Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
EIN 38-2269817 • 501(c)3 • Ann Arbor, MI
Profile
To provide the best possible care to our patients and community, including people whose economic, social or cultural conditions might otherwise prevent them from accessing health care.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
Liabilities / Revenue
53rd percentile
Higher debt load relative to revenue than 53% of similar nonprofits.
Net Margin
37th percentile
Higher net margin than 37% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
46th percentile
Faster asset growth than 46% of similar nonprofits.
Revenue Growth
41st percentile
Faster revenue growth than 41% of similar nonprofits.
Assets
Up$18,827,742
Up $765,939 (+4.2%) from 2024
Liabilities
Up$3,430,358
Up $29,324 (+0.9%) from 2024
Net Assets
Up$15,397,384
Up $736,615 (+5.0%) from 2024
Revenue
Up$19,910,172
Up $4,643,538 (+30%) from 2024
Expenses
Up$19,270,166
Up $3,326,167 (+21%) from 2024
Net Income
Up$640,006
Up $1,317,371 (+194%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide the best possible care to our patients and community, including people whose economic, social or cultural conditions might otherwise prevent them from accessing health care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $8,996,155 | $8,811,547 | ▼ $184,608 |
| Investments in Publicly Traded Securities | $5,086,187 | $5,630,785 | ▲ $544,598 |
| Accounts Receivable | $2,084,453 | $2,716,479 | ▲ $632,026 |
| Inventories for Sale or Use | $331,248 | $478,242 | ▲ $146,994 |
| Savings and Temporary Cash Investments | $673,251 | $446,796 | ▼ $226,455 |
| Cash and Non-Interest-Bearing Accounts | $975 | $189,308 | ▲ $188,333 |
| Prepaid Expenses and Deferred Charges | $235,779 | $183,170 | ▼ $52,609 |
| Pledges and Grants Receivable | $192,516 | $73,107 | ▼ $119,409 |
| Total Assets | $18,061,803 | $18,827,742 | ▲ $765,939 |
| Other Assets Total | $461,239 | $298,308 | ▼ $162,931 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $1,885,287 | $1,806,657 | ▼ $78,630 |
| Accounts Payable and Accrued Expenses | $844,158 | $1,026,059 | ▲ $181,901 |
| Other Liabilities | $471,589 | $425,999 | ▼ $45,590 |
| Deferred Revenue | $200,000 | $171,643 | ▼ $28,357 |
| Total Liabilities | $3,401,034 | $3,430,358 | ▲ $29,324 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $14,278,859 | $15,182,402 | ▲ $903,543 |
| Net Assets With Donor Restrictions | $381,910 | $214,982 | ▼ $166,928 |
| Total Net Assets Fund Balance | $14,660,769 | $15,397,384 | ▲ $736,615 |
| Total Liabilities and Net Assets / Fund Balance | $18,061,803 | $18,827,742 | ▲ $765,939 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $6,828,392 | $872,207 | $7,700,599 |
| Land | $1,295,809 | - | $1,295,809 |
| Equipment | $603,990 | $313,160 | $917,150 |
| Leasehold Improvements | $83,356 | $175,027 | $258,383 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Raymond Rion | Executive Director | FT | $282,131 | $29,846 | $311,977 |
| Neil B Kirst | CMO | FT | $268,969 | $31,551 | $300,520 |
| Ravi Vadlamudi | Physician | FT | $232,168 | $31,237 | $263,405 |
| Dr Ankoor Soni | Medical Director | FT | $208,102 | $34,435 | $242,537 |
| Joseph Thompson | Physician | FT | $210,941 | $25,521 | $236,462 |
| Ronald Romero | Physician | FT | $170,456 | $29,456 | $199,912 |
| Holly Ross | Compliance Officer | FT | $161,363 | $33,394 | $194,757 |
| Lindsey Kotagal | Physician | FT | $178,045 | $14,909 | $192,954 |
| David Hoffman | CFO | FT | $145,365 | $7,281 | $152,646 |
| Name | Title |
|---|---|
| Margaret Calarco | Board Chair |
| Molly Welch-Marahar | Vice Chair |
| Brandie Tyuse | Trustee |
| Bryan Wagoner | Trustee |
| Edd Snyder | Trustee |
| Gary Boren | Trustee |
| Joseph Kaplan | Trustee |
| Juan Marquez MPH MD | Trustee |
| Paul Harkaway MD | Trustee |
| Paula Lantz | Trustee |
| Phillip Rodgers MD | Trustee |
| Rana Smith | Trustee |
| Ruth Cassidy | Trustee |
| Sharon Moore | Trustee |
| Nora Maloy DrPH | Secretary |
| Tomasine Marx | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Nuvem 340Basics | 340B Services | 311 Arsenal Street, Watertown, MA 02472 | $383,866 |
| Athenahealth Inc | Billing and AR | 315 Madison Ave Ste 1804, New York, NY 10017 | $204,881 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 1,254 | $622,751 | Fair Market Value (FMV) |
| Total Noncash Contributions | 1,254 | $622,751 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $11,110,445 |
| Other Expenses | $8,159,721 |
| Total Fundraising Expense | $326,505 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $5,882,023 | $1,906,209 | $195,735 | $7,983,967 |
| Fees for Services Other | $1,218,558 | $331,438 | $2,331 | $1,552,327 |
| Other Employee Benefits | $920,503 | $335,920 | $28,639 | $1,285,062 |
| Current Officers, Directors, Trustees, and Key Employees | $399,970 | $594,870 | - | $994,840 |
| Payroll Taxes | $476,053 | $187,317 | $14,929 | $678,299 |
| Depreciation Depletion | $207,356 | $172,796 | $3,840 | $383,992 |
| Office Expenses | $177,795 | $77,302 | $2,577 | $257,674 |
| Pension Plan Contributions | $129,278 | $34,523 | $4,476 | $168,277 |
| Occupancy | $99,718 | $43,356 | $1,445 | $144,519 |
| Other Expenses | $70,175 | $24,363 | - | $94,538 |
| All Other Expenses | $61,085 | $26,558 | $885 | $88,528 |
| Interest | - | $87,846 | - | $87,846 |
| Travel | $75,895 | $707 | $24 | $76,626 |
| Advertising | - | - | $71,624 | $71,624 |
| Fees for Services Legal | $21,217 | $46,463 | - | $67,680 |
| Fees for Services Accounting | - | $38,405 | - | $38,405 |
| Insurance | - | $34,696 | - | $34,696 |
| Total Functional Expenses | $14,967,172 | $3,976,489 | $326,505 | $19,270,166 |
| Line Item | Amount |
|---|---|
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Expenses per Audited Statements | $0 |
| Total Expenses per Audited Statements | $0 |
| Total Expenses per Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Operating Lease | $306,798 |
| Medicaid cost settlement | $119,201 |
“The 990 is reviewed by the CFO in detail, the 990 is also provided to the Executive Director, Treasurer and the Board for reveiw prior to filing.”
“The Board revisits the conflicts of interest policy annually.”
“The Board determines the compensation of the Executive Director based on performance and other factors. The Executive Director determines the compensation for officers & key employees.”
“Documents are available upon request.”
“Adjustment for prior year accounts receivable 4,167.”
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 | 844158 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1026059 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2084453 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2716479 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To provide the best possible care to our patients and community, including people whose economic, social or cultural conditions might otherwise prevent them from accessing health care. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 71624 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 71624 |
| IRS990/AllOtherContributionsAmt | 0 | 2054853 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 885 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 26558 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 61085 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 88528 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | David Hoffman |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7349711073 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 5200 Venture Drive |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Ann Arbor |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48108 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 975 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 189308 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 594870 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 399970 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 994840 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 383866 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 204881 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 311 Arsenal Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 315 Madison Ave Ste 1804 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Watertown |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | New York |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 02472 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 10017 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Nuvem 340Basics |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Athenahealth Inc |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | 340B Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Billing and AR |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 3592738 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 126469 |
| IRS990/CYOtherExpensesAmt | 0 | 8159721 |
| IRS990/CYOtherRevenueAmt | 0 | 2842 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 16188123 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 640006 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 11110445 |
| IRS990/CYTotalExpensesAmt | 0 | 19270166 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 326505 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 19910172 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 200000 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 171643 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 3840 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 172796 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 207356 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 383992 |
| IRS990/Desc | 0 | Primary Health Services, including mental health care, pharmaceutical services, and health promotion to patients in the Washtenaw County area. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 381910 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 214982 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 150 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 14967172 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 38405 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 38405 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 46463 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 21217 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 67680 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 2331 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 331438 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1218558 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1552327 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| 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 | 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 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/OfficerInd | 7 | 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 | 19846 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 29315 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 7281 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 31551 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 30817 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 9249 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 28945 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 17744 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 30079 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Margaret Calarco |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Molly Welch-Marahar |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Tomasine Marx |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Nora Maloy DrPH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Gary Boren |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Rana Smith |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Sharon Moore |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Edd Snyder |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Paula Lantz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Bryan Wagoner |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Ruth Cassidy |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Juan Marquez MPH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Joseph Kaplan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Phillip Rodgers MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Paul Harkaway MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Brandie Tyuse |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Raymond Rion |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Dr Ankoor Soni |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | David Hoffman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Neil B Kirst |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Ravi Vadlamudi |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Lindsey Kotagal |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Ronald Romero |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Joseph Thompson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Holly Ross |
| 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 | 292131 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 213222 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 145365 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 268969 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 232588 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 183705 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 170967 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 218718 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 164678 |
| 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/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Board Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Executive Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Compliance Officer |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1973 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 16 |
| IRS990/GovernmentGrantsAmt | 0 | 1537885 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 19910172 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 16 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 21 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 34696 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 34696 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 87846 |
| IRS990/InterestGrp/TotalAmt | 0 | 87846 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 331248 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 478242 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 126469 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 126469 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 5086187 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 5630785 |
| IRS990/IRPDocumentCnt | 0 | 5 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 1360394 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8996155 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 8811547 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 10171941 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | To provide the best possible care to our patients and community, including people whose economic, social or cultural conditions might otherwise prevent them from accessing health care. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1885287 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1806657 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 14660769 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 15397384 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 92442 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 14278859 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 15182402 |
| IRS990/NoncashContributionsAmt | 0 | 622751 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 1445 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 43356 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 99718 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 144519 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 2577 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 77302 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 177795 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 257674 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 461239 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 298308 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 4167 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 28639 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 335920 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 920503 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1285062 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Building and equipment |
| IRS990/OtherExpensesGrp/Desc | 2 | Other |
| IRS990/OtherExpensesGrp/Desc | 3 | Dues licenses and subsc |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 467 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 33253 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 24363 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4852055 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 243151 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 132340 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 70175 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4852055 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 243618 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 165593 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 94538 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 471589 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 425999 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 624100 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Other |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 2842 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 2842 |
| IRS990/OtherRevenueTotalAmt | 0 | 2842 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 195735 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1906209 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5882023 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 7983967 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 14929 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 187317 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 476053 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 678299 |
| IRS990/PensionPlanContributionsGrp/FundraisingAmt | 0 | 4476 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 34523 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 129278 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 168277 |
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