Liabilities / Assets
94th percentile
Higher debt load relative to assets than 94% of similar nonprofits.
EIN 52-1357729 • 501(c)3 • Winchester, VA
Profile
To support and encourage healthcare and related services through providing financial, management, and other assistance to its affiliates and other organizations and through all other relevant means.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
94th percentile
Higher debt load relative to assets than 94% of similar nonprofits.
Liabilities / Revenue
59th percentile
Higher debt load relative to revenue than 59% of similar nonprofits.
Net Margin
42nd percentile
Higher net margin than 42% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
91st percentile
Faster asset growth than 91% of similar nonprofits.
Revenue Growth
52nd percentile
Faster revenue growth than 52% of similar nonprofits.
Assets
Up$110,609,525
Up $26,456,835 (+31%) from 2023
Liabilities
Up$118,604,502
Up $28,176,376 (+31%) from 2023
Net Assets
Down-$7,994,977
Down $1,719,541 (-27%) from 2023
Revenue
Up$204,470,710
Up $14,571,862 (+7.7%) from 2023
Expenses
Up$200,945,377
Up $9,420,073 (+4.9%) from 2023
Net Income
Up$3,525,333
Up $5,151,789 (+317%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To support and encourage healthcare and related services through providing financial, management, and other assistance to its affiliates and other organizations and through all other relevant means.
Serving our community by improving health. Provision of healthcare and medical services.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Prepaid Expenses and Deferred Charges | $17,279,639 | $23,843,920 | ▲ $6,564,281 |
| Investments Other Securities | $8,256,976 | $13,025,674 | ▲ $4,768,698 |
| Investments Program Related | $9,835,999 | $11,070,822 | ▲ $1,234,823 |
| Inventories for Sale or Use | $4,362,234 | $3,494,154 | ▼ $868,080 |
| Cash and Non-Interest-Bearing Accounts | $5,005,910 | $3,239,536 | ▼ $1,766,374 |
| Savings and Temporary Cash Investments | - | $0 | - |
| Accounts Receivable | - | $0 | - |
| Other Notes and Loans Receivable, Net | - | $0 | - |
| Pledges and Grants Receivable | - | $0 | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments in Publicly Traded Securities | - | $0 | - |
| Land, Buildings, and Equipment, Net | - | $0 | - |
| Intangible Assets | - | $0 | - |
| Total Assets | $84,152,690 | $110,609,525 | ▲ $26,456,835 |
| Other Assets Total | $39,411,932 | $55,935,419 | ▲ $16,523,487 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $89,786,067 | $110,899,439 | ▲ $21,113,372 |
| Other Liabilities | $300,638 | $7,481,082 | ▲ $7,180,444 |
| Deferred Revenue | $341,421 | $223,981 | ▼ $117,440 |
| Total Liabilities | $90,428,126 | $118,604,502 | ▲ $28,176,376 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-6,275,436 | $-7,994,977 | ▼ $1,719,541 |
| Total Net Assets Fund Balance | $-6,275,436 | $-7,994,977 | ▼ $1,719,541 |
| Total Liabilities and Net Assets / Fund Balance | $84,152,690 | $110,609,525 | ▲ $26,456,835 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Assets Org | $600,000 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Iyad Sabbagh | CMO | FT | $1,293,162 | $455,559 | $2,166,144 |
| Christine Lowman | Controller | PT | $593,574 | $353,236 | $946,810 |
| James Freilich | Former Officer | - | $732,886 | $224,817 | $908,594 |
| Jeffrey Feit | Vice President | - | $536,552 | $277,026 | $864,440 |
| Chris Turnbull | Former Med Staf President | - | $410,846 | $243,434 | $654,280 |
| Barbara Ballard | CIO | PT | $367,792 | $263,775 | $631,567 |
| Jennifer Coello | Vice President | - | $365,757 | $96,858 | $583,003 |
| Heather Sigel | Former Officer | - | $308,914 | $577,879 | $474,231 |
| Julie Miksit | Vice President | - | $295,511 | $69,962 | $462,495 |
| Bradford Rogers | Vice President | - | $247,890 | $154,025 | $401,915 |
| Carmen Clipper | Vice President | FT | $271,075 | $120,849 | $391,924 |
| Jake Meza | Vice President | - | $277,871 | $84,516 | $377,900 |
| David Sharbaugh | Former Officer | - | $255,902 | $100,953 | $349,029 |
| Jeffrey Groesbeck | Assoc Director | FT | $244,215 | $136,315 | $332,617 |
| Chris Rucker | Vice President | - | $249,492 | $78,089 | $327,581 |
| Amanda Fleming | Director | FT | $240,853 | $69,497 | $310,350 |
| James Dale | Former Trustee | - | $234,812 | $182,246 | $304,795 |
| Carla Dallmann | Vice President | PT | $250,016 | $41,869 | $291,885 |
| Christopher Gooditis | CTO | FT | $246,170 | $65,720 | $289,278 |
| Elizabeth Savage | Sr VP | PT | $213,801 | $104,247 | $269,125 |
| Dan Alexander | Trustee | - | $45,000 | - | $45,000 |
| Harry Smith | Chairman | - | $21,361 | - | $21,361 |
| Chad Dansie | Trustee | - | $17,100 | - | $17,100 |
| Thomas Wise | Trustee | - | $14,183 | - | $14,183 |
| Julia M Connell | Trustee | - | $12,000 | - | $12,000 |
| Clifton L Rutherford | Trustee | - | $9,000 | - | $9,000 |
| Jeff Boehm | Trustee | - | $9,000 | - | $9,000 |
| Mary Beth Price | Trustee | - | $8,000 | - | $8,000 |
| Steven Cluss | Secretary | - | $8,000 | - | $8,000 |
| Katherine Johnson | Trustee | - | $6,000 | - | $6,000 |
| Melody Eaton | Trustee | - | $6,000 | - | $6,000 |
| Thomas Gilpin | Vice Chairman | - | $6,000 | - | $6,000 |
| Gerald Smith | Trustee | - | $5,000 | - | $5,000 |
| Name | Title |
|---|---|
| Mark Nantz | President & CEO |
| Kenneth Janowski | Vice President |
| Kevin Sheppard | Vice President |
| Kris Maddalena | Vice President |
| Mark Baker | Vice President |
| Nelson T Clark | Vice President |
| Nicolas Restrepo | Vice President |
| Susan Lessar | Vice President |
| Theresa Trivette | Vice President |
| Patrick Ireland | Former trustee/Physician |
| Kelly Boyd | Sr Director |
| Robert Amos | CFO |
| Mary Barrick | Former Officer |
| Mary Roxer | Former Officer |
| Sharon Rigney | Former Officer |
| Sherif Kaiser | Former Officer |
| William Zehner | Former Officer |
| Walter Sowers | Legal Officer |
| Tonya Smith | SVP Wmc |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ensemble RMC LLC | service | 11512 Reed Hartman Highway, Cincinnati, OH 45241 | $52,079,189 |
| Power Wellness Management | Service And Mgmt Fee | 2055 W ARMY TRAIL ROAD SUITE 124, Addison, IL 60101 | $2,776,239 |
| Inova Healthcare Services | Service Fee | 8110 GATEHOUSE ROAD SUITE 400W, Falls Church, VA 22042 | $2,367,203 |
| Epic Systems Corporation | Service products | 1979 Milky Way, Verona, WI 53593 | $1,693,649 |
| Huntzinger Management | Services | 201 S BLAKELY STREET 154, Dunmore, PA 18512 | $1,310,184 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $119,736,058 |
| Other Expenses | $79,994,101 |
| Total Fundraising Expense | $1,246,634 |
| Grants and Similar Amounts Paid | $1,210,075 |
| Professional Fundraising Fees | $5,143 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $72,417,852 | $12,858,081 | $569,850 | $85,845,783 |
| Information Technology | $16,574,940 | $2,924,989 | $40,800 | $19,540,729 |
| Office Expenses | $16,207,006 | $2,860,060 | $43,396 | $19,110,462 |
| Fees for Services Other | $15,136,637 | $2,959,375 | - | $18,096,012 |
| Other Employee Benefits | $12,973,908 | $2,289,513 | $217,241 | $15,480,662 |
| Current Officers, Directors, Trustees, and Key Employees | $6,563,777 | $1,157,314 | - | $7,721,091 |
| Payroll Taxes | $5,956,555 | $1,051,157 | $47,110 | $7,054,822 |
| Pension Plan Contributions | $3,068,021 | $541,415 | $24,264 | $3,633,700 |
| Fees for Services Legal | $1,980,433 | $349,488 | - | $2,329,921 |
| Occupancy | $1,941,943 | $342,696 | - | $2,284,639 |
| Advertising | $1,280,694 | $226,005 | $10,797 | $1,517,496 |
| Conferences and Meetings | $894,996 | $157,940 | $169,808 | $1,222,744 |
| Grants to Domestic Orgs | $1,210,075 | - | - | $1,210,075 |
| Travel | $865,123 | $152,669 | $15,445 | $1,033,237 |
| Insurance | $737,575 | $130,160 | - | $867,735 |
| Other Expenses | $229,039 | $40,419 | $102,780 | $269,458 |
| All Other Expenses | $137,221 | $298 | - | $137,519 |
| Fees for Services Lobbying | - | $50,045 | - | $50,045 |
| Fees for Services Accounting | - | $25,777 | - | $25,777 |
| Fees for Services Professional Fundraising | - | - | $5,143 | $5,143 |
| Total Functional Expenses | $169,588,602 | $30,110,141 | $1,246,634 | $200,945,377 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Sinclair Health Clinic | Winchester, VA | 501(c)(3) | Charity Care | $210,000 |
| Our Health | Winchester, VA | 501(c)(3) | Cover Our Health Expenses | $185,000 |
| Nsv Substance Abuse Coalition | Winchester, VA | 501(c)(3) | Direct Grant Support | $155,000 |
| Winchester Rescue Mission | Winchester, VA | 501(c)(3) | Direct Grant Support | $125,000 |
| Horizon Goodwill Industries | Hagerstown, MD | 501(c)(3) | Direct Grant Support | $100,000 |
| Winchester Medical Ctr Found | Winchester, VA | 501(c)(3) | Charity Care | $100,000 |
| Shenandoah Apple Blossom | Winchester, VA | 501(c)(3) | Direct Grant Support | $38,500 |
| Chamber of Commerce | Front Royal, VA | 501(c)(3) | Direct Grant Support | $27,195 |
| Mountaineer Community Health | Paw Paw, WV | 501(c)(3) | Direct Grant Support | $25,000 |
| Watts | Winchester, VA | 501(c)(3) | Direct Grant Support | $25,000 |
| Lord Fairfax EMS Council | Winchester, VA | 501(c)(3) | Direct Grant Support | $20,000 |
| Shenandoah Co Free Clinic | Woodstock, VA | 501(c)(3) | Charity Care | $20,000 |
| St Luke Community Clinic | Front Royal, VA | 501(c)(3) | Charity Care | $20,000 |
| Top of Virginia | Winchester, VA | 501(c)(3) | Direct Grant Support | $12,500 |
| Concern Hotline | Winchester, VA | 501(c)(3) | Direct Grant Support | $10,000 |
| Foundation to Eradicate Duche | Alexandria, VA | 501(c)(3) | Direct Grant Support | $10,000 |
| Good Samaritan Free Clinic | Martinsburg, WV | 501(c)(3) | Charity Care | $10,000 |
| Hampshire County Pathways | Romney, WV | 501(c)(3) | Direct Grant Support | $10,000 |
| Page County Free Medical C | Luray, VA | 501(c)(3) | Charity Care | $10,000 |
| Page One of Page County | Luray, VA | 501(c)(3) | Direct Grant Support | $10,000 |
| Wheels for Wellness | Winchester, VA | 501(c)(3) | Direct Grant Support | $10,000 |
| United Way of NSV | Winchester, VA | 501(c)(3) | Direct Grant Support | $9,000 |
| Museum of the Shenandoah Val | Winchester, VA | 501(c)(3) | Direct Grant Support | $6,000 |
| American Cancer Society | Middle River, MD | 501(c)(3) | Direct Grant Support | $5,500 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central American & Carribbean | Investment | - | 0 | 0 | $18,092,834 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $5,143 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Liability | Amount |
|---|---|
| Operating Lease Liability | $6,888,701 |
| Current Portion of Lease | $423,096 |
| Executive Mutual Fund Payable | $169,285 |
“The corporation shall have two classes of members: regular and honorary. The number of regular members shall not exceed 100. In addition, there may be an unlimited number of honorary members. Qualifications for both classes of membership shall be established in the bylaws of the corporation. Honorary members have no voting or any other rights whatsoever. Regular members shall have voting rights solely with respect to the election of regular members, honorary members and trustees, as established in the bylaws of the corporation.”
“The 990 is prepared by internal staff and reviewed by an outside accounting firm, who is the paid preparer. The return then undergoes several levels of review including the CFO and CEO. Further, the board reviews the 990 during one of its recurring monthly meetings prior to filing where any issues of concern or question are addressed by Senior Management.”
“All board members sign a conflict of interest policy annually and upon appointment to the board. All employees that are managers, including officers, have purchasing rights with defined limits, or may enter into a contract on behalf of the organization are required to sign a conflict of interest attestation upon employment and annually. All employees can report breaches in Valley Health System policy. Valley Health System has an employee integrity hotline and a compliance officer. The audit committee is advised of compliance activity on a quarterly basis in addition to monthly follow up by the CEO on any immediate issues. Any infractions can result in disciplinary action or dismissal.Any trustee, officer or employee that discloses a conflict of interest will leave a board meeting on a transaction or arrangement that would be related to the potential conflict. With conflicts of interest the chair of the board will appoint a person or committee (if appropriate) to investigate alternatives to the proposed arrangement.”
“The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the CEO. A fair market value executive compensation review was completed in 2024.”
“The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the Officers, and Senior Management. As new individuals are hired into management positions, recruiting firms use FMV information to establish salary and general compensation levels. A fair market value executive compensation review was completed in 2024.”
“The organization makes all records available as required by law.”
“Transfer to affiliations = $19689850”
“Transfers from affiliates = -$25042115”
“The organization pays for fundraising costs and the fundraising proceeds are recorded on the group return. The organization spent $1,245,536 in fundraising in 2024 and the related organization reported $9,933,716 in total of both contributions and grants under ein 80-0584319.”
“Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 89786067 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 110899439 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | SERVING OUR COMMUNITY BY IMPROVING HEALTH. PROVISION OF HEALTHCARE AND MEDICAL SERVICES. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 10797 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 226005 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1280694 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1517496 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 298 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 137221 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 137519 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | CHRISTINE LOWMAN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5405366287 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 220 CAMPUS BLVD SUITE 310 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WINCHESTER |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | VA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 22601 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 5005910 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 3239536 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 32 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1157314 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 6563777 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 7721091 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 169808 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 157940 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 894996 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 1222744 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2367203 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 52079189 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2776239 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1693649 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1310184 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 8110 GATEHOUSE ROAD SUITE 400W |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 11512 Reed Hartman Highway |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2055 W ARMY TRAIL ROAD SUITE 124 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1979 Milky Way |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 201 S BLAKELY STREET 154 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | FALLS CHURCH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Cincinnati |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ADDISON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Verona |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DUNMORE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 22042 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 45241 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 60101 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 53593 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 18512 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | INOVA HEALTHCARE SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Ensemble RMC LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | POWER WELLNESS MANAGEMENT |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Epic Systems Corporation |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | HUNTZINGER MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | SERVICE FEE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | service |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | SERVICE AND MGMT FEE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Service products |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | SERVICES |
| IRS990/CostOfGoodsSoldAmt | 0 | 165930 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1007821 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 1210075 |
| IRS990/CYInvestmentIncomeAmt | 0 | 20365139 |
| IRS990/CYOtherExpensesAmt | 0 | 79994101 |
| IRS990/CYOtherRevenueAmt | 0 | 15361452 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 167736298 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 3525333 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 119736058 |
| IRS990/CYTotalExpensesAmt | 0 | 200945377 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 1246634 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 5143 |
| IRS990/CYTotalRevenueAmt | 0 | 204470710 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 341421 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 223981 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 0 |
| IRS990/Desc | 0 | ORGANIZATION PROVIDED MANAGEMENT AND/OR SUPPORT SERVICES TO 14 SUBSIDIARIES AND 8 OUTSIDE HEALTHCARE ORGANIZATIONS DURING 2024. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 7154 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 169588602 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 25777 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 25777 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 349488 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 1980433 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 2329921 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 50045 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 50045 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2959375 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 15136637 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 18096012 |
| IRS990/FeesForServicesProfFundraising/FundraisingAmt | 0 | 5143 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 5143 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | true |
| IRS990/ForeignCountryCd | 0 | CJ |
| IRS990/ForeignFinancialAccountInd | 0 | true |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form1098CFiledInd | 0 | false |
| IRS990/Form8282FiledCnt | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 10.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 44 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 45 | 2.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 48 | 2.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 31 | 40.00 |
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| 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 |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 12 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 64037 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 51489 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 30151 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 47250 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 45080 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 25191 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 16378 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 62948 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 48549 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 45157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 49472 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 46830 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 28179 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 43829 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 53822 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 13930 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 24633 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 22111 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 40330 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 29 | 39027 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 30 | 37079 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 31 | 31673 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 32 | 10889 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 33 | 21592 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 34 | 38593 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 35 | 38908 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 36 | 9143 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 37 | 24515 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 38 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 39 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 40 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 41 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 42 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 43 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 44 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 45 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 46 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 47 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 48 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 49 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 50 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 51 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Mark Nantz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Tonya Smith |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | IYAD SABBAGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Patrick Ireland |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ROBERT AMOS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | CHRIS RUCKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | NICOLAS RESTREPO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Kenneth Janowski |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JEFFREY FEIT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ELIZABETH SAVAGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Barbara Ballard |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Bradford Rogers |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | THERESA TRIVETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KEVIN SHEPPARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MARK BAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JULIE MIKSIT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | WALTER SOWERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | William Zehner |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Sherif Kaiser |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | David Sharbaugh |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | James Freilich |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Jake Meza |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Kris Maddalena |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | NELSON T CLARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | CARLA DALLMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | CHRISTINE LOWMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | Mary Barrick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | Jennifer Coello |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | JEFFREY GROESBECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 29 | Sharon Rigney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 30 | CHRISTOPHER GOODITIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 31 | Amanda Fleming |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 32 | Mary Roxer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 33 | CARMEN CLIPPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 34 | Heather Sigel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 35 | Susan Lessar |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 36 | James Dale |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 37 | KELLY BOYD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 38 | Chris Turnbull |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 39 | Dan Alexander |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 40 | Harry Smith |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 41 | CHAD DANSIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 42 | THOMAS WISE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 43 | JULIA M CONNELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 44 | JEFF BOEHM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 45 | CLIFTON L RUTHERFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 46 | STEVEN CLUSS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 47 | MARY BETH PRICE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 48 | MELODY EATON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 49 | THOMAS GILPIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 50 | KATHERINE JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 51 | Gerald Smith |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 2084107 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 895066 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 852953 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 805715 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 622181 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 567530 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 552852 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 429151 |
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