Liabilities / Assets
19th percentile
Higher debt load relative to assets than 19% of similar nonprofits.
EIN 45-3864076 • 501(c)3 • South Bend, IN
Profile
Beacon health system, inc. Is committed to enhancing the physical, mental, emotional and spiritual well-being of the communities we serve as the community's provider of outstanding quality, superior value and comprehensive health care services.
Refreshing map…
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
19th percentile
Higher debt load relative to assets than 19% of similar nonprofits.
Liabilities / Revenue
30th percentile
Higher debt load relative to revenue than 30% of similar nonprofits.
Net Margin
86th percentile
Higher net margin than 86% of similar nonprofits.
Top Officer Pay
38th percentile
Higher top officer pay than 38% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
77th percentile
Faster asset growth than 77% of similar nonprofits.
Revenue Growth
90th percentile
Faster revenue growth than 90% of similar nonprofits.
Assets
Up$1,264,400,583
Up $148,121,802 (+13%) from 2023
Liabilities
Up$103,509,412
Up $4,900,073 (+5.0%) from 2023
Net Assets
Up$1,160,891,171
Up $143,221,729 (+14%) from 2023
Revenue
Up$302,384,065
Up $91,602,540 (+43%) from 2023
Expenses
Up$206,501,643
Up $18,834,702 (+10%) from 2023
Net Income
Up$95,882,422
Up $72,767,838 (+315%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
Beacon health system, inc. Is committed to enhancing the physical, mental, emotional and spiritual well-being of the communities we serve as the community's provider of outstanding quality, superior value and comprehensive health care services.
We deliver outstanding care, inspire health, and connect with heart.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Other Securities | $414,216,526 | $482,047,002 | ▲ $67,830,476 |
| Investments in Publicly Traded Securities | $576,570,677 | $334,730,773 | ▼ $241,839,904 |
| Land, Buildings, and Equipment, Net | $100,905,788 | $105,548,477 | ▲ $4,642,689 |
| Investments Program Related | $43,982,580 | $41,854,393 | ▼ $2,128,187 |
| Prepaid Expenses and Deferred Charges | $17,426,441 | $19,678,804 | ▲ $2,252,363 |
| Savings and Temporary Cash Investments | $53,645,248 | $19,263,285 | ▼ $34,381,963 |
| Inventories for Sale or Use | $4,908,145 | $2,680,382 | ▼ $2,227,763 |
| Accounts Receivable | $1,950,558 | $1,695,414 | ▼ $255,144 |
| Pledges and Grants Receivable | $100,000 | $136,000 | ▲ $36,000 |
| Intangible Assets | $103,840 | $103,840 | → $0 |
| Cash and Non-Interest-Bearing Accounts | $2,750 | $2,900 | ▲ $150 |
| Other Notes and Loans Receivable, Net | - | $0 | - |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $1,238,402,516 | $1,057,853,283 | ▼ $180,549,233 |
| Other Assets Total | $24,589,963 | $50,112,013 | ▲ $25,522,050 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $76,876,265 | $73,984,161 | ▼ $2,892,104 |
| Accounts Payable and Accrued Expenses | $21,523,655 | $21,200,865 | ▼ $322,790 |
| Other Liabilities | $3,346,724 | $6,112,353 | ▲ $2,765,629 |
| Deferred Revenue | $27,273 | $59,510 | ▲ $32,237 |
| Total Liabilities | $101,773,917 | $101,356,889 | ▼ $417,028 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $1,136,628,599 | $956,496,394 | ▼ $180,132,205 |
| Total Net Assets Fund Balance | $1,136,628,599 | $956,496,394 | ▼ $180,132,205 |
| Total Liabilities and Net Assets / Fund Balance | $1,238,402,516 | $1,057,853,283 | ▼ $180,549,233 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $33,161,176 | $53,214,209 | $86,375,385 |
| Buildings | $29,559,652 | $7,018,896 | $36,578,548 |
| Land | $24,355,269 | - | $24,355,269 |
| Other Land Buildings | $18,426,068 | - | $18,426,068 |
| Leasehold Improvements | $46,312 | $183,180 | $229,492 |
| Other Securities | $482,047,002 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2022 | $42,986,124 | $3,689,060 | ▼ $4,645,969 | - | $38,758,960 |
| 2021 | $37,554,313 | $3,126,708 | ▲ $3,841,751 | - | $42,986,124 |
| 2020 | $34,924,915 | $1,692,784 | ▲ $2,289,914 | - | $37,554,313 |
| 2019 | $30,834,712 | $2,588,248 | ▲ $3,242,314 | - | $34,924,915 |
| 2018 | $34,205,140 | $1,352,757 | ▼ $2,479,196 | - | $30,834,712 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| - | CEO | FT | $994,922 | $769,708 | $1,764,631 |
| - | CFO | FT | $602,522 | $402,767 | $1,005,289 |
| - | Chief Clinical Officer | FT | $569,515 | $339,311 | $908,826 |
| - | Chief Bus Dev & Plan Officer | FT | $431,085 | $248,332 | $679,416 |
| - | Chief Information Officer | FT | $385,632 | $237,371 | $623,004 |
| - | Chief Human Resource Officer | FT | $360,457 | $238,778 | $599,235 |
| - | Medical Information Officer | FT | $405,545 | $89,603 | $495,148 |
| - | Treasurer | - | $1,823 | - | $1,823 |
| - | Director | - | $1,817 | - | $1,817 |
| - | Vice Chair | - | $1,533 | - | $1,533 |
| - | Secretary | - | $1,099 | - | $1,099 |
| - | Director thru 3/31/2022 | - | $744 | - | $744 |
| - | Chair | - | $150 | - | $150 |
| Name | Title |
|---|---|
| - | Director through 3/31/2022 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Panzica Building Corporation | Construction | 416 E MONROE ST STE 320, Ste 102, South Bend, IN 46601 | $16,463,786 |
| Cerner Corporation | Is Sftwr Maintenance | 2800 ROCKCREEK PARKWAY, Kansas City, MO 64117 | $10,937,295 |
| Change Healthcare LLC | Equip Maintenance | 5995 WINDWARD PARWAY, Alpharetta, GA 30005 | $2,172,786 |
| Ameri EBO LLC | Collection Services | 1851 S Alverno Rd, Manitowoc, WI 54220-0000 | $1,847,420 |
| S&p Consultants INC | Software Maintenance | 15 Braintree Hill Off PK, Braintree, MA 02184-0000 | $1,666,783 |
| Line Item | Amount |
|---|---|
| Other Expenses | $85,231,721 |
| Salaries, Compensation, and Employee Benefits | $74,648,001 |
| Grants and Similar Amounts Paid | $742,316 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $55,583,935 | - | - | $55,583,935 |
| Fees for Services Other | $54,690,039 | $0 | $0 | $54,690,039 |
| Depreciation Depletion | $10,515,247 | - | - | $10,515,247 |
| Other Employee Benefits | $10,346,719 | - | - | $10,346,719 |
| Payroll Taxes | $4,644,881 | - | - | $4,644,881 |
| Office Expenses | $4,632,542 | - | - | $4,632,542 |
| All Other Expenses | $4,048,250 | $0 | $0 | $4,048,250 |
| Occupancy | $3,007,682 | - | - | $3,007,682 |
| Current Officers, Directors, Trustees, and Key Employees | $2,783,157 | - | - | $2,783,157 |
| Pension Plan Contributions | $1,289,309 | - | - | $1,289,309 |
| Advertising | $1,159,199 | - | - | $1,159,199 |
| Insurance | $1,012,027 | - | - | $1,012,027 |
| Fees for Services Legal | - | $814,624 | - | $814,624 |
| Grants to Domestic Individuals | $742,316 | - | - | $742,316 |
| Travel | $338,202 | - | - | $338,202 |
| Interest | $203,984 | - | - | $203,984 |
| Information Technology | $149,933 | - | - | $149,933 |
| Fees for Service Investment Mgmnt Fees | $74,245 | - | - | $74,245 |
| Conferences and Meetings | $50,588 | - | - | $50,588 |
| Other Expenses | $34,004 | - | - | $34,004 |
| Fees for Services Lobbying | $25,384 | - | - | $25,384 |
| Fees for Services Accounting | - | $9,996 | - | $9,996 |
| Total Functional Expenses | $159,797,418 | $824,620 | $0 | $160,622,038 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean | Investments | - | 0 | 0 | $185,238,236 |
| Europe (Including Iceland and Greenland) | Investments | - | 0 | 0 | $29,704,270 |
| North America (Canada & Mexico only) | Investments | - | 0 | 0 | $23,157,316 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $352,408 |
| Fundraising Gross Income | $204,911 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Sunburst | $204,911 | $204,911 | $346,755 | $-141,844 |
| Event 2 | - | $0 | - | $0 |
| Total Events | $204,911 | $204,911 | $352,408 | $-147,497 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | A board member is father-in-law | Compensation | No | $47,379 |
| 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 |
|---|---|
| Other Debt | $3,172,382 |
| Deferred Liability Exec Serp | $2,512,141 |
| Lease - Current | $229,228 |
| Lease - Long Term | $198,602 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Hospital Authority of Saint Joseph County | 2016-08-18 | $50,000,000 | Construct children's hospital |
| B | Hospital Authority of Saint Joseph County | 2018-12-11 | $35,000,000 | Construct admin and bremen hospital |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $50,000,000 | $427,291 | $5,475,000 | $285,000 |
| B | $35,427,291 | - | $5,000,000 | $155,243 |
“Amish shah and jessi hsieh have a business relationship.”
“The organization incorporates numerous parties in the production and review of the form 990 and associated schedules. Senior accounting staff and management complete the form 990 and schedules. Some forms and schedules are reviewed by the controller. Subsequent to those steps, the organization engaged ernst & young to review the completed form 990 and appropriate schedules. Prior to filing the return, the cfo, the compensation committee of the organization and the ceo conduct a general overview of the form 990, including applicable compensation schedules. In addition, each board member receives notification of the irs form 990 placement on the organization's board portals which allows for board member review prior to filing the return.”
“There are three separate forms that are sent out through the internal audit department to key employees or board members regarding conflict of interest. They are as follows: 1. The first is a conflict of interest statement that is sent to senior level administration, management, and select staff such as purchasing department employees. The purpose of the statement is to require these employees to disclose any potential conflict of interests they may have. The statements are sent in january of each year for the previous year activities we pursue the replies to get a 100% response rate. In the current year we sent out 364 statements and are working to achieve a 100% response rate. Each response is reviewed by the director of internal audit and the results are reported to the ceo of beacon health system, the audit committee chairman, as well as the audit committee of the board of directors. 2. The second statement is the board duality of interest statement that is sent to current board members, former board members from the last five years, and other key employees. The duality of interest statement is sent using a web based survey tool provided by ernst & young. The replies are reviewed by the director of internal audit. The results of the surveys are summarized using the web based tool, and are reviewed by ernst & young in completing the 990. The results are reported to the ceo of beacon health system, the audit committee chairman, and the audit committee of the board of directors. 3. The third statement is entitled "code of ethics for senior financial officers". The statement requires an acknowledgement form to be signed by beacon health system's key financial employees that beacon's financial information is to the best of their knowledge true and accurate. This statement was sent out on january 12, 2023 and the signed acknowledgements are kept by the director of internal audit. In 2022, 22 designated employees were requested to sign the form and we had a 100% compliance rate. Any potential conflicts of interests are reviewed by independent parties both internal and external to the organization, and if necessary, corrective action would be taken to resolve a true conflict. The individual with the potential conflict of interest would be excluded from all review proceedings.”
“Part vi, section b, line 15a & 15b beacon health system, inc. Has an extensive examination that is conducted for vice president and higher. Vice president and higher compensation is determined after an extensive examination is conducted using comparable market data and then reviewed by an independent consultant hired by,and reporting to, the board of directors. Human resources conducts the analysis and makes recommendations to the ceo who then makes the recommendations for all other executives/officers to the board for approval. The independent consulting group separately makes the recommendations regarding the ceo's compensation to the board for approval. Recommendations are presented to the compensation committee of the beacon health system, inc. Board for deliberation and final decision. Deliberation and final decision are performed by the independent members of the board.”
“The governing documents and conflict of interest policy are not made available to the public. The financial statements are distributed quarterly to the electronic municipal market access (emma) website as part of the continuing disclosures for the beacon health system, inc. Bonds.”
“Miscellaneous - Total Revenue: 2974595, Related or Exempt Function Revenue: 1959340, Unrelated Business Revenue: 1015255, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“CONSULTING - Total Expense: 2196961, Program Service Expense: 2196961, Management and General Expenses: , Fundraising Expenses: ; EQUIPMENT RENTAL & MAINTENANCE - Total Expense: 34758470, Program Service Expense: 34758470, Management and General Expenses: , Fundraising Expenses: ; RADIOLOGY FEES - Total Expense: 66467, Program Service Expense: 66467, Management and General Expenses: , Fundraising Expenses: ; LAB READING FEES - Total Expense: 509944, Program Service Expense: 509944, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 110842, Program Service Expense: 110842, Management and General Expenses: , Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 9251281, Program Service Expense: 9251281, Management and General Expenses: , Fundraising Expenses: ; COLLECTION FEES - Total Expense: 7796074, Program Service Expense: 7796074, Management and General Expenses: , Fundraising Expenses: ;”
“Write off intercompany w/ beacon medical group - -xxx-xx-xxxx; write off intercompany w/ memorial hospital of south bend - 47988791; write off intercompany w/ elkhart general hospital - 3736087; write off intercompany w/ beacon health foundation - -82726; write off intercompany w/ community hospital of bremen - -7795655; write off intercompany w/ three rivers hospital - -8921502; write off intercompany w/ integrated health - 5157357; write off intercompany w/ three rivers health foundation - 129743; rounding variance - 9; joint venture tax differences - 147901;”
“Net assets with donor restrictions consist of assets whose use is limited by donor imposed, time and/or purpose restrictions. Some net assets have been restricted by donors to be maintained by the corporation in perpetuity. In accordance with the restriction, a majority of the investment income and investment gain or losses from these net assets are restricted by the donor for a specific purpose. A specified portion of income earned by the net assets is released from restriction and used for operations each year and, therefore, is included in the consolidated statements of operations and charges in net assets as other revenue. The board has discretion to utilize each year the incomes, revenues, and profits arising and accruing from the endowments in defraying costs associated with the trust and the remainder for support, betterment, improvement, upkeep, expansion and replacement of beacon health system, inc. And its corporate affiliates.”
“Asc 740, income taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it is recognized in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the years ended december 31, 2022 or 2021.”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 21523655 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 21200865 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1950558 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1695414 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | WE DELIVER OUTSTANDING CARE, INSPIRE HEALTH, AND CONNECT WITH HEART. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1159199 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1159199 |
| IRS990/AllOtherContributionsAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 4048250 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 4048250 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JEFFREY COSTELLO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5746473549 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 615 N MICHIGAN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SOUTH BEND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 46601 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2750 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2900 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 135 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 2783157 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2783157 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 50588 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 50588 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 16463786 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 10937295 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2172786 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1847420 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1666783 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 416 E MONROE ST STE 320 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2800 ROCKCREEK PARKWAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 5995 WINDWARD PARWAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1851 S Alverno Rd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 15 Braintree Hill Off PK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 0 | Ste 102 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SOUTH BEND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | KANSAS CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ALPHARETTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Manitowoc |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BRAINTREE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 46601 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 64117 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 30005 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 542200000 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 021840000 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | PANZICA BUILDING CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | CERNER CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CHANGE HEALTHCARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Ameri EBO LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | S&P CONSULTANTS INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | IS SFTWR MAINTENANCE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | EQUIP MAINTENANCE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Collection Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | SOFTWARE MAINTENANCE |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1439524 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 742316 |
| IRS990/CYInvestmentIncomeAmt | 0 | 19724335 |
| IRS990/CYOtherExpensesAmt | 0 | 85231721 |
| IRS990/CYOtherRevenueAmt | 0 | 14317403 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 140650822 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 15510046 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 74648001 |
| IRS990/CYTotalExpensesAmt | 0 | 160622038 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 176132084 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 27273 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 59510 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 10515247 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 10515247 |
| IRS990/Desc | 0 | BEACON HEALTH SYSTEM, INC.(BEACON) IS THE PARENT OF ELKHART GENERAL HOSPITAL, INC., BEACON MEDICAL GROUP, INC., MEMORIAL HOSPITAL OF SOUTH BEND, INC., BEACON HEALTH FOUNDATION, INC., BEACON HEALTH VENTURES, INC., THREE RIVERS HEALTH HOSPITAL, INC., AND COMMUNITY HOSPITAL OF BREMEN, INC. BEACON PROVIDES COORDINATION FOR THE ORGANIZATIONS WITHIN THE SYSTEM IN SUCH MATTERS AS APPROVING BUDGETS, STRATEGIC PLANNING, MARKETING, ALLOCATING RESOURCES, SECURING TAX-EXEMPT BOND FINANCING AND PROVIDING COMMUNITY EDUCATION. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 1449 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 159797418 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FederatedCampaignsAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 9996 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 9996 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 814624 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 814624 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 25384 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 25384 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 54690039 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 54690039 |
| IRS990/FeesForServicesProfFundraising/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 74245 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 74245 |
| IRS990/ForeignActivitiesInd | 0 | true |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 12.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 12.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.0 |
| 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/BusinessName/BusinessNameLine1Txt | 0 | Jesse Hsieh MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 1 | John Martin |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 2 | Julia Willis |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 3 | Thomas Burish PhD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 4 | Tom Cassady Jr |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 5 | Amish Shah |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 6 | Bipin N Doshi |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 7 | Daniel Morrison |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 8 | Gene Grove MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 9 | James F Keenan JD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 10 | Karen Barnett |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 11 | Lars Kneller MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 12 | Matthew Pletcher |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 13 | Peter Baranay |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 14 | Samir Patel MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 15 | Tim Shelly |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 16 | Walter Halloran MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 17 | Jeffrey P Costello |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 18 | Kreg R Gruber |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 19 | Diane M Maas |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 20 | Haysam M Eldalati MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 21 | Mark A Warlick |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 22 | Scott M Eshowsky |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 23 | Steven M Eller |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/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/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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 33196 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 126495 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 221266 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 102684 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 111070 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 94420 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 38711 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 84030 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1533 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 1099 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 1823 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 1098 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 1110 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 744 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 1102 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 550 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 1110 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 1817 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 878794 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 1543364 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 576731 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 797757 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 528584 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 456437 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 515204 |
| 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 | 1091323 |
| 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 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director thru 3/31/2022 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Director thru 3/31/2022 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Director through 3/31/2022 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Chief Bus Dev & Plan Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Chief Clinical Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Chief Information Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Medical Information Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Chief Human Resource Officer |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 2011 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | true |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 352408 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 204911 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 159498 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 6771974 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 684451 |
| IRS990/GrantAmt | 0 | 742316 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 742316 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 742316 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 4472229 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 219145393 |
| IRS990/GrossReceiptsAmt | 0 | 393219919 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 212723 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 111 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 149933 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 149933 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1012027 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1012027 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 103840 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 103840 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 203984 |
| IRS990/InterestGrp/TotalAmt | 0 | 203984 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 4908145 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2680382 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 12693650 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 12792846 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 99196 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 414216526 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 482047002 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 43982580 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 41854393 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 576570677 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 334730773 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 201 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 60416285 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 100905788 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 105548477 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 165964762 |
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