Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
EIN 38-1619577 • 501(c)3 • Cass City, MI
Profile
To be the provider of choice and the employer of choice in our primary market
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
Liabilities / Revenue
39th percentile
Higher debt load relative to revenue than 39% of similar nonprofits.
Net Margin
61st percentile
Higher net margin than 61% of similar nonprofits.
Top Officer Pay
91st percentile
Higher top officer pay than 91% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
53rd percentile
Faster asset growth than 53% of similar nonprofits.
Revenue Growth
76th percentile
Faster revenue growth than 76% of similar nonprofits.
Assets
Up$54,392,188
Up $3,315,498 (+6.5%) from 2023
Liabilities
Up$22,224,690
Up $6,479,572 (+41%) from 2023
Net Assets
Down$32,167,498
Down $3,164,074 (-9.0%) from 2023
Revenue
Up$96,657,734
Up $20,061,252 (+26%) from 2023
Expenses
Up$87,762,385
Up $19,980,373 (+29%) from 2023
Net Income
Up$8,895,349
Up $80,879 (+0.9%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To be the provider of choice and the employer of choice in our primary market.
To be recognized as the leading healthcare organization in the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $17,674,700 | $15,772,153 | ▼ $1,902,547 |
| Accounts Receivable | $15,255,871 | $14,677,485 | ▼ $578,386 |
| Cash and Non-Interest-Bearing Accounts | $3,404,594 | $7,525,215 | ▲ $4,120,621 |
| Savings and Temporary Cash Investments | $4,308,938 | $3,094,804 | ▼ $1,214,134 |
| Investments in Publicly Traded Securities | $4,944,165 | $1,779,938 | ▼ $3,164,227 |
| Inventories for Sale or Use | $638,270 | $1,059,230 | ▲ $420,960 |
| Investments Program Related | $625,707 | $832,688 | ▲ $206,981 |
| Prepaid Expenses and Deferred Charges | $414,855 | $353,688 | ▼ $61,167 |
| Total Assets | $51,076,690 | $54,392,188 | ▲ $3,315,498 |
| Other Assets Total | $3,809,590 | $9,296,987 | ▲ $5,487,397 |
| Liabilities | |||
| Other Liabilities | $9,278,842 | $13,221,759 | ▲ $3,942,917 |
| Accounts Payable and Accrued Expenses | $6,454,376 | $8,693,171 | ▲ $2,238,795 |
| Deferred Revenue | $11,900 | $309,760 | ▲ $297,860 |
| Total Liabilities | $15,745,118 | $22,224,690 | ▲ $6,479,572 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $35,331,572 | $32,167,498 | ▼ $3,164,074 |
| Total Net Assets Fund Balance | $35,331,572 | $32,167,498 | ▼ $3,164,074 |
| Total Liabilities and Net Assets / Fund Balance | $51,076,690 | $54,392,188 | ▲ $3,315,498 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $9,206,781 | $4,039,479 | $13,246,260 |
| Equipment | $4,506,150 | $4,555,298 | $9,061,448 |
| Leasehold Improvements | $531,914 | $604,571 | $1,136,485 |
| Other Land Buildings | $1,038,220 | - | $1,038,220 |
| Land | $489,088 | - | $489,088 |
| Other Assets Org | $8,197,425 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Jiab Suleiman | Physician | FT | $720,000 | $549,370 | $1,269,370 |
| Eric Shoemaker | Physician | FT | $421,800 | $145,845 | $567,645 |
| David Komasara | Physician | FT | $478,401 | $82,902 | $561,303 |
| Adam Turner | Physician | FT | $532,918 | $25,455 | $558,373 |
| Andrew Daniels | President and Co-CEO | PT | $238,323 | $114,877 | $353,200 |
| Faraaz Ahmed | Physician | PT | $260,804 | $37,471 | $298,275 |
| Angela Mcconnachie | Co-CEO | PT | $98,629 | $30,664 | $129,293 |
| Kimberly Gentner | CFO | PT | $79,371 | $19,362 | $98,733 |
| Name | Title |
|---|---|
| Pat Curtis | Chairman |
| Gail Denton | Vice-chairman |
| Carol Starling | Director |
| Erik Tamlyn | Director |
| Faith Fahrner Rn | Director |
| Judy Brown | Director |
| Paul Rohling | Director |
| Scott Orr | Director |
| Steve Ellis | Director |
| Victoria Meiburg | Director |
| David Messing | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Thumb Mri Center LLC | Medical Services | PO BOX 67, Cass City, MI 48726 | $3,605,361 |
| Michigan Rural Medical Services Pllc | Medical Services | 2573 GINGER COURT, Bloomfield Hills, MI 48304 | $1,916,000 |
| Net Revenue Associates LLC | Consulting Services | 1330 CORPORATE DRIVE SUITE 100, Hudson, OH 44236 | $1,240,375 |
| Tap Staffing | Staffing Agency | 295 W EDDY ROAD, Sandusky, MI 48471 | $1,225,050 |
| Covenant Healthcare Laboratory | Lab Services | 1447 N HARRISON, Saginaw, MI 48602 | $924,859 |
| Line Item | Amount |
|---|---|
| Other Expenses | $45,011,197 |
| Salaries, Compensation, and Employee Benefits | $42,740,754 |
| Grants and Similar Amounts Paid | $10,434 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $28,492,765 | $4,929,843 | - | $33,422,608 |
| Fees for Services Other | $15,023,528 | $1,253,815 | - | $16,277,343 |
| Other Employee Benefits | $5,848,501 | $75,052 | - | $5,923,553 |
| Depreciation Depletion | $2,203,722 | $80,448 | - | $2,284,170 |
| Payroll Taxes | $2,192,591 | $39,919 | - | $2,232,510 |
| Information Technology | $999,098 | $907,902 | - | $1,907,000 |
| Office Expenses | $1,310,135 | $489,878 | - | $1,800,013 |
| Pension Plan Contributions | $1,139,934 | $22,149 | - | $1,162,083 |
| Other Expenses | $951,805 | $48,168 | - | $999,973 |
| Occupancy | $979,469 | $3,697 | - | $983,166 |
| Interest | $491,357 | $8,597 | - | $499,954 |
| Insurance | $413,582 | $79,861 | - | $493,443 |
| All Other Expenses | $194,286 | $234,931 | - | $429,217 |
| Advertising | $26,006 | $350,659 | - | $376,665 |
| Fees for Services Accounting | - | $148,924 | - | $148,924 |
| Travel | $82,898 | $40,539 | - | $123,437 |
| Conferences and Meetings | $67,099 | $45,971 | - | $113,070 |
| Fees for Services Legal | - | $79,243 | - | $79,243 |
| Grants to Domestic Orgs | $10,434 | - | - | $10,434 |
| Total Functional Expenses | $78,857,628 | $8,904,757 | $0 | $87,762,385 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Cass City Chamber of Commerce | Cass City, MI | 501(c)(6) | General Operating Support | $10,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Capital Lease | $12,040,167 |
| Estimated Third-party Payor Settlements | $1,179,736 |
| Related Party Payable | $1,856 |
“There shall be an executive committee of the board, consisting of the chair, vice chair, secretary, treasurer, the president/ceo, ex-officio without vote, and such other number of directors who may be nominated by the chair and approved by the board of directors: provided, however, that in no event shall the executive committee constitue a majority of the board of directors. The executive committee shall meet at the call of the chair, and exercise such functions and powers as the board of directors may provide. The executive committee shall keep records of its proceedings, and shall report on its actions to the board of directors as its next meeting. The executive committee shall possess and exercise all of the powers and authority of the board of directors, to the extent permitted by law, and shall manage the affairs of the corporation between meetings of the board of directors. Notwithstanding anything which may be expressed in, or implied from this section, the executive committee shall not have the power or authority to: a. Amend the articles of incorporation; b. Adopt an agreement of merger or consolidation; c. Approve the sale, lease, or exchange of all or substantially all of the hospital's property and assets; d. Approve a dissolution of the corporation or revocation of a dissolution; e. Amend these bylaws; f. Fill vacancies on the board and/or appoint officers; g. Modify the purpose of the corporation; or h. Approve the incurrence of any long-term debt, or the capital and/or operating budgets of the corporation.”
“Hills & dales healthcare corporation is the sole member.”
“The number of directors is at least three and no more than eight persons and all directors are appointed by hills & dales healthcare corporation.”
“The following actions may be taken by the organization only upon written approval of the board of trustees of bluewater healthcare network dba aspire rural health: a: adoption, amendment, or other modification of the bylaw or articles of incorporation; b: any mergers, consolidation, reorganization, other change in the corporate structure or the creation of any corporate subsidiary; c: participation in any partnership, limited partnership, corporation, association or other form of joint venture or shared service with any other party; d: creation, incurrence, or assumption of indebtedness, commitments, or any contractual obligations with respect to borrowed money, guarantees, endorsements, leases, or other type of direct contingent liabilities, in excess of$150,000 for any one item; e: creation, incurrence, or assumption of any mortgage, pledge, security agreement, encumbrance, or other lien of any kind in any property or assets of the organization; f: acquisitions, by purchase, lease or by any other method of real estate, capital improvements, or equipment in excess of value of $150,000 for any such item; g: any change in the services of programs of the organization, including the termination of existing services, the addition of new services, or any major expansion or contraction of existing services or programs; h: adoption, amendment or modification of the annual operating and capital budgets of the corporations; or i: adoption, amendment or modification of the mission and goals of the corporation, and its long-range and short-range strategic plans. J. Appointment of persons to serve, or removal of persons serving on, the board of trustees of the corporation k. Setting the total number of trustees to serve on the board of trustees of the corporation l the appointment and/or removal of the president and chief executive officer of the corporation. Provisions j, k and l were added with the change in bylaws in may 2022.”
“The 990 was complied by the corporate controller and then reviewed by the board.”
“The conflict of interest form is completed annually and monitored for compliance by the ceo, the compliance officer, and the chairman of the board. When a conflict exists, the board member notifies the rest of the board of the conflict. The board member is allowed to discuss the matter at hand, however, the member with the conflict is not allowed to vote on any conflicted issue. This policy covers all board members, officeres administrative staff members and medical staff members with administrative responsibilities.”
“The salaries of the ceo, officers, and key employees are determined by three independent board members from the hills & dales general hospital, inc. Board of trustees using market data and outside surveys. Compensation is reviewed annually.”
“The organization does not make it governing documents, conflict of interest policy, and financial statements available to the general public.”
“Form 1099/1096 filing - vendors for the filing organization are paid by bluewater healthcare network (ein 46-5444203) a of 04/15/2024. As such, all required form 1099 and form 1096 reporting is made for the entire bluewater healthcare network (with limited exceptions) under the bluewater healthcare network (ein 46-5444203).”
“W-3 filing - employees are paid by a related organization under a common paymaster arrangement as of 04/15/2024. As such, required payroll filings (including w-2 and w-3s) after 04/15/2024 are reported under the related organization, bluewater healthcare network (ein 46-5444203).”
“Professional services: program service expenses 6,802,131. Management and general expenses 9,250. Fundraising expenses 0. Total expenses 6,811,381. Contracted services: program service expenses 8,217,397. Management and general expenses 1,244,565. Fundraising expenses 0. Total expenses 9,461,962. Medical director fees: program service expenses 4,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,000.”
“Equity transfers -10,128,276. Loss on equity method investments 759,420. Transfer net assets of northwood meadows -2,561,321.”
“The auxiliary uses the hospital ein for their activity.”
“The organization believes it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The organization would recognize future accrued interest and penalties reltaed to unrecognized tax benefits and liabilities in income tax expenses if such interest and penalties are incurred.”
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 | 6454376 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 8693171 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 15255871 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 14677485 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO BE RECOGNIZED AS THE LEADING HEALTHCARE ORGANIZATION IN THE COMMUNITIES WE SERVE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 350659 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 26006 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 376665 |
| IRS990/AllOtherContributionsAmt | 0 | 13621 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 234931 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 194286 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 429217 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | RENEE HENRY |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9898722121 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 6667 MAIN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | CASS CITY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48726 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3404594 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 7525215 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 17 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 45971 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 67099 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 113070 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3605361 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1916000 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1240375 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1225050 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 924859 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 67 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2573 GINGER COURT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1330 CORPORATE DRIVE SUITE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 295 W EDDY ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1447 N HARRISON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | CASS CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BLOOMFIELD HILLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | HUDSON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SANDUSKY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SAGINAW |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 48726 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 48304 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 44236 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 48471 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 48602 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | THUMB MRI CENTER LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MICHIGAN RURAL MEDICAL SERVICES PLLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | NET REVENUE ASSOCIATES LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | TAP STAFFING |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | COVENANT HEALTHCARE LABORATORY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSULTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | STAFFING AGENCY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LAB SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 58509 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 10434 |
| IRS990/CYInvestmentIncomeAmt | 0 | 987090 |
| IRS990/CYOtherExpensesAmt | 0 | 45011197 |
| IRS990/CYOtherRevenueAmt | 0 | 1662946 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 93949189 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 8895349 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 42740754 |
| IRS990/CYTotalExpensesAmt | 0 | 87762385 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 96657734 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 11900 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 309760 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 80448 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2203722 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2284170 |
| IRS990/Desc | 0 | THE ORGANIZAION PROVIDED NURSING AND PROFESSIONAL SERVICES FOR ACUTE & SWING BED PATIENTS, EMERGENCY, AND OUTPATIENTS. DURING THE PERIOD JANUARY 1, 2024 TO DECEMBER 31, 2024, HDGH PROVIDED CARE INCLUDING 1,182 INPATIENT DAYS, 1,931 SWING BED DAYS, 8,220 EMERGENCY ROOM VISITS, OVER 86,376 PHYSICIAN VISITS, FOR A TOTAL REGISTRATIONS OF 164,702 . DURING THE YEAR, 68.7% OF THE SERVICES PROVIDED WERE TO GOVERNMENTAL PROGRAMS, WHICH REIMBURSE BELOW ACTUAL COSTS. IN ADDITION, THE HOSPITAL PROVIDED APPROXIMATELY $385,506 IN CHARITY CARE AND WAS UNABLE TO COLLECT FROM UNINSURED AND UNDERINSURED PATIENTS. COMMUNITY BENEFITS ARE ALSO PROVIDED THROUGH FREE PROGRAMS SUCH AS, HEALTH FAIRS, PUBLIC SERVICE ANNOUNCEMENTS, EDUCATION ON SPECIFIC DISEASE CONDITIONS, LECTURES, BLOOD PRESSURE SCREENING, TB TRAINING. THE HOSPITAL ALSO PROVIDED REDUCE FEE SERVICES. |
| 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 | 556 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 78857628 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 148924 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 148924 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 79243 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 79243 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1253815 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 15023528 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 16277343 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| 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 | 27.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 27.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 27.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 17.00 |
| 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 | 13.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 13.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 13.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 23.00 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | 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 | 41883 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 6523 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 11091 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 44464 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 28749 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 25455 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 48771 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 29635 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | PAT CURTIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GAIL DENTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVID MESSING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CAROL STARLING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ERIK TAMLYN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | FAITH FAHRNER RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JUDY BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | PAUL ROHLING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SCOTT ORR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | STEVE ELLIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | VICTORIA MEIBURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ANDREW DANIELS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ANGELA MCCONNACHIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KIMBERLY GENTNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JIAB SULEIMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DAVID KOMASARA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ADAM TURNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ERIC SHOEMAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | FARAAZ AHMED |
| 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 | 318986 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 127046 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 94688 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 1224906 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 532936 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 532918 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 518874 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 281284 |
| 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 | 71506 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 241799 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 164954 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 7178 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 209314 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE-CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY/TREASURER |
| 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 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PRESIDENT AND CO-CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CO-CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1960 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -16536 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 472801 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 44888 |
| IRS990/GrantAmt | 0 | 10434 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 10434 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 10434 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 472801 |
| IRS990/GrossReceiptsAmt | 0 | 96903534 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 58887 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 67 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 907902 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 999098 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1907000 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 79861 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 413582 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 493443 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 8597 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 491357 |
| IRS990/InterestGrp/TotalAmt | 0 | 499954 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 638270 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1059230 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 530825 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 530825 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 625707 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 832688 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 4944165 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1779938 |
| IRS990/IRPDocumentCnt | 0 | 85 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 9199348 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 17674700 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 15772153 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 24971501 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 16536 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 229264 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 4815 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 4815 |
| IRS990/MissionDesc | 0 | TO BE THE PROVIDER OF CHOICE AND THE EMPLOYER OF CHOICE IN OUR PRIMARY MARKET. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 35331572 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 32167498 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 456265 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 456265 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -170377 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -170377 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -129246 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 35331572 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 32167498 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 3697 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 979469 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 983166 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 489878 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1310135 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1800013 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 3809590 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 9296987 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -11930177 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 75052 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 5848501 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 5923553 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 2 | TAX ASSESSMENT |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 65161 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 48168 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 13051077 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 3892508 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1486833 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 951805 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 13051077 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 3957669 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1486833 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 999973 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 9278842 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 13221759 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS REVENUE |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | CAFETERIA REVENUE |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | FITNESS REVENUE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 1635334 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 182440 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 2 | 10734 |
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