesAmt | 0 | 49209245 |
| IRS990/CYOtherRevenueAmt | 0 | 795827 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 3058400 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -53497580 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 8496679 |
| IRS990/CYTotalExpensesAmt | 0 | 57803184 |
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| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 4305604 |
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| IRS990/DeductibleNonCashContriInd | 0 | false |
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| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 212294 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
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| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 8006487 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 10577541 |
| IRS990/Desc | 0 | THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. PRESENCE CARE TRANSFORMATION CORPORATION PROVIDES CENTRALIZED CORPORATE MANAGEMENT SERVICES TO PRESENCE HEALTH AND RECEIVES MANAGEMENT FEE INCOME FOR THE SERVICES IT PROVIDES TO ALL ORGANIZATIONS IN THE SYSTEM. BY CENTRALIZING THESE SERVICES, PRESENCE HEALTH CAN PREVENT DUPLICATION AND BETTER UTILIZE SCARCE RESOURCES. FOR EXAMPLE, CERTAIN INFORMATION TECHNOLOGY AND TELEHEALTH ACTIVITIES ARE SERVICES PROVIDED CENTRALLY THROUGH PRESENCE CARE TRANSFORMATION CORPORATION. |
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| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | SEE SCHEDULE O |
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| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 22291 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 11914 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 33447661 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
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| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1969 |
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| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DANA L GILBERT |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER/CFO, ASCENSION ILLINOIS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | FORMER OFFICER (END 9/2022) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1985 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 2 |
| IRS990/GovernmentGrantsAmt | 0 | 312193 |
| IRS990/GrantAmt | 0 | 97260 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 97260 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 97260 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 4305604 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1709 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 957120 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 957120 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 15790778 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 15790778 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 9236153 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 5301336 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 139179 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 139179 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 32162647 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 32162647 |
| IRS990/IRPDocumentCnt | 0 | 24 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 99559603 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 25260484 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 6878077 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 106437680 |
| IRS990/LegalDomicileStateCd | 0 | IL |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| 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/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 35705 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 35705 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -1112762090 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -1078218903 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 274057 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -1112784735 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -1078241194 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 818474 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 2548800 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 3367274 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 500905 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 723474 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1224379 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 46966099 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 37861969 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 88040767 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 7479 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 23289 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 30768 |
| IRS990/OtherExpensesGrp/Desc | 0 | Impairment Write Downs |
| IRS990/OtherExpensesGrp/Desc | 1 | Merchant Fees |
| IRS990/OtherExpensesGrp/Desc | 2 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 3 | Building Rental Expense |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 640406 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 472755 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 80353 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 14545368 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 3210 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 14545368 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 640406 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 475965 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 80353 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1225684707 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1160746214 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 541519 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | COMPUTER RELATED SERVICES |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Incremental Tax Incentive |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | Medical Records Fees |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 333417 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 26 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 426679 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 333417 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 26 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 426679 |
| IRS990/OtherRevenueTotalAmt | 0 | 795827 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1729702 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5386443 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 7116145 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 265671 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 827322 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1092993 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 62413 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 194360 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 256773 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 199119 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 116746 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | DANA L GILBERT |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 561000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 531120 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Services to Affiliates |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Rental Income from Affiliates |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | Value Based Revenue |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 2055346 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 1002799 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 255 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 2055346 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 1002799 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 255 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 104890 |
| IRS990/PYInvestmentIncomeAmt | 0 | 111277 |
| IRS990/PYOtherExpensesAmt | 0 | 36709499 |
| IRS990/PYOtherRevenueAmt | 0 | 908502 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 2452535 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -42981910 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 9639835 |
| IRS990/PYTotalExpensesAmt | 0 | 46454224 |
| IRS990/PYTotalRevenueAmt | 0 | 3472314 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -53497580 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | true |
| IRS990/RevenueAmt | 0 | 3058426 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 3582380 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 5114292 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | true |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | true |
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| IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesFurtherExemptPrpsInd | 0 | true |
| IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesTestInd | 0 | X |
| IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd | 0 | true |
| IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd | 0 | true |
| IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd | 0 | true |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | Presence Care Transformation Corporation PROVIDES CENTRALIZED MANAGEMENT SUPPORT TO THE NAMED SUPPORTED ORGANIZATIONS, RELATED 501(C)(3) ENTITIES. THE PROGRAM SERVICES Presence Care Transformation Corporation PROVIDES TO THE COMMUNITY SERVED BY THESE ENTITIES HAVE BEEN PART OF A HISTORIC AND CONTINUING RELATIONSHIP. IN ADDITION TO THE LISTED QUALIFYING SUPPORTED ORGANIZATIONS WITH WHICH THE FILING ORGANIZATION HAS A HISTORICAL RELATIONSHIP, THE FILING ORGANIZATION ALSO HAS A SUPPORTING ORGANIZATION RELATIONSHIP WITH THE ASCENSION RELIGIOUS SPONSOR AND ASCENSION FOUNDING RELIGIOUS SPONSORS, BY AND THROUGH ASCENSION HEALTH ALLIANCE. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 1 | ALL OF THE CORPORATION'S SUPPORTED ORGANIZATIONS ARE EXEMPT UNDER SECTIONS 509(A)(1) OR 509(A)(2) AS EVIDENCED BY RECEIPT OF AN INDEPENDENT DETERMINATION LETTER OF EXEMPTION, OR BY VIRTUE OF INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY AND BEING THEREBY COVERED BY THE GROUP RULING OF EXEMPTION ISSUED BY THE IRS TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 2 | THE CORPORATION HAS PROVIDED MANAGEMENT AND ADMINISTRATIVE SERVICES TO A LIMITED NUMBER OF CERTAIN OUTSIDE ENTITIES FOR COST IN ACCORDANCE WITH ITS MISSION, SUCH AS MANAGEMENT SERVICES OF NOT-FOR-PROFIT HEALTHCARE PROVIDERS SUCH AS HOSPITALS, AND TO CERTAIN FOR-PROFIT AFFILIATES IN EXCHANGE FOR MANAGEMENT FEES ALLOCATIONS. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 3 | BY VIRTUE OF OVERLAPPING BOARD MEMBERS, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S DAILY OPERATIONS. THE INVESTMENTS ARE HELD AT THE NATIONAL SYSTEM OFFICE BY ASCENSION HEALTH. THE ASCENSION SPONSOR, THROUGH ITS CONTROL OF THE ASCENSION BOARD, CONTROLS THE SYSTEM'S INTEGRATED STRATEGIC OPERATIONAL FINANCIAL PLAN, ANNUAL TARGETS AND INITIATIVES. WITHIN THIS OPERATIONAL FRAMEWORK, CERTAIN EXPENDITURES OF FUNDS, CAPITAL INVESTMENTS, ISSUANCE OF DEBT, ETC. ARE SUBJECT TO ASCENSION-LEVEL APPROVAL. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 4 | SUBSTANTIALLY ALL OF THE CORPORATIONS ACTIVITIES DURING THE TAX YEAR DIRECTLY FURTHERED THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS THROUGH THE PROMOTION OF HEALTH CONSISTENT WITH THE CATHOLIC RELIGIOUS AND ETHICAL DIRECTIVES. THE SUPPORTED ORGANIZATIONS RECEIVE CORPORATE AND BACK OFFICE SUPPORT FROM THE CORPORATION AND ITS AFFILIATES. ALL OF THESE ACTIVITIES ARE NECESSARY FOR THE OPERATION OF THE SUPPORTED ORGANIZATIONS AND, BUT FOR THE CORPORATION'S INVOLVEMENT, WOULD BE CONDUCTED BY THE SUPPORTED ORGANIZATIONS DIRECTLY. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 5 | SUBSTANTIALLY ALL OF THE CORPORATIONS ACTIVITIES DURING THE TAX YEAR DIRECTLY FURTHERED THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS THROUGH THE PROMOTION OF HEALTH CONSISTENT WITH THE CATHOLIC RELIGIOUS AND ETHICAL DIRECTIVES. THE SUPPORTED ORGANIZATIONS RECEIVE CORPORATE AND BACK OFFICE SUPPORT FROM THE CORPORATION AND ITS AFFILIATES. ALL OF THESE ACTIVITIES ARE NECESSARY FOR THE OPERATION OF THE SUPPORTED ORGANIZATIONS AND, BUT FOR THE CORPORATION'S INVOLVEMENT, WOULD BE CONDUCTED BY THE SUPPORTED ORGANIZATIONS DIRECTLY. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 1 | Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 2 | Schedule A, Part IV, Section A, Line 6 Support to other supported orgs |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 3 | Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 4 | Schedule A, Part IV, Section E, Line 2a Org. Activities Directly Further The Exempt Purposes |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 5 | Schedule A, Part IV, Section E, Line 2b Activities That One Or More Supp. Org. Engaged In |
| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 9 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 9 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 363495969 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 1 | 364286236 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 2 | 362709982 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 3 | 460483587 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 4 | 364195126 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 5 | 362235165 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 6 | 363330928 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 7 | 460483581 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 8 | 363296367 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | false |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 1 | false |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 2 | false |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 3 | false |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 4 | false |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 5 | false |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 6 | false |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 7 | false |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 8 | false |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 9 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 1 | 9 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 2 | 9 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 3 | 9 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 4 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 5 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 6 | 9 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 7 | 9 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 8 | 9 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 0 | 0 |
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