Liabilities / Assets
73rd percentile
Higher debt load relative to assets than 73% of similar nonprofits.
EIN 41-0713913 • 501(c)3 • Wadena, MN
Profile
To improve the health of the communities we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
73rd percentile
Higher debt load relative to assets than 73% of similar nonprofits.
Liabilities / Revenue
65th percentile
Higher debt load relative to revenue than 65% of similar nonprofits.
Net Margin
40th percentile
Higher net margin than 40% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
35th percentile
Faster asset growth than 35% of similar nonprofits.
Revenue Growth
70th percentile
Faster revenue growth than 70% of similar nonprofits.
Assets
Up$127,803,923
Up $2,833,607 (+2.3%) from 2023
Liabilities
Up$73,410,546
Up $1,282,158 (+1.8%) from 2023
Net Assets
Up$54,393,377
Up $1,551,449 (+2.9%) from 2023
Revenue
Up$102,360,860
Up $13,626,728 (+15%) from 2023
Expenses
Up$101,071,489
Up $10,576,399 (+12%) from 2023
Net Income
Up$1,289,371
Up $3,050,329 (+173%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
To improve the health of the communities we serve.
Astera health is committed to improving the health of the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $32,518,829 | $76,078,987 | ▲ $43,560,158 |
| Investments in Publicly Traded Securities | $14,572,859 | $22,808,343 | ▲ $8,235,484 |
| Accounts Receivable | $11,989,307 | $11,997,191 | ▲ $7,884 |
| Savings and Temporary Cash Investments | $16,829,659 | $8,613,861 | ▼ $8,215,798 |
| Investments Other Securities | $1,574,722 | $2,393,794 | ▲ $819,072 |
| Other Notes and Loans Receivable, Net | $655,236 | $1,645,044 | ▲ $989,808 |
| Inventories for Sale or Use | $843,687 | $791,892 | ▼ $51,795 |
| Pledges and Grants Receivable | $1,111,982 | $564,067 | ▼ $547,915 |
| Prepaid Expenses and Deferred Charges | $562,477 | $502,875 | ▼ $59,602 |
| Cash and Non-Interest-Bearing Accounts | $73,100 | $197,184 | ▲ $124,084 |
| Receivables From Officers Etc | $12,121 | $3,148 | ▼ $8,973 |
| Total Assets | $80,743,979 | $125,596,386 | ▲ $44,852,407 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $11,267,213 | $53,171,113 | ▲ $41,903,900 |
| Accounts Payable and Accrued Expenses | $14,320,295 | $16,383,339 | ▲ $2,063,044 |
| Other Liabilities | $7,760,057 | $2,361,418 | ▼ $5,398,639 |
| Total Liabilities | $33,347,565 | $71,915,870 | ▲ $38,568,305 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $47,331,000 | $53,584,373 | ▲ $6,253,373 |
| Net Assets With Donor Restrictions | $65,414 | $96,143 | ▲ $30,729 |
| Total Net Assets Fund Balance | $47,396,414 | $53,680,516 | ▲ $6,284,102 |
| Total Liabilities and Net Assets / Fund Balance | $80,743,979 | $125,596,386 | ▲ $44,852,407 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $64,399,853 | - | $64,399,853 |
| Buildings | $6,880,703 | $27,564,998 | $34,445,701 |
| Equipment | $3,914,133 | $15,724,178 | $19,638,311 |
| Leasehold Improvements | $386,073 | $1,734,257 | $2,120,330 |
| Land | $498,225 | - | $498,225 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Benjamin Robertson Md | Physician | FT | $1,145,329 | $202,221 | $1,347,550 |
| Nathaniel Ronning Md | Physician | FT | $645,616 | $68,106 | $713,722 |
| Rachel Redig Md | Physician | FT | $486,000 | $93,490 | $579,490 |
| Travis Swartz Md | Physician | FT | $472,860 | $96,855 | $569,715 |
| Ryan Scott Md | Physician | FT | $455,170 | $94,862 | $550,032 |
| Timothy Monson Md | Physician | FT | $366,590 | $107,345 | $473,935 |
| Joel Beiswenger | CEO, President | FT | $312,896 | $123,297 | $436,193 |
| Kim Aagard | CFO | FT | $165,485 | $90,575 | $256,060 |
| Teresa Johnson | Chro | FT | $146,505 | $80,281 | $226,786 |
| Thomas Pint | CNO | FT | $165,113 | $49,309 | $214,422 |
| Medley Shamp | CAO (since October 2022) | FT | $117,964 | $77,234 | $195,198 |
| Jose Alba | CAO (to July 2022) | FT | $122,201 | $2,412 | $124,613 |
| Shaneen Schmidt Md | Board Member | - | $21,746 | - | $21,746 |
| Matthew Van Bruggen | Board Member | - | $4,000 | - | $4,000 |
| Paul Drange | Board Vice Chair | - | $3,709 | - | $3,709 |
| Dave Fjeldheim | Board Member | - | $3,536 | - | $3,536 |
| David Quincer | Board Member | - | $2,268 | - | $2,268 |
| Bobbi Adams Md | CMO | - | $1,200 | - | $1,200 |
| Name | Title |
|---|---|
| Ryan Anderson | Board Chair |
| Jackie Och | Board Member |
| Steve Davis Md | Board Member |
| Terry Davis | Board Member |
| Jolene Johannes | Board Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ma Mortenson And Company | Building Contractor | 700 MEADOW LN N, Golden Valley, MN 55422 | $37,676,608 |
| Wadena Medical Center Ltd | Physician Services | 4 DEERWOOD AVE, Wadena, MN 56482 | $4,454,556 |
| Regional Diagnostic Radiology | Radiology Reading Fees | PO BOX 1611, Evansville, IN 47706 | $928,529 |
| Bsg Maintenance Of Green Bay INC | Housekeeping And Laundry Services | PO BOX 165, Newburg, MN 53060 | $774,429 |
| Hammel Green And Abrahamson INC | Building Architect | 420 5TH STREET NORTH, Minneapolis, MN 55401 | $472,436 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $41,192,976 |
| Other Expenses | $35,991,908 |
| Total Fundraising Expense | $297,248 |
| Grants and Similar Amounts Paid | $71,282 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $25,297,140 | $4,310,785 | $102,510 | $29,710,435 |
| Fees for Services Other | $12,745,532 | $1,278,141 | - | $14,023,673 |
| Other Employee Benefits | $5,287,999 | $1,075,258 | - | $6,363,257 |
| Depreciation Depletion | $1,043,389 | $1,058,400 | - | $2,101,789 |
| Current Officers, Directors, Trustees, and Key Employees | $579,490 | $1,489,731 | - | $2,069,221 |
| Payroll Taxes | $1,615,893 | $362,219 | - | $1,978,112 |
| Occupancy | $831,415 | $283,956 | - | $1,115,371 |
| Pension Plan Contributions | $905,966 | $165,985 | - | $1,071,951 |
| Office Expenses | $212,826 | $617,418 | $186,221 | $1,016,465 |
| All Other Expenses | $168,374 | $353,214 | $6,458 | $528,046 |
| Other Expenses | $2,594,020 | $402,280 | - | $402,280 |
| Insurance | - | $381,957 | - | $381,957 |
| Advertising | - | $332,270 | - | $332,270 |
| Travel | $132,282 | $49,100 | $2,059 | $183,441 |
| Fees for Services Accounting | - | $113,723 | - | $113,723 |
| Information Technology | - | $71,310 | - | $71,310 |
| Interest | $53,640 | - | - | $53,640 |
| Grants to Domestic Orgs | $44,382 | - | - | $44,382 |
| Grants to Domestic Individuals | $26,900 | - | - | $26,900 |
| Fees for Services Lobbying | - | $6,805 | - | $6,805 |
| Total Functional Expenses | $63,201,946 | $13,756,972 | $297,248 | $77,256,166 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $77,347,785 |
| Total Expenses per Form 990 | $77,256,166 |
| Expenses per Audited Statements | $77,248,492 |
| Expenses Not Reported on Form 990 | $99,293 |
| Expenses Not Reported on Financial Statements | $7,674 |
| Other Expense Adjustments | $7,674 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| West Central Economic Development Alliance | Sebeka, MN | 501(c)(6) | General Support | $7,500 |
| United Way of Otter Tail and Wadena Counties | Fergus Falls, MN | 501(c)(3) | General Support | $6,500 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $100,606 |
| Fundraising Gross Income | $27,049 |
| Gaming Gross Income | $18,584 |
| Gaming Direct Expenses | $3,908 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Gala | $93,088 | $27,023 | $13,798 | $13,225 |
| Golf Classic | $61,045 | $26 | $8,546 | $-8,520 |
| Total Events | $154,133 | $27,049 | $100,606 | $-73,557 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | DR DAVIS(BOARD MEMBER), DR SCHMIDT(BOARD MEMBER), DR ADAMS(CMO): PARTNERS | Physician Services | No | $4,320,000 |
| - | Dr. Mccullough Is Former Board Member and Owner | Professional Radiology Services | No | $139,000 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $12,121 | $3,148 | ▼ $8,973 |
| Liability | Amount |
|---|---|
| Estimated Third Party Settlements | $1,655,904 |
| Asset Retirement Obligation | $705,514 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | City of Bertha Health Care Facilities Revenue Note Series 2021a | 2021-05-19 | $42,480,000 | Finance building project and refinance 2017 series debt |
| B | City of Deer Creek Series 2021a | 2021-05-19 | $10,000,000 | Finance building project and refinance 2017 series debt |
| D | City of Verndale Health Care Facilities Revenue Note Series 2021a | 2021-05-19 | $9,700,000 | Finance capital expenditure and building project |
| C | City of Wadena Health Care Facilities Revenue Note Series 2021a | 2021-05-19 | $1,545,600 | Finance building project and refinance 2017 series debt |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $32,437,748 | - | - | - |
| B | $10,000,000 | - | - | - |
| D | $9,700,000 | - | - | - |
| C | $1,545,600 | - | - | - |
“The retirement committee has authority to act on behalf of the board between meetings of the board. The retirement committee consists of two board members as well as the organization's ceo, cfo and vp of hr.”
“Astera health works with pemberton law firm, matthew van bruggen for attorney services. Dr. Davis, board member, dr. Schmidt, board member, and dr. Adams, cmo, are partners of wmc ltd.”
“Entity changed their name from tri-county hospital to astera health in february 2023.”
“The form 990 was reviewed in detail by the officers of astera health. The form 990 was then presented at a regular scheduled board meeting for review and approval by the full board prior to filing with the irs.”
“The board of directors and management personnel are the individuals covered under this policy. It is the continuing responsibility of the board and management to scrutinize transactions and make immediate disclosure of any potential conflicts of interest to the chief executive officer or the board chair. Each potential conflict is scrutinized by the board (with the potential person with a conflict of interest being excluded) to determine if the contemplated transaction is just, fair and in the best interest of the organization.”
“Each year during the preparation of the annual budget, human resources accesses two to three regional, state and national wage surveys depending on the position. This data is used by management and the board to establish fair and equitable compensation for top management and other key employees within the organization. The board determines the ceo's compensation and the ceo determines other management's compensation. The process described here was last completed in 2022.”
“The governing documents, conflict of interest policy, and financial statements are made available to the public upon request.”
“Other services: program service expenses 12,745,532. Management and general expenses 1,278,141. Fundraising expenses 0. Total expenses 14,023,673.”
“Unrealized gain on interest rate swap agreement 2,175,693.”
“Astera health also does business as astera health baxter clinic, astera health bertha area wellness center, astera health bertha clinic, astera health henning clinic, astera health henning physical therapy clinic, astera health ottertail clinic, astera health sebeka clinic, astera health verndale clinic, astera health wadena clinic.”
“Donations from vending machine and pop can salvage is used for scholarships for children of employees.”
“The system follows the provision of the income tax standard regarding the recognition and measurement of uncertain tax positions. The application of these provisions has no impact on the system's consolidated financial statements.”
“Expenses included in revenues in the financial statements -7,674. Net assets released from restriction 107,017.”
“Realized loss on investments 72,099. Interest income 467,194. Rental expense -99,293. Temporarily restricted contributions 137,746. Capital contributions 168,798.”
“RENTAL EXPENSES 99,293.”
“Expenses included in revenues in the financial statements 7,674.”
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 | 14320295 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 16383339 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 11989307 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 11997191 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | ASTERA HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 332270 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 332270 |
| IRS990/AllOtherContributionsAmt | 0 | 877082 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 6458 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 353214 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 168374 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 528046 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | JOEL BEISWENGER CEO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2186317489 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 415 JEFFERSON STREET N |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WADENA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 56482 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 1 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 73100 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 197184 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 1 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 24 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1489731 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 579490 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2069221 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 37676608 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 4454556 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 928529 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 774429 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 472436 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 700 MEADOW LN N |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 4 DEERWOOD AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 1611 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 165 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 420 5TH STREET NORTH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | GOLDEN VALLEY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | WADENA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | EVANSVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | NEWBURG |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | MINNEAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 55422 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 56482 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 47706 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 53060 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 55401 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MA MORTENSON AND COMPANY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | WADENA MEDICAL CENTER LTD |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | REGIONAL DIAGNOSTIC RADIOLOGY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | BSG MAINTENANCE OF GREEN BAY INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | HAMMEL GREEN AND ABRAHAMSON INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | BUILDING CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PHYSICIAN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | RADIOLOGY READING FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | HOUSEKEEPING AND LAUNDRY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | BUILDING ARCHITECT |
| IRS990/ContriRptFundraisingEventAmt | 0 | 127084 |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1406727 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 71282 |
| IRS990/CYInvestmentIncomeAmt | 0 | 589293 |
| IRS990/CYOtherExpensesAmt | 0 | 35991908 |
| IRS990/CYOtherRevenueAmt | 0 | 1192019 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 80860669 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 6792542 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 41192976 |
| IRS990/CYTotalExpensesAmt | 0 | 77256166 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 297248 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 84048708 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1058400 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1043389 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2101789 |
| IRS990/Desc | 0 | ASTERA HEALTH IS A PRIVATE, NOT-FOR-PROFIT 25-BED CRITICAL ACCESS HEALTH SYSTEM COMMITTED TO PROVIDING PERSONALIZED SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. AN 11-MEMBER VOLUNTEER GOVERNING BOARD PRESIDES OVER THE HOSPITAL, WHICH IS ACCREDITED BY THE JOINT COMMISSION. ASTERA HEALTH IS EQUIPPED WITH INTENSIVE CARE UNITS, SURGERY SUITES, LABOR AND DELIVERY SUITES, AN INPATIENT UNIT, DIAGNOSTIC X-RAY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL AND OCCUPATIONAL THERAPY, CHIROPRACTIC, AND 24-HOUR EMERGENCY AND AMBULANCE CARE. ADDITIONALLY, ASTERA HEALTH OPERATES SIX CERTIFIED RURAL HEALTH CLINICS IN AREAS IDENTIFIED BY STATE AND FEDERAL AGENCIES AS HEALTH PROFESSIONAL SHORTAGE AREAS. AS ONE OF THE LARGEST EMPLOYERS IN WADENA COUNTY, OUR 369 (FTES) EMPLOYEES AND 95 VOLUNTEERS CONTRIBUTE TO OUR PATIENTS AND COMMUNITIES.ASTERA HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES BY OFFERING SEVERAL CLASSES, EVENTS, AND SUPPORT GROUPS TO EDUCATE AND PROMOTE HEALTHY LIVING. EMS COURSES, INJURY PREVENTION FOR ATHLETES AND ADULT CLASSES, CPR CLASSES, PREGNANCY CLASSES, SUMMER INTERNSHIP PROGRAM, AND OUR BITE SIZE CONVERSATION MONTHLY LUNCH AND LEARN PROGRAM ARE JUST SOME OF THE FREE OFFERINGS AVAILABLE TO THE COMMUNITIES WE SERVE. THE ASTERA HEALTH FOUNDATION PROVIDES STUDENT AND STAFF SCHOLARSHIPS AS WELL AS COMMUNITY GRANTS TO IMPROVE HEALTH. OUR UNCOMPENSATED CARE (CHARITY CARE) PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. OUR FINANCIAL ASSISTANCE PROGRAM (FAP) IS PUBLISHED ONLINE, AND OUR PATIENT FINANCIAL ADVOCATES ASSIST THOSE IN NEED OF USING THE FAP.THE COMMUNITY PARAMEDIC OUTREACH PROGRAM SERVES PATIENTS AT RISK OF USING THE ER OR INPATIENT UNIT FOR PRIMARY CARE SERVICES. THE PROGRAM HELPS THEM FIND MORE APPROPRIATE RESOURCES FOR THEIR MEDICAL NEEDS, CONDUCTING 368 VISITS DURING 2022, REDUCING THE COST OF CARE FOR THOSE INDIVIDUALS. ASTERA HEALTH SERVES AS A CLINICAL ROTATION SITE FOR NURSING STUDENTS AND FOR RADIOLOGY AND LABORATORY TECHNICIANS FROM AREA TECHNICAL COLLEGES, PARTICIPATING AS PRECEPTOR SITES FOR MEDICAL SCHOOLS INCLUDING THE RURAL PHYSICIAN ASSOCIATE PROGRAM AND SUMMER INTERNSHIP IN MEDICINE, AS WELL AS PROVIDING CAMPUS-BASED PRECEPTOR PHYSICIANS TO THE UNIVERSITY OF MINNESOTA-DULUTH AND ST. CLOUD RESIDENCY PROGRAMS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | SEE SCHEDULE O |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 65414 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 96143 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 530 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 63201946 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 113723 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 113723 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 6805 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 6805 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1278141 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 12745532 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 14023673 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 4.00 |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 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/HighestCompensatedEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 39289 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 32541 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 2412 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 6157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 34752 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 41719 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 43139 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 6820 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 50631 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 45530 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 46579 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 26885 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MATTHEW VAN BRUGGEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | TERRY DAVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | RYAN ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | PAUL DRANGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DAVE FJELDHEIM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JOLENE JOHANNES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | STEVE DAVIS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JACKIE OCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SHANEEN SCHMIDT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | BOBBI ADAMS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | DAVID QUINCER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JOEL BEISWENGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KIM AAGARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JOSE ALBA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | THOMAS PINT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TERESA JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MEDLEY SHAMP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | RACHEL REDIG MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | NATHANIEL RONNING MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | BENJAMIN ROBERTSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | TRAVIS SWARTZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | RYAN SCOTT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | TIMOTHY MONSON MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 4000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 3709 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 3536 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 21746 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 1200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 2268 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 396904 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 223519 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 122201 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 208265 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 192034 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 153479 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 536351 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 706902 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 1296919 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 524185 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 503453 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 447050 |
| 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/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CEO, PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CAO (TO JULY 2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHRO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CAO (SINCE OCTOBER 2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1974 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 127084 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 100606 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 27049 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 50000 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 72099 |
| IRS990/GamingActivitiesInd | 0 | 1 |
| IRS990/GamingDirectExpensesAmt | 0 | 3908 |
| IRS990/GamingGrossIncomeAmt | 0 | 18584 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 402561 |
| IRS990/GrantAmt | 0 | 272860 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 26900 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 26900 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 44382 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 44382 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 50000 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 72099 |
| IRS990/GrossReceiptsAmt | 0 | 84252515 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 697396 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 51 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 71310 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 71310 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 381957 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 381957 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 53640 |
| IRS990/InterestGrp/TotalAmt | 0 | 53640 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 843687 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 791892 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 467194 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 467194 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 1574722 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 2393794 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 14572859 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 22808343 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 153 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 45023433 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 32518829 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 76078987 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 121102420 |
| IRS990/LegalDomicileStateCd | 0 | MN |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 99293 |
| IRS990/LoanOutstandingInd | 0 | 1 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| 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/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 9992 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 9992 |
| IRS990/MissionDesc | 0 | TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NameChangeInd | 0 | X |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 47396414 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 53680516 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 122099 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 122099 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -73557 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -73557 |
| IRS990/NetIncomeFromGamingGrp/ExclusionAmt | 0 | 14676 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 14676 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 598103 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 598103 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -2684133 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 47331000 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 53584373 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 283956 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 831415 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1115371 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 186221 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 617418 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 212826 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1016465 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 2175693 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1075258 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 5287999 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 6363257 |
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