Liabilities / Assets
69th percentile
Higher debt load relative to assets than 69% of similar nonprofits.
EIN 38-1411184 • 501(c)3 • Grand Rapids, MI
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
69th percentile
Higher debt load relative to assets than 69% of similar nonprofits.
Liabilities / Revenue
63rd percentile
Higher debt load relative to revenue than 63% of similar nonprofits.
Net Margin
54th percentile
Higher net margin than 54% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer or executive compensation is available for this organization yet.
Asset Growth
24th percentile
Faster asset growth than 24% of similar nonprofits.
Revenue Growth
21st percentile
Faster revenue growth than 21% of similar nonprofits.
Assets
Down$62,043,724
Down $450,697 (-0.7%) from 2012
Liabilities
Down$28,571,509
Down $4,629,172 (-14%) from 2012
Net Assets
Up$33,472,215
Up $4,178,475 (+14%) from 2012
Revenue
Down$51,623,620
Down $2,586,140 (-4.8%) from 2012
Expenses
Down$48,479,335
Down $4,066,601 (-7.7%) from 2012
Net Income
Up$3,144,285
Up $1,480,461 (+89%) from 2012
Most recent year
2013 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
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/AccountantCompileOrReview | 0 | false |
| IRS990/AccountsPayableAccruedExpenses/BOY | 0 | 3286158 |
| IRS990/AccountsPayableAccruedExpenses/EOY | 0 | 3665009 |
| IRS990/AccountsReceivable/BOY | 0 | 6260551 |
| IRS990/AccountsReceivable/EOY | 0 | 4133084 |
| IRS990/ActivitiesConductedPartnership | 0 | false |
| IRS990/Activity2/Description | 0 | FAMILY PRACTICES - SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL'S FAMILY PRACTICES PROVIDE OUTPATIENT HEALTHCARE AT TWO LOCATIONS IN THE COMMUNITY. THE STAFF INCLUDES FAMILY MEDICINE PHYSICIANS, OBSTETRICIANS/GYNECOLOGISTS , AND PEDIATRICIANS WHO ARE COMMITTED TO HIGH STANDARDS OF PATIENT CARE AND SATISFACTION. THE FAMILY PRACTICES USE THE PATIENT CENTER MEDICAL HOME MODEL FOCUSING ON PROACTIVE HEALTH CARE AND ILLNESS PREVENTION. |
| IRS990/Activity2/Expense | 0 | 2503704 |
| IRS990/Activity2/Revenue | 0 | 2452091 |
| IRS990/Activity3/Description | 0 | AUXILIARY SERVICES, HEALTH EDUCATION CLASSES & OTHER HOSPITAL SERVICES -PROVIDES VOLUNTEER SERVICES TO HOSPITAL, COMMUNITY EDUCATION, NUTRITION SERVICES AND OTHER MISCELLANEOUS SERVICES. |
| IRS990/Activity3/Expense | 0 | 77866 |
| IRS990/Activity3/Revenue | 0 | 83633 |
| IRS990/ActivityOrMissionDescription | 0 | TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. IN SUPPORT OF OUR MISSION AND VALUE, WE ARE COMMITTED TO EXCELLENCE. THESE VALUES REFLECT THE MANNER IN WHICH WE CARE FOR PEOPLE. THEY GUIDE OUR INDIVIDUAL AND COLLECTIVE DECISION-MAKING AND CONDUCT. OUR STRATEGIES INDICATE HOW WE WILL ACHIEVE OUR VISION. |
| IRS990/AddressPrincipalOfficerUS/AddressLine1 | 0 | 8333 Felch Street |
| IRS990/AddressPrincipalOfficerUS/City | 0 | Zeeland |
| IRS990/AddressPrincipalOfficerUS/State | 0 | MI |
| IRS990/AddressPrincipalOfficerUS/ZIPCode | 0 | 49464 |
| IRS990/Advertising/ProgramServices | 0 | 404793 |
| IRS990/Advertising/Total | 0 | 404793 |
| IRS990/AllOtherExpenses/Fundraising | 0 | 0 |
| IRS990/AllOtherExpenses/ManagementAndGeneral | 0 | 42912 |
| IRS990/AllOtherExpenses/ProgramServices | 0 | 171639 |
| IRS990/AllOtherExpenses/Total | 0 | 214551 |
| IRS990/AnnualDisclosureCoveredPersons | 0 | true |
| IRS990/AuditCommittee | 0 | true |
| IRS990/BenefitsPaidToMembersCY | 0 | 0 |
| IRS990/BenefitsPaidToMembersPriorYear | 0 | 0 |
| IRS990/BenefitsToMembers/Total | 0 | 0 |
| IRS990/BsnssRltnshpThruFamilyMember | 0 | true |
| IRS990/BsnssRltnshpWithOrganization | 0 | false |
| IRS990/ChangesToOrganizingDocs | 0 | false |
| IRS990/CollectionsOfArt | 0 | false |
| IRS990/CompCurrentOfficersDirectors/ManagementAndGeneral | 0 | 163638 |
| IRS990/CompCurrentOfficersDirectors/ProgramServices | 0 | 654551 |
| IRS990/CompCurrentOfficersDirectors/Total | 0 | 818189 |
| IRS990/CompDisqualPersons/ManagementAndGeneral | 0 | 36700 |
| IRS990/CompDisqualPersons/ProgramServices | 0 | 146802 |
| IRS990/CompDisqualPersons/Total | 0 | 183502 |
| IRS990/CompensationFromOtherSources | 0 | false |
| IRS990/CompensationProcessCEO | 0 | true |
| IRS990/CompensationProcessOther | 0 | true |
| IRS990/ComplianceWithBackupWitholding | 0 | true |
| IRS990/ConferencesMeetings/ManagementAndGeneral | 0 | 13937 |
| IRS990/ConferencesMeetings/ProgramServices | 0 | 7114 |
| IRS990/ConferencesMeetings/Total | 0 | 21051 |
| IRS990/ConflictOfInterestPolicy | 0 | true |
| IRS990/ConservationEasements | 0 | false |
| IRS990/ConsolidatedAuditFinancialStmt | 0 | true |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 0 | 4100 EMBASSY DRIVE SE STE 400 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 1 | 118 WEST EDISON ROAD |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 2 | 120 ENTERPIRSE DRIVE |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 3 | 420 N FAIRWAY RD |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 4 | 4345 44TH STREET SE STE C |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 0 | KENTWOOD |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 1 | MISHAWAKA |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 2 | ANN ARBOR |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 3 | ZEELAND |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 4 | GRAND RAPIDS |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 0 | MI |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 1 | IN |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 2 | MI |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 3 | MI |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 4 | MI |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 0 | 49546 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 1 | 46545 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 2 | 48103 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 3 | 49464 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 4 | 49512 |
| IRS990/ContractorCompensation/Compensation | 0 | 338677 |
| IRS990/ContractorCompensation/Compensation | 1 | 329817 |
| IRS990/ContractorCompensation/Compensation | 2 | 303154 |
| IRS990/ContractorCompensation/Compensation | 3 | 279500 |
| IRS990/ContractorCompensation/Compensation | 4 | 243776 |
| IRS990/ContractorCompensation/DescriptionOfServices | 0 | ER PHYSICIANS |
| IRS990/ContractorCompensation/DescriptionOfServices | 1 | LAB SERVICES |
| IRS990/ContractorCompensation/DescriptionOfServices | 2 | MEDICAL SERVICES |
| IRS990/ContractorCompensation/DescriptionOfServices | 3 | BLACKTOP |
| IRS990/ContractorCompensation/DescriptionOfServices | 4 | TRANSCRIPTION SERVICE |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 0 | EMERGENCY CARE SPECIALISTS |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 1 | SOUTH BEND MEDICAL |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 2 | MIRVIEW IMAGING |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 3 | ZEELAND BLACKTOP |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 4 | VAN BELKUM COMPANIES |
| IRS990/ContributionsGrantsCurrentYear | 0 | 92900 |
| IRS990/ContributionsGrantsPriorYear | 0 | 176432 |
| IRS990/CreditCounseling | 0 | false |
| IRS990/DecisionsSubjectToApproval | 0 | true |
| IRS990/DeductibleContributionsOfArt | 0 | false |
| IRS990/DeductibleNonCashContributions | 0 | false |
| IRS990/DelegationOfManagementDuties | 0 | false |
| IRS990/DepreciationDepletion/ManagementAndGeneral | 0 | 542930 |
| IRS990/DepreciationDepletion/ProgramServices | 0 | 2171721 |
| IRS990/DepreciationDepletion/Total | 0 | 2714651 |
| IRS990/DescribedIn501C3 | 0 | true |
| IRS990/Description | 0 | HOSPITAL SERVICES - SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL IS A 57-BED, PROGRESSIVE ORGANIZATION CONVENIENTLY LOCATED TO THE GREATER HUDSONVILLE, HOLLAND, AND ZEELAND AREAS. WE HAVE PROVIDED PERSONAL, COMPASSIONATE, HIGH-QUALITY HEALTH CARE FOR OVER 80 YEARS AND WE REMAIN COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. WE HAVE AN EXCELLENT NURSE-TO-PATIENT RATIO AND CONTINUALLY INVEST IN THE LATEST MEDICAL TECHNOLOGY. WE PROVIDE HIGH QUALITY, AWARD-WINNING CARE FOR OUR PATIENTS, OUR VISITORS AND OUR EMPLOYEES. WE OFFER ADVANCED INPATIENT, OUTPATIENT AND TESTING SERVICES WITH GENUINE COMPASSION AND UNDERSTANDING. WE GIVE BACK TO OUR COMMUNITY BY PROVIDING COMMUNITY EDUCATION CLASSES AND NUTRITION SERVICES. |
| IRS990/DisregardedEntity | 0 | false |
| IRS990/DocumentRetentionPolicy | 0 | true |
| IRS990/DoingBusinessAs/BusinessNameLine1 | 0 | SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL |
| IRS990/DonorAdvisedFunds | 0 | false |
| IRS990/ElectionOfBoardMembers | 0 | true |
| IRS990/EmploymentTaxReturnsFiled | 0 | true |
| IRS990/EscrowAccount | 0 | false |
| IRS990/ExcessBenefitTransaction | 0 | false |
| IRS990/Expense | 0 | 38201403 |
| IRS990/FamilyOrBusinessRelationship | 0 | false |
| IRS990/FederalGrantAuditRequired | 0 | false |
| IRS990/FeesForServicesAccounting/ManagementAndGeneral | 0 | 11550 |
| IRS990/FeesForServicesAccounting/Total | 0 | 11550 |
| IRS990/FeesForServicesInvstMgmntFees/Total | 0 | 0 |
| IRS990/FeesForServicesLegal/ManagementAndGeneral | 0 | 43897 |
| IRS990/FeesForServicesLegal/Total | 0 | 43897 |
| IRS990/FeesForServicesLobbying/Total | 0 | 0 |
| IRS990/FeesForServicesManagement/Total | 0 | 0 |
| IRS990/FeesForServicesOther/Fundraising | 0 | 0 |
| IRS990/FeesForServicesOther/ManagementAndGeneral | 0 | 182895 |
| IRS990/FeesForServicesOther/ProgramServices | 0 | 3152174 |
| IRS990/FeesForServicesOther/Total | 0 | 3335069 |
| IRS990/FeesForServicesProfFundraising/Total | 0 | 0 |
| IRS990/FinancialStmtAttached | 0 | true |
| IRS990/FollowSFAS117 | 0 | X |
| IRS990/ForeignActivities | 0 | false |
| IRS990/ForeignFinancialAccount | 0 | false |
| IRS990/ForeignGrants/Total | 0 | 0 |
| IRS990/ForeignOffice | 0 | false |
| IRS990/Form8282PropertyDisposedOf | 0 | false |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 0 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 1 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 2 | 50.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 3 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 4 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 5 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 6 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 7 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 8 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 9 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 10 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 11 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 12 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 13 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 14 | 50.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 15 | 50.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 16 | 50.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 17 | 50.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 18 | 0.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 0 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 1 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 2 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 3 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 4 | 2.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 5 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 6 | 48.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 7 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 8 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 9 | 48.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 10 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 11 | 48.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 12 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 13 | 48.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 14 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 15 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 16 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 17 | 0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated | 18 | 0.00 |
| IRS990/Form990PartVIISectionA/Former | 0 | X |
| IRS990/Form990PartVIISectionA/HighestCompensatedEmployee | 0 | X |
| IRS990/Form990PartVIISectionA/HighestCompensatedEmployee | 1 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 0 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 1 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 2 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 3 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 4 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 5 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 6 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 7 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 8 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 9 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 10 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 11 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 12 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 13 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 0 | X |
| IRS990/Form990PartVIISectionA/NamePerson | 0 | BRADLEY DYKSTRA |
| IRS990/Form990PartVIISectionA/NamePerson | 1 | CHRIS BART |
| IRS990/Form990PartVIISectionA/NamePerson | 2 | HENRY VEENSTRA |
| IRS990/Form990PartVIISectionA/NamePerson | 3 | JOHN WALTERS |
| IRS990/Form990PartVIISectionA/NamePerson | 4 | MARK WILSON |
| IRS990/Form990PartVIISectionA/NamePerson | 5 | ROXANNE DEWEERD |
| IRS990/Form990PartVIISectionA/NamePerson | 6 | CAROLE MONTGOMERY |
| IRS990/Form990PartVIISectionA/NamePerson | 7 | HAROLD VANDEN BOSCH |
| IRS990/Form990PartVIISectionA/NamePerson | 8 | KAREN MCPHEE |
| IRS990/Form990PartVIISectionA/NamePerson | 9 | MARC CHIRCOP |
| IRS990/Form990PartVIISectionA/NamePerson | 10 | RANDY THELEN |
| IRS990/Form990PartVIISectionA/NamePerson | 11 | RUEL LIRIO |
| IRS990/Form990PartVIISectionA/NamePerson | 12 | STAN KONYNENBELT |
| IRS990/Form990PartVIISectionA/NamePerson | 13 | THOMAS VISSER |
| IRS990/Form990PartVIISectionA/NamePerson | 14 | RYAN POWERS |
| IRS990/Form990PartVIISectionA/NamePerson | 15 | DALE TERPSTRA |
| IRS990/Form990PartVIISectionA/NamePerson | 16 | DAVE NEWTON |
| IRS990/Form990PartVIISectionA/NamePerson | 17 | JANE CZEREW |
| IRS990/Form990PartVIISectionA/NamePerson | 18 | JOSEPH FIFER |
| IRS990/Form990PartVIISectionA/Officer | 0 | X |
| IRS990/Form990PartVIISectionA/Officer | 1 | X |
| IRS990/Form990PartVIISectionA/Officer | 2 | X |
| IRS990/Form990PartVIISectionA/Officer | 3 | X |
| IRS990/Form990PartVIISectionA/Officer | 4 | X |
| IRS990/Form990PartVIISectionA/Officer | 5 | X |
| IRS990/Form990PartVIISectionA/Officer | 6 | X |
| IRS990/Form990PartVIISectionA/OtherCompensation | 0 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 1 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 2 | 88360 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 3 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 4 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 5 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 6 | 165836 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 7 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 8 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 9 | 186859 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 10 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 11 | 32758 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 12 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 13 | 30149 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 14 | 19661 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 15 | 21036 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 16 | 10681 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 17 | 19979 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 18 | 115773 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 0 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 1 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 2 | 309474 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 5 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 6 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 7 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 8 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 9 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 10 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 11 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 12 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 13 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 14 | 152851 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 15 | 226807 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 16 | 127798 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 17 | 140784 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 18 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 0 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 1 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 5 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 6 | 555957 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 7 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 8 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 9 | 678791 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 10 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 11 | 244242 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 12 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 13 | 511665 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 14 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 15 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 16 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 17 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 18 | 183994 |
| IRS990/Form990PartVIISectionA/Title | 0 | Vice Chair |
| IRS990/Form990PartVIISectionA/Title | 1 | Secretary |
| IRS990/Form990PartVIISectionA/Title | 2 | President |
| IRS990/Form990PartVIISectionA/Title | 3 | Treasurer |
| IRS990/Form990PartVIISectionA/Title | 4 | Chair |
| IRS990/Form990PartVIISectionA/Title | 5 | Secretary - Part Year |
| IRS990/Form990PartVIISectionA/Title | 6 | Director |
| IRS990/Form990PartVIISectionA/Title | 7 | Director |
| IRS990/Form990PartVIISectionA/Title | 8 | Director |
| IRS990/Form990PartVIISectionA/Title | 9 | Director |
| IRS990/Form990PartVIISectionA/Title | 10 | Director |
| IRS990/Form990PartVIISectionA/Title | 11 | Director |
| IRS990/Form990PartVIISectionA/Title | 12 | Director |
| IRS990/Form990PartVIISectionA/Title | 13 | Director |
| IRS990/Form990PartVIISectionA/Title | 14 | VP, Finance |
| IRS990/Form990PartVIISectionA/Title | 15 | VP Physican Services |
| IRS990/Form990PartVIISectionA/Title | 16 | VP Ancillary Services-Part Year |
| IRS990/Form990PartVIISectionA/Title | 17 | VP Clinical Svcs & Quality |
| IRS990/Form990PartVIISectionA/Title | 18 | Former Officer |
| IRS990/Form990ProvidedToGoverningBody | 0 | true |
| IRS990/FormersListed | 0 | true |
| IRS990/FSAudited | 0 | true |
| IRS990/FSAuditedBasis/FinancialStatementConsolidated | 0 | X |
| IRS990/FundraisingActivities | 0 | false |
| IRS990/FundsToPayPremiums | 0 | false |
| IRS990/GainOrLoss/Other | 0 | -69261 |
| IRS990/GainOrLoss/Securities | 0 | 0 |
| IRS990/Gaming | 0 | false |
| IRS990/Grants | 0 | 75600 |
| IRS990/GrantsAndSimilarAmntsCY | 0 | 75600 |
| IRS990/GrantsAndSimilarAmntsPriorYear | 0 | 4000 |
| IRS990/GrantsToDomesticIndividuals/ProgramServices | 0 | 4000 |
| IRS990/GrantsToDomesticIndividuals/Total | 0 | 4000 |
| IRS990/GrantsToDomesticOrgs/ProgramServices | 0 | 71600 |
| IRS990/GrantsToDomesticOrgs/Total | 0 | 71600 |
| IRS990/GrantsToIndividuals | 0 | false |
| IRS990/GrantsToOrganizations | 0 | true |
| IRS990/GrantToRelatedPerson | 0 | false |
| IRS990/GrossAmountSalesAssets/Other | 0 | 12000 |
| IRS990/GrossReceipts | 0 | 51721679 |
| IRS990/GrossRents/Real | 0 | 65660 |
| IRS990/GroupReturnForAffiliates | 0 | false |
| IRS990/Hospital | 0 | true |
| IRS990/IncomeFromInvestBondProceeds/TotalRevenueColumn | 0 | 0 |
| IRS990/IndependentAuditFinancialStmt | 0 | false |
| IRS990/IndoorTanningServices | 0 | false |
| IRS990/InfoInScheduleOPartIII | 0 | X |
| IRS990/InfoInScheduleOPartVI | 0 | X |
| IRS990/InfoInScheduleOPartVII | 0 | X |
| IRS990/InfoInScheduleOPartXI | 0 | X |
| IRS990/InformationTechnology/ManagementAndGeneral | 0 | 13043 |
| IRS990/InformationTechnology/ProgramServices | 0 | 35594 |
| IRS990/InformationTechnology/Total | 0 | 48637 |
| IRS990/Insurance/ManagementAndGeneral | 0 | 85772 |
| IRS990/Insurance/ProgramServices | 0 | 343090 |
| IRS990/Insurance/Total | 0 | 428862 |
| IRS990/Interest/ProgramServices | 0 | 858569 |
| IRS990/Interest/Total | 0 | 858569 |
| IRS990/InventoriesForSaleOrUse/BOY | 0 | 748253 |
| IRS990/InventoriesForSaleOrUse/EOY | 0 | 759320 |
| IRS990/InvestmentIncomeCurrentYear | 0 | 1275055 |
| IRS990/InvestmentIncome/ExclusionAmount | 0 | 1344316 |
| IRS990/InvestmentIncomePriorYear | 0 | 597027 |
| IRS990/InvestmentIncome/TotalRevenueColumn | 0 | 1344316 |
| IRS990/InvestmentInJointVenture | 0 | false |
| IRS990/InvestmentsOtherSecurities/BOY | 0 | 2800 |
| IRS990/InvestmentsOtherSecurities/EOY | 0 | 0 |
| IRS990/InvestmentsProgramRelated/BOY | 0 | 607500 |
| IRS990/InvestmentsProgramRelated/EOY | 0 | 1040890 |
| IRS990/InvestmentsPubTradedSecurities/BOY | 0 | 16986500 |
| IRS990/InvestmentsPubTradedSecurities/EOY | 0 | 18682307 |
| IRS990/InvestTaxExemptBonds | 0 | false |
| IRS990/LandBldgEquipmentAccumDeprec | 0 | 7587107 |
| IRS990/LandBuildingsEquipmentBasis | 0 | 34770941 |
| IRS990/LandBuildingsEquipmentBasisNet/BOY | 0 | 30637329 |
| IRS990/LandBuildingsEquipmentBasisNet/EOY | 0 | 27183834 |
| IRS990/LessCostOthBasisSalesExpenses/Other | 0 | 81261 |
| IRS990/LessRentalExpenses/Real | 0 | 16798 |
| IRS990/LoansFromOfficersDirectors/EOY | 0 | 0 |
| IRS990/LoanToOfficerOrDQP | 0 | false |
| IRS990/LobbyingActivities | 0 | false |
| IRS990/LocalChapters | 0 | false |
| IRS990/MaterialDiversionOrMisuse | 0 | false |
| IRS990/MembersOrStockholders | 0 | true |
| IRS990/MethodOfAccountingAccrual | 0 | X |
| IRS990/MinutesOfCommittees | 0 | true |
| IRS990/MinutesOfGoverningBody | 0 | true |
| IRS990/MiscellaneousRevenue/ExclusionAmount | 0 | 0 |
| IRS990/MiscellaneousRevenue/RelatedOrExemptFunctionIncome | 0 | 0 |
| IRS990/MiscellaneousRevenue/TotalRevenueColumn | 0 | 0 |
| IRS990/MiscellaneousRevenue/UnrelatedBusinessRevenue | 0 | 0 |
| IRS990/MissionDescription | 0 | TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. |
| IRS990/MoreThan5000KToIndividuals | 0 | false |
| IRS990/MoreThan5000KToOrganizations | 0 | false |
| IRS990/NameOfPrincipalOfficerBusiness/BusinessNameLine1 | 0 | HENRY VEENSTRA |
| IRS990/NbrIndependentVotingMembers | 0 | 5 |
| IRS990/NbrVotingGoverningBodyMembers | 0 | 13 |
| IRS990/NbrVotingMembersGoverningBody | 0 | 13 |
| IRS990/NetAssetsOrFundBalancesBOY | 0 | 29293740 |
| IRS990/NetAssetsOrFundBalancesEOY | 0 | 33472215 |
| IRS990/NetGainOrLossInvestments/RelatedOrExemptFunctionIncome | 0 | -69261 |
| IRS990/NetGainOrLossInvestments/TotalRevenueColumn | 0 | -69261 |
| IRS990/NetIncomeFromFundraisingEvents/TotalRevenueColumn | 0 | 0 |
| IRS990/NetIncomeFromGaming/TotalRevenueColumn | 0 | 0 |
| IRS990/NetIncomeOrLoss/TotalRevenueColumn | 0 | 0 |
| IRS990/NetRentalIncomeOrLoss/ExclusionAmount | 0 | 48862 |
| IRS990/NetRentalIncomeOrLoss/TotalRevenueColumn | 0 | 48862 |
| IRS990/NetUnrelatedBusinessTxblIncome | 0 | 0 |
| IRS990/NonDeductibleContributions | 0 | false |
| IRS990/NumberFormsTransmittedWith1096 | 0 | 59 |
| IRS990/NumberIndependentVotingMembers | 0 | 5 |
| IRS990/NumberIndividualsGT100K | 0 | 5 |
| IRS990/NumberOfContractorsGT100K | 0 | 7 |
| IRS990/NumberOfEmployees | 0 | 462 |
| IRS990/NumberW2GIncluded | 0 | 0 |
| IRS990/Occupancy/ManagementAndGeneral | 0 | 354057 |
| IRS990/Occupancy/ProgramServices | 0 | 1416227 |
| IRS990/Occupancy/Total | 0 | 1770284 |
| IRS990/OfficeExpenses/ManagementAndGeneral | 0 | 138402 |
| IRS990/OfficeExpenses/ProgramServices | 0 | 553609 |
| IRS990/OfficeExpenses/Total | 0 | 692011 |
| IRS990/OfficerEntityWithBsnssRltnshp | 0 | true |
| IRS990/OfficerMailingAddress | 0 | false |
| IRS990/OnBehalfOfIssuer | 0 | false |
| IRS990/Organization501c3 | 0 | X |
| IRS990/OtherAssetsTotal/BOY | 0 | 280434 |
| IRS990/OtherAssetsTotal/EOY | 0 | 2167376 |
| IRS990/OtherEmployeeBenefits/ManagementAndGeneral | 0 | 458125 |
| IRS990/OtherEmployeeBenefits/ProgramServices | 0 | 1832501 |
| IRS990/OtherEmployeeBenefits/Total | 0 | 2290626 |
| IRS990/OtherExpensePriorYear | 0 | 29372697 |
| IRS990/OtherExpensesCurrentYear | 0 | 28825294 |
| IRS990/OtherExpenses/Description | 0 | BAD DEBTS |
| IRS990/OtherExpenses/Description | 1 | SHARED SERVICES / MANAGEMENT FEES |
| IRS990/OtherExpenses/Description | 2 | MEDICAL SUPPLIES |
| IRS990/OtherExpenses/Description | 3 | DUES AND SUBSCRIPTIONS |
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