Liabilities / Assets
40th percentile
Higher debt load relative to assets than 40% of similar nonprofits.
EIN 38-1369611 • 501(c)3 • Port Huron, MI
Profile
Mclaren healthcare, through its subsidiaries, will be the best value in healthcare as defined by quality outcomes and cost.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
40th percentile
Higher debt load relative to assets than 40% of similar nonprofits.
Liabilities / Revenue
36th percentile
Higher debt load relative to revenue than 36% of similar nonprofits.
Net Margin
61st percentile
Higher net margin than 61% of similar nonprofits.
Top Officer Pay
88th percentile
Higher top officer pay than 88% of similar nonprofits.
Top officer pay equals 0.9% of source-year revenue.
Asset Growth
75th percentile
Faster asset growth than 75% of similar nonprofits.
Revenue Growth
58th percentile
Faster revenue growth than 58% of similar nonprofits.
Assets
Up$427,825,635
Up $45,034,828 (+12%) from 2023
Liabilities
Down$87,521,463
Down $3,937,704 (-4.3%) from 2023
Net Assets
Up$340,304,172
Up $48,972,532 (+17%) from 2023
Revenue
Up$277,754,682
Up $23,678,985 (+9.3%) from 2023
Expenses
Up$256,802,350
Up $11,026,629 (+4.5%) from 2023
Net Income
Up$20,952,332
Up $12,652,356 (+152%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Mclaren healthcare, through its subsidiaries, will be the best value in healthcare as defined by quality outcomes and cost.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $140,671,247 | $182,245,707 | ▲ $41,574,460 |
| Land, Buildings, and Equipment, Net | $160,614,672 | $157,779,441 | ▼ $2,835,231 |
| Accounts Receivable | $22,606,533 | $36,798,201 | ▲ $14,191,668 |
| Other Notes and Loans Receivable, Net | $20,092,944 | $22,892,439 | ▲ $2,799,495 |
| Cash and Non-Interest-Bearing Accounts | $27,242,905 | $16,174,670 | ▼ $11,068,235 |
| Inventories for Sale or Use | $6,795,842 | $6,307,847 | ▼ $487,995 |
| Investments Other Securities | $2,733,558 | $3,250,838 | ▲ $517,280 |
| Prepaid Expenses and Deferred Charges | $1,350,902 | $1,800,188 | ▲ $449,286 |
| Intangible Assets | $155,901 | $155,901 | → $0 |
| Total Assets | $382,790,807 | $427,825,635 | ▲ $45,034,828 |
| Other Assets Total | $526,303 | $420,403 | ▼ $105,900 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $52,042,605 | $51,969,558 | ▼ $73,047 |
| Accounts Payable and Accrued Expenses | $29,671,783 | $29,083,351 | ▼ $588,432 |
| Other Liabilities | $7,005,232 | $6,468,481 | ▼ $536,751 |
| Tax Exempt Bond Liabilities | $2,739,474 | - | - |
| Deferred Revenue | $73 | $73 | → $0 |
| Total Liabilities | $91,459,167 | $87,521,463 | ▼ $3,937,704 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $291,331,640 | $340,304,172 | ▲ $48,972,532 |
| Total Net Assets Fund Balance | $291,331,640 | $340,304,172 | ▲ $48,972,532 |
| Total Liabilities and Net Assets / Fund Balance | $382,790,807 | $427,825,635 | ▲ $45,034,828 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $130,270,318 | $54,164,600 | $184,434,918 |
| Equipment | $5,285,221 | $48,485,779 | $53,771,000 |
| Other Land Buildings | $15,765,094 | $2,394,136 | $18,159,230 |
| Land | $5,394,367 | - | $5,394,367 |
| Leasehold Improvements | $1,064,441 | $1,801,581 | $2,866,022 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| John V Brooks Md | Chief Medical Officer | FT | $445,366 | $53,250 | $498,616 |
| Sara Liter-kuester | Chief Medical Inform | FT | $350,872 | $53,698 | $404,570 |
| Bijoyananda Adhikary | Medical Physicist | FT | $252,701 | $37,766 | $290,467 |
| Kathleen Mckenna | VP Patient Care Services | FT | $236,235 | $35,973 | $272,208 |
| Kyle Vining | CFO & Assistant Treasurer | FT | $216,292 | $13,906 | $230,198 |
| Jack Belyea | Director Facilities Maintenance | FT | $169,135 | $57,952 | $227,087 |
| Jennifer Carbary | VP Marketing Business Dev | FT | $172,153 | $42,352 | $214,505 |
| Nicholas Colleran | Former Chief Operating Officer | - | $178,304 | $25,932 | $204,236 |
| Holly Schienke | Director Patient Care | FT | $106,725 | $12,249 | $118,974 |
| David a Thompson | Trustee | - | - | $37,000 | $37,000 |
| Name | Title |
|---|---|
| Greg Busdicker | Chair |
| Eric Cecava | President & CEO |
| Scott Shigley | Vice-chair |
| Amanda Hurtubise Md | Trustee |
| Chad Grant | Trustee |
| Christopher Flann | Trustee |
| Evan Wilkins | Trustee |
| Gary James Do | Trustee |
| Hilary Georgia | Trustee |
| Jon Lensmeyer Md | Trustee |
| Josh Chapman | Trustee |
| Kathleen Smith | Trustee |
| Keely Baribeau | Trustee |
| Leonard Karadimas Do | Trustee |
| Tom Brisse | Trustee |
| Vasken Artinian Md | Trustee |
| Richard Leveille | Secretary |
| David Mazurkiewicz | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ums St Clair County Urs Lithotripsy LLC | Medical Staff Services | 1700 WEST PARK DR STE 410, Westborough, MA 01581 | $7,530,108 |
| Locumtenenscom LLC | Medical Staff Services | 3901 BEAUBIEN, Detroit, MI 48201 | $5,731,225 |
| Comprehensive Care Services | Medical Staff Services | 45211 HELM ST, Plymouth, MI 48170 | $3,372,817 |
| Precision Care LLC | Medical Staff Services | 5221 PARK RD, East China, MI 48054 | $1,945,398 |
| Nuvasive Clinical Svcs | Medical Staff Services | 10275 LITTLE PATUXENT WAY, Columbia, MD 21044 | $1,774,745 |
| Line Item | Amount |
|---|---|
| Other Expenses | $134,945,322 |
| Salaries, Compensation, and Employee Benefits | $121,821,528 |
| Grants and Similar Amounts Paid | $35,500 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $78,998,572 | $20,987,639 | - | $99,986,211 |
| Fees for Services Management | $14,772,679 | $4,930,745 | - | $19,703,424 |
| Fees for Services Other | $4,819,504 | $11,411,468 | - | $16,230,972 |
| Depreciation Depletion | $11,318,834 | $3,031,259 | - | $14,350,093 |
| Other Employee Benefits | $9,103,458 | $2,596,797 | - | $11,700,255 |
| Payroll Taxes | $4,486,642 | $1,183,506 | - | $5,670,148 |
| Other Expenses | $203,032 | $4,907,384 | - | $5,110,416 |
| Occupancy | $1,445,041 | $3,122,027 | - | $4,567,068 |
| Pension Plan Contributions | $2,489,963 | $648,254 | - | $3,138,217 |
| Insurance | $225,879 | $2,676,438 | - | $2,902,317 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,326,697 | - | $1,326,697 |
| Interest | - | $1,232,632 | - | $1,232,632 |
| Information Technology | $275,495 | $493,425 | - | $768,920 |
| Office Expenses | $377,848 | $66,412 | - | $444,260 |
| Fees for Service Investment Mgmnt Fees | - | $388,874 | - | $388,874 |
| Advertising | $19,505 | $310,154 | - | $329,659 |
| Travel | $44,903 | $62,629 | - | $107,532 |
| Fees for Services Accounting | $2,970 | $55,619 | - | $58,589 |
| Grants to Domestic Orgs | $35,500 | - | - | $35,500 |
| Conferences and Meetings | $10,786 | $315 | - | $11,101 |
| Fees for Services Lobbying | - | $4,135 | - | $4,135 |
| Total Functional Expenses | $197,061,096 | $59,741,254 | $0 | $256,802,350 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Port Huron Area School District | Port Huron, MI | Government | Sponsorships | $18,500 |
| St Clair Chamber of Commerce | St Clair, MI | 501c3 | Sponsorships | $12,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Lawren Ruiz | Daughter of Kathleen Smith, Board Member | Employee Compensation | No | $52,315 |
| Liability | Amount |
|---|---|
| Claim Liability | $4,539,380 |
| Other Noncurrent Liabilities | $1,929,101 |
“The sole member of the corporation is mclaren health care corporation.”
“The member shall have the exclusive right to appoint and remove members of the board of trustees.”
“Decisions by the governing body are subject to the powers of the member.”
“The form 990 data is prepared internally and submitted to our auditing firm for return preparation. Once the returns have been completed, the forms are reviewed by entity cfo and the finance leadership of mclaren health care (mhc). Copies of draft returns are made available to the mhc board members, who serve as the overall governing board. Returns are available for all corporations of which mhc is the sole member as well as other related entities of those corporations for review rather than having the local boards review the returns. The board of mhc is the ultimate accountable organization for the system; as such it is the overall governing board of the system, whose responsibilities include but are not limited to: approving all subsidiary board members, financial budgets, and issuance of debt.”
“The corporate compliance department, in accordance with the mclaren health care (mhc) board conflict of interest policy, annually distributes the conflict of interest disclosure survey to all mhc corporate and subsidiary organization board members, executives and other leadership employees. The corporate compliance department through the governance committee, compiles and analyzes survey data by organization, investigates and reviews potential conflicts with the organization's ceo and board chair, and when necessary, recommends actions to be taken to resolve identified conflicts. A complete report of all corporate and subsidiary board member and executive disclosures, conflicts identified and actions taken is reviewed by the mhc governance committee and each subsidiary ceo and board chair receives a report specific to their organization's board members and executives. Conflicts are disclosed to the full board and board committees so appropriate actions can be taken. Actions may include prohibiting a board member from participating in deliberations involving transactions with a company with which they conduct financial transactions; board members failing to complete a disclosure survey or intentionally failing to report a known conflict of interest are relieved of their service to mhc.”
“The compensation committee is appointed by the board of directors to review the performance and recommend the total compensation package of the mclaren healthcare corporation's ceo to the board. Further the committee establishes the salary ranges and perquisites of the other most highly compensated officers (mhc executive & senior vice-presidents and ceos of mhc subsidiary organizations) to the board. The members of the committee must meet the independence requirements of the applicable provisions of section 4958 of the internal revenue code of 1986, as amended and final treasury regulations section 53.4958-6(c)(1)(iii). The committee retains the services annually of an independent firm with significant qualifications and experience to conduct a review of the corporation's executive compensation program. The retained firm utilizes appropriate compensation comparability data. The retained firm conducts analysis of the competitiveness of these programs and expresses an opinion to the reasonableness of these compensation programs. All data utilized by the committee, deliberations of the committee, and final compensation decisions by the committee are documented in formal reports and minutes. The corporate compensation committee works under and periodically renews the mclaren health care corporation compensation committee charter. The most recent year this process was undertaken was fiscal year 2024.”
“Documents are available upon request.”
“Change in additional minimum pension liability -60,850. Transfers from related organizations 1,178,903.”
“This process has not changed since the prior year.”
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 | 29671783 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 29083351 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 22606533 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 36798201 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | MCLAREN HEALTHCARE, THROUGH ITS SUBSIDIARIES, WILL BE THE BEST VALUE IN HEALTHCARE AS DEFINED BY QUALITY OUTCOMES AND COST. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 310154 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 19505 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 329659 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | KYLE VINING CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8109893749 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1221 PINE GROVE AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PORT HURON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48060 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 27242905 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 16174670 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 37 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1326697 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1326697 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 315 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 10786 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 11101 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 7530108 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 5731225 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 3372817 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1945398 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1774745 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1700 WEST PARK DR STE 410 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 3901 BEAUBIEN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 45211 HELM ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 5221 PARK RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 10275 LITTLE PATUXENT WAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | WESTBOROUGH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DETROIT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PLYMOUTH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | EAST CHINA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | COLUMBIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 01581 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 48201 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 48170 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 48054 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 21044 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | UMS ST CLAIR COUNTY URS LITHOTRIPSY LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | LOCUMTENENSCOM LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | COMPREHENSIVE CARE SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | PRECISION CARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | NUVASIVE CLINICAL SVCS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MEDICAL STAFF SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL STAFF SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MEDICAL STAFF SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | MEDICAL STAFF SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | MEDICAL STAFF SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 5309927 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 35500 |
| IRS990/CYInvestmentIncomeAmt | 0 | 8238549 |
| IRS990/CYOtherExpensesAmt | 0 | 134945322 |
| IRS990/CYOtherRevenueAmt | 0 | 3209614 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 260996592 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 20952332 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 121821528 |
| IRS990/CYTotalExpensesAmt | 0 | 256802350 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 277754682 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 73 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 73 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 3031259 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 11318834 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 14350093 |
| IRS990/Desc | 0 | FOR FISCAL YEAR OCTOBER 1, 2023 TO SEPTEMBER 30, 2024, MCLAREN PORT HURON PROVIDED HEALTH CARE SERVICES TO THE POOR AND TO THE BROADER COMMUNITY FOR WHICH THE COST OF PROVIDING SUCH SERVICES EXCEEDED THE RELATED REVENUE. CHARITY CARE IN THE AMOUNT OF $9,288,613 WAS PROVIDED DURING THE YEAR. MCLAREN PORT HURON PROVIDED $578,817,524 IN THIRD PARTY DISCOUNTS. IN TOTAL, THIS REPRESENTS 69.02 PERCENT OF THE GROSS PATIENT REVENUE FOR THIS YEAR. MCLAREN PORT HURON ALSO PROVIDED THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN NUMEROUS EDUCATIONAL, WELLNESS, SCREENING, AND SUPPORTIVE PROGRAMS AT EITHER NO COST OR AT A NOMINAL CHARGE. THE HOSPITAL PROVIDED A TOTAL OF 446 EVENTS/PROGRAMS TO APPROXIMATELY 29,411 PEOPLE OF THE COMMUNITY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 1618 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 197061096 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 55619 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 2970 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 58589 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 4135 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 4135 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 4930745 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 14772679 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 19703424 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 11411468 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 4819504 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 16230972 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 388874 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 388874 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 49.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| 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 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 53.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | 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/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 17 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | 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/OtherCompensationAmt | 0 | 80014 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 41435 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 124554 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 44181 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 13906 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 53250 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 35973 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 53698 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 37766 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 42352 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 57952 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 12249 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 38805 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 25932 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | VASKEN ARTINIAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DAVID MAZURKIEWICZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ERIC CECAVA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RICHARD LEVEILLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | GREG BUSDICKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | EVAN WILKINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | KEELY BARIBEAU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | SCOTT SHIGLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | AMANDA HURTUBISE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DAVID A THOMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | LEONARD KARADIMAS DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JON LENSMEYER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | GARY JAMES DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KATHLEEN SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | HILARY GEORGIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CHRISTOPHER FLANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JOSH CHAPMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CHAD GRANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KYLE VINING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | JOHN V BROOKS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | KATHLEEN MCKENNA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | SARA LITER-KUESTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | BIJOYANANDA ADHIKARY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JENNIFER CARBARY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | JACK BELYEA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | HOLLY SCHIENKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | TOM BRISSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | NICHOLAS COLLERAN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 216292 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 445366 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 236235 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 350872 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 252701 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 172153 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 169135 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 106725 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 178304 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1206596 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 2440589 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 656972 |
| 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 | 37000 |
| 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 | 1951299 |
| 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/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 1234472 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VICE-CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CFO & ASSISTANT TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | VP PATIENT CARE SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CHIEF MEDICAL INFORM |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | MEDICAL PHYSICIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | VP MARKETING BUSINESS DEV |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | DIR FACILITIES MAINTENANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | DIR PATIENT CARE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | FORMER CHIEF OPERATING OFFICER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1879 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -12105 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 519015 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 19 |
| IRS990/GrantAmt | 0 | 35500 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 35500 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 35500 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 519015 |
| IRS990/GrossReceiptsAmt | 0 | 277951561 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 419005 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 14 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 135 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 493425 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 275495 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 768920 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 2676438 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 225879 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2902317 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 155901 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 155901 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1232632 |
| IRS990/InterestGrp/TotalAmt | 0 | 1232632 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 6795842 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 6307847 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 7731639 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 7731639 |
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