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
82nd percentile
Higher debt load relative to revenue than 82% of similar nonprofits.
Net Margin
92nd percentile
Higher net margin than 92% of similar nonprofits.
Top Officer Pay
79th percentile
Higher top officer pay than 79% of similar nonprofits.
Top officer pay equals 1.4% of source-year revenue.
Asset Growth
59th percentile
Faster asset growth than 59% of similar nonprofits.
Revenue Growth
17th percentile
Faster revenue growth than 17% of similar nonprofits.
Assets
Up$918,248,008
Up $45,183,406 (+5.2%) from 2017
Net Assets
Up$752,172,016
Up $62,965,550 (+9.1%) from 2017
Liabilities
Down$166,075,992
Down $17,782,144 (-9.7%) from 2017
Revenue
Down$130,185,091
Down $6,632,394 (-4.8%) from 2017
Expenses
Up$75,595,332
Up $6,857,061 (+10.0%) from 2017
Net Income
Down$54,589,759
Down $13,489,455 (-20%) from 2017
To provide excellent health services to improve the quality of life for people in our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $706,054,245 | $769,252,156 | ▲ $63,197,911 |
| Land, Buildings, and Equipment, Net | $50,613,995 | $50,223,866 | ▼ $390,129 |
| Investments Other Securities | $67,413,441 | $46,633,046 | ▼ $20,780,395 |
| Investments in Publicly Traded Securities | $33,653,181 | $41,862,082 | ▲ $8,208,901 |
| Prepaid Expenses and Deferred Charges | $10,063,176 | $7,640,982 | ▼ $2,422,194 |
| Savings and Temporary Cash Investments | $3,922,453 | $1,203,905 | ▼ $2,718,548 |
| Inventories for Sale or Use | $2 | $16 | ▲ $14 |
| Total Assets | $873,064,602 | $918,248,008 | ▲ $45,183,406 |
| Other Assets Total | $1,344,109 | $1,431,955 | ▲ $87,846 |
| Liabilities | |||
| Other Liabilities | $149,219,892 | $122,188,587 | ▼ $27,031,305 |
| Accounts Payable and Accrued Expenses | $34,638,244 | $43,887,405 | ▲ $9,249,161 |
| Total Liabilities | $183,858,136 | $166,075,992 | ▼ $17,782,144 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $689,206,466 | $752,172,016 | ▲ $62,965,550 |
| Total Net Assets Fund Balance | $689,206,466 | $752,172,016 | ▲ $62,965,550 |
| Total Liabilities and Net Assets / Fund Balance | $873,064,602 | $918,248,008 | ▲ $45,183,406 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $48,519,794 | $28,958,032 | $77,477,826 |
| Buildings | $778,667 | $1,216,140 | $1,994,807 |
| Other Land Buildings | $735,947 | - | $735,947 |
| Leasehold Improvements | $189,458 | $49,768 | $239,226 |
| Investment Program Related Org | $218,683 | - | - |
| Other Securities | $46,633,046 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Diane Postler-slattery | President & CEO | FT | $757,564 | $1,017,226 | $1,774,790 |
| Gregory Rogers | Executive Vice President | FT | $498,679 | $1,014,239 | $1,512,918 |
| Francine Padgett | SVP, CFO & Treasurer | FT | $430,181 | $699,574 | $1,129,755 |
| Donna Rapp | SVP & Secretary | FT | $336,791 | $459,852 | $796,643 |
| Lydia Watson-pinney Md | Chief Medical Officer | FT | $417,297 | $374,477 | $791,774 |
| Raymond Stover | President Clare & Gladwin | FT | $279,881 | $335,269 | $615,150 |
| Greg Ghilardi | VP Human Resources | FT | $278,759 | $287,566 | $566,325 |
| Pankaj Jandwani Md | Chief Innovation Officer | FT | $385,639 | $160,902 | $546,541 |
| Daniel Waltz | VP & CIO | FT | $299,025 | $243,547 | $542,572 |
| Madhura Mansabdar Md | Chief Integration Med Officer | FT | $285,820 | $96,745 | $382,565 |
| Mark Santamaria | Former President - Gratiot | FT | $48,204 | $310,124 | $358,328 |
| Brian Rodgers | Former SVP | FT | $326,600 | $326,600 | $326,600 |
| Bill Weideman | Director | - | $4,200 | - | $4,200 |
| Bob Denooyer | Director | - | $4,200 | - | $4,200 |
| Don Sheets | Chair | - | $4,200 | - | $4,200 |
| Eric Smith | Director | - | $4,200 | - | $4,200 |
| Gary Mcguire | Director | - | $4,200 | - | $4,200 |
| Glenn Smith | Director | - | $4,200 | - | $4,200 |
| James Arbuckle | Director | - | $4,200 | - | $4,200 |
| Joan David | Director | - | $4,200 | - | $4,200 |
| Sara Wassenaar Dds | Director | - | $4,000 | - | $4,000 |
| Name | Title |
|---|---|
| Jim Wheeler | Vice Chair |
| Bobbie Arnold | Director |
| David Miller Md | Director |
| David Spahlinger Md | Director |
| Greg Marcoe Do | Director |
| Jenne Velasquez | Director |
| Kevin Elliott | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Three Rivers Construction | Construction Services | PO BOX 1467, Midland, MI 48641 | $21,195,628 |
| Midland Emergency Room Corp | Emergency Room Physicians | 2000 DILLOWAY DR, Midland, MI 48640 | $6,347,450 |
| Greater Midland Emergency Physician PC | Emergency Room Physicians | PO BOX 2579, Midland, MI 48641 | $5,895,996 |
| Sodexo INC & Affiliates | Food Services | 4880 PAYSPHERE CIRCLE, Chicago, IL 60674 | $4,595,589 |
| Midmichigan Anesthesiology Group | Anesthesia Physicians | PO BOX 67000, Detroit, MI 48267 | $3,058,614 |
| Line Item | Amount |
|---|---|
| Other Expenses | $39,253,653 |
| Salaries, Compensation, and Employee Benefits | $36,341,679 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $19,899,418 | $6,606,991 | - | $26,506,409 |
| Fees for Services Other | $21,402,905 | $4,355,791 | - | $25,758,696 |
| Depreciation Depletion | - | $9,732,478 | - | $9,732,478 |
| Current Officers, Directors, Trustees, and Key Employees | $2,024,654 | $2,024,653 | - | $4,049,307 |
| Pension Plan Contributions | $2,637,718 | $879,239 | - | $3,516,957 |
| Payroll Taxes | $1,400,930 | $466,976 | - | $1,867,906 |
| Office Expenses | $829,123 | $276,375 | - | $1,105,498 |
| Fees for Services Accounting | $608,734 | $202,911 | - | $811,645 |
| Fees for Services Legal | - | $796,135 | - | $796,135 |
| Information Technology | $361,005 | $120,335 | - | $481,340 |
| Other Employee Benefits | $300,825 | $100,275 | - | $401,100 |
| Travel | $152,346 | $152,347 | - | $304,693 |
| Fees for Service Investment Mgmnt Fees | - | $139,736 | - | $139,736 |
| Conferences and Meetings | - | $107,368 | - | $107,368 |
| Occupancy | $10,428 | $3,477 | - | $13,905 |
| Advertising | $1,727 | $432 | - | $2,159 |
| Total Functional Expenses | $49,629,813 | $25,965,519 | $0 | $75,595,332 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $75,595,332 |
| Total Expenses per Audited Statements | $74,680,478 |
| Expenses per Audited Statements | $74,647,467 |
| Expenses Not Reported on Financial Statements | $947,865 |
| Other Expense Adjustments | $808,129 |
| Expenses Not Reported on Form 990 | $33,011 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Robin Nelson | Family Member of Bobbie Arnold | Employment | No | $115,466 |
| Jeramie Soderberg | Family Member of Bill Weideman | Employment | No | $78,618 |
| Michael Rogers | Family Member of Gregory Rogers | Employment | No | $27,807 |
| Liability | Amount |
|---|---|
| Accrued Pension/retirment Benefits | $66,172,400 |
| Deferred Comp, Self Ins, Other | $56,016,187 |
“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 related organization listed in schedule r and are compensated at market value for the services provided to that organization.”
“The following officers and directors have family relationships through employment of a family member, however such employees are not considered key employees or officers: bill weideman, gregory rogers, bobbie arnold.”
“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 vicepresidents, 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.”
“New tax software was implemented for the tax year 2017 form 990. The finance staff at each subsidiary uploads information into the software which is then reviewed by a senior finance staff member at midmichigan health. The staff member requests additional information and obtains clarification. A final review is then done by the svp and treasurer. In addition, all compensation disclosures are reviewed with the midmichigan health ceo prior to filing. The form 990 part vii and schedule j compensation 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 indentified.”
“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. A listing of any conflicts are provided to the board chair, vice chair, and president of the organization. Voting board members with conflicts on specific issues may be asked to leave the meeting during discussions and at a minimum are required to 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). 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.”
“Beginning in fiscal year 2018, members of the midmichigan health corporate board receive an annual retainer paid in july of $3,600 and $200 for each meeting attended either in person or remotely. They are considered to work an average of 2 hours a week on board-related matters. All other 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.”
“This form 990 tax return includes data from midmichigan collaborative care organization.”
“Purchased/contract services: program service expenses 17,994,175. Management and general expenses 947,061. Fundraising expenses 0. Total expenses 18,941,236. Association dues & other fees: program service expenses 3,408,730. Management and general expenses 3,408,730. Fundraising expenses 0. Total expenses 6,817,460.”
“Pension fas 87 10,523,831. Book tax difference from mhn k-1 -344,150. Book tax difference from isomm k-1 21,332.”
“Income/loss from consolidated subsidiaries 62,372,426. Gain/loss on disposal of fixed asset -33,011. Mhn k-1 ubi 344,150. Subsidiary expense - reclassified 808,129. Isomm k-1 ubi -21,332.”
“Subsidiary expense reclassified 808,129.”
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 | 34638244 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 43887405 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 432 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1727 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2159 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | FRANCINE M PADGETT |
| 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 | 1 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 123 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2024653 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 2024654 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 4049307 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 107368 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 107368 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 21195628 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 6347450 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 5895996 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 4595589 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 3058614 |
| 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 2579 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 4880 PAYSPHERE CIRCLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 67000 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MIDLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MIDLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MIDLAND |
| 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 | MI |
| 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 | 48641 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 60674 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 48267 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | THREE RIVERS CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MIDLAND EMERGENCY ROOM CORP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | GREATER MIDLAND EMERGENCY PHYSICIAN PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | SODEXO INC & AFFILIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | MIDMICHIGAN ANESTHESIOLOGY GROUP |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | EMERGENCY ROOM PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | EMERGENCY ROOM PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | FOOD SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | ANESTHESIA PHYSICIANS |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 68742840 |
| IRS990/CYOtherExpensesAmt | 0 | 39253653 |
| IRS990/CYOtherRevenueAmt | 0 | 3077605 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 58364646 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 54589759 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 36341679 |
| IRS990/CYTotalExpensesAmt | 0 | 75595332 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 130185091 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 9732478 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 9732478 |
| 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 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 373 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 49629813 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 202911 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 608734 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 811645 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 796135 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 796135 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 4355791 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 21402905 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 25758696 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 139736 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 139736 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignCountryCd | 0 | CJ |
| IRS990/ForeignFinancialAccountInd | 0 | 1 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 18.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 18.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 16.00 |
| 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 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.00 |
| 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/AverageHoursPerWeekRt | 27 | 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 | 194651 |
| 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 | 304711 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 193322 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 216812 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 85948 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 103344 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 19632 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 34866 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 2888 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 138379 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 50805 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DIANE POSTLER-SLATTERY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JAMES ARBUCKLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BOBBIE ARNOLD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JOAN DAVID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BOB DENOOYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KEVIN ELLIOTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | GREG MARCOE DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | GARY MCGUIRE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DAVID MILLER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DON SHEETS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ERIC SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | GLENN SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | DAVID SPAHLINGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JENNE VELASQUEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SARA WASSENAAR DDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | BILL WEIDEMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JIM WHEELER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | GREGORY ROGERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | FRANCINE PADGETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | DONNA RAPP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | GREG GHILARDI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | LYDIA WATSON-PINNEY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | PANKAJ JANDWANI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MADHURA MANSABDAR MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | MARK SANTAMARIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | RAYMOND STOVER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | DANIEL WALTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | BRIAN RODGERS |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1580139 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 4000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 4200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 1208207 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 936433 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 579831 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 480377 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 688430 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 526909 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 347699 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 355440 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 476771 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 491767 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 326600 |
| 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 & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| 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 | 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 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | EXECUTIVE VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | SVP, CFO & TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | SVP & SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | VP HUMAN RESOURCES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | CHIEF INNOVATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | CHIEF INTEGRATION MED OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | FORMER PRESIDENT - GRATIOT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PRESIDENT CLARE & GLADWIN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | VP & CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | FORMER SVP |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1982 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -33011 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 5356404 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 14699298 |
| IRS990/GrossReceiptsAmt | 0 | 139560996 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 14 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 63 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 120335 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 361005 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 481340 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 2 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 16 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 846530 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 62572917 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 63419447 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 67413441 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 46633046 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 706054245 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 769252156 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 33653181 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 41862082 |
| IRS990/IRPDocumentCnt | 0 | 435 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 30223940 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 50613995 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 50223866 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 80447806 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 33011 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 9342894 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 1 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.