Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
EIN 52-0607949 • 501(c)3 • Hagerstown, MD
Profile
The mission of meritus medical center, inc. (mmc) is to improve the health of our community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
Liabilities / Revenue
63rd percentile
Higher debt load relative to revenue than 63% of similar nonprofits.
Net Margin
58th percentile
Higher net margin than 58% of similar nonprofits.
Top Officer Pay
84th percentile
Higher top officer pay than 84% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
64th percentile
Faster asset growth than 64% of similar nonprofits.
Revenue Growth
61st percentile
Faster revenue growth than 61% of similar nonprofits.
Assets
Up$911,559,587
Up $75,474,377 (+9.0%) from 2023
Liabilities
Up$422,697,717
Up $13,544,209 (+3.3%) from 2023
Net Assets
Up$488,861,870
Up $61,930,168 (+15%) from 2023
Revenue
Up$633,589,477
Up $70,219,178 (+12%) from 2023
Expenses
Up$591,207,543
Up $67,480,602 (+13%) from 2023
Net Income
Up$42,381,934
Up $2,738,576 (+6.9%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
The mission of meritus medical center, inc. (mmc) is to improve the health of our community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $235,717,870 | $296,531,753 | ▲ $60,813,883 |
| Investments in Publicly Traded Securities | $218,499,545 | $248,952,978 | ▲ $30,453,433 |
| Savings and Temporary Cash Investments | $181,309,900 | $161,980,059 | ▼ $19,329,841 |
| Accounts Receivable | $44,532,910 | $61,394,873 | ▲ $16,861,963 |
| Investments Other Securities | $14,639,232 | $16,287,189 | ▲ $1,647,957 |
| Inventories for Sale or Use | $7,497,111 | $11,493,721 | ▲ $3,996,610 |
| Intangible Assets | $8,693,693 | $7,189,281 | ▼ $1,504,412 |
| Prepaid Expenses and Deferred Charges | $6,791,933 | $6,164,451 | ▼ $627,482 |
| Other Notes and Loans Receivable, Net | $148,605 | $107,493 | ▼ $41,112 |
| Total Assets | $836,085,210 | $911,559,587 | ▲ $75,474,377 |
| Other Assets Total | $118,254,411 | $101,457,789 | ▼ $16,796,622 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $234,212,895 | $225,721,812 | ▼ $8,491,083 |
| Accounts Payable and Accrued Expenses | $70,951,461 | $92,572,255 | ▲ $21,620,794 |
| Mortgage Notes Payable Secured by Investment Property | $62,828,036 | $63,716,137 | ▲ $888,101 |
| Other Liabilities | $41,161,116 | $40,687,513 | ▼ $473,603 |
| Total Liabilities | $409,153,508 | $422,697,717 | ▲ $13,544,209 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $413,044,602 | $477,381,639 | ▲ $64,337,037 |
| Net Assets With Donor Restrictions | $13,887,100 | $11,480,231 | ▼ $2,406,869 |
| Total Net Assets Fund Balance | $426,931,702 | $488,861,870 | ▲ $61,930,168 |
| Total Liabilities and Net Assets / Fund Balance | $836,085,210 | $911,559,587 | ▲ $75,474,377 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $140,783,967 | $136,874,366 | $277,658,333 |
| Equipment | $67,449,001 | $153,690,326 | $221,139,327 |
| Other Land Buildings | $77,684,579 | - | $77,684,579 |
| Land | $8,794,093 | - | $8,794,093 |
| Leasehold Improvements | $1,820,113 | $2,310,606 | $4,130,719 |
| Other Assets Org | $43,517,511 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $1,028,618 | - | - | - | $1,028,618 |
| 2022 | $1,028,618 | - | - | - | $1,028,618 |
| 2021 | $1,028,618 | - | - | - | $1,028,618 |
| 2020 | $1,028,618 | - | - | - | $1,028,618 |
| 2019 | $1,071,947 | - | ▲ $14,167 | $57,496 | $1,028,618 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Maulik Joshi Dr Ph | President & CEO | FT | $808,415 | $1,493,854 | $2,302,269 |
| David Lehr | Chief Strategy Officer | FT | $373,623 | $579,696 | $953,319 |
| Mahinur Khan Md | Physician | FT | $511,071 | $370,855 | $881,926 |
| Joshua Repac | CFO/treasurer | FT | $348,408 | $518,422 | $866,830 |
| Carrie Adams | Chief Operating Officer | FT | $345,856 | $514,037 | $859,893 |
| Victoria Giffi Md | Physician | FT | $485,154 | $373,247 | $858,401 |
| Kiranpreet Khosa Md | Physician | FT | $694,315 | $155,963 | $850,278 |
| Gentian Toshkezi Md | Physician | FT | $491,489 | $165,099 | $656,588 |
| Ijeoma Ifeanyi-nwanze Md | Physician | FT | $511,412 | $110,446 | $621,858 |
| Lynn Haines | VP, Legal Services/secretary | FT | $249,608 | $131,942 | $381,550 |
| Thomas T Chan | Former CFO/treasurer | FT | $158,346 | $184,920 | $184,920 |
| Kalim Ahmed Md | Director (as of 10/2023) | PT | $34,167 | - | $34,167 |
| Tom Amalfitano Md | Director (thru 9/2023) | PT | $25,000 | - | $25,000 |
| Shaheen Iqbal Md | Director | PT | $21,242 | - | $21,242 |
| Name | Title |
|---|---|
| Robert Goetz Jr | Chairman |
| Kent Reynolds | Vice Chair |
| Al Martin | Director |
| Barbara Jacobs Rn | Director |
| Erin Hershey | Director |
| James Kercheval | Director |
| James Stojak | Director |
| Scott Worrell Md | Director |
| William Su Md | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Qualivis | Medical | 5930 CORNERSTONE CT, St Louis, MO 63150 | $15,684,504 |
| Trimedx LLC | Medical | PO BOX 636129, Cincinnati, OH 45263 | $4,129,958 |
| Mercy Specialized Billing Svcs | Medical | PO BOX 505125, Dallas, TX 75312 | $2,074,216 |
| Roche Diagnostics Corp | Medical | 9115 HAGUE ROAD, Indianapolis, IN 46250 | $2,068,448 |
| First Colonies Anesthesia | Medical | PO BOX 841069, Dallas, TX 75284 | $2,023,896 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $299,156,629 |
| Other Expenses | $292,040,758 |
| Grants and Similar Amounts Paid | $10,156 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $196,167,064 | $49,041,766 | - | $245,208,830 |
| Fees for Services Other | $82,071,748 | $12,987,239 | - | $95,058,987 |
| Depreciation Depletion | $24,373,942 | $6,093,485 | - | $30,467,427 |
| All Other Expenses | $22,903,511 | $5,725,878 | - | $28,629,389 |
| Other Employee Benefits | $19,373,351 | $4,843,338 | - | $24,216,689 |
| Payroll Taxes | $14,253,167 | $3,563,292 | - | $17,816,459 |
| Interest | $9,350,200 | $2,337,550 | - | $11,687,750 |
| Pension Plan Contributions | $7,039,450 | $1,759,862 | - | $8,799,312 |
| Occupancy | $6,705,167 | $1,676,292 | - | $8,381,459 |
| Information Technology | $5,898,507 | $1,474,627 | - | $7,373,134 |
| Insurance | $4,056,648 | $1,014,162 | - | $5,070,810 |
| Current Officers, Directors, Trustees, and Key Employees | - | $3,115,339 | - | $3,115,339 |
| Conferences and Meetings | $667,142 | $166,786 | - | $833,928 |
| Office Expenses | $631,506 | $157,877 | - | $789,383 |
| Fees for Services Legal | $555,703 | $138,926 | - | $694,629 |
| Fees for Services Accounting | $473,207 | $118,302 | - | $591,509 |
| Travel | $428,956 | $107,239 | - | $536,195 |
| Fees for Service Investment Mgmnt Fees | $305,984 | $76,496 | - | $382,480 |
| Advertising | $180,715 | - | - | $180,715 |
| Other Expenses | $8,531,045 | $110,199 | - | $110,199 |
| Fees for Services Lobbying | $47,920 | $11,980 | - | $59,900 |
| Grants to Domestic Individuals | $10,156 | - | - | $10,156 |
| Total Functional Expenses | $496,686,908 | $94,520,635 | $0 | $591,207,543 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | Program Services | - | 0 | 0 | $3,608,706 |
| Central America and the Caribbean | Investments | Premiums | 0 | 0 | $120,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Operating Leases | $24,566,803 |
| Due to Related Entities | $8,231,070 |
| Accrued Retirement Benefits | $7,889,640 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Md Hith & Hid Ed Fac Aut | 2015-07-09 | $272,718,910 | Refund o/s bonds/cons projects |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $272,785,232 | - | $38,105,000 | $180,518 |
“The executive committee shall be comprised of up to seven (7) directors, as determined by the board in accordance with the bylaws. The committee, which meets bi-monthly between regularly scheduled board meetings, may in its discretion exercise the full powers, duties, responsibilities and authority of the board, except where prohibited by law and subject to any limitations imposed by the bylaws of the board.”
“In april 2024, meritus medical center, inc. Amended its governing documents to name meritus health inc. (mhi) as the controlling entity/sole member of mmc and granted certain authority to the sole member as outlined below.”
“The sole member is mhi, the parent. Mhi has the right to elect the members of the governing body and approve significant decisions of the governing body.”
“Directors of mmc are elected by the board of directors of mhi, the parent, at the annual meeting of the mhi board of directors. At least three (3) of the members of the mmc board shall be comprised of individuals also serving on the mhi board.”
“Mmc shall not, without the approval of mhi, its parent: 1. Acquire or dispose of any real property; 2. Change mmc's tax-exempt status, cause mmc to be converted into any form of entity other than a nonprofit, nonstock corporation under the laws of the state of maryland, or take any action that would result in the loss of mmc's tax-exempt status; 3. Approve mmc's annual budget and business plan; 4. Take any action that materially deviates from mmc's annual budget and business plan that has been approved by mhi; 5. Modify the terms of any existing indebtedness of mmc or incur any new indebtedness from a lender (excluding trade payables), or guarantee or secure the indebtedness of a third party, other than in the ordinary course of business and other than indebtedness set for in the annual budget and business plan that has been approved by mhi; 6. Liquidate, dissolve or wind-up the business and affairs of mmc, or make any assignment for the benefit of the creditors of mmc or a subsidiary, file a voluntary petition in bankruptcy, or appoint a receiver for mmc or a subsidiary, or consent to any of the foregoing; 7. Amend mmc's articles of incorporation; 8. Enter into any consolidation, merger or transfer of assets as such actions are described in section 5-207 of the maryland general corporation law; 9. Enter into, materially amend or modify any agreement, contract, or other arrangement, or incur an expenditure, with a value of greater than two million dollars ($2,000,000), other than any agreement, contract or other arrangement set forth in the annual budget and business plan that has been approved by mhi.”
“The form 990 was prepared by the finance department and reviewed by an independent accounting firm. A copy of the form 990 was provided to the finance committee of the board. Acting under the authority of the board, the committee reviewed the form 990 prior to submission to the internal revenue service. In addition, the form 990 was provided to all members of the board before filing.”
“An annual disclosure of interest is required for all officers, directors or trustees, and key employees. These disclosures are reviewed against the accounts payable system to identify transactions with the organization. All disclosures and transactions are reviewed by the audit & business integrity committee and then provided to the chair of the board and the applicable committee chair. Any director with a determined conflict is prohibited from participating in the board's or committee's discussions and decisions with regards to that transaction and must not only recuse themselves but leave the room during the discussions.”
“The executive committee of the mmc board, which is comprised of independent board members, reviews on an annual basis the following as it relates to the compensation of the ceo and other key executives: 1) annual performance evaluations of the ceo and executives; 2) organizational and individual performance in achievement of strategic and individual incentive goals; 3) market data presented by an independent third party compensation consultant; and 4) base salary and incentive recommendations. The independent third-party consultant conducts and presents a reasonableness review of both base salary and total compensation for the ceo and key executives. The committee discusses, deliberates, and approves base salary and incentive compensation recommendations. Results are reported to the mmc board.”
“The governing documents for mmc are located on the state of maryland department of taxation's website. Mmc's financial statements are made public through the state of maryland charitable registration division. Financial statements for mmc are also available through the electronic municipal market access (emma) website via the continuing disclosure document. Mmc makes all relevant documents available to the extent required by law.”
“The compensation that dr. Iqbal, dr. Amalfitano, and dr. Ahmed receveived was for their services as physicians. Compensation for these individuals was for services provided in their capacity as independent contractors/employees of mmc and affiliates, not in their capacities as directors. The average hours per week listed for all of the officers and directors includes, but is not limited to, their time spend preparing for and attending board committee meetings, fundraising and attendance at community functions on behalf of mmc.”
“Mission: to improve the health of our community. Vision: to be the best health system. Our values: at mmc, we each support our mission and vision by living our values each and every day. By following our pledge, "i act", we each support mmc with: i=integrity - we do the right thing, no matter what. A=all in for quality outcomes - quality improvement isn't just something we talk about, it's a commitment we each live. C=community obsessed - we are our community and we are here to take care of our neighbors. This isn't just about medical care, it's about caring for the whole person. T=teamwork - nobody can do it alone. At mmc, we are one team that is diverse and inclusive, and we support one another and our goals.”
“Mmc is an acute care hospital located in hagerstown, maryland and serves the residents of western maryland, southern pennsylvania, and the eastern panhandle of west virginia. During fy24, mmc's patient days totaled 74,144, admissions totaled 17,472, er visits totaled 71,281, and approximately 2 million laboratory procedures were performed. In addition, there were 20,421 home health, 74,634 outpatient rehab, 12,086 outpatient behavioral health, and 23,825 cancer center visits. Mmc's physician practices completed 167,326 primary care, 241,961 specialty care, and 37,063 urgent care visits. The mmc strategic plan has bold goals to be achieved by 2030. Utilizing the quadruple aim framework, the 2030 bold goals consist of the following pillars of success: improve health in our community, improve healthcare, have joy at work, provide medical care that is affordable for our community. Listed below are the accomplishments under each pillar. Health -over 149,000 pounds lost and over 7,500 registered users and 50 employers. -$100k of food support annually. -15k+ free trips annually with mpc. -continued meritus care caller program. Healthcare -four harms a month, a 33% reduction over 3 years. -transparent health equity report and improvement. -happy to help culture. Joy at work -leadership diversity. -implemented $20/hr minimum wage. -ranked as a top employer in maryland for the 2nd time in 3 years. Affordability -number 5 in the state in efficiency. -solar energy and combined heat and power - $12m cost and 3.3mw produced.”
“Professional fees: program service expenses 36,364,584. Management and general expenses 9,091,146. Fundraising expenses 0. Total expenses 45,455,730. Contract labor: program service expenses 30,122,791. Management and general expenses 0. Fundraising expenses 0. Total expenses 30,122,791. Other: program service expenses 15,584,373. Management and general expenses 3,896,093. Fundraising expenses 0. Total expenses 19,480,466.”
“Change in net assets held by meritus healthcare foundation -2,634,191. Equity capital contribution to meritus enterprises -4,739,912.”
“The purpose of the endowment funds is to pay the outstanding balances for those patients who meet certain criteria. In order to qualify, individuals must have made ten consecutive payments, have not been turned over to collections, and have never applied for financial assistance.”
“The organization is included in the consolidated financial statements of meritus health, inc. The relevant text of the income tax footnote from those financials is: meritus follows the accounting guidance for uncertainties in income tax position which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. Meritus does not believe its consolidated financial statements include any material uncertain tax positions.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 70951461 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 92572255 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 44532910 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 61394873 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | THE MISSION OF MERITUS MEDICAL CENTER, INC. (MMC) IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 180715 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 180715 |
| IRS990/AllOtherContributionsAmt | 0 | 276622 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 5725878 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 22903511 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 28629389 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JOSHUA REPAC |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3017908872 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 11116 MEDICAL CAMPUS ROAD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | HAGERSTOWN |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 21742 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 1 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 65 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 3115339 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3115339 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 166786 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 667142 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 833928 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 15684504 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 4129958 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2074216 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 2068448 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 2023896 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5930 CORNERSTONE CT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 636129 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 505125 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 9115 HAGUE ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 841069 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | ST LOUIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CINCINNATI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | INDIANAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 63150 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 45263 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 75312 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 46250 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 75284 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | QUALIVIS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | TRIMEDX LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MERCY SPECIALIZED BILLING SVCS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | ROCHE DIAGNOSTICS CORP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | FIRST COLONIES ANESTHESIA |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MEDICAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MEDICAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | MEDICAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | MEDICAL |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 10516540 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 10156 |
| IRS990/CYInvestmentIncomeAmt | 0 | 12888489 |
| IRS990/CYOtherExpensesAmt | 0 | 292040758 |
| IRS990/CYOtherRevenueAmt | 0 | 17951193 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 592233255 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 42381934 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 299156629 |
| IRS990/CYTotalExpensesAmt | 0 | 591207543 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 633589477 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 6093485 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 24373942 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 30467427 |
| IRS990/Desc | 0 | SEE SCHEDULE O |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 13887100 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 11480231 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 4129 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 496686908 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 118302 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 473207 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 591509 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 138926 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 555703 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 694629 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 11980 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 47920 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 59900 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 12987239 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 82071748 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 95058987 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 76496 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 305984 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 382480 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 50.00 |
| 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/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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 1066354 |
| 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 | 421222 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 66566 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 371921 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 472596 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 27035 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 15099 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 11960 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 40989 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 31056 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 26574 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ROBERT GOETZ JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | KENT REYNOLDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | TOM AMALFITANO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ERIN HERSHEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SHAHEEN IQBAL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BARBARA JACOBS RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MAULIK JOSHI DR PH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JAMES KERCHEVAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | AL MARTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JAMES STOJAK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | WILLIAM SU MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SCOTT WORRELL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KALIM AHMED MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JOSHUA REPAC |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LYNN HAINES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CARRIE ADAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DAVID LEHR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | VICTORIA GIFFI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | GENTIAN TOSHKEZI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | KIRANPREET KHOSA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | IJEOMA IFEANYI-NWANZE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | MAHINUR KHAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | THOMAS T CHAN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 25000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 21242 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 1235915 |
| 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 | 34167 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 445608 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 314984 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 487972 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 480723 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 831366 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 641489 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 838318 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 580869 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 850870 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 158346 |
| 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/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR (THRU 9/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PRESIDENT & CEO |
| 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 | DIRECTOR (AS OF 10/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CFO/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP, LEGAL SERVICES/SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CHIEF STRATEGY OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | FORMER CFO/TREASURER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1904 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 18600 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 4334473 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 8946038 |
| IRS990/GrantAmt | 0 | 10156 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 10156 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 10156 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 18600 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 199466668 |
| IRS990/GrossReceiptsAmt | 0 | 830689213 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 489518 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 457 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1474627 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 5898507 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 7373134 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1014162 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 4056648 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 5070810 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 8693693 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 7189281 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 2337550 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 9350200 |
| IRS990/InterestGrp/TotalAmt | 0 | 11687750 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 7497111 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 11493721 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 8535416 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 8535416 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 14639232 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 16287189 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 218499545 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 248952978 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 334 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 292875298 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 235717870 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 296531753 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 589407051 |
| IRS990/LegalDomicileStateCd | 0 | MD |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 195132195 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 1967541 |
| 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/TotalRevenueColumnAmt | 0 | 1058494 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 1058494 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 62828036 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 63716137 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 426931702 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 488861870 |
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