Liabilities / Assets
85th percentile
Higher debt load relative to assets than 85% of similar nonprofits.
EIN 38-2748035 • 501(c)3 • Stevensville, MI
Profile
To enhance health and serve our community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
85th percentile
Higher debt load relative to assets than 85% of similar nonprofits.
Liabilities / Revenue
76th percentile
Higher debt load relative to revenue than 76% of similar nonprofits.
Net Margin
42nd percentile
Higher net margin than 42% of similar nonprofits.
Top Officer Pay
99th percentile
Higher top officer pay than 99% of similar nonprofits.
Top officer pay equals 26.8% of source-year revenue.
Asset Growth
40th percentile
Faster asset growth than 40% of similar nonprofits.
Revenue Growth
53rd percentile
Faster revenue growth than 53% of similar nonprofits.
Assets
Up$11,912,704
Up $191,353 (+1.6%) from 2018
Liabilities
Down$8,573,962
Down $2,107 (-0.0%) from 2018
Net Assets
Up$3,338,742
Up $193,460 (+6.2%) from 2018
Revenue
Up$11,914,093
Up $930,148 (+8.5%) from 2018
Expenses
Up$11,720,633
Up $168,812 (+1.5%) from 2018
Net Income
Up$193,460
Up $761,336 (+134%) from 2018
Most recent year
2019 • Form 990Summary only. Only limited summary data is available for this year.
To enhance health and serve our community.
To improve health, inspire hope and save lives.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $8,993,233 | $8,639,645 | ▼ $353,588 |
| Accounts Receivable | $1,200,546 | $2,181,580 | ▲ $981,034 |
| Cash and Non-Interest-Bearing Accounts | $1,482,291 | $735,964 | ▼ $746,327 |
| Prepaid Expenses and Deferred Charges | $19,329 | $15,046 | ▼ $4,283 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $11,721,351 | $11,912,704 | ▲ $191,353 |
| Other Assets Total | $25,952 | $340,469 | ▲ $314,517 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $7,266,445 | $6,966,583 | ▼ $299,862 |
| Accounts Payable and Accrued Expenses | $857,954 | $971,978 | ▲ $114,024 |
| Other Liabilities | $451,670 | $635,401 | ▲ $183,731 |
| Total Liabilities | $8,576,069 | $8,573,962 | ▼ $2,107 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $3,145,282 | $3,338,742 | ▲ $193,460 |
| Total Net Assets Fund Balance | $3,145,282 | $3,338,742 | ▲ $193,460 |
| Total Liabilities and Net Assets / Fund Balance | $11,721,351 | $11,912,704 | ▲ $191,353 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $7,154,242 | $1,204,075 | $8,358,317 |
| Equipment | $874,512 | $999,693 | $1,874,205 |
| Land | $610,891 | - | $610,891 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| - | Chief Nursing Officer Post Acute Care | FT | $110,994 | $19,918 | $130,912 |
| - | Administrator Pine Ridge | FT | $108,389 | $5,444 | $113,833 |
| Name | Title |
|---|---|
| - | Chair |
| - | President & CEO |
| - | Former Treasurer |
| - | Secretary |
| - | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Rehabcare Group | Therapy Services | 7733 FORSYTH BLVD SUITE 1700, St Louis, MO 63105 | $878,517 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $7,567,357 |
| Other Expenses | $4,153,276 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $5,109,163 | $901,617 | - | $6,010,780 |
| Fees for Services Other | $938,358 | $165,592 | $0 | $1,103,950 |
| Other Employee Benefits | $800,307 | $141,231 | - | $941,538 |
| Payroll Taxes | $367,728 | $64,893 | - | $432,621 |
| Depreciation Depletion | $303,515 | $53,561 | - | $357,076 |
| Interest | $197,855 | $34,916 | - | $232,771 |
| Pension Plan Contributions | $155,055 | $27,363 | - | $182,418 |
| All Other Expenses | $146,730 | $25,894 | $0 | $172,624 |
| Occupancy | $118,902 | $20,983 | - | $139,885 |
| Other Expenses | $94,458 | $16,669 | - | $111,127 |
| Insurance | $30,518 | $5,385 | - | $35,903 |
| Office Expenses | $8,131 | $1,435 | - | $9,566 |
| Fees for Services Accounting | - | $3,900 | - | $3,900 |
| Advertising | $1,318 | $232 | - | $1,550 |
| Travel | $762 | $134 | - | $896 |
| Fees for Services Legal | - | $325 | - | $325 |
| Total Functional Expenses | $10,102,534 | $1,618,099 | $0 | $11,720,633 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $11,720,633 |
| Expenses per Audited Statements | $11,568,411 |
| Total Expenses per Audited Statements | $11,568,411 |
| Expenses Not Reported on Financial Statements | $152,222 |
| Other Expense Adjustments | $152,222 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Due to Related Parties | $635,401 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Hospital Authority of the City of St Joseph (mi) | 2012-09-06 | $8,500,000 | New facility construction |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $8,500,000 | - | $1,445,000 | $105,875 |
“The ceo and senior management are paid by a related organization. The related organization uses the following process to determine compensation. An independent firm is hired by the board to determine compensation packages for the ceo and senior management on an annual basis. The firm presents comparative pay ranges and compensation recommendations to the governance (compensation) committee for their approval. For senior management, the ceo can provide input and recommendations to the governance committee. For the ceo's compensation, the governance committee presents the compensation package to the full board for approval. Written contracts for the ceo are approved by the full board of directors. The governance committee used the 2017 compensation survey data to determine 2018 compensation packages and increased it by 2% to determine the 2019 compensation packages.”
“A copy of the Form 990 is provided to the Board of Directors prior to filing. The review process for this Form 990 is as follows: 1. Preparation of the return is supervised and reviewed by the Organization's Corporate Tax Manager. 2. A second review is performed by an external CPA firm with expertise in tax-exempt return preparation. 3. The returns are posted to the board portal for review prior to filing (the board portal is available to all board members). 4. The Organization's Vice President, Finance reviews comments or questions received by members of the Board of Directors, if any, to address or to incorporate, as appropriate, into the return prior to filing.”
“The corporate compliance department, in accordance with the conflict of interest policy, annually distributes the conflict of interest disclosure survey to all corporate and subsidiary organization board members, executives and other leadership employees. The corporate compliance department, through the governance committee, compiles and analyzes survey data by organization, investigates, and reviews potential conflicts with the organization's ceo and board chair, and when necessary, recommends actions to be taken to resolve identified conflicts. A complete report of all corporate and subsidiary board member and executive disclosures, conflicts identified and actions taken is reviewed by the governance committee and each subsidiary ceo and board chair receives a report specific to their organization's board members and executives. Board members failing to complete a disclosure survey or intentionally failing to report a known conflict of interest are asked to resign.”
“The governing documents and the conflict of interest policy are available upon request.”
“There has been no change in the audit oversight process from the prior year.”
“Mercy memorial health services (ein 38-2748035) acts as a custodian of resident trust bank accounts. These bank accounts are used for the resident's spending during their stay for items such as room & board and barber & beauty services. The funds in the bank accounts come from the social security administration or other personal sources.”
“Provision for bad debts - -152222”
“Provision for bad debts - 152222”
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 | 857954 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 971978 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1200546 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2181580 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 232 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1318 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1550 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 25894 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 146730 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 172624 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Frank Samuel |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2694282416 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1234 Napier Avenue |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | St Joseph |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 49085 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1482291 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 735964 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 878517 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 7733 FORSYTH BLVD SUITE 1700 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | ST LOUIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 63105 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | REHABCARE GROUP |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | THERAPY SERVICES |
| IRS990/CreditCounselingInd | 0 | true |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 59 |
| IRS990/CYOtherExpensesAmt | 0 | 4153276 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 11914034 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 193460 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 7567357 |
| IRS990/CYTotalExpensesAmt | 0 | 11720633 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 11914093 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 53561 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 303515 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 357076 |
| IRS990/Desc | 0 | REHABILITATION & NURSING HOME OPERATIONS WERE PROVIDED TO 104 PATIENTS DURING FISCAL YEAR 2019. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | Pine Ridge A Rehabilitation & Nursing Center |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 178 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 10102534 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 3900 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 3900 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 325 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 325 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 165592 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 938358 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1103950 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 48.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 49.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 46.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 44.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 0 | MELINDA GRUBER |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 1 | MARY ANN PATER |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 2 | TIMOTHY CALHOUN |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 3 | LOREN HAMEL MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 4 | DEBBIE LULL |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 5 | PATRICK MCQUONE |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 6 | KENDALL TROYER |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | 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 | 22871 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 20420 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 24142 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 25007 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 19198 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 5444 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 27568 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 111714 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 108389 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 190618 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 275160 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 442328 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 3169131 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 41810 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 227808 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHIEF NURSING OFFICER POST ACUTE CARE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | ADMINISTRATOR PINE RIDGE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | FORMER TREASURER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1987 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 11914093 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 5385 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 30518 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 35903 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 34916 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 197855 |
| IRS990/InterestGrp/TotalAmt | 0 | 232771 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 59 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 59 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 11 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2203768 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8993233 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 8639645 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 10843413 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 3145282 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 3338742 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 20983 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 118902 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 139885 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1435 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 8131 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 9566 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 25952 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 340469 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 141231 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 800307 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 941538 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES AND DRUGS |
| IRS990/OtherExpensesGrp/Desc | 1 | QAAP ASSESSMENTS |
| IRS990/OtherExpensesGrp/Desc | 2 | PROVISION FOR BAD DEBTS |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 153969 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 16669 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 872491 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 805021 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 152222 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 94458 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1026460 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 805021 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 152222 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 111127 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 451670 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 635401 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 901617 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5109163 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6010780 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 64893 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 367728 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 432621 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 27363 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 155055 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 182418 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 19329 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 15046 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | MELINDA GRUBER |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER OPERATING REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 11908556 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 5478 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 11908556 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 5478 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 2 |
| IRS990/PYOtherExpensesAmt | 0 | 4610347 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 10983943 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -567876 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 6941474 |
| IRS990/PYTotalExpensesAmt | 0 | 11551821 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 10983945 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 193460 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 11914034 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/DistributableAmountGrp/CYAdjNetIncomeDistributableAmt | 0 | 0 |
| IRS990ScheduleA/DistributableAmountGrp/CYDistributableAsAdjustedAmt | 0 | 0 |
| IRS990ScheduleA/DistributableAmountGrp/CYGreaterAdjustedMinimumAmt | 0 | 0 |
| IRS990ScheduleA/DistributableAmountGrp/CYIncomeTaxImposedPYAmt | 0 | 0 |
| IRS990ScheduleA/DistributableAmountGrp/CYPct85AdjustedNetIncomeAmt | 0 | 0 |
| IRS990ScheduleA/DistributableAmountGrp/CYTotalMinAstDistributableAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 59 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 2 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 61 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 11914034 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 10983943 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 9979236 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 10871177 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 10262005 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 54010395 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 59 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 2 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 61 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.0000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.0 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome170Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Post1975UBTIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0 |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 1.0000 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 1.0 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 0 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 54010395 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsTotAmt | 0 | 0 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 11914034 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 10983943 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 9979236 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 10871177 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 10262005 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 54010395 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 0 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 11914093 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 10983945 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 9979236 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 10871177 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 10262005 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 54010456 |
| IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt | 0 | 0 |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleD/AdditionsDuringYearAmt | 0 | 31371 |
| IRS990ScheduleD/AgentTrusteeEtcInd | 0 | true |
| IRS990ScheduleD/BeginningBalanceAmt | 0 | 13380 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 7154242 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 1204075 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 8358317 |
| IRS990ScheduleD/DistributionsDuringYearAmt | 0 | 15879 |
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