Liabilities / Assets
69th percentile
Higher debt load relative to assets than 69% of similar nonprofits.
EIN 52-0591657 • 501(c)3 • St Louis, MO
Profile
St. Agnes Healthcare is a spiritually centered hospital which is rooted in the healing ministry of Jesus. In the spirit of St. Elizabeth Ann Seton, and in collaboration with others, we continually reach out to all persons in our community with a special concern for those who are poor and vulnerable. As a catholic healthcare ministry, we are dedicated to the art of healing to improve the lives of those that we serve; we advocate for a just society. Through our words and deeds, we minister in an atmosphere of deep respect, love and compassion. Patients are our passion. Our physicians, nurses and associates are our pride. Healing is our joy. We are widely known for the way our physician, nurses and associates combine sophisticated medical technology with spirituality and compassion. Shoulder to shoulder, we stand united in our commitment to care for those in need. We will be a leader in service excellence.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
69th percentile
Higher debt load relative to assets than 69% of similar nonprofits.
Liabilities / Revenue
47th percentile
Higher debt load relative to revenue than 47% of similar nonprofits.
Net Margin
23rd percentile
Higher net margin than 23% of similar nonprofits.
Top Officer Pay
58th percentile
Higher top officer pay than 58% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
19th percentile
Faster asset growth than 19% of similar nonprofits.
Revenue Growth
10th percentile
Faster revenue growth than 10% of similar nonprofits.
Assets
Down$403,990,370
Down $5,533,004 (-1.4%) from 2023
Liabilities
Up$214,669,535
Up $14,149,052 (+7.1%) from 2023
Net Assets
Down$189,320,835
Down $19,682,056 (-9.4%) from 2023
Revenue
Down$494,193,602
Down $64,777,493 (-12%) from 2023
Expenses
Down$508,676,876
Down $22,404,561 (-4.2%) from 2023
Net Income
Down-$14,483,274
Down $42,372,932 (-152%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
St. Agnes Healthcare is a spiritually centered hospital which is rooted in the healing ministry of Jesus. In the spirit of St. Elizabeth Ann Seton, and in collaboration with others, we continually reach out to all persons in our community with a special concern for those who are poor and vulnerable. As a catholic healthcare ministry, we are dedicated to the art of healing to improve the lives of those that we serve; we advocate for a just society. Through our words and deeds, we minister in an atmosphere of deep respect, love and compassion. Patients are our passion. Our physicians, nurses and associates are our pride. Healing is our joy. We are widely known for the way our physician, nurses and associates combine sophisticated medical technology with spirituality and compassion. Shoulder to shoulder, we stand united in our commitment to care for those in need. We will be a leader in service excellence.
To improve the health and well-being of all people in the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $229,458,851 | $207,095,383 | ▼ $22,363,468 |
| Accounts Receivable | $65,458,266 | $87,261,939 | ▲ $21,803,673 |
| Investments Program Related | $58,952,708 | $39,304,662 | ▼ $19,648,046 |
| Inventories for Sale or Use | $8,879,914 | $9,229,915 | ▲ $350,001 |
| Savings and Temporary Cash Investments | $5,292,462 | $3,251,695 | ▼ $2,040,767 |
| Intangible Assets | $952,076 | $1,223,050 | ▲ $270,974 |
| Other Notes and Loans Receivable, Net | $1,034,855 | $876,866 | ▼ $157,989 |
| Prepaid Expenses and Deferred Charges | $449,487 | $727,313 | ▲ $277,826 |
| Investments in Publicly Traded Securities | $538,243 | $605,183 | ▲ $66,940 |
| Pledges and Grants Receivable | $143,956 | $210,430 | ▲ $66,474 |
| Cash and Non-Interest-Bearing Accounts | $10,288 | $9,846 | ▼ $442 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Rtn Earn Endowment Incm Other Fnds | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $409,523,374 | $403,990,370 | ▼ $5,533,004 |
| Other Assets Total | $38,352,268 | $54,194,088 | ▲ $15,841,820 |
| Liabilities | |||
| Other Liabilities | $146,626,410 | $162,477,232 | ▲ $15,850,822 |
| Accounts Payable and Accrued Expenses | $51,880,193 | $50,028,836 | ▼ $1,851,357 |
| Deferred Revenue | $2,013,880 | $2,163,467 | ▲ $149,587 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $200,520,483 | $214,669,535 | ▲ $14,149,052 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $206,779,473 | $187,217,667 | ▼ $19,561,806 |
| Net Assets With Donor Restrictions | $2,223,418 | $2,103,168 | ▼ $120,250 |
| Total Net Assets Fund Balance | $209,002,891 | $189,320,835 | ▼ $19,682,056 |
| Total Liabilities and Net Assets / Fund Balance | $409,523,374 | $403,990,370 | ▼ $5,533,004 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $132,996,304 | $174,991,588 | $307,987,892 |
| Equipment | $40,037,443 | $120,843,266 | $160,880,709 |
| Other Land Buildings | $13,721,310 | $12,221,441 | $25,942,751 |
| Leasehold Improvements | $10,087,536 | $8,376,835 | $18,464,371 |
| Land | $10,252,790 | - | $10,252,790 |
| Investment Program Related Org | $3,686,645 | - | - |
| Other Assets Org | $11,479,519 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $702,105 | - | ▲ $41,332 | - | $743,437 |
| 2022 | $752,795 | - | ▼ $50,690 | - | $702,105 |
| 2021 | $773,233 | - | ▼ $20,438 | - | $752,795 |
| 2020 | $705,425 | - | ▲ $67,808 | - | $773,233 |
| 2019 | $700,190 | - | ▲ $5,235 | - | $705,425 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Jesse Alan Doran Md | Surgeon | FT | $923,359 | $104,329 | $1,027,688 |
| George T Grace Md | Medical Director | FT | $799,618 | $218,793 | $1,018,411 |
| Martin a Albornoz Md | Chair, Medical Department | FT | $810,221 | $204,651 | $1,014,872 |
| Paul Michael Apostolo Md | Physician | FT | $685,830 | $321,892 | $1,007,722 |
| Omar Karim Md | Director, Medical Specialty | FT | $851,772 | $81,668 | $933,440 |
| JONATHAN CONRAD D'SOUZA MD | Chief Medical Officer | FT | $355,540 | $182,640 | $538,180 |
| William B Higginbotham | Interim President & CEO (end 9/2023)/president & CEO (start 9/2023) | FT | $383,633 | $120,075 | $503,708 |
| Kala K Davis Md | Secretary/section Chief | FT | $353,314 | $135,595 | $488,909 |
| Michael Fitzgerald Finegan | VP, Operations | FT | $234,318 | $101,989 | $336,307 |
| Mary L Austin Rn | Chief Nursing Officer (end 8/2023) | FT | $163,824 | $162,134 | $325,958 |
| Edward R Lovern | Former Officer (end 5/2023) | FT | $227,833 | $56,722 | $284,555 |
| Name | Title |
|---|---|
| Richard J Hunt Jr | Chair |
| Christopher Callaghan | Director |
| Kenneth H Williams Md | Director |
| Michelle Spencer | Director |
| Perry S Fong | Director |
| Ralph L Sapia | Director |
| Richard S Hudes Md | Director |
| Sister Cecillia Tsao | Director |
| Victoria V Semanie | Director |
| Mitchell G Lomax | CFO, Ministry Market |
| Scott M Furniss | Former Officer (end 1/2020) |
| Gregory Kelly Jr | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Cep America LLC | Medical Services | 2100 POWELL ST STE 400, JAMES T FRENKIL BLDG, Emeryville, CA 94608-1844 | $1,250,000 |
| B E Smith LLC | Staffing Services | 8801 RENNER AVE, Lenexa, KS 66219-9717 | $804,126 |
| Centers For Advanced Orthopaedics LLC | Medical Services | 1850 M ST NW STE 750, Washington, DC 20036-5818 | $731,405 |
| Univ Of Md Otorhinolaryngology Head & Neck Surgery | Medical Services | 16 S EUTAW ST STE 500, Baltimore, MD 21201-1619 | $604,605 |
| Plmd LLC | Ambulance Services | 10715 RED RUN BLVD STE 110, Owings Mills, MD 21117 | $498,968 |
| Line Item | Amount |
|---|---|
| Other Expenses | $256,117,763 |
| Salaries, Compensation, and Employee Benefits | $250,288,066 |
| Grants and Similar Amounts Paid | $2,271,047 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $195,956,422 | $14,987,146 | - | $210,943,568 |
| Fees for Services Other | $27,958,888 | $2,051,973 | $0 | $30,010,861 |
| Depreciation Depletion | $21,994,560 | $1,879,902 | - | $23,874,462 |
| Other Employee Benefits | $15,718,590 | $1,202,189 | - | $16,920,779 |
| Payroll Taxes | $12,617,122 | $1,078,401 | - | $13,695,523 |
| Insurance | $215,233 | $10,127,236 | - | $10,342,469 |
| Occupancy | $8,698,772 | $743,495 | - | $9,442,267 |
| Pension Plan Contributions | $5,806,487 | $444,092 | - | $6,250,579 |
| All Other Expenses | $3,653,583 | $1,332,318 | $0 | $4,985,901 |
| Interest | - | $2,623,133 | - | $2,623,133 |
| Current Officers, Directors, Trustees, and Key Employees | $488,909 | $1,704,153 | $0 | $2,193,062 |
| Grants to Domestic Orgs | $2,186,888 | - | - | $2,186,888 |
| Other Expenses | $1,352,708 | $136,176 | - | $1,488,884 |
| Office Expenses | $533,224 | $302,850 | - | $836,074 |
| Travel | $527,076 | $169,839 | - | $696,915 |
| Conferences and Meetings | $356,523 | $178,914 | - | $535,437 |
| Fees for Services Legal | - | $481,120 | - | $481,120 |
| Fees for Services Management | $324,277 | $154,357 | - | $478,634 |
| Advertising | $306,368 | $98,913 | - | $405,281 |
| Comp Disqual Persons | - | $284,555 | - | $284,555 |
| Information Technology | $118,374 | $30,744 | - | $149,118 |
| Fees for Services Lobbying | - | $102,921 | - | $102,921 |
| Grants to Domestic Individuals | $84,159 | - | - | $84,159 |
| Fees for Services Accounting | - | $15,750 | - | $15,750 |
| Total Functional Expenses | $406,530,546 | $102,146,330 | $0 | $508,676,876 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| St Agnes Foundation Inc | St Louis, MO | 501(c)(3) | General Operational Support | $1,180,853 |
| Baltimore Medical System Inc | Merrifield, VA | 501(c)(3) | Operational Support to Provide Health Care to Disadvantaged Communities in Baltimore City and County | $777,651 |
| Behavioral Health System Baltimore Inc | Baltimore, MD | 501(c)(3) | Greater Baltimore Regional Integrated Crisis System Program | $228,383 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Wife of Richard J. Hunt, Jr., Chair | Employee Compensation | No | $63,810 |
| 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 Affiliates | $68,228,457 |
| Recovery Tail Liability | $67,070,934 |
| Other Miscellaneous Liabilities | $11,757,078 |
| Accrued Tax/Fees/Penalities Liability | $9,795,005 |
| General Liability Reserve Allowance | $1,901,644 |
| Asset Retirement Obligations | $1,887,000 |
| Other Accrued Tax Liability | $1,200,000 |
| Debt with Ascension Health Alliance | $492,649 |
| Estimated 3rd Party Payor Settlement | $96,000 |
| Accrued Sales Use Tax Liability | $41,448 |
| Long Term Lease Liability | $7,017 |
| Valuation Allowance Liability | - |
| Medicare Advanced Payments | - |
| Insurance Advanced Payments | - |
“The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.”
“St. Agnes Healthcare has a sole corporate member, Ascension Health.”
“St. Agnes Healthcare has a sole corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Agnes Healthcare.”
“Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies s. These areas are subject to certain levels of approval by Ascension per the system authority matrix.”
“During the return preparation process, the tax department works with other functional areas which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax in lieu of the full board.”
“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.”
“The organization will provide any documents open to public inspection upon request.”
“The organization utilizes an affiliate as the common pay agent. Employees reported in part vii may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.”
“Interest Income from Patient Accounts - Total Revenue: 12851, Related or Exempt Function Revenue: 12851, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rental Income from Affiliates - Total Revenue: 20741, Related or Exempt Function Revenue: 20741, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Value Based Revenue - Total Revenue: 1345087, Related or Exempt Function Revenue: 1345087, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 271973, Related or Exempt Function Revenue: 271973, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Care Management Fees - Total Revenue: 1264364, Related or Exempt Function Revenue: 1264364, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“Escheatment Revenue - Total Revenue: 86787, Related or Exempt Function Revenue: 86787, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 52901, Related or Exempt Function Revenue: 52626, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 275; DME Sales - Total Revenue: 47250, Related or Exempt Function Revenue: 47250, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Fees - Total Revenue: 3096, Related or Exempt Function Revenue: 3096, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Telephone Revenues - Total Revenue: 2400, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2400; Fitness Club Revenue - Total Revenue: 2170, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2170; Late Penalty Fees - Total Revenue: -195, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -195;”
“The activity of the filing organization is reported in the consolidated financial statements of ascension health alliance. No individual audit of the filing organization is completed. Therefore, the attached audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.”
“Transfers with Affiliates - -5476487; Change in Share of Investees Net Assests - 198417;”
“The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.”
“The physical address for this entity is 900 caton avenue, baltimore, md 21229. The address on page 1 is for mailing purposes only.”
“* Ascension RX * Ascension Saint Agnes Community Health Partners * Maryland Institute of Plastic Surgery * Saint Agnes Healthcare * Ascension St. Agnes * Ascension St. Agnes Hospital”
“Whiteford Endowment - 50% to be utilized to erect a wing or additional building, additional 50% may be used to support hospital operations. Browne Endowment - established for use by cardiac unit to aid the indigent. Gittings Endowment - created to provide a bed in the children's ward.”
“The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2024.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/ConservationEasementsInd | 0 | false |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BALTIMORE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | OWINGS MILLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | DC |
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| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CENTERS FOR ADVANCED ORTHOPAEDICS LLC |
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| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | STAFFING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | AMBULANCE SERVICES |
| IRS990/ContriRptFundraisingEventAmt | 0 | 0 |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 5767917 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 2271047 |
| IRS990/CYInvestmentIncomeAmt | 0 | 183816 |
| IRS990/CYOtherExpensesAmt | 0 | 256117763 |
| IRS990/CYOtherRevenueAmt | 0 | 4638715 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 483603154 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -14483274 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 250288066 |
| IRS990/CYTotalExpensesAmt | 0 | 508676876 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 494193602 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2013880 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 2163467 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1879902 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 21994560 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 23874462 |
| IRS990/Desc | 0 | THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. St. Agnes HealthCare, Inc. is a 274-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2024, St. Agnes HealthCare, Inc. treated 10,316 adults and children for a total of 50,127 patient days of service. The hospital also provided services for 199,364 outpatient visits, which included 5,375 outpatient surgeries and 67,644 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | SEE SCHEDULE O |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 2223418 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 2103168 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 3043 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 406530546 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FederatedCampaignsAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 15750 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 15750 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 481120 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 481120 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 102921 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 102921 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 154357 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 324277 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 478634 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2051973 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 27958888 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 30010861 |
| 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 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 50.0 |
| 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 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| 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/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | 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/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 | 28004 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 51050 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 54304 |
| 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 | 50896 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 38429 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 24415 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 49818 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 53517 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 36746 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 44307 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 60051 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 53122 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 24114 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 50662 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | GREGORY KELLY JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | KALA K DAVIS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | RICHARD J HUNT JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | WILLIAM B HIGGINBOTHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | CHRISTOPHER CALLAGHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KENNETH H WILLIAMS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MICHELLE SPENCER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | PERRY S FONG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | RALPH L SAPIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RICHARD S HUDES MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | SISTER CECILLIA TSAO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | VICTORIA V SEMANIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MITCHELL G LOMAX |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JONATHAN CONRAD D'SOUZA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MARY L AUSTIN RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MICHAEL FITZGERALD FINEGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | GEORGE T GRACE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JESSE ALAN DORAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MARTIN A ALBORNOZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | OMAR KARIM MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | PAUL MICHAEL APOSTOLO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | EDWARD R LOVERN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | SCOTT M FURNISS |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 460905 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 452658 |
| 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 | 499751 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 301543 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 286489 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 964894 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 990942 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 970565 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 873389 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 954600 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 260441 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| 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 | 501854 |
| 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 | 402645 |
| 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 | 428233 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY/SECTION CHIEF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | INTERIM PRESIDENT & CEO (END 9/2023)/PRESIDENT & CEO (START 9/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO, MINISTRY MARKET |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF NURSING OFFICER (END 8/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VP, OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | SURGEON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHAIR, MEDICAL DEPARTMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIRECTOR, MEDICAL SPECIALTY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | FORMER OFFICER (END 5/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | FORMER OFFICER (END 1/2020) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1862 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 88051 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 3014143 |
| IRS990/GrantAmt | 0 | 2271047 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 84159 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 84159 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 2186888 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 2186888 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 88051 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 494193602 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 0 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1108444 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 5394 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 555 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 30744 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 118374 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 149118 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 10127236 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 215233 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 10342469 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 952076 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 1223050 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 2623133 |
| IRS990/InterestGrp/TotalAmt | 0 | 2623133 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 8879914 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 9229915 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 95765 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 95765 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 58952708 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 39304662 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 538243 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 605183 |
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