Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
EIN 38-3322109 • 501(c)3 • St Louis, MO
Profile
Rooted in the loving ministry of jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
Liabilities / Revenue
31st percentile
Higher debt load relative to revenue than 31% of similar nonprofits.
Net Margin
19th percentile
Higher net margin than 19% of similar nonprofits.
Top Officer Pay
86th percentile
Higher top officer pay than 86% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
64th percentile
Faster asset growth than 64% of similar nonprofits.
Revenue Growth
21st percentile
Faster revenue growth than 21% of similar nonprofits.
Assets
Up$182,695,717
Up $15,323,854 (+9.2%) from 2023
Liabilities
Up$119,708,477
Up $1,026,811 (+0.9%) from 2023
Net Assets
Up$62,987,240
Up $14,297,043 (+29%) from 2023
Revenue
Down$453,151,585
Down $2,862,478 (-0.6%) from 2023
Expenses
Down$475,294,921
Down $13,591,477 (-2.8%) from 2023
Net Income
Up-$22,143,336
Up $10,728,999 (+33%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
St. John Health, as a Catholic Health Ministry, is committed to providing spiritually centered, holistic care which sustains and improves the health of individuals in the communities we serve, with special attention to the poor and vulnerable.
To improve the health and well-being of all people in the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $82,647,133 | $78,129,690 | ▼ $4,517,443 |
| Accounts Receivable | $44,558,877 | $61,043,207 | ▲ $16,484,330 |
| Inventories for Sale or Use | $9,121,339 | $7,867,914 | ▼ $1,253,425 |
| Intangible Assets | $288,151 | $500,252 | ▲ $212,101 |
| Savings and Temporary Cash Investments | $275,142 | $21,704 | ▼ $253,438 |
| Prepaid Expenses and Deferred Charges | $35,118 | $8,495 | ▼ $26,623 |
| Cash and Non-Interest-Bearing Accounts | $6,112 | $6,516 | ▲ $404 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Rtn Earn Endowment Incm Other Fnds | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $167,371,863 | $182,695,717 | ▲ $15,323,854 |
| Other Assets Total | $30,439,991 | $35,117,939 | ▲ $4,677,948 |
| Liabilities | |||
| Other Liabilities | $95,855,470 | $91,725,227 | ▼ $4,130,243 |
| Accounts Payable and Accrued Expenses | $22,817,763 | $27,969,517 | ▲ $5,151,754 |
| Deferred Revenue | $8,433 | $13,733 | ▲ $5,300 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $118,681,666 | $119,708,477 | ▲ $1,026,811 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $48,690,197 | $62,987,240 | ▲ $14,297,043 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $48,690,197 | $62,987,240 | ▲ $14,297,043 |
| Total Liabilities and Net Assets / Fund Balance | $167,371,863 | $182,695,717 | ▲ $15,323,854 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $49,093,764 | $169,345,129 | $218,438,893 |
| Equipment | $16,242,892 | $99,745,965 | $115,988,857 |
| Other Land Buildings | $6,140,767 | $7,733,123 | $13,873,890 |
| Leasehold Improvements | $5,147,526 | $1,170,875 | $6,318,401 |
| Land | $1,504,741 | - | $1,504,741 |
| Other Assets Org | $7,170,815 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $36,010 | - | ▲ $3,641 | - | $39,651 |
| 2023 | $36,712 | - | ▼ $702 | - | $36,010 |
| 2022 | $36,824 | - | ▼ $112 | - | $36,712 |
| 2021 | $45,525 | - | ▲ $1,719 | $10,420 | $36,824 |
| 2020 | $43,806 | - | ▲ $1,719 | - | $45,525 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Firas Zahwe Md | Physician (end 8/2023) | FT | $610,812 | $787,109 | $1,397,921 |
| Jason Jehad Rizqallah Do | Physician | FT | $516,933 | $273,650 | $790,583 |
| Antonio X Bonfiglio Md | Chief Medical Officer | FT | $430,000 | $114,753 | $544,753 |
| Despina Zefiras Monica Walsworth Md | Director, Physician Residency | FT | $372,708 | $115,945 | $488,653 |
| Paul Frank Bermudez Md | Physician | FT | $326,980 | $56,337 | $383,317 |
| Slobodan Kovacevic Md | Physician | FT | $242,020 | $133,282 | $375,302 |
| William J Mott Jr | VP, Operations | FT | $92,198 | $230,968 | $323,166 |
| John Onofrey Rn | VP, Nursing | FT | $193,705 | $73,348 | $267,053 |
| Gary Berg Do | Former Key Employee (end 12/2022) | FT | $145,446 | $34,252 | $179,698 |
| James Bailey Babel Md | Director | - | - | $8,324 | $8,324 |
| Name | Title |
|---|---|
| Leslie a Murphy CPA | Chair |
| Carol L Schmidt | Ministry Market Executive/president |
| Renee Branch Canady | Vice Chair |
| AVEC O'BRIEN | Director |
| David Saunders | Director |
| Jeffery Zaks | Director |
| Kenneth Streibel | Director |
| Phyllis D Meadows | Director |
| Susan Pozo | Director |
| Rajesh U Kothari | Director (end 12/2023) |
| Michael Mccullough | CFO, Ministry Market |
| Jonathan Samuel Nalli Fache | Former Officer (end 12/2022) |
| Douglas Todd Myers | Former Officer (end 3/2023) |
| Gary Michael Druskovich Md | Former Officer (end 4/2022) |
| Douglas W Winner | Former Officer (end 6/2019) |
| Kevin Grady Md | Former Officer (end 6/2022) |
| James Boles Md | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Gary Richard Katz | Medical Services | 22121 EDMONTON ST, Saint Clair Shores, MI 48080 | $575,927 |
| Oakland Macomb Surgical Group Pllc | Medical Services | 1431 E 12 MILE RD, Madison Heights, MI 48071 | $473,509 |
| Faircode Associates LLC | Consulting Services | 88 MADAGASCAR CT, Marco Island, FL 34145-4113 | $376,979 |
| Lakeshore Ear Nose Throat Center PC | Medical Services | 17770 MACK AVE, Grosse Pointe, MI 68230-6233 | $341,225 |
| Lifepoint Rehabilitation LLC | Medical Services | PO BOX 502096, Saint Louis, MO 63150-2096 | $308,332 |
| Line Item | Amount |
|---|---|
| Other Expenses | $249,180,177 |
| Salaries, Compensation, and Employee Benefits | $225,039,573 |
| Grants and Similar Amounts Paid | $1,075,171 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $175,320,172 | $13,341,318 | - | $188,661,490 |
| Fees for Services Other | $14,374,206 | $2,859,708 | $0 | $17,233,914 |
| Other Employee Benefits | $14,042,243 | $1,068,571 | - | $15,110,814 |
| Payroll Taxes | $12,522,496 | $1,029,162 | - | $13,551,658 |
| Depreciation Depletion | $10,774,124 | $885,472 | - | $11,659,596 |
| All Other Expenses | $5,546,133 | $2,119,991 | $0 | $7,666,124 |
| Pension Plan Contributions | $6,115,285 | $465,354 | - | $6,580,639 |
| Occupancy | $6,019,635 | $494,724 | - | $6,514,359 |
| Other Expenses | $1,923,089 | $48,235 | - | $1,971,324 |
| Fees for Services Management | $1,460,001 | - | - | $1,460,001 |
| Conferences and Meetings | $1,102,715 | $228,476 | - | $1,331,191 |
| Office Expenses | $846,436 | $392,836 | - | $1,239,272 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,134,972 | $0 | $1,134,972 |
| Grants to Domestic Orgs | $1,075,171 | - | - | $1,075,171 |
| Information Technology | $17,668 | $712,562 | - | $730,230 |
| Travel | $456,978 | $10,806 | - | $467,784 |
| Insurance | $62,541 | $77,448 | - | $139,989 |
| Fees for Services Accounting | - | $79,710 | - | $79,710 |
| Advertising | $14,189 | $46,172 | - | $60,361 |
| Fees for Services Lobbying | - | $8,512 | - | $8,512 |
| Total Functional Expenses | $358,148,603 | $117,146,318 | $0 | $475,294,921 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Ascension Southeast Michigan Community Health | St Louis, MO | 501(c)(3) | To Provide Support for Community Health Programs | $1,051,566 |
| Chaldean Community Foundation | Sterling Heights, MI | 501(c)(3) | Support of Project Light | $10,000 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $46,648,325 |
| Estimated 3rd Party Payor Settlement | $19,988,919 |
| Insurance Advanced Payments | $7,682,179 |
| Long Term Operating Lease Liability | $7,225,830 |
| Accrued Personal Property Tax Liability | $5,707,000 |
| Recovery Tail Liability | $3,307,899 |
| Other Current Liabilities | $1,121,436 |
| Valuation Allowance Liability | $43,639 |
| Medicare Advanced Payments | - |
“The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.”
“ASCENSION MACOMB OAKLAND HOSPITAL has a single corporate member, Ascension Michigan.”
“ASCENSION MACOMB OAKLAND HOSPITAL Has a single corporate member, Ascension michigan, who has the ability to elect members to the governing body of ASCENSION MACOMB OAKLAND HOSPITAL .”
“All decisions that have a material impact to ASCENSION MACOMB OAKLAND HOSPITAL financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Michigan.”
“During the return preparation process, the tax department works with other functional areas which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax in lieu of the full board.”
“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.”
“The organization will provide any documents open to public inspection upon request.”
“The organization utilizes an affiliate as the common pay agent. Employees reported in part vii may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.”
“Medical Records Fees - Total Revenue: 13935, Related or Exempt Function Revenue: 13935, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Research Revenues - Total Revenue: 12527, Related or Exempt Function Revenue: 12527, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Late Penalty Fees - Total Revenue: 897, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 897; Miscellaneous Revenue - Total Revenue: 1154582, Related or Exempt Function Revenue: 1154413, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 169; Value Based Revenue - Total Revenue: -1227309, Related or Exempt Function Revenue: -1227309, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“The activity of the filing organization is reported in the consolidated financial statements of ascension health alliance. No individual audit ofthe filing organization is completed. Therefore, the attached audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.”
“The organization is part of ascension health system. Ascension health alliance, d/b/a ascension, is a missouri nonprofit corporation. Ascension is the sole corporate member and parent organization of ascension health. Ascension health alliance is either the borrower for, or secures, tax exempt hospital revenue bonds. The organization may hold an intercompany note payable with ascension health alliance, and this information is reported on the balance sheet.”
“Transfers with AFFILIATES - 36440379;”
“The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.”
“https://www.henryford.com/locations/macomb”
“THE PHYSICAL ADDRESS FOR THIS ENTITY IS 11800 E. Twelve Mile Road, Warren, Michigan 48093-3570. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY”
“Conner creek village st. John health system post polio clinic st. John macomb-oakland hospital st. John macomb-oakland hospital auxiliary gift shop st. John macomb-oakland hospital, madison heights st. John macomb-oakland hospital, madison heights campus st. John macomb-oakland hospital, warren st. John macomb-oakland hospital, warren campus ascension michigan employer solutions-occupational health”
“Funds restricted for the benefit of cancer survivorship programs and breast cancer programs supported by the Webber Cancer Center at ASCENSION MACOMB OAKLAND HOSPITAL.”
“The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2024.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 44558877 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 61043207 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | To improve the health and well-being of all people in the communities we serve. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 46172 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 14189 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 60361 |
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| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ST LOUIS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 631343806 |
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| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 0 |
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| IRS990/CompensationFromOtherSrcsInd | 0 | false |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 341225 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 308332 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 22121 EDMONTON ST |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MARCO ISLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | GROSSE POINTE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SAINT LOUIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 48080 |
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| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | GARY RICHARD KATZ |
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| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | FAIRCODE ASSOCIATES LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | LAKESHORE EAR NOSE THROAT CENTER PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | LIFEPOINT REHABILITATION LLC |
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| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSULTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | MEDICAL SERVICES |
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| IRS990/ContriRptFundraisingEventAmt | 0 | 0 |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
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| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 453151585 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 8433 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 13733 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 885472 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 10774124 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 11659596 |
| IRS990/Desc | 0 | The filing organization is a part of the Ascension Catholic Health Ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. ASCENSION MACOMB OAKLAND HOSPITAL is a 511-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2024, ASCENSION MACOMB OAKLAND HOSPITAL treated 22,374 adults and children for a total of 117,459 patient days of service. The hospital also provided services for 200,451 outpatient visits, which included 6,727 outpatient surgeries and 81,402 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | SEE SCHEDULE O |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 3245 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 358148603 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FederatedCampaignsAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 79710 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 79710 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 8512 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 8512 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 1460001 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 1460001 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2859708 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 14374206 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 17233914 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 16.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 93945 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 41393 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 21435 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 29028 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 17126 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 24569 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 34892 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 51273 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 30427 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 25547 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 12783 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 18418 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 27938 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 34903 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 28253 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 47601 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CAROL L SCHMIDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JAMES BOLES MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LESLIE A MURPHY CPA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RENEE BRANCH CANADY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | AVEC O'BRIEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DAVID SAUNDERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JAMES BAILEY BABEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JEFFERY ZAKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KENNETH STREIBEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | PHYLLIS D MEADOWS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | RAJESH U KOTHARI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SUSAN POZO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MICHAEL MCCULLOUGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ANTONIO X BONFIGLIO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JOHN ONOFREY RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | WILLIAM J MOTT JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DESPINA ZEFIRAS MONICA WALSWORTH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | FIRAS ZAHWE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JASON JEHAD RIZQALLAH DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | PAUL FRANK BERMUDEZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | SLOBODAN KOVACEVIC MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | DOUGLAS TODD MYERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | DOUGLAS W WINNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | GARY BERG DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | GARY MICHAEL DRUSKOVICH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JONATHAN SAMUEL NALLI FACHE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | KEVIN GRADY MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 523318 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 238025 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 306040 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 464084 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 1363029 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 739310 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 352890 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 349755 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 151760 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 2461903 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 8324 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 914952 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 635975 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 501678 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 726809 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 2316020 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 838659 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | MINISTRY MARKET EXECUTIVE/PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR (END 12/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO, MINISTRY MARKET |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP, NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VP, OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR, PHYSICIAN RESIDENCY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN (END 8/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | FORMER OFFICER (END 3/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | FORMER OFFICER (END 6/2019) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | FORMER KEY EMPLOYEE (END 12/2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | FORMER OFFICER (END 4/2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | FORMER OFFICER (END 12/2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | FORMER OFFICER (END 6/2022) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1997 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 343623 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 2334094 |
| IRS990/GrantAmt | 0 | 1075171 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 1075171 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 1075171 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 343623 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 453151585 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 0 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 476661 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 379 |
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