Liabilities / Assets
40th percentile
Higher debt load relative to assets than 40% of similar nonprofits.
EIN 39-1486873 • 501(c)3 • Waukesha, WI
Profile
Continuously improving the health of our community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
40th percentile
Higher debt load relative to assets than 40% of similar nonprofits.
Liabilities / Revenue
87th percentile
Higher debt load relative to revenue than 87% of similar nonprofits.
Net Margin
72nd percentile
Higher net margin than 72% of similar nonprofits.
Top Officer Pay
67th percentile
Higher top officer pay than 67% of similar nonprofits.
Top officer pay equals 1.7% of source-year revenue.
Asset Growth
77th percentile
Faster asset growth than 77% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
Assets
Up$1,993,037,732
Up $234,111,355 (+13%) from 2023
Liabilities
Down$453,555,633
Down $16,007,231 (-3.4%) from 2023
Net Assets
Up$1,539,482,099
Up $250,118,586 (+19%) from 2023
Revenue
Up$181,905,524
Up $4,020,860 (+2.3%) from 2023
Expenses
Up$154,863,818
Up $14,335,546 (+10%) from 2023
Net Income
Down$27,041,706
Down $10,314,686 (-28%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Continuously improving the health of our community.
Management of related tax exempt hospitals and other healthcare delivery entities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $870,193,425 | $1,104,508,110 | ▲ $234,314,685 |
| Investments Program Related | $391,614,599 | $438,478,956 | ▲ $46,864,357 |
| Land, Buildings, and Equipment, Net | $42,896,794 | $31,492,528 | ▼ $11,404,266 |
| Investments Other Securities | $7,735,000 | $10,870,000 | ▲ $3,135,000 |
| Cash and Non-Interest-Bearing Accounts | $25,777,452 | $8,517,862 | ▼ $17,259,590 |
| Prepaid Expenses and Deferred Charges | $2,576,249 | $1,929,417 | ▼ $646,832 |
| Intangible Assets | $268,982 | $268,982 | → $0 |
| Total Assets | $1,758,926,377 | $1,993,037,732 | ▲ $234,111,355 |
| Other Assets Total | $417,863,876 | $396,971,877 | ▼ $20,891,999 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $405,268,631 | $391,852,791 | ▼ $13,415,840 |
| Other Liabilities | $37,795,855 | $36,411,302 | ▼ $1,384,553 |
| Accounts Payable and Accrued Expenses | $24,695,695 | $23,614,457 | ▼ $1,081,238 |
| Deferred Revenue | $1,802,683 | $1,677,083 | ▼ $125,600 |
| Total Liabilities | $469,562,864 | $453,555,633 | ▼ $16,007,231 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $1,289,363,513 | $1,539,482,099 | ▲ $250,118,586 |
| Total Net Assets Fund Balance | $1,289,363,513 | $1,539,482,099 | ▲ $250,118,586 |
| Total Liabilities and Net Assets / Fund Balance | $1,758,926,377 | $1,993,037,732 | ▲ $234,111,355 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $18,897,024 | $8,919,596 | $27,816,620 |
| Equipment | $4,693,125 | $9,351,116 | $14,044,241 |
| Leasehold Improvements | $758,936 | $6,145,989 | $6,904,925 |
| Land | $6,676,582 | - | $6,676,582 |
| Other Land Buildings | $466,861 | - | $466,861 |
| Investment Program Related Org | $106,550 | - | - |
| Other Assets Org | $2,134,586 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Susan Edwards | President and CEO | FT | $1,232,169 | $1,770,906 | $3,003,075 |
| Kenneth Price | Chief Operating Officer | FT | $529,317 | $762,606 | $1,291,923 |
| Philip Kubow | Chief Hr Officer | FT | $389,806 | $736,388 | $1,126,194 |
| Peter Bacon | Chief Bus Development Officer | FT | $414,955 | $543,241 | $958,196 |
| Jeffrey Squire | Chief Corporate Affairs Officer | FT | $363,483 | $469,864 | $833,347 |
| Ralph Topinka | Chief Legal Officer - Part Year | FT | $400,519 | $418,824 | $819,343 |
| Andrew Gutierrez | Chief Financial Officer | FT | $355,604 | $449,854 | $805,458 |
| Donald Reichert | CIO/VP Information Service | FT | $435,265 | $234,268 | $669,533 |
| Bradley Treichel | Chief Transformation Officer | FT | $324,367 | $288,244 | $612,611 |
| Ronald Fickel | VP. Health Informatics | FT | $340,146 | $127,022 | $467,168 |
| Curtis Glaunert | VP Revenue Cycle | FT | $308,305 | $156,127 | $464,432 |
| Stephanie Orzechowski | Chief Admin Officer - Part Year | FT | $252,927 | $148,882 | $401,809 |
| Daniel Bailey | VP Payer Contract & Finance | FT | $244,028 | $126,817 | $370,845 |
| Vicki Dallmann-papke | VP Population Health Mgmnt | FT | $248,356 | $112,870 | $361,226 |
| William Jackson | VP of Legal Services | FT | $201,389 | $114,529 | $315,918 |
| Name | Title |
|---|---|
| Ken Riesch | Chairperson |
| Gary Beyer | Vice Chairperson |
| Dawn Wittak | Director |
| Emery Harlan | Director |
| Jim Gannon | Director |
| John Wimmer | Director |
| Judie Taylor | Director |
| Sue Bellehumeur | Director |
| Ty Taylor | Director |
| Arthur Coffey | Physician/chief Phys Ops Officer |
| John Hallett | Secretary |
| Dan Matola | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Hctec Partners | Professional Services | PO BOX 746681, Atlanta, GA 30374-6681 | $1,668,086 |
| Bvk | Printing Services | 250 W COVENTRY COURT SUITE 300, Milwaukee, WI 53217 | $1,396,745 |
| Oliver Wyman | Professional Services | PO BOX 3800-28, Boston, MA 02110-2320 | $1,198,999 |
| Rpi Consultants | Professional Services | 1 N HAVEN ST, Baltimore, MD 21224 | $1,017,675 |
| Vizient INC | Professional Services | PO BOX 842175, Dallas, TX 75284-2167 | $778,695 |
| Line Item | Amount |
|---|---|
| Other Expenses | $91,731,200 |
| Salaries, Compensation, and Employee Benefits | $63,107,618 |
| Grants and Similar Amounts Paid | $25,000 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $26,683,343 | $44,428,654 | - | $71,111,997 |
| Other Salaries and Wages | $16,962,650 | $21,774,483 | - | $38,737,133 |
| Other Employee Benefits | $275 | $10,213,730 | - | $10,214,005 |
| Current Officers, Directors, Trustees, and Key Employees | - | $8,220,492 | - | $8,220,492 |
| Depreciation Depletion | - | $5,768,928 | - | $5,768,928 |
| Payroll Taxes | $1,295,625 | $2,080,607 | - | $3,376,232 |
| Office Expenses | $299,365 | $2,983,391 | - | $3,282,756 |
| Pension Plan Contributions | - | $2,559,756 | - | $2,559,756 |
| Advertising | $-3,000 | $2,500,388 | - | $2,497,388 |
| Occupancy | $180,141 | $1,395,869 | - | $1,576,010 |
| Fees for Services Legal | - | $1,265,886 | - | $1,265,886 |
| Interest | $391,549 | $95,779 | - | $487,328 |
| All Other Expenses | $288,520 | $193,729 | - | $482,249 |
| Fees for Services Accounting | - | $344,651 | - | $344,651 |
| Other Expenses | $36,860 | $275,156 | - | $312,016 |
| Conferences and Meetings | $269,251 | $20,521 | - | $289,772 |
| Insurance | $58,371 | $149,459 | - | $207,830 |
| Travel | $130,986 | $14,402 | - | $145,388 |
| Grants to Domestic Orgs | $25,000 | - | - | $25,000 |
| Fees for Services Lobbying | - | $23,113 | - | $23,113 |
| Total Functional Expenses | $48,661,404 | $106,202,414 | $0 | $154,863,818 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| United Way of Greater Milwaukee and Waukesha | Milwaukee, WI | 501(c)(3) | To Aid the Organization in Its Charitable Mission. | $25,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Lt Leases Payable | $23,009,847 |
| Operating Lease Payable | $10,456,021 |
| Deferred Compensation | $791,946 |
| Other Long - Term Liabilities | $770,159 |
| Accrued Minimum Serp Liability | $726,943 |
| Insurance Liability | $656,386 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Wisconsin Health & Educational Facilities | 2021-03-04 | $201,845,000 | See part vi supplemental information |
| A | Wisconsin Health & Educational Facilities | 2015-01-29 | $133,630,000 | See part vi supplemental information |
| D | Wisconsin Health & Educational Facilities | 2024-08-15 | $104,458,272 | See part vi supplemental information |
| C | Wisconsin Health & Educational Facilities | 2021-03-04 | $35,190,000 | See part vi supplemental information |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $201,845,000 | $201,335,000 | $103,385,000 | $1,450,228 |
| C | $104,458,272 | $103,221,843 | $10,155,000 | $110,000 |
| B | $35,190,000 | $35,080,000 | $11,985,000 | $510,000 |
| D | - | - | - | $1,236,429 |
“After the form 990 was prepared by the organization's tax preparers and prior to filing the form 990, select executive members of the organization and the audit & compliance committee performed a review. Then the organization's tax preparers made a presentation to the audit committee, who then formally approved the form 990, and the board of directors was provided a copy of the return, which was subsequently filed by the organization.”
“All officers, vice-presidents, managers and above, as well as board members are required to annually complete a conflict of interest form. All reported potential conflicts of interest are tracked in the corporate compliance department. They are reviewed and any person identified as having a potential conflict of interest is given direction as to what steps should be taken to mitigate the concern. All employees are educated annually. The steps taken when a conflict arises are as follows: for the board of directors, the restriction is not being allowed to participate in discussion or voting related to any decision where the board member has been determined to have a conflict of interest. For leaders, researchers, and employees, recommendations are made from compliance manager to leadership and/or human resources. Restrictions can range from any of the following: disclosing potential conflicts of interest to patients; not being able to be involved in discussion or decision making on specific topics; and not being able to work at prohealth in the specific role where the reported conflict exists. If the recommendation is challenged, the matter goes to the senior executive team for a decision.”
“An independent, external compensation review is conducted for the positions of ceo, senior executive team members, and vice-president. The results of the compensation review are presented to the board's executive committee for approval. Any member of the executive committee whose salary is included in the salary review is recused from the approval process for his/her salary approval. This process was last done in 2024.”
“Governing documents, conflict of interest policy, and financial statements are available upon request.”
“The process is to have all joint venture arrangements reviewed by the legal department to ensure it meets all legal requirements and to ensure that prohealth care, inc. May retain its exempt status.”
“Arthur coffey is employed by prohealth medical group, inc., a wholly owned subsidiary of prohealth care inc, as a physician. He also devotes time to prohealth care inc., the sole corporate member, as the chief physician operations officer. While coffey splits his time between the two positions, all compensation is handled by prohealth medical group inc.”
“Outside services: program service expenses 23,451,894. Management and general expenses 44,105,421. Fundraising expenses 0. Total expenses 67,557,315. Maintenance contracts: program service expenses 3,231,449. Management and general expenses 7,375. Fundraising expenses 0. Total expenses 3,238,824. Employee physical exams: program service expenses 0. Management and general expenses 102,466. Fundraising expenses 0. Total expenses 102,466. Physician fees: program service expenses 0. Management and general expenses 3,754. Fundraising expenses 0. Total expenses 3,754. Leased employee expense: program service expenses 0. Management and general expenses 209,638. Fundraising expenses 0. Total expenses 209,638.”
“Capital contributions from related organizations 8,937,282. Investment funding from related organizations 794,969. Transfer from affiliate for centrally managed investments 85,199,488. Loss on bond defeasance -18,767,098.”
“The audit process has not changed in the current year.”
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 | 24695695 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 23614457 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND OTHER HEALTHCARE DELIVERY ENTITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 2500388 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | -3000 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2497388 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 193729 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 288520 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 482249 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | ANDREW GUTIERREZ |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2629282453 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | N17 W24100 RIVERWOOD DRIVE SUITE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WAUKESHA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 531881131 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 25777452 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 8517862 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 49 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 8220492 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 8220492 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 20521 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 269251 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 289772 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1668086 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1396745 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1198999 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1017675 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 778695 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 746681 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 250 W COVENTRY COURT SUITE 300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 3800-28 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1 N HAVEN ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 842175 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MILWAUKEE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BALTIMORE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 303746681 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 53217 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 021102320 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 21224 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 752842167 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | HCTEC PARTNERS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | BVK |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | OLIVER WYMAN |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | RPI CONSULTANTS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | VIZIENT INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PRINTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PROFESSIONAL SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 851254 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 25000 |
| IRS990/CYInvestmentIncomeAmt | 0 | 25161146 |
| IRS990/CYOtherExpensesAmt | 0 | 91731200 |
| IRS990/CYOtherRevenueAmt | 0 | 1872307 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 154020817 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 27041706 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 63107618 |
| IRS990/CYTotalExpensesAmt | 0 | 154863818 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 181905524 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1802683 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1677083 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 5768928 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 5768928 |
| IRS990/Desc | 0 | PROHEALTH CARE PROVIDES SUPPORT TO PROHEALTH WAUKESHA MEMORIAL AND PROHEALTH OCONOMOWOC MEMORIAL, OUR HOSPITALS, IN ADDITION TO MEDICAL CENTERS, ASSISTED LIVING/LONG-TERM CARE, HOME HEALTH AND HOSPICE, FITNESS, AND OTHER HEALTHCARE SERVICES. AMONG THE SERVICES PROVIDED ARE ADMINISTRATION, FINANCIAL AND PATIENT ACCOUNTING, DECISION SUPPORT, INFORMATION SYSTEMS, PUBLIC RELATIONS, HUMAN RESOURCES, MATERIALS AND FACILITIES MANAGEMENT, AND EDUCATION. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 1460 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 48661404 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 344651 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 344651 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1265886 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1265886 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 23113 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 23113 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 44428654 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 26683343 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 71111997 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 12.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 8.00 |
| 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 | 12.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 25.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| 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/AverageHoursPerWeekRt | 0 | 40.00 |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 25.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| 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/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/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 8 | 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/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 719577 |
| 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 | 239046 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 133574 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 224413 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 214421 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 239613 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 345975 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 122973 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 24490 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 52607 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 52145 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 38556 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 33876 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 61028 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 25965 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 53219 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | SUSAN EDWARDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | KEN RIESCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAN MATOLA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GARY BEYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JOHN HALLETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | TY TAYLOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DAWN WITTAK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOHN WIMMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JUDIE TAYLOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | EMERY HARLAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JIM GANNON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SUE BELLEHUMEUR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ANDREW GUTIERREZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | RALPH TOPINKA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | PHILIP KUBOW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JEFFREY SQUIRE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | PETER BACON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KENNETH PRICE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | BRADLEY TREICHEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | STEPHANIE ORZECHOWSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | ARTHUR COFFEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | WILLIAM JACKSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | VICKI DALLMANN-PAPKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | CURTIS GLAUNERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | DONALD REICHERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | RONALD FICKEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | DANIEL BAILEY |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 2283498 |
| 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 | 566412 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 685769 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 901781 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 618926 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 718583 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 945948 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 489638 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 377319 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 263773 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 322670 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 430556 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 608505 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 441203 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 317626 |
| 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 | 1064863 |
| 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/TitleTxt | 0 | PRESIDENT AND CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY |
| 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 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHIEF LEGAL OFFICER - PART YEAR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF HR OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF CORPORATE AFFAIRS OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CHIEF BUS DEVELOPMENT OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHIEF TRANSFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CHIEF ADMIN OFFICER - PART YEAR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN/CHIEF PHYS OPS OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | VP OF LEGAL SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | VP POPULATION HEALTH MGMNT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | VP REVENUE CYCLE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | CIO/VP INFORMATION SERVICE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | VP. HEALTH INFORMATICS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | VP PAYER CONTRACT & FINANCE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1983 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -1774431 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 59593 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantAmt | 0 | 25000 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 25000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 25000 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 2137686 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 7576611 |
| IRS990/GrossReceiptsAmt | 0 | 193342610 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 7218 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 161 |
| 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/InsuranceGrp/ManagementAndGeneralAmt | 0 | 149459 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 58371 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 207830 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 268982 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 268982 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 95779 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 391549 |
| IRS990/InterestGrp/TotalAmt | 0 | 487328 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 26875984 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 26875984 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 7735000 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 10870000 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 391614599 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 438478956 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 870193425 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1104508110 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 121 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 24416701 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 42896794 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 31492528 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 55909229 |
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