Liabilities / Assets
53rd percentile
Higher debt load relative to assets than 53% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
53rd percentile
Higher debt load relative to assets than 53% of similar nonprofits.
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on this filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on this filing.
Top Officer Pay
Score unavailable
This filing does not contain officer compensation rows.
Asset Growth
50th percentile
Faster asset growth than 50% of similar nonprofits.
Revenue Growth
Score unavailable
No valid filing value is available for this score.
Assets
Up$1,426,399,681
Up $63,725,851 (+4.7%) from 2011
Net Assets
Up$784,340,191
Up $76,386,805 (+11%) from 2011
Liabilities
Down$642,059,490
Down $12,660,954 (-1.9%) from 2011
Revenue
-
No earlier filing loaded for comparison.
Expenses
Up$1,028,323,397
Up $91,098,063 (+9.7%) from 2011
Net Income
-
No earlier filing loaded for comparison.
Wakemed provides outstanding and compassionate care to all who seek our services. Wakemed is committed to the health and wellness of the communities it serves by providing preventive, diagnostic, in/outpatient, rehabilitative care to all regardless of the ability to pay.
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/AccountantCompileOrReview | 0 | 0 |
| IRS990/AccountsPayableAccruedExpenses/BOY | 0 | 132227054 |
| IRS990/AccountsPayableAccruedExpenses/EOY | 0 | 152799029 |
| IRS990/AccountsReceivable/BOY | 0 | 122045084 |
| IRS990/AccountsReceivable/EOY | 0 | 160439800 |
| IRS990/ActivitiesConductedPartnership | 0 | 0 |
| IRS990/Activity2/Description | 0 | HEART SERVICES - WAKEMED'S HEART AND VASCULAR PROGRAM IS NOT ONLY THE LARGEST, BUT ONE OF THE MOST WELL RESPECTED IN CARDIOVASCULAR PROGRAMS IN NORTH CAROLINA. PROCEDURES INCLUDED SURGERY, DIAGNOSTIC AND INTERNVENTIAL CARDIAC CATHERIZATIONS AND ELECTROPHYSIOLOGY STUDIES WERE PERFORMED AND THOUSANDS OF OTHERS WERE TREATED AND MEDICALLY AS IN/OUT PATIENTS THROUGHOUT THE SYSTEM. HEART DISEASE REMAINS THE SECOND LEADING CAUSE OF DEATH IN WAKE COUNTY. ADDITIONALLY, THE COUNTY'S 2010 HEALTH ASSESMENT IDENTIFIED MANAGEMENT OF CHRONIC DISEASES RELATED TO CARDIOVASCULAR PROBLEMS OF PARAMOUNT IMPORTANCE TO WAKE COUNTY RESIDENTS' OVERALL HEALTH. WAKEMED'S HEART CENTER HAS MADE SIGNIFICANT STRIDES IN PROGRAM AND SERVICES AIMING TO REDUCE HEART DISEASE AND DIABETES, IMPROVE STROKE OUTCOMES AND IMPROVDE PATIENTS' UNDERSTANDING OF DISEASE MANAGEMENT. THE WAKEMED HEART CENTER PROVIDES A COMPREHENSIVE CONTINUUM OF CARE FOR THE CARDIAC PATIENT FROM OUTREACH EDUCATION AND PREVENTION TO DIAGNOSIS, INTERVENTION, SURGERY, CARDIAC REHABILITATION AND ON-GOING DISEASE MANAGEMENT FOR HEART FAILURE AND DIABETES. FREE EDUCATION PROGRAMS ARE OFFERED REGULARLY FOR OUR PATIENTS, THEIR FAMILY MEMBERS AND THE COMMUNITY TO COMPLEMENT OUR COMPREHENSIVE CARE SERVICES. OUR INTENTIONS ARE TO TEACH PATIENTS ABOUT THEIR RISK FACTORS FOR HEART DISEASE AND ENCOURAGE HEALTHY BEHAVIORS THROUGH LIFESTYLE CHANGES, THUS BUILDING A FOUNDATION FOR A HEALTHIERPOPULATION. ALL OF WAKEMED'S EMERGENCY DEPARTMENTS ARE CERTIFIED CHEST PAIN CENTERS AND WAKEMED RALEIGH CAMPUS AND CARY HOSPITAL ARE DESIGNATED PRIMARY STROKE CENTERS.BOTH WAKEMED RALEIGH CAMPUS AND WAKEMED CARY HOSPITAL HAVE RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S NCDR ACTION REGISTRY-GWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2012 - TWO OF ONLY 164HOSPITALS NATIONWIDE TO DO SO. BOTH HOSPITALS HAVE ALSO RECEIVED THE GET WITH THE GUIDELINES"-HEART FAILURE GOLD QUALITY ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION. THE RECOGNITION SIGNIFIES THAT WAKEMED HAS REACHED AN AGGRESSIVE GOAL OF TREATING HEART FAILURE PATIENTS ACCORDING TO THE GUIDELINES OF CARE RECOMMENDED BY THE AMERICAN HEART ASSOCIATION/AMERICAN COLLEGE OF CARDIOLOGY. IN ADDITION, WAKEMED RALEIGH CAMPUS RECEIVED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE" GOLD QUALITY ACHIEVEMENT AWARD STEMI RECEIVING CENTER. THE AWARD RECOGNIZES WAKEMED'S COMMITMENT AND SUCCESS IN IMPLEMENTING THE HIGHEST STANDARD OF CARE FOR HEART ATTACK PATIENTS. HOSPITALS INVOLVED IN MISSION: LIFELINE ARE PART OF A SYSTEM THAT MAKES SURE STEMI PATIENTS GET THE RIGHT CARE THEY NEED, AS QUICKLY AS POSSIBLE. THE AWARD RECOGNIZES WAKEMED'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS AND SIGNIFIES THAT WAKEMED HAS REACHED AN AGGRESSIVE GOAL OF TREATING THESE PATIENTS TO STANDARD LEVELS OF CARE AS OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION CLINICAL GUIDELINES AND RECOMMENDATIONS.SUPPORTING THESE INITIATIVES, WAKEMED MOBILE CRITICAL CARE SERVICES PROVIDES CRITICAL CARE TRANSPORT VIA GROUND AND AIR TRANSPORTATION, HELPING PATIENTS WHO NEED IMMEDIATE INTERVENTION OR ACUTE CARE ACCESS THE SERVICES OF THE HEALTH SYSTEM. SERVING THE REGION AND ALL OF NORTH CAROLINA, MOBILE TRANSPORTS APPROXIMATELY 1,300 CRITICALLY ILL PATIENTS EACH MONTH, IT IS THE BUSIEST INTER-FACILITY GROUND TRANSPORT SERVICE IN THE STATE.EACH YEAR, WAKEMED'S HEART CENTER PROVIDES FREE HEALTH SCREENINGS INCLUDING CHOLESTEROL SCREENINGS, BLOOD PRESSURE CHECKS, VASCULAR SCREENINGS AND STROKE ASSESSMENTS THROUGHOUT THE COMMUNITY. THESE SCREENINGS ARE DESIGNED TO BE A SECONDARY PREVENTION ACTIVITY TO DETECT EARLY ONSET OF DISEASE OR ILLNESS. WAKEMED CONDUCTS TRAINING FOR THE PROGRAM CPR ANYTIME AT MULTIPLE LOCATIONS IN WAKE COUNTY, AND PROVIDES CPR ANYTIME KITS THROUGHOUT THE COMMUNITY AT MORE THAN A 70 PERCENT DISCOUNTED COST. OF ALL OF THE PROCEDURES DONE, (60%) WERE INSURED UNDER MEDICARE, (6.6%) WERE INSURED UNDER MED |
| IRS990/Activity2/Expense | 0 | 199201511 |
| IRS990/Activity2/Revenue | 0 | 223957615 |
| IRS990/Activity3/Description | 0 | EMERGENCY SERVICES - ACCESS TO AFFORDABLE HEALTH CARE CONTINUES TO BE A CRITICAL CHALLENGE FACING WAKE COUNTY'S RESIDENTS. ONE OF THE MANY WAYS WAKEMED HAS IMPROVED ACCESS FOR WAKE COUNTY RESIDENTS IS THROUGH OUR MULTIPLE LOCATIONS AND PHYSICIANS OFFICES THROUGHOUT THE COMMUNITY. OVER THE PAST COUPLE OF YEARS, WAKEMED HAS OPENED FULL SERVICE, STAND ALONE EMERGENCY DEPARTMENTS, WHICH ARE GEOGRAPHICALLY SPREAD THROUGHOUT THE COUNTY, INCREASING CONVENIENT ACCESS TO EMERGENCY CARE FOR PATIENTS. TODAY, THERE ARE SIX EMERGENCY DEPARTMENTS AND A SEVENT UNDER CONSTRUCTION AND SLATED TO OPEN IN AUGUST 2013. WAKEMED IS AMONG THE TOP THREE VOLUME PROVIDERS OF EMERGENCY CARE IN NORTH CAROLINA. IT'S FIVE ADULT EMERGENCY DEPARTMENTS ARE LOCATED THROUGHOUT WAKE COUNTY. OUR CHILDRENS EMERGENCY DEPARTMENT IN RALEIGH IS THE ONLY CHILDRENS ED IN THE COUNTY. WAKEMED'S RALEIGH CAMPUS IS ALSO HOME TO WAKE COUNTY'S ONLY LEVEL 1 TRAUMA CENTER. THE HIGHEST DESIGNATION AWARDED TO TRAUMA CENTERS IN NORTH CAROLINA. OUR TRAUMA SERVICE INCLUDES A COMPREHENSIVE RESEARCH PROGRAM, INJURY PREVENTION PROGRAMS, FELLOWSHIP TRAINED TRAUMA SURGEONS ON SITE 24-7, A MULTI-DISCIPLINARY TEAM OF PROFESSIONALS, THE CLINICAL SUPPORT OF SIX ADULT INTENSIVE CARE UNITS AND A PEDIATRIC INTENSIVE CARE UNIT, AS WELL AS A COMPREHENSIVE ACUTE, INPATIENT AND OUTPATIENT PHYSICAL REHABILITATION PROGRAM. WAKEMED'S EMERGENCY AND TRAUMA SERVICES TREAT ALL PATIENTS WHO PRESENT SEEKING MEDICAL CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FY 2012 OUT OF THE TOTAL VISITS, (16.4%) WERE INSURED UNDER MEDICARE; (26%) WERE INSURED UNDER MEDICAID; AND (22%) OF THESE PATIENTS WERE UNINSURED. OVER 48% PERCENT OF ALL PATIENTS SEEN IN OUR EDS ARE EITHER MEDICAID OR UNINSURED RESULTING IN WAKEMED PROVIDING CARE FOR MORE THAN 80 PERCENT OF THE COUNTY'S UNINSURED AND MEDICAID PATIENTS ALL OF THE STAND ALONE LOCATIONS SERVE AREAS WHICH ARE OTHERWISE UNDERSERVED BY DEDICATED MEDICAL SERVICES. |
| IRS990/Activity3/Expense | 0 | 90293142 |
| IRS990/Activity3/Revenue | 0 | 134236535 |
| IRS990/ActivityOrMissionDescription | 0 | WAKEMED IS A MULTI-FACILITY HEALTH SYSTEM, PROVIDING STATE OF THE ART, HIGH QUALITY CARE. |
| IRS990/ActivityOther/Expense | 0 | 393323350 |
| IRS990/ActivityOther/Grants | 0 | 1232277 |
| IRS990/ActivityOther/Revenue | 0 | 409357112 |
| IRS990/AddressPrincipalOfficerUS/AddressLine1 | 0 | 3000 NEW BERN AVE |
| IRS990/AddressPrincipalOfficerUS/City | 0 | RALEIGH |
| IRS990/AddressPrincipalOfficerUS/State | 0 | NC |
| IRS990/AddressPrincipalOfficerUS/ZIPCode | 0 | 27610 |
| IRS990/Advertising/ManagementAndGeneral | 0 | 328681 |
| IRS990/Advertising/ProgramServices | 0 | 5149339 |
| IRS990/Advertising/Total | 0 | 5478020 |
| IRS990/AllOtherContributions | 0 | 548454 |
| IRS990/AllOtherExpenses/ManagementAndGeneral | 0 | 2774781 |
| IRS990/AllOtherExpenses/ProgramServices | 0 | 43471573 |
| IRS990/AllOtherExpenses/Total | 0 | 46246354 |
| IRS990/AnnualDisclosureCoveredPersons | 0 | 1 |
| IRS990/AuditCommittee | 0 | 1 |
| IRS990/BenefitsPaidToMembersCY | 0 | 0 |
| IRS990/BenefitsPaidToMembersPriorYear | 0 | 0 |
| IRS990/BsnssRltnshpThruFamilyMember | 0 | 0 |
| IRS990/BsnssRltnshpWithOrganization | 0 | 0 |
| IRS990/CashNonInterestBearing/BOY | 0 | 54892 |
| IRS990/CashNonInterestBearing/EOY | 0 | 384006 |
| IRS990/ChangesToOrganizingDocs | 0 | 0 |
| IRS990/CollectionsOfArt | 0 | 0 |
| IRS990/CompCurrentOfficersDirectors/ManagementAndGeneral | 0 | 1231925 |
| IRS990/CompCurrentOfficersDirectors/ProgramServices | 0 | 4927698 |
| IRS990/CompCurrentOfficersDirectors/Total | 0 | 6159623 |
| IRS990/CompensationFromOtherSources | 0 | 0 |
| IRS990/CompensationProcessCEO | 0 | 1 |
| IRS990/CompensationProcessOther | 0 | 0 |
| IRS990/ComplianceWithBackupWitholding | 0 | 1 |
| IRS990/ConferencesMeetings/ManagementAndGeneral | 0 | 89335 |
| IRS990/ConferencesMeetings/ProgramServices | 0 | 1399577 |
| IRS990/ConferencesMeetings/Total | 0 | 1488912 |
| IRS990/ConflictOfInterestPolicy | 0 | 1 |
| IRS990/ConservationEasements | 0 | 0 |
| IRS990/ConsolidatedAuditFinancialStmt | 0 | 1 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 0 | 4200 GLOBAL ST |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 1 | PO BOX 530494 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 2 | PO BOX 409201 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 3 | 3005 MOMENTUM PL |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 4 | 211 FRIDAY CENTER DR |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 0 | RALEIGH |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 1 | ATLANTA |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 2 | ATLANTA |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 3 | CHICAGO |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 4 | CHAPEL HILL |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 0 | NC |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 1 | GA |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 2 | GA |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 3 | IL |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 4 | NC |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 0 | 27610 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 1 | 303530494 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 2 | 303849201 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 3 | 60689 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 4 | 27517 |
| IRS990/ContractorCompensation/Compensation | 0 | 26402620 |
| IRS990/ContractorCompensation/Compensation | 1 | 24065856 |
| IRS990/ContractorCompensation/Compensation | 2 | 20027915 |
| IRS990/ContractorCompensation/Compensation | 3 | 19567770 |
| IRS990/ContractorCompensation/Compensation | 4 | 16275900 |
| IRS990/ContractorCompensation/DescriptionOfServices | 0 | MEDICAL PRODUCTS |
| IRS990/ContractorCompensation/DescriptionOfServices | 1 | PHARMACEUTICALS |
| IRS990/ContractorCompensation/DescriptionOfServices | 2 | MEDICAL DEVICES |
| IRS990/ContractorCompensation/DescriptionOfServices | 3 | CONSULTING FIRM |
| IRS990/ContractorCompensation/DescriptionOfServices | 4 | MEDICAL PROFESSIONAL FEES |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 0 | OWENS & MINOR |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 1 | AMERISOURCEBERGEN |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 2 | MEDTRONIC |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 3 | HURON CONSULTING GROUP |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 4 | UNIVERSITY OF NC HOSPITAL |
| IRS990/ContributionsGrantsCurrentYear | 0 | 4853411 |
| IRS990/ContributionsGrantsPriorYear | 0 | 5720938 |
| IRS990/CreditCounseling | 0 | 0 |
| IRS990/DecisionsSubjectToApproval | 0 | 1 |
| IRS990/DeductibleContributionsOfArt | 0 | 0 |
| IRS990/DeductibleNonCashContributions | 0 | 1 |
| IRS990/DeferredRevenue/BOY | 0 | 1088448 |
| IRS990/DeferredRevenue/EOY | 0 | 1228004 |
| IRS990/DelegationOfManagementDuties | 0 | 0 |
| IRS990/DepreciationDepletion/ProgramServices | 0 | 64374969 |
| IRS990/DepreciationDepletion/Total | 0 | 64374969 |
| IRS990/DescribedIn501C3 | 0 | 1 |
| IRS990/Description | 0 | SURGICAL SERVICES - WAKEMED OFFERS SURGICAL SERVICES IN FOUR LOCATIONS; WAKEMED RALEIGH CAMPUS, WAKEMED CARY HOSPITAL, WAKEMED NORTH HEALTHPLEX AND BLUE RIDGE SURGERY CENTER. ALL OF THESE FACILITIES PROVIDE SURGICAL SERVICES TO ALL WHO SEEK CARE REGARDLESS OF THEIR ABILITY TO PAY. BY HAVING IN AND OUT PATIENT SERVICES IN THREE DISTINCT LOCATIONS THROUGHOUT THE COUNTY, WAKEMED HAS IMPROVED ACCESS TO THESE NEEDED SERVICES. WAKEMED HAS A BROAD RANGE OF SURGEONS WHO PERFORM PROCEDURES AT THESE LOCATIONS AND THE VOLUME CONTINUES TO INCREASE. AS WAKE COUNTY'S ONLY STATE DESIGNATED LEVEL 1 TRAUMA CENTER, COMPREHENSIVE SURGICAL SERVICES WITH TRAUMA SURGEONS IN A VARIETY OF SPECIALITIES; GENERAL SURGERY, ORTHOPEDICS, NEUROSURGERY, AND VASCULAR SURGERY ARE KEY TO PROVIDING THE COMMUNITY WITH THIS MUCH NEEDED SERVICE. ACCESS TO CARE CONTINUES TO BE ONE OF THE KEY HEALTH CONCERNS FACING OUR COMMUNITY, WE HAVE EXPANDED OUR NETWORK OF SPECIALISTS THROUGH WAKEMED FACULTY PRACTICE PHYSICIANS, ONE OF THE KEY GROUPS OF PHYSICIANS WHO PROVIDE CARE TO THE UNINSURED AND UNDERINSURED IN OUR COMMUNITY. WAKEMED WORKS WITH THE PATIENT TO PROVIDE DISCOUNTED FEES BASED ON INCOME AND NEED. MANY PHYSICIANS ON THE MEDICAL STAFF CONTINUE THIS PRACTICE OF PROVIDING QUALITY CARE TO PATIENTS, REGARDLESS OF ABILITY TO PAY. LAST YEAR, (27%) WERE INSURED UNDER MEDICARE, (15%) WERE INSURED UNDER MEDICAID AND (5.2%) WERE UNINSURED (OR "SELF PAY OR CHARITY CARE"). |
| IRS990/DisregardedEntity | 0 | 1 |
| IRS990/DocumentRetentionPolicy | 0 | 1 |
| IRS990/DoingBusinessAs/BusinessNameLine1 | 0 | SEE SCHEDULE O |
| IRS990/DonorAdvisedFunds | 0 | 0 |
| IRS990/ElectionOfBoardMembers | 0 | 1 |
| IRS990/EmploymentTaxReturnsFiled | 0 | 1 |
| IRS990/EscrowAccount | 0 | 0 |
| IRS990/ExcessBenefitTransaction | 0 | 0 |
| IRS990/Expense | 0 | 243264362 |
| IRS990/FamilyOrBusinessRelationship | 0 | 0 |
| IRS990/FederalGrantAuditPerformed | 0 | 1 |
| IRS990/FederalGrantAuditRequired | 0 | 1 |
| IRS990/FeesForServicesAccounting/ManagementAndGeneral | 0 | 22706 |
| IRS990/FeesForServicesAccounting/ProgramServices | 0 | 246007 |
| IRS990/FeesForServicesAccounting/Total | 0 | 268713 |
| IRS990/FeesForServicesInvstMgmntFees/ManagementAndGeneral | 0 | 67720 |
| IRS990/FeesForServicesInvstMgmntFees/ProgramServices | 0 | 1060947 |
| IRS990/FeesForServicesInvstMgmntFees/Total | 0 | 1128667 |
| IRS990/FeesForServicesLegal/ManagementAndGeneral | 0 | 136193 |
| IRS990/FeesForServicesLegal/ProgramServices | 0 | 2133690 |
| IRS990/FeesForServicesLegal/Total | 0 | 2269883 |
| IRS990/FeesForServicesLobbying/ManagementAndGeneral | 0 | 46504 |
| IRS990/FeesForServicesLobbying/ProgramServices | 0 | 728556 |
| IRS990/FeesForServicesLobbying/Total | 0 | 775060 |
| IRS990/FeesForServicesManagement/ManagementAndGeneral | 0 | 179225 |
| IRS990/FeesForServicesManagement/Total | 0 | 179225 |
| IRS990/FeesForServicesOther/ManagementAndGeneral | 0 | 4982982 |
| IRS990/FeesForServicesOther/ProgramServices | 0 | 78066713 |
| IRS990/FeesForServicesOther/Total | 0 | 83049695 |
| IRS990/FinancialStatementConsolidated | 0 | X |
| IRS990/FinancialStmtAttached | 0 | 1 |
| IRS990/FollowSFAS117 | 0 | X |
| IRS990/ForeignActivities | 0 | 1 |
| IRS990/ForeignFinancialAccount | 0 | 1 |
| IRS990/ForeignOffice | 0 | 0 |
| IRS990/Form8282PropertyDisposedOf | 0 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 0 | 4.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 1 | 3.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 2 | 2.30 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 3 | 2.50 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 4 | 4.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 5 | 2.30 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 6 | 2.30 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 7 | 2.30 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 8 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 9 | 1.80 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 10 | 1.50 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 11 | 2.30 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 12 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 13 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 14 | 80.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 15 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 16 | 65.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 17 | 50.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 18 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 19 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 20 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 21 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 22 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 23 | 55.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 24 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 25 | 50.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 26 | 50.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 27 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 28 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 29 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 30 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 31 | 60.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 32 | 0.00 |
| IRS990/Form990PartVIISectionA/Former | 0 | X |
| IRS990/Form990PartVIISectionA/HighestCompensatedEmployee | 0 | X |
| IRS990/Form990PartVIISectionA/HighestCompensatedEmployee | 1 | X |
| IRS990/Form990PartVIISectionA/HighestCompensatedEmployee | 2 | X |
| IRS990/Form990PartVIISectionA/HighestCompensatedEmployee | 3 | X |
| IRS990/Form990PartVIISectionA/HighestCompensatedEmployee | 4 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 0 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 1 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 2 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 3 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 4 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 5 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 6 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 7 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 8 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 9 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 10 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 11 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 12 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 13 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 0 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 1 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 2 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 3 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 4 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 5 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 6 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 7 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 8 | X |
| IRS990/Form990PartVIISectionA/NamePerson | 0 | THOMAS B OXHOLM |
| IRS990/Form990PartVIISectionA/NamePerson | 1 | WILLIAM H MCBRIDE |
| IRS990/Form990PartVIISectionA/NamePerson | 2 | JERRY C BERNSTEIN MD |
| IRS990/Form990PartVIISectionA/NamePerson | 3 | RICHARD F BAKER |
| IRS990/Form990PartVIISectionA/NamePerson | 4 | LARRY D BARBOUR |
| IRS990/Form990PartVIISectionA/NamePerson | 5 | ROBERT A CERWIN MD |
| IRS990/Form990PartVIISectionA/NamePerson | 6 | BRENDA C GIBSON |
| IRS990/Form990PartVIISectionA/NamePerson | 7 | M JACKSON NICHOLS |
| IRS990/Form990PartVIISectionA/NamePerson | 8 | WILLIAM R MCNEAL |
| IRS990/Form990PartVIISectionA/NamePerson | 9 | LESLIE MERRITT JR |
| IRS990/Form990PartVIISectionA/NamePerson | 10 | CHRISTINA ALVARADO SHANAHAN |
| IRS990/Form990PartVIISectionA/NamePerson | 11 | LORRAINE M WRIGHT PHD |
| IRS990/Form990PartVIISectionA/NamePerson | 12 | LLOYD M YATES |
| IRS990/Form990PartVIISectionA/NamePerson | 13 | A BLANTON GODFREY PHD |
| IRS990/Form990PartVIISectionA/NamePerson | 14 | WILLIAM K ATKINSON PHD |
| IRS990/Form990PartVIISectionA/NamePerson | 15 | MICHAEL DEVAUGHN |
| IRS990/Form990PartVIISectionA/NamePerson | 16 | THOMAS GETTINGER |
| IRS990/Form990PartVIISectionA/NamePerson | 17 | ROYLYN JOHNSON |
| IRS990/Form990PartVIISectionA/NamePerson | 18 | KATHLEEN K GORMLEY |
| IRS990/Form990PartVIISectionA/NamePerson | 19 | DAVID C COULTER |
| IRS990/Form990PartVIISectionA/NamePerson | 20 | JEANENE R MARTIN |
| IRS990/Form990PartVIISectionA/NamePerson | 21 | E DENTON ARLEDGE |
| IRS990/Form990PartVIISectionA/NamePerson | 22 | THOMAS G CAVENDER |
| IRS990/Form990PartVIISectionA/NamePerson | 23 | CAROLYN KNAUP |
| IRS990/Form990PartVIISectionA/NamePerson | 24 | BETSY GASKINS-MCCLAINE |
| IRS990/Form990PartVIISectionA/NamePerson | 25 | GEORGIA C SUMIEL |
| IRS990/Form990PartVIISectionA/NamePerson | 26 | CYNTHIA ALNESS-BOILY |
| IRS990/Form990PartVIISectionA/NamePerson | 27 | TIMOTHY E HARRIS |
| IRS990/Form990PartVIISectionA/NamePerson | 28 | JOHNATHAN D CHAPPELL |
| IRS990/Form990PartVIISectionA/NamePerson | 29 | GURVINDER S DEOL |
| IRS990/Form990PartVIISectionA/NamePerson | 30 | JD PHILLIPS |
| IRS990/Form990PartVIISectionA/NamePerson | 31 | BRIAN GO |
| IRS990/Form990PartVIISectionA/NamePerson | 32 | THOMAS H FETZER JR |
| IRS990/Form990PartVIISectionA/Officer | 0 | X |
| IRS990/Form990PartVIISectionA/Officer | 1 | X |
| IRS990/Form990PartVIISectionA/Officer | 2 | X |
| IRS990/Form990PartVIISectionA/Officer | 3 | X |
| IRS990/Form990PartVIISectionA/OtherCompensation | 0 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 1 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 2 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 3 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 4 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 5 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 6 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 7 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 8 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 9 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 10 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 11 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 12 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 13 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 14 | 313767 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 15 | 30120 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 16 | 55544 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 17 | 11949 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 18 | 45388 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 19 | 42387 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 20 | 34955 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 21 | 40425 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 22 | 19749 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 23 | 36779 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 24 | 31713 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 25 | 27416 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 26 | 14382 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 27 | 57796 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 28 | 55356 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 29 | 58760 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 30 | 58049 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 31 | 55000 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 32 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 0 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 1 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 5 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 6 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 7 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 8 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 9 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 10 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 11 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 12 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 13 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 14 | 1150814 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 15 | 545002 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 16 | 635592 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 17 | 90766 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 18 | 589723 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 19 | 440744 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 20 | 319344 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 21 | 299116 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 22 | 280219 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 23 | 234952 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 24 | 252958 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 25 | 215037 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 26 | 205584 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 27 | 770075 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 28 | 854896 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 29 | 802420 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 30 | 781194 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 31 | 732880 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 32 | 120000 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 0 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 1 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 5 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 6 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 7 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 8 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 9 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 10 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 11 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 12 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 13 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 14 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 15 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 16 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 17 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 18 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 19 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 20 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 21 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 22 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 23 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 24 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 25 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 26 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 27 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 28 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 29 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 30 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 31 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 32 | 0 |
| IRS990/Form990PartVIISectionA/Title | 0 | BOARD OF DIRECTORS - CHAIR |
| IRS990/Form990PartVIISectionA/Title | 1 | BOARD OF DIRECTORS - VICE CHAIR |
| IRS990/Form990PartVIISectionA/Title | 2 | BOARD OF DIRECTORS - SECRETARY |
| IRS990/Form990PartVIISectionA/Title | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionA/Title | 14 | CEO |
| IRS990/Form990PartVIISectionA/Title | 15 | CFO |
| IRS990/Form990PartVIISectionA/Title | 16 | EXEC VP & COO |
| IRS990/Form990PartVIISectionA/Title | 17 | OFFICER-SECRETARY |
| IRS990/Form990PartVIISectionA/Title | 18 | EXECUTIVE VP OPERATIONS & |
| IRS990/Form990PartVIISectionA/Title | 19 | SENIOR VP - ADMINISTRATOR |
| IRS990/Form990PartVIISectionA/Title | 20 | SENIOR VP - HR |
| IRS990/Form990PartVIISectionA/Title | 21 | VP & CIO |
| IRS990/Form990PartVIISectionA/Title | 22 | VP FACILITIES & CONSTRUCTI |
| IRS990/Form990PartVIISectionA/Title | 23 | VP - AMBULATORY SERVICES |
| IRS990/Form990PartVIISectionA/Title | 24 | VP HEART & VASCULAR SERVIC |
| IRS990/Form990PartVIISectionA/Title | 25 | VP OPERATIONS |
| IRS990/Form990PartVIISectionA/Title | 26 | SENIOR VP-OPERATIONS & CNO |
| IRS990/Form990PartVIISectionA/Title | 27 | PHYSICIAN |
| IRS990/Form990PartVIISectionA/Title | 28 | PHYSICIAN |
| IRS990/Form990PartVIISectionA/Title | 29 | PHYSICIAN |
| IRS990/Form990PartVIISectionA/Title | 30 | PHYSICIAN |
| IRS990/Form990PartVIISectionA/Title | 31 | PHYSICIAN |
| IRS990/Form990PartVIISectionA/Title | 32 | BOARD MEMBER (FORMER) |
| IRS990/Form990ProvidedToGoverningBody | 0 | 1 |
| IRS990/Form990-TFiled | 0 | 1 |
| IRS990/FormersListed | 0 | 1 |
| IRS990/FSAudited | 0 | 1 |
| IRS990/FundraisingActivities | 0 | 0 |
| IRS990/FundsToPayPremiums | 0 | 0 |
| IRS990/GainOrLoss/Other | 0 | 766232 |
| IRS990/GainOrLoss/Securities | 0 | 2787855 |
| IRS990/Gaming | 0 | 0 |
| IRS990/GovernmentGrants | 0 | 4300647 |
| IRS990/GrantsAndSimilarAmntsCY | 0 | 1232277 |
| IRS990/GrantsAndSimilarAmntsPriorYear | 0 | 1667290 |
| IRS990/GrantsToDomesticOrgs/ProgramServices | 0 | 1232277 |
| IRS990/GrantsToDomesticOrgs/Total | 0 | 1232277 |
| IRS990/GrantsToIndividuals | 0 | 1 |
| IRS990/GrantsToOrganizations | 0 | 1 |
| IRS990/GrantToRelatedPerson | 0 | 0 |
| IRS990/GrossAmountSalesAssets/Other | 0 | 1614452 |
| IRS990/GrossAmountSalesAssets/Securities | 0 | 638656209 |
| IRS990/GrossReceipts | 0 | 1684318906 |
| IRS990/GrossRents/Real | 0 | 780955 |
| IRS990/GroupReturnForAffiliates | 0 | 0 |
| IRS990/Hospital | 0 | 1 |
| IRS990/IndependentAuditFinancialStmt | 0 | 0 |
| IRS990/IndoorTanningServices | 0 | 0 |
| IRS990/InfoInScheduleOPartIII | 0 | X |
| IRS990/InfoInScheduleOPartVI | 0 | X |
| IRS990/InfoInScheduleOPartXI | 0 | X |
| IRS990/InfoInScheduleOPartXII | 0 | X |
| IRS990/InformationTechnology/ManagementAndGeneral | 0 | 721306 |
| IRS990/InformationTechnology/ProgramServices | 0 | 11300458 |
| IRS990/InformationTechnology/Total | 0 | 12021764 |
| IRS990/Insurance/ManagementAndGeneral | 0 | 490669 |
| IRS990/Insurance/ProgramServices | 0 | 7687141 |
| IRS990/Insurance/Total | 0 | 8177810 |
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Displayed year
2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
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