Liabilities / Assets
96th percentile
Higher debt load relative to assets than 96% of similar nonprofits.
990 • Fiscal year 2016 • EIN 04-3178972
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
96th percentile
Higher debt load relative to assets than 96% of similar nonprofits.
Liabilities / Revenue
56th percentile
Higher debt load relative to revenue than 56% of similar nonprofits.
Net Margin
19th percentile
Higher net margin than 19% of similar nonprofits.
Top Officer Pay
90th percentile
Higher top officer pay than 90% of similar nonprofits.
Top officer pay equals 0.9% of source-year revenue.
Asset Growth
94th percentile
Faster asset growth than 94% of similar nonprofits.
Revenue Growth
76th percentile
Faster revenue growth than 76% of similar nonprofits.
Assets
Up$94,000,049
Up $22,897,937 (+32%) from 2015
Net Assets
Down-$21,692,692
Down $12,082,099 (-126%) from 2015
Liabilities
Up$115,692,741
Up $34,980,036 (+43%) from 2015
Revenue
Up$190,306,116
Up $19,125,793 (+11%) from 2015
Expenses
Up$202,388,215
Up $21,597,299 (+12%) from 2015
Net Income
Down-$12,082,099
Down $2,471,506 (-26%) from 2015
SEE SCHEDULE O
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Prepaid Expenses and Deferred Charges | $3,675,681 | $6,365,743 | ▲ $2,690,062 |
| Accounts Receivable | $226,576 | $38,596 | ▼ $187,980 |
| Inventories for Sale or Use | $0 | $9,913 | ▲ $9,913 |
| Land, Buildings, and Equipment, Net | $0 | $4,413 | ▲ $4,413 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Savings and Temporary Cash Investments | $-443,037 | $-1,011,567 | ▼ $568,530 |
| Total Assets | $71,102,112 | $94,000,049 | ▲ $22,897,937 |
| Other Assets Total | $67,642,892 | $88,592,951 | ▲ $20,950,059 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $77,687,458 | $71,205,198 | ▼ $6,482,260 |
| Other Liabilities | $3,025,247 | $44,487,543 | ▲ $41,462,296 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $80,712,705 | $115,692,741 | ▲ $34,980,036 |
| Net Assets / Fund Balance | |||
| Permanently Rstr Net Assets | $0 | $0 | → $0 |
| Temporarily Rstr Net Assets | $0 | $0 | → $0 |
| Unrestricted Net Assets | $-9,610,593 | $-21,692,692 | ▼ $12,082,099 |
| Total Net Assets Fund Balance | $-9,610,593 | $-21,692,692 | ▼ $12,082,099 |
| Total Liabilities and Net Assets / Fund Balance | $71,102,112 | $94,000,049 | ▲ $22,897,937 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $4,413 | $0 | $4,413 |
| Other Land Buildings | $0 | $0 | $0 |
| Other Assets Org | $867,590 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Gregory A Bazylewicz MD | SVP Chief Dvlp Officer | FT | $458,466 | $183,721 | $642,187 |
| Pauline M Lodge | SVP Bus Dev Mkt & Communicatio | FT | $356,955 | $123,515 | $480,470 |
| Peter R Lloyd | officer/VP CORPORATE FINANCE | FT | $284,242 | $191,725 | $475,967 |
| Bruce A Metz | SVP CIO, thru 6/1/16 | FT | $358,305 | $116,926 | $475,231 |
| Allen S Danis | VP Contracting | FT | $257,003 | $185,087 | $442,090 |
| Elizabeth P Conrad | SVP Chief HR Officer | FT | $309,316 | $106,049 | $415,365 |
| Phillips Axten | VP CCO & Assoc Genl Counsel | FT | $290,794 | $98,816 | $389,610 |
| Jeffrey S Holden | VP Financial Services | FT | $204,853 | $173,828 | $378,681 |
| Alex J Barker | VP Physician Services | FT | $272,042 | $92,682 | $364,724 |
| Thomas J Cahill Jr | VP Philanthropy | FT | $180,938 | $160,031 | $340,969 |
| David Reis | SVP Chief Info Officer | FT | $234,663 | $46,988 | $281,651 |
| Maryellen Lear | Director, Legal Support Servic | FT | $103,586 | $2,082 | $105,668 |
| Name | Title |
|---|---|
| Howard R Grant JD MD | TRUSTEE/officer/PRESIDENT/CEO |
| Timothy O'Connor | officer/EVP CFO & TREASURER |
| David G Spackman | officer/SVP GOV AFFAIRS & GEN |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Northeast Emergency Assoc PC | Emergency Room Cover | 1342 Belmont St, Brockton, MA 02301 | $9,027,923 |
| FTI Consulting Inc | Consulting | PO Box 418005, Boston, MA 02241 | $7,319,576 |
| Deloitte Consulting LLP | Consulting | PO Box 7247-6447, Philadelphia, PA 19170 | $5,129,440 |
| Nordic Consulting Partners Inc | Consulting | 551 W Main Street, Madison, WI 53703 | $4,557,630 |
| EPIC Systems Corporation | Consulting | PO box 88314, Milwaukee, WI 53288 | $3,672,376 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $102,889,757 |
| Other Expenses | $99,498,458 |
| Total Fundraising Expense | $10,344,255 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $0 | $69,627,578 | $4,426,769 | $74,054,347 |
| Fees for Services Other | - | $45,350,094 | $1,179,580 | $46,529,674 |
| Other Employee Benefits | $0 | $18,596,800 | $1,182,344 | $19,779,144 |
| Information Technology | $0 | $17,871,981 | - | $17,871,981 |
| Office Expenses | $0 | $5,620,627 | $812,011 | $6,432,638 |
| Travel | $0 | $4,917,273 | $293,441 | $5,210,714 |
| Payroll Taxes | $0 | $4,782,729 | $324,084 | $5,106,813 |
| Advertising | $0 | $4,705,722 | - | $4,705,722 |
| Current Officers, Directors, Trustees, and Key Employees | - | $3,067,451 | $882,002 | $3,949,453 |
| Occupancy | $0 | $3,177,984 | $528,372 | $3,706,356 |
| Fees for Services Legal | $0 | $2,713,000 | $26,538 | $2,739,538 |
| Other Expenses | - | $1,684,797 | $689,114 | $1,684,797 |
| Fees for Services Accounting | $0 | $1,180,879 | - | $1,180,879 |
| Total Functional Expenses | $0 | $192,043,960 | $10,344,255 | $202,388,215 |
| 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 |
|---|---|
| Intercompany Payables | $44,479,703 |
| Other Noncurrent Liabilities | $7,840 |
“The sole corporate member of the reporting organization is lahey health system, inc. The reporting organizations member has, with respect to the reporting organization, the right to exercise all powers conferred on members of the non-profit corporations under massachusetts general laws chapter 180, including, without limitation, powers with respect to the following: (a) appointment and removal of members of board of trustees; (b) amendment of the articles of organization; (c) amendent of the by-laws; (d) the sale, lease, exchange or other disposition of all or substantially all of the corporations assets; and (e) the merger or consolidation with another corporation.”
“Management prepared the irs form 990 along with independent tax consultants who sign the return as a paid preparer. Prior to the filing date, a draft of the irs form 990 was provided to the entire board of trustees via a secured website. In addition, the final form 990 was provided to the entire board of trustees via the same secured website.”
“All officers, trustees, key employees, physicians and management employees at all levels are required to complete an annual conflict of interest disclosure form. The lhs corporate compliance department monitors and reviews each disclosure for compliance with the conflict of interest policy. The corporate compliance department monitors conflicts of interest through disclosure software, training, and individual reviews with physicians, key employees, and managers. Depending on the conflict of interest: a person could be asked to not participate in decisions made on behalf of the lahey health system, inc. And affiliates; a person may be told that they cannot be a principal investigator on a research study; a person may be told that they cannot perform the task that creates the conflict; a person could be asked to remove themselves from a committee.”
“Lahey health system, inc. Has a written document retention and destruction policy known as the "retention of administrative and clinical documents." the revised "retention of administrative and clinical documents" policy was approved by the medical practice and utilization committee on july 26, 2012.”
“Independent members of the board of trustees comprise the compensation committee. The committee sets the compensation and benefits for the ceo and also reviews and approves recommendations for the compensation and benefits for the disqualified individuals and others. The committee seeks the advice of the external compensation consultants. Comparability data is provided, analyzed, and documentated by the external consultants. The lhs senior vp and chief human resources officer provides the committee with any requested information. The committee met several times this year.”
“The organization negotiates arrangements to include terms and safeguards to ensure that the organization's exempt status is protected. From a legal perspective, in-house legal counsel, with the input of external legal counsel, reviews all proposed joint venture and partnership agreements. From a financial perspective, lhs finance management team reviews all proposed joint venture and partnership agreements. Both reviews take place before lahey health system, inc. And affiliates enters into any such agreements.”
“The organization's governing documents and audited financial statements are available to the public upon request. The organization's conflict of interest policy and other compliance policies are made available to the public via the organization's website.in addition, the organization presents financial information to the public as an attachment to its massachusetts office of the attorney general form pc.”
“The organization does not compensate any trustee in their capacity as a trustee. All compensation paid is for work performed in the employee's job title, which is listed on form 990, part vii directly following the title of "trustee".”
“Benefit and pension expenses for officers, trustees and key employees of lahey health shared services, inc. Are paid by lahey clinic foundation, inc. Lahey clinic foundation, inc. Allocates the aforementioned expenses to related organizations. The related organizations then reimburse lahey clinic foundation, inc.”
“Lahey health shared services, inc. (lhss) administratively supports lahey health system, inc. And affiliates (lhs or organization) in its mission to provide superior healthcare leading to the best possible outcomes for every patient. As one of the world's premier health care organizations, lhs aims to exceed patient's high expectations for service, and advance medicine through research and the education of tomorrow's health care leaders. In addition, lhs is committed to improving the health and quality of life of community residents by supporting organizations aligned with this mission. Administrative support services provided to lhs by lhss include, but are not limited, to the following; information systems, human resources, patient financial services, payroll, accounts payable, general accounting, budgeting, legal, philanthropy, marketing, communications, etc.”
“The sole corporate member of the reporting organization is lahey health system, inc. ("lhs"). Lhs is in contact with federal and state legislators regarding health care reform issues that would potentially have an impact on the organization and its related organizations.”
“The organizations financial statements did not report a liability for uncertain tax positions under fin 48.”
“Description:consulting fees total fees:6972617”
“Description:contract labor total fees:10760215”
“Description:purchased services total fees:21458881”
“Description:recruitment services total fees:2150675”
“Description:collection services total fees:5187286”
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 | 77687458 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 71205198 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 226576 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 38596 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 4705722 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 4705722 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | TIMOTHY O'CONNOR |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7817445100 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 41 MALL ROAD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BURLINGTON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 01805 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 110 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/FundraisingAmt | 0 | 882002 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 3067451 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3949453 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 5129440 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 3672376 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 4557630 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 9027923 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 7319576 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 7247-6447 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO box 88314 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 551 W Main Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1342 Belmont St |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO Box 418005 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Philadelphia |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Milwaukee |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Madison |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BROCKTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 19170 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 53288 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 53703 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 02301 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 02241 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | Deloitte Consulting LLP |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | EPIC Systems Corporation |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | Nordic Consulting Partners Inc |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | Northeast Emergency Assoc PC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | FTI Consulting Inc |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Consulting |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Consulting |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Consulting |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Emergency Room Cover |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Consulting |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | -1421307 |
| IRS990/CYOtherExpensesAmt | 0 | 99498458 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 191727423 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -12082099 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 102889757 |
| IRS990/CYTotalExpensesAmt | 0 | 202388215 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 10344255 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 190306116 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 0 |
| IRS990/Desc | 0 | LAHEY HEALTH SHARED SERVICES, INC. IS A CHARITABLE ORGANIZATION THAT PROVIDES ASSISTANCE TO ALL LAHEY HEALTH SYSTEM ENTITIES IN THE SUPPORT OF THEIR MISSIONS TO PROVIDE PATIENT CARE SERVICES, PATIENT EDUCATION, COMMUNITY BENEFITS, AND COMMUNITY SERVICE PROGRAMS, CONTINUING EDUCATION OF HEALTHCARE PROVIDERS, AS WELL AS RESEARCH ACTIVITIES AND PHILANTHROPIC EFFORTS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 1064 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 0 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 1180879 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 1180879 |
| IRS990/FeesForServicesLegalGrp/FundraisingAmt | 0 | 26538 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 2713000 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 2739538 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 1179580 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 45350094 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 46529674 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| 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/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/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 | 376483 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 183875 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 50683 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 56485 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 2082 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 32447 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 56119 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 51721 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 44090 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 20142 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 20006 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 50534 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 7197 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 49953 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 46813 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Howard R Grant JD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Timothy O'Connor |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVID G SPACKMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Peter R Lloyd |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Maryellen Lear |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Bruce A Metz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Elizabeth P Conrad |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Gregory A Bazylewicz MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Pauline M Lodge |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | David Reis |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Allen S Danis |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Phillips Axten |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Thomas J Cahill Jr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Jeffrey S Holden |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Alex J Barker |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 419482 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 103586 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 442784 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 359246 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 590466 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 436380 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 261509 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 422084 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 339076 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 333772 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 328728 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 317911 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1264853 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 676721 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 509537 |
| 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/TitleTxt | 0 | TRUSTEE/officer/PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | officer/EVP CFO & TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | officer/SVP GOV AFFAIRS & GEN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | officer/VP CORPORATE FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director, Legal Support Servic |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | SVP CIO, thru 6/1/16 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | SVP Chief HR Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | SVP Chief Dvlp Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | SVP Bus Dev Mkt & Communicatio |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | SVP Chief Info Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VP Contracting |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | VP CCO & Assoc Genl Counsel |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | VP Philanthropy |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VP Financial Services |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP Physician Services |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1992 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 190306116 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 179 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 17871981 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 17871981 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 9913 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | -1421307 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | -1421307 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 1148 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 0 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 4413 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 4413 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| 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/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -9610593 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -21692692 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 528372 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 3177984 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 3706356 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 812011 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 5620627 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 6432638 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 67642892 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 88592951 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 1182344 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 18596800 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 19779144 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | GENERAL SUPPLIES AND SERVICES |
| IRS990/OtherExpensesGrp/Desc | 2 | ADMINISTRATIVE OVERHEAD |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 689114 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 4278 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 8742767 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 1684797 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4278 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 9431881 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1684797 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 3025247 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 44487543 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 4426769 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 69627578 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 74054347 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 324084 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 4782729 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 5106813 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 0 |
| IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 3675681 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 6365743 |
| IRS990/PrincipalOfficerNm | 0 | HOWARD GRANT JD MD |
| IRS990/ProfessionalFundraisingInd | 0 | true |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | SALES OF SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER OPERATING |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 191326703 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 400720 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 191326703 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 400720 |
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Displayed year
2016 • Form 990Detailed filing. Detailed filing data is available for this year.