Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
EIN 38-2459948 • 501(c)3 • Midland, MI
Profile
Creating healthy communities - together
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
Liabilities / Revenue
68th percentile
Higher debt load relative to revenue than 68% of similar nonprofits.
Net Margin
93rd percentile
Higher net margin than 93% of similar nonprofits.
Top Officer Pay
51st percentile
Higher top officer pay than 51% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
79th percentile
Faster asset growth than 79% of similar nonprofits.
Revenue Growth
86th percentile
Faster revenue growth than 86% of similar nonprofits.
Assets
Up$1,564,115,455
Up $195,106,360 (+14%) from 2023
Liabilities
Down$268,599,100
Down $5,365,282 (-2.0%) from 2023
Net Assets
Up$1,295,516,355
Up $200,471,642 (+18%) from 2023
Revenue
Up$296,002,398
Up $81,119,882 (+38%) from 2023
Expenses
Up$114,866,512
Up $13,953,575 (+14%) from 2023
Net Income
Up$181,135,886
Up $67,166,307 (+59%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide excellent health services to improve the quality of life for people in our communities.
Creating healthy communities together by providing excellent health services to improve the quality of life for our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $1,237,725,197 | $1,418,679,085 | ▲ $180,953,888 |
| Investments in Publicly Traded Securities | $44,345,092 | $58,797,239 | ▲ $14,452,147 |
| Land, Buildings, and Equipment, Net | $34,712,371 | $40,211,589 | ▲ $5,499,218 |
| Prepaid Expenses and Deferred Charges | $17,097,266 | $14,829,117 | ▼ $2,268,149 |
| Savings and Temporary Cash Investments | $2,071,085 | $14,424,840 | ▲ $12,353,755 |
| Investments Other Securities | $27,591,305 | $11,796,756 | ▼ $15,794,549 |
| Total Assets | $1,369,009,095 | $1,564,115,455 | ▲ $195,106,360 |
| Other Assets Total | $5,466,779 | $5,376,829 | ▼ $89,950 |
| Liabilities | |||
| Other Liabilities | $225,854,256 | $200,862,869 | ▼ $24,991,387 |
| Accounts Payable and Accrued Expenses | $47,897,538 | $67,554,782 | ▲ $19,657,244 |
| Deferred Revenue | $212,588 | $181,449 | ▼ $31,139 |
| Total Liabilities | $273,964,382 | $268,599,100 | ▼ $5,365,282 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $1,095,044,713 | $1,295,516,355 | ▲ $200,471,642 |
| Total Net Assets Fund Balance | $1,095,044,713 | $1,295,516,355 | ▲ $200,471,642 |
| Total Liabilities and Net Assets / Fund Balance | $1,369,009,095 | $1,564,115,455 | ▲ $195,106,360 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $34,703,596 | $63,814,640 | $98,518,236 |
| Buildings | $4,079,365 | $1,270,325 | $5,349,690 |
| Other Land Buildings | $1,428,628 | - | $1,428,628 |
| Investment Program Related Org | $300,000 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Watson Pinney Md Lydia | President | FT | $982,848 | $1,030,030 | $2,012,878 |
| Rogers Gregory | Former President | - | $38,493 | $1,530,648 | $1,569,141 |
| Cross Bryan | Evp & Chief Operating Officer | FT | $555,834 | $332,420 | $888,254 |
| Rose Michael | Sr VP, CFO & Treasurer | FT | $580,831 | $265,006 | $845,837 |
| Berg Md Paul | Chief Medical Officer | FT | $536,097 | $247,858 | $783,955 |
| Sherwin Chuck | Midland President | FT | $489,191 | $244,211 | $733,402 |
| Hattem-schiffman Marita | Central Region President | FT | $397,601 | $298,379 | $695,980 |
| Waltz Daniel | VP CIO | FT | $415,449 | $243,921 | $659,370 |
| Stover Raymond | Eastern Region President | FT | $357,674 | $284,368 | $642,042 |
| Erickson Michael | Northern Region President | FT | $340,074 | $260,389 | $600,463 |
| Jandwani Md Pankaj | Chief Innovation Officer | FT | $476,333 | $91,247 | $567,580 |
| Vadakath Sunita | Senior VP and CSO | FT | $388,386 | $164,654 | $553,040 |
| Ward Julie | Chief Human Resources Officer | FT | $358,256 | $167,319 | $525,575 |
| Hunt Jason | System VP of Finance | FT | $250,777 | $97,151 | $347,928 |
| Szczepanski David | System VP of Hr | FT | $251,831 | $89,031 | $340,862 |
| Rapp Donna | Former Sr VP & Secretary | - | $114,507 | $114,507 | $114,507 |
| Savoie Mark | Director (part Year) | - | $1,200 | $6,705 | $7,905 |
| Smith Eric | Chair | - | $4,800 | - | $4,800 |
| Stamas Tony | Director | - | $4,800 | - | $4,800 |
| Elliott Kevin | Director | - | $3,600 | - | $3,600 |
| Name | Title |
|---|---|
| Velasquez Jenee | Former Chair (part Year) |
| Mcguire Gary | Vice Chair |
| Cox Rebecca | Director |
| Henderson William | Director |
| Hurn Patricia | Director |
| Kickland Md Erich | Director |
| Midkiff David | Director |
| Miller Md David | Director |
| Wilson Amy | Director |
| Stehouwer Kristin | Director (part Year) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Miron Construction | Construction Services | PO BOX 1372, Greenbay, WI 54305 | $25,963,255 |
| Sodexo INC & Affiliates | Food Services | 4880 PAYSPHERE CIRCLE, Chicago, IL 60674 | $15,618,067 |
| Midland Emergency Room Corp | Emergency Room Physicians | 2000 DILLOWAY DRIVE, Midland, MI 48640 | $15,530,864 |
| Greater Midland Emergency Physicians PC | Emergency Room Physicians | PO BOX 2579, Midland, MI 48641 | $15,446,288 |
| American Healthcare Services Association | Contract Labor | PO BOX 670529, Dallas, TX 75267 | $15,431,324 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $58,761,717 |
| Other Expenses | $55,943,564 |
| Grants and Similar Amounts Paid | $161,231 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $31,548,068 | $10,490,812 | - | $42,038,880 |
| Fees for Services Other | $31,542,476 | $5,634,457 | - | $37,176,933 |
| Depreciation Depletion | $8,163,465 | $236,959 | - | $8,400,424 |
| Current Officers, Directors, Trustees, and Key Employees | $3,093,164 | $3,107,564 | - | $6,200,728 |
| Other Employee Benefits | $4,300,973 | $1,433,658 | - | $5,734,631 |
| Fees for Services Legal | - | $3,022,098 | - | $3,022,098 |
| Payroll Taxes | $2,071,306 | $690,435 | - | $2,761,741 |
| Office Expenses | $1,923,738 | $635,649 | - | $2,559,387 |
| Advertising | $1,867,704 | $466,926 | - | $2,334,630 |
| Pension Plan Contributions | $1,519,303 | $506,434 | - | $2,025,737 |
| Fees for Services Accounting | $572,857 | $190,952 | - | $763,809 |
| Information Technology | $552,915 | $184,204 | - | $737,119 |
| Travel | $361,872 | $361,872 | - | $723,744 |
| Grants to Domestic Orgs | $161,231 | - | - | $161,231 |
| Conferences and Meetings | - | $142,741 | - | $142,741 |
| Insurance | - | $51,490 | - | $51,490 |
| Fees for Service Investment Mgmnt Fees | - | $21,516 | - | $21,516 |
| Occupancy | $7,255 | $2,418 | - | $9,673 |
| Total Functional Expenses | $87,686,327 | $27,180,185 | $0 | $114,866,512 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Great Lakes Bay Foundation | Bay City, MI | 501(c)(3) | Donation | $15,681 |
| Alpena Area Senior Citizens Council Inc | Alpena, MI | 501(c)(3) | Donation | $14,000 |
| Rise Advocacy | Mount Pleasant, MI | 501(c)(3) | Donation | $10,000 |
| Sunset Project | Alpena, MI | 501(c)(3) | Donation | $10,000 |
| West Midland Family Center | Shepherd, MI | 501(c)(3) | Donation | $8,000 |
| Roscommon County United Way | Houghton Lake, MI | 501(c)(3) | Donation | $6,200 |
| Mt Pleasant Chamber of Commerce | Mount Pleasant, MI | 501(c)(3) | Donation | $5,500 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Madhura Mansabdar | Family Member of Pankaj Jandwani, Chief Innovation Officer | Employment | No | $473,110 |
| Michael Rogers | Family Member of Gregory Rogers, President/ceo | Employment | No | $204,022 |
| Liability | Amount |
|---|---|
| Umh Exit Liability | $92,500,000 |
| Deferred Comp, Other | $78,194,241 |
| Self Insurance | $29,395,425 |
| Accrued Pension/retirement Benefits | $773,203 |
“Any board members who have a family or business relationship as listed in schedule l are not considered 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 corporation has two member classes. One member class consists solely of michigan health corporation (mhc) and holds a twelve percent (12%) membership interest in mymichigan health. The other member class consists of the members of the mymichigan health director class and holds a 88% membership interest. Mhc exists as the sole member of the mhc member class. The mymichigan health member class is composed of the individuals who are members of the mymichigan health director class. The property, business, and affairs of mymichigan 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, or the bylaws of mymichigan health. The board of directors shall have two director classes, the first consisting of the president/ceo and those directors nominated by the mhc member class and the second consisting of the directors nominated by the mymichigan health member class. The board of directors ("board") shall consist of not less than 11 persons and not more than 18 persons, including the president/ceo who shall serve as ex officio. Meetings of the board are held six times a year. Actions by written consent are permitted but all members of the board then in office must consent in writing. 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. Mymichigan directors hold office for three year terms and until his or her successor is selected and qualified. No mymichigan director except for the chief executive officer shall serve more than three consecutive three-year terms. At least 30 days prior to the annual meeting of members, the chair of the governance and nominating committee shall prepare a list of nominees for election to the board of directors and submit the list to the members of the mymichigan member class at the annual meeting. Only members of the mymichigan member class are vested with the power to elect mymichigan directors. Additional candidates for membership on the board of directors may be nominated by members of the mymichigan member class, however, all such nominations must be filed with the secretary at least fifteen (15) days in advance of the annual meeting at which the election will be held. In nominating and electing individuals to serve as mymichigan directors, consideration shall be given to drawing candidates from regions served by the corporation and its members, and to candidates who provide skills or expertise needed by the board of directors. Notwithstanding anything to the contrary contained in these bylaws, for the period beginning april 1, 2018 and ending march 31, 2027, one (1) seat on the board of directors shall be held by members of mymichigan medical center west branch's board of directors. If, prior to march 31, 2027, such member resigns or is removed, a replacement member will be appointed from among individuals nominated by the mymichigan medical center west branch board. Similarly, and notwithstanding anything to the contrary contained in these bylaws, for the period beginning january 1, 2022 and ending december 31, 2030, the mymichigan medical center sault's board of directors shall have the option to nominate one (1) member who will hold a seat on the mymichigan board of directors. If, prior to december 31, 2030, a sault director resigns or is removed by the mymichigan board of directors, a replacemebt member shall be appointed from among the individuals nominated by the mymichigan medical center sault's board of directors.”
“Each member class has certain reserve powers. The following actions require the approval of the mhc member class and the mymichigan health member class: (1) termination of the affiliation other than as expressly provided in the affiliation agreement; (2) dissolution of the corporation; (3) changes to the articles of incorporation, bylaws, or other organizational documents of mymichigan health or any mymichigan entity that would adversley affect mhc's (and/or umhs') rights or interests under the affiliation agreement.”
“The finance staff at each subsidiary uploads information into the software which is then reviewed by a the corporate controller at mymichigan health. The corporate controller 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 mymichigan 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 mymichigan 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 mymichigan 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 reviewed by an independent compensation consultant for reasonableness and approved by the compensation committee of mymichigan health. The compensation is then reviewed by the organization's board of directors (or subcommittee thereof). All officers and key employee compensation (including physicians) is reviewed annually by the compensation committee of mymichigan health for adherence to corporate policies. For detailed information on compensation, please see schedule j.”
“All documents are available upon request.”
“Members of the mymichigan health corporate board receive an annual retainer 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 mymichigan collaborative care organization which is a disregarded entity owned 100% by mymichigan health.”
“Purchased/contract services: program service expenses 27,341,110. Management and general expenses 1,447,492. Fundraising expenses 0. Total expenses 28,788,602. Recruiting & other fees: program service expenses 4,201,366. Management and general expenses 4,186,965. Fundraising expenses 0. Total expenses 8,388,331.”
“Pension 41,234,437. Book tax difference from mhn k-1 191,604. Book tax difference from isomm k-1 -50,291. Pension settlement -38,632,767. Transfer of na from related 501(c)(3)-mymichigan medical center midland 12,182,320.”
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 | 47897538 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 67554782 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR OUR COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 466926 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1867704 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2334630 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JUDI GRAVES |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9898379039 |
| 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/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 191 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 3107564 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 3093164 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 6200728 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 142741 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 142741 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 25963255 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 15618067 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 15530864 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 15446288 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 15431324 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 1372 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 4880 PAYSPHERE CIRCLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2000 DILLOWAY DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 2579 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 670529 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | GREENBAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MIDLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | MIDLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 54305 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 60674 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 48640 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 48641 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 75267 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MIRON CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | SODEXO INC & AFFILIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MIDLAND EMERGENCY ROOM CORP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | GREATER MIDLAND EMERGENCY PHYSICIANS PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | AMERICAN HEALTHCARE SERVICES ASSOCIATION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | FOOD SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | EMERGENCY ROOM PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | EMERGENCY ROOM PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONTRACT LABOR |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 571521 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 161231 |
| IRS990/CYInvestmentIncomeAmt | 0 | 183398105 |
| IRS990/CYOtherExpensesAmt | 0 | 55943564 |
| IRS990/CYOtherRevenueAmt | 0 | 2121614 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 109911158 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 181135886 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 58761717 |
| IRS990/CYTotalExpensesAmt | 0 | 114866512 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 296002398 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 212588 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 181449 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 236959 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 8163465 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 8400424 |
| IRS990/Desc | 0 | THE HOLDING COMPANY PROVIDES ASSISTANCE TO OUR VARIOUS MEMBERS 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/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 598 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 87686327 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 190952 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 572857 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 763809 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 3022098 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 3022098 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 5634457 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 31542476 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 37176933 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 21516 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 21516 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 2.00 |
| 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 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 28 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 29 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 29 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 6 | 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 | 331661 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 8278 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 173563 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 141452 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 136640 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 113189 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 25591 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 84826 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 82904 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 16760 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 85186 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 83361 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 91008 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 45988 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 35529 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 29 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | WATSON PINNEY MD LYDIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROGERS GREGORY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | CROSS BRYAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ROSE MICHAEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BERG MD PAUL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SHERWIN CHUCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | WALTZ DANIEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | HATTEM-SCHIFFMAN MARITA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | STOVER RAYMOND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JANDWANI MD PANKAJ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ERICKSON MICHAEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | VADAKATH SUNITA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | WARD JULIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | HUNT JASON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SZCZEPANSKI DAVID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | RAPP DONNA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | SAVOIE MARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | SMITH ERIC |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | STAMAS TONY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ELLIOTT KEVIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | MCGUIRE GARY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | COX REBECCA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | HENDERSON WILLIAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | HURN PATRICIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | KICKLAND MD ERICH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | MIDKIFF DAVID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | MILLER MD DAVID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | STEHOUWER KRISTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | VELASQUEZ JENEE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 29 | WILSON AMY |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1681217 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1560863 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 714691 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 704385 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 647315 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 620213 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 633779 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 611154 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 559138 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 550820 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 515277 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 469679 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 434567 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 301940 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 305333 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 114507 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 1200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 4800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 4800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 3600 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 29 | 0 |
| 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 | 6705 |
| 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/ReportableCompFromRltdOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 29 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | FORMER PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | EVP & CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SR VP, CFO & TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | MIDLAND PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VP CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CENTRAL REGION PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | EASTERN REGION PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CHIEF INNOVATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | NORTHERN REGION PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SENIOR VP AND CSO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF HUMAN RESOURCES OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SYSTEM VP OF FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | SYSTEM VP OF HR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | FORMER SR VP & SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | DIRECTOR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | FORMER CHAIR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 29 | DIRECTOR |
| 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 | -10563 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -533864 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 571521 |
| IRS990/GrantAmt | 0 | 161231 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 161231 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 161231 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 10451 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 6872743 |
| IRS990/GrossReceiptsAmt | 0 | 303430019 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 13 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 110 |
| 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 | 184204 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 552915 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 737119 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 51490 |
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