Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
EIN 52-1002260 • 501(c)6 • Austin, TX
Profile
To promote high quality health care and improve operational performance through quality improvement and medical record review contracts with the Federal, State, and local governments and private entities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
Liabilities / Revenue
20th percentile
Higher debt load relative to revenue than 20% of similar nonprofits.
Net Margin
72nd percentile
Higher net margin than 72% of similar nonprofits.
Top Officer Pay
88th percentile
Higher top officer pay than 88% of similar nonprofits.
Top officer pay equals 2.0% of source-year revenue.
Asset Growth
77th percentile
Faster asset growth than 77% of similar nonprofits.
Revenue Growth
21st percentile
Faster revenue growth than 21% of similar nonprofits.
Assets
Up$92,763,163
Up $11,986,742 (+15%) from 2023
Liabilities
Up$5,240,011
Up $873,468 (+20%) from 2023
Net Assets
Up$87,523,152
Up $11,113,274 (+15%) from 2023
Revenue
Down$53,160,586
Down $2,775,718 (-5.0%) from 2023
Expenses
Up$44,827,969
Up $1,484,749 (+3.4%) from 2023
Net Income
Down$8,332,617
Down $4,260,467 (-34%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To make measurable improvements in the quality and delivery of health care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $30,785,022 | $34,912,110 | ▲ $4,127,088 |
| Savings and Temporary Cash Investments | $17,006,548 | $24,999,551 | ▲ $7,993,003 |
| Land, Buildings, and Equipment, Net | $13,274,646 | $13,917,219 | ▲ $642,573 |
| Prepaid Expenses and Deferred Charges | $3,183,400 | $4,917,731 | ▲ $1,734,331 |
| Investments Other Securities | $2,769,114 | $4,411,879 | ▲ $1,642,765 |
| Cash and Non-Interest-Bearing Accounts | $5,605,874 | $4,333,491 | ▼ $1,272,383 |
| Accounts Receivable | $6,032,332 | $2,932,993 | ▼ $3,099,339 |
| Total Assets | $80,776,421 | $92,763,163 | ▲ $11,986,742 |
| Other Assets Total | $2,119,485 | $2,338,189 | ▲ $218,704 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $4,366,543 | $5,240,011 | ▲ $873,468 |
| Total Liabilities | $4,366,543 | $5,240,011 | ▲ $873,468 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $76,409,878 | $87,523,152 | ▲ $11,113,274 |
| Total Net Assets Fund Balance | $76,409,878 | $87,523,152 | ▲ $11,113,274 |
| Total Liabilities and Net Assets / Fund Balance | $80,776,421 | $92,763,163 | ▲ $11,986,742 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $10,190,387 | $3,735,549 | $13,925,936 |
| Equipment | $1,397,168 | $5,233,289 | $6,630,457 |
| Land | $2,301,701 | - | $2,301,701 |
| Other Land Buildings | $27,963 | $1,330,896 | $1,358,859 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Thomas J Manley | President & CEO | PT | $640,842 | $447,180 | $1,088,022 |
| Pamela L Hoernis | CFO | PT | $372,318 | $395,425 | $767,743 |
| Russel Wade Kohl Md | CMO & COO | FT | $398,199 | $135,154 | $533,353 |
| Clifford Keith Moy Md | Medical Director, Behavioral Health | FT | $292,367 | $94,080 | $386,447 |
| Stephen Drake Thomas | Chief Human Resources Officer | PT | $228,012 | $128,224 | $356,236 |
| Joseph Vasquez | CIO | PT | $200,702 | $127,116 | $327,818 |
| Tara Frease Richardson | Business Development Officer | FT | $211,369 | $101,766 | $313,135 |
| Tyrone Clift | Director, Contracts & Compliance | PT | $188,827 | $94,469 | $283,296 |
| Bradley H Treybig | Director, Application Development | PT | $211,927 | $55,913 | $267,840 |
| Kanakadurga Govindaraju | Medical Director | FT | $204,524 | $62,812 | $267,336 |
| Wendy Medcalf | Senior Director | FT | $167,708 | $61,945 | $229,653 |
| Preetha Prithivathi | Senior Director | FT | $173,718 | $43,968 | $217,686 |
| David C Mason Do | Chair | - | $25,400 | - | $25,400 |
| Ruth Elise Atkins | Trustee | - | $16,125 | - | $16,125 |
| Jeffrey Schmeltekopf Clu Chfc | Trustee | - | $12,300 | - | $12,300 |
| Lisa L Ehrlich Md | Trustee | - | $12,300 | - | $12,300 |
| Linda Villarreal | Trustee | - | $10,500 | - | $10,500 |
| Elizabeth Lopez | Trustee | - | $10,500 | - | $10,500 |
| Mathew Garber | Trustee | - | $10,500 | - | $10,500 |
| Nancy Adams | Trustee | - | $10,300 | - | $10,300 |
| Glenn Robinson | Trustee | - | $10,300 | - | $10,300 |
| Janet Lieto | Trustee | - | $10,250 | - | $10,250 |
| Betty Wharton | Trustee | - | $10,000 | - | $10,000 |
| Wendy Chung | Trustee | - | $10,000 | - | $10,000 |
| Laurie East Mba CPA Facmpe | Trustee | - | $9,250 | - | $9,250 |
| Eddie Patton | Trustee | - | $8,750 | - | $8,750 |
| Keri Pearlson | Trustee | - | $8,250 | - | $8,250 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Arkansas Foundation For Medical Care In | Subcontractor | PO BOX 180001, Fort Smith, AR 72918 | $2,206,286 |
| Akkodis INC Dba Modis | Subcontractor | 9442 N CAPITAL OF TEXAS HWY PLAZA, Austin, TX 78759 | $1,833,060 |
| Real Time Medical Systems LLC | Subcontractor | PO BOX 6458, Pittsburgh, PA 15264-5256 | $1,151,700 |
| Maloba Builders & Services LLC | Contractor | 9300 REASEARCH BLVD SUITE 300, Austin, TX 78759 | $380,709 |
| Rainmakers Strategic Solutions LLC | Subcontractor | 18444 N 25TH AVE SUITE 420, Phoenix, AZ 85023 | $271,404 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $28,282,002 |
| Other Expenses | $16,427,292 |
| Grants and Similar Amounts Paid | $118,675 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $10,885,145 | $7,777,072 | - | $18,662,217 |
| Fees for Services Other | $5,854,426 | $1,282,611 | - | $7,137,037 |
| Occupancy | $2,659,879 | $1,039,935 | - | $3,699,814 |
| Current Officers, Directors, Trustees, and Key Employees | $2,028,275 | $1,623,860 | - | $3,652,135 |
| Other Employee Benefits | $1,574,365 | $1,124,831 | - | $2,699,196 |
| Office Expenses | $1,139,666 | $905,549 | - | $2,045,215 |
| Payroll Taxes | $973,859 | $695,790 | - | $1,669,649 |
| Pension Plan Contributions | $932,538 | $666,267 | - | $1,598,805 |
| Depreciation Depletion | $820,748 | $542,698 | - | $1,363,446 |
| Conferences and Meetings | $441,694 | $315,342 | - | $757,036 |
| Insurance | $37,426 | $412,758 | - | $450,184 |
| Fees for Services Legal | $47,998 | $246,155 | - | $294,153 |
| Fees for Service Investment Mgmnt Fees | - | $120,910 | - | $120,910 |
| Grants to Domestic Orgs | $118,675 | - | - | $118,675 |
| Fees for Services Accounting | $18,683 | $95,813 | - | $114,496 |
| Other Expenses | $1 | $47,692 | - | $47,692 |
| Fees for Services Lobbying | - | $2,880 | - | $2,880 |
| Interest | - | $501 | - | $501 |
| Total Functional Expenses | $27,540,644 | $17,287,325 | $0 | $44,827,969 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Meals on Wheels | Austin, TX | 501(c)3 | Donation | $15,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“The secretary/treasurer of the finance committee of the tmf health quality institute board of trustees will receive a copy of the irs form 990 tax return prior to its filing with the irs. The secretary/treasurer and the cfo will review the form. The review will include the following: * discussion of new irs requirements and revisions to the form 990 from the previous year. * a brief description of schedules and related attachments all members of the board of trustees will receive a printed or electronic copy of the completed form 990 prior to filing of the irs form 990. During the next scheduled board meeting, the finance committee will discuss the irs form 990 and report to the full board. There will be an opportunity for all board members to ask questions regarding the tax return. During the finance committee report to the board, any discussions of the completed irs form 990 will be documented in the minutes.”
“Each year, board members, officers and key employees are required to provide tmf with a disclosure of entities and relationships that could give rise to a potential conflict of interest. This information is provided to and reviewed by tmf's compliance officer and outside general counsel. Before tmf enters into a contract or other financial relationship with a third party, the contract or substance of the financial relationship is submitted to tmf's compliance officer and tmf's general counsel. If general counsel and tmf's compliance officer is satisfied that the contract or other relationship would not result in a conflict of interest or the appearance of a conflict of interest, tmf will proceed with the contract or relationship. If a conflict or the appearance of a conflict is determined, tmf will not proceed with the contract or relationship unless an acceptable mitigation plan can be developed and implemented.”
“The compensation committee of the board of trustees obtains information from sources it deems relevant and necessary to determine reasonable compensation for officers and key employees. In addition to tmf's chief human resources officer, an independent consultant is obtained periodically, to review appropriate levels of compensation for all these people and make recommendations to the compensation committee of the board. The consultant was last obtained in 2024. The president & ceo reviews the recommendations of the chief human resources officer and any independent consultant and advises the compensation committee of the board of the determination concerning the compensation of all officers and key employees other than the president & ceo. The compensation committee and the board may accept the president & ceo's determination or modify it. The compensation committee makes a recommendation to the board about the president & ceo. The board then sets what it determines to be appropriate compensation for the president & ceo. The process and information reviewed in making these determinations is documented contemporaneously.”
“The governing documents are available on the website. The conflict of interest policy and financial statements are available upon request.”
“Consulting & subcontractors: program service expenses 5,854,426. Management and general expenses 1,282,611. Fundraising expenses 0. Total expenses 7,137,037.”
“The institute is exempt from federal income tax under section 501(c)(3) of the internal revenue code. The institute assesses uncertainties in income tax recognition in its consolidated financial statements and uses a threshold of more likely than not for recognition and derecognition of tax provisions taken or expected to be taken. The institute has not recorded any uncertain tax positions as of december 31, 2024 and 2023. Unrelated business taxable income was nominal for the institute as of december 31, 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 |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 4366543 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5240011 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6032332 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2932993 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | PAMELA L HOERNIS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5123341622 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3107 OAK CREEK DRIVE 200 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | AUSTIN |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 78727 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 5605874 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 4333491 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 10 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1623860 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 2028275 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3652135 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 315342 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 441694 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 757036 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2206286 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1833060 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1151700 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 380709 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 271404 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 180001 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 9442 N CAPITAL OF TEXAS HWY PLAZA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 6458 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 9300 REASEARCH BLVD SUITE 300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 18444 N 25TH AVE SUITE 420 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | FORT SMITH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | AUSTIN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PITTSBURGH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | AUSTIN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | PHOENIX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | AR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | AZ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 72918 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 78759 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 152645256 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 78759 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 85023 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | ARKANSAS FOUNDATION FOR MEDICAL CARE IN |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | AKKODIS INC DBA MODIS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | REAL TIME MEDICAL SYSTEMS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MALOBA BUILDERS & SERVICES LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | RAINMAKERS STRATEGIC SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | SUBCONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | SUBCONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | SUBCONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | SUBCONTRACTOR |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 29616634 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 118675 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2096305 |
| IRS990/CYOtherExpensesAmt | 0 | 16427292 |
| IRS990/CYOtherRevenueAmt | 0 | -464964 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 21912611 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 8332617 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 28282002 |
| IRS990/CYTotalExpensesAmt | 0 | 44827969 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 53160586 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 542698 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 820748 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1363446 |
| IRS990/Desc | 0 | TMF WORKS TO PROTECT MEDICARE PATIENT RIGHTS AND IMPROVE THE QUALITY OF HEALTH CARE THROUGH REGIONAL QUALITY IMPROVEMENT PROJECTS UNDER CONTRACT WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 266 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 17265519 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 95813 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 18683 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 114496 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 246155 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 47998 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 294153 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 2880 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 2880 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1282611 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 5854426 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 7137037 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 120910 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 120910 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| 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 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 34.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 28.80 |
| 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 | 31.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 28.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 33.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.56 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.52 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.59 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.57 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.76 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.56 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.72 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.46 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.59 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.87 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.54 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 9.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 9.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 11.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 41.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 42.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 47.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 11.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 13.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 9.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/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/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 | 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 | 49517 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 62528 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 63382 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 17270 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 36465 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 40825 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 31748 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 32172 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 46533 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 58558 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 35415 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 32004 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BETTY WHARTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DAVID C MASON DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | EDDIE PATTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ELIZABETH LOPEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | GLENN ROBINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JANET LIETO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JEFFREY SCHMELTEKOPF CLU CHFC |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KERI PEARLSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | LAURIE EAST MBA CPA FACMPE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | LINDA VILLARREAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | LISA L EHRLICH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MATHEW GARBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | NANCY ADAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | RUTH ELISE ATKINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | WENDY CHUNG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | PAMELA L HOERNIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | THOMAS J MANLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JOSEPH VASQUEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | PREETHA PRITHIVATHI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | RUSSEL WADE KOHL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | TARA FREASE RICHARDSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | WENDY MEDCALF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | BRADLEY H TREYBIG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | CLIFFORD KEITH MOY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | STEPHEN DRAKE THOMAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | TYRONE CLIFT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | KANAKADURGA GOVINDARAJU |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 10000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 25400 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 8750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 10500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 10300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 10250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 12300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 8250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 9250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 10500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 12300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 10500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 10300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 16125 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 10000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 718226 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 1025494 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 264436 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 200416 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 496888 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 272310 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 197905 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 235668 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 339914 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 297678 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 247881 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 235332 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | SENIOR DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CMO & COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | BUSINESS DEVELOPMENT OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | SENIOR DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DIRECTOR, APPLICATION DEVELOPMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | MEDICAL DIRECTOR, BEHAVIORAL HEALTH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | CHIEF HUMAN RESOURCES OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | DIRECTOR, CONTRACTS & COMPLIANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | MEDICAL DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1971 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 139679 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 15 |
| IRS990/GovernmentGrantsAmt | 0 | 23616634 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 118675 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 118675 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 3067786 |
| IRS990/GrossReceiptsAmt | 0 | 56861186 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 307529 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 15 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 56 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 412758 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 37426 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 450184 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 501 |
| IRS990/InterestGrp/TotalAmt | 0 | 501 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1956626 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1956626 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 2769114 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 4411879 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 30785022 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 34912110 |
| IRS990/IRPDocumentCnt | 0 | 34 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 10299734 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 13274646 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 13917219 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 24216953 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 2928107 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 772493 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 76409878 |
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