Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
EIN 41-0714079 • 501(c)3 • Duluth, MN
Profile
The patient above all else.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
Liabilities / Revenue
79th percentile
Higher debt load relative to revenue than 79% of similar nonprofits.
Net Margin
13th percentile
Higher net margin than 13% of similar nonprofits.
Top Officer Pay
3rd percentile
Higher top officer pay than 3% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
62nd percentile
Faster asset growth than 62% of similar nonprofits.
Revenue Growth
2nd percentile
Faster revenue growth than 2% of similar nonprofits.
Assets
Up$536,071,505
Up $42,081,846 (+8.5%) from 2023
Liabilities
Down$335,212,178
Down $27,591,863 (-7.6%) from 2023
Net Assets
Up$200,859,327
Up $69,673,709 (+53%) from 2023
Revenue
Down$270,390,037
Down $286,361,113 (-51%) from 2023
Expenses
Down$297,421,834
Down $272,515,730 (-48%) from 2023
Net Income
Down-$27,031,797
Down $13,845,383 (-105%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
The patient above all else.
To serve as a leading healthcare provider of quality healthcare services in our surrounding region.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $163,260,801 | $254,243,193 | ▲ $90,982,392 |
| Accounts Receivable | $110,944,572 | $86,619,140 | ▼ $24,325,432 |
| Investments in Publicly Traded Securities | $51,169,777 | $43,772,866 | ▼ $7,396,911 |
| Investments Other Securities | $58,427,489 | $30,135,120 | ▼ $28,292,369 |
| Investments Program Related | $17,099,516 | $17,595,249 | ▲ $495,733 |
| Inventories for Sale or Use | $13,967,329 | $12,793,418 | ▼ $1,173,911 |
| Cash and Non-Interest-Bearing Accounts | $3,356,088 | $9,460,054 | ▲ $6,103,966 |
| Prepaid Expenses and Deferred Charges | $4,035,740 | $6,463,913 | ▲ $2,428,173 |
| Intangible Assets | $2,827,768 | $4,000,000 | ▲ $1,172,232 |
| Savings and Temporary Cash Investments | $0 | $343,638 | ▲ $343,638 |
| Total Assets | $493,989,659 | $536,071,505 | ▲ $42,081,846 |
| Other Assets Total | $68,900,579 | $70,644,914 | ▲ $1,744,335 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $182,019,306 | $180,294,466 | ▼ $1,724,840 |
| Other Liabilities | $84,436,125 | $94,898,931 | ▲ $10,462,806 |
| Accounts Payable and Accrued Expenses | $75,896,528 | $58,799,622 | ▼ $17,096,906 |
| Mortgage Notes Payable Secured by Investment Property | $20,307,132 | $0 | ▼ $20,307,132 |
| Deferred Revenue | $0 | $1,219,159 | ▲ $1,219,159 |
| Unsecured Notes Loans Payable | $144,950 | $0 | ▼ $144,950 |
| Total Liabilities | $362,804,041 | $335,212,178 | ▼ $27,591,863 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $131,185,618 | $200,859,327 | ▲ $69,673,709 |
| Total Net Assets Fund Balance | $131,185,618 | $200,859,327 | ▲ $69,673,709 |
| Total Liabilities and Net Assets / Fund Balance | $493,989,659 | $536,071,505 | ▲ $42,081,846 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $140,919,616 | $92,534,876 | $233,454,492 |
| Equipment | $38,151,475 | $153,968,801 | $192,120,276 |
| Other Land Buildings | $58,185,098 | $2,142,460 | $60,327,558 |
| Land | $16,987,004 | - | $16,987,004 |
| Other Assets Org | $4,679,877 | - | - |
| Other Securities | $30,135,120 | - | - |
| Name | Title |
|---|---|
| Yvonne Prettner Solon | Board Chair |
| Eric Lohn | Co-president/CEO & CFO |
| Nicholas Van Deelen Md | Co-president/CEO & CMO |
| Matthew Heywood | President & CEO Aspirus |
| Rene Settergren | Board Vice Chair |
| Anna Sackette-urness | Board Member |
| Brian Murphy | Board Member |
| Helena Jackson | Board Member |
| Jack Seiler | Board Member |
| Kiera Wilson | Board Member |
| Scott Lyons | Board Member |
| Pakou Ly | Board Member (thru June 2024) |
| Patrick Heffernan | Board Member (thru June 2024) |
| Rick Revoir | Board Member (thru June 2024) |
| Andrea Benson Md | Board Member/chief of Staff |
| Mitchell Cardwell Do | Board Member/physician |
| Sidney Sczygelski | Board Member/SVP Finance/CFO |
| James Matheson | Board Member/SVP-chief Strat. Off. |
| Aimee Vanstraaten Md | Board Secretary/physician |
| Kevin Beardsley | Board Treasurer |
| Jerry M Yang | SVP - Chief Financial Officer |
| Jeffrey Jones | SVP-CFO (thru 04/23) |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $163,413,609 |
| Other Expenses | $133,776,750 |
| Grants and Similar Amounts Paid | $231,475 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $116,155,487 | $16,177,470 | - | $132,332,957 |
| Fees for Services Other | $14,076,900 | $14,447,029 | - | $28,523,929 |
| Other Employee Benefits | $13,155,856 | $1,933,197 | - | $15,089,053 |
| Occupancy | $10,723,967 | $2,535,360 | - | $13,259,327 |
| All Other Expenses | $6,349,900 | $4,014,115 | - | $10,364,015 |
| Payroll Taxes | $7,757,208 | $2,130,627 | - | $9,887,835 |
| Depreciation Depletion | $4,897,764 | $2,978,041 | - | $7,875,805 |
| Pension Plan Contributions | $4,734,390 | $695,758 | - | $5,430,148 |
| Information Technology | $3,191,770 | $835,160 | - | $4,026,930 |
| Interest | $389,537 | $2,069,750 | - | $2,459,287 |
| Other Expenses | $2,291,071 | - | - | $2,291,071 |
| Office Expenses | $548,307 | $1,659,273 | - | $2,207,580 |
| Insurance | $1,194,141 | - | - | $1,194,141 |
| Conferences and Meetings | $715,633 | $83,865 | - | $799,498 |
| Current Officers, Directors, Trustees, and Key Employees | $673,616 | - | - | $673,616 |
| Advertising | $400,222 | - | - | $400,222 |
| Fees for Services Legal | - | $398,659 | - | $398,659 |
| Grants to Domestic Orgs | $231,475 | - | - | $231,475 |
| Fees for Service Investment Mgmnt Fees | - | $84,044 | - | $84,044 |
| Fees for Services Accounting | - | $63,361 | - | $63,361 |
| Fees for Services Lobbying | - | $39,573 | - | $39,573 |
| Travel | $17,518 | - | - | $17,518 |
| Total Functional Expenses | $247,276,552 | $50,145,282 | $0 | $297,421,834 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Program for Aid to Victims of Sexual Assault | Duluth, MN | 501(c)(3) | Sane Adult/adolescent Program | $80,000 |
| Duluth Football Club | Duluth, MN | N/a | Sponsorship | $30,000 |
| Duluth Huskies Baseball Club | Duluth, MN | N/a | Sponsorship | $25,000 |
| Hermantown Area Futbol Club | Duluth, MN | 501(c)(3) | Sponsorship | $25,000 |
| Duluth Area Family Ymca | Duluth, MN | 501(c)(3) | Kids Club and Various Events | $20,000 |
| American Heart Association | Dallas, TX | 501(c)(3) | Sponsorship | $10,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Cassandra Beardsley | Spouse of Board Member | Employee Compensation | No | $95,948 |
| Brian Capps | Spouse of Board Member | Employee Compensation | No | $88,287 |
| Liability | Amount |
|---|---|
| Right of Use Liabilites - Operating Leases | $36,682,290 |
| Deferred Compensation | $30,499,718 |
| Capital Leases | $12,654,502 |
| Minimum Pension Liability | $9,923,728 |
| Due to Related Parties | $2,872,097 |
| Asset Retirement Obligation | $2,038,913 |
| Malpractice Liability Reserve | $225,000 |
| Other Liablities | $2,683 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| C | Duluth Economic Development Authority | 2022-05-12 | $79,996,284 | Phase ii building expansion and hospital remodel |
| D | Duluth Economic Development Authority | 2022-03-17 | $58,093,185 | Refinance series 2012 bonds |
| A | Duluth Economic Development Authority | 2018-12-31 | $39,500,000 | Fund operating system upgrade |
| B | Duluth Economic Development Authority | 2021-09-09 | $14,236,667 | Refinance series 2003 and 2012 bonds |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| C | $79,996,284 | $548,092 | - | $665,800 |
| D | $58,093,185 | $354,101 | - | - |
| A | $39,500,000 | $39,245,626 | $3,588,202 | $284,028 |
| B | $14,236,667 | $13,952,639 | $3,110,000 | $851,750 |
“The executive committee shall be composed of the chairperson of the board as the presiding officer, all other officers of the hospital who are directors, and such additional directors as the chairperson may appoint. When the board of directors is not in session, the executive committee shall have the power and authority of the board to transact all regular business of the hospital. Including the authority to review the compensation paid to the hospital's employed physicians, subject to any prior limitations imposed by the board or by statute, and shall meet as necessary. In addition, the executive committee shall oversee the hospital's public relations activities and keep the corporation's health care efforts continually before the communities served through the use of st. Luke's hospital of duluth 41-0714079 publications and other communications describing the hospital's services, programs, and needs.”
“As of march 1, 2024 the parent organization of st. Luke's hospital of duluth is now aspirus, inc.”
“Prior to aspirus, inc. Becoming the sole corporate member on march 1, 2024: st. Luke's hospital shall have three classes of memberships: a) tenured members of st. Luke's hospital of duluth - the individuals and organizations listed on the hospital's official roster of members as of may 20, 2004 shall be members and have the number of votes as identified on that list. B) non-tenured members of st. Luke's hospital of duluth - any individual or organization that, subsequent to may 20, 2004, contributes $100 or more to the hospital shall, upon request from such individual or organization and approval by the board of directors, be a member of the organization with one vote. C) ex officio members - each director and the president/ceo of the hospital shall be a voting member of the hospital during his or her term in such office and shall have one vote. On march 1, 2024, the parent organization, aspirus, inc. Became the sole corporate member of the organization.”
“There shall be a minimum of ten voting directors allocated as follows. There shall be two classes of voting directors: the community class and the member class. No less than eight independent community class directors and two member class directors.”
“Prior to aspirus, inc. Becoming the sole corporate member on march 1, 2024: the voting rights of the members of the corporation shall be limited to the following matters: a) approval of any transaction that would culminate in the transfer of control of hospital operations to a sectarian or religious organization. B) approval of any transactions which would culminate in the transfer of control of the hospital's operations to a for-profit entity. C) approval of the dissolution of the hospital or the cessation of the st. Luke's hospital of duluth 41-0714079 hospital operations. The foregoing actions shall be approved and adopted only after authorization by the board of directors and approval by the members. Subsequent to aspirus, inc. Becoming the sole corporate member after march 1, 2024: the following actions must be approved by the sole member of the organization, aspirus, inc.: 1) change or amend the articles of incorporation or bylaws; 2) change the mission, purpose, or scope of the corporation; 3) ratification or removal of directors or officers; 4) change the formula or methodology for determining physician compensation; 5) approval of annual operating and capital expenditure budgets, strategic and long-range plans.”
“The accounting department accumulates all 990 information, including the ubi calculations. These documents are reviewed by the cfo. The 990 is reviewed by other senior management prior to submission to the internal revenue service and is made available to the board of directors through director's desk or other means of electronic retrieval.”
“Board members and key employees are required to sign annual conflict of interest statements and all managers are required to sign biannual conflict of interest statements. The organization's ceo and board chair review the statements and highlight potential conflicts. The board determines on a case by case basis any actions required. Individuals are not permitted to vote on any transaction where a conflict has been determined to exist. All conflicts and proceedings are noted in the meeting minutes.”
“For the purposes of determining compensation, aspirus st. Luke's hospital relied on related organizations to establish the compensation of the ceo, other officers, and key employees. The related organizations used the following practices for establishing compensation for such individuals: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee.”
“The organization does not make its governing documents, conflict of interest policy, nor its financial statements available to the public.”
“Intercompany transfers 12,001,055. Other changes in net assets 123,364,946. Change in minimum pension liability -38,631,600.”
“The filing organization previously filed for the calendar year ending 12/31. After being acquired by aspirus, inc., its new parent organization, the filing organization has changed its year end to 06/30. The current form 990 is for the 6-month period from 01/01/2024 - 06/30/2024. Going forward, the organization will file for the year from 07/01 - 06/30.”
“The filing organization's financial statements were audited by an independent accountant for the full calendar year 2023. They were acuired march 1 of 2024 and included in the consolidated audit of their parent for fiscal year 07/01/2023-06/30/2024. Technically the activity from january and february were not included in the 06/30/2024 audited financial statements, however procedures were performed to account for those two months. The organization is filing the form 990 for the short year from 01/01/2024-06/30/2024.”
“The filing organization relied on their new parent organization, aspirus inc., in the selection of the independent auditors. They were included in the consolidated audit of aspirus, inc.”
“Aspirus has reviewed its tax positions for all open years and concluded that no material liabilities exist for uncertain tax positions at june 30, 2024.”
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 | 75896528 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 58799622 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 110944572 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 86619140 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO SERVE AS A LEADING HEALTHCARE PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR SURROUNDING REGION. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 400222 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 400222 |
| IRS990/AllOtherContributionsAmt | 0 | 155731 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 4014115 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 6349900 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 10364015 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JERRY M YANG |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2182495555 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 520 NORTH 32ND AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WAUSAU |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 54401 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3356088 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 9460054 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 673616 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 673616 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 83865 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 715633 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 799498 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CostOfGoodsSoldAmt | 0 | 31394 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 643573 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 231475 |
| IRS990/CYInvestmentIncomeAmt | 0 | 954654 |
| IRS990/CYOtherExpensesAmt | 0 | 133776750 |
| IRS990/CYOtherRevenueAmt | 0 | 2222635 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 266569175 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -27031797 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 163413609 |
| IRS990/CYTotalExpensesAmt | 0 | 297421834 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 270390037 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1219159 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 2978041 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 4897764 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 7875805 |
| IRS990/Desc | 0 | OUR MISSION IS TO SERVE AS A LEADING PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR LOCAL COMMUNITY AND THE SURROUNDING REGION OF NORTHEASTERN MINNESOTA, NORTHWESTERN WISCONSIN, AND THE UPPER PENINSULA OF MICHIGAN. AS THE FEDERALLY DESIGNATED REGIONAL TRAUMA CENTER FOR THIS REGION, ST. LUKE'S PROVIDES CRITICAL ACCESS TO HIGH QUALITY ACUTE HEALTHCARE SERVICES. ST. LUKE'S RECOGNIZES ITS RESPONSIBILITY TO THE COMMUNITY BY PROVIDING FINANCIAL SUPPORT TO COMMUNITY ORGANIZATIONS; OFFERING EDUCATIONAL PROGRAMS, OUTREACH PROGRAMS, AND SUPPORTING THE COMMUNITY THROUGH EMPLOYEE VOLUNTEER EFFORTS AND DONATIONS. WE SUPPORT THE LAKE SUPERIOR COMMUNITY HEALTH CENTER AND THE HEALTH CARE ACCESS OFFICE. IN 2024, ST. LUKE'S DONATED MORE THAN 34,500 HOURS TO ENRICH THE HEALTHCARE OF THE COMMUNITY, INCLUDING SERVING ON BOARDS OF THE MINNESOTA HOMECARE ASSOCIATION, UNITED WAY, AND OTHER NON-PROFIT ORGANIZATIONS IN OUR COMMUNITY. ST. LUKE'S SERVES A DISPROPORTIONATE SHARE OF MEDICARE AND MEDICAID PATIENTS. THROUGH OUR PATIENT ASSISTANCE PROGRAM, WE PROVIDE FULL OR PARTIALLY SUBSIDIZED SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE UNABLE TO PAY. AT ADMISSION AND THROUGH PATIENT HANDBOOKS, PATIENTS ARE GIVEN INFORMATION TO CONTACT ST. LUKE'S FINANCIAL COUNSELORS FOR INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAMS. INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. ALSO, ST. LUKE'S PROVIDES MEDICAL TRANSPORT SERVICES AT LESS THAN COST TO OUR PATIENTS IN THE REGION. DURING 2024, THERE WERE 5,385 ADMISSIONS, 27,957 PATIENT DAYS, 14,246 EMERGENCY/URGENT CARE VISITS, 110,059 OUTPATIENT REGISTRATIONS AND 333,930 CLINIC VISITS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | ASPIRUS ST LUKE'S HOSPITAL |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 247276552 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 63361 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 63361 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 398659 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 398659 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 39573 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 39573 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 14447029 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 14076900 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 28523929 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 84044 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 84044 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 35.00 |
| 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/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/OfficerInd | 9 | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | SIDNEY SCZYGELSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | YVONNE PRETTNER SOLON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | RENE SETTERGREN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KEVIN BEARDSLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | AIMEE VANSTRAATEN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ANDREA BENSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MITCHELL CARDWELL DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | PATRICK HEFFERNAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | HELENA JACKSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | PAKOU LY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | SCOTT LYONS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JAMES MATHESON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BRIAN MURPHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | RICK REVOIR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ANNA SACKETTE-URNESS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JACK SEILER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | KIERA WILSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | MATTHEW HEYWOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JEFFREY JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | JERRY M YANG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | ERIC LOHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | NICHOLAS VAN DEELEN MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| 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/TitleTxt | 0 | BOARD MEMBER/SVP FINANCE/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD SECRETARY/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER/CHIEF OF STAFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER (THRU JUNE 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER (THRU JUNE 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER/SVP-CHIEF STRAT. OFF. |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER (THRU JUNE 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PRESIDENT & CEO ASPIRUS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | SVP-CFO (THRU 04/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | SVP - CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | CO-PRESIDENT/CEO & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CO-PRESIDENT/CEO & CMO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1881 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -2699 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -1414713 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GovernmentGrantsAmt | 0 | 487842 |
| IRS990/GrantAmt | 0 | 231475 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 231475 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 231475 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 272080626 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 186796 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 59060 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 835160 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 3191770 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 4026930 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1194141 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1194141 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 2827768 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 4000000 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 2069750 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 389537 |
| IRS990/InterestGrp/TotalAmt | 0 | 2459287 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 13967329 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 12793418 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2372066 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2372066 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 58427489 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 30135120 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 17099516 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 17595249 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 51169777 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 43772866 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 248646137 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 163260801 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 254243193 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 502889330 |
| IRS990/LegalDomicileStateCd | 0 | MN |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 2699 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 1414713 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 241783 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 1 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 1332392 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 1332392 |
| IRS990/MissionDesc | 0 | THE PATIENT ABOVE ALL ELSE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 20307132 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 131185618 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 200859327 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -1417412 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -1417412 |
| IRS990/NetIncomeOrLossGrp/ExclusionAmt | 0 | 27666 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 27666 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -54987 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -54987 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 35896 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -28895 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 131185618 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 200859327 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 2535360 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 10723967 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 13259327 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1659273 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 548307 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2207580 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 68900579 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 70644914 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 96734401 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1933197 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 13155856 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 15089053 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DRUG SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 3 | MN CARE TAX |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 30710253 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 24875557 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 4185980 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 2291071 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 30710253 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 24875557 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 4185980 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 2291071 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 84436125 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 94898931 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 722514 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 812930 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MEALS/VENDING INCOME |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | PARKING LOT REVENUE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 650591 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 266973 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 650591 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 266973 |
| IRS990/OtherRevenueTotalAmt | 0 | 2249956 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 16177470 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 116155487 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 132332957 |
| IRS990/PartialLiquidationInd | 0 | 0 |
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