Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
EIN 38-1437919 • 501(c)3 • Alma, MI
Profile
Creating healthy communities - together
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
Liabilities / Revenue
45th percentile
Higher debt load relative to revenue than 45% of similar nonprofits.
Net Margin
27th percentile
Higher net margin than 27% of similar nonprofits.
Top Officer Pay
77th percentile
Higher top officer pay than 77% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
34th percentile
Faster asset growth than 34% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
Assets
Up$136,957,511
Up $3,407,423 (+2.6%) from 2023
Liabilities
Up$54,652,838
Up $391,404 (+0.7%) from 2023
Net Assets
Up$82,304,673
Up $3,016,019 (+3.8%) from 2023
Revenue
Down$153,799,627
Down $7,082,186 (-4.4%) from 2023
Expenses
Down$155,980,845
Down $3,445,914 (-2.2%) from 2023
Net Income
Down-$2,181,218
Down $3,636,272 (-250%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide excellent health services to improve the quality of life for people in our communities. Form 990, part i, line 1 & part iii, line 1 - organization's vision our vision is to celebrate the power of health throughout life - with you.
Creating healthy communities together by providing excellent health services to improve the quality of life for people in our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $70,254,295 | $80,349,485 | ▲ $10,095,190 |
| Investments in Publicly Traded Securities | $24,788,066 | $20,340,043 | ▼ $4,448,023 |
| Accounts Receivable | $15,150,561 | $19,389,282 | ▲ $4,238,721 |
| Investments Other Securities | $19,261,430 | $15,139,693 | ▼ $4,121,737 |
| Prepaid Expenses and Deferred Charges | $1,061,854 | $951,585 | ▼ $110,269 |
| Inventories for Sale or Use | $929,940 | $654,264 | ▼ $275,676 |
| Savings and Temporary Cash Investments | $2,089,588 | $119,625 | ▼ $1,969,963 |
| Other Notes and Loans Receivable, Net | $29,676 | $29,676 | → $0 |
| Cash and Non-Interest-Bearing Accounts | $3,375 | $1,850 | ▼ $1,525 |
| Investments Program Related | $-18,697 | $-17,992 | ▲ $705 |
| Total Assets | $133,550,088 | $136,957,511 | ▲ $3,407,423 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $38,325,124 | $38,334,349 | ▲ $9,225 |
| Accounts Payable and Accrued Expenses | $10,267,695 | $11,252,631 | ▲ $984,936 |
| Other Liabilities | $5,639,862 | $5,056,893 | ▼ $582,969 |
| Deferred Revenue | $28,753 | $8,965 | ▼ $19,788 |
| Total Liabilities | $54,261,434 | $54,652,838 | ▲ $391,404 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $79,288,654 | $82,304,673 | ▲ $3,016,019 |
| Total Net Assets Fund Balance | $79,288,654 | $82,304,673 | ▲ $3,016,019 |
| Total Liabilities and Net Assets / Fund Balance | $133,550,088 | $136,957,511 | ▲ $3,407,423 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $58,469,302 | $56,647,403 | $115,116,705 |
| Equipment | $13,378,903 | $45,411,346 | $58,790,249 |
| Leasehold Improvements | $2,192,681 | $3,430,593 | $5,623,274 |
| Other Land Buildings | $3,537,732 | - | $3,537,732 |
| Land | $2,770,867 | - | $2,770,867 |
| Other Securities | $5,204,839 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Goggin Md Stephanie | Physician | FT | $392,504 | $233,112 | $625,616 |
| Liu Do Peter | Physician | FT | $390,574 | $42,015 | $432,589 |
| Slominis Md Mary | Physician | FT | $337,729 | $47,165 | $384,894 |
| Klugas Md Arturas | Physician | FT | $290,450 | $64,605 | $355,055 |
| Nelson Md Michelle | Physician | FT | $225,124 | $63,501 | $288,625 |
| Lossio Md Francisco | Director | - | $16,500 | - | $16,500 |
| Name | Title |
|---|---|
| Olivieri Todd | Chair |
| Hattem-schiffman Marita | President |
| White Al | Vice Chair |
| Brown Damon | Director |
| Cross Bryan | Director |
| Geers Adam | Director |
| Lancaster Paula | Director |
| Mora Kati | Director |
| Nimbley Md Erik | Director |
| Nowlin Harmony | Director |
| Schurr Don | Director |
| Spindler Erik | Director |
| Sarvepalli Md Prakash | Director (part Year) |
| Rapp Donna | Former Secretary |
| Rose Michael | Secretary/treasurer |
| Line Item | Amount |
|---|---|
| Other Expenses | $102,477,835 |
| Salaries, Compensation, and Employee Benefits | $53,503,010 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $37,288,103 | $7,097,709 | - | $44,385,812 |
| Fees for Services Other | $28,948,085 | $13,849,742 | - | $42,797,827 |
| Depreciation Depletion | $7,172,455 | $145,832 | - | $7,318,287 |
| Other Expenses | $5,207,341 | - | - | $5,207,341 |
| Other Employee Benefits | $3,561,796 | $533,651 | - | $4,095,447 |
| Payroll Taxes | $2,704,879 | $437,784 | - | $3,142,663 |
| Occupancy | $1,071,581 | $956,477 | - | $2,028,058 |
| Pension Plan Contributions | $1,683,025 | $172,063 | - | $1,855,088 |
| Office Expenses | $782,277 | $578,764 | - | $1,361,041 |
| Fees for Services Legal | - | $1,324,325 | - | $1,324,325 |
| Interest | $1,324,191 | - | - | $1,324,191 |
| Insurance | $111,930 | $919,869 | - | $1,031,799 |
| Conferences and Meetings | $63,547 | $84,184 | - | $147,731 |
| Advertising | $515 | $141,762 | - | $142,277 |
| Travel | $85,677 | $34,704 | - | $120,381 |
| Fees for Service Investment Mgmnt Fees | - | $27,506 | - | $27,506 |
| Current Officers, Directors, Trustees, and Key Employees | - | $24,000 | - | $24,000 |
| Fees for Services Lobbying | - | $10,626 | - | $10,626 |
| All Other Expenses | $4,063 | - | - | $4,063 |
| Total Functional Expenses | $129,641,847 | $26,338,998 | $0 | $155,980,845 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $69,807 |
| Fundraising Direct Expenses | $61,044 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Logo Wear Sale | $20,789 | $20,789 | $37,871 | $-17,082 |
| Golden Ticket Fundraiser | $10,000 | $10,000 | $100 | $9,900 |
| Total Events | $62,629 | $62,629 | $55,529 | $7,100 |
| Line Item | Amount |
|---|---|
| Political Expenditures | $10,626 |
| Liability | Amount |
|---|---|
| Self Insurance & Def Comp | $3,184,551 |
| Operating Lease Liability | $1,015,604 |
| Asset Retirement Obligation | $856,738 |
“The following director has a business relationship with another director: al white's business attorney is jj klaus, director.”
“The sole member of the corporation is mymichigan health.”
“The board of directors of mymichigan health, the organization's sole corporate member, elects the members of the organization's governing body.”
“The following rights and responsibilities are reserved to the sole member: a) approve any change in the corporation's purposes; b) approve any change in the corporation's articles of incorporation or bylaws; c) approve plans of merger, consolidation, or dissolution of the corporation, joint venture, or the creation by the corporation of any controlled corporation or other entity; d) approve any proposed sale, transfer, lease, pledge, or encumbrance of all or substantially all of the assets of the corporation, or the proposed sale, transfer, lease, pledge or encumbrance of any asset or assets of the corporation other than in the ordinary course of business; e) approve the corporation's budget and any capital expenditures of the corporation in excess of an amount designated from time to time by the mymichigan health board; f) approve the guarantee by the corporation of the debt of others; and g) approve the incurrence by the corporation of any debt or lease obligation in an amount in excess of an amount designated from time to time by the mymichigan health board.”
“The finance staff at each subsidiary uploads information into the software which is then reviewed by the corporate controller at mymichigan health, the sole member of this corporation. The corporate controller requests additional information and obtains clarification. A final review is then done by the svp and cfo. In addition, all compensation disclosures are reviewed with the mymichigan health ceo prior to filing. The form 990 part vii and schedule j compensation information is reviewed by the compensation committee prior to filing. Form 990, including all schedules, is made available to this organization's board of directors in a secure electronic format with a summary of all the major changes from the prior year return. Questions or concerns are addressed by the svp and cfo. The questions or concerns of these reviews are presented to the mymichigan health board of directors and this organization's board of directors, if any are identified.”
“The organization requires each director, officer, key employee and member of a committee of the board annually 1) to review the organization's conflict of interest policy (the "policy"); 2) to disclose any possible personal, familial, or business relationship that reasonably could give rise to a conflict of interest or the appearance of a conflict of interest; and 3) to acknowledge by his or her signature that he or she is acting in accordance with the letter and spirit of the policy. The completed surveys are reviewed by the mymichigan health secretary and filed for reference as needed. A listing of any conflicts are provided to the board chair, vice chair, and president of the organization. Voting board members with conflicts on specific issues are asked to leave the meeting during discussions and at a minimum are required to abstain from voting on any issue in which they are not independent.”
“All ceos and operating officers compensation is annually reviewed by an independent compensation consultant for reasonableness and approved by the compensation committee of mymichigan health. The compensation is then reviewed by the organization's board of directors (or subcommittee thereof). All officers and key employee compensation (including physicians) is reviewed annually by the compensation committee of mymichigan health for adherence to corporate policies. For detailed information on compensation, please see schedule j.”
“All documents are available upon request.”
“No directors received pay for the purpose of serving on the board, but may be compensated for other services provided to the organization. They are considered to work an average of 2 hours a week on board-related matters. All individuals with reportable compensation are paid by either the reporting organization or a related organization for services related to a full-time position. Those persons are estimated to work an average of 50 hours a week related to their full-time position. Officers paid by a related organization are employees of mymichigan health, the sole member of the corporation. Mymichigan health provides managerial assistance to its various subsidiaries and hours of services is not tracked by subsidiary. Therefore the full time service to all subsidiaries of 50 hours per week is listed for those officers.”
“Association dues & other fees: program service expenses 6,809,751. Management and general expenses 732,264. Fundraising expenses 0. Total expenses 7,542,015. Purchased & contract services: program service expenses 9,571,734. Management and general expenses 7,586,649. Fundraising expenses 0. Total expenses 17,158,383. Allocated services (corporate): program service expenses 12,566,600. Management and general expenses 5,530,829. Fundraising expenses 0. Total expenses 18,097,429.”
“Transfer of net asset from related 501(c)(3) - mymichigan health foundation 340,750.”
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 | 10267695 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 11252631 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 15150561 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 19389282 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 141762 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 515 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 142277 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 4063 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 4063 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JUDI GRAVES |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9898379039 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4000 WELLNESS DR |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MIDLAND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48670 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3375 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1850 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 24000 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 24000 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 84184 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 63547 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 147731 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CostOfGoodsSoldAmt | 0 | 86566 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 264272 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 167718 |
| IRS990/CYOtherExpensesAmt | 0 | 102477835 |
| IRS990/CYOtherRevenueAmt | 0 | 1700846 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 151666791 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -2181218 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 53503010 |
| IRS990/CYTotalExpensesAmt | 0 | 155980845 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 153799627 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 28753 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 8965 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 145832 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 7172455 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 7318287 |
| IRS990/Desc | 0 | MYMICHIGAN MEDICAL CENTER ALMA PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GRATIOT AND ISABELLA COUNTIES. 4,411 PATIENT ADMISSIONS AND 84,745 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2024. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 1037 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 129641847 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1324325 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1324325 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 10626 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 10626 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 13849742 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 28948085 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 42797827 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 27506 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 27506 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 51.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 51.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 51.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| 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/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 173563 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 141452 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 84826 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 29993 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 41204 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 11171 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 45824 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 36295 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CROSS BRYAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROSE MICHAEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | HATTEM-SCHIFFMAN MARITA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GOGGIN MD STEPHANIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LIU DO PETER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SLOMINIS MD MARY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | KLUGAS MD ARTURAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | NELSON MD MICHELLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | RAPP DONNA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | LOSSIO MD FRANCISCO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | OLIVIERI TODD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | WHITE AL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BROWN DAMON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | GEERS ADAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LANCASTER PAULA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MORA KATI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | NIMBLEY MD ERIK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | NOWLIN HARMONY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | SARVEPALLI MD PRAKASH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | SCHURR DON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | SPINDLER ERIK |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 595623 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 391385 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 373723 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 309231 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 252330 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 16500 |
| 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/ReportableCompFromRltdOrgAmt | 0 | 714691 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 704385 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 611154 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 114507 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | FORMER SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1953 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 61044 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 69807 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -166677 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -553626 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 264272 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 7127155 |
| IRS990/GrossReceiptsAmt | 0 | 161794695 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 281380 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 119836 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 64 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 919869 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 111930 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1031799 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 1324191 |
| IRS990/InterestGrp/TotalAmt | 0 | 1324191 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 929940 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 654264 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 615110 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 272911 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 888021 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 19261430 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 15139693 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | -18697 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | -17992 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 24788066 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 20340043 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 105489342 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 70254295 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 80349485 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 185838827 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 166677 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 7680781 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| 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/RelatedOrExemptFuncIncomeAmt | 0 | 215978 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 240898 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 24920 |
| IRS990/MissionDesc | 0 | CREATING HEALTHY COMMUNITIES - TOGETHER |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 38325124 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 38334349 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 79288654 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 82304673 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -720303 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -720303 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | 8763 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 8763 |
| IRS990/NetIncomeOrLossGrp/ExclusionAmt | 0 | 33270 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 33270 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 281380 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 281380 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 4856487 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 79288654 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 82304673 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 956477 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1071581 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 2028058 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 578764 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 782277 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1361041 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 340750 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 533651 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3561796 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4095447 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | PHYSICIAN PRACTICE INVE |
| IRS990/OtherExpensesGrp/Desc | 2 | QAAP FEES |
| IRS990/OtherExpensesGrp/Desc | 3 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 17901935 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 14308509 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 7421938 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 5207341 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 17901935 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 14308509 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 7421938 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 5207341 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 5639862 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 5056893 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 722514 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 621990 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 621990 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | CAFETERIA/FOOD SERVICE |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | PERFORMANCE INCENTIVE REVENUES |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | MT PLEASANT SURGERY CENTER |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 712124 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 272805 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 151606 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 712124 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 272805 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 151606 |
| IRS990/OtherRevenueTotalAmt | 0 | 1377433 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 7097709 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 37288103 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 44385812 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 29676 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 29676 |
| IRS990/PartialLiquidationInd | 0 | 0 |
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