Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
EIN 52-0591628 • 501(c)3 • Salisbury, MD
Profile
Improve the health of the communities we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
Liabilities / Revenue
42nd percentile
Higher debt load relative to revenue than 42% of similar nonprofits.
Net Margin
71st percentile
Higher net margin than 71% of similar nonprofits.
Top Officer Pay
66th percentile
Higher top officer pay than 66% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
45th percentile
Faster asset growth than 45% of similar nonprofits.
Revenue Growth
51st percentile
Faster revenue growth than 51% of similar nonprofits.
Assets
Up$746,869,059
Up $35,816,121 (+5.0%) from 2023
Liabilities
Up$214,258,711
Up $59,725,990 (+39%) from 2023
Net Assets
Down$532,610,348
Down $23,909,869 (-4.3%) from 2023
Revenue
Up$575,467,773
Up $47,740,049 (+9.0%) from 2023
Expenses
Up$503,140,240
Up $2,143,576 (+0.4%) from 2023
Net Income
Up$72,327,533
Up $45,596,473 (+171%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Improve the health of the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $334,590,234 | $354,721,425 | ▲ $20,131,191 |
| Land, Buildings, and Equipment, Net | $181,207,589 | $162,589,395 | ▼ $18,618,194 |
| Accounts Receivable | $59,468,115 | $69,302,232 | ▲ $9,834,117 |
| Savings and Temporary Cash Investments | $17,003,061 | $23,652,893 | ▲ $6,649,832 |
| Inventories for Sale or Use | $11,774,166 | $13,489,176 | ▲ $1,715,010 |
| Prepaid Expenses and Deferred Charges | $9,403,737 | $10,295,735 | ▲ $891,998 |
| Cash and Non-Interest-Bearing Accounts | $6,612,121 | $9,876,756 | ▲ $3,264,635 |
| Total Assets | $711,052,938 | $746,869,059 | ▲ $35,816,121 |
| Other Assets Total | $90,993,915 | $102,941,447 | ▲ $11,947,532 |
| Liabilities | |||
| Unsecured Notes Loans Payable | $119,855,011 | $118,827,397 | ▼ $1,027,614 |
| Other Liabilities | $23,864,410 | $87,502,634 | ▲ $63,638,224 |
| Accounts Payable and Accrued Expenses | $7,582,833 | $7,898,954 | ▲ $316,121 |
| Tax Exempt Bond Liabilities | $3,230,467 | $0 | ▼ $3,230,467 |
| Deferred Revenue | $0 | $29,726 | ▲ $29,726 |
| Total Liabilities | $154,532,721 | $214,258,711 | ▲ $59,725,990 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $499,549,381 | $468,830,863 | ▼ $30,718,518 |
| Net Assets With Donor Restrictions | $56,970,836 | $63,779,485 | ▲ $6,808,649 |
| Total Net Assets Fund Balance | $556,520,217 | $532,610,348 | ▼ $23,909,869 |
| Total Liabilities and Net Assets / Fund Balance | $711,052,938 | $746,869,059 | ▲ $35,816,121 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $41,253,779 | $309,658,278 | $350,912,057 |
| Buildings | $105,463,097 | $175,883,142 | $281,346,239 |
| Land | $13,542,854 | - | $13,542,854 |
| Other Land Buildings | $2,329,665 | $9,772,841 | $12,102,506 |
| Other Assets Org | $1,529,281 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $87,652,533 | - | ▲ $11,952,711 | - | $99,244,283 |
| 2022 | $87,537,245 | - | ▲ $10,561,995 | $10,000,000 | $87,652,533 |
| 2021 | $102,246,212 | - | ▼ $14,214,441 | - | $87,537,245 |
| 2020 | $79,165,301 | - | ▲ $23,584,799 | - | $102,246,212 |
| 2019 | $71,424,439 | - | ▲ $8,133,343 | - | $79,165,301 |
| Name | Title | Other | Total |
|---|---|---|---|
| Memo Diriker | Board Member Thru 12/23 | $7,500 | $7,500 |
| Name | Title |
|---|---|
| James Hartstein | Chairperson |
| Julius Zant Md | Immed. Past Chairperson Thru 12/23 |
| Steven Leonard | President/CEO |
| Diane Turner | Board Member |
| Jason Morris | Board Member |
| Mary Dibartolo | Board Member |
| Percy J Purnell | Board Member |
| Rondall Allen Pharmd | Board Member |
| Erica Jospeh | Board Member Beg 01/24 |
| Kathleen Harrison | Board Member Beg 01/24 |
| Michael Murphy Md | Board Member Beg 01/24 |
| Nicholas Ogburn Md | Board Member Beg 01/24 |
| Anthony Adrignolo Iii Md | Board Member Thru 12/23 |
| David Sechler Md | Board Member/physician |
| Angela Brittingham | Chief Nursing Officer |
| Karin Dibari | Fmr. V.p. Th Med. Ptnrs. Thru 10/22 |
| Bruce Ritchie | Former CFO Thru 01/23 |
| Susan Wilgus-murphy | Secretary |
| Timothy Feist | V.p Chief Compliance Off. Thru 01/24 |
| Trudy Hall Md | V.p. Chief Medical Officer |
| James Trumble Md | V.p. Clinical Integration |
| Stephanie Gary | V.p. Finance/CFO |
| Lura Lunsford | V.p. Operations |
| Sarah Scott | V.p. People & Organizaton Dev |
| Kathryn Fiddler | V.p. Population Health |
| Line Item | Amount |
|---|---|
| Other Expenses | $276,779,126 |
| Salaries, Compensation, and Employee Benefits | $226,301,489 |
| Total Fundraising Expense | $1,308,010 |
| Grants and Similar Amounts Paid | $59,625 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $166,654,270 | $14,284,272 | $486,746 | $181,425,288 |
| Fees for Services Other | $77,407,003 | $9,321,535 | $226,082 | $86,954,620 |
| Office Expenses | $35,313,735 | $4,252,564 | $103,141 | $39,669,440 |
| Depreciation Depletion | $22,566,027 | $2,717,455 | $65,908 | $25,349,390 |
| Other Employee Benefits | $14,559,022 | $1,753,232 | $42,522 | $16,354,776 |
| Payroll Taxes | $11,805,750 | $1,421,676 | $34,481 | $13,261,907 |
| Pension Plan Contributions | $8,434,544 | $1,015,708 | $24,635 | $9,474,887 |
| Current Officers, Directors, Trustees, and Key Employees | - | $5,636,027 | - | $5,636,027 |
| Occupancy | $4,866,572 | $586,044 | $14,214 | $5,466,830 |
| Interest | $3,873,191 | $466,419 | $11,312 | $4,350,922 |
| Insurance | $2,610,145 | $314,320 | $7,623 | $2,932,088 |
| Fees for Service Investment Mgmnt Fees | $1,326,642 | $159,757 | $3,875 | $1,490,274 |
| Information Technology | $914,826 | $110,166 | $2,672 | $1,027,664 |
| Fees for Services Legal | $875,267 | $105,402 | $2,556 | $983,225 |
| All Other Expenses | $854,404 | $102,889 | $2,497 | $959,790 |
| Fees for Services Accounting | $623,140 | $75,040 | $1,820 | $700,000 |
| Travel | $570,421 | $68,692 | $1,666 | $640,779 |
| Other Expenses | $519,432 | $62,551 | $1,517 | $583,500 |
| Advertising | $516,139 | $62,155 | $1,507 | $579,801 |
| Comp Disqual Persons | - | $148,604 | - | $148,604 |
| Grants to Domestic Orgs | $59,625 | - | - | $59,625 |
| Fees for Services Lobbying | $21,170 | $2,549 | $62 | $23,781 |
| Conferences and Meetings | $9,898 | $1,192 | $29 | $11,119 |
| Total Functional Expenses | $447,901,988 | $53,930,242 | $1,308,010 | $503,140,240 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| University of Maryland Eastern Shore | Princess Anne, MD | Government | General Donation | $25,000 |
| Delaware Technical and Community College | Georgetown, DE | 501(c)(3) | Event Sponsorship | $10,000 |
| Coastal Hospice Inc | Salisbury, MD | 501(c)(3) | Event Sponsorship | $7,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $43,728,263 |
| Employee Comp Related Payroll Taxes | $21,332,049 |
| Advances From Third Party Payors | $20,835,978 |
| Long-term Lease Liability | $1,552,931 |
| Accrued Self Insurance Liability | $53,413 |
“Business relationships steven leonard and memo diriker are members of the board of directors of peninsula health ventures, a wholly-owned taxable subsidiary of tidalhealth, inc. Stephanie gary, tpr's cfo, also serves as secretary/treasurer of peninsula health ventures.”
“Members or stockholders tidalhealth, inc. Is the sole corporate member of tidalhealth peninsula regional, inc.”
“Election of members of governing body in its capacity as the sole corporate member of the organization, tidalhealth, inc. Has the ability to elect members of the organization's governing body.”
“Decisions subject to approval as the sole corporate member, tidalhealth, inc. Has the ability to approve major expenditures and long-term borrowings of the organization.”
“Form 990 review process oversight of the completion of the organization's form 990 has been delegated to the chief financial officer of tidalhealth, inc. By the president of the organization. Once the form 990 and all schedules have been prepared by the organization's independent tax services provider, they are reviewed by the president prior to filing. A copy of the form 990 was made available to all members of the governing body prior to the filing with irs.”
“Conflict of interest policy monitoring & enforcement the board of directors are required to disclose annually, in writing, any and all interests which they or any immediate member of their family may have in any business entity which has or seeks a contractual or competitive relationship with the organization. The board has the authority to determine if a violation has occurred and whether any interest which should be disclosed should disqualify a director from participating in any specific board discussion or board membership. All disclosures are reviewed by the organization's chief compliance officer. Any conflicts are presented to the board. If a person is conflicted, they will recuse themselves from all discussions and deliberations to which they would appear to be conflicted.”
“Process for determining compensation a compensation committee of tidalhealth inc. (thi), the sole corporate member of the filing organization, determines the compensation of the ceo/executive director of the organization. The compensation committee uses an independent consultant, compensation surveys, and other organization's form 990 in the determination process and keeps contemproaneous records of decisions made.”
“How documents are made available to the public the organization's governing documents, conflict of interest policy, financial statements, and form 990 are available to the public upon request to the public information office of tidalhealth peninsula regional at 100 east carroll street, salisbury, md 21801.”
“The filing organization has entered "0" in part v, line 1a and line 2a because the organization's 1099 and w-2 returns are filed by and under the name and ein of tidalhealth, inc., a related entity, under a shared services agreement. Accordingly, the required disclosures related to employees and independent contractors are included on the form 990 of tidalhealth, inc.”
“Professional fees: program service expenses 77,407,003. Management and general expenses 9,321,535. Fundraising expenses 226,082. Total expenses 86,954,620.”
“Tax exempt bonds in may 2020, mhhefa authorized the issuance of $95,995,000 aggregate principal amount of revenue bonds (series 2020a revenue bonds) at a premium of $5,944,000. The obligated group for the 2020a consists of tidalhealth, inc., tpr, and tn. Supplemental information on tax-exempt bonds reported on schedule k of form 990 for tidalhealth inc., the parent organization.”
“Pension adjustment 1,511,635. Change in endowment 880,239. Investment in subsidiaries -124,317,759.”
“Intended use of endowment funds the organization's endowment funds are used for capital, patient services or educational purposes. Tidalhealth, inc. Administers the endowment for the benefit of tidalhealth peninsula regional. Inc. And tidalhealth foundation.”
“Liability for uncertain tax position (asc 740) the organization is included in the consolidated financial statements of tidalhealth, inc. The relevant text of the income tax footnote from those financials is: the health system has determined there are no material uncertain tax positions that require recognition or disclosure in the consolidated financial statements at june 30, 2024 and 2023.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 7898954 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 59468115 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 69302232 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 1507 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 62155 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 516139 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 579801 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 2497 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 102889 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 854404 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 959790 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | DEAN SWINGLE - DIRECTOR OF FINANCE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3025365203 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 100 EAST CARROLL STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SALISBURY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 21801 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 6612121 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 9876756 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 5636027 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 5636027 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 148604 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 148604 |
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| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 29 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 1192 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 9898 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 11119 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
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| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CreditCounselingInd | 0 | 0 |
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| IRS990/CYContributionsGrantsAmt | 0 | 2537218 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 59625 |
| IRS990/CYInvestmentIncomeAmt | 0 | 26738082 |
| IRS990/CYOtherExpensesAmt | 0 | 276779126 |
| IRS990/CYOtherRevenueAmt | 0 | 2493548 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 543698925 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 72327533 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 226301489 |
| IRS990/CYTotalExpensesAmt | 0 | 503140240 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 1308010 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 575467773 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 29726 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 65908 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 2717455 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 22566027 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 25349390 |
| IRS990/Desc | 0 | SEE SCHEDULE OTIDALHEALTH PENINSULA REGIONAL IS A NOT-FOR-PROFIT 501(C)(3) NON-STOCK CORPORATION FOUNDED IN 1897 TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY. THE HOSPITAL'S PRIMARY PURPOSE IS TO PROVIDE THE HIGHEST PRIMARY, SECONDARY, AND SELECTED TERTIARY HEALTH CARE SERVICES TO RESIDENTS OF AND VISITORS TO THE MID-DELMARVA PENINSULA IN A COMPETENT, COMPASSIONATE, AND COST-EFFECTIVE MANNER DESIGNED TO ELICIT A HIGH DEGREE OF CUSTOMER SATISFACTION. THE HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY PROVIDING QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. IF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, EFFORTS WILL BE TAKEN TO ASSURE CARE AT AN AFFORDABLE COST, OR OBTAINED ASSISTANCE THROUGH APPROPRIATE AGENCIES ON THE PATIENT'S BEHALF. EMERGENCY SERVICES CARE WILL BE PROVIDED TO EVERYONE REGARDLESS OF ABILITY TO PAY.TIDALHEALTH PENINSULA REGIONAL SERVED OVER 17,000 INPATIENTS AND PROVIDED MORE THAN 402,000 OUTPATIENT SERVICES DURING FISCAL 2024. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF TIDALHEALTH PENINSULA REGIONAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES. THE HOSPITAL, IN KEEPING WITH THE COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, DURING FISCAL 2024 PROVIDED:CHARITY AND OTHER ALLOWANCES TOTALING $49,901,008DISCOUNTS TO THIRD PARTY PAYORS INCLUDING GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID $58,672,289WRITE-OFF OF UNCOLLECTIBLE ACCOUNTS $17,427,678THE TOTAL UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS IS $126,000,974ALSO PROVIDED ARE MANY WELLNESS PROGRAMS, COMMUNITY EDUCATION AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT TIDALHEALTH PENINSULA REGIONAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. SOME OF THE PROGRAMS ARE AS FOLLOWS: - A VARIETY OF BROCHURES ARE DISPLAYED IN ALL HOSPITAL WAITING AREAS TO EDUCATE MEMBERS OF THE COMMUNITY REGARDING PROGRAMS AND SERVICES.- WE PROVIDE CHILDBIRTH PREPARATION CLASSES, EXERCISE CLASSES FOR PRENATAL AND POSTPARTUM WOMEN AND CPR CLASSES. - WE PROVIDE ASSISTANCE TO EDUCATORS THROUGH OUR WORK WITH STUDENT NURSES, RADIOLOGY, RESPIRATORY AND LABORATORY TECHNICIANS.PROGRAM ACTIVITYDURING FY 2024, TIDALHEALTH PENINSULA REGIONAL PERFORMED COMMUNITY OUTREACH ACTIVITIES ASSOCIATED WITH FLU CLINICS AND WELLNESS ACTIVITIES AND A MOBILE HEALTH INITIATIVE AIMED TO REDUCE UNNECESSARY USE OF THE 911 EMS SYSTEM AND EMERGENCY DEPARTMENT. SPECIFIC EXAMPLES OF EDUCATION AND OUTREACH PROGRAMS, SUPPORT GROUPS, COMMUNITY HEALTH SCREENINGS, AND FITNESS AND WELLNESS ACTIVITIES SUPPORTED BY TIDALHEALTH PENINSULA REGIONAL ARE AS FOLLOWS: CLASSES AND EDUCATIONAL SUPPORT GROUPS: - CHILDBIRTH CLASSES - DIABETES SUPPORT GROUP - CANCER SUPPORT CLASSES AND SUPPORT GROUPS - FAMILY SUPPORT GROUP - PARKINSON'S SUPPORT GROUP - STRESS REDUCTION AND RESILIENCY TRAINING EVENTS: - COMMUNITY SCREENINGS - HEIGHT/WEIGHT, BLOOD PRESSURE - SKIN CANCER SCREENINGS - ORAL, HEAD AND NECK CANCER SCREENINGS - HEARING SCREENINGS - FLU CLINIC - EDUCATIONAL EXHIBITS TO PROMOTE HEALTHY LIFESTYLES FITNESS/EXERCISE PROGRAMMING: - CARDIAC REHABILITATION - EXERCISES FOR STRENGTH AND ENDURANCE - HEALTH AND WELLNESS FOR SENIORS |
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| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
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| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 63779485 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 447901988 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
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| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 623140 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 700000 |
| IRS990/FeesForServicesLegalGrp/FundraisingAmt | 0 | 2556 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 105402 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 875267 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 983225 |
| IRS990/FeesForServicesLobbyingGrp/FundraisingAmt | 0 | 62 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 2549 |
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| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 23781 |
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| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 77407003 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 86954620 |
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| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 159757 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 1326642 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1490274 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 7.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 97448 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 55020 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 75715 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 58529 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 59652 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 105484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 69732 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 37369 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 45831 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 48712 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 29687 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 12277 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | STEVEN LEONARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MEMO DIRIKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVID SECHLER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JAMES HARTSTEIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JULIUS ZANT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SUSAN WILGUS-MURPHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ANTHONY ADRIGNOLO III MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | RONDALL ALLEN PHARMD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MARY DIBARTOLO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KATHLEEN HARRISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | PERCY J PURNELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ERICA JOSPEH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JASON MORRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MICHAEL MURPHY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | NICHOLAS OGBURN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DIANE TURNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | LURA LUNSFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | TRUDY HALL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | STEPHANIE GARY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | TIMOTHY FEIST |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | SARAH SCOTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JAMES TRUMBLE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | KATHRYN FIDDLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | ANGELA BRITTINGHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | BRUCE RITCHIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | KARIN DIBARI |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1182770 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 7500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 406235 |
| 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 | 817408 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 602369 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 589051 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 384863 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 386924 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 453918 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 384119 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 273637 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 426118 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 407246 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER THRU 12/23 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | IMMED. PAST CHAIRPERSON THRU 12/23 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER THRU 12/23 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER BEG 01/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER BEG 01/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER BEG 01/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER BEG 01/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | V.P. OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | V.P. CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | V.P. FINANCE/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | V.P CHIEF COMPLIANCE OFF. THRU 01/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | V.P. PEOPLE & ORGANIZATON DEV |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | V.P. CLINICAL INTEGRATION |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | V.P. POPULATION HEALTH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | CHIEF NURSING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | FORMER CFO THRU 01/23 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | FMR. V.P. TH MED. PTNRS. THRU 10/22 |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1897 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 18023661 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 1642458 |
| IRS990/GrantAmt | 0 | 59625 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 59625 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 59625 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 407402094 |
| IRS990/GrossReceiptsAmt | 0 | 965297938 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 419784 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 2672 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 110166 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 914826 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1027664 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 7623 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 314320 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2610145 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2932088 |
| IRS990/InterestGrp/FundraisingAmt | 0 | 11312 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 466419 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 3873191 |
| IRS990/InterestGrp/TotalAmt | 0 | 4350922 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 11774166 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 13489176 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 8770051 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 8714421 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | -55630 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 334590234 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 354721425 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 495314261 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 181207589 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 162589395 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 657903656 |
| IRS990/LegalDomicileStateCd | 0 | MD |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 389378433 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 451732 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 69866 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 69866 |
| IRS990/MissionDesc | 0 | IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 556520217 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 532610348 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 18023661 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 18023661 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -31948 |
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