Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
EIN 26-4203938 • 501(c)3 • Plainsboro, NJ
Profile
The organization provides medically necessary healthcare services in furtherance of the charitable purposes of princeton healthcare system, a new jersey nonprofit corporation; a related internal revenue code section 501(c)(3) tax-exempt hospital which provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to the organization's community benefit statement included in schedule o.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
Liabilities / Revenue
84th percentile
Higher debt load relative to revenue than 84% of similar nonprofits.
Net Margin
39th percentile
Higher net margin than 39% of similar nonprofits.
Top Officer Pay
63rd percentile
Higher top officer pay than 63% of similar nonprofits.
Top officer pay equals 3.2% of source-year revenue.
Asset Growth
1st percentile
Faster asset growth than 1% of similar nonprofits.
Revenue Growth
4th percentile
Faster revenue growth than 4% of similar nonprofits.
Assets
Down$7,279
Down $4,371,122 (-100%) from 2022
Liabilities
Up$39,467,694
Up $12,265,561 (+45%) from 2022
Net Assets
Down-$39,460,415
Down $16,636,683 (-73%) from 2022
Revenue
Down$26,913,448
Down $17,919,748 (-40%) from 2022
Expenses
Down$26,915,902
Down $32,789,715 (-55%) from 2022
Net Income
Up-$2,454
Up $14,869,967 (+100%) from 2022
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
The organization provides physician services in furtherance of the charitable purposes of princeton healthcare system, a related internal revenue code section 501(c)(3) tax-exempt hospital which provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay.
The organization provides physician services in furtherance of the charitable purposes of princeton healthcare system, a related irc section 501(c)(3) tax-exempt hospital
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $2,246,010 | $0 | ▼ $2,246,010 |
| Inventories for Sale or Use | $595,453 | $0 | ▼ $595,453 |
| Land, Buildings, and Equipment, Net | $287,453 | $0 | ▼ $287,453 |
| Savings and Temporary Cash Investments | $255,916 | $0 | ▼ $255,916 |
| Prepaid Expenses and Deferred Charges | $81,310 | $0 | ▼ $81,310 |
| Cash and Non-Interest-Bearing Accounts | $636 | $7,279 | ▲ $6,643 |
| 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 |
| Other Assets Total | $53,683 | $0 | ▼ $53,683 |
| Total Assets | $3,520,461 | $7,279 | ▼ $3,513,182 |
| Liabilities | |||
| Other Liabilities | $39,275,670 | $39,467,391 | ▲ $191,721 |
| Accounts Payable and Accrued Expenses | $3,702,752 | $303 | ▼ $3,702,449 |
| 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 | $42,978,422 | $39,467,694 | ▼ $3,510,728 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Net Assets Without Donor Restrictions | $-39,457,961 | $-39,460,415 | ▼ $2,454 |
| Total Net Assets Fund Balance | $-39,457,961 | $-39,460,415 | ▼ $2,454 |
| Total Liabilities and Net Assets / Fund Balance | $3,520,461 | $7,279 | ▼ $3,513,182 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| John Heim Md | Physician | FT | $702,780 | $159,422 | $862,202 |
| Bushra F Mirza | Physician | FT | $286,199 | $450,514 | $736,713 |
| Anish a Sheth Md | Physician | FT | $632,082 | $1,209 | $633,291 |
| Lisa Motavelli Md | Physician | FT | $436,504 | $186,112 | $622,616 |
| Khare Madhurani | Physician | FT | $258,650 | $357,018 | $615,668 |
| Name | Title |
|---|---|
| Kathryn Robison | President, Phap |
| Guilherme Valladares Mba | Treasurer |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $21,165,206 |
| Other Expenses | $5,750,696 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $15,732,051 | $1,748,006 | $0 | $17,480,057 |
| Fees for Services Other | $3,102,308 | $900,150 | $0 | $4,002,458 |
| Other Employee Benefits | $2,446,596 | $271,844 | $0 | $2,718,440 |
| Payroll Taxes | $870,038 | $96,671 | $0 | $966,709 |
| Occupancy | $606,802 | $67,422 | $0 | $674,224 |
| All Other Expenses | $293,946 | $32,659 | - | $326,605 |
| Insurance | $190,501 | $21,167 | $0 | $211,668 |
| Travel | $67,790 | $7,532 | $0 | $75,322 |
| Office Expenses | $13,506 | $1,501 | $0 | $15,007 |
| Depreciation Depletion | $4,595 | $511 | $0 | $5,106 |
| Other Expenses | $4,261 | $473 | $0 | $4,734 |
| Information Technology | $3,653 | $406 | $0 | $4,059 |
| Total Functional Expenses | $23,759,088 | $3,156,814 | $0 | $26,915,902 |
| 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 |
|---|---|
| Interco Due To/(from) Affiliates | $39,404,250 |
| Other Liabilites | $63,141 |
“Detail of members the university is the sole member of holding. Holding is the sole member of this organization which exists through a physician nominee agreement due to state of new jersey corporate practice of medicine prohibition rules and regulations. ----------”
“Form 990 review process information related to this organization's form 990 filing is gathered by finance staff and provided to pwc us tax llp for review and return preparation. A draft copy of the june 30, 2024 form 990 was reviewed by various senior financial management officials before it was submitted to the board for their review. A copy of the final june 30, 2024 form 990 was then made available to each board member prior to the filing deadline. ----------”
“Conflict of interest policy this organization is an affiliate of the trustees of the university of pennsylvania ("university"). Each covered person* annually shall complete a conflict of interest questionnaire provided by the university and shall update such questionnaire promptly as necessary to reflect changes during the course of the year. Former board members who are not trustee emeriti are encouraged but not required to complete the questionnaire during the five year period following completion of their terms. Completed questionnaires shall be returned to the office of the secretary and shall be subject to review by such office and the office of the general counsel, as well as by any outside legal counsel and/or auditors who may be appointed to advise the compensation committee of the board of trustees appointed to oversee this policy. Completed questionnaires also shall be available for inspection by any board member. *covered persons include: (1) voting members of the board of trustees (including charter trustees, term trustees, alumni trustees, and commonwealth trustees); (2) trustee emeriti who have served in that capacity for five years or less; (3) other former voting trustees for a period of five years from the end of their term as such; (4) officers as defined in the statutes; and (5) members of the investment board. Each covered person (except former board members who are not trustee emeriti) shall be required to acknowledge, not less than annually, that he or she has read and is in compliance with this policy. ----------”
“Compensation process this organization is an affiliate of the trustees of the university of pennsylvania ("university"). Compensation arrangements involving any of our officers and/or key employees are established by the university pursuant to a process that satisfies the rebuttable presumption procedure available for section 4958 excess benefit transaction tax purposes (which requires a review of compensation determinations by disinterested persons, use of appropriate comparability data, and contemporaneous documentation of the process). ----------”
“Documents availability to public the organization's form 990, governing documents, audited financial statements, and conflict of interest policy are available to the public upon request. The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the state of new jersey department of treasury. ----------”
“Statement of program service accomplishments penn medicine princeton medicine physicians is a network of board certified physicians who are dedicated to excellence in primary and specialty medical care. Patients of princeton medicine physicians benefit from the organization being part of penn medicine - a nationally recognized academic medical center with medical, behavioral health, and surgical care capabilities. The highly-trained physicians in the princeton medicine physicians network are experts in their fields and are skilled in the non-surgical and surgical treatment of acute and chronic health conditions, as well as preventive healthcare, including routine exams and health screenings. Princeton medicine physicians practices include specialties such as: bariatric and metabolic surgery; behavioral health; cardiology; digestive health; epilepsy; family medicine; gastroenterology; geriatric medicine; gynecologic oncology; gynecologic surgery; hematology/oncology; hospitalists; internal medicine; obstetrics and gynecology; plastic surgery; pulmonary medicine; sleep medicine; and thoracic surgery. Across the practice locations, medicare and most major insurance plans are accepted, including new plans offered through the health insurance marketplace. Patients can make appointments with princeton medicine physicians practices by calling a dedicated scheduling telephone number and by visiting princetonhcs.org and clicking a link to zocdoc, a third party scheduling system. Patients of princeton medicine physicians are seen in person and also have access to penn connected health virtual visit. A virtual visit allows patients and their princeton medicine physicians provider to connect remotely through a secure video app, or via telephone when necessary, from the comfort of their home or office. The princeton health community wellness department supports princeton medicine physicians patients through a series of free community lectures hosted by princeton medicine physicians on a variety of topics, such as: - weight loss surgery, is it right for me?: severe obesity is a serious health condition that can impact every aspect of your life. If traditional weight-loss methods have failed, surgery may be an option. The lecture includes an overview of traditional and minimally invasive surgical weight loss options, including laparoscopic gastric bypass surgery, sleeve gastrectomy and laparoscopic stomach banding, to help you make the choice that's right for you. - what you need to know about high blood pressure: hypertension, or high blood pressure, puts you at risk for many other health conditions, including heart attack, stroke, and kidney disease. Join us to learn what you can do to manage your blood pressure, and the importance of taking control of your health. - eat better, sleep better: they say you are what you eat, but did you also know there are foods that are best if you want proper rest? This informative session will teach you which foods keep you up at night and which ones help you sleep better. ----------”
“Forms 1099 this organization is an affiliate of the trustees of the university of pennsylvania ("trustees"). The forms 1099 distributed as part of this entity's activities are done so through the university health system and consolidated with trustees. -----------------------------”
“Description:temporary & outsourced employ total fees:2161782”
“Description:overhead allocation total fees:793194”
“Description:professional fees - medical total fees:761044”
“Description:fees - professional services total fees:38660”
“Description:billing expense total fees:2454”
“Description:other fees total fees:245324”
“Detail of other liabilities the interco due to/(from) affiliates account represents amounts due to/(owed to) this organization by the trustees of the university of pennsylvania ("penn"), a related organization, based upon penn's central treasury office managing the cash balances of certain of its affiliates. ------------”
“Text of fin 48 (asc 740) footnote this organization is an affiliate of the trustees of the university of pennsylvania ("university"). The fin 48 (asc 740) footnote below derives from the consolidated june 30, 2024 financial statements of the university: the university regularly evaluates its tax position and does not believe it has any uncertain tax positions that require disclosure or adjustment to the consolidated financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
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| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6098537107 |
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| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PLAINSBORO |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NJ |
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| IRS990/CYRevenuesLessExpensesAmt | 0 | -2454 |
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| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 5106 |
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| IRS990/DisregardedEntityInd | 0 | true |
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| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 434 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 23759088 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
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| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
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| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2009 |
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| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
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| IRS990/GoverningBodyVotingMembersCnt | 0 | 1 |
| IRS990/GrantAmt | 0 | 0 |
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| 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/GrossReceiptsAmt | 0 | 26913448 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
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| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
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| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 142 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
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| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 0 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 406 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 3653 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 4059 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 21167 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 190501 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 211668 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 595453 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 0 |
| 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 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 0 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 287453 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 0 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | NJ |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | THE ORGANIZATION PROVIDES PHYSICIAN SERVICES IN FURTHERANCE OF THE CHARITABLE PURPOSES OF PRINCETON HEALTHCARE SYSTEM, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -39457961 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -39460415 |
| 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/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -39457961 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -39460415 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 67422 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 606802 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 674224 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1501 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 13506 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 15007 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 53683 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 271844 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2446596 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2718440 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DUES & LICENSES |
| IRS990/OtherExpensesGrp/Desc | 2 | TAXES |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 2 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 3 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 7663 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 809 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 473 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 346795 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 68966 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 7280 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 4261 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 346795 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 76629 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 8089 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 4734 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 39275670 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 39467391 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1748006 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 15732051 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 17480057 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 96671 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 870038 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 966709 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 81310 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | GUILHERME VALLADARES |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 541900 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 541900 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 541900 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT SERVICE REVENUES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | PROFESSIONAL SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | OTHER HEALTHCARE REVENUE |
| IRS990/ProgramServiceRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/ExclusionAmt | 1 | 0 |
| IRS990/ProgramServiceRevenueGrp/ExclusionAmt | 2 | 0 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 8709743 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 18016705 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 187000 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 8709743 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 18016705 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 187000 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 1 | 0 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 2 | 0 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 23192304 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 48692329 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -16634229 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 42134254 |
| IRS990/PYTotalExpensesAmt | 0 | 65326558 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 48692329 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -2454 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 26913448 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 255916 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 52386 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 607430 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 659816 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 80966 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 80966 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 26913448 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 48692329 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 44780810 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 53586457 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 50695834 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 224668878 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 80966 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 80966 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00036 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00036 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Post1975UBTIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99964 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99964 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 225328694 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 26913448 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 48692329 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 44833196 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 53586457 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 51303264 |
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