Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
990 • Fiscal year 2017 • EIN 48-0543721
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
Liabilities / Revenue
41st percentile
Higher debt load relative to revenue than 41% of similar nonprofits.
Net Margin
15th percentile
Higher net margin than 15% of similar nonprofits.
Top Officer Pay
74th percentile
Higher top officer pay than 74% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
56th percentile
Faster asset growth than 56% of similar nonprofits.
Revenue Growth
53rd percentile
Faster revenue growth than 53% of similar nonprofits.
Assets
Up$116,768,183
Up $7,863,455 (+7.2%) from 2016
Net Assets
Down$67,076,393
Down $20,725,657 (-24%) from 2016
Liabilities
Up$49,691,790
Up $28,589,112 (+135%) from 2016
Revenue
Up$131,254,380
Up $7,422,933 (+6.0%) from 2016
Expenses
Up$142,093,799
Up $20,394,762 (+17%) from 2016
Net Income
Down-$10,839,419
Down $12,971,829 (-608%) from 2016
For more than seventy years, St. Catherine Hospital's mission has been to serve families with quality health care in a Christian environment wherein the healing of the whole person can take place.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $39,350,539 | $45,385,141 | ▲ $6,034,602 |
| Investments Other Securities | $36,922,462 | $35,874,939 | ▼ $1,047,523 |
| Accounts Receivable | $17,959,221 | $21,838,934 | ▲ $3,879,713 |
| Savings and Temporary Cash Investments | $4,250,121 | $7,388,332 | ▲ $3,138,211 |
| Inventories for Sale or Use | $3,042,265 | $3,296,655 | ▲ $254,390 |
| Other Notes and Loans Receivable, Net | - | $1,124,436 | - |
| Prepaid Expenses and Deferred Charges | $367,711 | $437,244 | ▲ $69,533 |
| Investments in Publicly Traded Securities | $17,314 | $59,598 | ▲ $42,284 |
| Pledges and Grants Receivable | $35,369 | - | - |
| Cash and Non-Interest-Bearing Accounts | $7,119 | $7,602 | ▲ $483 |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | - | - |
| Total Assets | $108,904,728 | $116,768,183 | ▲ $7,863,455 |
| Other Assets Total | $6,952,607 | $1,355,302 | ▼ $5,597,305 |
| Liabilities | |||
| Other Liabilities | $14,229,492 | $38,461,062 | ▲ $24,231,570 |
| Accounts Payable and Accrued Expenses | $6,873,186 | $11,230,728 | ▲ $4,357,542 |
| Total Liabilities | $21,102,678 | $49,691,790 | ▲ $28,589,112 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $87,789,555 | $67,030,150 | ▼ $20,759,405 |
| Temporarily Rstr Net Assets | $12,495 | $46,243 | ▲ $33,748 |
| Total Net Assets Fund Balance | $87,802,050 | $67,076,393 | ▼ $20,725,657 |
| Total Liabilities and Net Assets / Fund Balance | $108,904,728 | $116,768,183 | ▲ $7,863,455 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $26,987,014 | $36,853,750 | $63,840,764 |
| Equipment | $7,896,843 | $46,312,242 | $54,209,085 |
| Other Land Buildings | $7,772,180 | $18,376 | $7,790,556 |
| Leasehold Improvements | $264,085 | $2,572,304 | $2,836,389 |
| Land | $2,465,019 | - | $2,465,019 |
| Other Securities | $35,874,939 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| - | President/CEO | FT | $409,124 | $315,928 | $725,052 |
| - | Orthopedic Surgeon | FT | $567,059 | $75,735 | $642,794 |
| - | Physician | FT | $350,461 | $107,695 | $458,156 |
| - | Member/sch Physician | FT | $228,574 | $53,153 | $281,727 |
| - | CFO/Treasurer | FT | $183,390 | $86,406 | $269,796 |
| - | Former Vice President | - | $114,127 | $64,256 | $178,383 |
| Name | Title |
|---|---|
| - | Chairperson |
| - | Vice Chair |
| - | Member |
| - | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Medical Solutions LLC | Staffing Services | 1010 N 102nd Street, Omaha, NE 68114 | $739,909 |
| Premier Emergency Services PC | Medical Services | 550 S Wadsworth Blvd, Lakewood, CO 80226 | $723,868 |
| Account Recovery Specialists | Consulting Services | 117 North Main, Garden City, KS 67846 | $672,168 |
| Radar Healthcare Providers | Staffing Services | PO Box 6566, Athens, GA 30604 | $439,125 |
| Rural Emergency Medical Providers LLC | Medical Services | 915 Glenarm, Pratt, KS 67124 | $397,461 |
| Line Item | Amount |
|---|---|
| Other Expenses | $79,790,756 |
| Salaries, Compensation, and Employee Benefits | $62,303,043 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $44,285,765 | $5,130,702 | - | $49,416,467 |
| Fees for Services Other | $17,972,909 | $14,767,713 | $0 | $32,740,622 |
| Depreciation Depletion | $5,601,334 | $1,400,334 | - | $7,001,668 |
| All Other Expenses | $1,974,781 | $2,274,035 | $0 | $4,248,816 |
| Other Employee Benefits | $3,551,266 | $530,649 | - | $4,081,915 |
| Payroll Taxes | $3,058,982 | $457,089 | - | $3,516,071 |
| Occupancy | $2,764,194 | $413,040 | - | $3,177,234 |
| Current Officers, Directors, Trustees, and Key Employees | $2,928,230 | - | - | $2,928,230 |
| Other Expenses | $2,372,004 | $254,437 | - | $2,626,441 |
| Pension Plan Contributions | $2,019,922 | $301,827 | - | $2,321,749 |
| Insurance | $642,664 | $642,663 | - | $1,285,327 |
| Interest | $506,180 | $506,178 | - | $1,012,358 |
| Office Expenses | $455,822 | $68,111 | - | $523,933 |
| Travel | $68,611 | $175,833 | - | $244,444 |
| Comp Disqual Persons | $38,611 | - | - | $38,611 |
| Fees for Services Accounting | - | $38,548 | - | $38,548 |
| Fees for Services Legal | - | $14,549 | - | $14,549 |
| Advertising | $6,426 | - | - | $6,426 |
| Total Functional Expenses | $115,118,091 | $26,975,708 | $0 | $142,093,799 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Family Member of Jeffry Clarke | Employment | No | $38,611 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Intercompany Payables | $25,183,918 |
| AP Deposits | $13,214,991 |
| Intercompany Payables - Centura | $61,453 |
| Medical Staff Fund Payable | $700 |
| Intercompany payables - CHI | - |
“The ceo and cfo of st. Catherine's hospital are compensated by centura health corporation, who manages the daily activities of the hospital under a joint operating agreement between the adventist healthcare system and catholic health initiatives. As such, their salaries are paid to them by centura, an unrelated organization, for services rendered in their capacity as officers of the hospital. All of their reportable compensation is disclosed in full on form 990, schedule j, part ii, row (i) and form 990, part vii, column (d) as reporting organization compensation (regardless of whether they perform similar duties at another facility) outside consultants are engaged to provide recommendations to centura's compensation committee regarding the compensation of facility ceos and centura executives, such as the cfo. The consultant's recommendations are then presented to and approved by the compensation committee. Centura's human resources department performs an annual analysis of the market to determine compensation ranges for the remainder of centura executives which are reviewed and approved by centura's senior leadership.”
“Pursuant to Section 8.6 of the Bylaws of St. Catherine Hospital, the Executive Committee is composed of the board chair, the board vice chair, the President and CEO, each of whom shall serve as an ex officio voting member of the Executive Committee, and those members who are appointed by the Board. Each individual appointed to the Executive Committee shall serve for a term of one year or until his or her successor is duly appointed by the Board of Directors. The Executive Committee shall consist of only directors of the Corporation. Pursuant to Section 8.1 of the Corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to Section 8.6 of the Corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The Executive Committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors.”
“The sole member of the organization is catholic health initiatives, a colorado nonprofit corporation.”
“According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation.”
“The organization's corporate member is Catholic Health Initiatives (CHI). Pursuant to Section 5.4 of the organization's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: *Substantial change in the mission or philosophy of St. Catherine Hospital *Amendment of the corporate documents of St. Catherine Hospital *Approve members of the St. Catherine Hospital board *Removal of a member of the governing body of St. Catherine Hospital *Approval of issuance of debt by St. Catherine Hospital *Approval of participation of St. Catherine Hospital in a joint venture *Approval of formation of a new corporation by St. Catherine Hospital *Approval of a merger involving St. Catherine Hospital *Approval of the sale of all or substantially all of the assets of St. Catherine Hospital *To require the transfer of assets by the St. Catherine Hospital to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts *Adoption of long range and strategic plans for St. Catherine Hospital. Pursuant to the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.”
“A DRAFT OF THE FORM 990 IS REVIEWED BY MANAGEMENT AND MADE AVAILABLE TO THE TOP FINANCIAL OFFICIAL FOR CONSIDERATION AND REVIEW PRIOR TO FILING WITH THE IRS. THE FORM 990 is filed WITH THE IRS, MAKING ANY REQUIRED AND SUBSTANTIVE CHANGES NECESSARY TO AFFECT E-FILING.”
“1.1 consistent with centura integrity standards, it is policy that each board of trustee member, corporate officer, and key employee act at all times in a manner that is consistent with centura's mission and values based service to the community and exercise care that he or she does not have any personal interest which might conflict with or appear to conflict with the interest of centura or which might influence their judgment or actions in performing their duties. 1.1.1 in connection with an actual or possible transaction or arrangement involving centura, any board member, corporate officer, or key employee who has a direct or indirect financial interest must disclose and be given the opportunity to share all material facts with the board considering the proposed transaction or arrangement. 1.1.2 board members, corporate officers, and key employees are alsorequired to disclose any possible conflicts on an annual basis through the conflict of interest questionnaire. 2. Procedure for disclosing and reviewing transaction or arrangement conflict of interests: 2.1 board members, corporate officers, and key employees that have a financial interest in any actual or possible transaction involving centura are required to disclose the financial interest. 2.1.1 in order to determine if a conflict of interest exists, the individual who is considered to have a financial interest may make a presentation at the board or board committee meeting. After such presentation, the individual shall leave the meeting for discussion and a vote on the issue. 2.1.2 after exercising due dillegence, the board or board committee shall determine whether centura can obtain a more advantageous transaction with reasonable efforts from another person or entity. If a more advantageous transaction is not reasonably attainable, the board or board committee shall determine by a majority vote of the disinterested members whether the transaction is in centura's best interest and is fair. 3. Procedure for disclosing and reviewing other conflict of interests: 3.1 board members, corporate officers, and key employees shall also disclose in advance to centura leaders any non-transactional actions or relationships that have the potential to create a conflict of interest. 3.1.1 the board or board committee shall carefully review and scrutinize any conflict of interest. By a majority vote of the disinterested members, the board shall take whatever action is deemed appropriate with respect to the board member, corporate officer, or key employee under the circumstances, including possible corrective action, in order to best protect the interests of centura. 3.1.2 on an annual basis, board members, corporate officers, and key employees will also be sent an email requesting they complete the board member and corporate officer conflict of interest questionnaire by the specified due date in the email. 3.1.3 the corporate responsibility department shall notify the chairperson of the board of any potential conflicts and the chairperson, or designee, shall perform further investigation as he or she deems appropriate. 4. Record of proceedings: 4.1 the minutes of the board and board committee shall contain: 4.1.1 the names of persons who disclosed or otherwise were found to have a financial interest and the nature of the financial interest. 4.1.2 the names of persons who were present for discussions and votes relating to any financial interest, the content of the discussion, including any alternatives, and a record of the board or board committee decision. 5. Violations of the conflicts of interest policy: 5.1 if the board or board committee has reasonable cause to believe that an individual has failed to disclose either an actual or potential conflict of interest, or all material facts surrounding an actual or possible conflict, the individual will be given a chance to explain. 5.1.1 after hearing the response, the board will conduct such additional investigation as appropriate. If t”
“The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in Catholic Health Initiatives' consolidated audited financial statements that are available at www.catholichealthinitiatives.org.”
“Patient Transport - Total Revenue: 8403, Related or Exempt Function Revenue: 8403, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Research Revenue - Total Revenue: 17763, Related or Exempt Function Revenue: 17763, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellanous - Total Revenue: 1096, Related or Exempt Function Revenue: 1096, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Wellness - Total Revenue: 75000, Related or Exempt Function Revenue: 75000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“Meals on Wheels - Total Revenue: 59632, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 59632; Purchase Discounts - Total Revenue: 10475, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 10475; Laundry - Total Revenue: 19371, Related or Exempt Function Revenue: , Unrelated Business Revenue: 19371, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Housekeeping - Total Revenue: 89850, Related or Exempt Function Revenue: , Unrelated Business Revenue: 89850, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;”
“The mission of the corporation is to nurture the healing ministry of the church, supported by education and research. Fidelity to the gospel urges the corporation to emphasize human dignity and social justice as it creates healthier communities. The corporation, sponsored by a lay-religious partnership, calls other catholic sponsors and systems to unite to ensure the future of catholic health care. To fulfill this mission, the corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.”
“Purchased Services - Total Expense: 14465802, Program Service Expense: 12585248, Management and General Expenses: 1880554, Fundraising Expenses: ; Contract Labor - Total Expense: 1028663, Program Service Expense: 1028663, Management and General Expenses: , Fundraising Expenses: ; Other Consulting Services - Total Expense: 99390, Program Service Expense: 49695, Management and General Expenses: 49695, Fundraising Expenses: ; Contract Services - Total Expense: 130118, Program Service Expense: 65058, Management and General Expenses: 65060, Fundraising Expenses: ; Corporate Shared Services fee - Total Expense: 12772404, Program Service Expense: , Management and General Expenses: 12772404, Fundraising Expenses: ; Lab Purchase Services - Total Expense: 4244245, Program Service Expense: 4244245, Management and General Expenses: , Fundraising Expenses: ;”
“Interzone Write-off - -10552731;”
“St. Catherine Hospital's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2017, reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated 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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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 11230728 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 17959221 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 21838934 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | For more than seventy years, St. Catherine Hospital's mission has been to serve families with quality health care in a Christian environment wherein the healing of the whole person can take place. |
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| IRS990/AdvertisingGrp/TotalAmt | 0 | 6426 |
| IRS990/AllOtherContributionsAmt | 0 | 620158 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 2274035 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1974781 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 4248816 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Amanda Vaughan |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6202722554 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 401 East Spruce Street |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Garden City |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 67846 |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
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| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 7119 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 7602 |
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| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 38611 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 38611 |
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| IRS990/CompensationProcessCEOInd | 0 | false |
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| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 739909 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 723868 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 672168 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 439125 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 397461 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 550 S Wadsworth Blvd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 117 North Main |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 6566 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 915 Glenarm |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Omaha |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Lakewood |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Garden City |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Athens |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Pratt |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | KS |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 67124 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Medical Solutions LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Premier Emergency Services PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Account Recovery Specialists |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Radar Healthcare Providers |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Rural Emergency Medical Providers LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Staffing Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Medical Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Consulting Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Staffing Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Medical Services |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 940850 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3377738 |
| IRS990/CYOtherExpensesAmt | 0 | 79790756 |
| IRS990/CYOtherRevenueAmt | 0 | 1100800 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 125834992 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -10839419 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 62303043 |
| IRS990/CYTotalExpensesAmt | 0 | 142093799 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 131254380 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1400334 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 5601334 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 7001668 |
| IRS990/Desc | 0 | SEE SCHEDULE H |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 930 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 115118091 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 38548 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 38548 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 14549 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 14549 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 14767713 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 17972909 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 32740622 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| 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 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 0 | SAUNDRA MCGRAW |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 1 | JILL WESSELS |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 2 | Jeffry A Clarke |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 3 | MARK ANDERSON |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 4 | ZEFERINO J ARROYO MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 5 | ANGELICA CASTILLO-CHAPPEL |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 6 | William Freund |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 7 | JULIE KING DO |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 8 | Nathan STRANDMARK |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 9 | SR ROSERITA WEBER OP |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 10 | WENDEL WURST |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 11 | SCOTT TAYLOR |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 12 | AMANDA VAUGHAN |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 13 | MATTHEW BYRNES |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 14 | GUILLERMO GARCIA |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 15 | RICHARD HALL |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 16 | KIMBERLY WEST |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 17 | JOANNE RINK |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 18 | VICTOR HAWKINS |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 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 | 29867 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 18287 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 110444 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 37656 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 42265 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 39372 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 36569 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 15958 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 23200 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 29958 |
| 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 | 508446 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 263440 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 614608 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 232140 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 796397 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 603422 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 585009 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 425340 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 434956 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 148425 |
| 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/TitleTxt | 0 | Chairperson |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | MEMBER/SCH PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MEMBER/SCH PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | President/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Orthopedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | FORMER VICE PRESIDENT |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1931 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -1611 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 2490218 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 2490218 |
| IRS990/GrossReceiptsAmt | 0 | 131325023 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 47937 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 89601 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 59 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 642663 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 642664 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1285327 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 506178 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 506180 |
| IRS990/InterestGrp/TotalAmt | 0 | 1012358 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 3042265 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 3296655 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 884973 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 889131 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 4158 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 36922462 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 35874939 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 17314 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 59598 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 85756672 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 39350539 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 45385141 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 131141813 |
| IRS990/LegalDomicileStateCd | 0 | KS |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 1611 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 69032 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 70107 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 179328 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 109221 |
| IRS990/MissionDesc | 0 | See Schedule O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 87802050 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 67076393 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 2488607 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 2488607 |
| IRS990/NetIncomeOrLossGrp/ExclusionAmt | 0 | 89601 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 89601 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -21095 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -21095 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | -209 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 666493 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 413040 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 2764194 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 3177234 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 68111 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 455822 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 523933 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 6952607 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1355302 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -10552731 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 530649 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3551266 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4081915 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Bad Debt |
| IRS990/OtherExpensesGrp/Desc | 2 | Restructuring Losses |
| IRS990/OtherExpensesGrp/Desc | 3 | Repairs and Maintenance |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 254437 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 11747890 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 10655966 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 4466534 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 2372004 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 11747890 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 10655966 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 4466534 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 2626441 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 14229492 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 38461062 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 722100 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 446110 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 621500 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Cafeteria |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Pharmacy Services |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | Laboratory Services |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 457428 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 20576 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 325059 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 457428 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 70479 |
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Displayed year
2017 • Form 990Detailed filing. Detailed filing data is available for this year.