Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
EIN 26-4826604 • 501(c)3 • Monterey, CA
Profile
To provide health care for the general public, carry on any educational activities related to rendering care to the sick or injured, and to participate in scientific healthcare-related research to promote the general health of the community.
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
89th percentile
Higher debt load relative to revenue than 89% of similar nonprofits.
Net Margin
3rd percentile
Higher net margin than 3% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
75th percentile
Faster asset growth than 75% of similar nonprofits.
Revenue Growth
74th percentile
Faster revenue growth than 74% of similar nonprofits.
Assets
Up$6,388,262
Up $982,244 (+18%) from 2023
Liabilities
Up$150,354,590
Up $33,483,185 (+29%) from 2023
Net Assets
Down-$143,966,328
Down $32,500,941 (-29%) from 2023
Revenue
Up$51,506,430
Up $10,897,204 (+27%) from 2023
Expenses
Up$84,007,371
Up $6,937,502 (+9.0%) from 2023
Net Income
Up-$32,500,941
Up $3,959,702 (+11%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide health care for the general public, carry on any educational activities related to rendering care to the sick or injured, and to participate in scientific healthcare-related research to promote the general health of the community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $2,701,756 | $2,815,134 | ▲ $113,378 |
| Cash and Non-Interest-Bearing Accounts | $1,097,538 | $1,775,479 | ▲ $677,941 |
| Land, Buildings, and Equipment, Net | $1,344,398 | $1,500,244 | ▲ $155,846 |
| Prepaid Expenses and Deferred Charges | $241,310 | $276,389 | ▲ $35,079 |
| Total Assets | $5,406,018 | $6,388,262 | ▲ $982,244 |
| Other Assets Total | $21,016 | $21,016 | → $0 |
| Liabilities | |||
| Other Liabilities | $112,290,447 | $144,573,762 | ▲ $32,283,315 |
| Accounts Payable and Accrued Expenses | $4,580,958 | $5,780,828 | ▲ $1,199,870 |
| Total Liabilities | $116,871,405 | $150,354,590 | ▲ $33,483,185 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-111,465,387 | $-143,966,328 | ▼ $32,500,941 |
| Total Net Assets Fund Balance | $-111,465,387 | $-143,966,328 | ▼ $32,500,941 |
| Total Liabilities and Net Assets / Fund Balance | $5,406,018 | $6,388,262 | ▲ $982,244 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $1,380,800 | $4,938,724 | $6,319,524 |
| Leasehold Improvements | $119,444 | $345,438 | $464,882 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mark Vierra Md | Physician | FT | $868,330 | $231,168 | $1,099,498 |
| Steven Lome Do | Physician | FT | $467,766 | $571,535 | $1,039,301 |
| Steven Chang Md | Physician | FT | $795,761 | $230,397 | $1,026,158 |
| Gregory Spowart Md | Physician | FT | $765,313 | $172,168 | $937,481 |
| Aarush Manchanda Md | Physician | FT | $467,766 | $397,612 | $865,378 |
| Thomas Cunningham Md | Director | FT | $332,144 | $236,661 | $568,805 |
| Grace Casserly Md | Director | FT | $233,696 | $247,379 | $481,075 |
| Name | Title |
|---|---|
| Randall Charles | Chair |
| Steven Packer Md | President & CEO |
| Jack Jewett | Director |
| Natalie Nielson | Director |
| Stan Mckee | Director |
| Wayne Moon | Director |
| Mark Carvalho Md | VP, CEO of Mmg and Mogo |
| Matthew Morgan | VP, CFO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Cypress Healthcare Partners | Management Services | 100 WILSON ROAD SUITE 100, Monterey, CA 93940 | $3,923,684 |
| Aquity Solutions LLC | Virtual Scribe | PO BOX 536470, Pittsburgh, PA 15253-5906 | $654,995 |
| Cadence Health Fl Pllc | Patient Monitoring Service | 295 LAFAYETTE STREET 7TH FLOOR, New York, NY 10012 | $482,226 |
| W Lane Verlenden Md INC | Surgical Services | 2 UPPER RAGSDALE DR STE B230, Monterey, CA 93940 | $225,243 |
| Trinity Maintenance Services | Janitorial Services | 820 PARK ROW SUITE 463, Salinas, CA 93901 | $222,775 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $67,712,274 |
| Other Expenses | $16,295,097 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $53,076,417 | $2,365,662 | - | $55,442,079 |
| Other Employee Benefits | $6,523,187 | $684,194 | - | $7,207,381 |
| Occupancy | $3,919,125 | $206,270 | - | $4,125,395 |
| Fees for Services Management | $3,554,475 | $268,548 | - | $3,823,023 |
| Payroll Taxes | $2,719,679 | $121,218 | - | $2,840,897 |
| Fees for Services Other | $1,910,764 | $102,531 | - | $2,013,295 |
| Pension Plan Contributions | $1,078,093 | $93,944 | - | $1,172,037 |
| Current Officers, Directors, Trustees, and Key Employees | $1,049,880 | - | - | $1,049,880 |
| Information Technology | $641,820 | $33,780 | - | $675,600 |
| Other Expenses | $456,139 | $50,474 | - | $506,613 |
| Depreciation Depletion | $451,183 | $23,746 | - | $474,929 |
| Total Functional Expenses | $79,806,922 | $4,200,449 | $0 | $84,007,371 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Intercompany Payables | $144,573,762 |
“Cypress healthcare is a professional physician management company. When the former executive director left, cypress healthcare assumed some of the responsibilities of the ed.”
“Montage health is the sole corporate member of montage medical group.”
“Montage health has the right to elect and appoint the directors of montage medical group.”
“The following governance decisions are reserved for montage health: (a) the merger, consolidation or dissolution of the corporation; (b) the amendment or restatement of the articles of incorporation or the bylaws of the corporation; (c) the aggregate borrowing for any purpose of an amount in excess of a dollar amount to be established by montage health from time to time. For purposes of this subsection, aggregate borrowing includes, but is not limited to, lease agreements and contracts of sale or purchase; (d) the purchase, sale, lease, disposition, exchange, gift, pledge or encumbrance of any asset, real or personal, of the corporation with a value in excess of a dollar amount to be established by montage health from time to time; (e) the approval of any transaction of the corporation in which a director or officer of the corporation has a material financial interest; (f) the appointment of legal counsel and auditors for the corporation; (g) the appointment of the audit committee for the corporation; (h) the establishment of long range goals, plans and strategies for the corporation; (i) the appointment or removal of the president/chief executive officer of the corporation; (j) the approval of the exact number of authorized directors within the variable range established pursuant to section 2 of article iv of these bylaws; and (k) the filling of any vacancy on the board of directors, including, without limitation, any vacancy created by the removal of a director.”
“The cfo and vp finance is responsible for reviewing the form 990 before filing. Electronic copies are sent to all board members for review prior to filing.”
“The conflict of interest policy requires that all directors, executive officers, or any other key employee with a material financial interest in a transaction must disclose such material financial interest or potential for an excess benefit transaction to the board of trustees. The board shall determine whether a conflict exists and in the case of an existing conflict, whether the contemplated transaction may be authorized as just, fair, and reasonable. If a conflict is deemed to exist, the interested person must recuse themselves from participating in any consideration or decision related to the transaction. Such disclosure and abstention from a vote will be made part of the record of the board's meetings. The decision of the board on these matters will rest in their sole discretion, and their concern must be the welfare of the organization and the advancement of its purpose.”
“A related organization has a compensation committee of the board of trustees that reviews and approves the officers' compensation. A consulting firm is engaged to provide comparable data.”
“The organization makes its financial statements available to the public by request.”
“The organization assesses uncertain tax positions in accordance with the provisions of the fasb asc topic 740-10, income taxes. The organization recognizes the tax benefit from uncertain tax positions only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The organization recognizes interest and penalties related to income tax matters in operating expenses. There were no uncertain tax positions as of december 31, 2024 and 2023.”
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 | 4580958 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5780828 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2701756 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2815134 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE HEALTH CARE FOR THE GENERAL PUBLIC, CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK OR INJURED, AND TO PARTICIPATE IN SCIENTIFIC HEALTHCARE-RELATED RESEARCH TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | LAURA MCMAHON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8316254821 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX HH |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MONTEREY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 93942 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1097538 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1775479 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 13 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1049880 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1049880 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3923684 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 654995 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 482226 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 225243 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 222775 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 100 WILSON ROAD SUITE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 536470 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 295 LAFAYETTE STREET 7TH FLOOR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 2 UPPER RAGSDALE DR STE B230 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 820 PARK ROW SUITE 463 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MONTEREY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | PITTSBURGH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | NEW YORK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | MONTEREY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SALINAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 93940 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 152535906 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 10012 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 93940 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 93901 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | CYPRESS HEALTHCARE PARTNERS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | AQUITY SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CADENCE HEALTH FL PLLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | W LANE VERLENDEN MD INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | TRINITY MAINTENANCE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MANAGEMENT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | VIRTUAL SCRIBE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PATIENT MONITORING SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | SURGICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | JANITORIAL SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2013000 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 16295097 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 49493430 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -32500941 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 67712274 |
| IRS990/CYTotalExpensesAmt | 0 | 84007371 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 51506430 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 23746 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 451183 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 474929 |
| IRS990/Desc | 0 | DIRECT CLINICAL SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 396 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 79806922 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 268548 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 3554475 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 3823023 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 102531 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1910764 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2013295 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 11.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.00 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 633933 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 41856 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 53334 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 53334 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 163123 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 28056 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 128182 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 13800 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 26553 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 35205 |
| 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/PersonNm | 0 | STEVEN PACKER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MARK VIERRA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | STEVEN LOME DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | STEVEN CHANG MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MATTHEW MORGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | GREGORY SPOWART MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MARK CARVALHO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | AARUSH MANCHANDA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | THOMAS CUNNINGHAM MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | GRACE CASSERLY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | RANDALL CHARLES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JACK JEWETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | STAN MCKEE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | WAYNE MOON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | NATALIE NIELSON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1057642 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 985967 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 972824 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 909425 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 851578 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 542252 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 445870 |
| 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/ReportableCompFromRltdOrgAmt | 0 | 1932079 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 1750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 85019 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 19425 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 813108 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 155994 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 792196 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 7656 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | VP, CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VP, CEO OF MMG AND MOGO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
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| IRS990/FormationYr | 0 | 2009 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 51506430 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 124 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 33780 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 641820 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 675600 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 31 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
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| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1500244 |
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| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE HEALTH CARE FOR THE GENERAL PUBLIC, CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK OR INJURED, AND TO PARTICIPATE IN SCIENTIFIC HEALTHCARE-RELATED RESEARCH TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. |
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| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
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| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -143966328 |
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| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 3919125 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 4125395 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 21016 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 21016 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
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| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
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| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1603185 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 456139 |
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| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1704689 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 506613 |
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| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 2840897 |
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| IRS990/PrincipalOfficerNm | 0 | MIKE MCDERMOTT |
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| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
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| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 12823900 |
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| IRS990/PYContributionsGrantsAmt | 0 | 2105728 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 15740232 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 38503498 |
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| IRS990/PYTotalRevenueAmt | 0 | 40609226 |
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| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/RelatedOrganizationsAmt | 0 | 2013000 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 49493430 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
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| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 4938724 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 6319524 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 119444 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt | 0 | 345438 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt | 0 | 464882 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 144573762 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | INTERCOMPANY PAYABLES |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE FASB ASC TOPIC 740-10, INCOME TAXES. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 AND 2023. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 1500244 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 144573762 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 1 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 868330 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 467766 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 795761 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 5 | 765313 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 6 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 7 | 467766 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 8 | 332144 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 9 | 233696 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
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