Liabilities / Assets
37th percentile
Higher debt load relative to assets than 37% of similar nonprofits.
EIN 38-1507302 • 501(c)3 • Marlette, MI
Profile
To provide medical and surgical care regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of mrh, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with this hospital's commitment to serve all members of its community, free care and/or subsidized care, care provided to persons covered by government programs below cost, and health activities and programs to support the community's health status will be considered where the need and/or the individual's inability to pay co-exist. These activities include acute, emergency and outpatient services in addition to wellness programs, community education programs, and special programs for the elderly, handicapped, medically under-served, and a variety of broad community support activities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
37th percentile
Higher debt load relative to assets than 37% of similar nonprofits.
Liabilities / Revenue
22nd percentile
Higher debt load relative to revenue than 22% of similar nonprofits.
Net Margin
46th percentile
Higher net margin than 46% of similar nonprofits.
Top Officer Pay
78th percentile
Higher top officer pay than 78% of similar nonprofits.
Top officer pay equals 0.9% of source-year revenue.
Asset Growth
52nd percentile
Faster asset growth than 52% of similar nonprofits.
Revenue Growth
66th percentile
Faster revenue growth than 66% of similar nonprofits.
Assets
Up$36,247,043
Up $1,976,287 (+5.8%) from 2023
Liabilities
Up$4,017,703
Up $1,317,767 (+49%) from 2023
Net Assets
Up$32,229,340
Up $658,520 (+2.1%) from 2023
Revenue
Up$46,542,069
Up $6,488,711 (+16%) from 2023
Expenses
Up$45,234,703
Up $6,145,173 (+16%) from 2023
Net Income
Up$1,307,366
Up $343,538 (+36%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide medical and surgical care regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of mrh, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with this hospital's commitment to serve all members of its community, free care and/or subsidized care, care provided to persons covered by government programs below cost, and health activities and programs to support the community's health status will be considered where the need and/or the individual's inability to pay co-exist. These activities include acute, emergency and outpatient services in addition to wellness programs, community education programs, and special programs for the elderly, handicapped, medically under-served, and a variety of broad community support activities.
Providing exceptional care close to home as the leading rural healthcare organization.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $13,199,565 | $13,367,146 | ▲ $167,581 |
| Accounts Receivable | $4,667,286 | $9,440,918 | ▲ $4,773,632 |
| Savings and Temporary Cash Investments | $11,088,581 | $7,098,594 | ▼ $3,989,987 |
| Cash and Non-Interest-Bearing Accounts | $76,731 | $2,191,295 | ▲ $2,114,564 |
| Investments Program Related | $1,119,944 | $845,805 | ▼ $274,139 |
| Inventories for Sale or Use | $275,470 | $271,241 | ▼ $4,229 |
| Prepaid Expenses and Deferred Charges | $342,824 | $203,385 | ▼ $139,439 |
| Pledges and Grants Receivable | $73,809 | $0 | ▼ $73,809 |
| Total Assets | $34,270,756 | $36,247,043 | ▲ $1,976,287 |
| Other Assets Total | $3,426,546 | $2,828,659 | ▼ $597,887 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $2,039,538 | $3,297,611 | ▲ $1,258,073 |
| Other Liabilities | $569,621 | $582,035 | ▲ $12,414 |
| Grants Payable | $0 | $130,964 | ▲ $130,964 |
| Mortgage Notes Payable Secured by Investment Property | $90,335 | $7,093 | ▼ $83,242 |
| Deferred Revenue | $442 | $0 | ▼ $442 |
| Total Liabilities | $2,699,936 | $4,017,703 | ▲ $1,317,767 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $30,567,287 | $32,183,619 | ▲ $1,616,332 |
| Net Assets With Donor Restrictions | $1,003,533 | $45,721 | ▼ $957,812 |
| Total Net Assets Fund Balance | $31,570,820 | $32,229,340 | ▲ $658,520 |
| Total Liabilities and Net Assets / Fund Balance | $34,270,756 | $36,247,043 | ▲ $1,976,287 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $8,306,433 | $17,083,680 | $25,390,113 |
| Equipment | $4,125,463 | $10,660,028 | $14,785,491 |
| Land | $669,923 | - | $669,923 |
| Other Land Buildings | $265,327 | $325,594 | $590,921 |
| Other Assets Org | $2,828,659 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Kitto | Physician | FT | $412,860 | $9,248 | $422,108 |
| Daniel Kulick | Physician | FT | $377,316 | $26,969 | $404,285 |
| Sarah Albers | Physician | FT | $372,709 | $9,248 | $381,957 |
| Michael F Macdonald | Physician | FT | $342,650 | $20,369 | $363,019 |
| Kim Gentner | CFO | PT | - | $139,214 | $139,214 |
| Christopher Hanczanuk | Physician | FT | $106,509 | $14,722 | $121,231 |
| Name | Title |
|---|---|
| Pat Curtis | Chairman |
| Justin Faber | Former Vice-chairman |
| Gail Denton | Vice-chairman |
| Alexander Messing | Director |
| Carol Starling | Director |
| Curtis Landrith | Director |
| Erik Tamlyn | Director |
| Faith Fahrner | Director |
| Irene Cole | Director |
| Judy Brown | Director |
| Paul Rohling | Director |
| Scott Orr | Director |
| Steve Ellis | Director |
| Sue Cook | Director |
| Victoria Meiburg | Director |
| Andrew Daniels | Co-CEO |
| Angela Mcconnachie | Co-CEO |
| David Messing | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Michigan Surgical Specialists | Surgery Specialists | 5510 HOSNER ROAD, Metamora, MI 48455 | $267,000 |
| Thumb Cooling And Heating LLC | Building Mechanical Contractor | 8430 VAN DYKE ROAD, Cass City, MI 48726 | $239,540 |
| Nitin Kg Golechha Md PC | Physician | 2734 MAIN ST, Marlette, MI 48453 | $234,694 |
| Joseph Carlier Do Pllc | Physican | 55405 FALLBROOKE RD, Macomb, MI 48042 | $179,760 |
| Net Revenue Associates LLC | Consulting | 1330 CORPORATE DR STE 100, Hudson, OH 44236 | $168,244 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $26,942,540 |
| Other Expenses | $18,275,028 |
| Grants and Similar Amounts Paid | $17,135 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $19,903,241 | $2,606,087 | - | $22,509,328 |
| Fees for Services Other | $5,616,308 | $1,492,735 | - | $7,109,043 |
| Other Employee Benefits | $1,999,264 | $553,654 | - | $2,552,918 |
| Depreciation Depletion | $1,614,303 | $72,473 | - | $1,686,776 |
| Payroll Taxes | $1,237,264 | $342,634 | - | $1,579,898 |
| All Other Expenses | $669,103 | $291,369 | - | $960,472 |
| Other Expenses | $356,515 | $230,640 | - | $587,155 |
| Insurance | $144,000 | $411,829 | - | $555,829 |
| Occupancy | $431,112 | $112,872 | - | $543,984 |
| Fees for Services Legal | - | $368,673 | - | $368,673 |
| Pension Plan Contributions | $235,249 | $65,147 | - | $300,396 |
| Office Expenses | $141,113 | $91,290 | - | $232,403 |
| Travel | $79,872 | $51,672 | - | $131,544 |
| Advertising | $79,169 | $51,216 | - | $130,385 |
| Fees for Service Investment Mgmnt Fees | - | $121,696 | - | $121,696 |
| Fees for Services Accounting | - | $96,442 | - | $96,442 |
| Grants to Domestic Individuals | $17,135 | - | - | $17,135 |
| Interest | $4,033 | $356 | - | $4,389 |
| Total Functional Expenses | $37,566,725 | $7,667,978 | $0 | $45,234,703 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $13,401 |
| Fundraising Gross Income | $8,594 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Tree of Shining Love | $30,049 | - | $2,356 | - |
| Golf Outing | $56,539 | $8,594 | $11,045 | $-2,451 |
| Total Events | $86,588 | $8,594 | $13,401 | $-4,807 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $280,846 |
| Estimated Third-party Payor Settlement | $154,391 |
| Right-of-use Lease Liabilities | $146,798 |
“In january 2024, the governance documents of marlette regional hospital were amended to reflect its integration into the bluewater healthcare network, a corporation.”
“Bluewater healthcare network is the sole member of marlette regional hospital.”
“Bluewater healthcare network, the sole member, may appoint one or more members of the governing body.”
“The single member has the right to appoint an officer or director or anyone else to act on its behalf in the capacity of the member.”
“The form 990 is reviewed and approved by the board of directors prior to submission to the internal revenue services.”
“The hospital's conflict of interest policy covers the board of directors, medical staff, managers and employees of the hospital. The policy defines a conflict of interest and the procedure to follow in any circumstance where a real or perceived conflict exists. Board of directors - persons with actual or potential conflicts of interest shall file formal statements disclosing actual or potential conflicts whenever an actual or potential conflict arises; before any transactions constituting a conflict or potential conflict is consummated; and once each calendar year so long as the conflict or potential conflict continues to exist. The disclosure statement shall include a description of the relationship or interest causing the conflict or potential conflict, the role in the relationship or transaction played by the person having the conflict, and the benefits and determents accruing to the hospital and to the person having the conflict as a result of the contract, transaction, or relationship. Any member of the board of directors having an actual or potential conflict of interest on any matter shall not vote or use his/her personal influence on the matter constituting a conflict. The interested director may, however, be counted for the purpose of determining whether a quorum of the board, or of a committee of the board, exists. The matter constituting the conflict shall be approved if it is approved by a majority of disinterested directors voting on the matter. The conflict of interest policy shall be reviewed annually for the information and guidance of the board of directors and that any new members of the said board of directors be advised of the policy upon entering on the duties of his/her office. In addition to the board of directors being held to the conflict of interest policy, copies of the policy are available to all management employees. Conflict of interest disclosure forms are completed annually by all directors, officers, managing employees, and employed medical staff. The completed forms are kept on file by the hospital's compliance officer.”
“The compensation for officers is paid by a related organization. Compensation for the top management official is based upon applicable statewide compensation surveys. In addition, the compensation is reviewed and approved by the board of directors annually. The compensation of other top officials are based upon applicable statewide compensation surveys. The process described here was last completed in 2023.”
“The organization makes its governing documents, conflict of interest policy and other organizing documents available to the public upon request.”
“Professional fees: program service expenses 14,290. Management and general expenses 4,981. Fundraising expenses 0. Total expenses 19,271. Purchased services: program service expenses 5,602,018. Management and general expenses 1,487,754. Fundraising expenses 0. Total expenses 7,089,772.”
“Equity transfer to affiliates -648,846.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 9440918 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDING EXCEPTIONAL CARE CLOSE TO HOME AS THE LEADING RURAL HEALTHCARE ORGANIZATION. |
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| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9896354230 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2770 MAIN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MARLETTE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48453 |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 234694 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 179760 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 168244 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5510 HOSNER ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 8430 VAN DYKE ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2734 MAIN ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 55405 FALLBROOKE RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1330 CORPORATE DR STE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | METAMORA |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MARLETTE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | MACOMB |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | HUDSON |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MI |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | OH |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 48726 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 48042 |
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| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | NITIN KG GOLECHHA MD PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | JOSEPH CARLIER DO PLLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | NET REVENUE ASSOCIATES LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | SURGERY SPECIALISTS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | BUILDING MECHANICAL CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PHYSICIAN |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PHYSICAN |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONSULTING |
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| IRS990/Desc | 0 | DURING FISCAL YEAR 2023-2024 MARLETTE REGIONAL HOSPITAL SERVED 824 ACUTE AND 686 SWING BED INPATIENT DAYS, PROVIDED CARE TO 47,622 OUTPATIENT VISITS, 9,856 EMERGENCY DEPARTMENT VISITS, AND SERVED 35,740 VISITS IN ITS FAMILY HEALTH PRACTICES.RECOGNIZING ITS MISSION TO THE COMMUNITY, THE HOSPITAL PARTICIPATES IN THE FEDERAL GOVERNMENT'S MEDICARE PROGRAM AND NUMEROUS MEDICAID HEALTH PLANS, OFTEN PROVIDING CHARITY CARE OR SERVICE AT RATES OF REIMBURSEMENT THAT ARE BELOW THE HOSPITAL'S ACTUAL COST. IN THE LAST FISCAL YEAR, THE HOSPITAL HAD CHARITY CARE EXPENSES OF $24,297. ADDITIONALLY, THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTABLE BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENDING JUNE 30, 2024, AND 2023 AMOUNTED TO $1,126,379 AND $1,046,034 RESPECTIVELY. OTHER COMMUNITY BENEFITS ARE PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES THAT MRH BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. A SAMPLING OF THESE COMMUNITY BENEFITS IS PROVIDED BELOW:EDUCATIONAL SERVICES/PROGRAMS:- ABUSE AND NEGLECT RECOGNITION TRAINING FOR HOSPITAL STAFF- CAREER GUIDANCE FOR AREA SCHOOL STUDENTS- COOPERATIVE PROFESSIONAL TRAINING WITH LOCAL COLLEGES- DISEASE/CONDITION-SPECIFIC EDUCATION, E.G., DIABETES- EDUCATION/COUNSELING FOR FAMILIES OF PATIENTS- EDUCATION/COUNSELING FOR PATIENTS- EDUCATIONAL PROGRAMS FOR EMPLOYEES (ADULT EDUCATION)- ORGAN DONATION INFORMATION CAMPAIGNS- SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY- TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNELCOMMUNITY WELLNESS CAMPAIGNS/PROGRAMS:- HEALTH PROMOTION AND PREVENTIONS ACTIVITIES- BLOOD PRESSURE CLINICS- DISCHARGE PLANNING WITH FOLLOW-UP SUPPORT PROGRAMS- HEALTH PROMOTION/WELLNESS PROGRAMS- HEALTH SCREENING/HEALTH FAIRS- NUTRITION AND WEIGHT CONTROL- RURAL HEALTH OUTREACH SERVICES- STRESS MANAGEMENT- WORK SITE HEALTH PROMOTION SERVICE- KNOW YOUR NUMBERS LOW-COST SCREENING, MARLETTE REGIONAL HOSPITAL OFFERED A REDUCED RATE HEALTH SCREENING INCLUDING ACHILLES BONE DENSITY, BASIC METABOLIC PANEL, COMPLETE BLOOD COUNT, GLUCOSE, HBA1C, LIPID PROFILE, LIVER PANEL, POTASSIUM, PROSTATE-SPECIFIC ANTIGEN (PSA), MICROALBUMIN, SPIROMETRY, THYROID-STIMULATING HORMONE (TSH), AND VITAMIN D. LAB RATES RANGE FROM $8 TO $40. - B.C.U.P.S. (THE BREAST CANCER UNDERSTANDING PREVENTION AND SCREENING) PROGRAM IS IN PLACE TO FINANCIALLY ASSIST PATIENTS IN ACQUIRING IMPORTANT SCREENING MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES.- $10 SPORTS PHYSICALS IN JUNE, JULY & AUGUST. MARLETTE REGIONAL HOSPITAL'S FAMILY HEALTHCARE OFFICES WILL OFFER REDUCED-PRICE SPORTS PHYSICALS TO AREA ATHLETES FOR A COST OF TEN DOLLARS IN THE MONTHS OF JUNE, JULY AND AUGUST, AND HALF OF THE PROCEEDS WILL BE DONATED BACK TO LOCAL SCHOOLS' ATHLETIC PROGRAMS.- MARLETTE REGIONAL HOSPITAL HOSTS BLOOD DRIVES THROUGHOUT THE YEAR AND PROVIDES FOOD FOR DONORS AND PARTICIPANTS.MRH SERVICES/PROGRAMS:- EMERGENCY SERVICES DEPARTMENT- ADVANCED LIFE SUPPORT AMBULANCE SERVICE- FIRE AND POLICE ASSISTANCE- HELICOPTER TRANSFER ASSISTANCE- CLINICAL SERVICES- CERTIFIED RURAL HEALTH CLINICS- CHILDHOOD & ADULT IMMUNIZATIONS- TELE-STROKE VIRTUAL MEDICINE- PRIMARY CARE SERVICES- ACUTE MEDICAL AND SURGICAL SERVICES- RESIDENTIAL AND HOME-BASED HOSPICE SERVICES- UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, HOSPICE AND LONG-TERM CARE SERVICES- MOBILE PET AND BONE DENSITY TESTING TECHNOLOGY- COORDINATION OF PATIENT CARE SERVICES IN HOSPITAL- FREE OR LOW-COST SERVICES TO LOW-INCOME FAMILIES- GENERAL HEALTH SCREENING CLINICS- RESPIRATORY/PULMONARY DISEASE SERVICES- SCHOOL SPORTS PHYSICALS- SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY- WOUND CARE CLINIC- PEDIATRIC SERVICES- CRTN CANCER CENTER SERVICES - NON-CLINICAL HOSPITAL SERVICES- ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES)- GUIDANCE AND REFERRAL TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, INCLUD |
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| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
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| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 7109043 |
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| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.00 |
| 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 | 30.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 30.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 30.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| 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 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| 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 | 47340 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 12351 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 135 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 9248 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 14722 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 26969 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 9248 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 20369 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | GAIL DENTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JUSTIN FABER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | VICTORIA MEIBURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | IRENE COLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SUE COOK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | STEVE ELLIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CURTIS LANDRITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ALEXANDER MESSING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DAVID MESSING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | SCOTT ORR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | PAUL ROHLING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | PAT CURTIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | FAITH FAHRNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JUDY BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ERIK TAMLYN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CAROL STARLING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ANDREW DANIELS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ANGELA MCCONNACHIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KIM GENTNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | MICHAEL KITTO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | CHRISTOPHER HANCZANUK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | DANIEL KULICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | SARAH ALBERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MICHAEL F MACDONALD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 412860 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 106509 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 377316 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 372709 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 342650 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| 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 | 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 | 383461 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 203348 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 139079 |
| 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/TitleTxt | 0 | VICE-CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | FORMER VICE-CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CO-CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CO-CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1951 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 77994 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 13401 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 8594 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -18020 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 176191 |
| IRS990/GrantAmt | 0 | 17135 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 130964 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 17135 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 17135 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 46721503 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 730334 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 29 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 411829 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 144000 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 555829 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 356 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 4033 |
| IRS990/InterestGrp/TotalAmt | 0 | 4389 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 275470 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 271241 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 499340 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 499340 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1119944 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 845805 |
| IRS990/IRPDocumentCnt | 0 | 68 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 28069302 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 13199565 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 13367146 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 41436448 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 18020 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 148013 |
| 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/MissionDesc | 0 | PROVIDING EXCEPTIONAL CARE CLOSE TO HOME AS THE LEADING RURAL HEALTHCARE ORGANIZATION. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 90335 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 7093 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 31570820 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 32229340 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -18020 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -18020 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -4807 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -4807 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 582321 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 582321 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 30567287 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 32183619 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
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