Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
EIN 38-2377821 • 501(c)3 • St Louis, MO
Profile
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
Liabilities / Revenue
72nd percentile
Higher debt load relative to revenue than 72% of similar nonprofits.
Net Margin
19th percentile
Higher net margin than 19% of similar nonprofits.
Top Officer Pay
86th percentile
Higher top officer pay than 86% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
82nd percentile
Faster asset growth than 82% of similar nonprofits.
Revenue Growth
22nd percentile
Faster revenue growth than 22% of similar nonprofits.
Assets
Up$225,727,514
Up $30,387,230 (+16%) from 2023
Liabilities
Up$337,074,458
Up $6,331,407 (+1.9%) from 2023
Net Assets
Up-$111,346,944
Up $24,055,823 (+18%) from 2023
Revenue
Down$377,930,805
Down $878,285 (-0.2%) from 2023
Expenses
Down$398,906,324
Down $1,683,376 (-0.4%) from 2023
Net Income
Up-$20,975,519
Up $805,091 (+3.7%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
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 | |||
| Land, Buildings, and Equipment, Net | $119,803,573 | $108,569,258 | ▼ $11,234,315 |
| Accounts Receivable | $43,168,383 | $78,522,688 | ▲ $35,354,305 |
| Investments Program Related | $7,248,594 | $7,555,975 | ▲ $307,381 |
| Inventories for Sale or Use | $7,667,012 | $7,281,536 | ▼ $385,476 |
| Intangible Assets | $3,666,466 | $4,474,068 | ▲ $807,602 |
| Prepaid Expenses and Deferred Charges | $1,098,977 | $972,496 | ▼ $126,481 |
| Cash and Non-Interest-Bearing Accounts | $1,886,733 | $351,472 | ▼ $1,535,261 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Rtn Earn Endowment Incm Other Fnds | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $195,340,284 | $225,727,514 | ▲ $30,387,230 |
| Other Assets Total | $10,800,546 | $18,000,021 | ▲ $7,199,475 |
| Liabilities | |||
| Other Liabilities | $312,009,523 | $314,708,208 | ▲ $2,698,685 |
| Accounts Payable and Accrued Expenses | $17,470,030 | $21,198,331 | ▲ $3,728,301 |
| Deferred Revenue | $1,263,498 | $1,167,919 | ▼ $95,579 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $330,743,051 | $337,074,458 | ▲ $6,331,407 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Net Assets Without Donor Restrictions | $-135,402,767 | $-111,346,944 | ▲ $24,055,823 |
| Total Net Assets Fund Balance | $-135,402,767 | $-111,346,944 | ▲ $24,055,823 |
| Total Liabilities and Net Assets / Fund Balance | $195,340,284 | $225,727,514 | ▲ $30,387,230 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $84,297,504 | $158,751,442 | $243,048,946 |
| Equipment | $15,530,646 | $75,805,118 | $91,335,764 |
| Other Land Buildings | $1,488,699 | $7,339,016 | $8,827,715 |
| Land | $6,439,049 | - | $6,439,049 |
| Leasehold Improvements | $813,360 | $1,163,790 | $1,977,150 |
| Other Assets Org | $2,100,748 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $1,044,399 | $50 | ▲ $72,170 | $1,000 | $1,115,619 |
| 2023 | $1,053,116 | $200 | - | $8,917 | $1,044,399 |
| 2022 | $1,406,453 | $200 | ▲ $102,402 | - | $1,053,116 |
| 2021 | $1,083,362 | $337,227 | ▼ $14,136 | - | $1,406,453 |
| 2020 | $2,198,364 | $9,700 | ▼ $14,137 | $37,744 | $1,083,362 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Andrea Goethals | Director, Physician Residency | FT | $564,027 | $58,196 | $622,223 |
| Holly J Jaskierny Do | Director, Physician Residency | FT | $540,670 | $63,106 | $603,776 |
| Mary Emmert | Director, Advocacy Practice Providers | FT | $381,578 | $85,568 | $467,146 |
| Barbara Pawlaczyk Md | Director, Physician Residency | FT | $314,304 | $60,046 | $374,350 |
| Renee Ann Emmerling Rn | Chief Nursing Officer | FT | $241,675 | $117,245 | $358,920 |
| Joy M Finkenbiner | VP, Operations | FT | $209,775 | $116,582 | $326,357 |
| Danielle Wojno | Aprn | FT | $281,296 | $28,842 | $310,138 |
| James Bailey Babel Md | Director | - | - | $8,324 | $8,324 |
| Name | Title |
|---|---|
| Leslie a Murphy CPA | Chair |
| Carol L Schmidt | Ministry Market Executive/president |
| Renee Branch Canady | Vice Chair |
| AVEC O'BRIEN | Director |
| David Saunders | Director |
| Jeffery Zaks | Director |
| Kenneth Streibel | Director |
| Phyllis D Meadows | Director |
| Susan Pozo | Director |
| Rajesh U Kothari | Director (end 12/2023) |
| Michael Mccullough | CFO, Ministry Market |
| Jonathan Samuel Nalli Fache | Former Officer (end 12/2022) |
| Douglas Todd Myers | Former Officer (end 3/2023) |
| Nancy a Haywood | Former Officer (end 6/2022) |
| Stephanie J Duggan Md | Former Officer (end 6/2022) |
| James Boles Md | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Sound Inpatient Physicians Michigan Pllc | Physician Services | 1498 PACIFIC AVE, STE 400, Tacoma, WA 98042-4208 | $1,988,797 |
| Ums Genesee County Urs Lithotripsy LLC | Medical Services | 1700 WEST PARK DRIVE STE 410, Westborough, MA 01581 | $1,169,496 |
| Emergency Medicine Physicians Of Genesee | Physician Services | PO BOX 637724, Cincinnati, OH 45263 | $877,333 |
| Alliance Hni LLC | Medical Services | 7647 COLLECTION CENTER DR, Chicago, IL 60693-0076 | $657,898 |
| Medical Record Associates LLC | Medical Services | 103 CENTRAL ST UNIT A, Wellesley, MA 02482-5710 | $572,119 |
| Line Item | Amount |
|---|---|
| Other Expenses | $220,972,045 |
| Salaries, Compensation, and Employee Benefits | $177,585,692 |
| Grants and Similar Amounts Paid | $348,587 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $133,654,638 | $12,079,580 | - | $145,734,218 |
| Fees for Services Other | $22,331,572 | $2,678,010 | $0 | $25,009,582 |
| Other Employee Benefits | $13,826,987 | $1,249,670 | - | $15,076,657 |
| Depreciation Depletion | $12,683,179 | $1,204,175 | - | $13,887,354 |
| Payroll Taxes | $9,777,306 | $928,284 | - | $10,705,590 |
| All Other Expenses | $3,826,758 | $3,015,833 | $0 | $6,842,591 |
| Occupancy | $5,446,154 | $517,073 | - | $5,963,227 |
| Pension Plan Contributions | $4,937,687 | $446,263 | - | $5,383,950 |
| Other Expenses | $4,878,193 | $50,685,011 | - | $4,878,193 |
| Office Expenses | $719,729 | $202,594 | - | $922,323 |
| Travel | $835,530 | $12,174 | - | $847,704 |
| Current Officers, Directors, Trustees, and Key Employees | $0 | $685,277 | $0 | $685,277 |
| Grants to Domestic Orgs | $348,587 | - | - | $348,587 |
| Insurance | - | $299,307 | - | $299,307 |
| Conferences and Meetings | $233,717 | $59,764 | - | $293,481 |
| Information Technology | $270,632 | $3,132 | - | $273,764 |
| Fees for Services Legal | - | $13,282 | - | $13,282 |
| Advertising | $6,081 | $4,713 | - | $10,794 |
| Fees for Services Lobbying | - | $6,294 | - | $6,294 |
| Fees for Services Management | $1,606 | $3,930 | - | $5,536 |
| Total Functional Expenses | $302,091,241 | $96,815,083 | $0 | $398,906,324 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Michigan State University | East Lansing, MI | 501(c)(3) | Support Expansion of Michigan State University College of Medicine | $150,000 |
| Ascension Genesys Foundation | St Louis, MO | 501(c)(3) | General Support | $71,693 |
| Ascension Southeast Michigan Community Health | St Louis, MO | 501(c)(3) | General Support | $67,494 |
| Genesee Health Plan | Flint, MI | 501(c)(3) | Empower Genesee Program Support | $20,000 |
| Catholic Charities of Shiawassee and Genesee Counties | Flint, MI | 501(c)(3) | Warming Center Expansion Support | $12,500 |
| Genesee County Prevention Coalition | Flint, MI | 501(c)(3) | Community Benefit for Community Level Change | $10,000 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Debt with Ascension Health Alliance | $249,252,341 |
| Due to Affiliates | $46,847,352 |
| Medicare Advanced Payments | $6,651,669 |
| Estimated 3rd Party Payor Settlement | $5,635,596 |
| Recovery Tail Liability | $2,984,304 |
| Long Term Operating Lease Liability | $2,122,489 |
| Deferred Compensation/Retirement/Pension Liability | $740,000 |
| Accrued Real Estate Tax Liability | $472,059 |
| Real Estate Security Deposit | $1,621 |
| Accrued Personal Property Tax Liability | $777 |
“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.”
“Ascension genesys hospital has a single corporate member: ascension michigan.”
“Ascension genesys hospital has a single corporate member, ascension michigan, who has the ability to elect members to the governing body of ascension genesys hospital.”
“All decisions that have a material impact to ascension genesys hospital financial information or corporation as a whole are subject to approval by its sole corporate member, ascension michigan.”
“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.”
“Interest Income from Patient Accounts - Total Revenue: -11476, Related or Exempt Function Revenue: -11476, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Occupational Health Services - Total Revenue: 500967, Related or Exempt Function Revenue: 500967, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Pharmacy Revenue - Total Revenue: 9143, Related or Exempt Function Revenue: 9143, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Income from Joint Ventures - Total Revenue: 277902, Related or Exempt Function Revenue: 277902, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Program Revenue - Total Revenue: 2069068, Related or Exempt Function Revenue: 2069068, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“Medical Records Fees - Total Revenue: 8272, Related or Exempt Function Revenue: 8272, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Late Penalty Fees - Total Revenue: 1125, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1125; Escheatment Revenue - Total Revenue: 14, Related or Exempt Function Revenue: 14, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Revenue - Total Revenue: 87638, Related or Exempt Function Revenue: 33426, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 54212;”
“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 attached audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.”
“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 - 45001864; investment shares of genesys hurley cancer institute - 29478;”
“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 One Genesys Parkway, Grand Blanc, Michigan 48439. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY”
“GENESYS REGIONAL MEDICAL CENTER ASCENSION MICHIGAN LAB SERVICES ASCENSION GENESYS HEALTH CLUB GENESYS BACK CARE CENTER GENESYS BRAIN INJURY CENTER GENESYS CARDIOLOGY ASSOCIATES GENESYS CARDIOVASCULAR & THORACIC SURGICAL ASSOCIATES GENESYS DIAGNOSTICS LAPEER GENESYS HEART INSTITUTE GENESYS ORTHOPEDIC ASSOCIATES GENESYS NEUROSURGICAL ASSOCIATES GENESYS SURGICAL ASSOCIATES Ascension Michigan Employer Solutions - Occupational Health GENESYS Neurological Institute”
“The endowments are used for both medical and educational (scholarship) purposes.”
“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.
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| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 78522688 |
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| IRS990/ActivityOrMissionDesc | 0 | To improve the health and well-being of all people in the communities we serve. |
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| IRS990/AdvertisingGrp/TotalAmt | 0 | 10794 |
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| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | TACOMA |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
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| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PHYSICIAN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | MEDICAL SERVICES |
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| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
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| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 377930805 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1263498 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1167919 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1204175 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 12683179 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 13887354 |
| 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. ASCENSION GENESYS HOSPITAL is a 412-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2024, ASCENSION GENESYS HOSPITAL treated 15,890 adults and children for a total of 79,437 patient days of service. The hospital also provided services for 164,426 outpatient visits, which included 7,363 outpatient surgeries and 50,934 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | SEE SCHEDULE O |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 2656 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 302091241 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FederatedCampaignsAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 13282 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 13282 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 6294 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 6294 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 3930 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 1606 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 5536 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2678010 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 22331572 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 25009582 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 16.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 3 | 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/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 | 93945 |
| 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 | 41393 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 25155 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 50170 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 25076 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 55044 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 27964 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 58586 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 56311 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 12783 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 28253 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 50227 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 57718 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CAROL L SCHMIDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JAMES BOLES MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LESLIE A MURPHY CPA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RENEE BRANCH CANADY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | AVEC O'BRIEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DAVID SAUNDERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JAMES BAILEY BABEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JEFFERY ZAKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KENNETH STREIBEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | PHYLLIS D MEADOWS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | RAJESH U KOTHARI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SUSAN POZO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MICHAEL MCCULLOUGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JOY M FINKENBINER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | RENEE ANN EMMERLING RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | ANDREA GOETHALS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | BARBARA PAWLACZYK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | DANIELLE WOJNO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | HOLLY J JASKIERNY DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MARY EMMERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | DOUGLAS TODD MYERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JONATHAN SAMUEL NALLI FACHE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | NANCY A HAYWOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | STEPHANIE J DUGGAN MD |
| 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 | 301202 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 308750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 597147 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 319306 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 282174 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 545190 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 410835 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 2461903 |
| 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 | 8324 |
| 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 | 914952 |
| 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 | 635975 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 2316020 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 494208 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 946442 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | MINISTRY MARKET EXECUTIVE/PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR (END 12/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO, MINISTRY MARKET |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VP, OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF NURSING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR, PHYSICIAN RESIDENCY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR, PHYSICIAN RESIDENCY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | APRN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR, PHYSICIAN RESIDENCY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIRECTOR, ADVOCACY PRACTICE PROVIDERS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | FORMER OFFICER (END 3/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | FORMER OFFICER (END 12/2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | FORMER OFFICER (END 6/2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | FORMER OFFICER (END 6/2022) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1997 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 379 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 2061354 |
| IRS990/GrantAmt | 0 | 348587 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 348587 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 348587 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 379 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 377930805 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 0 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 0 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 180 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3132 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 270632 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 273764 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 299307 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 299307 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 3666466 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 4474068 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 7667012 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 7281536 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 7248594 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 7555975 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 201 |
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