Liabilities / Assets
77th percentile
Higher debt load relative to assets than 77% of similar nonprofits.
EIN 38-1455020 • 501(c)3 • Southfield, MI
Profile
To improve the health status of our patients and provide high levels of satisfaction to our physicians.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
77th percentile
Higher debt load relative to assets than 77% of similar nonprofits.
Liabilities / Revenue
70th percentile
Higher debt load relative to revenue than 70% of similar nonprofits.
Net Margin
73rd percentile
Higher net margin than 73% of similar nonprofits.
Top Officer Pay
95th percentile
Higher top officer pay than 95% of similar nonprofits.
Top officer pay equals 4.5% of source-year revenue.
Asset Growth
89th percentile
Faster asset growth than 89% of similar nonprofits.
Revenue Growth
68th percentile
Faster revenue growth than 68% of similar nonprofits.
Assets
Up$18,885,087
Up $4,480,783 (+31%) from 2023
Liabilities
Up$9,850,361
Up $284,760 (+3.0%) from 2023
Net Assets
Up$9,034,726
Up $4,196,023 (+87%) from 2023
Revenue
Up$18,455,465
Up $2,782,278 (+18%) from 2023
Expenses
Down$14,877,957
Down $3,960,461 (-21%) from 2023
Net Income
Up$3,577,508
Up $6,742,739 (+213%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To improve the health status of our patients and provide high levels of satisfaction to our physicians.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $6,997,699 | $6,326,387 | ▼ $671,312 |
| Accounts Receivable | $1,875,849 | $4,844,307 | ▲ $2,968,458 |
| Investments in Publicly Traded Securities | $4,144,379 | $1,887,285 | ▼ $2,257,094 |
| Cash and Non-Interest-Bearing Accounts | $149,949 | $1,272,871 | ▲ $1,122,922 |
| Inventories for Sale or Use | $723,967 | $696,112 | ▼ $27,855 |
| Prepaid Expenses and Deferred Charges | $107,948 | $120,762 | ▲ $12,814 |
| Savings and Temporary Cash Investments | $246,538 | $98,339 | ▼ $148,199 |
| Total Assets | $14,404,304 | $18,885,087 | ▲ $4,480,783 |
| Other Assets Total | $157,975 | $3,639,024 | ▲ $3,481,049 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $6,872,331 | $6,325,817 | ▼ $546,514 |
| Accounts Payable and Accrued Expenses | $1,797,648 | $3,252,531 | ▲ $1,454,883 |
| Other Liabilities | $895,622 | $272,013 | ▼ $623,609 |
| Total Liabilities | $9,565,601 | $9,850,361 | ▲ $284,760 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $4,838,703 | $9,034,726 | ▲ $4,196,023 |
| Total Net Assets Fund Balance | $4,838,703 | $9,034,726 | ▲ $4,196,023 |
| Total Liabilities and Net Assets / Fund Balance | $14,404,304 | $18,885,087 | ▲ $4,480,783 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $3,494,355 | $11,958,808 | $15,453,163 |
| Equipment | $1,651,903 | $3,269,065 | $4,920,968 |
| Land | $1,175,669 | - | $1,175,669 |
| Other Land Buildings | $4,460 | $99,137 | $103,597 |
| Other Assets Org | $3,589,024 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Drelles | Physician | FT | $823,629 | - | $823,629 |
| Michael Fleischman | Physician | FT | $719,645 | - | $719,645 |
| Bradley Bescoe | President & CEO | FT | $250,000 | $11,240 | $261,240 |
| Lamia Alfatlawi | COO | FT | $200,000 | $6,538 | $206,538 |
| Mina Sedarous | Pharmacist | FT | $162,397 | - | $162,397 |
| Stephanie Haley | Quality and Utilization Coordinator | FT | $121,407 | $575 | $121,982 |
| Michael Peer | Physician Assistant | FT | $114,217 | $5,346 | $119,563 |
| Alexander Lebedinski | Trustee | - | $1,200 | - | $1,200 |
| Edward S Jeffries Md | Treasurer | - | $1,200 | - | $1,200 |
| James C Straith | Chairman | - | $1,200 | - | $1,200 |
| Justin Hornburg Fsa | Trustee | - | $1,200 | - | $1,200 |
| Thomas W Straith Pe | Vice Chairman | - | $1,200 | - | $1,200 |
| Sunny Squindo | Trustee | - | $1,150 | - | $1,150 |
| Enrique Sabbagh Md | Trustee | - | $1,100 | - | $1,100 |
| Brian Husband | Trustee | - | $600 | - | $600 |
| Ray Husband | Trustee | - | $200 | - | $200 |
| Name | Title |
|---|---|
| William M Straith | Trustee |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ambulatory Anesthesia Association | Anesthesia | PO BOX 1904, Monroe, MI 48161 | $1,170,210 |
| Line Item | Amount |
|---|---|
| Other Expenses | $8,553,093 |
| Salaries, Compensation, and Employee Benefits | $6,324,864 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,811,009 | $1,290,124 | - | $5,101,133 |
| Depreciation Depletion | $641,140 | $307,395 | - | $948,535 |
| Other Expenses | $462,627 | $250,028 | - | $712,655 |
| Current Officers, Directors, Trustees, and Key Employees | - | $476,828 | - | $476,828 |
| Payroll Taxes | $291,369 | $177,725 | - | $469,094 |
| Occupancy | $265,413 | $143,444 | - | $408,857 |
| Information Technology | $373,041 | - | - | $373,041 |
| Interest | - | $319,695 | - | $319,695 |
| Insurance | - | $235,522 | - | $235,522 |
| Pension Plan Contributions | $63,960 | $150,203 | - | $214,163 |
| All Other Expenses | $110,752 | $59,857 | - | $170,609 |
| Fees for Services Accounting | - | $121,800 | - | $121,800 |
| Advertising | - | $101,152 | - | $101,152 |
| Fees for Services Other | $51,277 | $27,713 | - | $78,990 |
| Fees for Services Legal | - | $66,472 | - | $66,472 |
| Other Employee Benefits | $39,532 | $24,114 | - | $63,646 |
| Office Expenses | $37,247 | $20,130 | - | $57,377 |
| Travel | $48,235 | - | - | $48,235 |
| Fees for Service Investment Mgmnt Fees | - | $14,084 | - | $14,084 |
| Fees for Services Lobbying | - | $3,124 | - | $3,124 |
| Total Functional Expenses | $10,560,226 | $4,317,731 | $0 | $14,877,957 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $14,877,957 |
| Total Expenses per Form 990 | $14,877,957 |
| Total Expenses per Audited Statements | $14,813,997 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $-63,960 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Pension Liability | $172,013 |
| Reserve for Professional Liability | $100,000 |
“Trustees william m straith, thomas w straith, james c straith, and edward s jeffries all share a family relationship. Trustee ray husband has a family relationship with james c straith.”
“The board is provided with a full copy of the 990 prior to filing. The ceo and cfo review the return before signing.”
“In connection with any actual or possible conflicts of interest, an interested person must disclose the existence and nature of his or her financial interest and must be given the opportunity to disclose all material facts to the directors and members of committees with board-delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after discussion with the interested person, he or she shall leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the board or committee meeting, but after such presentation, he or she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether the corporation can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in the corporation's best interest and for its own benefit and whether the transaction is fair and reasonable to the corporation and shall make its decision as to whether to enter the transaction or arrangement in conformity with such determination. If the board or committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines that the member has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action. Records of each proceeding are kept. Each director, principal officer and member of a committee with board-delegated powers shall annually sign a statement which affirms that such person received a copy of the conflicts of interest policy, read and understands the policy, agreed to comply with the policy and understands that the corporation is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes.”
“Both the ceo and coo have employment agreements with the hospital effective august 1, 2022. The agreements were negotiated by an attorney representing the hospital and the board of trustees, and the ceo and coo individually. Past compensation history and hospital executive compensation studies were used to support the current compensation within the agreements for the officers.”
“The organization makes its governing documents, conflict of interest, and financial statements available for public inspection upon request.”
“Change in pension liability 448,615.”
“The board of trustees assumes responsibility for oversight of the audit and selection of the independent accountant. This process has not changed from the previous year.”
“Capital asset purchases -2,800,494.”
“Change in pension value -63,960.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3252531 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1875849 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 4844307 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO IMPROVE THE HEALTH STATUS OF OUR PATIENTS AND PROVIDE HIGH LEVELS OF SATISFACTION TO OUR PHYSICIANS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 101152 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 101152 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 59857 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 110752 |
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| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 480336035 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
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| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
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| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 476828 |
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| IRS990/CYOtherExpensesAmt | 0 | 8553093 |
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| IRS990/CYRevenuesLessExpensesAmt | 0 | 3577508 |
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| IRS990/CYTotalRevenueAmt | 0 | 18455465 |
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| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 641140 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 948535 |
| IRS990/Desc | 0 | THE ORGANIZATION OPERATES A SHORT-TERM, ACUTE-CARE FACILITY OFFERING BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. TOTAL PATIENTS FOR THE YEAR WERE 486 HOSPITALIZED INPATIENTS (3,398 DAYS OF CARE) AND 2,788 SURGICAL OUTPATIENTS ALONG WITH 5,101 CLINIC VISITS. |
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| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 185 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 10560226 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 121800 |
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| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 66472 |
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| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 3124 |
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| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 14084 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JAMES C STRAITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | THOMAS W STRAITH PE |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ALEXANDER LEBEDINSKI |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LAMIA ALFATLAWI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MICHAEL DRELLES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MICHAEL PEER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MICHAEL FLEISCHMAN |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 719645 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 162397 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 121407 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| 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/TitleTxt | 0 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | QUALITY AND UTILIZATION COORDINATOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1952 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 96345 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 3315885 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 4495046 |
| IRS990/GrossReceiptsAmt | 0 | 22854166 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 7 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 373041 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 373041 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 235522 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 235522 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 319695 |
| IRS990/InterestGrp/TotalAmt | 0 | 319695 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 723967 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 696112 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 155062 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 155062 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 4144379 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1887285 |
| IRS990/IRPDocumentCnt | 0 | 14 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
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| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 6997699 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 6326387 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 21653397 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 4398701 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO IMPROVE THE HEALTH STATUS OF OUR PATIENTS AND PROVIDE HIGH LEVELS OF SATISFACTION TO OUR PHYSICIANS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 6872331 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 6325817 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 4838703 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 9034726 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 96345 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 96345 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 169900 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 4838703 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 9034726 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
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| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 265413 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 408857 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 20130 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 37247 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 57377 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 157975 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 3639024 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 448615 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 24114 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 39532 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 63646 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | CONTRACTED LABOR |
| IRS990/OtherExpensesGrp/Desc | 2 | EQUIP REPAIRS & MAINT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 528321 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 250028 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 3387075 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 977549 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 462627 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 3387075 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1505870 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 712655 |
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| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 272013 |
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| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 3811009 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5101133 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 177725 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 291369 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 469094 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 150203 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 63960 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 214163 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 107948 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 120762 |
| IRS990/PrincipalOfficerNm | 0 | BRAD BESCOE |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEDICARE/MEDICAID PAY |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | MEANINGFUL USE PAYMENTS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 10236960 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 4649990 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 1223 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 10236960 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 4649990 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 1223 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 621442 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 303782 |
| IRS990/PYOtherExpensesAmt | 0 | 9964920 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 14747963 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -3165231 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 8873498 |
| IRS990/PYTotalExpensesAmt | 0 | 18838418 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 15673187 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 3577508 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 14888173 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 246538 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 98339 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleC/DirectContactLegislatorsInd | 0 | 0 |
| IRS990ScheduleC/GrantsOtherOrganizationsInd | 0 | 0 |
| IRS990ScheduleC/MailingsMembersInd | 0 | 0 |
| IRS990ScheduleC/MediaAdvertisementsInd | 0 | 0 |
| IRS990ScheduleC/NotDescribedSection501c3Ind | 0 | 0 |
| IRS990ScheduleC/OtherActivitiesAmt | 0 | 3124 |
| IRS990ScheduleC/OtherActivitiesInd | 0 | 1 |
| IRS990ScheduleC/PaidStaffOrManagementInd | 0 | 0 |
| IRS990ScheduleC/PublicationsOrBroadcastInd | 0 | 0 |
| IRS990ScheduleC/RalliesDemonstrationsInd | 0 | 0 |
| IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt | 0 | DUES WERE PAID TO A NATIONAL AND STATE HOSPITAL ASSOCATION IN FY 2024. PART OF THE DUES PAID WERE USED BY THESE ASSOCIATIONS FOR PURPOSES OF LOBBYING. |
| IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART II-B, LINE 1: |
| IRS990ScheduleC/TotalLobbyingExpendituresAmt | 0 | 3124 |
| IRS990ScheduleC/VolunteerHoursCnt | 0 | 0 |
| IRS990ScheduleC/VolunteersInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 3494355 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 11958808 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 15453163 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 1651903 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 3269065 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 4920968 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | -63960 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 14877957 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 1175669 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 1175669 |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | 169900 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 0 | 50000 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 1 | 3589024 |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | COST REPORT SETTLEMENT RECEIVABLE |
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