Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
EIN 75-2559845 • 501(c)3 • San Angelo, TX
Profile
Founded on a legacy of caring, shannon is a locally owned healthcare system dedicated to providing exceptional healthcare for our family, friends and neighbors.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
Liabilities / Revenue
21st percentile
Higher debt load relative to revenue than 21% of similar nonprofits.
Net Margin
74th percentile
Higher net margin than 74% of similar nonprofits.
Top Officer Pay
68th percentile
Higher top officer pay than 68% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
23rd percentile
Faster asset growth than 23% of similar nonprofits.
Revenue Growth
68th percentile
Faster revenue growth than 68% of similar nonprofits.
Assets
Down$562,463,902
Down $3,606,354 (-0.6%) from 2023
Liabilities
Up$129,622,239
Up $15,922,858 (+14%) from 2023
Net Assets
Down$432,841,663
Down $19,529,212 (-4.3%) from 2023
Revenue
Up$740,314,136
Up $85,477,596 (+13%) from 2023
Expenses
Up$630,363,718
Up $70,799,324 (+13%) from 2023
Net Income
Up$109,950,418
Up $14,678,272 (+15%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Founded on a legacy of caring, shannon is a locally owned healthcare system dedicated to providing exceptional healthcare for our family, friends and neighbors.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $284,634,865 | $294,389,860 | ▲ $9,754,995 |
| Accounts Receivable | $56,804,688 | $65,681,688 | ▲ $8,877,000 |
| Investments in Publicly Traded Securities | $42,827,512 | $15,884,427 | ▼ $26,943,085 |
| Inventories for Sale or Use | $10,098,067 | $11,076,561 | ▲ $978,494 |
| Prepaid Expenses and Deferred Charges | $10,052,449 | $9,189,888 | ▼ $862,561 |
| Intangible Assets | $4,734,992 | $7,092,145 | ▲ $2,357,153 |
| Other Notes and Loans Receivable, Net | $2,278,481 | $2,587,425 | ▲ $308,944 |
| Investments Other Securities | $831,752 | $839,540 | ▲ $7,788 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Savings and Temporary Cash Investments | $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 Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $566,070,256 | $562,463,902 | ▼ $3,606,354 |
| Other Assets Total | $153,807,450 | $155,722,368 | ▲ $1,914,918 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $77,150,013 | $71,896,550 | ▼ $5,253,463 |
| Mortgage Notes Payable Secured by Investment Property | $29,736,969 | $47,545,178 | ▲ $17,808,209 |
| Other Liabilities | $6,589,904 | $6,965,300 | ▲ $375,396 |
| Deferred Revenue | $222,495 | $3,215,211 | ▲ $2,992,716 |
| Grants Payable | $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 | $113,699,381 | $129,622,239 | ▲ $15,922,858 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $313,729,491 | $273,161,691 | ▼ $40,567,800 |
| Net Assets With Donor Restrictions | $138,641,384 | $159,679,972 | ▲ $21,038,588 |
| Total Net Assets Fund Balance | $452,370,875 | $432,841,663 | ▼ $19,529,212 |
| Total Liabilities and Net Assets / Fund Balance | $566,070,256 | $562,463,902 | ▼ $3,606,354 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $84,113,408 | $227,042,982 | $311,156,390 |
| Buildings | $189,038,142 | $109,120,333 | $298,158,475 |
| Other Land Buildings | $11,901,302 | $2,581,166 | $14,482,468 |
| Land | $9,253,727 | - | $9,253,727 |
| Leasehold Improvements | $83,281 | $18,583 | $101,864 |
| Other Assets Org | $-6,760,416 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Kelly Shane Plymell | President/CEO | PT | $822,981 | $450,140 | $1,273,121 |
| Pamela J Bradshaw | Vice President/COO | PT | $396,182 | $268,418 | $664,600 |
| Joseph Wooldridge | Vice President/CFO | FT | $385,771 | $221,523 | $607,294 |
| Dr Michael Wood | Vice President/CMO (start 10/01/23) | FT | $422,808 | $164,893 | $587,701 |
| Allan Graves | General Counsel/Chief Legal Officer | FT | $354,286 | $214,986 | $569,272 |
| Rebecca Fuentes | Vice President/CNO | PT | $253,600 | $97,517 | $351,117 |
| Michael P Russell | Chief Information Officer | FT | $262,958 | $46,620 | $309,578 |
| Ana Mihail | Physicist | FT | $286,355 | $20,970 | $307,325 |
| James Naylor | Chief Echo Sonographer | FT | $229,717 | $32,227 | $261,944 |
| Diego J Jimenez | registered nurse | FT | $227,505 | $3,375 | $230,880 |
| Stephanie McCann | IP Pharmacy Director | FT | $199,066 | $31,039 | $230,105 |
| Dr James C Barnett | Vice President/CMO | PT | $101,479 | $44,559 | $146,038 |
| Oran Berry III | Vice Chairman/Trustee | - | $22,250 | $50,397 | $72,647 |
| Michael Oliphant | Secretary/Treasurer/Trustee | - | $22,350 | $50,227 | $72,577 |
| Steve Cecil | Trustee | - | $24,250 | $47,681 | $71,931 |
| Michael Ted Weatherford | Trustee | - | $20,750 | $49,486 | $70,236 |
| Freddy L Moore | Trustee | - | $24,350 | $30,050 | $54,400 |
| Jeffrey McCormick | Trustee | - | $24,350 | $30,050 | $54,400 |
| Len Mertz | Chairman/Trustee | - | $22,259 | - | $22,259 |
| Will Griffis Jr | Director | - | $22,100 | - | $22,100 |
| James A Boyd Jr | Director | - | $21,100 | - | $21,100 |
| Martha Visney | Director | - | $20,850 | - | $20,850 |
| Jason Felger | Director | - | $20,000 | $970,768 | $20,000 |
| Mario Castillo | Director | - | $18,600 | - | $18,600 |
| Name | Title |
|---|---|
| Ross Harper | Director |
| Dr Andrew Hume | Former Director |
| Dr Michelle Snuggs | Former Director |
| Joe Henderson | Former Trustee |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Lott Brothers Construction Co | construction services | PO BOX 203594, DEPT 41074, austin, TX 78720 | $15,055,527 |
| Health Carousel LLC | Contract Labor | PO BOX 714216, SUITE 870, Cincinnati, OH 45271-4216 | $539,031 |
| Propath Services LLP | Reference Lab Service | P O BOX 660811, dallas, TX 75266-0811 | $346,244 |
| Padilla Painting LLC | Painting Services | 2206 W AVENUE N, san angelo, TX 76904 | $295,714 |
| Tonn & Associates And Don Gilbert | Industry Consulting | 401 WEST 15TH ST, austin, TX 78701 | $255,000 |
| Line Item | Amount |
|---|---|
| Other Expenses | $398,591,281 |
| Salaries, Compensation, and Employee Benefits | $231,707,437 |
| Grants and Similar Amounts Paid | $65,000 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $148,537,056 | $38,722,080 | - | $187,259,136 |
| Fees for Services Other | $40,609,255 | $32,793,730 | $0 | $73,402,985 |
| Depreciation Depletion | $20,762,096 | $12,021,229 | - | $32,783,325 |
| Other Employee Benefits | $18,404,883 | $5,633,030 | - | $24,037,913 |
| Payroll Taxes | $8,981,872 | $2,575,570 | - | $11,557,442 |
| Information Technology | $5,673,028 | $4,496,230 | - | $10,169,258 |
| Office Expenses | $1,160,224 | $8,058,636 | - | $9,218,860 |
| Occupancy | $2,232,559 | $3,199,936 | - | $5,432,495 |
| Other Expenses | $4,828,073 | $2,496,947 | - | $4,828,073 |
| All Other Expenses | $1,392,098 | $3,021,336 | $0 | $4,413,434 |
| Pension Plan Contributions | $3,741,956 | $648,638 | - | $4,390,594 |
| Current Officers, Directors, Trustees, and Key Employees | - | $3,965,197 | - | $3,965,197 |
| Insurance | - | $2,754,096 | - | $2,754,096 |
| Interest | - | $1,809,143 | - | $1,809,143 |
| Advertising | $69,059 | $1,163,177 | - | $1,232,236 |
| Travel | $425,300 | $590,129 | - | $1,015,429 |
| Fees for Services Legal | - | $808,390 | - | $808,390 |
| Comp Disqual Persons | - | $497,155 | - | $497,155 |
| Fees for Services Management | - | $251,750 | - | $251,750 |
| Fees for Services Accounting | - | $147,247 | - | $147,247 |
| Grants to Domestic Orgs | $65,000 | - | - | $65,000 |
| Total Functional Expenses | $469,626,224 | $160,737,494 | $0 | $630,363,718 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $630,363,718 |
| Expenses per Audited Statements | $549,720,936 |
| Total Expenses per Audited Statements | $549,497,591 |
| Expenses Not Reported on Financial Statements | $80,642,782 |
| Other Expense Adjustments | $80,642,782 |
| Expenses Not Reported on Form 990 | $-223,345 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Howard College | San Angelo, TX | 501(c)(3) | Adn & Lvn to Rn Program | $65,000 |
| Line Item | Amount |
|---|---|
| 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 |
|---|---|
| Malpractice Costs | $3,558,746 |
| Accrued Pension Cost | $1,986,606 |
| Asset Retirement Obligation | $1,245,548 |
| Long Term Incentive Accrual | $174,400 |
“Shannon health system is the sole member of the organization.”
“The board of directors shall consist of each of the seven trustees of the margaret shannon estate, a testamentary trust. The other directors shall consist of representatives of the community and members of the medical staff of the hospital, to number in aggregate not more than seven who are appointed by the member and the chief executive officer of the corporation.”
“Approval of the sole member, shannon health system, is required for budgets, large financial expenditures that deviate from budget, sale of property, merger, acquisition, or consolidation, borrowing of money, seeking or giving grants, settlement of claims or litigation, amendment of bylaws, and contracts in which the corporation assumes financial risk.”
“The organization engages an outside accounting firm to prepare form 990. Once prepared, the form is reviewed by the organization's internal accountants prior to filing.”
“We regularly audit for conflict of interest statements in the employees records. Procedure for monitoring: 1. Within 90 days of becoming an affected individual, that individual must review this policy and complete an smc conflict of interest disclosure form. 2. At least annually thereafter, affected individuals must review this policy and complete a conflict of interest disclosure form. 3. The conflict of interest disclosure form should be sent to the smc compliance officer. 4. At any time when an actual, potential, or perceived conflict of interest arises, the affected individual must revise his or her conflict of interest disclosure form and contact the smc compliance officer. The responsibility to promptly report such actual or potential conflicts rests with the affected individual. 5. The smc compliance officer will review disclosures and determine which require further action with the smc general counsel and appropriate smc executive staff.”
“Gallagher completed an executive compensation study in october 2022, and it covered all executive salaries. Executive compensation is reviewed annually by the board of trustees' operations committee, which consults comparability data and keeps contemporaneous records of its decisions.”
“Gallagher completed an executive compensation study in october 2022, and it covered all executive salaries. Executive compensation is reviewed annually by the board of trustees' operations committee, which consults comparability data and keeps contemporaneous records of its decisions.”
“The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.”
“misc - Total Revenue: 408873, Related or Exempt Function Revenue: 397534, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 11339;”
“Outside Services - Total Expense: 8152198, Program Service Expense: 5754608, Management and General Expenses: 2397590, Fundraising Expenses: ; Physician Fees - Total Expense: 38701143, Program Service Expense: 34599976, Management and General Expenses: 4101167, Fundraising Expenses: ; Consulting Services - Total Expense: 26543124, Program Service Expense: 248151, Management and General Expenses: 26294973, Fundraising Expenses: ; Other Services - Total Expense: 6520, Program Service Expense: 6520, Management and General Expenses: 0, Fundraising Expenses: ;”
“Transfers to/from affiliates - -xxx-xx-xxxx; change in trust assets - 20776641; net assets released from restriction - -1046691; activity of affiliates in net assets - 223345; contribution from trust - 12000000; other changes - -175011;”
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
“Bad debt - -80577782 grants/contributions - -65000”
“Contributions Recorded to Net Assets - 168119”
“Activity of affiliates recorded to net assets - -223345”
“Bad debt - 80577782 grants/contributions - 65000”
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 | 77150013 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 71896550 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 56804688 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 65681688 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1163177 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 69059 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1232236 |
| IRS990/AllOtherContributionsAmt | 0 | 60455 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 3021336 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1392098 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 4413434 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JOSEPH WOOLDRIDGE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3257476741 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 120 E HARRIS AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SAN ANGELO |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 76903 |
| 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 | 14 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 3965197 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3965197 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 497155 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 497155 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 15055527 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 539031 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 346244 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 295714 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 255000 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 203594 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 714216 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | P O BOX 660811 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 2206 W AVENUE N |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 401 WEST 15TH ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 0 | DEPT 41074 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 1 | SUITE 870 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | austin |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CINCINNATI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | san angelo |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | austin |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 78720 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 452714216 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 752660811 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 76904 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 78701 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | LOTT BROTHERS CONSTRUCTION CO |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | HEALTH CAROUSEL LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | PROPATH SERVICES LLP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | PADILLA PAINTING LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | TONN & ASSOCIATES AND DON GILBERT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | construction services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONTRACT LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Reference Lab Service |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Painting Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Industry Consulting |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 228574 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 65000 |
| IRS990/CYInvestmentIncomeAmt | 0 | -525544 |
| IRS990/CYOtherExpensesAmt | 0 | 398591281 |
| IRS990/CYOtherRevenueAmt | 0 | 3646165 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 736964941 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 109950418 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 231707437 |
| IRS990/CYTotalExpensesAmt | 0 | 630363718 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 740314136 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 222495 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 3215211 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 12021229 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 20762096 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 32783325 |
| IRS990/Desc | 0 | PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 138641384 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 159679972 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 3084 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 469626224 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 147247 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 147247 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 808390 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 808390 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 251750 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 251750 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 32793730 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 40609255 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 73402985 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 24.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 38.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 44.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 44.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 18.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 38.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 32.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 24.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 32.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | 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/OtherCompensationAmt | 0 | 134816 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 109538 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 100437 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 66280 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 99651 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 100954 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 97550 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 19599 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 1977 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 30829 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 31620 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 21039 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 121002 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 50089 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 110038 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 48792 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Kelly Shane Plymell |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Len Mertz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Michael Oliphant |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Oran Berry III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Freddy L Moore |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | James A Boyd Jr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JASON FELGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Jeffrey McCormick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Mario Castillo |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Martha Visney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Michael Ted Weatherford |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ROSS HARPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Steve Cecil |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Will Griffis Jr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Dr Michael Wood |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Joseph Wooldridge |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Pamela J Bradshaw |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Allan Graves |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Ana Mihail |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Diego J Jimenez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | James Naylor |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Michael P Russell |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Stephanie McCann |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Dr Andrew Hume |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Dr James C Barnett |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | Dr Michelle Snuggs |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | Joe Henderson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | Rebecca Fuentes |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1138305 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 22259 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 22350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 22250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 24350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 21100 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 20000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 24350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 18600 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 20850 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 20750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 24250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 22100 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 522892 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 507643 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 563646 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 471722 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 287726 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 228903 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 231115 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 277958 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 209066 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 101479 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 302325 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 50227 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 50397 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 30050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 861230 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 30050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 49486 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 1102568 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 47681 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 53063 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 881869 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 139412 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 1071763 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 20177 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Chairman/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary/Treasurer/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Vice Chairman/Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Vice President/CMO (start 10/01/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Vice President/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Vice President/COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | General Counsel/Chief Legal Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | registered nurse |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | CHIEF ECHO SONOGRAPHER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CHIEF INFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | IP Pharmacy Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Former Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Vice President/CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Former Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | Former Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | Vice President/CNO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -168059 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -1670914 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GrantAmt | 0 | 65000 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 65000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 65000 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 742153109 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 259 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 4496230 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 5673028 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 10169258 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 2754096 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2754096 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 4734992 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 7092145 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1809143 |
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