Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
Liabilities / Revenue
14th percentile
Higher debt load relative to revenue than 14% of similar nonprofits.
Net Margin
81st percentile
Higher net margin than 81% of similar nonprofits.
Top Officer Pay
89th percentile
Higher top officer pay than 89% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
26th percentile
Faster asset growth than 26% of similar nonprofits.
Revenue Growth
68th percentile
Faster revenue growth than 68% of similar nonprofits.
Assets
Down$402,689,472
Down $3,680,085 (-0.9%) from 2017
Net Assets
Up$350,939,296
Up $2,723,076 (+0.8%) from 2017
Liabilities
Down$51,750,176
Down $6,403,161 (-11%) from 2017
Revenue
Up$375,133,694
Up $33,120,195 (+9.7%) from 2017
Expenses
Up$302,278,462
Up $19,011,471 (+6.7%) from 2017
Net Income
Up$72,855,232
Up $14,108,724 (+24%) from 2017
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 | $120,959,956 | $151,161,673 | ▲ $30,201,717 |
| Investments in Publicly Traded Securities | $81,501,620 | $44,221,465 | ▼ $37,280,155 |
| Accounts Receivable | $25,835,819 | $43,559,058 | ▲ $17,723,239 |
| Cash and Non-Interest-Bearing Accounts | $15,610,966 | $10,374,378 | ▼ $5,236,588 |
| Inventories for Sale or Use | $5,920,326 | $7,052,326 | ▲ $1,132,000 |
| Prepaid Expenses and Deferred Charges | $3,361,627 | $2,951,348 | ▼ $410,279 |
| Intangible Assets | $2,592,529 | $2,592,529 | → $0 |
| Investments Other Securities | $818,922 | $755,293 | ▼ $63,629 |
| Other Notes and Loans Receivable, Net | $532,639 | $371,606 | ▼ $161,033 |
| 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 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $406,369,557 | $402,689,472 | ▼ $3,680,085 |
| Other Assets Total | $149,235,153 | $139,649,796 | ▼ $9,585,357 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $38,378,781 | $40,039,740 | ▲ $1,660,959 |
| Mortgage Notes Payable Secured by Investment Property | $13,206,978 | $7,354,332 | ▼ $5,852,646 |
| Other Liabilities | $6,565,553 | $4,177,900 | ▼ $2,387,653 |
| Deferred Revenue | $2,025 | $178,204 | ▲ $176,179 |
| 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 | $58,153,337 | $51,750,176 | ▼ $6,403,161 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $203,091,066 | $215,231,438 | ▲ $12,140,372 |
| Temporarily Rstr Net Assets | $145,125,154 | $135,707,858 | ▼ $9,417,296 |
| Permanently Rstr Net Assets | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $348,216,220 | $350,939,296 | ▲ $2,723,076 |
| Total Liabilities and Net Assets / Fund Balance | $406,369,557 | $402,689,472 | ▼ $3,680,085 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $73,352,813 | $126,155,660 | $199,508,473 |
| Buildings | $34,160,719 | $64,419,825 | $98,580,544 |
| Other Land Buildings | $38,525,163 | $1,819,292 | $40,344,455 |
| Land | $5,122,978 | - | $5,122,978 |
| Leasehold Improvements | $0 | $1,381 | $1,381 |
| Other Assets Org | $109,675 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Bryan Horner | Former CEO/president | - | $66,562 | $2,480,087 | $2,546,649 |
| Kelly Shane Plymell | CEO/president | PT | $609,536 | $156,330 | $765,866 |
| Chris Barnett Md | Medical Director | FT | $573,683 | $86,645 | $660,328 |
| Irvin Zeitler Md | Medical Director (thru 12/31/17) | FT | $466,510 | $142,349 | $608,859 |
| Lisa Hill | General Counsel | FT | $339,577 | $117,120 | $456,697 |
| Pam Bradshaw | CNO/COO | PT | $335,227 | $97,191 | $432,418 |
| Staci Wetz | CFO | PT | $325,074 | $100,696 | $425,770 |
| Margaret Benson | Chief Compliance Officer | FT | $202,535 | $13,791 | $216,326 |
| Stephen Lubke | Director of Pharmacy | FT | $188,587 | $12,529 | $201,116 |
| Greg Wheeler | Director of Reimbursement | FT | $183,309 | $12,030 | $195,339 |
| James Naylor | Chief Echo Sonographer | FT | $176,972 | $17,775 | $194,747 |
| Stephanie Mccann | Assistant Director of Pharmacy | FT | $174,760 | $14,514 | $189,274 |
| Steve Cecil | Trustee | - | $23,650 | $32,373 | $56,023 |
| Joe Henderson | Trustee | - | $25,900 | $28,160 | $54,060 |
| Oran Berry | Trustee | - | $22,450 | $27,499 | $49,949 |
| Michael Oliphant | Trustee | - | $22,900 | $26,245 | $49,145 |
| Michael Ted Weatherford | Trustee | - | $22,300 | $24,038 | $46,338 |
| Joanna Rice | Director | - | $23,800 | - | $23,800 |
| Angela Williams | Director | - | $23,200 | - | $23,200 |
| Pamela Talley | Director | - | $22,950 | - | $22,950 |
| Virginia Noelke | Director | - | $22,950 | - | $22,950 |
| Mike Boyd | Trustee | - | - | $12,291 | $12,291 |
| Len Mertz | Chairman/trustee | - | - | $7,151 | $7,151 |
| Name | Title |
|---|---|
| Andrew Hume Md | Director |
| Michelle Snuggs Md | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Hoar Construction LLC | Construction | TWO METROPLEX DRIVE SUITE 400, Birmingham, AL 35209 | $24,711,136 |
| Lott Brothers Construction Co | Construction | PO BOX 203594, Austin, TX 78720 | $5,991,547 |
| Avant Healthcare Professionals | Contract Labor | PO BOX 744557, Atlanta, GA 30374-4554 | $2,352,369 |
| Health Carousel LLC | Contract Labor | P0 BOX 714216, Cincinnati, OH 45271 | $2,316,754 |
| Stoltenberg Consulting INC | Tech Consulting | 5815 LIBRARY RD, Bethel Park, PA 15102 | $716,473 |
| Line Item | Amount |
|---|---|
| Other Expenses | $183,323,665 |
| Salaries, Compensation, and Employee Benefits | $118,670,480 |
| Grants and Similar Amounts Paid | $284,317 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $75,465,024 | $19,469,430 | - | $94,934,454 |
| Fees for Services Other | $20,369,179 | $18,229,391 | - | $38,598,570 |
| Depreciation Depletion | $12,481,137 | $4,960,248 | - | $17,441,385 |
| Other Employee Benefits | $6,560,909 | $2,068,689 | - | $8,629,598 |
| Information Technology | $3,466,514 | $3,723,982 | - | $7,190,496 |
| Payroll Taxes | $4,980,537 | $1,633,308 | - | $6,613,845 |
| Current Officers, Directors, Trustees, and Key Employees | - | $5,719,115 | - | $5,719,115 |
| Office Expenses | $421,199 | $5,056,691 | - | $5,477,890 |
| Occupancy | $599,912 | $2,084,817 | - | $2,684,729 |
| Pension Plan Contributions | $2,196,019 | $415,469 | - | $2,611,488 |
| All Other Expenses | $1,055,817 | $614,321 | - | $1,670,138 |
| Other Expenses | $1,911,105 | $1,106,548 | - | $1,106,548 |
| Advertising | $24,444 | $889,334 | - | $913,778 |
| Insurance | - | $894,035 | - | $894,035 |
| Travel | $228,195 | $246,044 | - | $474,239 |
| Grants to Domestic Orgs | $284,317 | - | - | $284,317 |
| Fees for Services Management | - | $254,939 | - | $254,939 |
| Comp Disqual Persons | $161,980 | - | - | $161,980 |
| Fees for Services Accounting | - | $114,657 | - | $114,657 |
| Fees for Services Legal | - | $67,900 | - | $67,900 |
| Total Functional Expenses | $234,649,158 | $67,629,304 | $0 | $302,278,462 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $302,278,462 |
| Expenses per Audited Statements | $276,425,840 |
| Total Expenses per Audited Statements | $276,425,840 |
| Expenses Not Reported on Financial Statements | $25,852,622 |
| Other Expense Adjustments | $25,852,622 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Texas Care Alliance | Dallas, TX | 501(c)(3) | Operating Cost Paid-in Capital | $150,461 |
| Howard College | San Angelo, TX | 501(c)(3) | Adn & Lvn to Rn Program | $20,000 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Diane Zeitler | DR IRVIN ZEITLER'S SPOUSE | Employed by Smc | No | $161,980 |
| 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 | $1,504,800 |
| Accrued Pension Cost | $1,153,168 |
| Asset Retirement Obligation | $1,027,044 |
| Due to/from third party payors | $363,907 |
| Long Term Incentive Accrual | $128,981 |
“Classes of members or stockholders margaret shannon estate, a testamentary trust, is the sole member of the organization.”
“Members or stockholders who can elect members of the governing body 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.”
“Decisions of the governing body subject to approval approval of the sole member, the trustees of shannon west texas memorial hospital, 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 contract in which the corporation assumes financial risk.”
“Process to review the form 990 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. The organization's finance committee will review after the form is filed.”
“Process for monitoring compliance with conflict of interest policy 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.”
“Review of compensation integrated health strategies did an executive compensation study in 2015 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.”
“Governing documents available to the public the organizations governing documents, conflict of interest policy, and financial statements are available to the public upon request.”
“Change to governing documents smc amended their bylaws effective 10/4/2018 to change its sole member from margaret shannon estate to shannon health system.”
“Other changes in net assets of fund balances transfers to/from affiliates $ (60,028,899) change in shannon trust net assets 25,582,704 net assets released from restriction (35,000,000) --------------- $ (69,446,195)”
“Income & expenses included in form 990 not on books bad debt (included w/ revenue on audit) $ 25,682,368 grants included in revenue on audit 284,317 other 114,060 ----------- $ 25,852,622”
“Income included on the return not on books contributions recorded to net assets $ 36,540,547”
“Uncertain tax positions management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 38378781 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 40039740 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 25835819 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 43559058 |
| 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 | 889334 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 24444 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 913778 |
| IRS990/AllOtherContributionsAmt | 0 | 1599 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 614321 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1055817 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1670138 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | SHANNON MEDICAL CENTER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3256536741 |
| 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/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | true |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 15610966 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 10374378 |
| IRS990/ChangeToOrgDocumentsInd | 0 | true |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 17 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 5719115 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 5719115 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 161980 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 161980 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 24711136 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 5991547 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2352369 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 2316754 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 716473 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | TWO METROPLEX DRIVE SUITE 400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 203594 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 744557 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | P0 BOX 714216 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 5815 LIBRARY RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | BIRMINGHAM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | AUSTIN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CINCINNATI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BETHEL PARK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | AL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 35209 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 78720 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 303744554 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 45271 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 15102 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | HOAR CONSTRUCTION LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | LOTT BROTHERS CONSTRUCTION CO |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | AVANT HEALTHCARE PROFESSIONALS |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | HEALTH CAROUSEL LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | STOLTENBERG CONSULTING INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONTRACT LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONTRACT LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | TECH CONSULTING |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 36677337 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 284317 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2826890 |
| IRS990/CYOtherExpensesAmt | 0 | 183323665 |
| IRS990/CYOtherRevenueAmt | 0 | 2528843 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 333100624 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 72855232 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 118670480 |
| IRS990/CYTotalExpensesAmt | 0 | 302278462 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 375133694 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2025 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 178204 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 4960248 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 12481137 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 17441385 |
| 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/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 2423 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 234649158 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 114657 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 114657 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 67900 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 67900 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 254939 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 254939 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 18229391 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 20369179 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 38598570 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 18.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 38.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 24.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 38.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 24.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.0 |
| 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 | 16.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 32.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 16.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 38.0 |
| 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 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | 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/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 3743 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 545 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 799 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 291 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 545 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 10373 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 38 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 82414 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 92952 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 81808 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 46879 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 48720 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 72392 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 56571 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 67732 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 13791 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 12529 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 14514 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 12030 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 17775 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 2326 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LEN MERTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JOE HENDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ORAN BERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | VIRGINIA NOELKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MIKE BOYD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MICHAEL OLIPHANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | STEVE CECIL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOANNA RICE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | PAMELA TALLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MICHAEL TED WEATHERFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MICHELLE SNUGGS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ANGELA WILLIAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KELLY SHANE PLYMELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ANDREW HUME MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | PAM BRADSHAW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | STACI WETZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | IRVIN ZEITLER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CHRIS BARNETT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | LISA HILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MARGARET BENSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | STEPHEN LUBKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | STEPHANIE MCCANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | GREG WHEELER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JAMES NAYLOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | BRYAN HORNER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 25900 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 22450 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 22950 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 22900 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 23650 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 23800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 22950 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 22300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 23200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 672914 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 385539 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 377050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 536467 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 603757 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 388965 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 202535 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 188587 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 174760 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 183309 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 176972 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 2544323 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 3408 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 27615 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 26700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 12000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 25700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 22000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 24000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 873477 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 773021 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN/TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CEO/PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CNO/COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | MEDICAL DIR. (THRU 12/31/17) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | GENERAL COUNSEL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CHIEF COMPLIANCE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DIRECTOR OF PHARMACY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | ASSISTANT DIRECTOR OF PHARMACY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DIRECTOR OF REIMBURSEMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | CHIEF ECHO SONOGRAPHER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | FORMER CEO/PRESIDENT |
| 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/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 15197 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 2101743 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GrantAmt | 0 | 284317 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 284317 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 284317 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 15197 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 2101743 |
| IRS990/GrossReceiptsAmt | 0 | 375133694 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 82 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3723982 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 3466514 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 7190496 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 894035 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 894035 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 2592529 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 2592529 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 5920326 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 7052326 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 681899 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 709950 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 28051 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 818922 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 755293 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 81501620 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 44221465 |
| IRS990/IRPDocumentCnt | 0 | 190 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 192396158 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 120959956 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 151161673 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 343557831 |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.