Liabilities / Assets
45th percentile
Higher debt load relative to assets than 45% of similar nonprofits.
EIN 48-0543789 • 501(c)3 • Topeka, KS
Profile
Working together to improve the health care of our community by providing quality services regardless of race, creed, national origin, handicap, age or ability to pay.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
45th percentile
Higher debt load relative to assets than 45% of similar nonprofits.
Liabilities / Revenue
27th percentile
Higher debt load relative to revenue than 27% of similar nonprofits.
Net Margin
43rd percentile
Higher net margin than 43% of similar nonprofits.
Top Officer Pay
46th percentile
Higher top officer pay than 46% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
52nd percentile
Faster asset growth than 52% of similar nonprofits.
Revenue Growth
37th percentile
Faster revenue growth than 37% of similar nonprofits.
Assets
Up$1,187,215,694
Up $181,058,620 (+18%) from 2022
Liabilities
Down$318,341,514
Down $14,423,330 (-4.3%) from 2022
Net Assets
Up$868,874,180
Up $195,481,950 (+29%) from 2022
Revenue
Up$1,084,909,539
Up $235,870,122 (+28%) from 2022
Expenses
Up$1,032,057,657
Up $189,556,692 (+22%) from 2022
Net Income
Up$52,851,882
Up $46,313,430 (+708%) from 2022
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Working together to improve the health-care of our community by providing quality services regardless of race, creed, national origin, handicap, age or ability to pay.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $294,767,975 | $310,233,687 | ▲ $15,465,712 |
| Investments Other Securities | $275,463,069 | $295,401,093 | ▲ $19,938,024 |
| Investments in Publicly Traded Securities | $205,537,826 | $256,090,094 | ▲ $50,552,268 |
| Accounts Receivable | $127,217,978 | $145,453,711 | ▲ $18,235,733 |
| Savings and Temporary Cash Investments | $72,461,950 | $53,270,216 | ▼ $19,191,734 |
| Investments Program Related | $29,625,689 | $27,823,127 | ▼ $1,802,562 |
| Inventories for Sale or Use | $16,879,513 | $16,395,988 | ▼ $483,525 |
| Prepaid Expenses and Deferred Charges | $11,150,625 | $14,105,127 | ▲ $2,954,502 |
| Intangible Assets | $1,437,500 | $1,187,500 | ▼ $250,000 |
| Cash and Non-Interest-Bearing Accounts | $15,694 | $15,694 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $1,101,675,780 | $1,187,215,694 | ▲ $85,539,914 |
| Other Assets Total | $67,117,961 | $67,239,457 | ▲ $121,496 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $173,884,250 | $162,440,988 | ▼ $11,443,262 |
| Accounts Payable and Accrued Expenses | $113,070,972 | $122,427,505 | ▲ $9,356,533 |
| Other Liabilities | $51,202,390 | $33,473,021 | ▼ $17,729,369 |
| Mortgage Notes Payable Secured by Investment Property | $222,034 | - | - |
| Total Liabilities | $338,379,646 | $318,341,514 | ▼ $20,038,132 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $762,892,092 | $868,874,180 | ▲ $105,982,088 |
| Net Assets With Donor Restrictions | $404,042 | - | - |
| Total Net Assets Fund Balance | $763,296,134 | $868,874,180 | ▲ $105,578,046 |
| Total Liabilities and Net Assets / Fund Balance | $1,101,675,780 | $1,187,215,694 | ▲ $85,539,914 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $195,829,575 | $208,947,487 | $404,777,062 |
| Equipment | $62,097,197 | $174,631,920 | $236,729,117 |
| Land | $29,770,800 | - | $29,770,800 |
| Other Land Buildings | $22,536,115 | $546,710 | $23,082,825 |
| Other Assets Org | $2,538,256 | - | - |
| Other Securities | $295,401,093 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| John Ma | Physician | FT | $1,707,695 | $49,428 | $1,757,123 |
| Casey Whale | Physician | FT | $1,461,847 | $77,898 | $1,539,745 |
| Matthew Wills | Physician | FT | $1,442,672 | $45,447 | $1,488,119 |
| Salah Najm | Physician | FT | $1,388,385 | $55,585 | $1,443,970 |
| Jacob Deister | Physician | FT | $1,285,266 | $48,139 | $1,333,405 |
| Robert Kenagy | President CEO | FT | $1,030,513 | $236,970 | $1,267,483 |
| Kevin Dishman | Director/SVP and Chief Medical Quality | FT | $628,448 | $127,284 | $755,732 |
| TRACY O'ROURKE | SVP and Chief Admin Officer | FT | $544,151 | $151,717 | $695,868 |
| Stacie Mason | SVP and CFO/treasurer | FT | $498,957 | $125,173 | $624,130 |
| Carol Perry | SVP and Chief Nursing Officer Retired 5/2024 | FT | $412,508 | $101,668 | $514,176 |
| Aileen Mccarthy | Director/physician Retired 2/2024 | FT | $325,956 | $54,540 | $380,496 |
| Amy Kincade | SVP and Chief Nursing Officer Started 5/2024 | FT | $271,199 | $43,230 | $314,429 |
| Mallory Mcintosh | Director/physician Started 2/2024 | FT | $240,491 | $26,970 | $267,461 |
| Peggy Burnette | SVP AND CFO/TREASURER - ended 2/2023 | - | $215,823 | $13,865 | $229,688 |
| Name | Title |
|---|---|
| Brenda Sue Mills | Director/chair |
| Mark Ruelle | Director/vice Chair |
| Alonzo Harrison | Director |
| Cynthia Hornberger | Director |
| James R Schmank | Director |
| MICHEL' PHILIPP COLE | Director |
| Mark Knackendoffel | Director |
| Marsha Pope | Director |
| Matthew Crocker | Director |
| Pamela Johnson-betts | Director |
| Rick Wienckowski | Director |
| Robert St Peter | Director |
| Sueann V Schultz | Director |
| Thomas Bell | Director |
| Debra Clayton | Director/secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Kendall Construction INC | Construction | 2551 NW BUTTON RD, Topeka, KS 66618 | $11,812,978 |
| Sodexo INC & Affiliates | Support Svcs Mgt | PO BOX 360170, Pittsburgh, PA 15251-6170 | $9,600,388 |
| Trimedx INC | Equip Maintenance | PO BOX 636129, Cincinnati, OH 45623 | $9,256,808 |
| Anesthesia Associates | Anesthesia Phys Svc | 823 SW MULVANE ST, Topeka, KS 66606 | $7,871,612 |
| Senne & Company INC | Construction | 2001 NW HIGHWAY 24, Topeka, KS 66618 | $4,363,211 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $631,288,691 |
| Other Expenses | $399,973,569 |
| Grants and Similar Amounts Paid | $795,397 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $483,374,312 | $54,786,205 | - | $538,160,517 |
| Fees for Services Other | $44,664,082 | $11,504,150 | $0 | $56,168,232 |
| Other Employee Benefits | $32,183,033 | $4,610,401 | - | $36,793,434 |
| Payroll Taxes | $29,501,005 | $4,269,897 | - | $33,770,902 |
| Depreciation Depletion | $27,742,628 | $4,788,224 | - | $32,530,852 |
| All Other Expenses | $4,123,443 | $24,323,277 | $0 | $28,446,720 |
| Information Technology | $14,150,316 | $7,216,112 | - | $21,366,428 |
| Pension Plan Contributions | $15,672,512 | $2,938,594 | - | $18,611,106 |
| Occupancy | $10,428,369 | $2,440,431 | - | $12,868,800 |
| Insurance | $4,217,130 | $925,880 | - | $5,143,010 |
| Interest | $3,258,975 | $715,515 | - | $3,974,490 |
| Other Expenses | $2,844,660 | $1,114,606 | - | $3,959,266 |
| Current Officers, Directors, Trustees, and Key Employees | $3,241,134 | $711,598 | - | $3,952,732 |
| Office Expenses | $2,418,081 | $737,682 | - | $3,155,763 |
| Fees for Services Management | - | $1,419,713 | - | $1,419,713 |
| Grants to Domestic Orgs | $795,397 | - | - | $795,397 |
| Conferences and Meetings | $281,309 | $377,063 | - | $658,372 |
| Travel | $337,578 | $161,321 | - | $498,899 |
| Fees for Services Accounting | - | $452,291 | - | $452,291 |
| Fees for Services Legal | - | $354,043 | - | $354,043 |
| Advertising | $34,151 | $265,393 | - | $299,544 |
| Fees for Service Investment Mgmnt Fees | - | $168,750 | - | $168,750 |
| Total Functional Expenses | $905,742,034 | $126,315,623 | $0 | $1,032,057,657 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Stormont Vail Foundation | Topeka, KS | 501(c)(3) | Support | $795,397 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean | Investments | - | 0 | 0 | $43,085,480 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Due to Related Parties | $25,789,457 |
| Lease ROU Liabilities | $6,883,564 |
| Sponsorship | $800,000 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Kansas Development Finance Authority | 2016-12-15 | $70,350,000 | Health facilities, refund 2007i bonds (08/29/07), 2008f bonds (04/02/08) & 2012i bonds (08/14/07). |
| A | Kansas Development Financing Authority | 2022-08-17 | $40,145,000 | Refund remainder 2013 bonds |
| C | Kansas Development Finance Authority | 2019-08-19 | $36,265,000 | Refund portion 2011 bonds |
| D | Kansas Development Finance Authority | 2021-05-20 | $35,390,000 | HEALTH FACILITIES |
| B | Kansas Development Finance Authority | 2017-08-21 | $31,870,000 | REFUND 2016 TAXABLE NOTE |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $70,709,937 | $49,844,844 | $12,060,000 | $684,718 |
| A | $40,145,000 | - | $3,815,000 | - |
| C | $36,265,000 | $35,899,959 | $10,800,000 | $364,928 |
| D | $35,656,052 | $39,727,313 | $2,270,000 | $416,227 |
| B | $31,870,000 | $31,870,000 | $21,770,000 | $365,041 |
“The board of directors has established an executive compensation committee that is charged with the oversight and review of all executive compensation and benefits for the ceo, senior vice presidents, and vice presidents of the health system. The compensation is reviewed annually by an external independent consultant, gallagher. Gallagher reviews base compensation, incentive programs and total cash compensation that are offered on an annual basis to ensure it aligns with fair market value and complies with our established compensation philosophy. In addition, gallagher on a regular basis reviews the executive benefit program to also ensure it is appropriate and reasonable. Gallagher conducted a review in 2024.”
“An independent accounting firm prepares and reviews the 990. The 990 is then reviewed by the organization's finance and audit committee. Any questions and concerns the organization's finance and audit comittee have are addressed and any corrections or clarifications that need to be made are made. The final form 990 with all required schedules is then provided to all voting members of the board prior to filing the 990.”
“The officers, directors and key employees submit conflict of interest statements to the chairman of the governance committee of stormont vail healthcare each year. The chairman reviews the responses and reports to the governance committee for their review and determination of any appropriate action to be taken. The chairman also then reports the results to the full board of directors.”
“The organization's governing documents and financial statements are available upon request. The organization does not make their conflict-of-interest policy available to the public.”
“OTHER PROGRAM REVENUE - Total Revenue: 24006065, Related or Exempt Function Revenue: 24006065, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“STORMONT-VAIL HEALTHCARE, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. FOR THE YEAR ENDED SEPTEMBER 30, 2024, 19,464 INPATIENTS, 56,421 EMERGENCY ROOM PATIENTS, 1,499 NEWBORNS, AND 409 NEONATAL INTENSIVE CARE BABIES WERE SERVED. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE STORMONT VAIL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. STORMONT VAIL'S MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION REGARDLESS OF ABILITY TO PAY. AS PART OF THIS MISSION, STORMONT VAIL PROVIDES CARE TO PERSONS COVERED BY MEDICARE AND MEDICAID. FOLLOWING ARE SOME OF THE BENEFITS PROVIDED AT REDUCED RATES FOR THE FISCAL YEAR: IN ADDITION TO THE CHARITY CARE PROVIDED, STORMONT VAIL ALSO PROVIDED SERVICE TO PATIENTS THAT RESULTED IN UNCOLLECTIBLE AMOUNTS AS FOLLOWS: BAD DEBT EXPENSE AT COST $ 18,372,854 SHORTFALL OF MEDICARE PAYMENTS AT COST $ 99,302,455 SHORTFALL OF MEDICAID PAYMENTS AT COST $ 28,381,858 STORMONT VAIL ALSO PROVIDES OTHER HEATH CARE SERVICES AND PROGRAMS FOR THE BENEFIT OF THE COMMUNITY, FREE OR AT REDUCED RATES. EXAMPLES OF THESE INCLUDE: 1. SUBSIDY OF NURSING EDUCATION, MEDICAL EDUCATION, AND ALLIED HEALTH EDUCATION 2. OPERATING THE REGIONS ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) SERVING A HIGH PERCENTAGE OF MEDICALLY INDIGENT PATIENTS 3. OPERATING A LEVEL II TRAUMA CENTER SERVING NORTHEAST KANSAS 4. ORGANIZED SUPPORT GROUPS FOR A VARIETY OF TOPICS INCLUDING CANCER SUPPORT GROUP, DIABETES ADULT SUPPORT GROUP AND THE PREGNANCY AND INFANT LOSS SUPPORT GROUP 5. VOLUNTEER TIME WAS DONATED TO STORMONT VAIL HELPING TO REDUCE THE COST OF PROVIDING HEALTH CARE 6. Stormont Vail employees support the Care Line, which is an emergency fund for patients in financial distress, providing services and supplies on a short-term basis 7. USE OF POZEZ EDUCATION CENTER FACILITIES FOR A VARIETY OF COMMUNITY GROUPS AND PROGRAMS 8. PARTICIPATED IN NUMEROUS CLINICAL RESEARCH TRIALS THROUGH THE CLINICAL RESEARCH DEPARTMENT 9. OPERATED A PALLIATIVE CARE PROGRAM TO PROVIDE COMFORT CARE TO PATIENTS WITH CHRONIC CONDITIONS 10. PROVIDED SUPPORT AND EDUCATION FOR PATIENTS WITH DIABETES THROUGH THE DIABETES LEARNING CENTER 11. STORMONT-VAIL IS A REGIONAL NETWORK OF 30+ LOCATIONS IN 11 COMMUNITIES IN OUR REGION IMPROVING ACCESS TO MEDICAL CARE IN SEVERAL CITIES THAT OTHERWISE WOULD NOT HAVE ACCESS, PARTICULARLY ON WEEKENDS 12. MATERNAL FETAL MEDICINE PROGRAM PROVIDED CARE AND ACCESS TO SCREENINGS AND GENETIC COUNSELING FOR WOMEN WITH AT-RISK PREGNANCIES 13. OFFERED VARIOUS PARENTING AND CHILDBIRTH PREPARATION PROGRAMS THROUGH STORMONT-VAIL'S WEB SITE 14. THE HEALTH CONNECTION PROGRAM, WHICH PROVIDES PHYSICIAN REFERRAL AND AFTER-HOUR ACCESS TO A NURSE 15. PARTNERED WITH BUILDING BLOCKS TO PROVIDE CHILDCARE SERVICES TO STAFF 16. CONNECTED WITH THE COMMUNITY THROUGH THE ORGANIZATION WEBSITE, WWW.STORMONTVAIL.ORG 17. PARTNERED WITH HEALTH INNOVATION NETWORK OF KANSAS, A COALITION OF 15 HOSPITALS SHARING INFORMATION, EDUCATION AND OTHER NEEDED SERVICES 18. STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE MEALS ON WHEELS PROGRAM INCLUDING SPONSORING A MEALS ON WHEELS ROUTE 19. STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE UNITED WAY 20. OPERATED THE PATIENT CENTER MEDICAL HOME CONCEPT TO IMPROVE CARE WITH THE FOCUS ON PREVENTION AND WELLNESS 21. WORK WITH OTHERS IN THE COMMUNITY TO IMPROVE SAFETY NET SERVICES FOR UNDER INSURED AND UNINSURED 22. PROVIDED STAFF TO SERVE ON THE BOARD OF DIRECTORS FOR THE UNITED WAY OF TOPEKA, TOPEKA COMMUNITY FOUNDATION, GO TOPEKA, AND OTHERS 23. PROVIDED TRANSPORTATION TO PATIENTS WHO ARE UNABLE TO GET TO THEIR HEALTH CARE APPOINTMENTS OR NEED TRANSPORTATION TO RETURN HOME 24. PROVIDED SCREENING AND COORDINATION FOR PARTICIPANTS FOR A DRUG PROGRAM BEN”
“IN ADDITION TO THESE COMMUNITY CONTRIBUTIONS, STORMONT-VAIL PROVIDED SUPERVISED CLINICAL EXPERIENCE FOR 1,592 STUDENTS TO THE FOLLOWING ENTITIES: NAME/LOCATION---------------------------------------------------TYPE OF STUDENTS 190th ARW----------------------------------------------------------Undergrad RN or LPN (8) Baker University----------------------------------------------Undergrad RN or LPN (173) Baker University----------------------------------------------MSN Student (2) Barton Co Community College-----------------------Medical Technology Student (1) Barton Co Community College-----------------------EMT Student (2) Barton Co Community College-----------------------Phlebotomy Student (2) Benedictine College----------------------------------------Undergrad RN or LPN (5) Chamberlain University-----------------------------------Nurse Practitioner Student (7) Cloud County Community College-----------------Undergrad RN or LPN (4) Coffey Health System-------------------------------------Regional Staff Student (1) Emporia State University--------------------------------Undergrad RN or LPN (6) Flint Hills Technical College-------------------------Undergrad RN or LPN (1) Fort Hays----------------------------------------------------------IP Speech Language Pathology Student (2) Fort Hays----------------------------------------------------------Undergrad RN or LPN (18) Fort Hays----------------------------------------------------------Nurse Practitioner Student (1) Fort Hays----------------------------------------------------------Psychology Student (2) Fort Hays----------------------------------------------------------Ultrasound Student (2) Graceland University--------------------------------------MSN Student (3) Graceland University--------------------------------------Nurse Practitioner Student (4) Grand Canyon University--------------------------------Undergraduate RN or LPN (1) Hiawatha Community Hospital-------------------------Regional Staff Student (1) Highland Community College--------------------------Undergrad RN or LPN (27) Hutchinson Community College----------------------Undergrad RN or LPN (3) IHM Academy of EMS-------------------------------------------EMT Student (2) Junction City Fire Department-------------------------Regional Staff Student (2) Kansas State University-----------------------------------Dietician Student (1) Kansas State University-----------------------------------Physician Assistant Student (74) Manhattan Technical College-------------------------Medical Technology Students (3) Maryville University-----------------------------------------Nurse Practitioner Student (11) Mid America Nazarene University---------------------Nurse Practitioner Student (1) Nemaha Valley Community Hospital-----------------Regional Staff Student (4) Neosho Community College------------------------------Undergrad RN or LPN (18) Nightingale College------------------------------------------Undergrad RN or LPN (1) Non-Affiliated Observers---------------------------------Observer (152) Non-Affiliated Observers---------------------------------Clinic (1) Rockhurst University----------------------------------------IP PT Student (1) Rockhurst University----------------------------------------Nurse Practitioner Student (2) Rockhurst University----------------------------------------Undergraduate RN or LPN (21) Sabetha Hospital------------------------------------------------Regional Staff Student (9) Seaman High School-------------------------------------------HS Work Program (9) TCALC--------------------------------------------------------------------Phlebotomy Student (6) Texas Wesleyan University--------------------------------Nurse Anesthesia Student (6) Univ of Missouri-KC--------------------------------------------Nurse Practitioner Student (5) University of Central Missouri------------------------Nurse Practitioner Student (3) University of Kansas------------------------------------------Medical Student (1) University of Ka”
“Post retirement costs - -21777; other changes in net assets - -370441; earnings equity investments - -4115222; investment in partnerships - -307820;”
“The Form 2023 990 is being amended because after a review of our previously filed Form 990, we identified an inadvertent duplication in Schedule H, Line 7B Medicaid community benefit expense. To maintain accuracy and compliance, we are submitting an amended return for a complete and transparent presentation of our financial information.”
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified 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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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 113070972 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 122427505 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 127217978 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 145453711 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | WORKING TOGETHER TO IMPROVE THE HEALTH-CARE OF OUR COMMUNITY BY PROVIDING QUALITY SERVICES REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 265393 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 34151 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 299544 |
| IRS990/AllOtherContributionsAmt | 0 | 130898 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 24323277 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 4123443 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 28446720 |
| IRS990/AmendedReturnInd | 0 | X |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | STACIE MASON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7853546000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1500 SW 10TH AVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | TOPEKA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 66604 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 15694 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 15694 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 91 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 711598 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 3241134 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3952732 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 377063 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 281309 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 658372 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 11812978 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 9600388 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 9256808 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 7871612 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 4363211 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2551 NW BUTTON RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 360170 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 636129 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 823 SW MULVANE ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 2001 NW HIGHWAY 24 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | TOPEKA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | PITTSBURGH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CINCINNATI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | TOPEKA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | TOPEKA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 66618 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 152516170 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 45623 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 66606 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 66618 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | KENDALL CONSTRUCTION INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | SODEXO INC & AFFILIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | TRIMEDX INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | ANESTHESIA ASSOCIATES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | SENNE & COMPANY INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | SUPPORT SVCS MGT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | EQUIP MAINTENANCE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ANESTHESIA PHYS SVC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONSTRUCTION |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 4154550 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 795397 |
| IRS990/CYInvestmentIncomeAmt | 0 | 23977295 |
| IRS990/CYOtherExpensesAmt | 0 | 399973569 |
| IRS990/CYOtherRevenueAmt | 0 | 671772 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 1056105922 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 52851882 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 631288691 |
| IRS990/CYTotalExpensesAmt | 0 | 1032057657 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1084909539 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 4788224 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 27742628 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 32530852 |
| IRS990/Desc | 0 | See Schedule O |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 404042 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 6610 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 905742034 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 452291 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 452291 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 354043 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 354043 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 1419713 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 1419713 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 11504150 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 44664082 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 56168232 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 168750 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 168750 |
| IRS990/ForeignActivitiesInd | 0 | true |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| 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 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 28 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 47.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 47.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 47.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 47.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 47.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 47.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 0.0 |
| 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/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/IndividualTrusteeOrDirectorInd | 17 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 18 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 60966 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 35028 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 122707 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 9797 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 94016 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 34524 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 47876 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 133480 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 40338 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 46879 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 48588 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 41835 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 53941 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 12226 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BRENDA SUE MILLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DEBRA CLAYTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MARK RUELLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ROBERT KENAGY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | AILEEN MCCARTHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ALONZO HARRISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CYNTHIA HORNBERGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JAMES R SCHMANK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KEVIN DISHMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MALLORY MCINTOSH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARK KNACKENDOFFEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARSHA POPE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MATTHEW CROCKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MICHEL' PHILIPP COLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | PAMELA JOHNSON-BETTS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | RICK WIENCKOWSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ROBERT ST PETER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | SUEANN V SCHULTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | THOMAS BELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | STACIE MASON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | AMY KINCADE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | CAROL PERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | TRACY O'ROURKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | CASEY WHALE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | JACOB DEISTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JOHN MA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | MATTHEW WILLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | SALAH NAJM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | PEGGY BURNETTE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 1206517 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 345468 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 633025 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 257664 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 530114 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 279905 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 466300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 562388 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 1499407 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 1286526 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 1708535 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 1446284 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 1390029 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 217462 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR/CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR/SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR/VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PRESIDENT CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR/PHYSICIAN RETIRED 2/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR/SVP AND CHIEF MEDICAL QUALITY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR/PHYSICIAN STARTED 2/2024 |
| 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 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | SVP AND CFO/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | SVP AND CHIEF NURSING OFFICER STARTED 5/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | SVP AND CHIEF NURSING OFFICER RETIRED 5/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | SVP AND CHIEF ADMIN OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | SVP AND CFO/TREASURER - ended 2/2023 |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1894 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 276343 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 20997555 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 18 |
| IRS990/GovernmentGrantsAmt | 0 | 2000030 |
| IRS990/GrantAmt | 0 | 795397 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 795397 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 795397 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 276343 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 20997555 |
| IRS990/GrossReceiptsAmt | 0 | 1084909539 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 5710 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 358242 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 15 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 938 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
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