Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
EIN 91-0896701 • 501(c)3 • Othello, WA
Profile
To assure equal access to quality health care to all persons regardless of age, sex, color, ethnicity, national origin, or the ability to pay.primary activities: medical, dental, vision and related healthcare services.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
Liabilities / Revenue
33rd percentile
Higher debt load relative to revenue than 33% of similar nonprofits.
Net Margin
67th percentile
Higher net margin than 67% of similar nonprofits.
Top Officer Pay
73rd percentile
Higher top officer pay than 73% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
78th percentile
Faster asset growth than 78% of similar nonprofits.
Revenue Growth
7th percentile
Faster revenue growth than 7% of similar nonprofits.
Assets
Up$138,327,740
Up $17,068,480 (+14%) from 2023
Liabilities
Up$17,172,689
Up $5,153,350 (+43%) from 2023
Net Assets
Up$121,155,051
Up $11,915,130 (+11%) from 2023
Revenue
Down$76,390,140
Down $28,241,675 (-27%) from 2023
Expenses
Down$67,255,076
Down $27,166,856 (-29%) from 2023
Net Income
Down$9,135,064
Down $1,074,819 (-11%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide equal access to quality health care to all persons regardless of age, sex, color, ethnicity, national origin, or the ability to pay.primary activities: medical, dental, vision and related healthcare services.
To provide equal access to quality health care to all persons.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $32,564,154 | $63,561,326 | ▲ $30,997,172 |
| Land, Buildings, and Equipment, Net | $50,982,446 | $56,002,732 | ▲ $5,020,286 |
| Cash and Non-Interest-Bearing Accounts | $12,483,261 | $5,568,569 | ▼ $6,914,692 |
| Accounts Receivable | $3,536,986 | $4,110,985 | ▲ $573,999 |
| Savings and Temporary Cash Investments | $15,604,884 | $3,456,807 | ▼ $12,148,077 |
| Prepaid Expenses and Deferred Charges | $1,634,997 | $1,576,232 | ▼ $58,765 |
| Investments Other Securities | $1,208,671 | $1,207,907 | ▼ $764 |
| Pledges and Grants Receivable | $1,450,013 | $1,060,742 | ▼ $389,271 |
| Inventories for Sale or Use | $589,991 | $759,773 | ▲ $169,782 |
| Total Assets | $121,259,260 | $138,327,740 | ▲ $17,068,480 |
| Other Assets Total | $1,203,857 | $1,022,667 | ▼ $181,190 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $11,565,387 | $16,500,257 | ▲ $4,934,870 |
| Deferred Revenue | - | $400,366 | - |
| Other Liabilities | $453,952 | $272,066 | ▼ $181,886 |
| Total Liabilities | $12,019,339 | $17,172,689 | ▲ $5,153,350 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $109,239,921 | $121,155,051 | ▲ $11,915,130 |
| Total Net Assets Fund Balance | $109,239,921 | $121,155,051 | ▲ $11,915,130 |
| Total Liabilities and Net Assets / Fund Balance | $121,259,260 | $138,327,740 | ▲ $17,068,480 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $35,213,073 | $23,727,108 | $58,940,181 |
| Equipment | $6,748,076 | $8,050,148 | $14,798,224 |
| Other Land Buildings | $7,518,095 | - | $7,518,095 |
| Land | $6,523,488 | - | $6,523,488 |
| Leasehold Improvements | $0 | $272,926 | $272,926 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Hung Miu | CMO | FT | $347,308 | $463,230 | $810,538 |
| Bashar Elali | Physician | FT | $263,101 | $267,780 | $530,881 |
| Nieves Gomez | CEO | FT | $288,204 | $234,283 | $522,487 |
| Catherine Dinglasan | Physician | FT | $245,192 | $209,656 | $454,848 |
| Syed Gillani | Physician | FT | $228,899 | $169,402 | $398,301 |
| Dr Ji H Choi | CDO | FT | $207,981 | $172,811 | $380,792 |
| Joshua Bunch | CFO | FT | $188,270 | $187,129 | $375,399 |
| Matthew Painter | Physician | FT | $230,481 | $133,581 | $364,062 |
| Alaa Atfeh | Physician | FT | $228,959 | $111,780 | $340,739 |
| Randel Stevens | CIO | FT | $187,729 | $80,994 | $268,723 |
| Kelly Carlson | CAO | FT | $151,621 | $73,305 | $224,926 |
| Jonathan Madera | VP of Operations | FT | $131,675 | $79,118 | $210,793 |
| Stacey Short Vp of Quality | & Value-based Solutions | FT | $157,025 | $34,860 | $191,885 |
| Joe Montemayor | Board Chair | - | $850 | - | $850 |
| Dora Beraza | Board Secretary | - | $850 | - | $850 |
| Maria Rosales | Board Member | - | $850 | - | $850 |
| Scott Harris | Board Vice Chair | - | $750 | - | $750 |
| Maria Quezada | Board Member | - | $750 | - | $750 |
| Deborah Buss | Board Treasurer | - | $700 | - | $700 |
| Gloria Ochoa | Board Member | - | $700 | - | $700 |
| Marisol Quezada | Board Member | - | $700 | - | $700 |
| Martha Holt | Board Member | - | $650 | - | $650 |
| Martin Gallardo | Board Member | - | $600 | - | $600 |
| Janelle Bogden | Board Member | - | $500 | - | $500 |
| Enrique Miron | Board Member | - | $450 | - | $450 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Inland Northwest Imaging Ps | Radiology Services | 801 S STEVENS STREET, Spokane, WA 99204 | $303,677 |
| Interpath Laboratory INC | Laboratory Testing Services | PO BOX 1208, Pendleton, OR 97801 | $291,836 |
| Community Clinic Network | Professional Services | 502 ORONDO AVENUE, Wenatchee, WA 98801 | $167,492 |
| Nuvodia LLC | Professional Services | 801 S STEVENS STREET, Spokane, WA 99204 | $158,951 |
| Gamache Maintenance LLC | Landscaping Services | 1212 COLUMBIA PARK TRAIL SUITE 107, Richland, WA 99352 | $154,516 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $44,108,114 |
| Other Expenses | $23,124,962 |
| Grants and Similar Amounts Paid | $22,000 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $29,051,044 | $4,117,300 | - | $33,168,344 |
| Depreciation Depletion | $2,740,265 | $700,744 | - | $3,441,009 |
| Current Officers, Directors, Trustees, and Key Employees | $1,132,792 | $1,861,099 | - | $2,993,891 |
| Other Employee Benefits | $2,373,496 | $600,603 | - | $2,974,099 |
| Payroll Taxes | $2,244,240 | $601,213 | - | $2,845,453 |
| Fees for Services Other | $1,843,660 | $957,445 | - | $2,801,105 |
| Office Expenses | $1,954,270 | $648,063 | - | $2,602,333 |
| Pension Plan Contributions | $1,629,683 | $496,644 | - | $2,126,327 |
| Occupancy | $683,875 | $506,224 | - | $1,190,099 |
| All Other Expenses | $591,178 | $491,639 | - | $1,082,817 |
| Advertising | $334,294 | $480,836 | - | $815,130 |
| Other Expenses | $486,874 | $457,749 | - | $486,874 |
| Information Technology | $273,271 | $176,168 | - | $449,439 |
| Travel | $144,881 | $137,196 | - | $282,077 |
| Fees for Service Investment Mgmnt Fees | - | $205,068 | - | $205,068 |
| Insurance | $99,845 | $73,906 | - | $173,751 |
| Conferences and Meetings | $99,537 | $73,792 | - | $173,329 |
| Fees for Services Accounting | - | $133,051 | - | $133,051 |
| Fees for Services Legal | - | $98,050 | - | $98,050 |
| Grants to Domestic Orgs | $22,000 | - | - | $22,000 |
| Total Functional Expenses | $54,230,201 | $13,024,875 | $0 | $67,255,076 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $67,255,076 |
| Total Expenses per Audited Statements | $66,599,476 |
| Expenses per Audited Statements | $66,563,134 |
| Expenses Not Reported on Financial Statements | $691,942 |
| Other Expense Adjustments | $486,874 |
| Expenses Not Reported on Form 990 | $36,342 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Wahluke School District | Mattawa, WA | Wahluke School Dist. | Purchase of Portable Building | $22,000 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $36,342 |
| Gaming Gross Income | $3,890 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Color Run | $77,198 | - | $34,684 | - |
| Total Events | $77,198 | - | $36,342 | $-36,342 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Kristen Stevens | Spouse of Randel Stevens, Cio | Employee Compensation | No | $69,168 |
| Jude Alsarraj | Spouse of Bashar Elali, Physician | Employee Compensation | No | $68,520 |
| Myrna Gomez | Spouse of Nieves Gomez, CEO | Employee Compensation | No | $39,027 |
| Liability | Amount |
|---|---|
| Right-of-use Lease Liabilities | $272,066 |
“The executive committee consist of the board's officers, plus two board memebers-at-large appointed by the president and approved by the board. The board of directors has responsbility and the authority to delegate all or a portion of its powers to the executive committee from time to time. Such delegation is accomplished either by resolution or by motion of the board.”
“The form 990 was prepared by the independent auditor and presented to senior management, the finance committee, and the board of directors for final review and approval before filing with the internal revenue service.”
“The conflict of interest statements are reviewed and enforced when disclosures arise. Subject to section 2 subsection f of this article any possible conflict of interest on the part of a board member shall be disclosed to the board. When any such interest becomes a matter of board action, such member shall not vote or use personal influence on the matter, and shall not be counted in the quorum for a meeting at which board action is to be taken on the interest. The member may, however, briefly state a position on the matter, and answer pertinent questions of board members. The minutes of all actions taken on such matters shall clearly reflect that these requirements have been met.”
“A consulting firm (merces, inc) has helped establish a pay structure of pay grades within the organization. All positions excluding providers are evaluated on a variety of measures to create the pay grades. There are three pay ranges in each scale that are reviewed annually for adjustment. Pay within a grade is determined from performance evaluations. In addition, cbha participates in the milliman usa compensation surveys annually for the 50th percentile compensation comparisons and/or calculations. The ceo's compensation is set by the board of directors. Other officers' compensation is set by the ceo. This process was last completed in 2024.”
“The organization's governing documents, conflict of interest policy and financial statements are available upon request.”
“The process of, and responsibilities for, selecting the financial statement auditor and overseeing the financial statement audit did not change during the fiscal year.”
“Under provisions of section 501(c)(3) of the internal revenue code, the association is exempt from federal income taxes, except for net income from unrelated business activities. As of november 30, 2024 and 2023, the association had no unrelated business activities subject to federal income taxes. Management evaluated the association's tax positions and concluded that the association had taken no significant uncertain tax positions that require adjustments to the financial statements to comply with provisions of topic 740 of the accounting standards codification. The association's tax returns are subject to review and examination by federal authorities.”
“Fundraising event expenses 36,342.”
“Net investment income 4,947,724. Gain on disposal of assets 15,413. Grants and contributions for capital purchases 759,595. Bad debt expense 486,874.”
“Fundraising event expenses 36,342.”
“Bad debt expense 486,874.”
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 | 11565387 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 16500257 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3536986 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 4110985 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE EQUAL ACCESS TO QUALITY HEALTH CARE TO ALL PERSONS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 480836 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 334294 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 815130 |
| IRS990/AllOtherContributionsAmt | 0 | 331412 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 491639 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 591178 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1082817 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | JOSHUA BUNCH |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5094885256 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1515 E COLUMBIA STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | OTHELLO |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 99344 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 12483261 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 5568569 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1861099 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1132792 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2993891 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 73792 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 99537 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 173329 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 303677 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 291836 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 167492 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 158951 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 154516 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 801 S STEVENS STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 1208 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 502 ORONDO AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 801 S STEVENS STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1212 COLUMBIA PARK TRAIL SUITE 107 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SPOKANE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | PENDLETON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | WENATCHEE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SPOKANE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | RICHLAND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | OR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 99204 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 97801 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 98801 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 99204 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 99352 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | INLAND NORTHWEST IMAGING PS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | INTERPATH LABORATORY INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | COMMUNITY CLINIC NETWORK |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | NUVODIA LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | GAMACHE MAINTENANCE LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | RADIOLOGY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | LABORATORY TESTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LANDSCAPING SERVICES |
| IRS990/ContriRptFundraisingEventAmt | 0 | 77198 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 11444215 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 22000 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2388139 |
| IRS990/CYOtherExpensesAmt | 0 | 23124962 |
| IRS990/CYOtherRevenueAmt | 0 | 3687 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 62554099 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 9135064 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 44108114 |
| IRS990/CYTotalExpensesAmt | 0 | 67255076 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 76390140 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 400366 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 700744 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2740265 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3441009 |
| IRS990/Desc | 0 | MEDICAL CARE - COLUMBIA BASIN HEALTH ASSOCIATION (CBHA) SERVED A TOTAL OF 40,776 INDIVIDUALS IN OUR SERVICE AREA - INCLUDING OTHELLO, MATTAWA, CONNELL, AND PASCO - FOR THE YEAR ENDED NOVEMBER 30, 2024. THE ORGANIZATION ALSO HAS A POLICY OF PROVIDING CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS REDUCED FEE PROGRAM WITHOUT A CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. DURING THE YEAR THE ORGANIZATION PROVIDED $2,296,164 OF DISCOUNTED MEDICAL SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 566 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 31309365 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 133051 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 133051 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 98050 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 98050 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 957445 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1843660 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2801105 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 205068 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 205068 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | 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 | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 8742 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 84030 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 36745 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 36805 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 30638 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 39154 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 43492 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 50230 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 10354 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 10902 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 13014 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 11639 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MARIA QUEZADA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MARTHA HOLT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOE MONTEMAYOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JANELLE BOGDEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MARIA ROSALES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ENRIQUE MIRON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | GLORIA OCHOA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DORA BERAZA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DEBORAH BUSS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | SCOTT HARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARTIN GALLARDO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARISOL QUEZADA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JOSHUA BUNCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | NIEVES GOMEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JONATHAN MADERA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | KELLY CARLSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | STACEY SHORT VP OF QUALITY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | RANDEL STEVENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | DR JI H CHOI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | DR HUNG MIU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | SYED GILLANI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ALAA ATFEH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MATTHEW PAINTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | CATHERINE DINGLASAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | BASHAR ELALI |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 650 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 850 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 850 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 450 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 850 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 600 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 366657 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 438457 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 174048 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 188121 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 161247 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 229569 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 337300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 760308 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 387947 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 329837 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 364062 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 441834 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 519242 |
| 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 | 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 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP OF OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CAO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | & VALUE-BASED SOLUTIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CDO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1973 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 77198 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 36342 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 15413 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 209777 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 3890 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 11035605 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 22000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 22000 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 63000 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 209777 |
| IRS990/GrossReceiptsAmt | 0 | 76474069 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 36139 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 67 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 176168 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 273271 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 449439 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 73906 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 99845 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 173751 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 589991 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 759773 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2162949 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2162949 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 1208671 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 1207907 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 32564154 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 63561326 |
| IRS990/IRPDocumentCnt | 0 | 53 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 32050182 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 50982446 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 56002732 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 88052914 |
| IRS990/LegalDomicileStateCd | 0 | WA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 47587 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE EQUAL ACCESS TO QUALITY HEALTH CARE TO ALL PERSONS REGARDLESS OF AGE, SEX, COLOR, ETHNICITY, NATIONAL ORIGIN, OR THE ABILITY TO PAY.PRIMARY ACTIVITIES: MEDICAL, DENTAL, VISION AND RELATED HEALTHCARE SERVICES. |
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