Liabilities / Assets
99th percentile
Higher debt load relative to assets than 99% of similar nonprofits.
EIN 81-0977948 • 501(c)3 • Marshfield, WI
Profile
We enrich lives to create healthy communities through accessible, affordable, compassionate health care.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
99th percentile
Higher debt load relative to assets than 99% of similar nonprofits.
Liabilities / Revenue
65th percentile
Higher debt load relative to revenue than 65% of similar nonprofits.
Net Margin
11th percentile
Higher net margin than 11% of similar nonprofits.
Top Officer Pay
36th percentile
Higher top officer pay than 36% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
20th percentile
Faster revenue growth than 20% of similar nonprofits.
Assets
Down$885,596,688
Down $24,690,770 (-2.7%) from 2023
Liabilities
Up$1,245,219,696
Up $262,664,370 (+27%) from 2023
Net Assets
Down-$359,623,008
Down $287,355,140 (-398%) from 2023
Revenue
Down$1,455,966,010
Down $6,917,899 (-0.5%) from 2023
Expenses
Down$1,546,622,441
Down $136,591,616 (-8.1%) from 2023
Net Income
Up-$90,656,431
Up $129,673,717 (+59%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
We enrich lives to create healthy communities through accessible, affordable, compassionate health care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $612,025,005 | $576,125,633 | ▼ $35,899,372 |
| Accounts Receivable | $231,307,824 | $191,795,783 | ▼ $39,512,041 |
| Inventories for Sale or Use | $43,634,938 | $48,246,748 | ▲ $4,611,810 |
| Investments Program Related | $15,909,827 | $39,261,128 | ▲ $23,351,301 |
| Other Notes and Loans Receivable, Net | - | $23,700,000 | - |
| Pledges and Grants Receivable | $1,202,030 | $1,078,035 | ▼ $123,995 |
| Savings and Temporary Cash Investments | $880,012 | $826,124 | ▼ $53,888 |
| Prepaid Expenses and Deferred Charges | $1,090,697 | $313,660 | ▼ $777,037 |
| Cash and Non-Interest-Bearing Accounts | $61,067 | $32,820 | ▼ $28,247 |
| Total Assets | $910,287,458 | $885,596,688 | ▼ $24,690,770 |
| Other Assets Total | $4,176,058 | $4,216,757 | ▲ $40,699 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $786,242,631 | $869,432,310 | ▲ $83,189,679 |
| Mortgage Notes Payable Secured by Investment Property | $145,570,005 | $316,608,154 | ▲ $171,038,149 |
| Accounts Payable and Accrued Expenses | $34,341,556 | $42,865,436 | ▲ $8,523,880 |
| Other Liabilities | $16,366,588 | $16,247,048 | ▼ $119,540 |
| Deferred Revenue | $34,546 | $66,748 | ▲ $32,202 |
| Total Liabilities | $982,555,326 | $1,245,219,696 | ▲ $262,664,370 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-72,267,868 | $-359,623,008 | ▼ $287,355,140 |
| Total Net Assets Fund Balance | $-72,267,868 | $-359,623,008 | ▼ $287,355,140 |
| Total Liabilities and Net Assets / Fund Balance | $910,287,458 | $885,596,688 | ▼ $24,690,770 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $433,595,470 | $90,859,825 | $524,455,295 |
| Equipment | $109,248,263 | $264,289,039 | $373,537,302 |
| Land | $24,710,235 | - | $24,710,235 |
| Other Land Buildings | $8,419,047 | $6,294,702 | $14,713,749 |
| Leasehold Improvements | $152,618 | $1,693,074 | $1,845,692 |
| Name | Title | Other | Total |
|---|---|---|---|
| Colleen Hoerneman | Chair | $5,500 | $5,500 |
| Mark Bradley | Vice Chair | $5,500 | $5,500 |
| Name | Title |
|---|---|
| David Holmes | Board Member |
| Doug Mathison | Board Member |
| Edward Fernandez Md | Board Member |
| Brian Hoerneman Md | Board Member/interim Mchs CEO |
| Samantha Klebe Do | Board Member/mchs CMO |
| Susan Turney Md | Former Mchs CEO |
| Cathy Bukowski | Former Mchs CFO |
| Jeanette Wojtalewicz | Interim Mchs CFO |
| Kathy Bressler | Mchs COO |
| Lisa Boero | Mchs General Counsel |
| Jerard Jensen | Mchs General Counsel (thru Jan 2024) |
| John Baltus | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Vaya Workforce Solutions LLC | Professional Services | PO BOX 713427, Chicago, IL 60677 | $48,115,918 |
| Locumsmart LLC | Medical Services | PO BOX 736389, Dallas, TX 75373 | $34,052,121 |
| Crothall Healthcare INC | Food And Environmental | 13028 COLLECTION CENTER DRIVE, Chicago, IL 60693 | $12,228,302 |
| Morrison Healthcare | Food And Environmental | PO BOX 102289, Atlanta, GA 30368 | $11,683,451 |
| Total Renal Care INC | Professional Services | PO BOX 781607, Philadelphia, PA 19178 | $2,439,411 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $798,907,929 |
| Other Expenses | $746,827,211 |
| Grants and Similar Amounts Paid | $887,301 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $663,816,269 | $6,295,863 | - | $670,112,132 |
| Other Employee Benefits | $81,594,541 | $833,884 | - | $82,428,425 |
| Fees for Services Other | $74,529,594 | $3,095 | - | $74,532,689 |
| Depreciation Depletion | $45,593,940 | - | - | $45,593,940 |
| Interest | $44,103,094 | - | - | $44,103,094 |
| Payroll Taxes | $34,168,827 | $425,550 | - | $34,594,377 |
| Occupancy | $26,341,751 | $3,486 | - | $26,345,237 |
| Office Expenses | $11,887,077 | $246,931 | - | $12,134,008 |
| Pension Plan Contributions | $11,634,221 | $138,774 | - | $11,772,995 |
| Other Expenses | $3,037,813 | $3,744 | - | $3,041,557 |
| All Other Expenses | $2,826,886 | $23,676 | - | $2,850,562 |
| Travel | $1,538,336 | $33,612 | - | $1,571,948 |
| Information Technology | $1,005,782 | $2,625 | - | $1,008,407 |
| Grants to Domestic Orgs | $887,301 | - | - | $887,301 |
| Advertising | $62,027 | $13,200 | - | $75,227 |
| Fees for Services Legal | - | $38,075 | - | $38,075 |
| Conferences and Meetings | $3,978 | $2,318 | - | $6,296 |
| Fees for Services Accounting | - | $4,650 | - | $4,650 |
| Total Functional Expenses | $1,334,948,138 | $211,674,303 | $0 | $1,546,622,441 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Beaver Dam Community Hospitals Foundation Inc | Beaver Dam, WI | 501(c)(3) | Community Initiatives | $750,000 |
| Rusk County Public Health | Ladysmith, WI | 501(c)(3) | Community Initiatives | $133,751 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Asset Retirement Obligation | $15,300,999 |
| Operating Lease Payable Long-term | $946,049 |
“Board members colleen hoerneman and brian hoerneman, md have a family relationship.”
“Marshfield clinic health system, inc. (a wisconsin nonstock, nonprofit organization described in code section 501(c)(3)) is the sole member of mchs hospitals, inc.”
“Marshfield clinic health system, inc. (as the sole member) has the reserve power to appoint or remove members of the board of directors of mchs hospitals, inc.”
“Marshfield clinic health system, inc. (the sole member) has the right to approve any changes to the articles of incorporation and bylaws of mchs hospitals, inc. Marshfield clinic health system, inc. (the sole member) has the right to initiate and approve long-term borrowing and other forms of long-term indebtedness, initiate and approve the purchase, sale or encumbrance of real and personal property and approve or disapprove annual operating and capital budgets. Marshfield clinic health system, inc. (the sole member) also has the right to initiate and approve any of the following actions: merger, consolidation, affiliation or joint venture with any other entity or entities; liquidation, reorganization or dissolution of the organization; filing of a voluntary petition in bankruptcy; any change in control of the organization.”
“The form 990 is prepared internally by the tax department and reviewed by executive management. The tax department prepares return highlights and key disclosures for the executive management team. An external accounting firm reviews and signs the return. Before the return is filed, a complete copy is provided to the current board of trustees.”
“All officers, board directors, and key employees of every marshfield clinic health system (mchs) entity, as well as any other person designated by the audit and compliance committee (acc) to be a required reporter by virtue of his or her position at a system entity, shall annually complete a conflict of interest disclosure form. Such forms shall be distributed and recorded by the system's designated compliance officer. All financial interests disclosed as part of the annual disclosure process shall be reviewed by the acc. The acc shall inform the board of disclosed financial interests which may bear upon or relate to a transaction upon which the board or another board, committee or other body of a system entity, may deliberate or act. In addition to the annual disclosures, if at any time between annual disclosures, a required reporter becomes aware that the board, or a board, committee or other body, of any system entity may deliberate or act upon any transaction that may have any bearing of any kind upon, or may relate in any manner to, an existing, intended or expected financial interest of the required reporter, he or she shall disclose the financial interest to the relevant system entity board, committee or body chair, as well as to the system's compliance officer, in advance of any deliberations or action, written disclosure of the existence, nature and extent of his or her financial interest. All written or oral disclosures of financial interests shall be recorded in the minutes of the board and by the office of the compliance officer. The compliance officer shall disclose the completed forms as necessary to those mchs employees responsible for completion of the irs form 990.”
“The system's independent compensation committee (compensation committee) shall have final authority for approving compensation and benefits of all disqualified persons (as that term is defined in 4958 of the internal revenue code (the code)) employed by the corporation, including but not limited to the corporation's ceo. The term disqualified persons includes (but is not limited to) any person (or the person's family member) who was, at any time during the 5-year period ending on the date of the transaction, in a position to exercise substantial influence over the affairs of the organization. It shall be the responsibility of the compensation committee to ensure that the system does not pay an amount that exceeds reasonable compensation for any disqualified person. The compensation committee and its operating procedures shall be designed to establish the rebuttable presumption of reasonableness of compensation outlined in treasury reg. Sec. 53.4958-6 with respect to each disqualified person. In determining reasonableness of compensation, the compensation committee shall evaluate appropriate information as to the comparability of compensation, including but not limited to: compensation levels paid by similarly situated organizations for comparable positions; the availability of similar services in the system's geographic area; current compensation surveys compiled by independent firms; and actual written job offers from similar institutions. The compensation committee shall have independent authority to obtain outside expert opinions on the reasonableness and fair market value of compensation and gather other information it considers necessary or appropriate to make its decisions on compensation. The compensation committee shall timely document its determination of reasonableness of compensation.”
“Mchs hospitals, inc. Does not make its current governing documents, conflict of interest policy or financial statements available to the public unless included as part of a form that is required to be publicly available.”
“Marshfield clinic health system (including mchs hospitals, inc.) is a member of various healthcare associations (i.e. Wisconsin hospital association) that may perform some lobbying activity. All associated dues are disclosed on the form 990 of marshfield clinic health system, inc.”
“Compensation reported for the independent contractors has been paid by a related organization and central purchasing organization, marshfield clinic health system, ein 46-1495343. Compensation reported represents services solely provided to mchs hospitals, inc. So is included as if paid by the organization. Marshfield clinic health system has complied with a/p filing requirements.”
“All personnel services for mchs hospitals, inc. Are performed by employees of marshfield clinic health system, inc. All physician services for mchs hospitals, inc. Are performed by employees of marshfield clinic, inc.”
“Mchs hospitals, inc. Is part of the marshfield clinic health system obligated group. Since the obligated group is responsible for all outstanding financed debt obligations, all bond related reporting is disclosed on the form 990 of marshfield clinic health system inc.”
“Net asset transfers with related organizations -186,052,661. Equity income from controlled entities -10,646,048.”
“The organization applies financial accounting standards board (fasb) accounting standards codification (asc) topic 740, income taxes (asc 740), which clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements. Asc 740 prescribes a more-likely-than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under asc 740, tax positions will be evaluated for recognition, derecognition, and measurement using consistent criteria and will provide more information about the uncertainty in income tax assets and liabilities. The system has determined that it doesn't have any material uncertain tax positions as of december 31, 2024 or december 31, 2023.”
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 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 34341556 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 42865436 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 231307824 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 191795783 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 13200 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 62027 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 75227 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 23676 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 2826886 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 2850562 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | NICHOLAS OLSON EVP CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6053331000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2301 EAST 60TH STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SIOUX FALLS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 57104 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 61067 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 32820 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 227 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 2318 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 3978 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 6296 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 48115918 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 34052121 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 12228302 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 11683451 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 2439411 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 713427 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 736389 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 13028 COLLECTION CENTER DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 102289 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 781607 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | PHILADELPHIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 60677 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75373 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 60693 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 30368 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 19178 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | VAYA WORKFORCE SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | LOCUMSMART LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CROTHALL HEALTHCARE INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MORRISON HEALTHCARE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | TOTAL RENAL CARE INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | FOOD AND ENVIRONMENTAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | FOOD AND ENVIRONMENTAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PROFESSIONAL SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 7126473 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 887301 |
| IRS990/CYInvestmentIncomeAmt | 0 | 7126176 |
| IRS990/CYOtherExpensesAmt | 0 | 746827211 |
| IRS990/CYOtherRevenueAmt | 0 | 511556 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 1441201805 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -90656431 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 798907929 |
| IRS990/CYTotalExpensesAmt | 0 | 1546622441 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1455966010 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 34546 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 66748 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 45593940 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 45593940 |
| IRS990/Desc | 0 | MCHS HOSPITALS, INC. (MCHSH), INCORPORATED IN DECEMBER 2015 AS A NONPROFIT, NONSTOCK CORPORATION WHICH OWNS AND OPERATES THE FOLLOWING ACUTE CARE FACILITIES IN WISCONSIN EITHER DIRECTLY OR THROUGH WHOLLY OWNED SUBSIDIARIES: MARSHFIELD MEDICAL CENTER (MMC) (ACQUIRED IN JULY 2017), MMC-RICE LAKE (THROUGH ITS SUBSIDIARY LAKEVIEW MEDICAL CENTER), MMC-EAU CLAIRE (OPENED IN JULY 2018), MMC-LADYSMITH (ACQUIRED IN SEPTEMBER 2018), MMC-NEILLSVILLE (ACQUIRED IN DECEMBER 2018 THROUGH ITS SUBSIDIARY MEMORIAL HOSPITAL, INC.), MMC-BEAVER DAM (ACQUIRED IN MAY 2019 THROUGH ITS SUBSIDIARY BEAVER DAM COMMUNITY HOSPITALS, INC. (BDCH)), MMC-MINOCQUA (OPENED IN JUNE 2020), CONTINUED ON SCHEDULE OMMC-WESTON (ACQUIRED IN AUGUST 2020), MMC-PARK FALLS (ACQUIRED IN AUGUST 2020 THROUGH ITS SUBSIDIARY FLAMBEAU HOSPITAL, INC.), MMC-DICKINSON (ACQUIRED IN FEBRUARY 2022 THROUGH ITS SUBSIDIARY DICKINSON COUNTY HEALTHCARE SYSTEM) AND MMC-RIVER REGION (OPENED IN MAY 2022). |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 1334948138 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 4650 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 4650 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 38075 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 38075 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3095 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 74529594 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 74532689 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 51.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 54.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 54.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 54.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 54.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 54.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 54.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/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/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 42454 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 39013 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 36357 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 37461 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 11274 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 10811 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | COLLEEN HOERNEMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MARK BRADLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOHN BALTUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DOUG MATHISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DAVID HOLMES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | EDWARD FERNANDEZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | BRIAN HOERNEMAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | SAMANTHA KLEBE DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JEANETTE WOJTALEWICZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KATHY BRESSLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JERARD JENSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LISA BOERO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | SUSAN TURNEY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CATHY BUKOWSKI |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 5500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 5500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 592054 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 1584168 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 703503 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 972510 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 985571 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 889281 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 415495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 2241715 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 631969 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER/INTERIM MCHS CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER/MCHS CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | INTERIM MCHS CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | MCHS COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | MCHS GENERAL COUNSEL (THRU JAN 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MCHS GENERAL COUNSEL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | FORMER MCHS CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | FORMER MCHS CFO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2015 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 19263 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 5377672 |
| IRS990/GrantAmt | 0 | 887301 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 887301 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 887301 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 63410 |
| IRS990/GrossReceiptsAmt | 0 | 1456010157 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 511556 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 7106913 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 7106913 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 4 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 2625 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1005782 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1008407 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 44103094 |
| IRS990/InterestGrp/TotalAmt | 0 | 44103094 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 43634938 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 48246748 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 15909827 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 39261128 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 363136640 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 612025005 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 576125633 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 939262273 |
| IRS990/LegalDomicileStateCd | 0 | WI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 44147 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 145570005 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 316608154 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -72267868 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -359623008 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 19263 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 19263 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 511556 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 511556 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -72267868 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -359623008 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 3486 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 26341751 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 26345237 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 246931 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 11887077 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 12134008 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 4176058 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 4216757 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -196698709 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 833884 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 81594541 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 82428425 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | I/C PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 2 | WI MEDICAID ACCESS TAX |
| IRS990/OtherExpensesGrp/Desc | 3 | EQUIP REPAIRS & MAINT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 9124 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 203595696 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 3744 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 290026185 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 24968848 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 16921668 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 3037813 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 290035309 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 228564544 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 16921668 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 3041557 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 16366588 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 16247048 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 6295863 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 663816269 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 670112132 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 23700000 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 425550 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 34168827 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 34594377 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 138774 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 11634221 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 11772995 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 1202030 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 1078035 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1090697 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 313660 |
| IRS990/PrincipalOfficerNm | 0 | BILL GASSEN |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 722310 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT SERVICE RE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | MEDICAL EDUCATION REVE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | CAFETERIA REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | CAPITATION REVENUE |
| IRS990/ProgramServiceRevenueGrp/ExclusionAmt | 0 | 3088711 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1447958548 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 5570391 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | -19061171 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 1447958548 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 5570391 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 3088711 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | -19061171 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 7448462 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 1302361 |
| IRS990/PYInvestmentIncomeAmt | 0 | -2822334 |
| IRS990/PYOtherExpensesAmt | 0 | 838690782 |
| IRS990/PYOtherRevenueAmt | 0 | 533682 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 1457724099 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -220330148 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 843220914 |
| IRS990/PYTotalExpensesAmt | 0 | 1683214057 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 1462883909 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -90656431 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 1 |
| IRS990/RelatedOrganizationsAmt | 0 | 1748801 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 511556 |
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