Liabilities / Assets
55th percentile
Higher debt load relative to assets than 55% of similar nonprofits.
EIN 38-2602147 • 501(c)3 • Sault Ste Marie, MI
Profile
Our commitment is to improve the quality of life and health through partnerships with those we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
55th percentile
Higher debt load relative to assets than 55% of similar nonprofits.
Liabilities / Revenue
33rd percentile
Higher debt load relative to revenue than 33% of similar nonprofits.
Net Margin
18th percentile
Higher net margin than 18% of similar nonprofits.
Top Officer Pay
92nd percentile
Higher top officer pay than 92% of similar nonprofits.
Top officer pay equals 1.5% of source-year revenue.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
23rd percentile
Faster revenue growth than 23% of similar nonprofits.
Assets
Down$100,306,116
Down $6,116,252 (-5.7%) from 2023
Liabilities
Down$31,083,375
Down $1,313,762 (-4.1%) from 2023
Net Assets
Down$69,222,741
Down $4,802,490 (-6.5%) from 2023
Revenue
Down$137,333,768
Down $2,711,249 (-1.9%) from 2023
Expenses
Up$145,949,074
Up $2,730,432 (+1.9%) from 2023
Net Income
Down-$8,615,306
Down $5,441,681 (-171%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Our commitment is to improve the quality of life and health through partnerships with those we serve.
Creating healthy communities together by providing excellent health services to improve the quality of life for people in our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $28,747,481 | $49,277,384 | ▲ $20,529,903 |
| Investments in Publicly Traded Securities | $18,425,349 | $18,509,264 | ▲ $83,915 |
| Investments Other Securities | $15,463,053 | $14,042,651 | ▼ $1,420,402 |
| Accounts Receivable | $15,161,945 | $14,035,704 | ▼ $1,126,241 |
| Prepaid Expenses and Deferred Charges | $22,842,192 | $2,756,689 | ▼ $20,085,503 |
| Savings and Temporary Cash Investments | $4,316,485 | $850,861 | ▼ $3,465,624 |
| Inventories for Sale or Use | $1,203,506 | $571,282 | ▼ $632,224 |
| Investments Program Related | $256,681 | $256,681 | → $0 |
| Cash and Non-Interest-Bearing Accounts | $5,676 | $5,600 | ▼ $76 |
| Total Assets | $106,422,368 | $100,306,116 | ▼ $6,116,252 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $15,941,316 | $12,999,082 | ▼ $2,942,234 |
| Other Liabilities | $6,986,490 | $9,318,192 | ▲ $2,331,702 |
| Mortgage Notes Payable Secured by Investment Property | $9,469,331 | $8,766,101 | ▼ $703,230 |
| Total Liabilities | $32,397,137 | $31,083,375 | ▼ $1,313,762 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $73,581,799 | $69,222,741 | ▼ $4,359,058 |
| Net Assets With Donor Restrictions | $443,432 | $0 | ▼ $443,432 |
| Total Net Assets Fund Balance | $74,025,231 | $69,222,741 | ▼ $4,802,490 |
| Total Liabilities and Net Assets / Fund Balance | $106,422,368 | $100,306,116 | ▼ $6,116,252 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $37,568,070 | $8,185,790 | $45,753,860 |
| Equipment | $8,404,105 | $6,760,780 | $15,164,885 |
| Other Land Buildings | $1,756,332 | - | $1,756,332 |
| Land | $1,330,000 | - | $1,330,000 |
| Leasehold Improvements | $218,877 | $74,819 | $293,696 |
| Other Securities | $4,827,690 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Adair Md Jamie | Director (part Year) | - | $761,990 | $761,990 | $761,990 |
| Turfe Md Zaahir | Physician | FT | $688,674 | $71,459 | $760,133 |
| Rechner Md Paula | Physician | FT | $696,550 | $56,426 | $752,976 |
| Cotant Md Michael | Physician | FT | $663,302 | $39,042 | $702,344 |
| Sardar Md Muhammad | Physician | FT | $550,000 | $77,559 | $627,559 |
| Paplawski Md Michael | Physician | FT | $500,001 | $81,597 | $581,598 |
| Amo Md Sarah | Director (part Year) | FT | $402,349 | $122,350 | $524,699 |
| Bunker Marla | VP Nursing (part Year) | FT | $51,983 | $467,512 | $519,495 |
| Raycraft Md Kyle | Director | FT | $446,923 | $39,688 | $486,611 |
| Kalchik Kevin | President | FT | $297,772 | $138,016 | $435,788 |
| Chander Md Vishnu | Director (part Year) | FT | $334,222 | $58,278 | $392,500 |
| Jahn David | Former President | - | $195,150 | $63,682 | $258,832 |
| Savoie Mark | Vice Chair | - | $6,705 | $1,200 | $7,905 |
| Coates Thomas | Chair | - | $7,870 | - | $7,870 |
| Anderson Maxine | Director | - | $6,840 | - | $6,840 |
| Macmaster Garth | Director | - | $6,795 | - | $6,795 |
| Goetz Amy | Director | - | $6,705 | - | $6,705 |
| Palmer Charles | Director | - | $6,705 | - | $6,705 |
| Kibble Holly | Director (part Year) | - | $5,625 | - | $5,625 |
| Duman Md Ralph | Director | - | $3,825 | - | $3,825 |
| Jorgenson John | Director (part Year) | - | $2,475 | - | $2,475 |
| Name | Title |
|---|---|
| Watson Pinney Md Lydia | Director |
| Scott-kronemeyer Amy | Director (part Year) |
| Rose Michael | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| American Healthcare Staffing | Professional Fees | 226 EAST SIXTEENTH STREET, Traverse City, MI 49684 | $3,000,372 |
| Virtual Radiologic Professionals | Professional Fees | 25983 NETWORK PLACE, Chicago, IL 60673 | $1,271,788 |
| Riverside Medical Associates PC | Professional Fees | 601 OSBORN BOULEVARD, Sault Ste Marie, MI 49783 | $1,157,772 |
| Marquette General Health Systems | Professional Fees | 5012 WEST 5 MILE ROAD, Sault Ste Marie, MI 49783 | $1,114,583 |
| - | Professional Services | 420 WEST MAGNETIC STREET, Marquette, MI 49855 | $783,883 |
| Line Item | Amount |
|---|---|
| Other Expenses | $74,093,319 |
| Salaries, Compensation, and Employee Benefits | $71,855,755 |
| Total Fundraising Expense | $10,713 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $52,584,545 | $3,462,794 | - | $56,047,339 |
| Fees for Services Other | $19,273,774 | $5,284,783 | - | $24,558,557 |
| Other Employee Benefits | $5,802,624 | $706,782 | - | $6,509,406 |
| Depreciation Depletion | $4,679,630 | $1,053,402 | - | $5,733,032 |
| Other Expenses | $5,566,682 | - | - | $5,566,682 |
| Payroll Taxes | $3,498,694 | $276,417 | - | $3,775,111 |
| Current Officers, Directors, Trustees, and Key Employees | $2,636,858 | $902,197 | - | $3,539,055 |
| Occupancy | $1,614,350 | $1,744,078 | - | $3,358,428 |
| Office Expenses | $2,262,666 | $834,011 | $1,280 | $3,097,957 |
| Pension Plan Contributions | $1,984,844 | - | - | $1,984,844 |
| Insurance | $248,511 | $208,368 | - | $456,879 |
| Travel | $404,933 | $21,575 | - | $426,508 |
| Interest | $410,940 | - | - | $410,940 |
| Conferences and Meetings | $296,019 | $4,310 | - | $300,329 |
| Fees for Services Accounting | - | $44,250 | - | $44,250 |
| Fees for Services Legal | - | $42,875 | - | $42,875 |
| Advertising | $1,171 | $41,582 | - | $42,753 |
| Fees for Services Lobbying | - | - | $9,433 | $9,433 |
| Fees for Service Investment Mgmnt Fees | - | $2,066 | - | $2,066 |
| Total Functional Expenses | $131,308,871 | $14,629,490 | $10,713 | $145,949,074 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Michael Goetz | OWNED MORE THAN 35% | Payment for Professional Radiologist | No | $215,000 |
| - | Family Member of Garth Macmaster, Director | Employment | No | $148,424 |
| Jennifer Macmaster | Family Member of Amy Goetz, Director | Employment | No | $57,918 |
| Liability | Amount |
|---|---|
| Deferred Comp, Self Insurance, and Other | $6,697,321 |
| Asset Retirement Obligation | $2,143,810 |
| Operating Lease Liability | $473,355 |
| Capital Lease Obligation | $3,706 |
“The sole member of the corporation is mymichigan health.”
“The board of directors of mymichigan health, the organization's sole corporate member, elects the members of the organization's governing body.”
“The following rights and responsibilities are reserved to the sole member: a) approve any change in the corporation's purposes; b) approve any change in the corporation's articles of incorporation or bylaws; c) approve plans of merger, consolidation, or dissolution of the corporation, joint venture, or the creation by the corporation of any controlled corporation or other entity; d) approve any proposed sale, transfer, lease, pledge, or encumbrance of all or substantially all of the assets of the corporation, or the proposed sale, transfer, lease, pledge or encumbrance of any asset or assets of the corporation other than in the ordinary course of business; e) approve the corporation's budget and any capital expenditures of the corporation in excess of an amount designated from time to time by the mymichigan health board; f) approve the guarantee by the corporation of the debt of others; and g) approve the incurrence by the corporation of any debt or lease obligation in an amount in excess of an amount designated from time to time by the mymichigan health board.”
“The finance staff at each subsidiary uploads information into the software which is then reviewed by the corporate controller at mymichigan health, the sole member of this corporation. The corporate controller requests additional information and obtains clarification. A final review is then done by the svp and cfo. In addition, all compensation disclosures are reviewed with the mymichigan health ceo prior to filing. The form 990 part vii and schedule j compensation information is reviewed by the compensation committee prior to filing. Form 990, including all schedules, is made available to this organization's board of directors in a secure electronic format with a summary of all the major changes from the prior year return. Questions or concerns are addressed by the svp and cfo. The questions or concerns of these reviews are presented to the mymichigan health board of directors and this organization's board of directors, if any are identified.”
“The organization requires each director, officer, key employee and member of a committee of the board annually: 1) to review the organization's conflict of interest policy (the "policy"); 2) to disclose any possible personal, familial, or business relationship that reasonably could give rise to a conflict of interest or the appearance of a conflcit of interest; and 3) to acknowledge by his or her signature that he or she is acting in accordance with the letter and spirit of the policy. The completed forms are reviewed by the mymichigan health secretary and filed for reference as needed. A listing of any conflicts are provided to the board chair, vice chair, and president of the organization. Voting board members with conflicts on specific issues may be asked to leave the meeting during discussions and at a minimum are required to abstain from voting on any issues in which they are not independent.”
“All ceos and operating officers compensation is annually reviewed by an independent compensation consultant for reasonableness and approved by the compensation committee of mymichigan health. The compensation is then reviewed by the organization's board of directors (or subcommittee thereof). All officers and key employee compensation (including physicians) is reviewed annually by the compensation committee of mymichigan health for adherence to corporate policies. For detailed information on compensation, please see schedule j.”
“All documents are available upon request.”
“Purchased/contract services: program service expenses 10,491,515. Management and general expenses 1,800,642. Fundraising expenses 0. Total expenses 12,292,157. Association dues/other fees: program service expenses 8,782,259. Management and general expenses 3,429,594. Fundraising expenses 0. Total expenses 12,211,853. Other: program service expenses 0. Management and general expenses 54,547. Fundraising expenses 0. Total expenses 54,547.”
“Transfer of net assets to related 501(c)(3)-mymichigan health foundation -388,885. Transfer of net assets from related 501(c)(3)-mymichigan health foundation 33,504.”
“The audit process has not changed in the current year.”
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 | 15941316 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 12999082 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 15161945 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 14035704 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 41582 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1171 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 42753 |
| IRS990/AllOtherContributionsAmt | 0 | 329963 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JUDI GRAVES |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9898379039 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4000 WELLNESS DR |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MIDLAND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48670 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 1 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 1 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 5676 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 5600 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 47 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 902197 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 2636858 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3539055 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 4310 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 296019 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 300329 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3000372 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1271788 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1157772 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1114583 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 783883 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 226 EAST SIXTEENTH STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 25983 NETWORK PLACE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 601 OSBORN BOULEVARD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 5012 WEST 5 MILE ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 420 WEST MAGNETIC STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | TRAVERSE CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | SAULT STE MARIE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SAULT STE MARIE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | MARQUETTE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 49684 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 60673 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 49783 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 49783 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 49855 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | AMERICAN HEALTHCARE STAFFING |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | VIRTUAL RADIOLOGIC PROFESSIONALS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | RIVERSIDE MEDICAL ASSOCIATES PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MARQUETTE GENERAL HEALTH SYSTEMS |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | WOOLEVER SHANE DO PC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PROFESSIONAL FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PROFESSIONAL FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PROFESSIONAL FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PROFESSIONAL FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PROFESSIONAL SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 329963 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1051866 |
| IRS990/CYOtherExpensesAmt | 0 | 74093319 |
| IRS990/CYOtherRevenueAmt | 0 | 2046507 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 133905432 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -8615306 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 71855755 |
| IRS990/CYTotalExpensesAmt | 0 | 145949074 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 10713 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 137333768 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1053402 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 4679630 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 5733032 |
| IRS990/Desc | 0 | MYMICHIGAN MEDICAL CENTER SAULT PROVIDES INPATIENT AND OUTPATIENT SERVICES TO THE CITY OF SAULT STE MARIE AND ITS SURROUNDING COUNTIES. 2,131 TOTAL INPATIENT ADMISSIONS INCLUDING 1,737 ACUTE CARE, 271 NEWBORNS, AND 394 PSYCHIATRIC WERE PROVIDED. 16,806 VISITS IN OUR EMERGENCY ROOM, 4,728 OUTPATIENT SURGERY CASES AND 141,629 OTHER OUTPATIENT VISITS WERE ALSO PROVIDED. CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 443432 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 1090 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 131308871 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 44250 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 44250 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 42875 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 42875 |
| IRS990/FeesForServicesLobbyingGrp/FundraisingAmt | 0 | 9433 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 9433 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 5284783 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 19273774 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 24558557 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 2066 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 2066 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| 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/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 331661 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 141452 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 34138 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 30203 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 65670 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 21083 |
| 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 | 16939 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 30633 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 34138 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 34608 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 30437 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 34138 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 2689 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | WATSON PINNEY MD LYDIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROSE MICHAEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | AMO MD SARAH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RAYCRAFT MD KYLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KALCHIK KEVIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | CHANDER MD VISHNU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ADAIR MD JAMIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ANDERSON MAXINE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | COATES THOMAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DUMAN MD RALPH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | GOETZ AMY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JORGENSON JOHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KIBBLE HOLLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MACMASTER GARTH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | PALMER CHARLES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | SAVOIE MARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | SCOTT-KRONEMEYER AMY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | BUNKER MARLA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | TURFE MD ZAAHIR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | RECHNER MD PAULA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | COTANT MD MICHAEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | SARDAR MD MUHAMMAD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | PAPLAWSKI MD MICHAEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JAHN DAVID |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 490561 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 456408 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 370118 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 371417 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 761990 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 6840 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 7870 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 3825 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 6705 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 2475 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 5625 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 6795 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 6705 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 6705 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 502556 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 729500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 718838 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 667736 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 597122 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 547460 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 256143 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1681217 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 704385 |
| 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 | 1200 |
| 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/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP NURSING (PART YEAR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | FORMER PRESIDENT |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1985 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -43287 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -436474 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 80547 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 5618986 |
| IRS990/GrossReceiptsAmt | 0 | 143513062 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 113027 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 6 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 89 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 208368 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 248511 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 456879 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 410940 |
| IRS990/InterestGrp/TotalAmt | 0 | 410940 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1203506 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 571282 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1531627 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1531627 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 15463053 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 14042651 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 256681 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 256681 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 18425349 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 18509264 |
| IRS990/IRPDocumentCnt | 0 | 111 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 15021389 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 28747481 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 49277384 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 64298773 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 123834 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 6055460 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 238365 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 246296 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 7931 |
| IRS990/MissionDesc | 0 | CREATING HEALTHY COMMUNITIES - TOGETHER |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 9469331 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 8766101 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 74025231 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 69222741 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -479761 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -479761 |
| IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 113027 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 113027 |
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