Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
EIN 83-2236308 • 501(c)3 • East Lansing, MI
Profile
We deliver a personalized experience; we provide a safe environment; we train the next generation of clinicians; we ensure equitable access; we offer the highest quality care
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
Liabilities / Revenue
33rd percentile
Higher debt load relative to revenue than 33% of similar nonprofits.
Net Margin
20th percentile
Higher net margin than 20% of similar nonprofits.
Top Officer Pay
75th percentile
Higher top officer pay than 75% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
15th percentile
Faster asset growth than 15% of similar nonprofits.
Revenue Growth
69th percentile
Faster revenue growth than 69% of similar nonprofits.
Assets
Down$42,495,868
Down $1,323,516 (-3.0%) from 2023
Liabilities
Up$26,979,839
Up $4,760,334 (+21%) from 2023
Net Assets
Down$15,516,029
Down $6,083,850 (-28%) from 2023
Revenue
Up$120,402,304
Up $17,167,398 (+17%) from 2023
Expenses
Up$126,486,154
Up $20,030,805 (+19%) from 2023
Net Income
Down-$6,083,850
Down $2,863,407 (-89%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To improve the health of all the communities we serve.
Mission is to deliver a personalized experience; provide a safe environment; train the next generation of clinicians; ensure equitable access; and offer the highest quality care.msu health care as the clinical enterprise of michigan state university's human health colleges' focus is to provide healing and caring, form joint ventures and partnerships and leverage our expansive clinical research and expert educational strengths for our patients.we remain dedicated to the land-grant mission and values of msu, a member of the association of american universities and a top 100 research institution.msu health care was formed to: - focus on healing and caring - form joint ventures and partnerships - leverage our clinical, research and education strengthsduring fye 2024, msu health care provided over 400,000 encounters to patients in the state of michigan.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $11,798,894 | $12,660,959 | ▲ $862,065 |
| Investments Program Related | $12,206,747 | $11,422,630 | ▼ $784,117 |
| Savings and Temporary Cash Investments | $7,975,306 | $8,258,871 | ▲ $283,565 |
| Land, Buildings, and Equipment, Net | $8,461,277 | $7,567,191 | ▼ $894,086 |
| Inventories for Sale or Use | $803,678 | $624,072 | ▼ $179,606 |
| Cash and Non-Interest-Bearing Accounts | $524,164 | $520,451 | ▼ $3,713 |
| Prepaid Expenses and Deferred Charges | $534,376 | $242,338 | ▼ $292,038 |
| Total Assets | $43,819,384 | $42,495,868 | ▼ $1,323,516 |
| Other Assets Total | $1,514,942 | $1,199,356 | ▼ $315,586 |
| Liabilities | |||
| Other Liabilities | $20,163,074 | $24,492,426 | ▲ $4,329,352 |
| Accounts Payable and Accrued Expenses | $2,054,431 | $2,482,413 | ▲ $427,982 |
| Deferred Revenue | $2,000 | $5,000 | ▲ $3,000 |
| Total Liabilities | $22,219,505 | $26,979,839 | ▲ $4,760,334 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $21,599,879 | $15,516,029 | ▼ $6,083,850 |
| Total Net Assets Fund Balance | $21,599,879 | $15,516,029 | ▼ $6,083,850 |
| Total Liabilities and Net Assets / Fund Balance | $43,819,384 | $42,495,868 | ▼ $1,323,516 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $6,405,347 | $8,153,414 | $14,558,761 |
| Equipment | $707,013 | $1,345,888 | $2,052,901 |
| Leasehold Improvements | $454,831 | $244,353 | $699,184 |
| Investment Program Related Org | $11,422,630 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Weiner | Director | FT | $52,077 | $362,304 | $414,381 |
| Seth Ciabotti | Chief Executive Officer | FT | $345,990 | $50,913 | $396,903 |
| Nathan Ter Beek | CFO Msu Hci | FT | $235,288 | $44,794 | $280,082 |
| Kristine Allen | Chief Nursing Officer | FT | $230,532 | $41,028 | $271,560 |
| Colleen Hoffman | Radiology Administrator | FT | $163,049 | $44,451 | $207,500 |
| Sandra Campbell | Chief Pharmacist | FT | $164,147 | $37,471 | $201,618 |
| Roger Jansen | Chief Strategy Officer | PT | $145,901 | $24,618 | $170,519 |
| Karen Ross | Director of Finance | FT | $135,330 | $30,751 | $166,081 |
| Holly Peterson | Asst Radiology Administrator | FT | $132,687 | $32,605 | $165,292 |
| Christie Daiss | Pharmacist | FT | $130,416 | $22,205 | $152,621 |
| Name | Title |
|---|---|
| Norman Beauchamp | Chair |
| Andrea Amalfitano | Vice Chair - Part Year |
| Aron Sousa | Vice-chair |
| Ann Sheehan | Director |
| Jed Magen | Director |
| Joyce Dejong | Director |
| Lisa Frace | Director |
| Leigh Small | Secretary |
| Joel Greenberg | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Athena Health INC | Ehr & Pract Mgmt Software | 311 ARSENAL ST, Watertown, MA 02472 | $2,146,814 |
| George F Eyde Family LLC | Rental Property | 300 S WASHINGTON SQUARE SUITE 400, Lansing, MI 48933 | $1,029,578 |
| Edward W Sparrow Hospital Association | Leased Staff And Property | 1215 E MICHIGAN AVE, Lansing, MI 48912 | $898,444 |
| Sequence Health LLC | Answering Service | 10 INVERNESS CENTER PARKWAY STE 60, Birmingham, AL 35242 | $668,911 |
| Ge Precision Healthcare LLC | Equipment Maintenance Service | 3000 GRANDVIEW, Waukesha, WI 53188 | $648,655 |
| Line Item | Amount |
|---|---|
| Other Expenses | $93,789,944 |
| Salaries, Compensation, and Employee Benefits | $32,685,971 |
| Grants and Similar Amounts Paid | $10,239 |
| Total Fundraising Expense | $8,697 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Payments to Affiliates | $50,578,903 | - | - | $50,578,903 |
| Other Salaries and Wages | $24,761,947 | $6,446,817 | - | $31,208,764 |
| Information Technology | $2,500,134 | $3,272,927 | - | $5,773,061 |
| Fees for Services Other | $2,086,626 | $1,301,638 | $8,697 | $3,396,961 |
| Depreciation Depletion | $2,811,737 | $383,661 | - | $3,195,398 |
| Insurance | $1,714,748 | - | - | $1,714,748 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,373,723 | - | $1,373,723 |
| Other Expenses | $1,345,484 | $439,550 | - | $1,345,484 |
| Advertising | $12,622 | $823,887 | - | $836,509 |
| Office Expenses | $380,589 | $292,001 | - | $672,590 |
| Interest | $616,280 | - | - | $616,280 |
| Occupancy | $333,154 | $56,557 | - | $389,711 |
| Fees for Services Legal | - | $323,003 | - | $323,003 |
| Fees for Services Accounting | - | $132,619 | - | $132,619 |
| Other Employee Benefits | $24,380 | $79,104 | - | $103,484 |
| Travel | $20,556 | $53,240 | - | $73,796 |
| Conferences and Meetings | $12,396 | $32,613 | - | $45,009 |
| Grants to Domestic Orgs | $10,239 | - | - | $10,239 |
| Total Functional Expenses | $111,466,117 | $15,011,340 | $8,697 | $126,486,154 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $126,486,154 |
| Expenses per Audited Statements | $125,089,735 |
| Total Expenses per Audited Statements | $125,089,735 |
| Expenses Not Reported on Financial Statements | $1,396,419 |
| Other Expense Adjustments | $1,396,419 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Related Party | $18,404,904 |
| Right to Use Lease Obligations | $5,167,582 |
| Subscription Liabilities | $896,427 |
| Accrued Interest | $23,513 |
“The board of trustees of michigan state university is the sole member of msu health care, inc.”
“The corporate member shall have such rights and powers as are provided in the articles, the bylaws, and the laws of the state of michigan, including the following powers: (a) to amend the articles and/or the bylaws; (b) the appoint or remove, with or without case, any director of the corporation, as described herein; (c) to vote on all matters in which the vote of members with voting rights is required under the articles, the bylaws, or the laws of the state of michigan; (d) to approve the corporation's merger, dissolution, consolidated, or reorganization; (e) to approve the acquisition, sale, lease, transfer, or other alienation of the majority of the corporation's assets, other than in the usual and regular course of the corporation's business; (f) to approve the indebtedness of the corporation in excess of 20% of the annual budget of the corporation; (g) to approve the disposition of the corporation's assets as the time of the corporation's dissolution, subject to the articles (h) to approve the corporation entering into any joint ventures or creating any subsidiary organizations with a capital commitment greater than $10 million dollars; and (j) to approve changes in the corporation's mission or philosophy powers that are not reserved to the corporate member or otherwise delegated by the board of directors shall be exercised by the corporation's board of directors, subject to the limitations contained in the articles, the bylaws, and applicable law. Among such powers, the board of directors shall have authority to discuss, vote upon, and present any of the above matter to the corporate member for its approval.”
“SEE LINE 7A EXPLANATION”
“The form 990 is prepared by the organization's independent accountant, reviewed and approved by the audit committee and cfo, and provided to the board prior to being filed.”
“Each director and principal officer shall annually sign a statement which affirms that such person has received a copy of the policy, has read and understands the policy, has agreed to comply with the policy, and understands the corporation is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors considering the proposed transaction or arrangement. The interested person shall then leave the board of directors meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board members shall decide if a conflict of interest exists. If a conflict of interest exists, the chairperson shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement to determine whether the corporation can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the board shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in the corporation's best interest, for its own benefit, and whether it is fair and reasonable, and it shall make its decision as to whether to enter into the transaction or arrangement. Failure to disclose actual or possible conflicts of interest shall result in appropriate disciplinary and corrective action.”
“The ceo's employment and compensation plan were approved by the board of trustees of michigan state university, a related organization. Any raises given (outside of the annual university-wide increase) are based upon an external survey of compensation. Similar survey data is used for msu health care inc. Board of directors who are also msu deans and department chairs. Compensation for key employees is based on annual evaluations and union contracts. All raises are approved by the ceo. Any raises over 10% are required to be approved by the executive vice president of health sciences for michigan state university.”
“Governing documents, conflict of interest policy, and financial statements are available to the public upon request.”
“The board does not have any independent directors because they are all compensated by a related organization, but ultimately the organization is controlled by the sole member, another 501(c)(3), which does have an independent board.”
“The process has not changed since the prior year.”
“Bad debt expense 1,396,419.”
“Bad debt expense 1,396,419.”
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 | 2054431 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2482413 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 11798894 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 12660959 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | MISSION IS TO DELIVER A PERSONALIZED EXPERIENCE; PROVIDE A SAFE ENVIRONMENT; TRAIN THE NEXT GENERATION OF CLINICIANS; ENSURE EQUITABLE ACCESS; AND OFFER THE HIGHEST QUALITY CARE.MSU HEALTH CARE AS THE CLINICAL ENTERPRISE OF MICHIGAN STATE UNIVERSITY'S HUMAN HEALTH COLLEGES' FOCUS IS TO PROVIDE HEALING AND CARING, FORM JOINT VENTURES AND PARTNERSHIPS AND LEVERAGE OUR EXPANSIVE CLINICAL RESEARCH AND EXPERT EDUCATIONAL STRENGTHS FOR OUR PATIENTS.WE REMAIN DEDICATED TO THE LAND-GRANT MISSION AND VALUES OF MSU, A MEMBER OF THE ASSOCIATION OF AMERICAN UNIVERSITIES AND A TOP 100 RESEARCH INSTITUTION.MSU HEALTH CARE WAS FORMED TO: - FOCUS ON HEALING AND CARING - FORM JOINT VENTURES AND PARTNERSHIPS - LEVERAGE OUR CLINICAL, RESEARCH AND EDUCATION STRENGTHSDURING FYE 2024, MSU HEALTH CARE PROVIDED OVER 400,000 ENCOUNTERS TO PATIENTS IN THE STATE OF MICHIGAN. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 823887 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 12622 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 836509 |
| IRS990/AllOtherContributionsAmt | 0 | 4000 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | MACHELLE HOLANDA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5173533025 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 909 WILSON RD 421 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | EAST LANSING |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48824 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 524164 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 520451 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 18 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1373723 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1373723 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 32613 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 12396 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 45009 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2146814 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1029578 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 898444 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 668911 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 648655 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 311 ARSENAL ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 300 S WASHINGTON SQUARE SUITE 400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1215 E MICHIGAN AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 10 INVERNESS CENTER PARKWAY STE 60 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 3000 GRANDVIEW |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | WATERTOWN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | LANSING |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | LANSING |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BIRMINGHAM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | WAUKESHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | AL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 02472 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 48933 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 48912 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 35242 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 53188 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | ATHENA HEALTH INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | GEORGE F EYDE FAMILY LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | EDWARD W SPARROW HOSPITAL ASSOCIATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | SEQUENCE HEALTH LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | GE PRECISION HEALTHCARE LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | EHR & PRACT MGMT SOFTWARE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | RENTAL PROPERTY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | LEASED STAFF AND PROPERTY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ANSWERING SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | EQUIPMENT MAINTENANCE SERVICE |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 10783140 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 10239 |
| IRS990/CYInvestmentIncomeAmt | 0 | 363044 |
| IRS990/CYOtherExpensesAmt | 0 | 93789944 |
| IRS990/CYOtherRevenueAmt | 0 | 9439 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 109246681 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -6083850 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 32685971 |
| IRS990/CYTotalExpensesAmt | 0 | 126486154 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 8697 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 120402304 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2000 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 5000 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 383661 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2811737 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3195398 |
| IRS990/Desc | 0 | MSU HEALTH CARE IS A 501(C)(3) NON-PROFIT CORPORATION CREATED TO BE THE CLINICAL ENTERPRISE OF MICHIGAN STATE UNIVERSITY'S COLLEGE OF HUMAN MEDICINE, COLLEGE OF NURSING AND COLLEGE OF OSTEOPATHIC MEDICINE. OUR FOCUS IS TO PROVIDE HEALING AND CARING, FORM JOINT VENTURES AND PARTNERSHIPS AND LEVERAGE OUR EXPANSIVE CLINICAL RESEARCH AND EXPERT EDUCATIONAL STRENGTHS FOR OUR PATIENTS. WE REMAIN DEDICATED TO THE LAND-GRANT MISSION AND VALUES OF MSU, A MEMBER OF THE ASSOCIATION OF AMERICAN UNIVERSITIES AND A TOP 100 RESEARCH INSTITUTION. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 111466117 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 132619 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 132619 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 323003 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 323003 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 8697 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1301638 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2086626 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3396961 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 59.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 58.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 59.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 58.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 59.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 59.50 |
| 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 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 25.00 |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 50630 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 41133 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 46840 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 50630 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 31362 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 50913 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 45650 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 44805 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 26424 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 44794 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 50913 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 41028 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 36371 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 36047 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 21920 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 32225 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 30371 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 24618 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ANDREA AMALFITANO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JOEL GREENBERG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LEIGH SMALL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | NORMAN BEAUCHAMP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ANN SHEEHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ARON SOUSA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JED MAGEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | LISA FRACE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MICHAEL WEINER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JOYCE DEJONG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | NATHAN TER BEEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SETH CIABOTTI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KRISTINE ALLEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | SANDRA CAMPBELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | COLLEEN HOFFMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CHRISTIE DAISS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | HOLLY PETERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KAREN ROSS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | ROGER JANSEN |
| 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 | 387957 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 235288 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 345990 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 230532 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 165247 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 171453 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 130701 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 133067 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 135710 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 145901 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 571924 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 480565 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 312008 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 793643 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 164051 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 671900 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 325479 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 477030 |
| 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/TitleTxt | 0 | VICE CHAIR - PART YEAR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VICE-CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CFO MSU HCI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF NURSING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHIEF PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | RADIOLOGY ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | ASST RADIOLOGY ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR OF FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHIEF STRATEGY OFFICER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2018 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GrantAmt | 0 | 10239 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 10239 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 10239 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 120402304 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 9439 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 19 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3272927 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2500134 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 5773061 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1714748 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1714748 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 616280 |
| IRS990/InterestGrp/TotalAmt | 0 | 616280 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 803678 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 624072 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 363044 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 363044 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 12206747 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 11422630 |
| IRS990/IRPDocumentCnt | 0 | 35 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 9743655 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8461277 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7567191 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 17310846 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| 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/MissionDesc | 0 | WE DELIVER A PERSONALIZED EXPERIENCE; WE PROVIDE A SAFE ENVIRONMENT; WE TRAIN THE NEXT GENERATION OF CLINICIANS; WE ENSURE EQUITABLE ACCESS; WE OFFER THE HIGHEST QUALITY CARE |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 21599879 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 15516029 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 9439 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 9439 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 21599879 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 15516029 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 56557 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 333154 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 389711 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 292001 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 380589 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 672590 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1514942 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1199356 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 79104 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 24380 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 103484 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 2 | FURNITURE & EQUIPMENT M |
| IRS990/OtherExpensesGrp/Desc | 3 | INTERGOVERMENTAL TRANSF |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 439550 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 21946327 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1396424 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 913571 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 1345484 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 21946327 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1396424 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1353121 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1345484 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 20163074 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 24492426 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 6446817 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 24761947 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 31208764 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PaymentsToAffiliatesGrp/ProgramServicesAmt | 0 | 50578903 |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 50578903 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 534376 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 242338 |
| IRS990/PrincipalOfficerNm | 0 | MACHELLE HOLANDA |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 4 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | CONTRACT FEES |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | PHARMACY REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | JOINT VENTURE INCOME |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | PAY FOR PERFORMANCE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 60931684 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 20949676 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 19564575 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 3315883 |
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