Liabilities / Assets
10th percentile
Higher debt load relative to assets than 10% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
10th percentile
Higher debt load relative to assets than 10% of similar nonprofits.
Liabilities / Revenue
92nd percentile
Higher debt load relative to revenue than 92% of similar nonprofits.
Net Margin
87th percentile
Higher net margin than 87% of similar nonprofits.
Top Officer Pay
80th percentile
Higher top officer pay than 80% of similar nonprofits.
Top officer pay equals 21.0% of source-year revenue.
Asset Growth
47th percentile
Faster asset growth than 47% of similar nonprofits.
Revenue Growth
13th percentile
Faster revenue growth than 13% of similar nonprofits.
Assets
Up$948,563,508
Up $52,889,250 (+5.9%) from 2016
Net Assets
Up$917,423,974
Up $48,672,047 (+5.6%) from 2016
Liabilities
Up$31,139,534
Up $4,217,203 (+16%) from 2016
Revenue
Down$8,177,967
Down $520,780 (-6.0%) from 2016
Expenses
Down$5,859,521
Down $2,489,037 (-30%) from 2016
Net Income
Up$2,318,446
Up $1,968,257 (+562%) from 2016
Improving the health of the people in our communities by providing quality, compassionate care to everyone, every time.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Program Related | $865,221,419 | $896,510,535 | ▲ $31,289,116 |
| Savings and Temporary Cash Investments | $11,999,974 | $34,795,066 | ▲ $22,795,092 |
| Prepaid Expenses and Deferred Charges | $8,362,555 | $11,707,642 | ▲ $3,345,087 |
| Accounts Receivable | $6,107,622 | $3,720,378 | ▼ $2,387,244 |
| Cash and Non-Interest-Bearing Accounts | $3,891,349 | $1,751,596 | ▼ $2,139,753 |
| Land, Buildings, and Equipment, Net | - | $78,291 | - |
| Total Assets | $895,674,258 | $948,563,508 | ▲ $52,889,250 |
| Other Assets Total | $91,339 | - | - |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $26,922,331 | $31,139,534 | ▲ $4,217,203 |
| Total Liabilities | $26,922,331 | $31,139,534 | ▲ $4,217,203 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $805,132,891 | $859,205,086 | ▲ $54,072,195 |
| Temporarily Rstr Net Assets | $60,547,655 | $54,981,422 | ▼ $5,566,233 |
| Permanently Rstr Net Assets | $3,071,381 | $3,237,466 | ▲ $166,085 |
| Total Net Assets Fund Balance | $868,751,927 | $917,423,974 | ▲ $48,672,047 |
| Total Liabilities and Net Assets / Fund Balance | $895,674,258 | $948,563,508 | ▲ $52,889,250 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $78,291 | $26,097 | $104,388 |
| Investment Program Related Org | $80,961 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2017 | $3,986,792 | $114,433 | ▲ $211,750 | - | $4,297,975 |
| 2016 | $3,707,924 | $191,313 | ▲ $102,555 | - | $3,986,792 |
| 2015 | $3,411,165 | $361,583 | ▼ $49,824 | - | $3,707,924 |
| 2014 | $3,184,706 | $200,566 | ▲ $40,893 | - | $3,411,165 |
| 2013 | $2,926,676 | $82,387 | ▲ $187,643 | - | $3,184,706 |
| Name | Title | Other | Total |
|---|---|---|---|
| Paula Reichle | Pres/CEO Spa | $851,923 | $851,923 |
| Mark Brett | Exec VP/COO | $851,554 | $851,554 |
| Thomas Bres | Sr VP - CFO/ | $807,049 | $807,049 |
| Karen Kent-van Gorder Md | Srvp/CAO/CIO | $783,031 | $783,031 |
| Greg Brogan | Board Mbr S | $651,276 | $651,276 |
| Mary Lou Wesley | VP Medical Q | $543,829 | $543,829 |
| John Armstrong Md | Former Sr VP | $440,652 | $440,652 |
| James Olson Md | Former Board | $416,202 | $416,202 |
| Dawn Springer Md | Former Board | $358,897 | $358,897 |
| Brian Schroeder | Former Board | $272,751 | $272,751 |
| Larry Rawsthorne Md | Former Offic | $232,683 | $232,683 |
| - | Former Offic | $152,523 | $152,523 |
| Brian Mccardel Md | Board Member | $105,190 | $105,190 |
| Maude Guerin Md | Board Member | $30,450 | $30,450 |
| Dave Hunt | Board Member | $1,368 | $1,368 |
| Jeff Benson | Board Member | $1,368 | $1,368 |
| Nancy Mckeague | Board Member | $1,368 | $1,368 |
| John Pirich | Board Member | $570 | $570 |
| Name | Title |
|---|---|
| Greg Brogan | Board Mbr See Sch O |
| Ann Flood | Board Member |
| Barbara Given Phd | Board Member |
| Christine Goeschel Rn Phd | Board Member |
| Curtis Keck | Board Member |
| David Donovan | Board Member |
| Glenn Omura Phd | Board Member |
| Jean Paull | Board Member |
| Joe Ruth | Board Member |
| John Kepros Md | Board Member |
| Matt Rush | Board Member |
| Richard Bruner | Board Member |
| Dawn Springer Md | Former Board Member |
| James Olson Md | Former Board Member |
| John Armstrong Md | Former Board Member |
| Mike King | Bd Member/vi |
| Joe Ruth | Exec VP/COO |
| Brian Schroeder | Former Officer |
| Larry Rawsthorne Md | Former Officer |
| Mary Lou Wesley | Former Sr VP/CNO |
| Dennis Swan | Pres/CEO |
| Mark Brett | Pres/CEO Sparrow Head of School |
| Paula Reichle | Sr VP - CFO/treas |
| Thomas Bres | Srvp/CAO/CIO |
| Karen Kent-van Gorder Md | VP Medical Quality |
| Line Item | Amount |
|---|---|
| Other Expenses | $4,770,129 |
| Salaries, Compensation, and Employee Benefits | $1,089,392 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $892,580 | - | - | $892,580 |
| Fees for Services Legal | $183,572 | - | - | $183,572 |
| Other Employee Benefits | $116,399 | - | - | $116,399 |
| Payroll Taxes | $56,882 | - | - | $56,882 |
| Occupancy | $46,542 | - | - | $46,542 |
| Pension Plan Contributions | $23,531 | - | - | $23,531 |
| Travel | $21,223 | - | - | $21,223 |
| Office Expenses | $21,034 | - | - | $21,034 |
| Advertising | $17,185 | - | - | $17,185 |
| Depreciation Depletion | $13,048 | - | - | $13,048 |
| Other Expenses | $4,843 | - | - | $4,843 |
| Total Functional Expenses | $5,859,521 | $0 | $0 | $5,859,521 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“During the year ended december 31, 2017 there was a reorganization of the sparrow health system and edward w. Sparrow hospital boards. The change was initiated to more formally separate leadership and governance for the two entities, continue to promote greater system-ness and clinical standardization, while clarifying roles, responsibilities and accountabilities to each entity. This reorganization was completed with a change in the organization's bylaws followed by an election of new board members.”
“The president of the edward w. Sparrow hospital medical staff is a board member of the sparrow health system board. The edward w. Sparrow hospital medical staff president is elected by the medical staff of the hospital.”
“Copies of the 2017 form 990 are reviewed by management. The form 990 copies were provided at the fall 2018 board meeting for all board members to review and comment on.”
“1) corporate compliance sends out the conflict of interest policy and questionnaires to all voting board members and the executive team annually. 2) all disclosures are received and reviewed by corporate compliance. 3) all disclosures are given a resolution code and presented to the ceo and governance committee of the board. 4) all board/committee level disclosures are provided to the respective board chair and executive liaison to ensure issues can be addressed on a transactional level (i.e. If a vote is required on a transaction involving an interested person).”
“The process for determining compensation for the ceo of the organization involved the following: utilizing the compensation committee, independent consultants, reviewing other similar organizations' 990s, compensation surveys, and final approval by the board of directors, as well as finalizing the salary package with a written employment contract.”
“The process for determining compensation for officers or key employees of the organization involved the following: utilizing the compensation committee, independent consultants, reviewing other similar organizations' 990s, compensation surveys, and final approval by the board of directors, as well as finalizing the salary package with a written employment contract.”
“The organization's audited financial statements are on several internet websites, including the emma.msrb and mha websites, as well as available upon request. The governing documents and conflict of interest policy are available upon request.”
“Part vii, section a, column (e) reportable compensation from related organizations - payments to greg brogan for broker's sales commissions for php insurance company (649,908).”
“All lines left blank are not applicable to the organization. Part iv, question 4 - the organization does not engage in direct lobbying activities. The organization does have memberships in various trade associations that use a portion of the dues paid to the trade associations for lobbying activities on behalf of the applicable trade association industries, thus indirectly benefiting the organization. The percentage of dues allocated to this industry-wide lobbying activity is minor and is not considered by the organization as lobbying activities required for disclosure on schedule c, part ii.”
“Clinic care network, a non-ownership collaborative arrangement. Shs is a michigan non stock, nonprofit tax-exempt corporation, and is the parent corporation of the following tax-exempt, 501(c)(3) entities: edward w. Sparrow hospital association (sparrow hospital), sparrow clinton (clinton memorial hospital), sparrow ionia (ionia county memorial hospital), sparrow carson (carson city hospital), sparrow specialty hospital, sparrow community care, and sparrow foundation. Sparrow foundation serves as the fundraising arm of edward w. Sparrow hospital. Each of these entities file their own 990 return. Shs is also the parent corporation of physicians health plan (php), a michigan nonprofit, tax-exempt health maintenance organization, as well as physicians health network (phn), a michigan nonprofit, tax-exempt corporation. Both of these companies are tax-exempt under irs code 501(c) (4). Both of these entities file their own 990 return. Lastly, shs is the parent corporation of sparrow development, inc. (sdi), a michigan stock, for-profit corporation. Sdi includes, as mentioned above, the michigan athletic club (mac), as well as the mac restaurant, and st. Lawrence or management company, llc.”
“Affiliate net income 45,187,749”
“Sparrow health system does not hold endowments. The endowments are held by sparrow clinton hospital and sparrow foundation. Sparrow health system is the sole member of sparrow clinton hospital and sparrow foundation. The endowments are maintained to provide a permanent source of income with the stipulation the principal is kept intact in perpetuity and the income generated from investments of the endowment funds can be used for the purpose established by the endowment.”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 26922331 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 31139534 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6107622 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3720378 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 17185 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 17185 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | WILLIAM HOWE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5173646060 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1215 E MICHIGAN AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LANSING |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48912 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3891349 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1751596 |
| IRS990/ChangeToOrgDocumentsInd | 0 | true |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2643139 |
| IRS990/CYOtherExpensesAmt | 0 | 4770129 |
| IRS990/CYOtherRevenueAmt | 0 | 1600188 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 3934640 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2318446 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 1089392 |
| IRS990/CYTotalExpensesAmt | 0 | 5859521 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 8177967 |
| IRS990/DAFExcessBusinessHoldingsInd | 0 | false |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 13048 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 13048 |
| IRS990/Desc | 0 | SPARROW HEALTH SYSTEM (SHS) IS A FULLY INTEGRATED HEALTHCARE SYSTEM HEADQUARTERED IN LANSING, MICH. SERVING AN FIVE-COUNTY REGION IN MID- MICHIGAN. SHS INCLUDES FIVE HOSPITALS ENCOMPASSING 841 LICENSED BEDS, MORE THAN 100 AMBULATORY/OUTPATIENT LOCATIONS, 258 EMPLOYED PHYSICIANS, A 58,000 MEMBER HEALTH PLAN, AND A POST-ACUTE CARE NETWORK CONSISTING OF OUTREACH LABORATORY, HOMECARE, HOSPICE, PHARMACY, AND DME SERVICES. SHS ALSO OWNS AND OPERATES THE MICHIGAN ATHLETIC CLUB THE LARGEST HOSPITAL- OWNED FITNESS CLUB IN THE UNITED STATES WITH ABOUT 13,000 MEMBERS. IN ADDITION, SHS WORKS WITH OVER 1,100 PHYSICIANS AND OTHER PROVIDERS THROUGH SPARROW PHYSICIANS HEALTH NETWORK (SPHN), A JOINT VENTURE PHYSICIAN HOSPITAL ORGANIZATION (PHO). IN 2012, SHS BECAME A MEMBER OF THE MAYO CLINIC CARE NETWORK, A NON-OWNERSHIP COLLABORATIVE ARRANGEMENT. SHS IS A MICHIGAN NON STOCK, NONPROFIT TAX-EXEMPT CORPORATION, AND IS THE PARENT CORPORATION OF THE FOLLOWING TAX-EXEMPT, 501(C)(3) ENTITIES: EDWARD W. SPARROW HOSPITAL ASSOCIATION (SPARROW HOSPITAL), SPARROW CLINTON (CLINTON MEMORIAL HOSPITAL), SPARROW IONIA (IONIA COUNTY MEMORIAL HOSPITAL), SPARROW CARSON (CARSON CITY HOSPITAL), SPARROW SPECIALTY HOSPITAL, SPARROW COMMUNITY CARE, AND SPARROW FOUNDATION. SPARROW FOUNDATION SERVES AS THE FUNDRAISING ARM OF EDWARD W. SPARROW HOSPITAL. EACH OF THESE ENTITIES FILE THEIR OWN 990 RETURN. SHS IS ALSO THE PARENT CORPORATION OF PHYSICIANS HEALTH PLAN (PHP), A MICHIGAN NONPROFIT, TAX-EXEMPT HEALTH MAINTENANCE ORGANIZATION, AS WELL AS PHYSICIANS HEALTH NETWORK (PHN), A MICHIGAN NONPROFIT, TAX-EXEMPT CORPORATION. BOTH OF THESE COMPANIES ARE TAX-EXEMPT UNDER IRS CODE 501(C) (4). BOTH OF THESE ENTITIES FILE THEIR OWN 990 RETURN. LASTLY, SHS IS THE PARENT CORPORATION OF SPARROW DEVELOPMENT, INC. (SDI), A MICHIGAN STOCK, FOR-PROFIT CORPORATION. SDI INCLUDES, AS MENTIONED ABOVE, THE MICHIGAN ATHLETIC CLUB (MAC), AS WELL AS THE MAC RESTAURANT, AND ST. LAWRENCE OR MANAGEMENT COMPANY, LLC. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 5859521 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 183572 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 183572 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 30 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 0 | TIMOTHY HODGE DO |
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| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 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 |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 17 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 18 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 19 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 241534 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 115143 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 144320 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 113951 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 94258 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 88475 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 45912 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 39600 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 53216 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 39590 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 29 | 16893 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 30 | 8860 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DENNIS SWAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GREG BROGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BRIAN MCCARDEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MAUDE GUERIN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JEFF BENSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DAVE HUNT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | NANCY MCKEAGUE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOHN PIRICH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | RICHARD BRUNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MIKE KING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BARBARA GIVEN PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JOHN KEPROS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | CURTIS KECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JEAN PAULL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MATT RUSH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DAVID DONOVAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ANN FLOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CHRISTINE GOESCHEL RN PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | GLENN OMURA PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | JOE RUTH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | MARK BRETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | PAULA REICHLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | THOMAS BRES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | KAREN KENT-VAN GORDER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | MARY LOU WESLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JOHN ARMSTRONG MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | JAMES OLSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | DAWN SPRINGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | BRIAN SCHROEDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 29 | LARRY RAWSTHORNE MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 29 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 30 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1479664 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 651276 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 105190 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 30450 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 1368 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 1368 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 1368 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 570 |
| 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 | 736411 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 707603 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 693098 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 688773 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 455354 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 394740 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 376602 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 305681 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 233161 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 29 | 215790 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 30 | 143663 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRES/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MBR S |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BD MEMBER/VI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | EXEC VP/COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PRES/CEO SPA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | SR VP - CFO/ |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | SRVP/CAO/CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | VP MEDICAL Q |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | FORMER SR VP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | FORMER BOARD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | FORMER BOARD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | FORMER BOARD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 29 | FORMER OFFIC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 30 | FORMER OFFIC |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1984 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1046834 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 20 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1046834 |
| IRS990/GrossReceiptsAmt | 0 | 8177967 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 15 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1596305 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1596305 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 865221419 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 896510535 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 26097 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 78291 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 104388 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | true |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 868751927 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 917423974 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 1046834 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1046834 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1165852 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 46542 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 46542 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 21034 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 21034 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 91339 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 45187749 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 116399 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 116399 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL PROFESSIONAL FEES |
| IRS990/OtherExpensesGrp/Desc | 1 | ORGANIZATIONAL MEMBERSHIP |
| IRS990/OtherExpensesGrp/Desc | 2 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 3 | OTHER |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2760374 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1173200 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 529108 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 4843 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2760374 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1173200 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 529108 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 4843 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | ALLOCATION REIMBURSEMENT |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1600188 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1600188 |
| IRS990/OtherRevenueTotalAmt | 0 | 1600188 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 892580 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 892580 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
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Displayed year
2017 • Form 990Detailed filing. Detailed filing data is available for this year.