Liabilities / Assets
9th percentile
Higher debt load relative to assets than 9% of similar nonprofits.
EIN 94-2789696 • 501(c)3 • Monterey, CA
Profile
To provide support services to the community hospital of the monterey peninsula and its affiliates.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
9th percentile
Higher debt load relative to assets than 9% of similar nonprofits.
Liabilities / Revenue
25th percentile
Higher debt load relative to revenue than 25% of similar nonprofits.
Net Margin
93rd percentile
Higher net margin than 93% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
67th percentile
Faster asset growth than 67% of similar nonprofits.
Revenue Growth
5th percentile
Faster revenue growth than 5% of similar nonprofits.
Assets
Up$1,748,211,474
Up $163,850,862 (+10%) from 2023
Liabilities
Up$33,757,497
Up $4,571,586 (+16%) from 2023
Net Assets
Up$1,714,453,977
Up $159,279,276 (+10%) from 2023
Revenue
Down$122,060,748
Down $37,051,306 (-23%) from 2023
Expenses
Down$50,182,936
Down $10,224,481 (-17%) from 2023
Net Income
Down$71,877,812
Down $26,826,825 (-27%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide support services to the community hospital of the monterey peninsula and its affiliates.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Other Securities | $931,818,804 | $1,035,352,342 | ▲ $103,533,538 |
| Investments in Publicly Traded Securities | $246,008,471 | $237,824,037 | ▼ $8,184,434 |
| Land, Buildings, and Equipment, Net | $170,744,979 | $179,266,522 | ▲ $8,521,543 |
| Savings and Temporary Cash Investments | $3,470,984 | $10,251,849 | ▲ $6,780,865 |
| Prepaid Expenses and Deferred Charges | $1,580,354 | $1,669,153 | ▲ $88,799 |
| Other Notes and Loans Receivable, Net | $1,072,963 | $1,078,272 | ▲ $5,309 |
| Pledges and Grants Receivable | $90,454 | $35,441 | ▼ $55,013 |
| Total Assets | $1,584,360,612 | $1,748,211,474 | ▲ $163,850,862 |
| Other Assets Total | $229,573,603 | $282,733,858 | ▲ $53,160,255 |
| Liabilities | |||
| Other Liabilities | $16,549,919 | $14,968,091 | ▼ $1,581,828 |
| Mortgage Notes Payable Secured by Investment Property | $10,387,127 | $10,203,982 | ▼ $183,145 |
| Accounts Payable and Accrued Expenses | $1,978,669 | $8,277,284 | ▲ $6,298,615 |
| Grants Payable | $270,196 | $308,140 | ▲ $37,944 |
| Total Liabilities | $29,185,911 | $33,757,497 | ▲ $4,571,586 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $1,361,547,169 | $1,512,398,665 | ▲ $150,851,496 |
| Net Assets With Donor Restrictions | $193,627,532 | $202,055,312 | ▲ $8,427,780 |
| Total Net Assets Fund Balance | $1,555,174,701 | $1,714,453,977 | ▲ $159,279,276 |
| Total Liabilities and Net Assets / Fund Balance | $1,584,360,612 | $1,748,211,474 | ▲ $163,850,862 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $146,764,459 | $66,829,524 | $213,593,983 |
| Land | $23,338,120 | - | $23,338,120 |
| Leasehold Improvements | $3,962,524 | $9,767,237 | $13,729,761 |
| Equipment | $5,201,419 | $4,644,660 | $9,846,079 |
| Other Assets Org | $5,226,064 | - | - |
| Other Securities | $285,041,584 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $179,515,635 | $1,050 | ▲ $21,597,232 | $12,871,997 | $188,241,920 |
| 2023 | $161,044,889 | $1,000 | ▲ $23,464,106 | $4,994,360 | $179,515,635 |
| 2022 | $189,592,202 | $1,000 | ▼ $21,926,686 | $6,123,156 | $161,044,889 |
| 2021 | $153,724,038 | $194,850 | ▲ $40,474,088 | $4,560,974 | $189,592,202 |
| 2020 | $140,593,449 | $158,217 | ▲ $16,864,337 | $3,601,825 | $153,724,038 |
| Name | Title | Other | Total |
|---|---|---|---|
| Casey Grover Md | Trustee (thru 12/24) | $27,955 | $27,955 |
| Name | Title |
|---|---|
| Bill Warner | Chair |
| Steven Packer Md | President/chief Executive Officer |
| Patrick Burke | Vice Chair |
| Carrie Pentta | Trustee |
| JOHN O'BRIEN | Trustee |
| Jim Cummings | Trustee |
| Kevin Mahoney | Trustee |
| Kiran Kamath | Trustee |
| Leslie Magid Higgins | Trustee |
| Luis Alvarez | Trustee |
| Margi Wiest | Trustee |
| Mimi Hahn | Trustee |
| Ryan Edwards | Trustee |
| Stan Mckee | Trustee |
| Martha Blum Md | Trustee (thru 12/24) |
| Cynthia Peck | Former VP/post Acute Services |
| Paul Conocenti - Vp Chief | Information Officer (thru 5/24) |
| Randall Charles | Secretary |
| Mark Carvalho Md | VP, CEO of Mmg and Mogo |
| Kevin Causey | VP, Chief Development Officer |
| Matthew Morgan | VP, Chief Financial Officer |
| Gregory Smorzewski | VP, Chief Human Resources Officer |
| Steven Cabrales Md | VP, Chief Medical Officer |
| Susan Swick | VP, Chief Mental Health Officer |
| Deborah Sober | VP, Chief Nursing Officer |
| Daniel Chibaya | VP, Chief Operating Officer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| K&d Landscaping INC | Landscaping Services | PO BOX 2187, Freedom, CA 95019 | $121,333 |
| Unified Cleaning Services INC | Cleaning Services | PO BOX 2187, Freedom, CA 95019 | $107,740 |
| Line Item | Amount |
|---|---|
| Other Expenses | $27,546,375 |
| Grants and Similar Amounts Paid | $13,390,450 |
| Salaries, Compensation, and Employee Benefits | $9,246,111 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $13,011,452 | - | - | $13,011,452 |
| Depreciation Depletion | $8,128,833 | $1,029,866 | - | $9,158,699 |
| Other Salaries and Wages | $1,594,361 | $5,165,514 | - | $6,759,875 |
| Advertising | $4,725 | $3,997,609 | - | $4,002,334 |
| Fees for Services Other | $1,824,325 | $1,878,647 | - | $3,702,972 |
| Occupancy | $3,085,535 | - | - | $3,085,535 |
| Other Expenses | $600,905 | $2,118,137 | - | $2,719,042 |
| All Other Expenses | $651,234 | $1,862,868 | - | $2,514,102 |
| Information Technology | $3,372 | $1,490,244 | - | $1,493,616 |
| Pension Plan Contributions | - | $1,070,556 | - | $1,070,556 |
| Other Employee Benefits | - | $786,447 | - | $786,447 |
| Payroll Taxes | - | $629,233 | - | $629,233 |
| Interest | $475,482 | - | - | $475,482 |
| Grants to Domestic Individuals | $378,998 | - | - | $378,998 |
| Office Expenses | $42,614 | $124,367 | - | $166,981 |
| Fees for Services Legal | - | $143,612 | - | $143,612 |
| Fees for Services Accounting | - | $84,000 | - | $84,000 |
| Total Functional Expenses | $29,801,836 | $20,381,100 | $0 | $50,182,936 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Community Hospital of the Monterey Peninsula | Monterey, CA | 501(c)(3) | General Operations | $11,339,048 |
| Montage Health Foundation | Monterey, CA | 501(c)(3) | Art Program & Volunteer Services | $1,147,336 |
| Aspire Health Plan | Monterey, CA | 501(c)(4) | General Operations | $520,068 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | Investment in Partnership | - | 0 | 0 | $125,343,820 |
| Europe (including Iceland & Greenland) - Albania, Andorra, Austria, Belgium | Investment in Partnership | - | 0 | 0 | $7,631,431 |
| East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, | Investment in Partnership | - | 0 | 0 | $4,395,394 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Operating Lease Liability | $5,664,128 |
| Legal Reserve | $5,000,000 |
| Liabilities Under Split Interest Agreements | $3,548,466 |
| Liabilities Under Trust Agreements | $662,098 |
| Payable to Related Orgs | $93,399 |
“The audit committee reviews form 990 and, prior to filing, electronic copies are sent to all trustees on the board.”
“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.”
“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. It also makes its financial statements available to the public on its own website and another's website.”
“We believe our community's greatest resource is the health of its people. Our family of organizations is dedicated to the pursuit of optimal health for all people in monterey county, from birth to end of life. We believe the achievement of optimal health requires pro-active partnering with physicians and other clinicians, healthcare and community organizations, and, most importantly, each person we serve. Achieving this goal requires our ongoing commitment to delivering exceptional value-based care that is: -preventive (building and retaining health), -restorative (facilitating recovery from illness or injury), and -palliative (maximizing well-being when recovery is not possible). We are dedicated to care that is coordinated across all care settings to meet each person's own goals and needs. We believe optimal health on an individual level is possible only when each person actively participates in their own healthcare. We inspire that participation through personalized information, education, and support, provided by a coordinated and compassionate team.”
“Crt/cga fair value adjustment 64,038.”
“Reported on the balance sheet as part of property, plant and equipment.”
“Adolescent behavioral health, sponsored care, peer review, quality improvement, credentialing operations of community hospital of monterey peninsula medical staff.”
“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 | 1978669 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 8277284 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE SUPPORT SERVICES TO THE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA AND ITS AFFILIATES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 3997609 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 4725 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 4002334 |
| IRS990/AllOtherContributionsAmt | 0 | 517686 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1862868 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 651234 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 2514102 |
| 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/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 1 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 121333 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 107740 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 2187 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 2187 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | FREEDOM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | FREEDOM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 95019 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 95019 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | K&D LANDSCAPING INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | UNIFIED CLEANING SERVICES INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | LANDSCAPING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CLEANING SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 45420141 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 13390450 |
| IRS990/CYInvestmentIncomeAmt | 0 | 65797985 |
| IRS990/CYOtherExpensesAmt | 0 | 27546375 |
| IRS990/CYOtherRevenueAmt | 0 | 368635 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 10473987 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 71877812 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 9246111 |
| IRS990/CYTotalExpensesAmt | 0 | 50182936 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 122060748 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1029866 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 8128833 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 9158699 |
| IRS990/Desc | 0 | PROPERTY MANAGEMENT OF OWNED AND LEASED PROPERTIES WITHIN THE MONTAGE HEALTH SYSTEM AND WITH EXTERNAL TENANTS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 193627532 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 202055312 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 27797710 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 84000 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 84000 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 143612 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 143612 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1878647 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1824325 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3702972 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 51.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 56.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/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/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 633933 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 141895 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 163123 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 128182 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 121628 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 119713 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 107637 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 94579 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 85852 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 25340 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 52076 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | STEVEN PACKER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | SUSAN SWICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MATTHEW MORGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MARK CARVALHO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | STEVEN CABRALES MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DEBORAH SOBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CYNTHIA PECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | GREGORY SMORZEWSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DANIEL CHIBAYA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KEVIN CAUSEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | PAUL CONOCENTI - VP CHIEF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARTHA BLUM MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | CASEY GROVER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | BILL WARNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | PATRICK BURKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | RANDALL CHARLES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | LUIS ALVAREZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JIM CUMMINGS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | RYAN EDWARDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MIMI HAHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | KIRAN KAMATH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | LESLIE MAGID HIGGINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | KEVIN MAHONEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | STAN MCKEE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | JOHN O'BRIEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | CARRIE PENTTA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | MARGI WIEST |
| 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 | 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/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1932079 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 877219 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 813108 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 792196 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 791661 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 611897 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 659433 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 546339 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 556758 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 537520 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 399789 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 366610 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 27955 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT/CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VP, CHIEF MENTAL HEALTH OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VP, CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VP, CEO OF MMG AND MOGO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | VP, CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VP, CHIEF NURSING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | FORMER VP/POST ACUTE SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP, CHIEF HUMAN RESOURCES OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VP, CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP, CHIEF DEVELOPMENT OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | INFORMATION OFFICER (THRU 5/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE (THRU 12/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TRUSTEE (THRU 12/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | TRUSTEE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1981 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 33455250 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GrantAmt | 0 | 13011452 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 270196 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 308140 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 378998 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 378998 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 13011452 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 13011452 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 72903883 |
| IRS990/GrossReceiptsAmt | 0 | 163610083 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 2124020 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 14 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1490244 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 3372 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1493616 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 475482 |
| IRS990/InterestGrp/TotalAmt | 0 | 475482 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 31664516 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 32342735 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 678219 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 931818804 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 1035352342 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 246008471 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 237824037 |
| IRS990/IRPDocumentCnt | 0 | 123 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 81241421 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 170744979 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 179266522 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 260507943 |
| IRS990/LegalDomicileStateCd | 0 | CA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 39448633 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 2100702 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 10387127 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 10203982 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 1555174701 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 1714453977 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 33455250 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 33455250 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 592581 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 23318 |
| IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | -569263 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 87337426 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 1361547169 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1512398665 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 3085535 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 3085535 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 124367 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 42614 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 166981 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
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