Liabilities / Assets
31st percentile
Higher debt load relative to assets than 31% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
31st percentile
Higher debt load relative to assets than 31% of similar nonprofits.
Liabilities / Revenue
85th percentile
Higher debt load relative to revenue than 85% of similar nonprofits.
Net Margin
84th percentile
Higher net margin than 84% of similar nonprofits.
Top Officer Pay
66th percentile
Higher top officer pay than 66% of similar nonprofits.
Top officer pay equals 1.4% of source-year revenue.
Asset Growth
53rd percentile
Faster asset growth than 53% of similar nonprofits.
Revenue Growth
95th percentile
Faster revenue growth than 95% of similar nonprofits.
Assets
Up$801,193,490
Up $22,179,514 (+2.8%) from 2015
Net Assets
Down$641,721,657
Down $24,697,029 (-3.7%) from 2015
Liabilities
Up$159,471,833
Up $46,876,543 (+42%) from 2015
Revenue
Up$91,020,162
Up $26,009,909 (+40%) from 2015
Expenses
Up$73,810,914
Up $9,809,959 (+15%) from 2015
Net Income
Up$17,209,248
Up $16,199,950 (+1605%) from 2015
To provide excellent health services to improve the quality of life for people in our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $589,605,710 | $618,496,723 | ▲ $28,891,013 |
| Investments Other Securities | $109,385,130 | $92,149,505 | ▼ $17,235,625 |
| Investments in Publicly Traded Securities | $32,597,856 | $37,055,748 | ▲ $4,457,892 |
| Land, Buildings, and Equipment, Net | $31,934,239 | $31,979,758 | ▲ $45,519 |
| Prepaid Expenses and Deferred Charges | $10,470,359 | $13,054,286 | ▲ $2,583,927 |
| Savings and Temporary Cash Investments | $3,683,947 | $7,219,974 | ▲ $3,536,027 |
| Total Assets | $779,013,976 | $801,193,490 | ▲ $22,179,514 |
| Other Assets Total | $1,336,735 | $1,237,496 | ▼ $99,239 |
| Liabilities | |||
| Other Liabilities | $78,514,957 | $115,812,751 | ▲ $37,297,794 |
| Accounts Payable and Accrued Expenses | $34,080,333 | $43,659,082 | ▲ $9,578,749 |
| Total Liabilities | $112,595,290 | $159,471,833 | ▲ $46,876,543 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $666,222,644 | $639,165,674 | ▼ $27,056,970 |
| Temporarily Rstr Net Assets | $196,042 | $2,555,983 | ▲ $2,359,941 |
| Total Net Assets Fund Balance | $666,418,686 | $641,721,657 | ▼ $24,697,029 |
| Total Liabilities and Net Assets / Fund Balance | $779,013,976 | $801,193,490 | ▲ $22,179,514 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $24,034,127 | $52,024,933 | $76,059,060 |
| Other Land Buildings | $6,734,387 | - | $6,734,387 |
| Buildings | $979,128 | $945,992 | $1,925,120 |
| Leasehold Improvements | $232,116 | $7,110 | $239,226 |
| Investment Program Related Org | $120,000 | - | - |
| Other Securities | $92,149,505 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Diane Postler-slattery | President & | FT | $1,064,088 | $184,566 | $1,248,654 |
| Diane Postler-slattery | President & CEO | - | $697,400 | $551,254 | $1,248,654 |
| Gregory Rogers | Exec Vice Pr | FT | $682,236 | $243,689 | $925,925 |
| Gregory Rogers | Exec Vice Pres | - | $456,720 | $469,205 | $925,925 |
| Francine M Padgett | SVP, CFO & T | FT | $564,798 | $177,543 | $742,341 |
| Francine M Padgett | SVP, CFO & Treasurer | - | $396,504 | $345,837 | $742,341 |
| Donna Rapp | SVP & Secret | FT | $473,209 | $132,289 | $605,498 |
| Donna Rapp | SVP & Secretary | - | $303,780 | $301,718 | $605,498 |
| Lydia Watson Pinney Md | Chief Medica | FT | $500,809 | $99,115 | $599,924 |
| Lydia Watson Pinney Md | Chief Medical Off | - | $361,920 | $238,004 | $599,924 |
| Raymond Stover | President - | FT | $361,792 | $143,446 | $505,238 |
| Raymond Stover | President - Gladwin | - | $253,412 | $251,826 | $505,238 |
| Mark Santamaria | President - | FT | $436,100 | $62,194 | $498,294 |
| Mark Santamaria | President - Gratiot | - | $311,508 | $186,786 | $498,294 |
| Brian Rodgers | President - | FT | $418,086 | $73,530 | $491,616 |
| Brian Rodgers | President - Mhn | - | $299,974 | $191,642 | $491,616 |
| Greg Ghilardi | VP Human Res | FT | $360,925 | $80,594 | $441,519 |
| Greg Ghilardi | VP Human Resources | - | $251,784 | $189,735 | $441,519 |
| Daniel Waltz | VP CIO | FT | $266,324 | $140,184 | $406,508 |
| Madhura Mansabdar | Cimo | FT | $251,206 | $63,405 | $314,611 |
| Richard Reynolds | Former Presi | - | $120,000 | - | $120,000 |
| Richard Reynolds | Former President | - | - | $120,000 | $120,000 |
| Name | Title |
|---|---|
| Glenn Smith | Chair |
| Don Sheets | Vice Chair |
| Bill Weideman | Director |
| Bob Denooyer | Director |
| Bobbie Arnold | Director |
| Carl Schwind | Director |
| David Miller Md | Director |
| David Spahlinger Md | Director |
| Eric Blackhurst | Director |
| Eric Smith | Director |
| Greg Marcoe Do | Director |
| James Arbuckle | Director |
| Jenne Velasquez | Director |
| Jim Wheeler | Director |
| Joan David | Director |
| Sara Wassenaar Dds | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Three Rivers Corporation | Construction | PO BOX 1467, Midland, MI 48641 | $12,660,514 |
| Midland Emergency Room | Er Physicians | 2000 DILLOWAY DR, Midland, MI 48640 | $6,299,992 |
| Cerner Corp | Comp Software | PO BOX 412702, Kansas City, MO 64141-2702 | $3,348,662 |
| Sodexo INC & Affiliates | Food Services | 4880 PAYSPHERE CIRCLE, Chicago, IL 60674 | $2,759,337 |
| Midmichigan Anesthesiology | Physician Serv | PO BOX 67000 DEPT 103901, Detroit, MI 48267 | $2,469,882 |
| Line Item | Amount |
|---|---|
| Other Expenses | $38,097,962 |
| Salaries, Compensation, and Employee Benefits | $35,449,627 |
| Grants and Similar Amounts Paid | $263,325 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $19,616,524 | $4,136,901 | - | $23,753,425 |
| Other Salaries and Wages | $16,587,114 | $5,497,635 | - | $22,084,749 |
| Depreciation Depletion | - | $11,292,046 | - | $11,292,046 |
| Pension Plan Contributions | $3,035,422 | $1,011,808 | - | $4,047,230 |
| Other Employee Benefits | $2,914,643 | $971,548 | - | $3,886,191 |
| Current Officers, Directors, Trustees, and Key Employees | $1,914,843 | $1,914,842 | - | $3,829,685 |
| Payroll Taxes | $1,201,329 | $400,443 | - | $1,601,772 |
| Office Expenses | $891,704 | $297,213 | - | $1,188,917 |
| Information Technology | $616,981 | $205,334 | - | $822,315 |
| Fees for Services Legal | - | $328,840 | - | $328,840 |
| Grants to Domestic Orgs | $263,325 | - | - | $263,325 |
| Travel | $97,608 | $97,608 | - | $195,216 |
| Fees for Service Investment Mgmnt Fees | - | $170,475 | - | $170,475 |
| Conferences and Meetings | - | $162,193 | - | $162,193 |
| Fees for Services Accounting | $91,975 | $30,658 | - | $122,633 |
| Occupancy | $36,665 | $12,222 | - | $48,887 |
| Advertising | $10,412 | $2,603 | - | $13,015 |
| Total Functional Expenses | $47,278,545 | $26,532,369 | $0 | $73,810,914 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $73,810,914 |
| Total Expenses per Audited Statements | $71,677,714 |
| Expenses per Audited Statements | $71,662,565 |
| Expenses Not Reported on Financial Statements | $2,148,349 |
| Other Expense Adjustments | $1,977,874 |
| Expenses Not Reported on Form 990 | $15,149 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Midmichigan Community College | Harrison, MI | 501c3 | General Support | $10,714 |
| Kirtland Community College | Roscommon, MI | 501c3 | General Support | $10,000 |
| Michigan Health Info Alliance | Roscommon, MI | 501c3 | General Support | $10,000 |
| Greater Midland Community | Midland, MI | 501c3 | General Support | $6,500 |
| Midland Area Chamber of Commerce | Midland, MI | 501c6 | General Support | $6,500 |
| Midland Community Tennis Center | Midland, MI | 501c3 | General Support | $6,500 |
| American Heart Association | Grand Rapids, MI | 501c3 | General Support | $5,500 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Jeramie Soderberg | Family Member | Employment | No | $53,492 |
| Liability | Amount |
|---|---|
| Accrued Pension/retirement Benefits | $83,535,849 |
| Deferred Comp, Self Ins, Other | $32,276,902 |
“Line 2 - the following officers and directors have business relationships through a for-profit entity due to the small size and limited resources of our community: bobbie arnold, eric blackhurst, bill weideman, and don sheets.”
“The corporation has two member classes. One member class consists solely of michigan health corporation (mhc) and holds a one-tenth of one percent (0.1%) membership interest in midmichigan health. The other member class consists of the members of the midmichigan health director class and holds a 99.9% membership interest. Mhc exists as the sole member of the mhc member class. The midmichigan health member class is composed of the individuals who are members of the midmichigan health director class. The property, business, and affiars of midmichigan health are managed by the board of directors. The board of directors may exercise all of the power and authority of the organization in such a manner and to such extent as the board of directors shall determine and decide, except as specifically provided in the laws of the state of michigan, the articles of incorporation, and/or the bylaws of midmichigan health. The board of directors shall have two director classes, the first consisting of those directors nominated by the mhc member class and the second consisting of the directors nominated by the midmichigan health member class. The board of directors ("board") shall consist of not less than 16 persons. The board currently meets at least 8 times a year. Actions by written consent are permitted but such consent must be unanimous. All other actions may be taken by a majority of the total number of directors present assuming a quorum.”
“The mhc directors hold office for successive three year terms, without term limits, until a successor is appointed and qualified. Midmichigan directors hold office for a term of one year and until his or her successor is selected and qualified. No midmichigan director except for the chief executive officer shall serve more than nine consecutive one-year terms. At least 60 days prior to the annual meeting, the chair of the governance and nominating committee prepares a list of nominees for election to the board of directors and submits the list to the members of the midmichigan health member class at the annual meeting. Only members of the midmichigan health member class are vested with the power to elect midmichigan health directors. Provisions exist to obtain additional nominations. The board of directors elects a chair, a vice-chair, a president, one or more vice- presidents, a secretary, and a treasurer. No officer except the chair, vice-chair, and president need to be a member of the board.”
“Each member class has certain reserve powers. The following actions require the approval of the mhc member class and the midmichigan health member class: - termination of the affiliation other than as expressly provided in the affiliation agreement; - dissolution of the corporation; - changes to the articles of incorporation, bylaws, or other documents of midmichigan health or its subsidiaries that would affect mhc's (and/or umhs') rights or interests under the affiliation agreement.”
“The form 990 information is prepared by the finance staff at this organization. The information is submitted for review by a senior finance staff member at midmichigan health. The staff member in consultation with our tax accountant (a certified public accounting firm) requests additional information and obtains clarification. Once the initial review is complete, the information is submitted to our tax professionals at andrews hooper pavlik plc. Upon review by their professionals, including a partner, information is returned to midmichigan health for its final review. This review includes a review by the svp and treasurer. All compensation disclosures are reviewed with the midmichigan health ceo prior to filing. Prior to filing: information is reviewed by the compensation committee prior to filing. Form 990, including all schedules, is made available to this organization's board of directors in a secure electronic format with a summary of all the major changes from the prior year return. Questions or concerns are addressed by the svp and treasurer. The questions or concerns of these reviews are presented to the midmichigan health board of directors and this organization's board of directors, if any are identified.”
“The organization requires each director, officer, key employee and member of a committee of the board annually: 1) to review the organization's conflict of interest policy ("the policy"); 2) to disclose any possible personal, familial, or business relationship that reasonably could give rise to a conflict of interest or the appearance of a conflict of interest; and 3) to acknowledge by his or her signature that he or she is acting in accordance with the letter and spirit of the policy. The completed forms are reviewed by the midmichigan health secretary and filed for reference as needed. Voting board members with conflicts on specific issues may be asked to leave the meeting during discussions and do abstain from voting on any issue in which they are not independent.”
“All ceos and operating officers compensation is annually approved by an independent compensation committee of midmichigan health. The compensation is then reviewed by the board of directors (or subcommittee thereof). For detailed information on compensation, please see schedule j.”
“All officers and key employee compensation is reviewed annually by the compensation committee for adherence to corporate policies. For detailed information on compensation, please see schedule j.”
“All documents are available upon request.”
“No directors receive pay for the purpose of serving on the board. They are considered to work an average of 2 hours a week on board-related matters. All individuals with reportable compensation are paid by either the reporting organization or a related organization for services related to a part-time or full-time position. Average hours per week for those with reportable compensation are related to the aforementioned positions. Those persons with full-time positions are estimated to work an average of 50 hours a week.”
“Part i, lines 3 & 4 and part vi, section a, line 1 - any board members who have a family or business relationship as listed in schedule l are not conisdered to be independent. All others who are not independent are employees of the organization or a rleated organization listed in schedule r and are compensated at market value for the services provided to that organization. This form 990 tax return includes data from midmichigan collaborative care organization. All lines left blank are not applicable to the organization.”
“Cayman islands, other country”
“Association dues & other fees 3,262,292 3,262,293 0 purchased/contract services 16,354,232 874,608 0”
“Fas 87 pension adjustment -31,445,507 pension settlement -6,645,989 cash transfer to midmichigan hda 501(c)(3) -546,947 total -38,638,443”
“Net assets released from restrictions 15,149”
“Income from consolidated subsidiaries 19,666,189 subsidiary expense - reclassified 2,012,055 loss on disposal of fixed assets - reclassified -34,181”
“Net assets released from restrictions 15,149”
“Subsidiary expense - reclassified 2,012,055 loss on disposal of fixed assets - reclassified -34,181”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 34080333 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 43659082 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 2603 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 10412 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 13015 |
| IRS990/AllOtherContributionsAmt | 0 | 2375089 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | FM PADGETT SR VP TREASURER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9898393181 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4000 WELLNESS DR |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MIDLAND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48670 |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 111 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1914842 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1914843 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3829685 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 162193 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 162193 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 12660514 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 6299992 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 3348662 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 2759337 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 2469882 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 1467 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2000 DILLOWAY DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 412702 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 4880 PAYSPHERE CIRCLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 67000 DEPT 103901 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MIDLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MIDLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | KANSAS CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DETROIT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 48641 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 48640 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 641412702 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 60674 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 48267 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | THREE RIVERS CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MIDLAND EMERGENCY ROOM |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CERNER CORP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | SODEXO INC & AFFILIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | MIDMICHIGAN ANESTHESIOLOGY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ER PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | COMP SOFTWARE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | FOOD SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PHYSICIAN SERV |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2375089 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 263325 |
| IRS990/CYInvestmentIncomeAmt | 0 | 22800529 |
| IRS990/CYOtherExpensesAmt | 0 | 38097962 |
| IRS990/CYOtherRevenueAmt | 0 | 3060581 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 62783963 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 17209248 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 35449627 |
| IRS990/CYTotalExpensesAmt | 0 | 73810914 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 91020162 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 11292046 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 11292046 |
| IRS990/Desc | 0 | THE HOLDING COMPANY PROVIDES ASSISTANCE TO OUR VARIOUS AFFILIATES IN ORDER TO IMPROVE THE QUALITY OF CARE AND PROVIDE SERVICES AT THE LOWEST POSSIBLE COST. EXPERTISE AT THE HOLDING COMPANY LEVEL INCLUDES STRATEGIC PLANNING, TREASURY, INFORMATION RESOURCES, HUMAN RESOURCES, INTERNAL AUDIT, FINANCE, MATERIALS MANAGEMENT AND RISK MANAGEMENT. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 391 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 47278545 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 30658 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 91975 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 122633 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 328840 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 328840 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 4136901 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 19616524 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 23753425 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 170475 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 170475 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignCountryCd | 0 | CJ |
| IRS990/ForeignFinancialAccountInd | 0 | true |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | 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/OtherCompensationAmt | 0 | 184566 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 243689 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 177543 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 132289 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 73530 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 80594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 99115 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 62194 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 143446 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 46514 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 26148 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DIANE POSTLER-SLATTERY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ERIC BLACKHURST |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOAN DAVID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | BOBBIE ARNOLD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SARA WASSENAAR DDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | GLENN SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | BOB DENOOYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DAVID MILLER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | CARL SCHWIND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DON SHEETS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BILL WEIDEMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | GREG MARCOE DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | DAVID SPAHLINGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JAMES ARBUCKLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JENNE VELASQUEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JIM WHEELER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ERIC SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | GREGORY ROGERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | FRANCINE M PADGETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | DONNA RAPP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | BRIAN RODGERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | GREG GHILARDI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | LYDIA WATSON PINNEY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MARK SANTAMARIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | RAYMOND STOVER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | DANIEL WALTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | MADHURA MANSABDAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | RICHARD REYNOLDS |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1064088 |
| 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 | 682236 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 564798 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 473209 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 418086 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 360925 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 500809 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 436100 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 361792 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 359994 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 288463 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 120000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT & |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | EXEC VICE PR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | SVP, CFO & T |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | SVP & SECRET |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PRESIDENT - |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | VP HUMAN RES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | CHIEF MEDICA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PRESIDENT - |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PRESIDENT - |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | VP CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | CIMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | FORMER PRESI |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1982 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -34181 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 436024 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GrantAmt | 0 | 263325 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 263325 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 263325 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 8831926 |
| IRS990/GrossReceiptsAmt | 0 | 99450245 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 15 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 48 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 205334 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 616981 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 822315 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2537821 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 19860865 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 22398686 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 109385130 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 92149505 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 589605710 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 618496723 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 32597856 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 37055748 |
| IRS990/IRPDocumentCnt | 0 | 336 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 52978035 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 31934239 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 31979758 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 84957793 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 34181 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 8395902 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | true |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 1207414 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 1259870 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 52456 |
| IRS990/MissionDesc | 0 | TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 666418686 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 641721657 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 401843 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 401843 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 393393 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -3267834 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 12222 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 36665 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 48887 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 297213 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 891704 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1188917 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1336735 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1237496 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -38638443 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 971548 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2914643 |
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Displayed year
2016 • Form 990Detailed filing. Detailed filing data is available for this year.