Liabilities / Assets
30th percentile
Higher debt load relative to assets than 30% of similar nonprofits.
EIN 38-2679075 • 501(c)3 • Battle Creek, MI
Profile
To provide patient-centered healthcare with excellence in quality, service and access.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
30th percentile
Higher debt load relative to assets than 30% of similar nonprofits.
Liabilities / Revenue
16th percentile
Higher debt load relative to revenue than 16% of similar nonprofits.
Net Margin
44th percentile
Higher net margin than 44% of similar nonprofits.
Top Officer Pay
58th percentile
Higher top officer pay than 58% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
37th percentile
Faster asset growth than 37% of similar nonprofits.
Revenue Growth
61st percentile
Faster revenue growth than 61% of similar nonprofits.
Assets
Up$48,909,386
Up $1,299,641 (+2.7%) from 2023
Liabilities
Down$3,855,645
Down $564,714 (-13%) from 2023
Net Assets
Up$45,053,741
Up $1,864,355 (+4.3%) from 2023
Revenue
Up$57,076,900
Up $6,761,498 (+13%) from 2023
Expenses
Up$55,498,901
Up $8,017,064 (+17%) from 2023
Net Income
Down$1,577,999
Down $1,255,566 (-44%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Primary health care in adult family practice, pediatrics, dental, obstetrics/gynecology, internal medicine, otolaryngology, and complimentary and alternative medicine.
To provide patient-centered healthcare with excellence in quality, service and access.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $17,481,791 | $17,824,481 | ▲ $342,690 |
| Cash and Non-Interest-Bearing Accounts | $14,955,139 | $13,066,579 | ▼ $1,888,560 |
| Investments in Publicly Traded Securities | $9,054,357 | $9,886,961 | ▲ $832,604 |
| Accounts Receivable | $4,451,601 | $4,262,230 | ▼ $189,371 |
| Inventories for Sale or Use | $984,660 | $1,063,370 | ▲ $78,710 |
| Prepaid Expenses and Deferred Charges | $363,081 | $431,427 | ▲ $68,346 |
| Pledges and Grants Receivable | $150,000 | $350,000 | ▲ $200,000 |
| Total Assets | $47,609,745 | $48,909,386 | ▲ $1,299,641 |
| Other Assets Total | $169,116 | $2,024,338 | ▲ $1,855,222 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,593,724 | $3,018,361 | ▼ $575,363 |
| Other Liabilities | $826,635 | $837,284 | ▲ $10,649 |
| Total Liabilities | $4,420,359 | $3,855,645 | ▼ $564,714 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $42,994,259 | $44,998,446 | ▲ $2,004,187 |
| Net Assets With Donor Restrictions | $195,127 | $55,295 | ▼ $139,832 |
| Total Net Assets Fund Balance | $43,189,386 | $45,053,741 | ▲ $1,864,355 |
| Total Liabilities and Net Assets / Fund Balance | $47,609,745 | $48,909,386 | ▲ $1,299,641 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $15,786,468 | $10,982,804 | $26,769,272 |
| Equipment | $4,081,941 | $172,603 | $4,254,544 |
| Other Land Buildings | $602,129 | $157,814 | $759,943 |
| Land | $506,185 | - | $506,185 |
| Leasehold Improvements | $-3,152,242 | $3,371,897 | $219,655 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $169,116 | $21,000 | ▲ $22,158 | - | $210,879 |
| 2023 | $124,660 | $12,261 | ▲ $33,086 | - | $169,116 |
| 2022 | $134,601 | $16,615 | ▼ $26,088 | - | $124,660 |
| 2021 | $115,211 | $15,231 | ▲ $4,948 | - | $134,601 |
| 2020 | $86,392 | $16,500 | ▲ $12,772 | - | $115,211 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Peter Chang | President/CEO | FT | $372,739 | $39,701 | $412,440 |
| Bendan Collins | Physician | PT | $263,570 | $25,558 | $289,128 |
| Barbara Schaffhauser | Physician | FT | $228,512 | $18,864 | $247,376 |
| Nital Murthi | Physician | FT | $217,106 | $18,539 | $235,645 |
| Brian Hutchings | Vice President/CFO | FT | $195,798 | $34,526 | $230,324 |
| Sonja Elder | Vice President/CIO | FT | $202,308 | $19,954 | $222,262 |
| Elizabeth Mettler | Physician | PT | $192,080 | $29,650 | $221,730 |
| Jill Wise | Vice President/COO | FT | $183,901 | $34,204 | $218,105 |
| Nicole Salerno-fetterhoff | Physician | FT | $194,448 | $10,862 | $205,310 |
| Betty Rumschlag | Vice President/CMO | FT | $148,325 | $13,247 | $161,572 |
| Name | Title |
|---|---|
| Dean Newsome | Board Chair |
| Timothy Kool | Vice Chair |
| Bridgette Jones | Director |
| Katherine Segal | Director |
| Latosha Potter | Director |
| Shannon Bagley | Director |
| Tha Par | Director |
| Yanira Flores | Director |
| James Reed | Secretary |
| Ann Gallagher | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Schweitzer INC | Construction Management/contracting | PO BOX 1340, Battle Creek, MI 49016 | $1,791,233 |
| Nextgen - Rcm | Revenue Cycle/billing | PO BOX 809390, Chicago, IL 60680 | $754,387 |
| Csm Group INC | Construction Management/contracting | 600 EAST MICHIGAN AVENUE SUITE A, Kalamazoo, MI 49007 | $647,617 |
| Wmu School Of Medicine | Physicians | PO BOX 50391, Kalamazoo, MI 49005 | $573,685 |
| Wickert Dental Laboratory | Lab | 84 SOUTH WOODROW AVE, Battle Creek, MI 49015 | $243,120 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $32,142,413 |
| Other Expenses | $23,356,488 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $19,774,499 | $4,566,162 | - | $24,340,661 |
| Other Employee Benefits | $3,130,909 | $981,802 | - | $4,112,711 |
| Fees for Services Other | $2,287,972 | $1,066,115 | - | $3,354,087 |
| Information Technology | $379,486 | $1,594,816 | - | $1,974,302 |
| Payroll Taxes | $1,465,443 | $386,409 | - | $1,851,852 |
| Depreciation Depletion | $714,090 | $451,551 | - | $1,165,641 |
| Current Officers, Directors, Trustees, and Key Employees | - | $954,746 | - | $954,746 |
| Pension Plan Contributions | $734,038 | $148,405 | - | $882,443 |
| Office Expenses | $188,011 | $404,151 | - | $592,162 |
| Occupancy | $400,668 | $90,213 | - | $490,881 |
| Travel | $226,320 | $170,625 | - | $396,945 |
| Advertising | $18,838 | $184,593 | - | $203,431 |
| Insurance | $106,393 | $9,056 | - | $115,449 |
| Fees for Services Accounting | $6,000 | $63,529 | - | $69,529 |
| Other Expenses | $215 | $28,109 | - | $28,324 |
| Fees for Services Legal | $163 | $15,719 | - | $15,882 |
| Total Functional Expenses | $43,953,053 | $11,545,848 | $0 | $55,498,901 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $55,498,901 |
| Total Expenses per Audited Statements | $55,498,901 |
| Total Expenses per Form 990 | $55,498,901 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Third Party Cost Settlements Payable | $766,175 |
| Refundable Advance | $71,109 |
“The form 990 is reviewed by senior leadership, which includes the chief financial officer. The 990 is made available upon request to the board of directors.”
“Enforcement of conflicts policy: the board annually completes and signs a conflict of interest sheet which is reviewed by executive management and filed in adminstration. When exceptions are identified they are discussed.”
“Compensation process for top official: the compensation of the ceo is determined by the board of directors. The board chair compares the compensation to salary ranges set by national industry associations for validation. The board chair notifies the ceo and cfo of the board approved amount. Compensation process for officers: the president/ceo determines compensation for executive management using the national industry associations as a guideline.”
“Governing documents disclosure explanation: the governing documents, conflict of interest policy, and financial statements are available upon request”
“The organization is exempt from income taxes under section 501(c)(3) of the internal revenue code (irc). In addition, the organization has been determined by the internal revenue service not to be a "private foundation" within the meaning of section 509(a) of the internal revenue code. The organization files information returns in the u.s. Federal and michigan jurisdiction. The organization was not required to record a liability for unrecognized tax benefits.”
“The endowment was established by the organization and is currently unrestricted.”
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 | 3593724 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3018361 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 4451601 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 4262230 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE PATIENT-CENTERED HEALTHCARE WITH EXCELLENCE IN QUALITY, SERVICE AND ACCESS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 184593 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 18838 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 203431 |
| IRS990/AllOtherContributionsAmt | 0 | 4137557 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | THE ORGANIZATION |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2699662600 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 181 WEST EMMETT STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BATTLE CREEK |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 49037 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 14955139 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 13066579 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 11 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 954746 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 954746 |
| 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 | 1791233 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 754387 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 647617 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 573685 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 243120 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 1340 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 809390 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 600 EAST MICHIGAN AVENUE SUITE A |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 50391 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 84 SOUTH WOODROW AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | BATTLE CREEK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | KALAMAZOO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | KALAMAZOO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BATTLE CREEK |
| 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 | 49016 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 60680 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 49007 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 49005 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 49015 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | SCHWEITZER INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | NEXTGEN - RCM |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CSM GROUP INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | WMU SCHOOL OF MEDICINE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | WICKERT DENTAL LABORATORY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION MANAGEMENT/CONTRACTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | REVENUE CYCLE/BILLING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSTRUCTION MANAGEMENT/CONTRACTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LAB |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 9731184 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1184093 |
| IRS990/CYOtherExpensesAmt | 0 | 23356488 |
| IRS990/CYOtherRevenueAmt | 0 | 113312 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 46048311 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 1577999 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 32142413 |
| IRS990/CYTotalExpensesAmt | 0 | 55498901 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 57076900 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 451551 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 714090 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1165641 |
| IRS990/Desc | 0 | GRACE HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) COMMITTED TO TREATING EACH PATIENT'S HEALTH CARE NEEDS. GRACE HEALTH PROVIDES PATIENT CARE IN A TEAM-BASE SETTING OR "NEIGHBORHOOD" WHICH INCLUDES A VARIETY OF SERVICES SUCH AS; PRIMARY CARE PROVIDER AND PRIMARY HEALTH CARE IN FAMILY PRACTICE MEDICINE, PEDIATRICS, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, BEHAVIORAL HEALTH, OPTOMETRY, PHYSICAL THERAPY, PODIATRY, DENTAL AND PHARMACY SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 195127 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 55295 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 496 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 43953053 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 63529 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 6000 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 69529 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 15719 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 163 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 15882 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1066115 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2287972 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3354087 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 30.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 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/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/OfficerInd | 8 | 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 | 19954 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 34526 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 34204 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 39701 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 13247 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 25558 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 10862 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 18864 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 29650 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 18539 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DEAN NEWSOME |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | TIMOTHY KOOL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ANN GALLAGHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JAMES REED |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | YANIRA FLORES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BRIDGETTE JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | THA PAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | LATOSHA POTTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KATHERINE SEGAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | SHANNON BAGLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | SONJA ELDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | BRIAN HUTCHINGS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JILL WISE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | PETER CHANG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BETTY RUMSCHLAG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | BENDAN COLLINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | NICOLE SALERNO-FETTERHOFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | BARBARA SCHAFFHAUSER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | ELIZABETH METTLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | NITAL MURTHI |
| 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 | 202308 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 195798 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 183901 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 372739 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 148325 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 263570 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 194448 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 228512 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 192080 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 217106 |
| 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/TitleTxt | 0 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VICE PRESIDENT/CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | VICE PRESIDENT/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | VICE PRESIDENT/COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VICE PRESIDENT/CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1986 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 5593627 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 57076900 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 44 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1594816 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 379486 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1974302 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 9056 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 106393 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 115449 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 984660 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1063370 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1184093 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1184093 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 9054357 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 9886961 |
| IRS990/IRPDocumentCnt | 0 | 26 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 14685118 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 17481791 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 17824481 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 32509599 |
| 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 PATIENT-CENTERED HEALTHCARE WITH EXCELLENCE IN QUALITY, SERVICE AND ACCESS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 43189386 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 45053741 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 286356 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 42994259 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 44998446 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 90213 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 400668 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 490881 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 404151 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 188011 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 592162 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 169116 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2024338 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 981802 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3130909 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4112711 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | MISCELLANEOUS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 67841 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 362006 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 28109 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 14404507 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 115501 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 215 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 14472348 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 477507 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 28324 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 826635 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 837284 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER INCOME |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 113312 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 113312 |
| IRS990/OtherRevenueTotalAmt | 0 | 113312 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 4566162 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 19774499 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 24340661 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 386409 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1465443 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1851852 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 148405 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 734038 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 882443 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 150000 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 350000 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 363081 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 431427 |
| IRS990/PrincipalOfficerNm | 0 | PETER CHANG |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | PHARMACY REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 24754438 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 21293873 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 24754438 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 21293873 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 9133532 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 83218 |
| IRS990/PYOtherExpensesAmt | 0 | 19066158 |
| IRS990/PYOtherRevenueAmt | 0 | 214671 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 40883981 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 2833565 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 28415679 |
| IRS990/PYTotalExpensesAmt | 0 | 47481837 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 50315402 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 1577999 |
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