Liabilities / Assets
71st percentile
Higher debt load relative to assets than 71% of similar nonprofits.
990 • Fiscal year 2015 • EIN 43-0980256
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
71st percentile
Higher debt load relative to assets than 71% of similar nonprofits.
Liabilities / Revenue
49th percentile
Higher debt load relative to revenue than 49% of similar nonprofits.
Net Margin
28th percentile
Higher net margin than 28% of similar nonprofits.
Top Officer Pay
56th percentile
Higher top officer pay than 56% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
12th percentile
Faster asset growth than 12% of similar nonprofits.
Revenue Growth
68th percentile
Faster revenue growth than 68% of similar nonprofits.
Assets
Down$465,333,997
Down $24,483,245 (-5.0%) from 2014
Net Assets
Down$214,723,290
Down $27,153,849 (-11%) from 2014
Liabilities
Up$250,610,707
Up $2,670,604 (+1.1%) from 2014
Revenue
Up$461,016,641
Up $37,008,398 (+8.7%) from 2014
Expenses
Up$453,728,419
Up $43,018,835 (+10%) from 2014
Net Income
Down$7,288,222
Down $6,010,437 (-45%) from 2014
See community benefit report attached to form 990.
See community benefit report - schedule o
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $257,887,862 | $248,467,391 | ▼ $9,420,471 |
| Other Notes and Loans Receivable, Net | $68,650,837 | $78,618,936 | ▲ $9,968,099 |
| Accounts Receivable | $66,185,944 | $63,308,467 | ▼ $2,877,477 |
| Investments in Publicly Traded Securities | $49,603,878 | $27,593,106 | ▼ $22,010,772 |
| Cash and Non-Interest-Bearing Accounts | $8,288,718 | $13,870,101 | ▲ $5,581,383 |
| Savings and Temporary Cash Investments | $13,676,108 | $11,263,668 | ▼ $2,412,440 |
| Inventories for Sale or Use | $6,529,944 | $6,690,042 | ▲ $160,098 |
| Prepaid Expenses and Deferred Charges | $2,699,937 | $2,889,442 | ▲ $189,505 |
| Pledges and Grants Receivable | $300,000 | $500,000 | ▲ $200,000 |
| Investments Other Securities | $58,278 | $58,336 | ▲ $58 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $489,817,242 | $465,333,997 | ▼ $24,483,245 |
| Other Assets Total | $15,935,736 | $12,074,508 | ▼ $3,861,228 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $168,520,000 | $166,080,000 | ▼ $2,440,000 |
| Accounts Payable and Accrued Expenses | $57,713,522 | $60,873,414 | ▲ $3,159,892 |
| Other Liabilities | $19,221,308 | $21,217,293 | ▲ $1,995,985 |
| Mortgage Notes Payable Secured by Investment Property | $2,485,273 | $2,440,000 | ▼ $45,273 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Total Liabilities | $247,940,103 | $250,610,707 | ▲ $2,670,604 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $241,105,662 | $213,803,909 | ▼ $27,301,753 |
| Temporarily Rstr Net Assets | $771,477 | $919,381 | ▲ $147,904 |
| Permanently Rstr Net Assets | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $241,877,139 | $214,723,290 | ▼ $27,153,849 |
| Total Liabilities and Net Assets / Fund Balance | $489,817,242 | $465,333,997 | ▼ $24,483,245 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $86,901,319 | $321,861,140 | $408,762,459 |
| Buildings | $142,212,887 | $113,243,035 | $255,455,922 |
| Other Land Buildings | $9,275,177 | $10,695,644 | $19,970,821 |
| Land | $10,078,008 | - | $10,078,008 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2014 | $266,424,742 | $3,005,820 | ▲ $11,096,830 | $2,332,611 | $276,985,691 |
| 2013 | $235,209,325 | $3,894,843 | ▲ $30,925,688 | $2,511,398 | $266,424,742 |
| 2012 | $218,574,748 | $1,900,675 | ▲ $17,964,635 | $2,298,906 | $235,209,325 |
| 2011 | $21,798,631 | $208,253,399 | ▼ $8,383,763 | $3,093,519 | $218,574,748 |
| 2010 | $20,897,736 | $19,335 | ▲ $4,285,185 | $3,403,625 | $21,798,631 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Goldmeier | Physician | FT | $789,489 | $161,141 | $950,630 |
| David Dobmeyer | Physician | FT | $788,977 | $156,579 | $945,556 |
| Rajiv Handa | Physician | FT | $790,088 | $151,744 | $941,832 |
| Charles Carey | Physician | FT | $790,840 | $149,985 | $940,825 |
| Gregory Botteron | Physician | FT | $796,924 | $122,528 | $919,452 |
| David Morton | CMO & Office of the President | FT | $815,711 | $92,233 | $907,944 |
| Beverly Bokovitz | CNO & Office of the President | FT | $468,762 | $43,674 | $512,436 |
| Kenneth Venuto | CFO | FT | $357,728 | $67,833 | $425,561 |
| Christopher Bowe | Sapo Pres. & Office of Pres. | PT | $320,392 | $52,735 | $373,127 |
| James Weldon | CIO | FT | $256,241 | $58,940 | $315,181 |
| Jimmie Tune | VP Quality | FT | $188,521 | $41,210 | $229,731 |
| Laura Frame | General Counsel | FT | $163,595 | $35,294 | $198,889 |
| Carol Ellis | VP Nursing | FT | $155,522 | $24,177 | $179,699 |
| Name | Title |
|---|---|
| David Sindelar | Chairman |
| Richard Mayhall | First Vice Chairman |
| Winthrop Reed Iii | Second Vice Chairman |
| Michael Rindler | Former CEO |
| Jeffrey Wilkinson | Member |
| John Berra | Member |
| Joseph Forand | Member |
| Paul Novelly | Member |
| Stacy Hastie | Member |
| Daniel Bippen | Secretary |
| James Powers | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Pavilion Services LLC | It And Billing Serv. | 2977 HIGHWAY K, Ofallon, MO 63368 | $3,268,289 |
| Trimedx | Clinical Engineering | 5451 LAKEVIEW PARKWAY S DRIVE, Indianapolis, IN 46268 | $3,119,287 |
| Mcgrath Associates INC | Construction | 1920 S KINGSHIGHWAY BLVD, St Louis, MO 63110 | $2,879,928 |
| South County Anesthesia | Anesthesia Services | 339 CONSORT DRIVE, St Louis, MO 63011 | $2,578,719 |
| Integrity Hospital Company | Executive Leadership | 86 CLARK POINT ROAD, Southwest Habor, ME 04679 | $2,011,996 |
| Line Item | Amount |
|---|---|
| Other Expenses | $253,908,179 |
| Salaries, Compensation, and Employee Benefits | $199,762,712 |
| Grants and Similar Amounts Paid | $57,528 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $155,076,747 | $8,019,624 | - | $163,096,371 |
| Office Expenses | $136,179,904 | $1,542,040 | - | $137,721,944 |
| Depreciation Depletion | $20,857,004 | $10,333,561 | - | $31,190,565 |
| Fees for Services Other | $13,570,274 | $3,939,718 | $0 | $17,509,992 |
| Other Employee Benefits | $14,108,143 | $723,200 | - | $14,831,343 |
| Payroll Taxes | $11,769,023 | $774,844 | - | $12,543,867 |
| Occupancy | $8,282,383 | $304,357 | - | $8,586,740 |
| Information Technology | $470,787 | $6,739,858 | - | $7,210,645 |
| Pension Plan Contributions | $5,781,189 | $367,377 | - | $6,148,566 |
| Interest | $4,660,357 | - | - | $4,660,357 |
| All Other Expenses | $3,970,949 | $220,785 | - | $4,191,734 |
| Insurance | $3,347,965 | - | - | $3,347,965 |
| Current Officers, Directors, Trustees, and Key Employees | $724,609 | $2,417,956 | $0 | $3,142,565 |
| Advertising | $1,287,375 | - | - | $1,287,375 |
| Fees for Services Legal | - | $1,034,838 | - | $1,034,838 |
| Other Expenses | $409,387 | $341,094 | - | $409,387 |
| Conferences and Meetings | $189,920 | $93,651 | - | $283,571 |
| Travel | $93,686 | $141,460 | - | $235,146 |
| Fees for Services Accounting | - | $131,496 | - | $131,496 |
| Fees for Service Investment Mgmnt Fees | - | $72,876 | - | $72,876 |
| Grants to Domestic Orgs | $57,528 | - | - | $57,528 |
| Total Functional Expenses | $416,510,684 | $37,217,735 | $0 | $453,728,419 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Mha Center for Education | Jefferson City, MO | 501(c)(3) | Medical Education | $30,285 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Integrity Hospital Company | M Rindler, Former Ceo, | Consulting Services | No | $2,011,996 |
| INTEGRITY HOSPITAL CO CON'T | Is a Principal of Ihc | Demolition Services | No | $543,458 |
| ENVIRONMENTAL OPERATIONS CON'T | Is an Owner of Eoi | - | - | - |
| Environmental Operations Inc | Stacy Hastie, Director | - | - | - |
| 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 |
|---|---|
| Reserve - Self Insurance Liability | $14,639,000 |
| Pension Payable | $3,750,471 |
| Deferred Gain on Sale Leaseback | $1,643,016 |
| Interest Rate Swap Liability | $1,184,806 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Health and Educational Facilities Authority of Mo | 2013-04-25 | $172,740,000 | Current refund of series 2005&2006 |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $172,740,000 | $171,645,903 | $2,360,000 | $1,094,097 |
“Business relationships: john h berra jr has a business relationship with stacie hastie.”
“During june of 2013, the organization contracted with integrity hospital company to provide a ceo to oversee the day to day operations of the organization.”
“Review process: returns are prepared and initially reviewed by st anthony's finance staff and preparer bkd. After these reviews are completed, the returns are then reviewed with the chief financial officer (cfo) by finance staff. Once this review occurs, returns are mailed to board / finance committee members for review, questions, and comments directed to the cfo or their designee. Once all reviews have taken place, the returns are filed with the internal revenue service.”
“Compliance with conflict of interest policy: to ensure that st. Anthony's operates in a manner consistent with its charitable purposes and that it engages only in transactions that are reasonable and are the result of arm's length bargaining, the board has adopted and enforces compliance with a conflict of interest policy, which requires disclosure of any actual or potential conflict of interest. If the board or committee or administrator has reasonable cause to believe that an individual has failed to disclose actual or possible conflicts of interest, it shall inform the individual of the basis for such belief and afford the individual an opportunity to explain the alleged failure to disclose. If, after hearing the response of the individual and making such further investigation as may be warranted in the circumstances, the board or committee or administrator determines that the individual has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.”
“Process for determining compensation: compensation for the ceo is based upon comparable market rates for similar positions within the nation. Periodically, an outside compensation consultant is hired to review compensation and compare it to appropriate peer groups. These external reports are presented to the board of directors' compensation committee for review and approval along with the annual evaluations of the senior staff members. The most recent compensation review was conducted in april of 2014.”
“Process for determining compensation: compensation for all senior management staff members is based upon comparable market rates for similar positions within the nation. Periodically, an outside compensation consultant is hired to review compensation and compare it to appropriate peer groups. These external reports are presented to the board of directors' compensation committee for review and approval along with the annual evaluations of the senior staff members. The most recent compensation reviews were conducted in july of 2014 and february of 2015.”
“Process for making documents available to public: the organization considers its governing documents, conflict of interest policy and financial statements to be proprietary. Accordingly they are not made available to the general public.”
“Other changes in net assets or fund balances: defined benefit pension plans (1,795,488) reclass noncontrolling interest (255,497) curtailment loss (491,744) interest rate swap (7,090,700) other changes in fund balance (349,186) fund balance transfer (503,990) self insurance trust income 2,151,691 distribution to noncontrolling interest (417,013) self insurance trust net assets (25,779,880) ----------- total other changes in net assets (34,531,807)”
“Statement of program service accomplishment: the community benefit contribution of st. Anthony's medical center includes programs and activities that improve access to health care and improve health in our communities. In order to portray the full breadth of our contribution, our community benefit information is described below: section 1 - qualitative description of community benefit 1. Organizational commitment to providing community benefit a. Mission statement: st. Anthony's, a catholic medical center, has the duty and privilege to provide the best care to every patient, every day. Primary exempt purpose: st. Anthony's provides care in a nondiscriminatory manner, operates an emergency department open to all, offers medical staff privileges to all qualified physicians, and maintains a governing board of directors comprised primarily of community members. We promote and address the specific health needs of the community and provide support through educational, religious, and charitable activities. Excess revenue is used for the further development of such activities. B. St. Anthony's medical center's approach to providing community benefit is illustrated as follows: - our geographic area and target population are south st. Louis county, jefferson county, outstate missouri and southern illinois. - st. Anthony's medical center completed its first community health needs assessment and implementation plan in 2013 to guide the efforts in our community. Links can be found below: 1. Community health needs assessment: http://www.stanthonysmedcenter.com/community/chna.pdf 2.implementation plan: http://www.stanthonysmedcenter.com/community/chna_implementation_plan .pdf - major trends, needs, and problems in the community are addressed by st. Anthony's medical center in a variety of ways. Along with treating illness and disease, st. Anthony's supports programs that focus on disease prevention. Care is taken to plan programs and events that are targeted to the needs of our community. Programs are planned based on the evidence that the program or event is addressing a community health need. Community health needs are established by examining data and statistics that are targeted to reflect the service area of st. Anthony's and by primary data from community evaluations through the st. Anthony's medical center community health needs assessment. - st. Anthony's medical center supports needs and problems unique to its community. While not directly related to health care, our support for activities such as neighborhood revitalization; local economic development, education, community health advocacy, and similar efforts all contribute to improvement for the people we serve throughout the region. St. Anthony's offers numerous educational events, community clinics, support groups, self-help programs (e.g., weight management, smoking cessation); and pastoral outreach and social service programs. These programs are widely available to all, conveniently located on our campus and offered continuously throughout the year. - various community organizations collaborate with st. Anthony's medical center to improve community health, expand access to health care or in other ways benefit the community. St. Anthony's works in collaboration with the following groups: st. Louis county department of health, local school districts, barnes-jewish west county hospital, missouri baptist medical center, st. Lukes hospital (through the chna), hospice agencies, st. Louis association of diabetes educators, local colleges & universities, american heart association, american cancer society, cardinal glennon hospital, south county ymca, behavioral health support groups, st. Louis university, american lung association and the american red cross. - several hospital departments dedicate staff to assist in community benefits efforts. These efforts are led by laura bub, mph, community outreach coordinator for st. Anthony's. St. Anthony's has a community benefit council that”
“2. Organizational description for tax exemption st. Anthony's medical center qualifies for tax exemption through various activities and participation as described below: - st. Anthony's operates an emergency room that accepts all persons who are in need of medical attention regardless of their ability to pay. - st. Anthony's has an open medical staff with privileges available to all qualified physicians in the area. - st. Anthony's has a governing board of directors in which independent persons representative of the community comprise a majority; - st. Anthony's works in cooperation with local universities and health care organizations to advance the science of medicine by providing a clinical setting where innovative treatments and new therapeutic protocols can be developed and studied. - st. Anthony's engages in the training and education of health care professionals by teaming up with local community colleges and universities to provide a clinical setting for health care students. - st. Anthony's participates in medicaid, medicare, champus, tricare, and other government-sponsored health care programs. - st. Anthony's is listed in the official catholic directory submitted annually to the irs by the u.s. Conference of catholic bishops. 3. Description of community benefit programs a. The programs below describe and highlight several programs that clearly meet identified community health needs. Health screenings, lectures and events - each year, st. Anthony's offers health screenings that are free and open to the community. These screenings are designed to raise awareness of the importance of preventive health care and early detection of disease. Often, the screenings are in conjunction with larger health fairs offering free information and consultation with numerous medical professionals from physicians, nurse practitioners and other clinicians to nutritionists, exercise physiologists and therapists. Additionally, the medical center sponsors ongoing free lectures, hosted by physicians and clinicians, to address key concerns, such as heart disease, cancer, diabetes, and safety and injury prevention. Community outreach health education and speakers bureau - st. Anthony's medical center offers extensive preventative health education by skilled staff to community groups such as schools, church groups, businesses and other organizations free of charge. Based on the needs of the groups, st. Anthony's medical center presents topics and health information that will help the community to make healthy, educated and wise choices when it comes to their health. Therapy internships and rotations - st. Anthony's medical center is noted as a leader in helping college students complete their clinical rotations or internships in fields such as physical therapy, occupational therapy, and speech therapy. St. Anthony's has active therapy internship programs with well over a dozen universities, colleges and community colleges in the region. Bereavement and grief support - addresses the need of bereavement and grief support through a broad range of programs and services. These tools and support help the participants to move through the stages of grief to a place of understanding and acceptance of their losses. Programs extend beyond st. Anthony's medical center and into the community with a presence at nursing homes, helping their staff develop skills for providing compassionate, end of life care. Free helmet fittings - trained staff members from the st. Anthony's emergency department offer free helmet fittings for both children and adults. Bicycle safety education is also provided to the children. Participants are made aware of the seriousness of head injuries and how they can be prevented, resulting in fewer head injuries in children. 4. Links to additional community benefit information a. Community health needs assessment: http://www.stanthonysmedcenter.com/community/chna.pdf b. Implementation plan: http://www.stanthonysmedcenter.com/community/ch”
“Endowment funds: the funds are to be used for the self insurance trust of the organization, which is used to cover malpractice claims. The total amounts for the current and two prior years include funds held by related organizations for the benefit of the hospital. These funds are to be used for future capital improvements.”
“Uncertain tax positions under fin 48: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not indentified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
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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| IRS990/CostOfGoodsSoldAmt | 0 | 3496810 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1023104 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 57528 |
| IRS990/CYInvestmentIncomeAmt | 0 | -826117 |
| IRS990/CYOtherExpensesAmt | 0 | 253908179 |
| IRS990/CYOtherRevenueAmt | 0 | 18260063 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 442559591 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 7288222 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 199762712 |
| IRS990/CYTotalExpensesAmt | 0 | 453728419 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 461016641 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | true |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 10333561 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 20857004 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 31190565 |
| IRS990/Desc | 0 | SEE COMMUNITY BENEFIT REPORT - SCHEDULE O |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 4317 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 416510684 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 131496 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 131496 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1034838 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1034838 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3939718 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 13570274 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 17509992 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 72876 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 72876 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.0 |
| 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 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.0 |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | 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/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| 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 | 47740 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 36420 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 49604 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 15478 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 8582 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 15516 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 23919 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 10007 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 12347 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 47420 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 42788 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 38621 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 39686 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DAVID SINDELAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | RICHARD MAYHALL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | WINTHROP REED III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DANIEL BIPPEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JAMES POWERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JOHN BERRA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOSEPH FORAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | STACY HASTIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | PAUL NOVELLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JEFFREY WILKINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MICHAEL RINDLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | DAVID MORTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BEVERLY BOKOVITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CHRISTOPHER BOWE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | KENNETH VENUTO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JAMES WELDON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JIMMIE TUNE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CAROL ELLIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | LAURA FRAME |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | GREGORY BOTTERON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | MICHAEL GOLDMEIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | DAVID DOBMEYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | CHARLES CAREY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | RAJIV HANDA |
| 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 | 860204 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 476016 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 323523 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 410083 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 306599 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 214215 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 155780 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 188882 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 907105 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 903210 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 902768 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 902204 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 902146 |
| 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 | 544825 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | FIRST VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECOND VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | FORMER CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CMO & OFFICE OF THE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CNO & OFFICE OF THE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SAPO PRES. & OFFICE OF PRES. |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VP QUALITY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | GENERAL COUNSEL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1971 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -258601 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -1238257 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GrantAmt | 0 | 57528 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 57528 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 57528 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 52803 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 11373178 |
| IRS990/GrossReceiptsAmt | 0 | 479301403 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 2320714 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 11259549 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 164 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 6739858 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 470787 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 7210645 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 3347965 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 3347965 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 4660357 |
| IRS990/InterestGrp/TotalAmt | 0 | 4660357 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 6529944 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 6690042 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 670741 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 670741 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 58278 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 58336 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 49603878 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 27593106 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 149 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 445799819 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 257887862 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 248467391 |
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Displayed year
2015 • Form 990Detailed filing. Detailed filing data is available for this year.