Liabilities / Assets
72nd percentile
Higher debt load relative to assets than 72% of similar nonprofits.
EIN 41-0713914 • 501(c)3 • Winona, MN
Profile
Devoted to improving the health and well-being of our family, friends and neighbors.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
72nd percentile
Higher debt load relative to assets than 72% of similar nonprofits.
Liabilities / Revenue
58th percentile
Higher debt load relative to revenue than 58% of similar nonprofits.
Net Margin
18th percentile
Higher net margin than 18% of similar nonprofits.
Top Officer Pay
84th percentile
Higher top officer pay than 84% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
12th percentile
Faster asset growth than 12% of similar nonprofits.
Revenue Growth
25th percentile
Faster revenue growth than 25% of similar nonprofits.
Assets
Down$111,213,239
Down $5,147,657 (-4.4%) from 2023
Liabilities
Down$61,196,567
Down $105,196 (-0.2%) from 2023
Net Assets
Down$50,016,672
Down $5,042,461 (-9.2%) from 2023
Revenue
Down$110,470,074
Down $651,392 (-0.6%) from 2023
Expenses
Down$117,949,378
Down $4,270,274 (-3.5%) from 2023
Net Income
Up-$7,479,304
Up $3,618,882 (+33%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Devoted to improving the health and well-being of our family, friends and neighbors.
Hospital Services
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $34,514,978 | $32,107,579 | ▼ $2,407,399 |
| Investments in Publicly Traded Securities | $29,972,956 | $27,463,352 | ▼ $2,509,604 |
| Accounts Receivable | $14,667,452 | $15,326,234 | ▲ $658,782 |
| Savings and Temporary Cash Investments | $7,143,165 | $6,173,749 | ▼ $969,416 |
| Investments Other Securities | $6,447,643 | $5,551,421 | ▼ $896,222 |
| Inventories for Sale or Use | $3,198,610 | $3,338,971 | ▲ $140,361 |
| Intangible Assets | $2,014,538 | $2,014,538 | → $0 |
| Prepaid Expenses and Deferred Charges | $1,248,763 | $958,248 | ▼ $290,515 |
| Total Assets | $116,360,896 | $111,213,239 | ▼ $5,147,657 |
| Other Assets Total | $17,152,791 | $18,279,147 | ▲ $1,126,356 |
| Liabilities | |||
| Other Liabilities | $33,643,786 | $34,134,551 | ▲ $490,765 |
| Tax Exempt Bond Liabilities | $15,935,272 | - | - |
| Unsecured Notes Loans Payable | - | $14,660,514 | - |
| Accounts Payable and Accrued Expenses | $11,722,705 | $12,351,502 | ▲ $628,797 |
| Deferred Revenue | - | $50,000 | - |
| Total Liabilities | $61,301,763 | $61,196,567 | ▼ $105,196 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $55,059,133 | $50,016,672 | ▼ $5,042,461 |
| Total Net Assets Fund Balance | $55,059,133 | $50,016,672 | ▼ $5,042,461 |
| Total Liabilities and Net Assets / Fund Balance | $116,360,896 | $111,213,239 | ▼ $5,147,657 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $12,335,900 | $43,727,038 | $56,062,938 |
| Equipment | $9,415,418 | $23,390,145 | $32,805,563 |
| Other Land Buildings | $5,215,510 | $2,784,902 | $8,000,412 |
| Land | $5,140,751 | - | $5,140,751 |
| Other Assets Org | $14,815,693 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $25,150,143 | $170,073 | ▲ $5,214,334 | - | $28,820,575 |
| 2022 | $23,233,445 | $162,293 | ▲ $2,948,962 | - | $25,150,143 |
| 2021 | $28,478,937 | $1,277,453 | ▼ $5,975,726 | - | $23,233,445 |
| 2020 | $25,510,634 | $243,094 | ▲ $4,075,919 | - | $28,478,937 |
| 2019 | $24,524,012 | $180,653 | ▲ $1,896,815 | - | $25,510,634 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Andrew Millis MD | Orthopedic Physician | FT | $712,103 | $474,794 | $1,186,897 |
| George Ripeckyj MD | Radiologist | FT | $475,998 | $380,714 | $856,712 |
| Matthew Broghammer MD | Director | FT | $499,872 | $172,537 | $672,409 |
| Hans Serleth MD | Surgeon | FT | $461,541 | $205,487 | $667,028 |
| Chad Weaver MD | Dermatologist | FT | $546,615 | $111,156 | $657,771 |
| Rachelle Heising-Schultz | President/CEO/Director | FT | $522,660 | $134,467 | $657,127 |
| Katrina Hammel MD | Director | FT | $331,747 | $105,141 | $436,888 |
| E Allen Beguin MD | Director | FT | $271,772 | $61,421 | $333,193 |
| Nicholas Modjeski MD | Director | FT | $250,308 | $54,961 | $305,269 |
| Michael Donnenwerth | Chief Medical Officer | FT | $248,862 | $52,237 | $301,099 |
| Sara Gabrick | Chief Nursing Officer | FT | $207,254 | $56,518 | $263,772 |
| Robin Hoeg | Chief Operating Officer | FT | $212,361 | $50,795 | $263,156 |
| Rebecca Lamberty | Chief Administrative Officer | FT | $196,327 | $46,343 | $242,670 |
| Jessica Remington | CFO/Treasurer | FT | $177,174 | $37,505 | $214,679 |
| Randall Norgard MD | Orthopedic Physician | FT | $165,160 | $3,294 | $168,454 |
| Name | Title |
|---|---|
| Ken Mogren | Chair |
| Brian Semling | Director |
| Dave Gilmer | Director |
| David Vaselaar | Director |
| Fatima Said | Director |
| Greg Evans | Director |
| Hugh Miller | Director |
| Robert Williams | Director |
| Sandra Burke | Director |
| Steve Blue | Director |
| Todd Paulson | Director |
| Toni Highum | Director (Until Dec 23) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Cerner Corp | Services/Contracted | P O Box 959156, St Louis, MO 63105 | $4,415,608 |
| Staffency | Contracted Labor | 221 W College Ave Floor 2, Appleton, WI 54911 | $1,623,033 |
| Mayo Collaborative | Contracted Laboratory | P O Box 9146, Minneapolis, MN 55480 | $952,169 |
| American Security LLC | Contracted Security | PO Box 1150, Minneapolis, MN 55480 | $459,991 |
| Cardinal Health Pharmacy Services | Contracted Pharmacy Services | 21377 Network Place, Chicago, IL 60673 | $430,962 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $69,500,758 |
| Other Expenses | $48,442,633 |
| Grants and Similar Amounts Paid | $5,987 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $46,337,815 | $4,258,825 | - | $50,596,640 |
| Fees for Services Other | $8,570,619 | $3,303,001 | - | $11,873,620 |
| Other Employee Benefits | $8,372,220 | $1,349,629 | - | $9,721,849 |
| Depreciation Depletion | $3,847,839 | $1,180,033 | - | $5,027,872 |
| Information Technology | $344,197 | $3,890,762 | - | $4,234,959 |
| Current Officers, Directors, Trustees, and Key Employees | $1,739,866 | $1,966,033 | - | $3,705,899 |
| Payroll Taxes | $3,090,233 | $383,656 | - | $3,473,889 |
| Office Expenses | $2,232,042 | $355,375 | - | $2,587,417 |
| Occupancy | $2,551,865 | $475 | - | $2,552,340 |
| Pension Plan Contributions | $1,716,584 | $72,194 | - | $1,788,778 |
| Insurance | $762,419 | $203,147 | - | $965,566 |
| Interest | $259,857 | $179,891 | - | $439,748 |
| All Other Expenses | $412,661 | - | - | $412,661 |
| Travel | $270,520 | $57,999 | - | $328,519 |
| Advertising | $68 | $296,178 | - | $296,246 |
| Comp Disqual Persons | $213,703 | - | - | $213,703 |
| Fees for Services Legal | - | $150,174 | - | $150,174 |
| Fees for Services Accounting | - | $118,444 | - | $118,444 |
| Fees for Service Investment Mgmnt Fees | - | $19,515 | - | $19,515 |
| Conferences and Meetings | $17,228 | - | - | $17,228 |
| Grants to Domestic Orgs | $5,987 | - | - | $5,987 |
| Other Expenses | $1,804 | - | - | $1,804 |
| Total Functional Expenses | $100,164,047 | $17,785,331 | $0 | $117,949,378 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Krista Brand | Daughter of COO Robin Hoeg | Employee compensation & benefits | No | $110,268 |
| Kelly Schultz | Daughter of CEO Rachelle Heising-Schultz | Employee compensation & benefits | No | $63,245 |
| Courtney Wieser | Daughter of COO Robin Hoeg | Employee compensation & benefits | No | $40,190 |
| Liability | Amount |
|---|---|
| Operating Lease Liability | $14,815,243 |
| Deferred Compensation Obligation | $9,267,131 |
| Payable to Affiliated Organizations | $7,237,812 |
| Finance Lease Liability | $2,741,865 |
| Deferred Revenue from Third Party Payor | $72,500 |
“The Executive Committee has the authority to act on behalf of the governing board in between board meetings. The Executive Committee consists of the Board Chair, the chair of each Standing Committee, the President/CEO of the organization and one at-large board member.”
“The following individuals have business relationships: Hugh Miller and Todd Paulson Matt Broghammer, Nicholas Modjeski and E. Allen Beguin Fatima Said and David Vaselaar”
“The Bylaws were updated to include Winona Area Ambulance Services as a related entity.”
“The return is reviewed initially by the CFO and CEO. It is then reviewed by the Executive Committee before it is filed. In addition, the Form 990 is available to the full governing board prior to filing with the IRS.”
“The conflict of interest policy covers Senior Leaders, Directors, Officers and Board Committee Members. The policy is signed annually and reviewed by the CEO for conflicts. Any conflicts are brought to the Board for discussion. If a Board Member has a potential conflict, they must abstain from voting.”
“The Executive Committee has a process in place for determining annual compensation for the CEO based on results of a compensation study, which is completed by an independent consultant every 3 years. An annual review is conducted and documented, with final decisions made by the full board. The same consultant provides market reviews and recommendations for the senior leadership team. This is reviewed by the executive compensation committee; however, the CEO is responsible for adjustments made for this team.”
“The organization makes its governing documents, conflict of interest policy and financial statements available upon request. The financial statements are also attached to the Form 990.”
“Collection Agency Fees: Program service expenses 305,664. Management and general expenses 0. Fundraising expenses 0. Total expenses 305,664. Consulting Fees: Program service expenses 9,878. Management and general expenses 390,564. Fundraising expenses 0. Total expenses 400,442. Contracted Physician Fees: Program service expenses 1,240,677. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,240,677. Contracted Services: Program service expenses 5,041,645. Management and general expenses 2,898,246. Fundraising expenses 0. Total expenses 7,939,891. Provider Recruiting: Program service expenses 174,370. Management and general expenses 13,500. Fundraising expenses 0. Total expenses 187,870. Repair and Maintenance: Program service expenses 1,222,056. Management and general expenses 691. Fundraising expenses 0. Total expenses 1,222,747. Purchased Services: Program service expenses 576,329. Management and general expenses 0. Fundraising expenses 0. Total expenses 576,329.”
“Winona Health Foundation endowments have multiple purposes; all of which deliver on the mission to inspire, recognize and empower the caregiver in all of us. The largest fund is the Ben & Adith Miller Patient Care Fund that pays the medical bills of Winona Health patients/residents who are under or uninsured. Other funds include the Senior Services Fund which is made up of the Glenn Fund for home care/hospice licensure and training, the Hospice Fund for general hospice services, the Alzheimer Fund for Alzheimer-related projects, and funds for unrestricted use by Winona Senior Services. There are also funds for general operating expenses.”
“The Corporation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Corporation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.”
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 | 11722705 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 12351502 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 14667452 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 15326234 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Hospital Services |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 296178 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 68 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 296246 |
| IRS990/AllOtherContributionsAmt | 0 | 5400 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 412661 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 412661 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Jessica Remington |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5074543650 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 855 Mankato Avenue |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Winona |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 55987 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 1 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 27 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1966033 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1739866 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3705899 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 213703 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 213703 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 17228 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 17228 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 4415608 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1623033 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 952169 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 459991 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 430962 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | P O Box 959156 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 221 W College Ave Floor 2 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | P O Box 9146 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 1150 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 21377 Network Place |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | St Louis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Appleton |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Minneapolis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Minneapolis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Chicago |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 63105 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 54911 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 55480 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 55480 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 60673 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Cerner Corp |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Staffency |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Mayo Collaborative |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | American Security LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Cardinal Health Pharmacy Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Services/Contracted |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Contracted Labor |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Contracted Laboratory |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Contracted Security |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Contracted Pharmacy Services |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1432718 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 5987 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3234928 |
| IRS990/CYOtherExpensesAmt | 0 | 48442633 |
| IRS990/CYOtherRevenueAmt | 0 | -326728 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 106129156 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -7479304 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 69500758 |
| IRS990/CYTotalExpensesAmt | 0 | 117949378 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 110470074 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 50000 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1180033 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3847839 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 5027872 |
| IRS990/Desc | 0 | Winona Health Services (WHS), a 49-bed hospital, has provided care to its community and services from birth to death for 125 plus years. It is the sole community hospital in the Winona, Minnesota area. In fiscal year 2024, WHS had 1,271 admissions, 177 births, 3,337 inpatient and outpatient surgeries, and 12,261 visits to the emergency room.To fulfill its mission of community service, the Corporation provides care to patients and residents who meet certain criteria under its charity care and community benefit policy without charge or at amounts less than its established rates. Because the Corporation does not pursue collection of amounts determined to qualify as charity care, (Continued on Schedule O)they are not reported as patient and resident service revenue.Charity Care: WHS provides medical care to the community regardless of an individual's ability to pay. The estimated cost of providing these services was approximately $279,000 for fiscal year 2024. In furtherance of its charitable purpose, the Corporation provides a wide variety of benefits to the community. These services and donations account for a measurable portion of the Corporation's costs and serve to promote healthy lifestyles, community development, health education, and affordable access to care.The Corporation maintains records to identify and monitor the level of community benefit services it provides. Those records include management's estimate of the cost to provide charity care, the cost of services and supplies furnished for community benefit programs and costs in excess of program payments for treating Medical Assistance patients.In addition to community benefit costs, the Corporation provides additional community contributions such as services to Medicare and Medicaid patients below the costs for treatment, other uncompensated care, discounted pricing to the uninsured, and pays taxes and fees |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | Winona Health |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 996 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 100164047 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 118444 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 118444 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 150174 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 150174 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3303001 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 8570619 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 11873620 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 19515 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 19515 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 46.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 48.00 |
| 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/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 93153 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 57812 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 50808 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 69860 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 58288 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 28713 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 50910 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 36177 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 36392 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 14111 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 88572 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 46415 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 11487 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 83450 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 3294 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Ken Mogren |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Steve Blue |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Matthew Broghammer MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | E Allen Beguin MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Hugh Miller |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Sandra Burke |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Greg Evans |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Nicholas Modjeski MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Brian Semling |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Robert Williams |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | David Vaselaar |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Fatima Said |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Todd Paulson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Dave Gilmer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Katrina Hammel MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Toni Highum |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Rachelle Heising-Schultz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Jessica Remington |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Michael Donnenwerth |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Sara Gabrick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Robin Hoeg |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Rebecca Lamberty |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Andrew Millis MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | George Ripeckyj MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Chad Weaver MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | Hans Serleth MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | Randall Norgard MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 577445 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 274105 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 252641 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 364813 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 598839 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 185124 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 248862 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 226617 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 225765 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 227646 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 1096515 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 808487 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 644474 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 581768 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 165160 |
| 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/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Director (Until Dec 23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | President/CEO/Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CFO/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Chief Medical Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Chief Nursing Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Chief Operating Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Chief Administrative Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Orthopedic Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Radiologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Dermatologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | Orthopedic Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1894 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -184142 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 94434 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 16 |
| IRS990/GovernmentGrantsAmt | 0 | 211559 |
| IRS990/GrantAmt | 0 | 5987 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 5987 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 5987 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 94434 |
| IRS990/GrossReceiptsAmt | 0 | 110654216 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 102 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3890762 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 344197 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 4234959 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 203147 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 762419 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 965566 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 2014538 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 2014538 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 179891 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 259857 |
| IRS990/InterestGrp/TotalAmt | 0 | 439748 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 3198610 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 3338971 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3324636 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3324636 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 6447643 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 5551421 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 29972956 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 27463352 |
| IRS990/IRPDocumentCnt | 0 | 88 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 69902085 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 34514978 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 32107579 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 102009664 |
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