Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
EIN 94-2735850 • 501(c)3 • Scottsdale, AZ
Profile
Our mission is to improve the health and well-being of those we serve. Our vision is to be the partner of choice as we transform healthcare for our communities. We will attain our vision through the following: -providing the highest quality outcomes, efficient care and best experience for our patients. -promoting accessible and convenient care through our clinically integrated delivery network. -pursuing strategic partnerships to accelerate learning, innovation and our network development.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
Liabilities / Revenue
84th percentile
Higher debt load relative to revenue than 84% of similar nonprofits.
Net Margin
4th percentile
Higher net margin than 4% of similar nonprofits.
Top Officer Pay
95th percentile
Higher top officer pay than 95% of similar nonprofits.
Top officer pay equals 1.6% of source-year revenue.
Asset Growth
92nd percentile
Faster asset growth than 92% of similar nonprofits.
Revenue Growth
42nd percentile
Faster revenue growth than 42% of similar nonprofits.
Assets
Up$137,896,278
Up $28,032,501 (+26%) from 2023
Liabilities
Up$509,055,282
Up $156,531,708 (+44%) from 2023
Net Assets
Down-$371,159,004
Down $128,499,207 (-53%) from 2023
Revenue
Up$279,219,813
Up $17,190,373 (+6.6%) from 2023
Expenses
Up$399,321,232
Up $47,178,461 (+13%) from 2023
Net Income
Down-$120,101,419
Down $29,988,088 (-33%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Our mission is to improve the health and well-being of those we serve. Our vision is to be the partner of choice as we transform healthcare for our communities. We will attain our vision through the following: -providing the highest quality outcomes, efficient care and best experience for our patients. -promoting accessible and convenient care through our clinically integrated delivery network. -pursuing strategic partnerships to accelerate learning, innovation and our network development.
Honorhealth ambulatory's mission is to improve the health and well-being of those we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $34,937,601 | $36,778,971 | ▲ $1,841,370 |
| Accounts Receivable | $21,989,339 | $27,804,489 | ▲ $5,815,150 |
| Land, Buildings, and Equipment, Net | $21,492,282 | $26,528,488 | ▲ $5,036,206 |
| Cash and Non-Interest-Bearing Accounts | $16,573,905 | $22,181,605 | ▲ $5,607,700 |
| Intangible Assets | $6,031,618 | $4,825,294 | ▼ $1,206,324 |
| Inventories for Sale or Use | $572,946 | $1,110,470 | ▲ $537,524 |
| Prepaid Expenses and Deferred Charges | $406,428 | $816,414 | ▲ $409,986 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $109,863,777 | $137,896,278 | ▲ $28,032,501 |
| Other Assets Total | $7,859,658 | $17,850,547 | ▲ $9,990,889 |
| Liabilities | |||
| Other Liabilities | $340,994,457 | $487,854,055 | ▲ $146,859,598 |
| Accounts Payable and Accrued Expenses | $11,529,117 | $21,201,227 | ▲ $9,672,110 |
| Total Liabilities | $352,523,574 | $509,055,282 | ▲ $156,531,708 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-242,659,797 | $-371,159,004 | ▼ $128,499,207 |
| Total Net Assets Fund Balance | $-242,659,797 | $-371,159,004 | ▼ $128,499,207 |
| Total Liabilities and Net Assets / Fund Balance | $109,863,777 | $137,896,278 | ▲ $28,032,501 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $16,172,532 | - | $16,172,532 |
| Equipment | $4,861,760 | $8,028,933 | $12,890,693 |
| Leasehold Improvements | $4,857,628 | $6,063,733 | $10,921,361 |
| Buildings | $636,568 | $123,146 | $759,714 |
| Investment Program Related Org | $13,987,139 | - | - |
| Other Assets Org | $17,850,547 | - | - |
| Name | Title | Other | Total |
|---|---|---|---|
| Alpa Shah Md | Director | $101,800 | $101,800 |
| Andrew Kassir Md | Director | $60,996 | $60,996 |
| Mike Welborn | Director/chairman | $50,160 | $50,160 |
| Drew Brown | Director | $46,816 | $46,816 |
| Frank Pugh | Director/vice Chair | $46,816 | $46,816 |
| Fred Hessler | Director | $46,816 | $46,816 |
| Julie Arvo Mackenzie | Director | $46,816 | $46,816 |
| Kathleen Wade | Director | $46,816 | $46,816 |
| Kathryn Jo Lincoln | Director | $46,816 | $46,816 |
| Pete Hathaway | Director | $46,816 | $46,816 |
| Charles Mitchell | Director | $41,800 | $41,800 |
| HEIDI JANNENGA as of 124 | Director | $41,800 | $41,800 |
| Steve Wheeler | Director | $41,800 | $41,800 |
| Name | Title |
|---|---|
| Todd Laporte | Director/president & CEO |
| Elizabeth Farhart | Assistant Sec/VP/Assoc Gen Counsel |
| Derek a Hampshire | Assistant Treasurer/VP Treasury |
| Shannon Fox Fraser | Sec/SVP/chief Legal Officer & Gc |
| Lisa Montman | Treasurer/evp/CFO |
| Line Item | Amount |
|---|---|
| Other Expenses | $200,692,404 |
| Salaries, Compensation, and Employee Benefits | $198,628,828 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $152,292,533 | $38,861,640 | - | $191,154,173 |
| Fees for Services Other | $105,869,110 | $14,564,163 | $0 | $120,433,273 |
| Occupancy | $11,506,537 | $1,582,927 | - | $13,089,464 |
| Conferences and Meetings | $6,714,425 | $923,688 | - | $7,638,113 |
| Depreciation Depletion | $5,199,035 | $2,239,675 | - | $7,438,710 |
| Fees for Services Management | $5,427,643 | $746,668 | - | $6,174,311 |
| Other Employee Benefits | $3,264,954 | $833,143 | - | $4,098,097 |
| Pension Plan Contributions | $2,692,494 | $684,064 | - | $3,376,558 |
| Office Expenses | $2,257,308 | $310,532 | - | $2,567,840 |
| Insurance | $1,113,985 | $153,248 | - | $1,267,233 |
| All Other Expenses | $927,191 | $127,551 | $0 | $1,054,742 |
| Other Expenses | $401,577 | $55,246 | - | $456,823 |
| Interest | $325,250 | $54,889 | - | $380,139 |
| Travel | $90,204 | $12,409 | - | $102,613 |
| Information Technology | $31,646 | $4,354 | - | $36,000 |
| Advertising | $12,882 | $1,772 | - | $14,654 |
| Total Functional Expenses | $337,830,186 | $61,491,046 | $0 | $399,321,232 |
| Line Item | Amount |
|---|---|
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Expenses per Audited Statements | $0 |
| Other Expense Adjustments | $0 |
| Total Expenses per Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Federal Income Taxes | $464,191,167 |
| Intercompany | $18,229,558 |
| Rou Financing | $5,433,330 |
| Other Liabilities | - |
“HONORHEALTH AMBULATORY DOES NOT PAY ANY COMPENSATION. THE CEO, OFFICERS AND KEY EMPLOYEES ARE COMPENSATED BY HONORHEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE PROCESS DESCRIBED BELOW IS THAT OF HONORHEALTH. An executive compensation consultant conducts detailed market analysis for executive cash compensation. The consultant utilizes available published healthcare survey sources. Executive positions are matched to Appropriate survey positions based on job content, duties and scope of responsibility. Survey data is matched from organizations of similar size and scope. The study was last completed in 2024. HonorHealth's CEO serves on the Executive Compensation Committee. In direct consultation with the Executive and Compensation Committee of the Board, A HonorHealth corporate officer annually determines officer and key employee compensation using data provided by the compensation consultant. Discussion of recommended compensation adjustments is documented in the Executive Compensation Committee minutes. Impacted individuals, including the CEO, are not present during the discussion and are not involved in the decision-making process. THE CEO OF HONORHEALTH'S COMPENSATION IS ANNUALLY APPROVED VIA RESOLUTION BY THE EXECUTIVE AND COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND RECORDED IN THE EXECUTIVE AND COMPENSATION COMMITTEE MINUTES. HONORHEALTH'S CEO IS NOT PRESENT AND DOES NOT PARTICIPATE IN THE PROCESS”
“The sole member of honorhealth ambulatory is honorhealth, a related nonprofit corporation.”
“The board of directors of honorhealth has the right to elect and approve the board of directors of honorhealth ambulatory. The ceo of honorhealth serves as an ex-officio director with voting rights.”
“The following substantial actions cannot be taken without the approval honorhealth): a) repealing, altering, amending or restating the bylaws or the corporation's article of incorporation; b) merging with another corporation or entity; c) dissolving the corporation; d) guaranteeing the obligations of another entity or individual; e) selling or transferring all or substantially all of the assets of the corporation.”
“THE TAX RETURN IS PREPARED BY HONORHEALTH'S DIRECTOR OF TAX FROM INFORMATION THAT IS GATHERED FROM VARIOUS SOURCES WITHIN THE ORGANIZATION INCLUDING, BUT NOT LIMITED TO, HUMAN RESOURCES, PAYROLL, AND THE LEGAL DEPARTMENT. AN ACCOUNTING FIRM REVIEWS a DRAFT FORM 990. THE DRAFT 990 IS THEN REVIEWED BY HONORHEALTH'S CHIEF FINANCIAL OFFICER, NETWORK CONTROLLER, VP of Treasury and Investments, AND GENERAL COUNSEL. COMMENTS FROM THOSE INDIVIDUALS ARE CONSIDERED AND INCORPORATED INTO A FINAL DRAFT. PRIOR TO FILING, THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS OF HONORHEALTH AMBULATORY.”
“HonorHealth, ON BEHALF OF THE HONORHEALTH AMBULATORY, monitors and enforces compliance with its Conflict of Interest Policy through educational and annual reporting requirements. Directors, officers and key employees are among the individuals required to annually review HonorHealth's Conflict of Interest Policy and complete an annual disclosure statement. The Audit & Compliance department oversees the review of all reported disclosures annually to determine if an actual or perceived conflict exists. Additional information is requested from the disclosing party as necessary. HonorHealth's General Counsel is consulted when possible conflicts are identified. If the reported disclosure can be managed in such a way that a conflict of interest does not present itself, the Audit & Compliance department will derive a management plan which is shared with and agreed upon by the disclosing party. If the reported disclosure cannot be managed in such a way to avoid a conflict, the Audit & Compliance department will discuss options for addressing the conflict with HonorHealth's General Counsel. Possible actions include discontinuance of relationship with HonorHealth, removal from committees, removal from specific employment role, or the termination of a contractual agreement. The Nominating and Governance Committee of the HonorHealth Board receives an annual summary of all disclosed potential or actual conflicts to ensure they have been reviewed and processed in accordance with the HonorHealth Conflict of Interest Policy.”
“Documents are available for public inspection upon request to the honorhealth network controller at: 8125 n. Hayden road, scottsdale, az 85258”
“PROFESSIONAL FEES - Total Expense: XXX-XX-XXXX, Program Service Expense: 95469922, Management and General Expenses: 13133572, Fundraising Expenses: ; NON-MEDICAL SERVICES - Total Expense: 10568640, Program Service Expense: 9290560, Management and General Expenses: 1278080, Fundraising Expenses: ; OTHER MEDICAL SERVICES - Total Expense: 1034909, Program Service Expense: 909756, Management and General Expenses: 125153, Fundraising Expenses: ; CONSULTANTS - Total Expense: 173016, Program Service Expense: 152093, Management and General Expenses: 20923, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 53214, Program Service Expense: 46779, Management and General Expenses: 6435, Fundraising Expenses: ;”
“Capital Distributions - -10045681; CHANGE IN VALUE IN MINORITY INTEREST IN SOVEREIGN - 1832804; CHANGE IN VALUE IN MINORITY INTEREST IN PHYSICIANS - -181911; Total - -8394788;”
“The Company calculates income taxes using the liability method, under which deferred tax assets and liabilities are determined based upon the differences between the financial accounting and tax basis of assets and liabilities. The Company recognizes the tax benefit from uncertain tax positions, only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The Company annually reviews its uncertain tax positions, and based on this review, has not recorded any expense or accrued for any uncertain tax positions as of December 31, 2024 or 2023. The statute of limitations for tax returns filed for years 2021 through 2024 remain open in U.S. tax jurisdictions in which the Company is subject to taxation.”
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 | 11529117 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 21201227 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 21989339 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 27804489 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | HONORHEALTH AMBULATORY'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1772 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 12882 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 14654 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 127551 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 927191 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1054742 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | HEATHER MAHONEY |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4805875069 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 8125 N HAYDEN ROAD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SCOTTSDALE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | AZ |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 85258 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 16573905 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 22181605 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 923688 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 6714425 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 7638113 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 218377 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 9432135 |
| IRS990/CYOtherExpensesAmt | 0 | 200692404 |
| IRS990/CYOtherRevenueAmt | 0 | 222548 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 269346753 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -120101419 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 198628828 |
| IRS990/CYTotalExpensesAmt | 0 | 399321232 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 279219813 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 2239675 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 5199035 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 7438710 |
| IRS990/Desc | 0 | HONORHEALTH AMBULATORY ("HH AMBULATORY") SUPPORTS HONORHEALTH IN FURTHERANCE OF ITS EXEMPT PURPOSE. HonorHealth operates nine acute-care hospitals and an expansive medical group practice offering comprehensive primary, specialty, and urgent care services. The network also includes advanced cancer care centers, outpatient surgery facilities, clinical research programs, medical education initiatives, and a wide range of community services. HONORHEALTH'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. HH Ambulatory operates approximately 100 ambulatory care locations throughout the metro phoenix area and holds certain key strategic partnership investments on behalf of HonorHealth. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 337830186 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 746668 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 5427643 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 6174311 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 14564163 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 105869110 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 120433273 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.0 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 296072 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 84072 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 72877 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 137206 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 153622 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | FRANK PUGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MIKE WELBORN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | TODD LAPORTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ALPA SHAH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ANDREW KASSIR MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | CHARLES MITCHELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DREW BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | FRED HESSLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | HEIDI JANNENGA as of 124 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JULIE ARVO MACKENZIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KATHLEEN WADE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | KATHRYN JO LINCOLN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | PETE HATHAWAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | STEVE WHEELER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DEREK A HAMPSHIRE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | ELIZABETH FARHART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | LISA MONTMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | SHANNON FOX FRASER |
| 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/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 46816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 50160 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 4126280 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 101800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 60996 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 41800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 46816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 46816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 41800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 46816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 46816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 46816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 46816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 41800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 332413 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 464894 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 1162849 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 968879 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR/VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR/CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR/PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Assistant Treasurer/VP Treasury |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Assistant Sec/VP/Assoc Gen Counsel |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | TREASURER/EVP/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | SEC/SVP/CHIEF LEGAL OFFICER & GC |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1981 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 9188759 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 9188759 |
| IRS990/GrossReceiptsAmt | 0 | 279219813 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 21820 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 4354 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 31646 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 36000 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 153248 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1113985 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1267233 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 6031618 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 4825294 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 54889 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 325250 |
| IRS990/InterestGrp/TotalAmt | 0 | 380139 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 572946 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1110470 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 243376 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 243376 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 34937601 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 36778971 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 14215812 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 21492282 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 26528488 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 40744300 |
| IRS990/LegalDomicileStateCd | 0 | AZ |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. OUR VISION IS TO BE THE PARTNER OF CHOICE AS WE TRANSFORM HEALTHCARE FOR OUR COMMUNITIES. WE WILL ATTAIN OUR VISION THROUGH THE FOLLOWING: -PROVIDING THE HIGHEST QUALITY OUTCOMES, EFFICIENT CARE AND BEST EXPERIENCE FOR OUR PATIENTS. -PROMOTING ACCESSIBLE AND CONVENIENT CARE THROUGH OUR CLINICALLY INTEGRATED DELIVERY NETWORK. -PURSUING STRATEGIC PARTNERSHIPS TO ACCELERATE LEARNING, INNOVATION AND OUR NETWORK DEVELOPMENT. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -242659797 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -371159004 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 9188759 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 9188759 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 21820 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 21820 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -242659797 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -371159004 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1582927 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 11506537 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 13089464 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 310532 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2257308 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2567840 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 7859658 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 17850547 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -8394788 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 833143 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3264954 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4098097 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | PHARMACEUTICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS, MAINTENANCE, LEASED EQUIP |
| IRS990/OtherExpensesGrp/Desc | 3 | Dues and Subscriptions |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 335077 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 55246 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 26549615 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 10718069 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 2435728 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 401577 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 26549615 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 10718069 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 2770805 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 456823 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 340994457 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 487854055 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISC. OPERATING REVENUE |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 200728 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 200728 |
| IRS990/OtherRevenueTotalAmt | 0 | 200728 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 38861640 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 152292533 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 191154173 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 684064 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 2692494 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 3376558 |
| IRS990/PoliciesReferenceChaptersInd | 0 | false |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 406428 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 816414 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | TODD LAPORTE |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 622110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 622110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | ASC MISC REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 267651207 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 1695546 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 267651207 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 1695546 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 4112 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 8912796 |
| IRS990/PYOtherExpensesAmt | 0 | 175188729 |
| IRS990/PYOtherRevenueAmt | 0 | 239756 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 252872776 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -90113331 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 176954042 |
| IRS990/PYTotalExpensesAmt | 0 | 352142771 |
| IRS990/PYTotalRevenueAmt | 0 | 262029440 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -120101419 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RelatedOrganizationsAmt | 0 | 218377 |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 21820 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | true |
| IRS990/RevenueAmt | 0 | 269547481 |
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