Liabilities / Assets
82nd percentile
Higher debt load relative to assets than 82% of similar nonprofits.
Community Memorial Hospital Association
EIN 41-0743546 • 501(c)3 • Cloquet, MN
Profile
Your neighbors caring for you.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.71x
Liabilities / Revenue
58th percentile
Higher debt load relative to revenue than 58% of similar nonprofits.
Net Margin
25th percentile
Higher net margin than 25% of similar nonprofits.
Top Officer Pay
86th percentile
Higher top officer pay than 86% of similar nonprofits.
Top officer pay equals 1.2% of source-year revenue.
Asset Growth
15th percentile
Faster asset growth than 15% of similar nonprofits.
Revenue Growth
55th percentile
Faster revenue growth than 55% of similar nonprofits.
Balance Sheet
Assets
Down$47,126,932
Down $1,792,413 (-3.7%) from 2023
Liabilities
Up$33,299,838
Up $197,259 (+0.6%) from 2023
Net Assets
Down$13,827,094
Down $1,989,672 (-13%) from 2023
Revenue
Up$72,958,205
Up $6,918,354 (+10%) from 2023
Expenses
Up$74,947,877
Up $2,313,555 (+3.2%) from 2023
Net Income
Up-$1,989,672
Up $4,604,799 (+70%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $47,126,932
- Liabilities
- $33,299,838
- Net assets
- $13,827,094
- Revenue
- $72,958,205
- Expenses
- $74,947,877
- Net income
- -$1,989,672
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Oct 1, 2023 to Sep 30, 2024
- Signed
- May 29, 2025
- Return Version
- 2023v6.0
- Gross Receipts
- $72,958,205
Mission and Program Overview
Mission
The mission of community memorial hospital is to improve and enhance the health and well-being of individuals and our community through education, prevention, treatment and intervention.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $23,123,998 | $22,464,698 | ▼ $659,300 |
| Accounts Receivable | $9,241,286 | $13,298,864 | ▲ $4,057,578 |
| Savings and Temporary Cash Investments | $8,343,443 | $3,901,528 | ▼ $4,441,915 |
| Inventories for Sale or Use | $2,196,042 | $2,143,552 | ▼ $52,490 |
| Other Notes and Loans Receivable, Net | $1,898,467 | $1,937,716 | ▲ $39,249 |
| Investments Program Related | $1,806,734 | $1,726,611 | ▼ $80,123 |
| Intangible Assets | $976,902 | $820,597 | ▼ $156,305 |
| Prepaid Expenses and Deferred Charges | $330,777 | $470,215 | ▲ $139,438 |
| Cash and Non-Interest-Bearing Accounts | $749,277 | $186,130 | ▼ $563,147 |
| Total Assets | $48,919,345 | $47,126,932 | ▼ $1,792,413 |
| Other Assets Total | $252,419 | $177,021 | ▼ $75,398 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $24,811,202 | $23,927,843 | ▼ $883,359 |
| Accounts Payable and Accrued Expenses | $6,604,509 | $8,540,515 | ▲ $1,936,006 |
| Other Liabilities | $1,411,972 | $620,510 | ▼ $791,462 |
| Deferred Revenue | $222,397 | $202,363 | ▼ $20,034 |
| Escrow Account Liability | $52,499 | $8,607 | ▼ $43,892 |
| Total Liabilities | $33,102,579 | $33,299,838 | ▲ $197,259 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $15,515,347 | $13,827,094 | ▼ $1,688,253 |
| Net Assets With Donor Restrictions | $301,419 | $0 | ▼ $301,419 |
| Total Net Assets Fund Balance | $15,816,766 | $13,827,094 | ▼ $1,989,672 |
| Total Liabilities and Net Assets / Fund Balance | $48,919,345 | $47,126,932 | ▼ $1,792,413 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $16,853,014 | $33,574,483 | $50,427,497 |
| Equipment | $4,467,396 | $11,947,456 | $16,414,852 |
| Other Land Buildings | $484,840 | $1,430,256 | $1,915,096 |
| Land | $659,448 | - | $659,448 |
Endowment Activity
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $301,419 | - | - | $301,419 | - |
| 2023 | $296,445 | - | ▲ $4,974 | - | $301,419 |
| 2022 | $294,869 | - | ▲ $1,576 | - | $296,445 |
| 2021 | $292,457 | - | ▲ $2,588 | $176 | $294,869 |
| 2020 | $417,785 | - | ▲ $4,135 | $129,463 | $292,457 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Kyle Menzel Md | Physician | FT | $869,766 | $39,714 | $909,480 |
| Rick Breuer | CEO | FT | $449,402 | $52,286 | $501,688 |
| Bryan Hunter | Crna | FT | $396,065 | $48,807 | $444,872 |
| Kenneth Ripp Md | Physician | FT | $381,427 | $61,992 | $443,419 |
| James Ryan Md | Physician | FT | $372,848 | $41,319 | $414,167 |
| Joseph Lemker Md | Physician | FT | $376,440 | $17,642 | $394,082 |
| Kara Underwood Md | Physician / Director | FT | $348,356 | $20,324 | $368,680 |
| Brad Anderson | COO | FT | $254,469 | $46,298 | $300,767 |
| Joanna Robnik Md | Physician / Director | FT | $244,694 | $36,383 | $281,077 |
| Kirk Johnson | CFO | FT | $20,853 | $2,555 | $23,408 |
Board Members and Trustees
| Name | Title |
|---|---|
| Lee Olsen | Chair |
| Kelly Johnson | Vice Chair |
| Ralph Hamann | Director |
| Ray Hatinen | Director |
| Samuel Moose | Director |
| Les Riess Md | Director (through 11/20/23) |
| Steve Risacher | Secretary |
| Jenny Barta | Treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ventura Medstaff LLC | Medical Staffing Agency | 11420 BLONDO ST STE 103, Omaha, NE 68164 | $1,062,484 |
| Central Minnesota Diagnostic INC | Imaging Services | 525 10 ST NE, Milaca, MN 56353 | $889,790 |
| Hayes Locums LLC | Medical Staffing Agency | 5900 N ANDREWS AVE STE 900, Fort Lauderdale, FL 33309 | $879,290 |
| Sisu Medical Solutons LLC | It Services | 4960 MILLER TRUNK HWY STE 500, Hermantown, MN 55811 | $641,156 |
| Barton Associates INC | Medical Staffing Agency | 300 JUBILEE DR, Peabody, MA 01960 | $622,850 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $442,580
- Program Service Revenue
- $71,667,289
- Investment Income
- $183,997
- Other Revenue
- $664,339
- All Other Contributions
- $75,915
- Change in Net Assets
- $-1,989,672
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $72,905,328
- Revenue Not Reported on Financial Statements
- $52,877
- Revenue Not Reported on Form 990
- $-1,851,254
- Other Revenue Adjustments
- $52,877
- Total Revenue per Audited Statements
- $71,054,074
- Total Revenue per Form 990
- $72,958,205
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $41,643,592 |
| Other Expenses | $33,280,690 |
| Grants and Similar Amounts Paid | $23,595 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $31,024,320 | $1,190,528 | - | $32,214,848 |
| Fees for Services Other | $7,104,880 | $103,653 | - | $7,208,533 |
| Other Employee Benefits | $3,583,306 | $667,960 | - | $4,251,266 |
| All Other Expenses | $2,053,399 | $1,393,334 | - | $3,446,733 |
| Depreciation Depletion | $2,407,420 | $480,823 | - | $2,888,243 |
| Payroll Taxes | $2,088,905 | $139,278 | - | $2,228,183 |
| Other Expenses | $1,851,254 | $389 | - | $1,851,254 |
| Current Officers, Directors, Trustees, and Key Employees | $644,583 | $1,017,506 | - | $1,662,089 |
| Occupancy | $1,149,880 | $331,235 | - | $1,481,115 |
| Pension Plan Contributions | $1,229,040 | $58,166 | - | $1,287,206 |
| Interest | - | $1,019,575 | - | $1,019,575 |
| Office Expenses | $501,650 | $146,140 | - | $647,790 |
| Insurance | $42,742 | $323,331 | - | $366,073 |
| Advertising | - | $225,167 | - | $225,167 |
| Travel | $176,323 | $15,262 | - | $191,585 |
| Fees for Services Accounting | - | $168,994 | - | $168,994 |
| Fees for Services Legal | - | $97,081 | - | $97,081 |
| Grants to Domestic Orgs | $23,595 | - | - | $23,595 |
| Fees for Services Lobbying | - | $4,446 | - | $4,446 |
| Total Functional Expenses | $67,552,376 | $7,395,501 | $0 | $74,947,877 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $74,947,877 |
| Expenses per Audited Statements | $73,096,623 |
| Total Expenses per Audited Statements | $73,043,746 |
| Expenses Not Reported on Financial Statements | $1,851,254 |
| Other Expense Adjustments | $1,851,254 |
| Expenses Not Reported on Form 990 | $-52,877 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Cloquet Schools | Cloquet, MN | Governmental | Athletic Trainer | $15,040 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Third-party Payor Settlements | $443,855 |
| Lease Liabilities | $176,655 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 6
“Community memorial hospital association has members who elect the board of directors.”
Form 990, Part VI, Section A, Line 7A
“Community memorial hospital association has members who elect the board of directors.”
Form 990, Part VI, Section B, Line 11B
“Form 990 is completed by an independent cpa firm, reviewed by administration and finance for accuracy, and provided to the board of directors.”
Form 990, Part VI, Section B, Line 12C
“The conflict of interest individual annual statements will be signed annually by board members, corporate officers, executives, medical staff, physicians, and department directors. Education is done on a yearly basis to physicians, dept directors and the board of directors. Items listed on the statements are reviewed by the ceo, compliance officer and/or the chairman of the board to see if conflicts exist. If conflicts exist, the ceo, compliance officer and/or the chairman shall: 1. If appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. 2. After exercising due diligence, the board shall determine whether cmh can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. 3. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee or ceo of cmh shall determine whether the transaction or arrangement is in cmh's best interest, is for cmh's own benefit, and is fair and reasonable to cmh and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination.”
Form 990, Part VI, Section B, Line 15
“An organizational policy "salary administration policy - non contract employees" is followed. Annually, an industry salary survey is completed and results are used to set wage scales for positions by job code. Any changes to wage scales are presented to the human resources committee of the board of directors which reviews and makes recommendations to the board of directors for approval.”
Form 990, Part VI, Section C, Line 19
“The governing documents, conflict of interest policy, and financial statements are kept on-site for review by the public during normal business hours for the same period of disclosure as set forth in section 6104(d).”
Filing and Contact Details
Filer
- Filer Name
- Community Memorial Hospital Association
- EIN
- 41-0743546
- Phone
- 2188794641
- Address
- 512 SKYLINE BLVD, CLOQUET, MN 55720
Signing Officer
- Name
- Kirk Johnson
- Title
- CFO
- Phone
- 2188794641
- Signed
- 2025-05-29
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Rick Breuer
- Formed
- 1954
- Legal Domicile
- Mn
- Voting Board Members
- 9
- Independent Board Members
- 7
- Employees
- 552
- Volunteers
- 75
Preparer
- Firm
- Rsm US Llp
- Address
- 227 WEST FIRST STREET SUITE 700, DULUTH, MN 55802
- Preparer
- Julie Boyer
- Phone
- 2187275025
Supplemental Narrative
Financial Statement Notes
PART IV, LINE 2B:
“The hospital is the custodian of funds belonging to former residents of the nursing home. The hospital is working to return these funds to the legal owners.”
PART V, LINE 4:
“The funds are to be used only for equipment needs in sunnyside (snf) or icu and to bring dialysis into the community.”
PART X, LINE 2:
“Nonprofit organizations may become subject to income taxes if qualification as a tax-exempt entity change, if unrelated business income is generated, and in certain other instances. Nonprofit organizations are required to assess the certainty of their tax positions related to these matters and, in some cases, record liabilities for potential taxes, interest and penalties accompanied by footnote disclosures. The association has not identified any uncertain tax positions that would require the accrual of an income tax provision. Generally, the association is no longer subject to income tax examinations by the u.s. Federal or state tax authorities for years before 2021.”
PART XI, LINE 2D - OTHER ADJUSTMENTS:
“Implicit price concessions -1,851,254.”
PART XI, LINE 4B - OTHER ADJUSTMENTS:
“Gain/loss on sale of assets 8,063. Grant revenue netted with expense 44,976. Lab revenue adjustment -162.”
PART XII, LINE 2D - OTHER ADJUSTMENTS:
“Gain/loss on sale of assets -8,063. Grant revenue netted with expense -44,976. Lab revenue adjustment 162.”
PART XII, LINE 4B - OTHER ADJUSTMENTS:
“Implicit price concessions 1,851,254.”
Raw XML AppendixShowing 400 of 1,014 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 8540515 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 9241286 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 13298864 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | THE MISSION OF COMMUNITY MEMORIAL HOSPITAL IS TO IMPROVE AND ENHANCE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND OUR COMMUNITY THROUGH EDUCATION, PREVENTION, TREATMENT AND INTERVENTION. |
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| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 3446733 |
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| IRS990/Desc | 0 | CMH IS A CRITICAL ACCESS HOSPITAL LOCATED IN CLOQUET, MN IN CARLTON COUNTY. CMH SERVES PRIMARILY AN ELEVEN ZIP-CODE AREA WITH A POPULATION OF APPROXIMATELY 35,000 RESIDENTS. CMH OFFERS THE COMMUNITY A ROBUST SERVICE LINE OFFERING WHICH INCLUDES INPATIENT & OUTPATIENT SERVICES. CMH PROVIDES A NEWLY CONSTRUCTED STATE OF THE ART INPATIENT FACILITY HOUSING MED/SURG, ICU, OB, AND SWING BED SERVICES. CMH PROVIDES A FULL ARRAY OF OUTPATIENT SERVICES WHICH INCLUDE: A 24-HOUR E/R, A FULL SPECTRUM OF IMAGING SERVICES, LABORATORY, SURGERY, CHEMO/INFUSION, PHARMACY, R.T., CARDIAC REHAB, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, DIABETIC EDUCATION, SLEEP STUDIES, AND OTHER MEDICAL SERVICES NEEDED BY OUR COMMUNITY. CMH ALSO EMPLOYS A NUMBER OF PHYSICIANS IN SPECIALTIES THAT ARE IN HIGH DEMAND IN OUR SERVICE AREA. THESE INCLUDE GENERAL SURGEONS, ENT SURGEONS, AND ORTHOPEDIC SURGEONS. CMH HAS GROWN AT A FAST PACE TO MEET THE NEEDS OF OUR COMMUNITY. IN THE TAX YEAR ENDING SEPTEMBER 30, 2024, CMH PROVIDED 2,865 INPATIENT DAYS, 2,384 SURGERIES, 8,430 EMERGENCY ROOM VISITS, AND 49,836 OUTPATIENT VISITS. IN ADDITION, CMH REACHES OUT TO THE COMMUNITY TO ENHANCE THE HEALTH AND WELLBEING OF OUR SERVICE AREA BY OFFERING NUMEROUS EDUCATIONAL OPPORTUNITIES, HEALTH SCREENINGS, AND SUPPORT GROUPS. |
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| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 552 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 52499 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 8607 |
| IRS990/ExpenseAmt | 0 | 67552376 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 168994 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 168994 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 97081 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 97081 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 4446 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 4446 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 103653 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 7104880 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 7208533 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| 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/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/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/OtherCompensationAmt | 0 | 19550 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 36203 |
| 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 | 51512 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 2555 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 45524 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 39300 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 48033 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 61218 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 40575 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 16500 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KARA UNDERWOOD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JOANNA ROBNIK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LES RIESS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RALPH HAMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | RAY HATINEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SAMUEL MOOSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JENNY BARTA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | STEVE RISACHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | LEE OLSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KELLY JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | RICK BREUER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | KIRK JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BRAD ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KYLE MENZEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BRYAN HUNTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | KENNETH RIPP MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JAMES RYAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JOSEPH LEMKER MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 349130 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 244874 |
| 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 | 450176 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 20853 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 255243 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 870180 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 396839 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 382201 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 373592 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 377582 |
| 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/TitleTxt | 0 | PHYSICIAN / DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN / DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR (THROUGH 11/20/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1954 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 8063 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 268565 |
| IRS990/GrantAmt | 0 | 23595 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 23595 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 23595 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 8063 |
| IRS990/GrossReceiptsAmt | 0 | 72958205 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 193293 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 78 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 323331 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 42742 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 366073 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 976902 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 820597 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1019575 |
| IRS990/InterestGrp/TotalAmt | 0 | 1019575 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 2196042 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2143552 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 175934 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 175934 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1806734 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 1726611 |
| IRS990/IRPDocumentCnt | 0 | 66 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 46952195 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 23123998 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 22464698 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 69416893 |
| IRS990/LegalDomicileStateCd | 0 | MN |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | YOUR NEIGHBORS CARING FOR YOU. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 24811202 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 23927843 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 15816766 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 13827094 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 8063 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 8063 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 193293 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 193293 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 15515347 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 13827094 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 331235 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1149880 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1481115 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 146140 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 501650 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 647790 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 252419 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 177021 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 667960 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3583306 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4251266 |
| IRS990/OtherExpensesGrp/Desc | 0 | UBI TAX |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | DRUGS |
| IRS990/OtherExpensesGrp/Desc | 3 | IMPLICIT PRICE CONCESSI |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 12633 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 389 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 10119426 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 3551653 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1851254 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 12633 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 10119815 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 3551653 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1851254 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1411972 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 620510 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | EARNINGS IN CMDI |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | MISCELLANEOUS REVENUE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 95918 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 375128 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 375128 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 95918 |
| IRS990/OtherRevenueTotalAmt | 0 | 471046 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1190528 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 31024320 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 32214848 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 1898467 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 1937716 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 139278 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 2088905 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 2228183 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 58166 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 1229040 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 1287206 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 330777 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 470215 |
| IRS990/PrincipalOfficerNm | 0 | RICK BREUER |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621500 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621500 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621500 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER INCOME |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | OUTSIDE LAB SALES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 71349073 |
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