Liabilities / Assets
38th percentile
Higher debt load relative to assets than 38% of similar nonprofits.
EIN 13-2828349 • 501(c)3 • Peekskill, NY
Profile
To operate freestanding diagnostic and treatment centers, licensed under article 28 of the new york state health law, located in the hudson valley region of new york state and li. The organization provides a broad range of health services to a largely medically underserved population.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
38th percentile
Higher debt load relative to assets than 38% of similar nonprofits.
Liabilities / Revenue
37th percentile
Higher debt load relative to revenue than 37% of similar nonprofits.
Net Margin
56th percentile
Higher net margin than 56% of similar nonprofits.
Top Officer Pay
69th percentile
Higher top officer pay than 69% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
35th percentile
Faster asset growth than 35% of similar nonprofits.
Revenue Growth
50th percentile
Faster revenue growth than 50% of similar nonprofits.
Assets
Up$549,125,317
Up $12,896,191 (+2.4%) from 2023
Liabilities
Down$102,141,934
Down $21,152,819 (-17%) from 2023
Net Assets
Up$446,983,383
Up $34,049,010 (+8.2%) from 2023
Revenue
Up$316,911,164
Up $20,321,667 (+6.9%) from 2023
Expenses
Up$299,339,045
Up $20,144,131 (+7.2%) from 2023
Net Income
Up$17,572,119
Up $177,536 (+1.0%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2023 below.
To operate freestanding diagnostic and treatment centers, licensed under article 28 of the new york state health law, located in the hudson valley region of new york state and li. The organization provides a broad range of health services to a largely medically underserved population.
To increase access to primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $134,609,132 | $216,181,360 | ▲ $81,572,228 |
| Cash and Non-Interest-Bearing Accounts | $66,303,588 | $85,870,390 | ▲ $19,566,802 |
| Land, Buildings, and Equipment, Net | $77,411,162 | $72,535,525 | ▼ $4,875,637 |
| Investments Other Securities | $40,762,953 | $45,503,364 | ▲ $4,740,411 |
| Accounts Receivable | $53,942,712 | $23,417,932 | ▼ $30,524,780 |
| Pledges and Grants Receivable | $17,968,218 | $13,122,514 | ▼ $4,845,704 |
| Prepaid Expenses and Deferred Charges | $2,662,361 | $4,001,873 | ▲ $1,339,512 |
| Intangible Assets | $2,850,000 | $3,719,963 | ▲ $869,963 |
| Savings and Temporary Cash Investments | $5,819,917 | $3,245,692 | ▼ $2,574,225 |
| Receivables From Officers Etc | - | $2,405,576 | - |
| Total Assets | $449,072,367 | $536,229,126 | ▲ $87,156,759 |
| Other Assets Total | $46,742,324 | $66,224,937 | ▲ $19,482,613 |
| Liabilities | |||
| Other Liabilities | $43,588,769 | $81,597,573 | ▲ $38,008,804 |
| Accounts Payable and Accrued Expenses | $34,626,378 | $41,679,286 | ▲ $7,052,908 |
| Mortgage Notes Payable Secured by Investment Property | $522,225 | $17,894 | ▼ $504,331 |
| Total Liabilities | $78,737,372 | $123,294,753 | ▲ $44,557,381 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $367,930,898 | $410,317,995 | ▲ $42,387,097 |
| Net Assets With Donor Restrictions | $2,404,097 | $2,616,378 | ▲ $212,281 |
| Total Net Assets Fund Balance | $370,334,995 | $412,934,373 | ▲ $42,599,378 |
| Total Liabilities and Net Assets / Fund Balance | $449,072,367 | $536,229,126 | ▲ $87,156,759 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $47,195,946 | $28,845,985 | $76,041,931 |
| Leasehold Improvements | $5,963,283 | $30,479,379 | $36,442,662 |
| Equipment | $4,126,810 | $29,763,648 | $33,890,458 |
| Other Land Buildings | $11,816,509 | $9,150,415 | $20,966,924 |
| Land | $3,432,977 | - | $3,432,977 |
| Other Assets Org | $9,719,765 | - | - |
| Other Securities | $45,503,364 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Anne K Nolon | CEO | FT | $775,650 | $415,939 | $1,191,589 |
| James Sinkoff | Deo & CFO | FT | $572,203 | $276,547 | $848,750 |
| Allison Dubois-adach | Evp COO | FT | $487,993 | $211,600 | $699,593 |
| Kenneth Desa | Chief of Virtual & Trans Medicine | FT | $476,984 | $222,173 | $699,157 |
| Amanda Ascher | CMO | FT | $474,600 | $212,020 | $686,620 |
| Evan Zuckerman | Regional CFO | FT | $426,199 | $146,046 | $572,245 |
| Carl Pillitteri | Ob/gyn | FT | $373,944 | $89,512 | $463,456 |
| Karamchand Rameshwar | Medical Director of Psychiatry | FT | $358,952 | $103,715 | $462,667 |
| Khaldun Ferreira | Ob/gyn | FT | $350,869 | $95,143 | $446,012 |
| Quratulain Zeeshan | Site Medical Director of W | FT | $373,315 | $71,243 | $444,558 |
| Name | Title |
|---|---|
| Alan L Steiner | Chairman |
| John Russell | First Vice Chairperson |
| Maria Louisa Guitterez | Second Vice Chairperson |
| Norma Johnson | Third Vice Chairperson |
| Angela Earl | Board Member |
| Aubrey Saunders | Board Member |
| Berthide Dufrene | Board Member |
| Charles Miller | Board Member |
| Deeptha Nedunchezian | Board Member |
| James Salvadon | Board Member |
| Kendrick Harris | Board Member |
| Marcia Jacobowitz-paz | Board Member |
| Ramona Ceballos | Board Member |
| Robert Heatley | Board Member |
| Sandra Cuellar Oxford | Board Member |
| Luke Hilpert | Secretary |
| Andrew S Richter Phd | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Umg Cleaning | Cleaning Services | 146 S COUNTRY ROAD SUITE 6 BELLP, New York, NY 11713 | $2,454,357 |
| Whitecap Search INC | Temp Services | 52 VANDERBILT AVENUE 17TH FLOOR, New York, NY 10017 | $1,310,102 |
| Delmont Healthcare Services | Temp Services | 55 NORTH MAIN STREET, Freeport, NY 11520 | $1,079,765 |
| Cohn Reznick LLP | Accounting Services | 14 SYLVAN WAY 3RD FLOOR, Parsippany, NJ 07054 | $706,165 |
| Carenet Healthcare Services | Temp Services | PO BOX 2503, San Antonio, TX 78299 | $611,741 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 2 | $7,364,421 | Fair Market Value (FMV) |
| Total Noncash Contributions | 2 | $7,364,421 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $171,447,088 |
| Other Expenses | $107,747,826 |
| Total Fundraising Expense | $656,322 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $111,462,094 | $20,064,228 | $479,806 | $132,006,128 |
| Fees for Services Other | $32,877,676 | $2,694,203 | $9,838 | $35,581,717 |
| Payroll Taxes | $13,996,871 | $2,519,569 | $60,252 | $16,576,692 |
| Occupancy | $10,590,788 | $1,500,965 | - | $12,091,753 |
| Other Employee Benefits | $9,865,251 | $1,775,838 | $42,466 | $11,683,555 |
| Depreciation Depletion | $8,192,986 | $1,224,239 | - | $9,417,225 |
| Pension Plan Contributions | $6,064,199 | $1,091,613 | $26,104 | $7,181,916 |
| All Other Expenses | $3,824,320 | $2,070,075 | $790 | $5,895,185 |
| Office Expenses | $3,622,270 | $2,080,687 | $422 | $5,703,379 |
| Other Expenses | $4,109,394 | $364,819 | $6,774 | $4,480,987 |
| Current Officers, Directors, Trustees, and Key Employees | $3,376,467 | $607,796 | $14,534 | $3,998,797 |
| Information Technology | $2,248,015 | $245,974 | $5,749 | $2,499,738 |
| Insurance | $2,313,043 | $146,759 | $2 | $2,459,804 |
| Travel | $1,700,667 | $243,595 | $88 | $1,944,350 |
| Conferences and Meetings | $1,225,919 | $441,825 | $9,497 | $1,677,241 |
| Fees for Services Legal | - | $830,692 | - | $830,692 |
| Fees for Services Accounting | - | $744,896 | - | $744,896 |
| Interest | $36,283 | $5,422 | - | $41,705 |
| Total Functional Expenses | $239,885,397 | $38,653,195 | $656,322 | $279,194,914 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $303,183,163 |
| Total Expenses per Form 990 | $279,194,914 |
| Expenses per Audited Statements | $279,146,318 |
| Expenses Not Reported on Form 990 | $24,036,845 |
| Expenses Not Reported on Financial Statements | $48,596 |
| Other Expense Adjustments | $48,596 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $2,405,576 | - |
| Liability | Amount |
|---|---|
| Operating Lease | $50,382,369 |
| Due to Third Party Payors | $19,200,070 |
| Deferred Compensation Liability | $9,719,765 |
| Due to Affliates | $1,671,799 |
| Finance Lease Obligations | $623,570 |
“Form 990 is prepared by an independent accountant. It is then presented to the audit committee of the board which presents it to the full board prior to filing with the internal revenue service.”
“Sun river health, inc. Has a compliance committee of the board, an anonymous tip line with a relation whistle blower policy. The organization has conflict of interest disclaimer forms that are filled out by officers and board members and are reviewed on a regular basis by the board of directors.”
“Base-pay realignments to the market are determined annually by the board of directors pertaining to the compensation of individuals serving as the president, ceo and other officers. The board of directors uses an external compensation consultant, proxus consulting group based in philadelphia, pa, to advise the board of directors in its decisions regarding changes to the annual base compensation of the president and ceo and other officers. External market data is collected by proxus, from three published survey sources: economic research institute, the hay healthcare survey, and the warren hmo salary survey. Market data is extrapolated based on the main duties and responsibilites outlined in the job description. The survey data is able to provide data specifically for the peekskill, ny market area, the headquarters of sun river health, inc. Market data is reviewed at the median (50th percentile) which follows historical and traditional compensation practices for most organizations striving to be competitive at the 50th percentile. Once the analysis is completed, a recommendation is made regarding base compensation. The compensation committee of the board meets to discuss, with the consultants, their work and findings, deliberates, and decides, without the consultants being present, what changes to annual base compensation are warranted.”
“All documents are made available upon request.”
“The organization is licensed under article 28, article 31 and article 32 of new york state public health law. However, subsection 10 of article 28 excludes certain healthcare facilities from the definition of general hospital. Therefore, the organization is not including schedule h in the current year form 990 as they do not meet this definition.”
“Healthcare consultants: program service expenses 11,136,611. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,136,611. Contracted services: program service expenses 21,741,065. Management and general expenses 2,694,203. Fundraising expenses 9,838. Total expenses 24,445,106.”
“Management has analyzed the tax positions taken by the center, hrldc, bpc, chasi and cwha and has concluded that, as of december 31, 2023, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or an asset) or disclosure in the consolidated financial statements. The center's, hrldc's, bpc's, chasi's and cwha's federal and state income tax returns prior to fiscal year 2020 are closed, and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings.”
“Related organizations revenue 52,253,976. Intercompany eliminations -31,549,011.”
“GAIN ON DISPOSAL 48,596.”
“Related organizations expenses 49,890,180. Intercompany elimination -29,143,327.”
“GAIN ON DISPOSAL 48,596.”
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 | 34626378 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 41679286 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 53942712 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 23417932 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO INCREASE ACCESS TO PRIMARY AND PREVENTIVE HEALTH CARE AND TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY, ESPECIALLY FOR THE UNDERSERVED AND VULNERABLE. |
| IRS990/AllOtherContributionsAmt | 0 | 5933948 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 790 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 2070075 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 3824320 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 5895185 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | LAURA GOMEZ |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9142931661 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1200 BROWN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PEEKSKILL |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 10566 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 66303588 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 85870390 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 42 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/FundraisingAmt | 0 | 14534 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 607796 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 3376467 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3998797 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 9497 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 441825 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 1225919 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 1677241 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2454357 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1310102 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1079765 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 706165 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 611741 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 146 S COUNTRY ROAD SUITE 6 BELLP |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 52 VANDERBILT AVENUE 17TH FLOOR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 55 NORTH MAIN STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 14 SYLVAN WAY 3RD FLOOR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 2503 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | NEW YORK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | NEW YORK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | FREEPORT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | PARSIPPANY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SAN ANTONIO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NJ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 11713 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 10017 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 11520 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 07054 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 78299 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | UMG CLEANING |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | WHITECAP SEARCH INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | DELMONT HEALTHCARE SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | COHN REZNICK LLP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | CARENET HEALTHCARE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CLEANING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | TEMP SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | TEMP SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ACCOUNTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | TEMP SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 68373257 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 5445180 |
| IRS990/CYOtherExpensesAmt | 0 | 107747826 |
| IRS990/CYOtherRevenueAmt | 0 | 17282839 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 205488221 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 17394583 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 171447088 |
| IRS990/CYTotalExpensesAmt | 0 | 279194914 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 656322 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 296589497 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1224239 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 8192986 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 9417225 |
| IRS990/Desc | 0 | CHC 330- SUN RIVER HEALTH, INC. ("SRH") PROVIDES CULTURALLY SENSITIVE, LINGUISTICALLY APPROPRIATE PRIMARY AND PREVENTIVE HEALTHCARE AND ENABLING SERVICES, UTILIZING A TRANSDISCIPLINARY MODEL DESIGNED TO CARE FOR PATIENTS ACROSS DISCIPLINES, DEPARTMENTS AND SETTINGS IN A SEAMLESS AND INTEGRATED CONTINUUM OF COORDINATED CARE, GIVING PATIENTS THE CARE THEY NEED, WHEN AND WHERE THEY NEED IT. THE HEALTH CENTER HAS EXPANDED TO TWENTY-TWO PRIMARY CARE SITES SERVING PATIENTS THROUGHOUT A 10 COUNTY REGION OF NEW YORK STATE'S HUDSON VALLEY AND LONG ISLAND, PLUS 11 SITES ACROSS ALL 5 BOROUGHS OF NEW YORK CITY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 2404097 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 2616378 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 2204 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 229509600 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FederatedCampaignsAmt | 0 | 453203 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 744896 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 744896 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 830692 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 830692 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 9838 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2694203 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 32877676 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 35581717 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 36.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 35.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 46.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 35.00 |
| 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/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 24100 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 25600 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 23100 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 26150 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 57826 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 54776 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 45412 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 54776 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 54896 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 23100 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ALAN L STEINER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ANDREW S RICHTER PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ANGELA EARL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | AUBREY SAUNDERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BERTHIDE DUFRENE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | CHARLES MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DEEPTHA NEDUNCHEZIAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JAMES SALVADON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN RUSSELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KENDRICK HARRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | LUKE HILPERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARCIA JACOBOWITZ-PAZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MARIA LOUISA GUITTEREZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | NORMA JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | RAMONA CEBALLOS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | ROBERT HEATLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | SANDRA CUELLAR OXFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ANNE K NOLON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JAMES SINKOFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ALLISON DUBOIS-ADACH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | AMANDA ASCHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | EVAN ZUCKERMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | CARL PILLITTERI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | KARAMCHAND RAMESHWAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | KENNETH DESA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | KHALDUN FERREIRA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | QURATULAIN ZEESHAN |
| 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 | 1167489 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 823150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 676493 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 660470 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 514419 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 408680 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 417255 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 644381 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 391116 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 421458 |
| 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 | 100000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 309615 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER |
| 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 MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | FIRST VICE CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | SECOND VICE CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | THIRD VICE CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DEO & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | EVP COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | REGIONAL CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | OB/GYN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | MEDICAL DIRECTOR OF PSYCHIATRY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | CHIEF OF VIRTUAL & TRANS MEDICINE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | OB/GYN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | SITE MEDICAL DIRECTOR OF W |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1975 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 48596 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 288004 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GovernmentGrantsAmt | 0 | 61986106 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 48596 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 30450684 |
| IRS990/GrossReceiptsAmt | 0 | 326752177 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 494443 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 17 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 341 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 5749 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 245974 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2248015 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2499738 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 2 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 146759 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2313043 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2459804 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 2850000 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 3719963 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 5422 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 36283 |
| IRS990/InterestGrp/TotalAmt | 0 | 41705 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 5108580 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 5108580 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 40762953 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 45503364 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 134609132 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 216181360 |
| IRS990/IRPDocumentCnt | 0 | 240 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 98239427 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 77411162 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 72535525 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 170774952 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 30162680 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 1 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
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