Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
EIN 73-1215174 • 501(c)3 • St Louis, MO
Profile
Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
Liabilities / Revenue
93rd percentile
Higher debt load relative to revenue than 93% of similar nonprofits.
Net Margin
7th percentile
Higher net margin than 7% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
4th percentile
Faster asset growth than 4% of similar nonprofits.
Revenue Growth
65th percentile
Faster revenue growth than 65% of similar nonprofits.
Assets
Down$22,499,721
Down $13,969,739 (-38%) from 2023
Liabilities
Up$1,157,294,303
Up $350,910,781 (+44%) from 2023
Net Assets
Down-$1,134,794,582
Down $364,880,520 (-47%) from 2023
Revenue
Down$135,511,975
Down $16,055,442 (-11%) from 2023
Expenses
Up$219,930,036
Up $23,497,037 (+12%) from 2023
Net Income
Down-$84,418,061
Down $39,552,479 (-88%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Continue the healing ministry of Jesus Christ by providing medical excellence and compassionate care to all who need it with a special emphasis for the poor and powerless.
To improve the health and well-being of all people in the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $15,411,617 | $10,791,361 | ▼ $4,620,256 |
| Investments Program Related | $6,168,588 | $4,719,301 | ▼ $1,449,287 |
| Savings and Temporary Cash Investments | $6,059,379 | $4,413,161 | ▼ $1,646,218 |
| Intangible Assets | $1,718,959 | $1,371,051 | ▼ $347,908 |
| Pledges and Grants Receivable | $6,917 | $14,179 | ▲ $7,262 |
| Prepaid Expenses and Deferred Charges | $0 | $1,472 | ▲ $1,472 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Accounts Receivable | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $36,469,460 | $22,499,721 | ▼ $13,969,739 |
| Other Assets Total | $7,104,000 | $1,189,196 | ▼ $5,914,804 |
| Liabilities | |||
| Other Liabilities | $804,744,600 | $1,156,582,236 | ▲ $351,837,636 |
| Accounts Payable and Accrued Expenses | $1,638,922 | $712,012 | ▼ $926,910 |
| Deferred Revenue | $0 | $55 | ▲ $55 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $806,383,522 | $1,157,294,303 | ▲ $350,910,781 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Net Assets Without Donor Restrictions | $-769,914,062 | $-1,134,794,582 | ▼ $364,880,520 |
| Total Net Assets Fund Balance | $-769,914,062 | $-1,134,794,582 | ▼ $364,880,520 |
| Total Liabilities and Net Assets / Fund Balance | $36,469,460 | $22,499,721 | ▼ $13,969,739 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $7,394,110 | $19,997,437 | $27,391,547 |
| Other Land Buildings | $1,984,691 | $1,487,364 | $3,472,055 |
| Buildings | $1,386,930 | $1,590,367 | $2,977,297 |
| Leasehold Improvements | $25,630 | $759,721 | $785,351 |
| Investment Program Related Org | $4,719,301 | - | - |
| Land | $0 | - | $0 |
| Other Assets Org | $817,314 | - | - |
| Name | Title | Other | Total |
|---|---|---|---|
| Alecia Anne Siegfried Rn | Secretary | $40,215 | $40,215 |
| Name | Title |
|---|---|
| Milann Siegfried | Chair |
| Arthur H Mcelroy Ii | Vice Chair |
| Clifton Taulbert | Director |
| David King | Director |
| Hastings Siegfried | Director |
| Robert Sullivan | Director |
| Shaun Grewal Md | Director |
| Rebecca a Tucker | Assistant Treasurer/CFO, Ministry Market (end 2/2024) |
| Heather a Schneider | CFO, Ministry Market (start 6/2024) |
| Carl Bo Beaudry | Ex-officio/CEO, Ministry Market (start 9/2023) |
| Michael Mccullough | Former Officer (end 11/2020) |
| Jeffrey D Nowlin | Former Officer (end 4/2023) |
| Bryanie W Swilley | Interim CEO, Ministry Market (end 9/2023) |
| Cherie French-edwards | Interim CFO, Ministry Market (start 2/2024 - End 5/2024) |
| Jeffrey a Sanders | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| World Wide Technology LLC | Technology Services | 1 WORLD WIDE WAY, Saint Louis, MO 63146-3002 | $396,084 |
| Professional Research Consultants | Healthcare Consulting | 11326 P ST, Omaha, NE 68137-2316 | $190,500 |
| Line Item | Amount |
|---|---|
| Other Expenses | $217,649,467 |
| Grants and Similar Amounts Paid | $2,280,569 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Interest | - | $16,377,993 | - | $16,377,993 |
| Insurance | - | $10,797,408 | - | $10,797,408 |
| Depreciation Depletion | $1,876,648 | $3,866,509 | - | $5,743,157 |
| Other Expenses | $23,955 | $4,780,033 | - | $4,803,988 |
| Occupancy | $849,202 | $1,749,633 | - | $2,598,835 |
| Grants to Domestic Orgs | $2,280,569 | - | - | $2,280,569 |
| Office Expenses | $16,788 | $772,119 | - | $788,907 |
| Advertising | $142,442 | $376,252 | - | $518,694 |
| Information Technology | $36,200 | $199,566 | - | $235,766 |
| Travel | $24,043 | $40,559 | - | $64,602 |
| Conferences and Meetings | $2,866 | $6,941 | - | $9,807 |
| Fees for Services Management | - | $-2,176 | - | $-2,176 |
| Fees for Services Other | $5,500 | $-647,278 | $0 | $-641,778 |
| All Other Expenses | $286,792 | $-6,118,136 | $0 | $-5,831,344 |
| Total Functional Expenses | $160,940,184 | $58,989,852 | $0 | $219,930,036 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| St John Health System Foundation Inc | St Louis, MO | 501(c)(3) | General Support | $1,873,266 |
| Tulsas Future Inc | Tulsa, OK | 501(c)(3) | Acceleration Program | $100,000 |
| Bishop Kelley High School | Tulsa, OK | 501(c)(3) | pledge to Bishop Kelley High School towards Strength/Conditioning Coach and Athletic Trainer salaries | $23,250 |
| Catholic Charities Diocese of Tulsa | Tulsa, OK | 501(c)(3) | to support the part-time case manager salary for the Pregnancy Care program in Tulsa County | $17,689 |
| St Andrew Community Mission Program Inc | Tulsa, OK | 501(c)(3) | to support the Day Labor Food Go Bags program in Tulsa | $15,000 |
| River Parks Foundation | Tulsa, OK | 501(c)(3) | to support the Park Patrol program | $13,500 |
| Project Orphans Inc | Tulsa, OK | 501(c)(3) | to support Health & Wellness Enhancement program in Creek County | $12,500 |
| B the Light Mission Foundation | Bartlesville, OK | 501(c)(3) | to support your ride voucher program in Washington County | $10,000 |
| Bartlesville Public Schools Foundation | Bartlesville, OK | 501(c)(3) | to support Bruins on the Run in Washington County | $10,000 |
| Caring Community Friends Inc | Sapulpa, OK | 501(c)(3) | to support the healthy food access programs in Creek county | $10,000 |
| Stand 4 Justice Movement | Bixby, OK | 501(c)(3) | to support your Survivor Empowerment Program | $9,775 |
| Family Safety Center | Tulsa, OK | 501(c)(3) | to support Protection Hope and Healing navigator services in Tulsa County | $9,000 |
| Mental Health Association in Tulsa Inc | Tulsa, OK | 501(c)(3) | Mental and Behavioral Support Services | $9,000 |
| Hiv Resource Consortium Inc | Tulsa, OK | 501(c)(3) | to support Mental Health services | $8,600 |
| Emergency Infant Services | Tulsa, OK | 501(c)(3) | Infant Formula Program in Tulsa | $7,500 |
| Resonance Center for Women Inc | Tulsa, OK | 501(c)(3) | to support the Substance Abuse Treatment Program | $7,500 |
| The Spring Shelter Inc | Sand Springs, OK | 501(c)(3) | to support the Mental health services for survivors of domestic abuse and sex trafficking in Tulsa County | $7,500 |
| USA Bmx Foundation Inc | Gilbert, AZ | 501(c)(3) | to support your RISE Youth Program in Tulsa County | $7,500 |
| Ywca Tulsa | Tulsa, OK | 501(c)(3) | to support the Community Investment program | $7,500 |
| Just the Beginning Inc | Tulsa, OK | 501(c)(3) | to support the #HealthyMatters substance abuse life skills classes | $7,000 |
| Family Hope House Inc | Tulsa, OK | 501(c)(3) | to support Behavioral Health Therapy Services in Tulsa County | $5,920 |
| 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 |
|---|---|
| Due to Affiliates/Centralized cash mgmt activity | $715,106,004 |
| Debt with Ascension Health Alliance | $418,769,230 |
| IBNR Capitation Claims | $12,781,000 |
| Other Miscellaneous Liabilities | $8,318,487 |
| Lease Liabilities | $842,170 |
| WORKER'S COMPENSATION LIABILITY | $731,095 |
| Accrued Real Estate Tax Liability | $30,000 |
| Accrued Sales and Use Tax Liability | $2,633 |
| Accrued Excise Tax Liability | $1,617 |
“The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.”
“Alecia Anne Siegfried, RN, Milann Siegfried and Hastings Siegfried - Family relationship”
“St. John Health System, Inc. has a single corporate member, Ascension Health.”
“St. John Health System, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. John Health System, Inc.”
“Ascension Health, the sole corporate member of St. John Health System, Inc., has designated a system authority matrix which assigns authority for key decisions that are necessary in the operation of the System. Specific areas that are identified in the authority matrix are: new organizations and major transactions; governing documents; appointments/removals; evaluations; debt limits; strategic and financial plans; assets; and system policies and procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix.”
“During the return preparation process, the tax department works with other functional areas which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax in lieu of the full board.”
“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.”
“The Organization will provide any documents open to public inspection upon request.”
“The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.”
“Other Miscellaneous Revenue - Total Revenue: 25125, Related or Exempt Function Revenue: 3667, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 21458;”
“TRANSFERS WITH AFFILIATES - -XXX-XX-XXXX; Change in Share of Investment in Net Assets - 61258; FAS 158 Pension Adjustment - -4175212;”
“The activity of the filing organization is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of the filing organization is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of the filing organization.”
“The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.”
“The physical address for this entity is 1923 south utica avenue, tulsa, ok 74104. The address on page 1 is for mailing purposes only.”
“The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist 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 |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1638922 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 712012 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | To improve the health and well-being of all people in the communities we serve. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 376252 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 142442 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 518694 |
| IRS990/AllOtherContributionsAmt | 0 | 104463 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | -6118136 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 286792 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | -5831344 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | SARA OBRIEN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3147338000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4600 EDMUNDSON ROAD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ST LOUIS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 631343806 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 6941 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 2866 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 9807 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 396084 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 190500 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1 WORLD WIDE WAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 11326 P ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SAINT LOUIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | OMAHA |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 631463002 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 681372316 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | WORLD WIDE TECHNOLOGY LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | PROFESSIONAL RESEARCH CONSULTANTS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | TECHNOLOGY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | HEALTHCARE CONSULTING |
| IRS990/ContriRptFundraisingEventAmt | 0 | 0 |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 446536 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 2280569 |
| IRS990/CYInvestmentIncomeAmt | 0 | 10450 |
| IRS990/CYOtherExpensesAmt | 0 | 217649467 |
| IRS990/CYOtherRevenueAmt | 0 | 1068352 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 133986637 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -84418061 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 219930036 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 135511975 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 55 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 3866509 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1876648 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 5743157 |
| IRS990/Desc | 0 | THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. St. John Health System, Inc. (St. John), is a wholly owned subsidiary of non-profit Ascension Health. St. John and affiliates own and operate a comprehensive tertiary health care delivery system which provides a full spectrum of health-related services in eastern Oklahoma and southeastern Kansas. St. John, headquartered in Tulsa, Oklahoma, conducts its operations through several wholly-owned or wholly-controlled subsidiaries, including: St. John Medical Center, Inc., St. John Sapulpa, Inc., Jane Phillips Memorial Medical Center, Utica Services, Inc. , Owasso Medical Facility, Inc., St. John Health System Foundation, Inc., St. John Building Corporation, St. John Broken Arrow, Inc., and Jane Phillips Nowata Hospital, Inc. St. John, these subsidiaries, and all other subsidiaries under St. John's direct or indirect control or ownership are referred to herein as "the St. John System". As the parent company of the St. John System, St. John supports the activities of Ascension Health and the entire health system by providing executive leadership, centralized support, and managerial functions. Parent-level activities in support of the St. John System include strategic planning, capital and operational budgeting, human resources administration, centralized cash management and treasury functions, accounting and financial reporting, information technology development and support, business office decision support, and other support and management functions. Some of these functions have recently been outsourced to related entities that are part of, or affiliated with, Ascension Health. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | Ascension St John |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 160940184 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FederatedCampaignsAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | -2176 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | -2176 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | -647278 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 5500 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | -641778 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 18.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | 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/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/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 25916 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 16363 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 44798 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 36779 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 18612 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 41393 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ALECIA ANNE SIEGFRIED RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ARTHUR H MCELROY II |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BRYANIE W SWILLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CARL BO BEAUDRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JEFFREY A SANDERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MILANN SIEGFRIED |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CLIFTON TAULBERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DAVID KING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | HASTINGS SIEGFRIED |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ROBERT SULLIVAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | SHAUN GREWAL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CHERIE FRENCH-EDWARDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | HEATHER A SCHNEIDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | REBECCA A TUCKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JEFFREY D NOWLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MICHAEL MCCULLOUGH |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 40215 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 370275 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 301200 |
| 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 | 301155 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 632476 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 1327274 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 914952 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | INTERIM CEO, MINISTRY MARKET (END 9/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | EX-OFFICIO/CEO, MINISTRY MARKET (START 9/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | INTERIM CFO, MINISTRY MARKET (START 2/2024 - END 5/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO, MINISTRY MARKET (START 6/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | ASSISTANT TREASURER/CFO, MINISTRY MARKET (END 2/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | FORMER OFFICER (END 4/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | FORMER OFFICER (END 11/2020) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 1982 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 225399 |
| IRS990/GrantAmt | 0 | 2280569 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 2280569 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 2280569 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 135511975 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 0 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 0 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 199566 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 36200 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 235766 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 10797408 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 10797408 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 1718959 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 1371051 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 16377993 |
| IRS990/InterestGrp/TotalAmt | 0 | 16377993 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 10450 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 10450 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 6168588 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 4719301 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 16 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 23834889 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 15411617 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 10791361 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 34626250 |
| IRS990/LegalDomicileStateCd | 0 | OK |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/PersonalAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembershipDuesAmt | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 21458 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 3667 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 25125 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -769914062 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -1134794582 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 0 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/ExclusionAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/ExclusionAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -769914062 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -1134794582 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1749633 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 849202 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 2598835 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 772119 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 16788 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 788907 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 7104000 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1189196 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -280462459 |
| IRS990/OtherExpensesGrp/Desc | 0 | Capitation Claims Expense |
| IRS990/OtherExpensesGrp/Desc | 1 | Management Fee to Affiliate |
| IRS990/OtherExpensesGrp/Desc | 2 | Wage & Benefit Allocation |
| IRS990/OtherExpensesGrp/Desc | 3 | Purchased Services |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 16912535 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 9877894 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 4780033 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 150600847 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 4794332 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 23955 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 150600847 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 16912535 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 14672226 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 4803988 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 804744600 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1156582236 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 541700 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 517919 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Research Revenues |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Telephone Revenues |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | Recycling/Scrap Income |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 0 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 468 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 2 | 389 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1042370 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1042370 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 468 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 389 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/OtherRevenueTotalAmt | 0 | 1068352 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 6917 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 14179 |
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