Liabilities / Assets
26th percentile
Higher debt load relative to assets than 26% of similar nonprofits.
EIN 56-1484844 • 501(c)3 • Goldsboro, NC
Profile
Patients first - as we make decisions in our organization, we must always ensure our patients and their wellbeing are the forefront. Quality health care - when we provide quality health care, we ensure we are doing the right thing, at the right time, in the right way, for the right person - with the best possible results. Close to home - our patients need not travel far for expert, high-quality, compassionate care. We are committed to meeting and exceeding the needs of our community, offering the best care available right in wayne county.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
26th percentile
Higher debt load relative to assets than 26% of similar nonprofits.
Liabilities / Revenue
39th percentile
Higher debt load relative to revenue than 39% of similar nonprofits.
Net Margin
90th percentile
Higher net margin than 90% of similar nonprofits.
Top Officer Pay
5th percentile
Higher top officer pay than 5% of similar nonprofits.
Top officer pay equals 0.1% of source-year revenue.
Asset Growth
70th percentile
Faster asset growth than 70% of similar nonprofits.
Revenue Growth
50th percentile
Faster revenue growth than 50% of similar nonprofits.
Assets
Up$515,197,479
Up $58,777,678 (+13%) from 2023
Liabilities
Down$152,568,356
Down $11,551,310 (-7.0%) from 2023
Net Assets
Up$362,629,123
Up $70,328,988 (+24%) from 2023
Revenue
Up$382,147,792
Up $28,814,033 (+8.2%) from 2023
Expenses
Down$314,349,327
Down $4,745,820 (-1.5%) from 2023
Net Income
Up$67,798,465
Up $33,559,853 (+98%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Patients first - as we make decisions in our organization, we must always ensure our patients and their wellbeing are the forefront. Quality health care - when we provide quality health care, we ensure we are doing the right thing, at the right time, in the right way, for the right person - with the best possible results. Close to home - our patients need not travel far for expert, high-quality, compassionate care. We are committed to meeting and exceeding the needs of our community, offering the best care available right in wayne county.
Patients first. Quality health care. Close to home.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $227,991,834 | $263,777,419 | ▲ $35,785,585 |
| Land, Buildings, and Equipment, Net | $128,213,940 | $129,278,783 | ▲ $1,064,843 |
| Accounts Receivable | $24,237,876 | $31,964,226 | ▲ $7,726,350 |
| Investments in Publicly Traded Securities | $12,001,152 | $16,159,404 | ▲ $4,158,252 |
| Cash and Non-Interest-Bearing Accounts | $11,116,763 | $11,427,449 | ▲ $310,686 |
| Inventories for Sale or Use | $7,058,142 | $6,947,224 | ▼ $110,918 |
| Prepaid Expenses and Deferred Charges | $5,313,846 | $5,674,995 | ▲ $361,149 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $456,419,801 | $515,197,479 | ▲ $58,777,678 |
| Other Assets Total | $40,486,248 | $49,967,979 | ▲ $9,481,731 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $70,223,781 | $67,208,102 | ▼ $3,015,679 |
| Accounts Payable and Accrued Expenses | $41,208,117 | $38,784,810 | ▼ $2,423,307 |
| Unsecured Notes Loans Payable | $30,945,329 | $28,181,227 | ▼ $2,764,102 |
| Other Liabilities | $21,742,439 | $18,394,217 | ▼ $3,348,222 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Total Liabilities | $164,119,666 | $152,568,356 | ▼ $11,551,310 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $292,300,135 | $362,629,123 | ▲ $70,328,988 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $292,300,135 | $362,629,123 | ▲ $70,328,988 |
| Total Liabilities and Net Assets / Fund Balance | $456,419,801 | $515,197,479 | ▲ $58,777,678 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $32,032,187 | $107,300,974 | $139,333,161 |
| Buildings | $45,330,554 | $50,932,893 | $96,263,447 |
| Leasehold Improvements | $43,035,401 | $44,638,032 | $87,673,433 |
| Other Land Buildings | $8,880,641 | $7,144,134 | $16,024,775 |
| Investment Program Related Org | $263,777,419 | - | - |
| Other Assets Org | $385,877 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Brian Fillipo | VP Medical Affairs & CMO | FT | $434,000 | $84,956 | $518,956 |
| William Thoma | Sr VP Finance & CFO | FT | $319,921 | $93,545 | $413,466 |
| Shana Edwards | Crna | FT | $192,744 | $181,931 | $374,675 |
| Richard Middleton | Crna | FT | $273,792 | $76,196 | $349,988 |
| Robert White Jr | Crna | FT | $192,182 | $157,577 | $349,759 |
| Amy Willoughby | Crna | FT | $178,056 | $150,983 | $329,039 |
| Nelson Mather | Crna | FT | $185,807 | $140,829 | $326,636 |
| Howard Whitfield | VP Clinical Operations | FT | $242,554 | $69,247 | $311,801 |
| Douglas Harrison | VP Human Resources | FT | $250,016 | $22,135 | $272,151 |
| Heidi Malez | Sr VP, Patient Care Services | FT | $241,234 | $21,825 | $263,059 |
| Name | Title |
|---|---|
| T Kendall Gerrard | Board Chairman |
| Jessie Tucker | President & CEO |
| Adrian Worrell | Board Member |
| Anthony W Hamm Dc | Board Member |
| Charles Branson Vickory Iii | Board Member |
| Chris Wise | Board Member |
| Dimitrios Lintzeris Do | Board Member |
| Freeman Hardison | Board Member |
| Harold Brashear | Board Member |
| Johnathan Lozevski | Board Member |
| Kate Daniels | Board Member |
| Samer Kasbari Md | Board Member |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Qualivis LLC | Contract Labor | 5930 CORNERSTONE COURT W300, San Diego, CA 92121 | $13,425,488 |
| Danis Construction | Construction | 5511 CAPITAL CENTER DR STE 100, Raleigh, NC 27606 | $3,814,543 |
| Cross Country Locums | Contract Labor | 6551 PARK OF COMMERCE BOULEVARD, Boca Raton, FL 33487 | $2,614,025 |
| Goldsboro Emergency Medical Spec | Medical Consulting | PO DRAWER K, Goldsboro, NC 27533 | $2,179,018 |
| Handcraft Cleaners Launderers | Laundry Service | 2810 COFER ROAD, Richmond, VA 23224 | $1,174,169 |
| Line Item | Amount |
|---|---|
| Other Expenses | $169,552,851 |
| Salaries, Compensation, and Employee Benefits | $144,655,935 |
| Grants and Similar Amounts Paid | $140,541 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Comp Disqual Persons | $79,282,369 | $27,493,887 | - | $106,776,256 |
| Fees for Services Other | $11,875,700 | $17,714,443 | - | $29,590,143 |
| Other Employee Benefits | $755,175 | $18,391,753 | - | $19,146,928 |
| Information Technology | $124,087 | $17,921,849 | - | $18,045,936 |
| Depreciation Depletion | $7,121,183 | $4,807,170 | - | $11,928,353 |
| Payroll Taxes | $5,721,191 | $2,067,259 | - | $7,788,450 |
| Pension Plan Contributions | $7,432,588 | - | - | $7,432,588 |
| All Other Expenses | $3,329,603 | $2,669,512 | - | $5,999,115 |
| Other Expenses | $3,553,567 | $2,354,816 | - | $5,908,383 |
| Occupancy | $20,732 | $3,920,458 | - | $3,941,190 |
| Current Officers, Directors, Trustees, and Key Employees | $1,732,278 | $1,779,435 | - | $3,511,713 |
| Interest | $1,186 | $3,502,016 | - | $3,503,202 |
| Office Expenses | $1,032,924 | $2,407,288 | - | $3,440,212 |
| Insurance | - | $1,676,001 | - | $1,676,001 |
| Fees for Services Accounting | $25,538 | $349,961 | - | $375,499 |
| Fees for Services Legal | - | $349,791 | - | $349,791 |
| Advertising | $279 | $327,354 | - | $327,633 |
| Grants to Domestic Individuals | $140,541 | - | - | $140,541 |
| Travel | $46,328 | $85,953 | - | $132,281 |
| Fees for Services Lobbying | $28,521 | - | - | $28,521 |
| Fees for Service Investment Mgmnt Fees | $17,340 | - | - | $17,340 |
| Conferences and Meetings | $12,055 | $2,506 | - | $14,561 |
| Total Functional Expenses | $205,458,405 | $108,890,922 | $0 | $314,349,327 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Estimated Third Party Payor Se | $7,530,069 |
| Other Liabilities | $5,033,907 |
| Minimum Pension Liability | $3,547,824 |
| Interest Rate Swap | $1,916,357 |
| Operating Lease Obligations | $366,060 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | North Carolina Medical Care Commission | 2017-05-25 | $77,245,000 | Surgical center/air handler |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $77,245,000 | $0 | $9,650,000 | $482,133 |
“In december 2015, in conjunction with the hospital's affiliation with unc health care system ("unchcs"), the hospital entered into a 10 year management agreement with unchcs, effective january 1, 2016. The contract gives unchcs the responsibility for the day-to day operations of the hospital. Under this agreement, wayne unc adopted unchcs policies.”
“A draft of form 990 is made available to the governing body for review before it is filed with the irs.”
“Annually, all board members, all executives and all directors complete unc's conflict of interest form and all are reviewed by the wayne unc's corporate compliance officer, who works collaboratively with the unc corporate compliance department, to address any issues. Board members (or others) with conflicts are excused from the room while strategies and decisions are being discussed and are excluded from voting on issues where actual or perceived conflicts exist.”
“The executive committee of the board reviews (with unchcs) ceo and vp compensation. All directors and teammates salaries are reviewed annually for market adjustments needed by an external consultant, using local and national benchmarks.”
“These documents are made available to the public upon request. Additionally, the audited financial statements are available on www.guidestar.org.”
“Other changes in net assets (15,250,229) change in minimum pension liability 6,393,739 distributions to members 1,935,455 change in value of interest rate 705,270 ============= total (6,215,765)”
“No change from prior year.”
“The following footnote comes from the consolidated financial statements of wayne health corporation. The footnote references other members of the audit consolidated group that are not part of this tax return: whc, wmh, whf, whp, and the foundation are nonprofit corporations and have been recognized as tax-exempt pursuant to section 501(c)(3) of the internal revenue code. Wayne mri is a limited liability company with the hospital as the majority member (66.7%). The corporation adopted the provisions of the income tax standard that clarifies the accounting for uncertainty in income taxes recognized in an organization's financial statements. This guidance prescribes recognition and measurement of tax positions taken or expected to be taken on a tax return that are not certain to be realized. The corporation has determined that there are no uncertain tax positions as of june 30, 2024.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 41208117 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 38784810 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 24237876 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 31964226 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PATIENTS FIRST. QUALITY HEALTH CARE. CLOSE TO HOME. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 327354 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 279 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 327633 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 2669512 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 3329603 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 5999115 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | WILLIAM THOMA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9197316142 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2700 WAYNE MEMORIAL DR |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Goldsboro |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 27533 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 11116763 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 11427449 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 25 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1779435 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1732278 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3511713 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 27493887 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 79282369 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 106776256 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 2506 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 12055 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 14561 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 13425488 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 3814543 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2614025 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 2179018 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1174169 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5930 CORNERSTONE COURT W300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 5511 CAPITAL CENTER DR STE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 6551 PARK OF COMMERCE BOULEVARD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO DRAWER K |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 2810 COFER ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SAN DIEGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | RALEIGH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BOCA RATON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | GOLDSBORO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | RICHMOND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 92121 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 27606 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 33487 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 27533 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 23224 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | QUALIVIS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | DANIS CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | CROSS COUNTRY LOCUMS |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | GOLDSBORO EMERGENCY MEDICAL SPEC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | HANDCRAFT CLEANERS LAUNDERERS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACT LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONTRACT LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | MEDICAL CONSULTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LAUNDRY SERVICE |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 140541 |
| IRS990/CYInvestmentIncomeAmt | 0 | 16315312 |
| IRS990/CYOtherExpensesAmt | 0 | 169552851 |
| IRS990/CYOtherRevenueAmt | 0 | 16924 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 365815556 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 67798465 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 144655935 |
| IRS990/CYTotalExpensesAmt | 0 | 314349327 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 382147792 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | true |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 4807170 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 7121183 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 11928353 |
| IRS990/Desc | 0 | PROVIDING COMPASSIONATE PROGRESSIVE HEALTHCARE INCLUDING INPATIENT, OUTPATIENT, INTENSIVE CARE, AND EMERGENCY CARE. (OUR VISION IS TO BE PREFERRED CHOICE FOR COMPASSIONATE, HIGH QUALITY, PATIENT-CENTERED HEALTH CARE). |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 2135 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 205458405 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 349961 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 25538 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 375499 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 349791 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 349791 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 28521 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 28521 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 17714443 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 11875700 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 29590143 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 17340 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 17340 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 1.0 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 20606 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 38202 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 21013 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 23701 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 30391 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 11966 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 10844 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 20530 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 25917 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 8153 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BRIAN FILLIPO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WILLIAM THOMA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | SHANA EDWARDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RICHARD MIDDLETON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ROBERT WHITE JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | AMY WILLOUGHBY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | NELSON MATHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | HOWARD WHITFIELD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DOUGLAS HARRISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | HEIDI MALEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JESSIE TUCKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | T KENDALL GERRARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | HAROLD BRASHEAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KATE DANIELS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ANTHONY W HAMM DC |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | FREEMAN HARDISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | SAMER KASBARI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | DIMITRIOS LINTZERIS DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JOHNATHAN LOZEVSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | CHARLES BRANSON VICKORY III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | CHRIS WISE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ADRIAN WORRELL |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 498350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 375264 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 353662 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 326287 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 319368 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 317073 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 315792 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 291271 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 246234 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 254906 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/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/TitleTxt | 0 | VP MEDICAL AFFAIRS & CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SR VP FINANCE & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP CLINICAL OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VP HUMAN RESOURCES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | SR VP, PATIENT CARE SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | BOARD MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1986 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -37845 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 7358589 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantAmt | 0 | 140541 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 140541 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 140541 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 7358589 |
| IRS990/GrossReceiptsAmt | 0 | 382185637 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 232 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 17921849 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 124087 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 18045936 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1676001 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1676001 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 3502016 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 1186 |
| IRS990/InterestGrp/TotalAmt | 0 | 3503202 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 7058142 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 6947224 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 8994568 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 8994568 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 227991834 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 263777419 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 12001152 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 16159404 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 152 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 210016033 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 128213940 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 129278783 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 339294816 |
| IRS990/LegalDomicileStateCd | 0 | NC |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 37845 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
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