Liabilities / Assets
89th percentile
Higher debt load relative to assets than 89% of similar nonprofits.
EIN 59-3259553 • 501(c)3 • Orlando, FL
Profile
Outpatient and physician support services. Provision of specialty physician services, outpatient physician billing services provided on behalf of exempt affiliates.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
89th percentile
Higher debt load relative to assets than 89% of similar nonprofits.
Liabilities / Revenue
32nd percentile
Higher debt load relative to revenue than 32% of similar nonprofits.
Net Margin
2nd percentile
Higher net margin than 2% of similar nonprofits.
Top Officer Pay
68th percentile
Higher top officer pay than 68% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
7th percentile
Faster asset growth than 7% of similar nonprofits.
Revenue Growth
88th percentile
Faster revenue growth than 88% of similar nonprofits.
Assets
Down$474,308,558
Down $18,696,936 (-3.8%) from 2023
Liabilities
Up$385,199,075
Up $21,994,590 (+6.1%) from 2023
Net Assets
Down$89,109,483
Down $40,691,526 (-31%) from 2023
Revenue
Up$1,080,642,221
Up $337,885,047 (+45%) from 2023
Expenses
Up$1,591,640,301
Up $422,515,487 (+36%) from 2023
Net Income
Down-$510,998,080
Down $84,630,440 (-20%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Outpatient and physician support services. Provision of specialty physician services, outpatient physician billing services provided on behalf of exempt affiliates.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Intangible Assets | $292,225,973 | $263,920,647 | ▼ $28,305,326 |
| Land, Buildings, and Equipment, Net | $79,696,539 | $82,813,506 | ▲ $3,116,967 |
| Accounts Receivable | $70,092,881 | $63,814,130 | ▼ $6,278,751 |
| Cash and Non-Interest-Bearing Accounts | $4,399,581 | $13,315,609 | ▲ $8,916,028 |
| Prepaid Expenses and Deferred Charges | $1,575,827 | $4,861,106 | ▲ $3,285,279 |
| Inventories for Sale or Use | $2,714,723 | $3,617,638 | ▲ $902,915 |
| Pledges and Grants Receivable | $65,782 | $13,922 | ▼ $51,860 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $493,005,494 | $474,308,558 | ▼ $18,696,936 |
| Other Assets Total | $42,234,188 | $41,952,000 | ▼ $282,188 |
| Liabilities | |||
| Other Liabilities | $155,349,818 | $147,621,772 | ▼ $7,728,046 |
| Mortgage Notes Payable Secured by Investment Property | $124,536,295 | $120,282,043 | ▼ $4,254,252 |
| Accounts Payable and Accrued Expenses | $83,318,372 | $117,295,260 | ▲ $33,976,888 |
| Total Liabilities | $363,204,485 | $385,199,075 | ▲ $21,994,590 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $114,906,152 | $68,918,292 | ▼ $45,987,860 |
| Net Assets Without Donor Restrictions | $14,894,857 | $20,191,191 | ▲ $5,296,334 |
| Total Net Assets Fund Balance | $129,801,009 | $89,109,483 | ▼ $40,691,526 |
| Total Liabilities and Net Assets / Fund Balance | $493,005,494 | $474,308,558 | ▼ $18,696,936 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $55,423,434 | $67,999,874 | $123,423,308 |
| Leasehold Improvements | $13,366,555 | $15,195,999 | $28,562,554 |
| Other Land Buildings | $12,809,489 | $0 | $12,809,489 |
| Buildings | $1,173,119 | $1,734,713 | $2,907,832 |
| Land | $40,909 | - | $40,909 |
| Other Assets Org | $688,948 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $6,757,792 | - | ▲ $2,224,833 | $532,683 | $8,448,192 |
| 2022 | $6,276,319 | $2,014 | ▲ $814,652 | $334,375 | $6,757,792 |
| 2021 | $7,180,508 | $750,676 | ▼ $1,349,798 | $303,068 | $6,276,319 |
| 2020 | $5,653,213 | $750,000 | ▲ $1,387,629 | $542,337 | $7,180,508 |
| 2019 | $5,424,714 | - | ▲ $421,388 | $186,058 | $5,653,213 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Patrick W Fisher | Invasive Cardiologist | FT | $501,986 | $2,061,034 | $2,563,020 |
| Sunil S Desai MD | Pulmonary Critical Care Physician, Former OHMG President/Chairman | FT | $738,399 | $1,633,537 | $2,371,936 |
| Joel Alberto Garcia MD | Interventional Cardiologist, Program Dir, Cardiac Fellowship | FT | $443,735 | $1,914,032 | $2,357,767 |
| Sumith Aleti | Interventional Cardiologist, Health Central Cath Lab Medical Director | FT | $435,767 | $1,887,828 | $2,323,595 |
| Kiran Mogali | Interventional Cardiologist, South Lake Cath Lab medical Director | FT | $441,603 | $1,810,413 | $2,252,016 |
| Mark W Munro MD | Orthopedic Surgeon | FT | $403,137 | $1,847,483 | $2,250,620 |
| Name | Title |
|---|---|
| Jamal A Hakim MD | Director, Chairman |
| Cary J Dtona | President, OHMG, Secretary/Treasurer |
| Mark A Jones | Director |
| Leslie Flake | Chief Financial Officer (Until July 2024) |
| Bernadette Spong | Interim CFO (As of July 2024) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Tegria Services Group US INC | Consulting Services | 1255 FOURNIER DR STE 101, Madison, WI 53717 | $3,903,750 |
| Coverall North America INC | Maintenance & Repair | 2955 MOMENTUM PLACE, Chicago, IL 60689 | $3,548,524 |
| Receivables Management Partners LLC | Financial Services | 200 NORTH NEW RD, Waco, TX 76710 | $3,377,148 |
| Medix Staffing Solutions INC | Temporary Staffing | 222 S RIVERSIDE PLAZA STE 2120, Chicago, IL 60606 | $2,815,719 |
| Medicus Anesthesia Services LLC | Temporary Staffing | 22 ROULSTON ROAD, Windham, NH 03087 | $2,229,051 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $1,285,672,606 |
| Other Expenses | $305,967,695 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $1,105,608,632 | $10,239,218 | - | $1,115,847,850 |
| Other Employee Benefits | $113,804,004 | $2,157,548 | - | $115,961,552 |
| Occupancy | $65,758,390 | $2,200,018 | - | $67,958,408 |
| Payroll Taxes | $53,258,009 | $605,195 | - | $53,863,204 |
| Depreciation Depletion | $32,787,341 | $5,399,213 | - | $38,186,554 |
| Office Expenses | $33,583,435 | $657,553 | - | $34,240,988 |
| All Other Expenses | $33,177,525 | $30,661 | $0 | $33,208,186 |
| Fees for Services Other | $19,619,728 | $6,219,563 | $0 | $25,839,291 |
| Insurance | $24,125,268 | $1,491,569 | - | $25,616,837 |
| Interest | - | $11,016,955 | - | $11,016,955 |
| Information Technology | $2,690,692 | $459,569 | - | $3,150,261 |
| Travel | $1,254,142 | $1,067,664 | - | $2,321,806 |
| Conferences and Meetings | $255,948 | $486,979 | - | $742,927 |
| Advertising | $147,353 | $62,730 | - | $210,083 |
| Fees for Services Legal | $0 | $202,423 | - | $202,423 |
| Other Expenses | $68,968 | $98,741 | - | $167,709 |
| Fees for Services Accounting | $0 | $6,217 | - | $6,217 |
| Total Functional Expenses | $1,546,857,963 | $44,782,338 | $0 | $1,591,640,301 |
| Line Item | Amount |
|---|---|
| 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 |
|---|---|
| Due to Affiliate | $98,350,550 |
| Deferred Lease Liability | $37,810,439 |
| Lt Liability Capital Accumulation | $11,460,783 |
“All compensation is paid by parent, orlando health, inc., which has an independent compensation committee that reports to the orlando health board of directors and utilizes the guidelines consistent with the irs guidelines on independent analysis and documentation of compensation. The process, which is used for the president, all officers, executive directors and directors, and was implemented prior to 10/01/2006, was undertaken for the current year.”
“JAMAL HAKIM, MD, CARY DTONA, LESLIE FLAKE, AND MARK JONES - Business relationship”
“The sole voting member of orlando health medical group, inc. Is orlando health, inc. (fein: 59-1726273).”
“Orlando health, inc., the sole member, has the right to elect all board members of orlando health medical group, inc. (ohmg).”
“The affairs of orlando health medical group, inc. (ohmg) are managed by the board of directors, who shall consist of such numbers of persons who are designated by the sole member, orlando health, inc. (oh). The oh board also approves major capital purchases in accordance with oh guidelines and the annual budget of ohmg is part of the consolidated oh budget approval process.”
“The cfo and the finance department reviewed the form 990 and any required changes were made to the form 990. The final form 990 was then provided to all members of the board to review. Any questions about the content were answered and any changes required of the review were made.”
“The parent organization, orlando health, inc., has a dedicated compliance department with an anonymous hotline for reporting. The compliance department performs internal audits and monitors all annual conflict of interest questionnaires for all related organizations. Board members routinely announce conflicts at board meetings and leave the room for the discussion and the vote.”
“These documents are made available to the general public upon request in accordance with federal tax law public inspection requirements.”
“Orlando health medical group, inc. Serves as an integral component of orlando health, inc.'s integrated delivery system through the provision of health care services to the community, by including occupational health services, rehabilitation health services, and behavioral health services. To meet the needs of its community, orlando health medical group, inc. Has 1,124 fully integrated employed physicians that represent more than 55 specialties located throughout orlando and central florida, in addition to providing valuable medical education training to orlando health, inc.'s medical residency programs. This multi-specialty organization is designed to facilitate a clinically integrated delivery of care based on best practices and evidence-based medicine, ensuring the best care available for our patients. Orlando health's physician strategy is designed to change the way care is delivered to our patients. In a new era of healthcare reform, health systems are quickly recognizing the need to improve performance by enhancing efficiency, access, quality and cost metrics. Consolidating all employed physicians under a single entity and tin creates many efficiencies for the organization as it relates to the billing and collections process; standardization of operational and clinical protocols and processes; improved reporting structure; and the overall coordination of patient care amongst all of our physicians and specialists. This enables an organizational mechanism for developing clinical quality standards, employing and managing physicians who practice within those standards, and creating performance improvement protocols that drive efficiency, quality and overall value to patients within our community. Annual visits: 59,876 behavioral, 114,725 rehab, and 5,105,470 physicians.”
“Equity contribution from parent, orlando health, inc. (ein: 59-1726273) - xxx-xx-xxxx; miscellaneous rounding - 333; transfers from orlando health foundation - 3997000; other book/tax adj. From n/a - inv income from fdn - -80745; net realized/unrealized gains - temp. Restricted - 1305000; realized gain from fdn through rest. Funds - -117024; net assets released from restriction - temp - -6000;”
“Endowment funds are restricted as to purpose, time or both in accordance with donor specifications made at time of contributions. Orlando health medical group treats endowment fund principal as restricted and utilizes the net earnings on endowment monies for program and capital needs of orlando health, inc. And affiliates in accordance with donor specifications.”
“Fasb asc topic 740, income taxes, prescribes the accounting for uncertainty in income tax positions recognized in the financial statements. Asc topic 740 provides guidance and measurement of a tax position taken or expected to be taken in a tax return. There were no material uncertain tax positions as of september 30, 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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 83318372 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 117295260 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 70092881 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 63814130 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | OUTPATIENT AND PHYSICIAN SUPPORT SERVICES. PROVISION OF SPECIALTY PHYSICIAN SERVICES, OUTPATIENT PHYSICIAN BILLING SERVICES PROVIDED ON BEHALF OF EXEMPT AFFILIATES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 62730 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 147353 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 210083 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 30661 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 33177525 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 33208186 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | BERNADETTE SPONG |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3218415078 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1414 KUHL AVENUE MP8 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ORLANDO |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | FL |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 32806 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 4399581 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 13315609 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 69 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 486979 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 255948 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 742927 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3903750 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 3548524 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 3377148 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 2815719 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 2229051 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1255 FOURNIER DR STE 101 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2955 MOMENTUM PLACE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 200 NORTH NEW RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 222 S RIVERSIDE PLAZA STE 2120 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 22 ROULSTON ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MADISON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | WACO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | WINDHAM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 53717 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 60689 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 76710 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 60606 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 03087 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | TEGRIA SERVICES GROUP US INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | COVERALL NORTH AMERICA INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | RECEIVABLES MANAGEMENT PARTNERS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MEDIX STAFFING SOLUTIONS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | MEDICUS ANESTHESIA SERVICES LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSULTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MAINTENANCE & REPAIR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | FINANCIAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | TEMPORARY STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | TEMPORARY STAFFING |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1777025 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 300520 |
| IRS990/CYOtherExpensesAmt | 0 | 305967695 |
| IRS990/CYOtherRevenueAmt | 0 | 155541 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 1078409135 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -510998080 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 1285672606 |
| IRS990/CYTotalExpensesAmt | 0 | 1591640301 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1080642221 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 5399213 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 32787341 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 38186554 |
| IRS990/Desc | 0 | SEE SCHEDULE O |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 114906152 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 68918292 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 7888 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 1546857963 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 6217 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 6217 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 202423 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 202423 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 6219563 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 19619728 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 25839291 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 9.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 56.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 58.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 58.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 115173 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 49817 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 113292 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 13667 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 174203 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 56388 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 51202 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 58804 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 57968 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 44997 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 167731 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Cary J Dtona |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Jamal A Hakim MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Mark A Jones |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Bernadette Spong |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Leslie Flake |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Joel Alberto Garcia MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Kiran Mogali |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Mark W Munro MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Patrick W Fisher |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Sumith Aleti |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Sunil S Desai MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 2301379 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 2200814 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 2191816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 2505052 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 2278598 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 2204205 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 834335 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 3006604 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 734428 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 797040 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 2099622 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President, OHMG, Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director, Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Interim CFO (As of July 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Chief Financial Officer (Until July 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Interventional Cardiologist, Program Dir, Cardiac Fellowship |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Interventional Cardiologist, South Lake Cath Lab medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Orthopedic Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Invasive Cardiologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Interventional Cardiologist, Health Central Cath Lab Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Pulmonary Critical Care Physician, Former OHMG President/Chairman |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 117024 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 3329509 |
| IRS990/GrossReceiptsAmt | 0 | 1083854706 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 155541 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1935 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 459569 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2690692 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 3150261 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1491569 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 24125268 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 25616837 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 292225973 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 263920647 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 11016955 |
| IRS990/InterestGrp/TotalAmt | 0 | 11016955 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 2714723 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 3617638 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 183496 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 183496 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 84930586 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 79696539 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 82813506 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 167744092 |
| IRS990/LegalDomicileStateCd | 0 | FL |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 3212485 |
| 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/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | OUTPATIENT AND PHYSICIAN SUPPORT SERVICES. PROVISION OF SPECIALTY PHYSICIAN SERVICES, OUTPATIENT PHYSICIAN BILLING SERVICES PROVIDED ON BEHALF OF EXEMPT AFFILIATES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 124536295 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 120282043 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 129801009 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 89109483 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 117024 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 117024 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 155541 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 155541 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 9684628 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 14894857 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 20191191 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 2200018 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 65758390 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 67958408 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 657553 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 33583435 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 34240988 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 42234188 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 41952000 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 470306554 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 2157548 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 113804004 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 115961552 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Unrelated Business Income Taxes |
| IRS990/OtherExpensesGrp/Desc | 2 | Professional Dues |
| IRS990/OtherExpensesGrp/Desc | 3 | Recruiting Expenses |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 2350382 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 30140 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 98741 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 59678867 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1039661 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 68968 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 59678867 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 2350382 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1069801 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 167709 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 155349818 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 147621772 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 10239218 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 1105608632 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 1115847850 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 605195 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 53258009 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 53863204 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 65782 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 13922 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1575827 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 4861106 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | BERNADETTE SPONG |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621111 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621111 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 561439 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 621111 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 4 | 621111 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PHYSICIAN NET PATIENT SERVICE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | ON CALL PAY |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | MANAGEMENT FEES |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | LATE FEES |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | ALL OTHER PROGRAM SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 699778818 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 166905658 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 178053185 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 55658 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 4 | 4034879 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 729195742 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 166905658 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 178053185 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 55658 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 4 | 4198892 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 29416924 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 1 | 164013 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 1823036 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 110620 |
| IRS990/PYOtherExpensesAmt | 0 | 212124175 |
| IRS990/PYOtherRevenueAmt | 0 | 216275 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 740607243 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -426367640 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 957000639 |
| IRS990/PYTotalExpensesAmt | 0 | 1169124814 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 742757174 |
| 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 | -510998080 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RelatedOrganizationsAmt | 0 | 1777025 |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 155541 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
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