Liabilities / Assets
92nd percentile
Higher debt load relative to assets than 92% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
92nd percentile
Higher debt load relative to assets than 92% of similar nonprofits.
Liabilities / Revenue
27th percentile
Higher debt load relative to revenue than 27% of similar nonprofits.
Net Margin
7th percentile
Higher net margin than 7% of similar nonprofits.
Top Officer Pay
99th percentile
Higher top officer pay than 99% of similar nonprofits.
Top officer pay equals 3.0% of source-year revenue.
Asset Growth
11th percentile
Faster asset growth than 11% of similar nonprofits.
Revenue Growth
75th percentile
Faster revenue growth than 75% of similar nonprofits.
Assets
Down$38,695,692
Down $1,718,754 (-4.3%) from 2018
Net Assets
Down-$529,231
Down $5,556,561 (-111%) from 2018
Liabilities
Up$39,224,923
Up $3,837,807 (+11%) from 2018
Revenue
Up$192,726,172
Up $22,604,586 (+13%) from 2018
Expenses
Up$249,972,073
Up $25,061,717 (+11%) from 2018
Net Income
Down-$57,245,901
Down $2,457,131 (-4.5%) from 2018
Our mission is to be the premier health care provider of physician services in the communities we serve utilizing the resources available to us. We strive to provide the best access, service and medical management available to our patients while simultaneously protecting the viability of our organization and its employees.
Founded on a legacy of caring, shannon is a locally owned healthcare dedicated to providing exceptional healthcare for our family, friends, and neighbors.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $16,757,132 | $13,802,099 | ▼ $2,955,033 |
| Land, Buildings, and Equipment, Net | $3,384,396 | $2,760,787 | ▼ $623,609 |
| Other Notes and Loans Receivable, Net | $409,181 | $912,869 | ▲ $503,688 |
| Inventories for Sale or Use | $474,274 | $577,201 | ▲ $102,927 |
| Prepaid Expenses and Deferred Charges | $831,077 | $564,731 | ▼ $266,346 |
| 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 Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $40,414,446 | $38,695,692 | ▼ $1,718,754 |
| Other Assets Total | $18,558,386 | $20,078,005 | ▲ $1,519,619 |
| Liabilities | |||
| Other Liabilities | $23,077,293 | $26,232,862 | ▲ $3,155,569 |
| Accounts Payable and Accrued Expenses | $12,309,823 | $12,992,061 | ▲ $682,238 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $35,387,116 | $39,224,923 | ▲ $3,837,807 |
| Net Assets / Fund Balance | |||
| Permanently Rstr Net Assets | $0 | $0 | → $0 |
| Temporarily Rstr Net Assets | $0 | $0 | → $0 |
| Unrestricted Net Assets | $5,027,330 | $-529,231 | ▼ $5,556,561 |
| Total Net Assets Fund Balance | $5,027,330 | $-529,231 | ▼ $5,556,561 |
| Total Liabilities and Net Assets / Fund Balance | $40,414,446 | $38,695,692 | ▼ $1,718,754 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $2,760,787 | $16,111,017 | $18,871,804 |
| Other Assets Org | $20,078,005 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Luis Duarte | Physician | FT | $2,463,342 | $3,306,277 | $5,769,619 |
| Christopher Haddad | Physician | FT | $806,835 | $1,196,743 | $2,003,578 |
| Rudy Haddad | Physician/chairman | FT | $776,058 | $1,039,379 | $1,815,437 |
| Steve Ritter | Physician | FT | $349,200 | $1,273,173 | $1,622,373 |
| David Huchton | Physician | FT | $912,111 | $533,434 | $1,445,545 |
| Ross Harper | Physician/board Director | FT | $616,243 | $438,590 | $1,054,833 |
| Chris Cole | Physician/former Officer | FT | $605,665 | $429,764 | $1,035,429 |
| Lindy Bankes | Physician/board Secretary | FT | $490,731 | $468,278 | $959,009 |
| Jason Felger | Physician/medical Director | FT | $650,606 | $274,816 | $925,422 |
| Caleb Vosburg | Physician/board Director | FT | $507,303 | $384,288 | $891,591 |
| Andrew T Kingman | Physician/medical Director | FT | $465,248 | $318,638 | $783,886 |
| Jenny Wiggins-smith | Physician/medical Director | FT | $309,838 | $445,773 | $755,611 |
| Joe Mims | Physician/board Director | FT | $394,819 | $327,379 | $722,198 |
| Linda Adams | Physician/former Officer | FT | $412,019 | $258,218 | $670,237 |
| David Boswell | Physician/medical Director | FT | $302,580 | $279,584 | $582,164 |
| Sarah Jackson Vance | PHYSICIAN/CHairman | FT | $288,869 | $245,401 | $534,270 |
| Paul Borgfeld | Physician/medical Director | FT | $397,851 | $121,267 | $519,118 |
| Joe Harvey | Physician/former Officer | FT | $281,244 | $227,682 | $508,926 |
| Vicki Forland Halfmann | Physician/board Director | FT | $219,771 | $238,218 | $457,989 |
| James Melott | Physician | FT | $213,326 | $236,957 | $450,283 |
| Doug Schultz | Physician/medical Director | FT | $317,347 | $106,390 | $423,737 |
| Norma Cerna | Physician/board Director | FT | $196,455 | $208,593 | $405,048 |
| Irvin Zietlermd | Former Medical Director | - | $151,851 | $183,083 | $183,083 |
| Name | Title |
|---|---|
| Kelly Shane Plymell | CEO/president |
| Chris Barnett Md | Chief Medical Director |
| julian beseril | CFO, start: 05/19 |
| staci wetz | former CFO |
| Lisa Hill | General Counsel |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Shannon Medical Management | Management Services | 120 E BEAUREGARD, San Angelo, TX 76903 | $62,201,390 |
| Arup Laboratories | Outside Lab Services | 500 CHIPETA WAY, Salt Lake City, UT 84108 | $1,438,971 |
| Shannon Medical Center | Lab & Laundry Svcs | 120 E HARRIS, San Angelo, TX 76903 | $1,372,119 |
| Stone Settle Advertising INC | Advertising | PO BOX 60187, San Angelo, TX 76906 | $459,041 |
| Pulmonary Critical Care Consultan | Locums Services | 1305 W 34TH STREET STE 400, Austin, TX 78705 | $400,000 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $126,786,137 |
| Other Expenses | $123,180,936 |
| Grants and Similar Amounts Paid | $5,000 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $97,909,539 | $999,284 | - | $98,908,823 |
| Fees for Services Management | $54,689,441 | $9,651,078 | - | $64,340,519 |
| Current Officers, Directors, Trustees, and Key Employees | $9,659,575 | - | - | $9,659,575 |
| Fees for Services Other | $8,870,019 | $89,738 | - | $8,959,757 |
| Pension Plan Contributions | $7,342,847 | $59,356 | - | $7,402,203 |
| Comp Disqual Persons | $4,542,011 | - | - | $4,542,011 |
| Payroll Taxes | $3,841,889 | $14,395 | - | $3,856,284 |
| Other Employee Benefits | $2,406,372 | $10,869 | - | $2,417,241 |
| Insurance | $1,417,616 | $72,794 | - | $1,490,410 |
| Depreciation Depletion | $990,808 | $174,849 | - | $1,165,657 |
| Other Expenses | $810,146 | $4,546 | - | $814,692 |
| All Other Expenses | $811,129 | - | - | $811,129 |
| Office Expenses | $482,369 | $9,773 | - | $492,142 |
| Travel | $453,022 | - | - | $453,022 |
| Fees for Services Accounting | - | $45,367 | - | $45,367 |
| Occupancy | $30,957 | $5,474 | - | $36,431 |
| Advertising | $32,628 | - | - | $32,628 |
| Information Technology | $31,312 | - | - | $31,312 |
| Grants to Domestic Orgs | $5,000 | - | - | $5,000 |
| Total Functional Expenses | $238,834,550 | $11,137,523 | $0 | $249,972,073 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $249,972,073 |
| Expenses per Audited Statements | $153,465,746 |
| Total Expenses per Audited Statements | $153,465,746 |
| Expenses Not Reported on Financial Statements | $96,506,327 |
| Other Expense Adjustments | $96,506,327 |
| 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 |
|---|---|---|---|---|
| Chris Haddad | RUDY HADDAD'S BROTHER | Shannon Clinic Employee | No | $1,913,297 |
| Rudy Haddad | CHRIS HADDAD'S BROTHER | Shannon Clinic Employee | No | $1,701,652 |
| david vance | sarah jackson vance's spouse | Shannon Clinic Employee | No | $524,906 |
| 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 |
|---|---|
| Pension Fund Liability | $22,959,085 |
| Estimated Malpractice Costs | $2,800,720 |
| Health Claims Payable | $473,057 |
“Control of management duties: administrative services for shannon clinic are contracted with shannon medical management, a related organization.”
“Members or stockholders: shannon health system, a 501(c)(3) organization, is the sole member of shannon clinic.”
“Power to elect members to the governing body: the sole member, shannon health system, appoints the members of the board of directors. The member exercises its powers and authority through the action of the chairman of the board of directors of the member or such other person or persons designated by the board of directors of the member to take action.”
“Approval of governance decisions: the member has the sole authority to act with respect to a variety of subjects including budgeting, incurrence or guarantee of any debt, creation or sale of any subsidiaries, real property transactions, modifications of the corporation, arrangements between the corporation and any insurer, establishment of training and residency programs, giving and receiving grants, auditor and legal counsel selection, approval, adoption, or amendment of: compensation policy that establishes reasonable salaries of officers, directors, physicians and physician extenders, insurance coverage and fee schedules relating to patient services, commencement of litigation by the corporation, selection and approval of the location of the provision of any services offered by the corporation and any other matters with respect to which exclusive authority is granted to the member by law, the articles, or the bylaws.”
“Review process for 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 member's finance committee will review before the form is filed.”
“Conflict of interest: officers, directors, and key employees of shannon clinic are employed by shannon medical center or its affiliates, and as such are required to disclose conflicts of interest as they arise, and are required to file annual statements affirming either the conflicts of interest that they may have, or that they have no conflicts of interest.”
“Officers, directors, and key employees of shannon clinic are employed by shannon medical center or its affiliates, and as such have their compensation reviewed annually by the independent shannon medical center board of trustees, which consults comparability data and keeps contemporaneous records of its decisions.”
“Process of making governing documents available to the public: copies of governing documents, conflict of interest policies and financial statements are provided to the public upon request.”
“OTHER CHANGES IN NET ASSETS: TRANSFER TO Shannon Medical Center $(6,438,954) TRANSFER TO SHANNON BUSINESS SERVICES $(61,874) TRANSFER TO SHANNON REAL ESTATE SERVICES $(32,198) TRANSFER FROM SHANNON MEDICAL MANAGEMENT $58,222,366 --------------- TOTAL $51,689,340”
“Asc 740 footnote: 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.”
“Reconciliation of revenues per audited financials with tax return income/expense reclass from audit $65,012,816 bad debt expense $31,493,511 -------------- total $96,506,327”
“Reconciliation of expenses per audited financials with tax return income/expense reclass from audit $65,012,816 bad debt expense $31,493,511 -------------- total $96,506,327”
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 | 12309823 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 12992061 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 16757132 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 13802099 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS, AND NEIGHBORS. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 32628 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 32628 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 811129 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 811129 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | JULIAN BESERIL |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3256581511 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | ADMINISTRATION 120 E BEAUREGARD |
| 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 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 13 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 9659575 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 9659575 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 4542011 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 4542011 |
| 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 | 62201390 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1438971 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 400000 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1372119 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 459041 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 120 E BEAUREGARD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 500 CHIPETA WAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1305 W 34TH STREET STE 400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 120 E HARRIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 60187 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SAN ANGELO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SALT LAKE CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | AUSTIN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SAN ANGELO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SAN ANGELO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | UT |
| 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 | 76903 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 84108 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 78705 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 76903 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 76906 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | SHANNON MEDICAL MANAGEMENT |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | ARUP LABORATORIES |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | PULMONARY CRITICAL CARE CONSULTAN |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | SHANNON MEDICAL CENTER |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | STONE SETTLE ADVERTISING INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MANAGEMENT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | OUTSIDE LAB SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | LOCUMS SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | LAB & LAUNDRY SVCS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | ADVERTISING |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 5000 |
| IRS990/CYInvestmentIncomeAmt | 0 | 12578 |
| IRS990/CYOtherExpensesAmt | 0 | 123180936 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 192713594 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -57245901 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 126786137 |
| IRS990/CYTotalExpensesAmt | 0 | 249972073 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 192726172 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | true |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 174849 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 990808 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1165657 |
| IRS990/Desc | 0 | PROVIDE HEALTH CARE SERVICES AS A MULTI-SPECIALTY PHYSICIAN CLINIC AT LOCATIONS THROUGHOUT SAN ANGELO AND NEARBY COMMUNITIES REGARDLESS OF ABILITY TO PAY, INCLUDING CALL COVERAGE FOR SHANNON MEDICAL CENTER, AN AFFILIATED NON-PROFIT HOSPITAL. SHANNON CLINIC IS ORGANIZED AND OPERATED TO PROVIDE ACCESS AND CARE FOR RESIDENTS OF ITS SERVICE AREA, INCLUDING MEDICALLY INDIGENT PATIENTS. RECRUITMENT FOR PROVIDERS INCLUDES NEW PHYSICIANS AND MID-LEVEL PROVIDERS TO EXPAND URGENT CARE AND PRIMARY CARE ACCESS TO COMMUNITIES SERVED, AND SPECIALISTS TO ALLOW SHANNON MEDICAL CENTERTO PROVIDE CARE TO ITS PATIENTS REGARDLESS OF ABILITY TO PAY. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 300 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 238834550 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 45367 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 45367 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 9651078 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 54689441 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 64340519 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 89738 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 8870019 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 8959757 |
| 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 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 16.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 38.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 35.0 |
| 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/AverageHoursPerWeekRltdOrgRt | 25 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 38.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 24.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 5.0 |
| 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 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 5.0 |
| 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/OtherCompensationAmt | 0 | 54924 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 60091 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 80973 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 76455 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 113397 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 113785 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 75883 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 103404 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 69121 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 96377 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 83424 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 48153 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 100429 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 94323 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 97897 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 45819 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 70136 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 92010 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 90282 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 94461 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 76100 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 72889 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 86453 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 78318 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 82889 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 31294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 77929 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LINDY BANKES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | PAUL BORGFELD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVID BOSWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | NORMA CERNA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JASON FELGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | RUDY HADDAD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | VICKI FORLAND HALFMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ROSS HARPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SARAH JACKSON VANCE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ANDREW T KINGMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JOE MIMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | DOUG SCHULTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | CALEB VOSBURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JENNY WIGGINS-SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | KELLY SHANE PLYMELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CHRIS BARNETT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | julian beseril |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | LISA HILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | LUIS DUARTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | CHRISTOPHER HADDAD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | DAVID HUCHTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JAMES MELOTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | STEVE RITTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | LINDA ADAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | CHRIS COLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JOE HARVEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | IRVIN ZIETLERMD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | staci wetz |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 904085 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 459027 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 501191 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 328593 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 812025 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 1701652 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 382106 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 951429 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 465149 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 687509 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 638774 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 375584 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 791162 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 661288 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 5677609 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 1913296 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 1351084 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 374183 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 1549484 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 583784 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 957111 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 426037 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 151851 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 644415 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 539296 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 341608 |
| 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/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 7971 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 324641 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PHYSICIAN/BOARD SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN/MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PHYSICIAN/MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN/BOARD DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN/MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN/CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICIAN/BOARD DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PHYSICIAN/BOARD DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PHYSICIAN/CHairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PHYSICIAN/MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PHYSICIAN/BOARD DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PHYSICIAN/MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN/BOARD DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN/MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CEO/PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | cfo, start: 05/19 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | GENERAL COUNSEL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN/FORMER OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN/FORMER OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PHYSICIAN/FORMER OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | FORMER MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | former cfo |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 1995 |
| 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 | 5000 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 5000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 5000 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 5000 |
| IRS990/GrossReceiptsAmt | 0 | 192726172 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 23 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 31312 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 31312 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 72794 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1417616 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1490410 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 474274 |
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Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.