Liabilities / Assets
84th percentile
Higher debt load relative to assets than 84% of similar nonprofits.
EIN 27-5078717 • 501(c)3 • Westbury, NY
Profile
True north medical group, pc is part of northwell health, inc. ("northwell"), which strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care; educating the current and future generations of healthcare professionals; searching for new advances in medicine through the conduct of biomedical research; promoting health education; and caring for the entire community regardless of the ability to pay.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
84th percentile
Higher debt load relative to assets than 84% of similar nonprofits.
Liabilities / Revenue
68th percentile
Higher debt load relative to revenue than 68% of similar nonprofits.
Net Margin
8th percentile
Higher net margin than 8% of similar nonprofits.
Top Officer Pay
94th percentile
Higher top officer pay than 94% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
21st percentile
Faster asset growth than 21% of similar nonprofits.
Revenue Growth
69th percentile
Faster revenue growth than 69% of similar nonprofits.
Assets
Down$205,414,886
Down $7,945,324 (-3.7%) from 2023
Liabilities
Down$168,514,750
Down $5,038,439 (-2.9%) from 2023
Net Assets
Down$36,900,136
Down $2,906,885 (-7.3%) from 2023
Revenue
Up$212,298,843
Up $16,097,517 (+8.2%) from 2023
Expenses
Up$260,665,116
Up $8,660,615 (+3.4%) from 2023
Net Income
Up-$48,366,273
Up $7,436,902 (+13%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
North shore-lij cardiovascular medicine, pc is part of northwell health, inc. ("northwell"), which strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care; educating the current and future generations of healthcare professionals; searching for new advances in medicine through the conduct of biomedical research; promoting health education; and caring for the entire community regardless of the ability to pay.
True North Medical Group, PC Strives to improve the health of the communities it serves by providing the highest quality of clinical care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Intangible Assets | $105,257,527 | $105,257,527 | → $0 |
| Land, Buildings, and Equipment, Net | $22,322,094 | $24,510,597 | ▲ $2,188,503 |
| Accounts Receivable | $23,890,486 | $21,645,844 | ▼ $2,244,642 |
| Prepaid Expenses and Deferred Charges | $1,901,641 | $2,049,235 | ▲ $147,594 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $213,360,210 | $205,414,886 | ▼ $7,945,324 |
| Other Assets Total | $59,988,462 | $51,951,683 | ▼ $8,036,779 |
| Liabilities | |||
| Other Liabilities | $152,532,962 | $145,310,328 | ▼ $7,222,634 |
| Accounts Payable and Accrued Expenses | $21,020,227 | $23,204,422 | ▲ $2,184,195 |
| 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 | $173,553,189 | $168,514,750 | ▼ $5,038,439 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $39,807,021 | $36,900,136 | ▼ $2,906,885 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $39,807,021 | $36,900,136 | ▼ $2,906,885 |
| Total Liabilities and Net Assets / Fund Balance | $213,360,210 | $205,414,886 | ▼ $7,945,324 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $15,840,936 | $4,260,316 | $20,101,252 |
| Equipment | $8,289,869 | $5,656,836 | $13,946,705 |
| Other Land Buildings | $188,077 | $32,332 | $220,409 |
| Leasehold Improvements | $191,715 | $25,805 | $217,520 |
| Other Assets Org | $12,664,925 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Craig Levitz Md | Orthopedic Surgeon | FT | $2,453,609 | $256,854 | $2,710,463 |
| David Matusz Md | Orthopedic Spine Surgeon | FT | $2,360,727 | $104,794 | $2,465,521 |
| James Paci Md | Orthopedic Surgeon | FT | $2,013,998 | $252,460 | $2,266,458 |
| Joshua Mitgang Md | Orthopedic Surgeon | FT | $1,993,680 | $203,815 | $2,197,495 |
| Bennett Brown Md | Orthopedic Surgeon | FT | $1,791,177 | $204,285 | $1,995,462 |
| Name | Title |
|---|---|
| Jill Kalman | President & Secretary |
| Laurence Kraemer | Asst Secretary & CHF Legal Off |
| Michael Passet | CEO |
| Michele Cusack | CFO |
| Deborah Schiff | Evp |
| David Battinelli | VP & Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Austin Williams INC | Advertising | 80 ARKAY DRIVE SUITE 220, Hauppauge, NY 11788-3705 | $3,675,779 |
| Center Management Services INC | Consulting Fees | 1728 SUNRISE HIGHWAY, Merrick, NY 11566 | $2,413,750 |
| Degiaimo Group Building Corp | Architecture Svcs | 566 MERRICK RD SUITE 2, Rockville Centre, NY 11570 | $2,110,802 |
| Pristine Medical Cleaning INC | Equipment Service | 1040 STEELE BLVD, Baldwin, NY 11510 | $1,293,390 |
| Fellow Health Partners INC | Advisory Services | 3500 SUNRISE HIGHWAY, Great River, NY 11739 | $1,012,794 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $190,137,096 |
| Other Expenses | $70,528,020 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $144,120,561 | $16,013,396 | - | $160,133,957 |
| Office Expenses | $15,534,913 | $1,726,101 | - | $17,261,014 |
| Other Employee Benefits | $13,800,035 | $1,533,337 | - | $15,333,372 |
| Occupancy | $12,276,344 | $1,364,038 | - | $13,640,382 |
| Payroll Taxes | $7,639,677 | $848,853 | - | $8,488,530 |
| Insurance | $7,703,573 | - | - | $7,703,573 |
| Pension Plan Contributions | $5,563,113 | $618,124 | - | $6,181,237 |
| Advertising | $3,732,844 | $414,760 | - | $4,147,604 |
| Depreciation Depletion | $3,147,826 | $349,758 | - | $3,497,584 |
| Fees for Services Other | $3,104,640 | $344,960 | - | $3,449,600 |
| Fees for Services Management | - | $1,996,406 | - | $1,996,406 |
| Other Expenses | $1,517,054 | $168,561 | - | $1,685,615 |
| All Other Expenses | $316,583 | $35,176 | - | $351,759 |
| Conferences and Meetings | $243,869 | $27,097 | - | $270,966 |
| Travel | $172,476 | $19,164 | - | $191,640 |
| Total Functional Expenses | $230,264,120 | $30,400,996 | $0 | $260,665,116 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $261,036,436 |
| Expenses per Audited Statements | $260,883,494 |
| Total Expenses per Form 990 | $260,665,116 |
| Expenses Not Reported on Form 990 | $152,942 |
| Expenses Not Reported on Financial Statements | $-218,378 |
| Other Expense Adjustments | $-218,378 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Center Management Services | Bus Rel: Michael Passet | Business | No | $2,413,750 |
| 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 |
|---|---|
| Due to Affiliate | $96,447,139 |
| Operating Lease Liability | $39,196,269 |
| Installment Due for Acquisitio | $6,800,000 |
| Deferred Rent Liability | $2,537,920 |
| Third Party Payable | $329,000 |
“Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system.”
“The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.”
“Northwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwell's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwell's Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.”
“The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations.”
“Currently the organization provides governance documents, conflict of interest policies and financial statements to the public upon request.”
“This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates.”
“Change in interest of acquired entity (910,991) transfers to/from affiliates 46,364,071 other 6,308 total 45,459,388”
“Certain entities included in Northwell's consolidated financial statements are taxable entities under federal or state laws. GAAP requires that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities of the tax-exempt entities included in Northwell's consolidated financial statements. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. At December 31, 2024 and 2023, Northwell has net deferred tax assets of approximately $189,000,000 and $170,000,000, respectively, which have been fully offset by a related valuation allowance. The deferred tax asset and related valuation allowance are recorded within other current assets in the accompanying consolidated statements of financial position. A valuation allowance is provided when it is more likely than not that some portion or all of a deferred tax asset will not be realized. Significant components of Northwell's deferred tax assets relate to net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $643,000,000 and $573,000,000 at December 31, 2024 and 2023, respectively. NOL carryforwards generated prior to 2018 will expire in varying amounts through 2037 and are available to offset future taxable income of the respective entity. NOLs generated after 2017 can be carried forward indefinitely, but with limitations on their usage.”
“REVENUE ON BOOK NOT ON RETURN Additional minimum pension liability (64,098) Change in Interest in Acq Entity (910,991) Total (975,089) REVENUE ON RETURN NOT ON BOOK Rent Expense Allocation (152,942)”
“EXPENSE ON BOOK NOT ON RETURN Rent Expense Allocation 152,942 EXPENSE ON RETURN NOT ON BOOK Additional minimum pension liability (218,378)”
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 | 21020227 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 23204422 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 23890486 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 21645844 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | True North Medical Group, PC Strives to improve the health of the communities it serves by providing the highest quality of clinical care. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 414760 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 3732844 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 4147604 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 35176 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 316583 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 351759 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | NORTHWELL HEALTH INC |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5163216058 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 972 BRUSH HOLLOW RD 5TH FL |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Westbury |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 11590 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | true |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 27 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 27097 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 243869 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 270966 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3675779 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2413750 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2110802 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1293390 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1012794 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 80 ARKAY DRIVE SUITE 220 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1728 SUNRISE HIGHWAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 566 MERRICK RD SUITE 2 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1040 STEELE BLVD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 3500 SUNRISE HIGHWAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | HAUPPAUGE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MERRICK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ROCKVILLE CENTRE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BALDWIN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | GREAT RIVER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 117883705 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 11566 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 11570 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 11510 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 11739 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | AUSTIN WILLIAMS INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | CENTER MANAGEMENT SERVICES INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | DEGIAIMO GROUP BUILDING CORP |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | PRISTINE MEDICAL CLEANING INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | FELLOW HEALTH PARTNERS INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ADVERTISING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSULTING FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ARCHITECTURE SVCS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | EQUIPMENT SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | ADVISORY SERVICES |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 70528020 |
| IRS990/CYOtherRevenueAmt | 0 | 31465117 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 180833726 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -48366273 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 190137096 |
| IRS990/CYTotalExpensesAmt | 0 | 260665116 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 212298843 |
| IRS990/DAFExcessBusinessHoldingsInd | 0 | false |
| 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 | 349758 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3147826 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3497584 |
| IRS990/Desc | 0 | True North Medical Group, PC is an affiliated member of Northwell Health, Inc. ("Northwell") and part of Northwell's medical group and ambulatory lines of service. It strives to make a measurable difference in the health status of the communities it serves by providing comprehensive health care regardless of ability to pay. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DistributionToDonorInd | 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 | 1588 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 230264120 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 1996406 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 1996406 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 344960 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 3104640 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3449600 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| 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 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 85392 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 77585 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 85322 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 85392 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 85322 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 85322 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 85392 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 69777 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 69777 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 69777 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CRAIG LEVITZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DAVID MATUSZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JAMES PACI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JOSHUA MITGANG MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BENNETT BROWN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MICHELE CUSACK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DAVID BATTINELLI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DEBORAH SCHIFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | LAURENCE KRAEMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JILL KALMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MICHAEL PASSET |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 2625071 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 2387936 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 2181136 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 2112103 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 1910140 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 1904871 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 1809811 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 1784891 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 1607684 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 1583993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Orthopedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Orthopedic Spine Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Orthopedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Orthopedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Orthopedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VP & Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | EVP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Asst Secretary & Chf Legal Off |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | President & Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CEO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2011 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 2 |
| 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/GrossReceiptsAmt | 0 | 212451785 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 80209 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 278 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 0 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 7703573 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 7703573 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 105257527 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 105257527 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| 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 | 107 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 9975289 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 22322094 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 24510597 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 34485886 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 152942 |
| IRS990/LicensedMoreThanOneStateInd | 0 | false |
| 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 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1092183 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 1092183 |
| IRS990/MissionDesc | 0 | TRUE NORTH MEDICAL GROUP, PC IS PART OF NORTHWELL HEALTH, INC. ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 39807021 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 36900136 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -72733 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -72733 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 39807021 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 36900136 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1364038 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 12276344 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 13640382 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1726101 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 15534913 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 17261014 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 59988462 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 51951683 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 45459388 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1533337 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 13800035 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 15333372 |
| IRS990/OtherExpensesGrp/Desc | 0 | BILLING AND COLLECTION |
| IRS990/OtherExpensesGrp/Desc | 1 | OTHER PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 2 | CENTRALIZED ADMIN EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 3 | TEMPORARY EMPLOYEES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 609719 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 4331546 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 168561 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 5487475 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 5903137 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1517054 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 6097194 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 5903137 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 4331546 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1685615 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 152532962 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 145310328 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | AFFILIATE SUPPORT |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | EMPLOYEE RETENTION CREDIT |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | OVERHEAD RECOVERY |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 1368000 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 28299167 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 778500 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 28299167 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 1368000 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 778500 |
| IRS990/OtherRevenueTotalAmt | 0 | 31537850 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 16013396 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 144120561 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 160133957 |
| IRS990/OtherWebsiteInd | 0 | X |
| 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/ManagementAndGeneralAmt | 0 | 848853 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 7639677 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 8488530 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 618124 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 5563113 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 6181237 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1901641 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 2049235 |
| IRS990/PrincipalOfficerNm | 0 | Michael J Dowling |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621300 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621300 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PHYSICIAN PRACTICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | MEDICARE/MEDICAID |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 150410531 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 30423195 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 150410531 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 30423195 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 43664 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 74276984 |
| IRS990/PYOtherRevenueAmt | 0 | 26863536 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 169294126 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -55803175 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 177727517 |
| IRS990/PYTotalExpensesAmt | 0 | 252004501 |
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