Liabilities / Assets
80th percentile
Higher debt load relative to assets than 80% of similar nonprofits.
EIN 26-2006545 • 501(c)3 • New York, NY
Profile
Village senior services corporation operates a medicaid managed long-term care (mltc) plan that coordinates heath care services for chronically ill adults who wish to continue to stay at home and in their communities for as long as possible. It works closely with members' doctors, help set up appointments, arrange care, monitor medications and provide guidance toward the best quality health care options available.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
80th percentile
Higher debt load relative to assets than 80% of similar nonprofits.
Liabilities / Revenue
15th percentile
Higher debt load relative to revenue than 15% of similar nonprofits.
Net Margin
19th percentile
Higher net margin than 19% of similar nonprofits.
Top Officer Pay
44th percentile
Higher top officer pay than 44% of similar nonprofits.
Top officer pay equals 0.1% of source-year revenue.
Asset Growth
89th percentile
Faster asset growth than 89% of similar nonprofits.
Revenue Growth
87th percentile
Faster revenue growth than 87% of similar nonprofits.
Assets
Up$423,956,884
Up $75,689,566 (+22%) from 2023
Liabilities
Up$252,024,968
Up $82,376,639 (+49%) from 2023
Net Assets
Down$171,931,916
Down $6,687,073 (-3.7%) from 2023
Revenue
Up$1,749,873,219
Up $488,861,446 (+39%) from 2023
Expenses
Up$1,755,590,217
Up $524,002,879 (+43%) from 2023
Net Income
Down-$5,716,998
Down $35,141,433 (-119%) 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 2022 below.
Village senior services corporation (vssc) operates a medicaid managed long-term care (mltc) plan and other insurance plans that cordinate health care services for chronically ill adults who wish to continue to stay at home and in their communities for as long as possible. It works closely with members' doctors help set up appointments, arrange care, monitor medications and provide guidance toward the best quality health care options available.
THE PLAN COVERS A WIDE RANGE OF LONG Term CARE AND MEDICARE SERVICES, INCLUDING A DEDICATED CARE TEAM, AND has MANAGED TO MAINTAIN OVER 19,000 MEMBERSHIPS DURING 2022.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $191,425,178 | $163,523,458 | ▼ $27,901,720 |
| Investments in Publicly Traded Securities | $25,367,588 | $63,323,393 | ▲ $37,955,805 |
| Accounts Receivable | $13,144,979 | $18,055,572 | ▲ $4,910,593 |
| Savings and Temporary Cash Investments | $143,482 | $9,892,924 | ▲ $9,749,442 |
| Land, Buildings, and Equipment, Net | $1,392,717 | $2,027,961 | ▲ $635,244 |
| Prepaid Expenses and Deferred Charges | $1,341,400 | $1,270,259 | ▼ $71,141 |
| 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 |
| Intangible Assets | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $301,834,383 | $329,821,096 | ▲ $27,986,713 |
| Other Assets Total | $69,019,039 | $71,727,529 | ▲ $2,708,490 |
| Liabilities | |||
| Other Liabilities | $175,652,303 | $171,835,744 | ▼ $3,816,559 |
| Accounts Payable and Accrued Expenses | $9,076,749 | $12,692,642 | ▲ $3,615,893 |
| 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 | $184,729,052 | $184,528,386 | ▼ $200,666 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $117,105,331 | $145,292,710 | ▲ $28,187,379 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $117,105,331 | $145,292,710 | ▲ $28,187,379 |
| Total Liabilities and Net Assets / Fund Balance | $301,834,383 | $329,821,096 | ▲ $27,986,713 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $1,914,386 | $1,557,633 | $3,472,019 |
| Leasehold Improvements | $113,575 | $380,124 | $493,699 |
| Other Assets Org | $192,865 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Lisa Garay | Evp of Clinical Strategy & Ops | FT | $500,718 | $162,172 | $662,890 |
| Xin Liu | Nurse Assessor | FT | $376,425 | - | $376,425 |
| Vanessa Fernandez | VP of Member Exp. and Sup. Svc | FT | $269,986 | $65,830 | $335,816 |
| Steven Arnold | Senior Medical Director | FT | $286,680 | $35,935 | $322,615 |
| Janice Leacock-bennett | VP of Clinical Operations | FT | $253,580 | $62,082 | $315,662 |
| Xiaohong Dong | Avp Business Development | FT | $255,396 | $29,560 | $284,956 |
| Anibal Vazquez | Avp of Sales Operations | FT | $219,592 | $34,687 | $254,279 |
| Name | Title |
|---|---|
| John W Behre | Chair |
| Emma Devito | President and CEO |
| Daniel M Fox | Director |
| David H Sidwell | Director |
| Eleanor S Applewhaite | Director |
| Elizabeth Butson | Director |
| Gail Donovan | Director |
| Glenna R Michaels | Director |
| James J Gardiner | Director |
| James R Knickman | Director |
| Judith Smith | Director |
| Leroy Sharer | Director |
| Lynn Law | Director |
| Lynne P Brown | Director |
| Ruth Levin | Director |
| Debra Tirado | CFO |
| Jill Moscowitz | Chief Legal Officer |
| Judy Choi | Secretary |
| Mary Caracappa | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Medimpact | Pharmacy Benefit Mgt | 10181 SCRIPPS GATEWAY COURT, San Diego, CA 92131 | $28,617,400 |
| Royal Health Care Of Long Island | Tpa Services | 1 COMPUTER ASSOCIATES PLAZA SUITE, Islandia, NY 11749 | $8,278,403 |
| Jamaica Acquisition Iii LLC | Care Management | 3155 GRACE AVE, Bronx, NY 10469 | $1,453,680 |
| Sps Community Solutions | Medicaid & Financial | 100 BOULEVARD OF THE AMERICAS, Lakewood, NJ 08701 | $928,826 |
| X-treme Care LLC | Uas Enrollment Asse | 21212 NORTHERN BLVD, Bayside, NY 11361 | $532,958 |
| Line Item | Amount |
|---|---|
| Other Expenses | $924,489,929 |
| Salaries, Compensation, and Employee Benefits | $63,554,570 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $871,384,017 | $2,419,009 | - | $873,803,026 |
| Other Salaries and Wages | $38,487,592 | $11,996,534 | - | $50,484,126 |
| Fees for Services Management | - | $36,183,667 | - | $36,183,667 |
| Other Employee Benefits | $4,874,632 | $1,519,417 | - | $6,394,049 |
| Payroll Taxes | $2,872,455 | $895,341 | - | $3,767,796 |
| Office Expenses | $1,874,346 | $1,667,395 | - | $3,541,741 |
| Advertising | $258,781 | $2,170,367 | - | $2,429,148 |
| Information Technology | $2,218 | $2,180,026 | - | $2,182,244 |
| Pension Plan Contributions | $1,456,045 | $453,848 | - | $1,909,893 |
| Insurance | $216,745 | $1,023,827 | - | $1,240,572 |
| Current Officers, Directors, Trustees, and Key Employees | $761,384 | $237,322 | - | $998,706 |
| Depreciation Depletion | $19,220 | $612,838 | - | $632,058 |
| Occupancy | $71,276 | $166,878 | - | $238,154 |
| Fees for Service Investment Mgmnt Fees | - | $137,096 | - | $137,096 |
| Fees for Services Accounting | - | $124,800 | - | $124,800 |
| Other Expenses | $18,207 | $86,005 | - | $104,212 |
| Travel | $12,651 | $71,486 | - | $84,137 |
| Fees for Services Lobbying | - | $54,827 | - | $54,827 |
| Interest | $5,686 | $26,861 | - | $32,547 |
| Total Functional Expenses | $924,748,034 | $63,296,465 | $0 | $988,044,499 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $988,044,499 |
| Expenses per Audited Statements | $987,907,403 |
| Total Expenses per Audited Statements | $987,907,403 |
| Expenses Not Reported on Financial Statements | $137,096 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| 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 |
|---|---|
| Claims Reserve | $97,191,952 |
| Due to Third Parties | $66,573,317 |
| Subordinate Surplus Note Payable | $6,746,884 |
| Due to Related Entities | $916,747 |
| Operating Lease Liabilities | $402,681 |
| Contract Liability | $4,163 |
“Village care of new york (vcny) is the sole member of the organization.”
“Village care of new york, as the sole member of the organization has the power to appoint the board of directors.”
“Village care of new york, as the sole member of the organization has the power to remove directors with or without cause.”
“The form 990 is distributed to the audit committee and the full board for review and comment prior to filing with the irs. Any issues are addressed prior to filing.”
“Each board member, principal officer, and member of a committee with board delegating power shall annually sign a conflict of interest statement. The statement is disclosed to vcny and subsidiaries' corporate compliance officer who would report the findings to the village care of new york (vcny) board executive committee. If a conflict were to be found, the conflicted person would be recused from matters relating to his/her possible conflict.”
“Vssc makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”
“Description:claims settled total fees:xxx-xx-xxxx”
“Description:pharmacy medical total fees:1457145”
“Description:contracted services total fees:11022396”
“Description:stop loss total fees:2846017”
“Description:capitation expense total fees:2608529”
“Description:consulting fees total fees:649893”
“Description:care management total fees:7779802”
“Description:other total fees:20507”
“Asc 740 footnote management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identitfied any material uncertain tax positions to be recorded or disclosed in the financial statements.”
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 | 9076749 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 12692642 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 13144979 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 18055572 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | THE PLAN COVERS A WIDE RANGE OF LONG Term CARE AND MEDICARE SERVICES, INCLUDING A DEDICATED CARE TEAM, AND has MANAGED TO MAINTAIN OVER 19,000 MEMBERSHIPS DURING 2022. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 2170367 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 258781 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2429148 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | DEBRA TIRADO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2123375710 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 120 BROADWAY SUITE 2840 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | NEW YORK |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 10271 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 191425178 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 163523458 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 22 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 237322 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 761384 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 998706 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 28617400 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 8278403 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1453680 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 928826 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 532958 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 10181 SCRIPPS GATEWAY COURT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1 COMPUTER ASSOCIATES PLAZA SUITE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 3155 GRACE AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 100 BOULEVARD OF THE AMERICAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 21212 NORTHERN BLVD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SAN DIEGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | ISLANDIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BRONX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | LAKEWOOD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BAYSIDE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| 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 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 92131 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 11749 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 10469 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 08701 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 11361 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | MEDIMPACT |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | ROYAL HEALTH CARE OF LONG ISLAND |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | JAMAICA ACQUISITION III LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | SPS COMMUNITY SOLUTIONS |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | X-TREME CARE LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PHARMACY BENEFIT MGT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | TPA SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CARE MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | MEDICAID & FINANCIAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | UAS ENROLLMENT ASSE |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 356011 |
| IRS990/CYOtherExpensesAmt | 0 | 924489929 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 1018630441 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 30941953 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 63554570 |
| IRS990/CYTotalExpensesAmt | 0 | 988044499 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1018986452 |
| 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/ManagementAndGeneralAmt | 0 | 612838 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 19220 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 632058 |
| IRS990/Desc | 0 | VSSC OPERATES A PARTIALLY CAPITATED MEDICAID MANAGED LONG-TERM CARE PROGRAM (MLTCP) PLAN, A DUAL ELIGIBLE SPECIAL NEEDS PLAN (DSNP), AND A MEDICAID ADVANTAGE PLUS (MAP) PLAN. THE MLTCP PLAN COVERS A WIDE RANGE OF LONG TERM CARE SERVICES INCLUDING A DEDICATED CARE TEAM. THE VOLUME OF MEMBERSHIPS HAS INCREASED TO OVER 19,000 IN 2022. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 672 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 924748034 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 124800 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 124800 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 54827 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 54827 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 36183667 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 36183667 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2419009 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 871384017 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 873803026 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 137096 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 137096 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 12.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 16.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 12.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| 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 | 0.32 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.26 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.26 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.05 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.05 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.14 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.14 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.2 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.04 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.03 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.05 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.12 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.05 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.05 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 22.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 18.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 22.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.6 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.48 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.48 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.03 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.26 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.36 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.19 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.08 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.06 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.23 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 0.1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 0.1 |
| 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/OtherCompensationAmt | 0 | 77733 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 77733 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 81455 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 43962 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 41869 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 15593 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 43882 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 13528 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 25583 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | EMMA DEVITO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JILL MOSCOWITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LISA GARAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DEBRA TIRADO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | XIN LIU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | VANESSA FERNANDEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | STEVEN ARNOLD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JANICE LEACOCK-BENNETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | XIAOHONG DONG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ANIBAL VAZQUEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JOHN W BEHRE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JUDY CHOI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MARY CARACAPPA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ELEANOR S APPLEWHAITE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LYNNE P BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | ELIZABETH BUTSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DAVID H SIDWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | DANIEL M FOX |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | GAIL DONOVAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | RUTH LEVIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JAMES J GARDINER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JAMES R KNICKMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | LYNN LAW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | GLENNA R MICHAELS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | LEROY SHARER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JUDITH SMITH |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 581435 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 376425 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 293947 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 307022 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 271780 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 271428 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 228696 |
| 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/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1226152 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 624115 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 557781 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT AND CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHIEF LEGAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | EVP OF CLINICAL STRATEGY & OPS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | NURSE ASSESSOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VP OF MEMBER EXP. AND SUP. SVC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | SENIOR MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP OF CLINICAL OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | AVP BUSINESS DEVELOPMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | AVP OF SALES OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2008 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -1252844 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 41164045 |
| IRS990/GrossReceiptsAmt | 0 | 1061403341 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 16 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 173 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 2180026 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2218 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2182244 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1023827 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 216745 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1240572 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 26861 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 5686 |
| IRS990/InterestGrp/TotalAmt | 0 | 32547 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1608855 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1608855 |
| 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 | 25367588 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 63323393 |
| IRS990/IRPDocumentCnt | 0 | 2075 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
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