Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
990 • Fiscal year 2018 • EIN 38-1426919
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
Liabilities / Revenue
46th percentile
Higher debt load relative to revenue than 46% of similar nonprofits.
Net Margin
29th percentile
Higher net margin than 29% of similar nonprofits.
Top Officer Pay
98th percentile
Higher top officer pay than 98% of similar nonprofits.
Top officer pay equals 1.5% of source-year revenue.
Asset Growth
93rd percentile
Faster asset growth than 93% of similar nonprofits.
Revenue Growth
20th percentile
Faster revenue growth than 20% of similar nonprofits.
Assets
Up$317,563,287
Up $67,363,923 (+27%) from 2017
Net Assets
Up$122,649,590
Up $459,309,645 (+136%) from 2017
Liabilities
Down$194,913,697
Down $391,945,722 (-67%) from 2017
Revenue
Down$404,141,880
Down $13,267,792 (-3.2%) from 2017
Expenses
Up$402,121,954
Up $5,008,242 (+1.3%) from 2017
Net Income
Down$2,019,926
Down $18,276,034 (-90%) from 2017
Commitment to excellence and quality in the delivery of personal and compassionate health care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $158,821,747 | $217,980,948 | ▲ $59,159,201 |
| Accounts Receivable | $49,226,721 | $72,614,480 | ▲ $23,387,759 |
| Inventories for Sale or Use | $7,602,300 | $7,797,016 | ▲ $194,716 |
| Savings and Temporary Cash Investments | $31,408,420 | $4,806,066 | ▼ $26,602,354 |
| Prepaid Expenses and Deferred Charges | $892,422 | $344,134 | ▼ $548,288 |
| Intangible Assets | $333,833 | $333,833 | → $0 |
| Total Assets | $250,199,364 | $317,563,287 | ▲ $67,363,923 |
| Other Assets Total | $1,913,921 | $13,686,810 | ▲ $11,772,889 |
| Liabilities | |||
| Other Liabilities | $569,011,011 | $177,086,395 | ▼ $391,924,616 |
| Accounts Payable and Accrued Expenses | $15,252,226 | $15,833,146 | ▲ $580,920 |
| Mortgage Notes Payable Secured by Investment Property | $2,596,182 | $1,994,156 | ▼ $602,026 |
| Total Liabilities | $586,859,419 | $194,913,697 | ▼ $391,945,722 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $-339,249,267 | $120,060,378 | ▲ $459,309,645 |
| Temporarily Rstr Net Assets | $2,588,962 | $2,588,962 | → $0 |
| Permanently Rstr Net Assets | $250 | $250 | → $0 |
| Total Net Assets Fund Balance | $-336,660,055 | $122,649,590 | ▲ $459,309,645 |
| Total Liabilities and Net Assets / Fund Balance | $250,199,364 | $317,563,287 | ▲ $67,363,923 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $60,920,059 | $104,404,963 | $165,325,022 |
| Other Land Buildings | $139,647,563 | $14,886,513 | $154,534,076 |
| Equipment | $11,643,819 | $68,289,837 | $79,933,656 |
| Leasehold Improvements | $2,920,444 | - | $2,920,444 |
| Land | $2,849,063 | - | $2,849,063 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2018 | $4,261,219 | $1,087,132 | ▼ $294,282 | $22,725 | $4,110,259 |
| 2017 | $2,063,960 | $2,563,281 | ▲ $160,332 | $526,354 | $4,261,219 |
| 2016 | $580,676 | $1,636,932 | - | $153,648 | $2,063,960 |
| 2015 | $2,021,139 | $78,638 | - | $1,319,101 | $580,676 |
| 2014 | $1,961,794 | $452,987 | - | $164,210 | $2,021,139 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Paul Lacasse | Evp Post Acute Care & Diversif | FT | $522,835 | $658,641 | $1,181,476 |
| David Gowman | Staff Physician | FT | $708,291 | $286,021 | $994,312 |
| Barry P Rosen | Physician | FT | $803,520 | $115,875 | $919,395 |
| Anthony Lutz | Staff Physician | FT | $395,028 | $421,628 | $816,656 |
| Barbara S Ducatman | Physician | FT | $626,112 | $110,484 | $736,596 |
| J Anthony Rakowski | Physician | FT | $657,591 | $52,743 | $710,334 |
| CONSTANCE O'MALLEY | President | FT | $343,356 | $316,521 | $659,877 |
| Michael Rebock | CMO | FT | $181,728 | $175,056 | $356,784 |
| Name | Title |
|---|---|
| John Lewis | Chairperson |
| John Fox | President & CEO |
| Julie Fream | Vice Chairperson |
| Stephen Howard | Vice Chairperson |
| Alicia Boler Davis | Director |
| Christopher Blake | Director |
| David Wood | Director |
| Geoffrey Hockman | Director |
| Gerson Cooper | Director |
| Harris Mainster Do | Director |
| Martha Quay | Director |
| Ronald Hall Jr | Director |
| TIMOTHY O'BRIEN | Director |
| Thomas Saeli | Director |
| William Goldsmith | Director |
| Malcolm Henoch Md | Director (end 12/31/18) |
| John Kerndl | Evp & Chief Financial Officer |
| Brian Connolly | Former Key Employee (end 2014) |
| John Keuten | Former Officer (end 2016) |
| John Nemes | Secretary / Treasurer |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $210,038,648 |
| Other Expenses | $179,377,418 |
| Grants and Similar Amounts Paid | $12,705,888 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $128,564,544 | $5,320,624 | - | $133,885,168 |
| Pension Plan Contributions | $28,433,700 | $14,660,391 | - | $43,094,091 |
| Other Employee Benefits | $20,268,333 | $1,044,208 | - | $21,312,541 |
| Fees for Services Other | $12,184,168 | $2,302,692 | - | $14,486,860 |
| Grants to Domestic Individuals | $12,705,888 | - | - | $12,705,888 |
| Occupancy | $10,062,616 | $832,000 | - | $10,894,616 |
| Depreciation Depletion | $9,741,766 | $801,447 | - | $10,543,213 |
| Payroll Taxes | $9,027,231 | $521,480 | - | $9,548,711 |
| Insurance | $2,687,257 | $83,112 | - | $2,770,369 |
| Current Officers, Directors, Trustees, and Key Employees | - | $2,198,137 | - | $2,198,137 |
| Interest | $2,032,575 | - | - | $2,032,575 |
| All Other Expenses | $1,872,023 | - | - | $1,872,023 |
| Office Expenses | $1,249,632 | $421,772 | - | $1,671,404 |
| Other Expenses | $1,233,924 | - | - | $1,233,924 |
| Conferences and Meetings | $638,182 | $218,665 | - | $856,847 |
| Travel | $126,450 | $79,826 | - | $206,276 |
| Advertising | $31,451 | $168,664 | - | $200,115 |
| Information Technology | $13,053 | $54,578 | - | $67,631 |
| Fees for Services Legal | - | $36,325 | - | $36,325 |
| Fees for Services Lobbying | - | $9,215 | - | $9,215 |
| Fees for Services Accounting | - | $-524 | - | $-524 |
| Total Functional Expenses | $373,369,342 | $28,752,612 | $0 | $402,121,954 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | See Part V | See Part V | No | $421,255 |
| - | See Part V | See Part V | No | $20,001 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $122,533,473 |
| Intercompany Debt to Beaumont Health | $37,041,659 |
| Professional Liability & Other Claims | $12,354,001 |
| Other Liabilities, Net | $3,537,079 |
| Est. Third - Party Payor Settlements | $1,620,183 |
“The organization exercises due diligence in the oversight of any new joint ventures and routinely consults with tax consultants on the matter, if applicable.”
“The following individuals have a business relationship because they are board members or shared officers of a taxable entity within the beaumont health system: john fox john kerndl paul lacasse, do gerson cooper john nemes david wood, md”
“Beaumont health is the sole corporate member of botsford general hospital.”
“Beaumont health is the corporate member of botsford general hospital, with the right to elect one or more members of botsford general hospital's governing body.”
“Beaumont health, as the corporate member of botsford general hospital, has reserved powers over botsford general hospital's operations, including but not limited to budget, acquisitions, capital projects and participation in joint ventures.”
“Form 990 was subjected to a multi-step review process prior to filing with the government by the statutory due date. Form 990 is prepared by beaumont health treasury administration, reviewed by that department's management, and subsequently reviewed by the filing entity's paid preparer. As the final step in this review process, a copy of the final filing version of form 990 is provided to each voting member of the filing entity's governing body for their review prior to the form being filed.”
“Beaumont health, the parent corporation and sole member of botsford general hospital, recognizes that it has an obligation to its patients, its payors, its designees and the communities it serves to observe the highest level of integrity to ensure clinical, business and academic decision making is not compromised by financial or other relationships with industry. The corporate compliance office, with the assistance of human resources and specific individual departments, will coordinate upon hire and each calendar year thereafter, a process of obtaining conflict of interest/disclosure of remuneration statements. All areas of the institution will follow the human resources hiring process protocol to assure compliance with the conflict of interest program. At any time when a designee becomes involved in a relationship that is or may be perceived to be a conflict of interest, the designee must complete the conflict of interest/disclosure of remuneration statement and forward to the corporate compliance officer. A conflict of interest or need to disclose remuneration may exist if a beaumont designee or any member of their immediate family receives compensation in any form for services rendered in any capacity to any organization or individual that has any past, present or prospective business dealings with beaumont, if such compensation might be reasonably construed as tending to prevent the designee from acting solely and wholly in the best interest of beaumont health.”
“Beaumont health's board of directors, of which botsford general hospital is affiliated, has duly appointed an organization and compensation committee (the "committee"), which is responsible for the review and approval of compensation and benefits provided to beaumont and its affiliated members' executive management teams. The committee has adopted a written executive compensation philosophy statement governing the work and review process of the committee. The committee follows the procedures described in the philosophy statement when it reviews and approves the compensation and employee benefits provided to senior management, including the chief executive officer and other officers. The committee reviews all aspects of compensation, including current and deferred compensation and benefits, including qualified and non-qualified benefits. The committee meets four times a year, and approves compensation and benefits only to the extent that the committee has concluded that the compensation and benefits constitute no more than reasonable compensation for each executive. The committee consists of six members, all of whom are disinterested members of the board of directors. The committee works with an independent compensation consultant to prepare and review in advance comprehensive data showing the compensation provided by similarly situated organizations for functionally similar positions. The committee also prepares a timely and thorough written record of its deliberations and conclusions. As a result, the committee's review process is designed to satisfy the procedural criteria necessary to qualify for the rebuttable presumption of reasonableness under the federal income tax law intermediate sanctions rules. The committee has expressly determined that the total compensation provided is reasonable, based on the review of the market data presented by the independent compensation consultant and on the review of all other relevant facts and circumstances.”
“Documents that are required to be made available to the public will be made available upon request.”
“The health system has a centralized accounts payable function, and as such, all 1099's are issued by beaumont health.”
“The taxpayer is a member of a health system, the parent of which is beaumont health. During the year, beaumont health foundation received funds from other entities in the system, of which a portion is attributable to restricted contributions. Please see the form 990, schedule d of beaumont health foundation for information regarding this endowment fund.”
“Botsford general hospital is a health facility that is an affiliate of beaumont health system. Botsford general hospital holds an intercompany note payable to beaumont health, which is also an affiliate of beaumont health system. The note payable represents botsford general hospital's portion of tax-exempt bonds issued by beaumont health.”
“Additional minimum pension liability adjustment 55,659,400. Other transfers to/from affiliates 4,307,291. Equity transfer with affiliates 395,162,708. Net assets released from restricted capital 2,160,320.”
“The permanently restricted funds held by beaumont health foundation are reflected as endowment funds. The largest of these funds relate to the "promise of excellence" fund which focused on offsetting costs of a new hospital tower. Other significant funds include pharmaceutical support and cancer center patient support funds that are intended to help cancer center patients. Additionally, there are fullness of life and nursing scholarship funds to help support the educational goals of botsford general hospital and botsford continuing care corporation staff and patients.”
“The restricted assets that were received and maintained by botsford general hospital have been transferred to beaumont health foundation, a related party, as part of the centralization of the health system's endowment into a single foundation.”
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 | 15252226 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 15833146 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 49226721 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 72614480 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | COMMITMENT TO EXCELLENCE AND QUALITY IN THE DELIVERY OF PERSONAL AND COMPASSIONATE HEALTH CARE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 168664 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 31451 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 200115 |
| IRS990/AllOtherContributionsAmt | 0 | 119897 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1872023 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1872023 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | BARBARA HRIT |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9475221515 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 26901 BEAUMONT BLVD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SOUTHFIELD |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48033 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2198137 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2198137 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 218665 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 638182 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 856847 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CostOfGoodsSoldAmt | 0 | 390019 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 284279 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 12705888 |
| IRS990/CYInvestmentIncomeAmt | 0 | -11004171 |
| IRS990/CYOtherExpensesAmt | 0 | 179377418 |
| IRS990/CYOtherRevenueAmt | 0 | 8285204 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 406576568 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2019926 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 210038648 |
| IRS990/CYTotalExpensesAmt | 0 | 402121954 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 404141880 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 801447 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 9741766 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 10543213 |
| IRS990/Desc | 0 | BOTSFORD GENERAL HOSPITAL, NOW AFFILIATED WITH BEAUMONT HEALTH AND NOW KNOWN AS BEAUMONT HOSPITAL, FARMINGTON HILLS, ("HOSPITAL") IS A 330-BED TEACHING HOSPITAL THAT HAS SERVED FARMINGTON HILLS AND ITS SURROUNDING COMMUNITIES IN SOUTHERN OAKLAND AND WESTERN WAYNE COUNTIES FOR MORE THAN 50 YEARS. THE HOSPITAL DELIVERS PERSONAL AND COMPASSIONATE QUALITY HEALTH CARE TO ITS PATIENTS IN THE AREAS OF GENERAL MEDICINE, EMERGENCY MEDICINE, AND SURGERY.THE HOSPITAL HAS MEDICAL RESIDENCY PROGRAMS IN PARTNERSHIP WITH THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE THAT OFFERS RESIDENTS ADVANCED MEDICAL CARE TRAINING IN A COMMUNITY HOSPITAL SETTING. THE FACILITY IS FULLY ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION'S HEALTHCARE FACILITIES ACCREDITATION PROGRAM. PATIENTS WITH A WIDE SPECTRUM OF TRAUMATIC INJURIES ARE TREATED AT THE HOSPITAL WHERE SPECIALISTS IN EMERGENCY MEDICINE, SURGERY, AND CRITICAL CARE, AND OTHER DISCIPLINES ARE AVAILABLE 24 HOURS A DAY. THE HOSPITAL OFFERS A WIDE ARRAY OF HEALTH CARE SERVICES INCLUDING CARDIOLOGY, SURGICAL SERVICES, ONCOLOGY, REHABILITATION, PHYSICAL AND OCCUPATIONAL THERAPY, ORTHOPEDICS, ONCOLOGY, PODIATRY, FAMILY MEDICINE, WOMEN'S HEALTH, OLDER ADULT SERVICES, PEDIATRIC SERVICES, LABORATORY, IMAGING, RADIOLOGY AND PHARMACY.FOR THE YEAR 2018, THE HOSPITAL ADMITTED 13,338, PERFORMED 9,052 SURGERIES AND ATTENDED 771 BIRTHS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | BEAUMONT HOSPITAL FARMINGTON HILLS |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 3993 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 143785181 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | -524 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | -524 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 36325 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 36325 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 9215 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 9215 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2302692 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 12184168 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 14486860 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 56.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 58.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 62.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 56.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | 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/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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 463484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 1672732 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 224077 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| 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 | 413192 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 160089 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 74569 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 257715 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 32789 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 19581 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 34376 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 32300 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 21967 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 178 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ALICIA BOLER DAVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | CHRISTOPHER BLAKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVID WOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GEOFFREY HOCKMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | GERSON COOPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | HARRIS MAINSTER DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOHN FOX |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOHN LEWIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN NEMES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JULIE FREAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MALCOLM HENOCH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARTHA QUAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | RONALD HALL JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | STEPHEN HOWARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | THOMAS SAELI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TIMOTHY O'BRIEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | WILLIAM GOLDSMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JOHN KERNDL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | CONSTANCE O'MALLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MICHAEL REBOCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | PAUL LACASSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ANTHONY LUTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | BARBARA S DUCATMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | BARRY P ROSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | DAVID GOWMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | J ANTHONY RAKOWSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | JOHN KEUTEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | BRIAN CONNOLLY |
| 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 | 499788 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 282215 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 923761 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 783867 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 717015 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 885019 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 962012 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 688367 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 1910312 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 4260149 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 800498 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 952634 |
| 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 | 137410 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 1420614 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | SECRETARY / TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VICE CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR (END 12/31/18) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VICE CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | EVP & CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | EVP POST ACUTE CARE & DIVERSIF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | STAFF PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | STAFF PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | FORMER OFFICER (END 2016) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | FORMER KEY EMPLOYEE (END 2014) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1944 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -25225 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 23834 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GrantAmt | 0 | 4893060 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 12705888 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 12705888 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 37719 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 23834 |
| IRS990/GrossReceiptsAmt | 0 | 404893548 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 278402 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 413462 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 14 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 163 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 54578 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 13053 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 67631 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 83112 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2687257 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2770369 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 333833 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 333833 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 2032575 |
| IRS990/InterestGrp/TotalAmt | 0 | 2032575 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 7602300 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 7797016 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | -11002780 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | -11002780 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 187581313 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 158821747 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 217980948 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 405562261 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 62944 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 298705 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 2341203 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 2341203 |
| IRS990/MissionDesc | 0 | COMMITMENT TO EXCELLENCE AND QUALITY IN THE DELIVERY OF PERSONAL AND COMPASSIONATE HEALTH CARE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 2596182 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1994156 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -336660055 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 122649590 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -1391 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -1391 |
| IRS990/NetIncomeOrLossGrp/ExclusionAmt | 0 | 23443 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 23443 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -20303 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -20303 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 832000 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 10062616 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 10894616 |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.
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