Liabilities / Assets
67th percentile
Higher debt load relative to assets than 67% of similar nonprofits.
EIN 38-2168007 • 501(c)3 • Houghton Lake, MI
Profile
To provide high quality, community-oriented patient-centered health services for all.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
67th percentile
Higher debt load relative to assets than 67% of similar nonprofits.
Liabilities / Revenue
49th percentile
Higher debt load relative to revenue than 49% of similar nonprofits.
Net Margin
29th percentile
Higher net margin than 29% of similar nonprofits.
Top Officer Pay
82nd percentile
Higher top officer pay than 82% of similar nonprofits.
Top officer pay equals 1.6% of source-year revenue.
Asset Growth
23rd percentile
Faster asset growth than 23% of similar nonprofits.
Revenue Growth
49th percentile
Faster revenue growth than 49% of similar nonprofits.
Assets
Down$14,455,313
Down $377,299 (-2.5%) from 2023
Liabilities
Up$5,274,587
Up $168,026 (+3.3%) from 2023
Net Assets
Down$9,180,726
Down $545,325 (-5.6%) from 2023
Revenue
Up$23,840,235
Up $1,478,193 (+6.6%) from 2023
Expenses
Up$24,385,560
Up $2,274,976 (+10%) from 2023
Net Income
Down-$545,325
Down $796,783 (-317%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide high quality, community-oriented, patient-centered health services for all.
Community Health Center providing health care services to Roscommon, Gladwin and surrounding areas of Michigan, through four clinics and five school-based health centers. MidMichigan Health Services provided services to 17,614 patients through 60,719 medical encounters.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $7,432,589 | $7,035,954 | ▼ $396,635 |
| Accounts Receivable | $2,926,612 | $2,287,827 | ▼ $638,785 |
| Savings and Temporary Cash Investments | $2,045,222 | $1,953,799 | ▼ $91,423 |
| Pledges and Grants Receivable | $581,603 | $1,234,642 | ▲ $653,039 |
| Inventories for Sale or Use | $791,882 | $798,822 | ▲ $6,940 |
| Cash and Non-Interest-Bearing Accounts | $938,392 | $747,697 | ▼ $190,695 |
| Prepaid Expenses and Deferred Charges | $100,972 | $379,137 | ▲ $278,165 |
| Investments in Publicly Traded Securities | $15,340 | $17,435 | ▲ $2,095 |
| Other Notes and Loans Receivable, Net | $0 | - | - |
| Receivable From Disqualified Prsn | $0 | - | - |
| Receivables From Officers Etc | $0 | - | - |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | - | - |
| Rtn Earn Endowment Incm Other Fnds | $0 | - | - |
| Cap Stk Tr Prin Current Funds | $0 | - | - |
| Intangible Assets | $0 | - | - |
| Loans From Officers Directors | $0 | - | - |
| Total Assets | $14,832,612 | $14,455,313 | ▼ $377,299 |
| Other Assets Total | $0 | - | - |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $2,442,693 | $2,645,174 | ▲ $202,481 |
| Mortgage Notes Payable Secured by Investment Property | $1,890,293 | $1,697,636 | ▼ $192,657 |
| Deferred Revenue | $773,575 | $931,777 | ▲ $158,202 |
| Grants Payable | $0 | - | - |
| Unsecured Notes Loans Payable | $0 | - | - |
| Other Liabilities | $0 | - | - |
| Escrow Account Liability | $0 | - | - |
| Tax Exempt Bond Liabilities | $0 | - | - |
| Total Liabilities | $5,106,561 | $5,274,587 | ▲ $168,026 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $9,726,051 | $9,180,726 | ▼ $545,325 |
| Net Assets With Donor Restrictions | $0 | - | - |
| Total Net Assets Fund Balance | $9,726,051 | $9,180,726 | ▼ $545,325 |
| Total Liabilities and Net Assets / Fund Balance | $14,832,612 | $14,455,313 | ▼ $377,299 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $6,317,564 | $7,134,019 | $13,451,583 |
| Equipment | $463,655 | $1,821,856 | $2,285,511 |
| Land | $228,191 | - | $228,191 |
| Other Land Buildings | $26,544 | $154,673 | $181,217 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Robert McMorrow II | Physician | FT | $326,891 | $17,588 | $344,479 |
| Robert McMorrow | Physician | - | $326,891 | $17,588 | $344,479 |
| Lyndsy McMorrow | Physician | FT | $267,635 | $43,271 | $310,906 |
| Kevin Denlinger | Physician | FT | $260,563 | $43,664 | $304,227 |
| Lisa Harrington | Physician | FT | $220,374 | $42,949 | $263,323 |
| William Collin | CFO | FT | $200,575 | $33,361 | $233,936 |
| Roberto Viguilla | Physician | FT | $186,846 | $40,164 | $227,010 |
| Melissa Dunkle | CEO | FT | $185,537 | $17,157 | $202,694 |
| Jennifer Shamel | COO | FT | $137,519 | $37,655 | $175,174 |
| Candice Barnum | Clinical Operations Director | FT | $113,407 | $35,954 | $149,361 |
| Candie Barnum | Clinical Operations Director | - | $113,407 | $35,954 | $149,361 |
| Allison Hubbard | Human Resources Director | FT | $119,797 | $4,929 | $124,726 |
| Robert McMorrow | Chief Medical Assistant | FT | $40,000 | - | $40,000 |
| Robert McMorrow | Medical Director | - | $40,000 | $40,164 | $40,000 |
| Lyndsy McMorrow | Chief Medical Assistant | PT | $15,000 | - | $15,000 |
| Lyndsy McMorow | Medical Director | - | $15,000 | - | $15,000 |
| Name | Title |
|---|---|
| Bryann Cross | Director |
| Dawn LaCasse | Director |
| Deborah VanWert | Director |
| Edward Stern | Director |
| Frederick Roemer | Director |
| Gregory Rogers | Director |
| James Bischoff | Director |
| Jeffrey Fossitt | Director |
| Ray Stover | Director |
| Shannon Phelps | Director |
| Thomas Moreau | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| My Michigan-Clare | EPIC/Pharmacy Staff | 4000 Wellness Drive, Midland, MI 48640 | $1,023,780 |
| 4m Building Solutions | Cleaning Service | PO Box 870784, Kansas City, KS 64187 | $248,132 |
| Midland Radiogy | Imaging | 4005 Orchard Drive, Midland, MN 48670 | $150,742 |
| Scribe X Northwest | Physician Scribe | PO Box 391, Portland, OR 97205 | $131,612 |
| NetExpress | Communication | PO Box 391, Coldwater, MI 49036 | $107,834 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $13,806,860 |
| Other Expenses | $10,578,700 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Comp Disqual Persons | $6,636,901 | $1,187,613 | - | $7,824,514 |
| Office Expenses | $5,420,298 | $286,482 | - | $5,706,780 |
| Pension Plan Contributions | $1,521,813 | $955,589 | - | $2,477,402 |
| Current Officers, Directors, Trustees, and Key Employees | $0 | $2,390,836 | - | $2,390,836 |
| Other Employee Benefits | $481,926 | $277,521 | - | $759,447 |
| Depreciation Depletion | $453,917 | $241,835 | - | $695,752 |
| All Other Expenses | $407,992 | $196,479 | - | $604,471 |
| Other Expenses | $546,038 | $28,952 | - | $574,990 |
| Occupancy | $286,945 | $131,313 | - | $418,258 |
| Information Technology | $398,008 | $13,936 | - | $411,944 |
| Other Salaries and Wages | $230,423 | $124,238 | - | $354,661 |
| Conferences and Meetings | $65,394 | $45,431 | - | $110,825 |
| Fees for Services Accounting | $4,972 | $79,630 | - | $84,602 |
| Advertising | $6,327 | $62,428 | - | $68,755 |
| Insurance | $54,060 | $718 | - | $54,778 |
| Travel | $20,220 | $33,990 | - | $54,210 |
| Fees for Services Legal | - | $7,585 | - | $7,585 |
| Total Functional Expenses | $18,240,507 | $6,145,053 | $0 | $24,385,560 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | - | - |
| Receivables from Disqualified Persons | $0 | - | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | - | - |
“The governing documents, conflict of interest policy, and financial statements are made available to the public upon request.”
“Subsequent to completion, a copy of the 990 is reviewed by the Executive Director and the Executive Committee of the Board of Directors prior to submission to the IRS.”
“At the time of initial election, and annually thereafter, each board member shall be asked to complete and file a Disclosure of Certain Interests form. Before discussion of each issue at a Committee or Board Meeting, board members should voluntarily state any conflict of interest they may have. When a conflict of interest is established, members with a conflict may not participate in the discussion or vote on the matter before a body.”
“The Board of Directors provide regular annual performance evaluations of the Executive Director in which compensation is determined and approved for the following year. The Executive Director provides annual performance evaluations for other officers and top management officials, while reporting and justifying compensation changes to the Board Executive Committee.”
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 | true |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2442693 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2645174 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2926612 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2287827 |
| IRS990/AcctCompileOrReviewBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | Community Health Center providing health care services to Roscommon, Gladwin and surrounding areas of Michigan, through four clinics and five school-based health centers. MidMichigan Health Services provided services to 17,614 patients through 60,719 medical encounters. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 62428 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 6327 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 68755 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 196479 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 407992 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 604471 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | William Collin |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9894222138 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 9249 W Lake City Road |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Houghton Lake |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48629 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 938392 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 747697 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2390836 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2390836 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 1187613 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 6636901 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 7824514 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 45431 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 65394 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 110825 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 248132 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 150742 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1023780 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 107834 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 131612 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 870784 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 4005 Orchard Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 4000 Wellness Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 391 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO Box 391 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Kansas City |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Midland |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Midland |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Coldwater |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Portland |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | OR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 64187 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 48670 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 48640 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 49036 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 97205 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | 4m Building Solutions |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | Midland Radiogy |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | My Michigan-Clare |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | NetExpress |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | Scribe X Northwest |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Cleaning Service |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Imaging |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | EPIC/Pharmacy Staff |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Communication |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Physician Scribe |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 4599722 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 135473 |
| IRS990/CYOtherExpensesAmt | 0 | 10578700 |
| IRS990/CYOtherRevenueAmt | 0 | 215649 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 18889391 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -545325 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 13806860 |
| IRS990/CYTotalExpensesAmt | 0 | 24385560 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 23840235 |
| IRS990/DAFExcessBusinessHoldingsInd | 0 | false |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 773575 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 931777 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 241835 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 453917 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 695752 |
| IRS990/Desc | 0 | Community Health Center provides health care services to Roscommon, Gladwin and surrounding counties of Michigan. Located at four clinic sites and five school-based health centers. MidMichigan Health Services provided services to 17,614 patients through 60,719 encounters. MidMichigan Health Services offers imaging services in Houghton Lake. In addition, through an affiliation with My Michigan, on-site laboratory services are offered at the Houghton Lake site. Physical Therapy and Specialty Services are also provided in Houghton Lake by our affiliation agreement. The five school-based health centers offer health care services to students on school campuses, allowing the students to receive services while minimizing the time spent out of the classroom. In keeping with its' mission, the clinic provides high quality healthcare to all patients, regardless of the individual's inability to pay. Through its' 340b drug program, the clinic was able to provide significant discounts on prescriptions filled with our contracted pharmacies. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DistributionToDonorInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 172 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/ExcsTaxSect4951Or4952Or4953Ind | 0 | false |
| IRS990/ExpenseAmt | 0 | 24385560 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 79630 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 4972 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 84602 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 7585 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 7585 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 15.00 |
| 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/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 | 17157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 33361 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 35954 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 37655 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 4929 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 42949 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 17588 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 43664 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 40164 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 43271 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Edward Stern |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Deborah VanWert |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Dawn LaCasse |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Frederick Roemer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Gregory Rogers |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Jeffrey Fossitt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Ray Stover |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Shannon Phelps |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Thomas Moreau |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | James Bischoff |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Bryann Cross |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Melissa Dunkle |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | William Collin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Candice Barnum |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Jennifer Shamel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Allison Hubbard |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Lisa Harrington |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Robert McMorrow II |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Kevin Denlinger |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Roberto Viguilla |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Lyndsy McMorrow |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Robert McMorrow |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Lyndsy McMorrow |
| 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 | 185537 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 200575 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 113407 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 137519 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 119797 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 220374 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 326891 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 260563 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 186846 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 267635 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 40000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 15000 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | 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 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Clinical Operations Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Human Resources Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Chief Medical Assistant |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Chief Medical Assistant |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | false |
| IRS990/FormationYr | 0 | 1975 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 79312 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 4599722 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 79312 |
| IRS990/GrossReceiptsAmt | 0 | 23840235 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 213862 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 22 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 13936 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 398008 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 411944 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 718 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 54060 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 54778 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 791882 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 798822 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 56161 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 56161 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 15340 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 17435 |
| IRS990/IRPDocumentCnt | 0 | 8 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 9110549 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 7432589 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7035954 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 16146503 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | To provide high quality community-oriented, patient-centered health services for all. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1890293 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1697636 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9726051 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 9180726 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 79312 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 213862 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 9726051 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 9180726 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 131313 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 286945 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 418258 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 286482 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 5420298 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 5706780 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 277521 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 481926 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 759447 |
| IRS990/OtherExpensesGrp/Desc | 0 | Purchased & Contract Services |
| IRS990/OtherExpensesGrp/Desc | 1 | Equipment & Repair Expense |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 80477 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 28952 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1705273 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 546038 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1785750 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 574990 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Other Revenue (Edward Jones) |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1787 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1787 |
| IRS990/OtherRevenueTotalAmt | 0 | 1787 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 124238 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 230423 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 354661 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | true |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt | 0 | 0 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 955589 |
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