Liabilities / Assets
30th percentile
Higher debt load relative to assets than 30% of similar nonprofits.
Lifecare Medical Center
EIN 41-1804205 • 501(c)3 • Roseau, MN
Profile
To provide care for a healthy life.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.11x
Liabilities / Revenue
26th percentile
Higher debt load relative to revenue than 26% of similar nonprofits.
Net Margin
68th percentile
Higher net margin than 68% of similar nonprofits.
Top Officer Pay
56th percentile
Higher top officer pay than 56% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
81st percentile
Faster asset growth than 81% of similar nonprofits.
Revenue Growth
81st percentile
Faster revenue growth than 81% of similar nonprofits.
Balance Sheet
Assets
Up$120,995,256
Up $16,323,226 (+16%) from 2023
Liabilities
Up$13,229,046
Up $5,691,614 (+76%) from 2023
Net Assets
Up$107,766,210
Up $10,631,612 (+11%) from 2023
Revenue
Up$74,965,269
Up $16,711,648 (+29%) from 2023
Expenses
Up$65,418,127
Up $9,791,502 (+18%) from 2023
Net Income
Up$9,547,142
Up $6,920,146 (+263%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $120,995,256
- Liabilities
- $13,229,046
- Net assets
- $107,766,210
- Revenue
- $74,965,269
- Expenses
- $65,418,127
- Net income
- $9,547,142
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Oct 1, 2023 to Sep 30, 2024
- Signed
- Jul 30, 2025
- Return Version
- 2023v6.0
- Gross Receipts
- $75,268,464
Mission and Program Overview
Mission
To provide care for a healthy life.
Promotion of Health
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $52,040,851 | $45,443,357 | ▼ $6,597,494 |
| Land, Buildings, and Equipment, Net | $28,344,217 | $36,685,343 | ▲ $8,341,126 |
| Savings and Temporary Cash Investments | $12,480,638 | $13,522,429 | ▲ $1,041,791 |
| Accounts Receivable | $8,502,736 | $11,964,441 | ▲ $3,461,705 |
| Inventories for Sale or Use | $1,890,498 | $2,411,972 | ▲ $521,474 |
| Investments Program Related | $541,795 | $641,828 | ▲ $100,033 |
| Prepaid Expenses and Deferred Charges | $283,882 | $406,176 | ▲ $122,294 |
| Intangible Assets | - | $381,452 | - |
| Total Assets | $104,672,030 | $120,995,256 | ▲ $16,323,226 |
| Other Assets Total | $587,413 | $9,538,258 | ▲ $8,950,845 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $5,202,298 | $8,156,708 | ▲ $2,954,410 |
| Other Liabilities | $1,644,965 | $3,857,486 | ▲ $2,212,521 |
| Deferred Revenue | $405,743 | $907,956 | ▲ $502,213 |
| Escrow Account Liability | $284,426 | $306,896 | ▲ $22,470 |
| Total Liabilities | $7,537,432 | $13,229,046 | ▲ $5,691,614 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $97,134,598 | $107,766,210 | ▲ $10,631,612 |
| Total Net Assets Fund Balance | $97,134,598 | $107,766,210 | ▲ $10,631,612 |
| Total Liabilities and Net Assets / Fund Balance | $104,672,030 | $120,995,256 | ▲ $16,323,226 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $15,598,349 | $30,834,992 | $46,433,341 |
| Equipment | $9,316,469 | $13,008,129 | $22,324,598 |
| Other Land Buildings | $11,377,879 | $1,242,535 | $12,620,414 |
| Land | $392,646 | - | $392,646 |
| Other Assets Org | $8,144,921 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| James Cain | General Surgeon | FT | $443,717 | $98,555 | $542,272 |
| Keith Okeson | CEO/President | FT | $443,806 | $95,354 | $539,160 |
| Alan Grillo | Emergency Medicine Physici | FT | $394,991 | $113,002 | $507,993 |
| Cathy Huss | CFO | FT | $288,091 | $87,343 | $375,434 |
| Andrew Humes | Crna | FT | $287,170 | $40,973 | $328,143 |
| ReNae Johnson | Crna | FT | $261,850 | $59,331 | $321,181 |
| Amber Wibbels | Podiatrist | FT | $208,387 | $60,731 | $269,118 |
| Shannon D Carlson | COO | FT | $223,813 | $44,946 | $268,759 |
| Kelly Hulst | CNO | FT | $173,611 | $55,517 | $229,128 |
| Corwin Vatnsdal | Chair | - | $2,200 | - | $2,200 |
| Mark Wilson | Secretary | - | $1,700 | - | $1,700 |
| Therese McBride | Treasurer | - | $1,400 | - | $1,400 |
| Chuck Lindner | Trustee | - | $1,300 | - | $1,300 |
| Brenda Sather | Vice Chair | - | $1,100 | - | $1,100 |
| Dan Urness | Trustee | - | $1,100 | - | $1,100 |
| Mark Karl | Trustee | - | $1,100 | - | $1,100 |
| Beth Johnson | Trustee | - | $900 | - | $900 |
| Megan Comstock | Trustee | - | $900 | - | $900 |
| Ronald Brummer | Trustee | - | $900 | - | $900 |
| Jessica Foss | Trustee | - | $700 | - | $700 |
| Matthew Ulwelling | Trustee | - | $600 | - | $600 |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Wapiti Medical Group Limited | Emergency Room Physicians | 107 Flynn Dr, Milbank, SD 57252 | $2,309,314 |
| Comstock Construction Inc | Construction Contractors | 1003 Progress Dr, Fergus Falls, MN 56538 | $1,807,660 |
| Foss Architecture & Interiors | Architect Services | 810 1st Ave N, Fargo, ND 58102 | $702,971 |
| Central Minnesota Diagnostic | Imaging Technician Services | PO Box 158, Milaca, MN 56353 | $566,336 |
| Mayo Collaborative Services | Laboratory Testing | PO Box 9146, Minneapolis, MN 55480 | $386,781 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $8,764,879
- Program Service Revenue
- $64,280,028
- Investment Income
- $1,803,853
- Other Revenue
- $116,509
- All Other Contributions
- $619,958
- Change in Net Assets
- $9,547,142
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $75,169,416
- Revenue Not Reported on Financial Statements
- $-204,147
- Revenue Not Reported on Form 990
- $1,084,470
- Other Revenue Adjustments
- $-256,256
- Total Revenue per Audited Statements
- $76,253,886
- Total Revenue per Form 990
- $74,965,269
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $38,009,475 |
| Other Expenses | $27,361,152 |
| Grants and Similar Amounts Paid | $47,500 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $25,156,114 | $4,074,784 | - | $29,230,898 |
| Fees for Services Other | $6,223,693 | $701,135 | - | $6,924,828 |
| Other Employee Benefits | $3,342,706 | $726,518 | - | $4,069,224 |
| Depreciation Depletion | $3,348,440 | $466,010 | - | $3,814,450 |
| Payroll Taxes | $1,738,162 | $429,234 | - | $2,167,396 |
| Office Expenses | $676,125 | $1,362,135 | - | $2,038,260 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,462,546 | - | $1,462,546 |
| Occupancy | $1,225,622 | $46,844 | - | $1,272,466 |
| Pension Plan Contributions | $937,245 | $142,166 | - | $1,079,411 |
| Fees for Services Accounting | - | $1,062,915 | - | $1,062,915 |
| All Other Expenses | $605,533 | $358,493 | - | $964,026 |
| Other Expenses | $465,384 | $37,075 | - | $502,459 |
| Travel | $324,183 | $52,601 | - | $376,784 |
| Insurance | - | $354,218 | - | $354,218 |
| Advertising | - | $259,011 | - | $259,011 |
| Interest | $118,597 | - | - | $118,597 |
| Fees for Services Legal | - | $86,424 | - | $86,424 |
| Conferences and Meetings | $31,201 | $52,777 | - | $83,978 |
| Fees for Service Investment Mgmnt Fees | $52,109 | - | - | $52,109 |
| Grants to Domestic Orgs | $40,000 | - | - | $40,000 |
| Grants to Domestic Individuals | $7,500 | - | - | $7,500 |
| Total Functional Expenses | $52,837,256 | $12,580,871 | $0 | $65,418,127 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $65,622,274 |
| Total Expenses per Form 990 | $65,418,127 |
| Expenses per Audited Statements | $65,366,018 |
| Expenses Not Reported on Form 990 | $256,256 |
| Expenses Not Reported on Financial Statements | $52,109 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Altru Health Foundation | Grand Forks, ND | 501(c)(3) | Contribution to new facility construction | $30,000 |
| Roseau Youth Hockey | Roseau, MN | 501(c)(3) | Annual Sponsorship | $10,000 |
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
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Deferred Compensation Obligation | $1,684,681 |
| Finance Lease Liability | $1,444,781 |
| Estimated Third Party Payor Settlements | $728,024 |
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 1A
“The Executive Committee consists of the Chair, Vice-Chair, Treasurer, Secretary, and at least one other director (who shall be selected annually.) The President/CEO will be a non-voting member of the committee. The President/CEO will be excused for matters relating to compensation and evaluation. The Executive Committee shall meet as often as necessary at the call of the Chair, Vice-Chair, or at the request of any two of its members. A majority of the Executive Committee shall constitute a quorum. The Executive Committee's specific responsibilities are to: * Exercise the authority of the board in the management of the business of the corporation between regularly scheduled meetings. * Report to the board any official actions it has taken at the next board meeting. * Review the compensation program for the senior leaders of the organization that is designed to allow the organization to recruit and retain superior talent. * Responsible for conducting on an annual basis the process of establishing goals, evaluating the performance and establishing the compensation of the President/CEO.”
Form 990, Part VI, Section B, line 11B
“The return is reviewed initially by the CFO. The return is made available to the Board of Trustees before it is filed.”
Form 990, Part VI, Section B, line 12C
“All officers, trustees, and key employees are required to complete a conflict of interest form annually. The form is reviewed by the Board of Trustees to determine if any conflicts exist. If there are any conflicts, the Board of Trustees will discuss the restrictions that should be placed on the person with the conflict. Restrictions are typically related to voting and discussion of matters related to the conflict.”
Form 990, Part VI, Section B, line 15
“The compensation for the CEO and CFO is approved by the Executive Committee based on comparability data. The CEO and CFO both have employment contracts. The deliberation and discussion of compensation is documented in the board meeting minutes. This process takes place on an annual basis.”
Form 990, Part VI, Section C, line 19
“The organization's governing documents, conflict of interest policy, and financial statements are available upon request.”
Filing and Contact Details
Filer
- Filer Name
- LifeCare Medical Center
- EIN
- 41-1804205
- Phone
- 2184632500
- Address
- 715 Delmore Dr, Roseau, MN 56751
Signing Officer
- Name
- Keith Okeson
- Title
- CEO/President
- Phone
- 2184632500
- Signed
- 2025-07-30
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Keith Okeson
- Formed
- 1995
- Legal Domicile
- Mn
- Voting Board Members
- 12
- Independent Board Members
- 8
- Employees
- 584
- Volunteers
- 350
Preparer
- Firm
- Eide Bailly LLP
- Address
- 4585 Coleman St Ste 200, Bismarck, ND 58503
- Preparer
- Lisa Chaffee CPA
- Phone
- 7012551091
Supplemental Narrative
Additional Explanations
Form 990, Part III, line 2
“LifeCare Medical Center acquired three rural health clinics during the fiscal year. This is in furtherance of their exempt purpose.”
Form 990, Part IX, line 11G
“Physician Fees: Program service expenses 3,582,871. Management and general expenses 101,001. Fundraising expenses 0. Total expenses 3,683,872. Service Related Fees: Program service expenses 1,942,195. Management and general expenses 9,269. Fundraising expenses 0. Total expenses 1,951,464. Miscellaneous Fees: Program service expenses 698,627. Management and general expenses 590,865. Fundraising expenses 0. Total expenses 1,289,492.”
Financial Statement Notes
Part IV, Line 2B:
“The Medical Center acts as custodian for the funds of the residents, holds resident security deposits, and holds employee voluntary withholdings. Funds for residents and others totaled $284,426 and $306,896 at September 30, 2023 and 2024.”
Part X, Line 2:
“The Medical Center 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 financial statements. The Medical Center 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.”
Part XI, Line 4B - Other Adjustments:
“Rental Expense Recorded in Expense for Financial Statements -256,256.”
Part XII, Line 2D - Other Adjustments:
“Rental Expense Recorded in Revenue on Form 990 256,256.”
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| IRS990/Desc | 0 | LifeCare Medical Center operates a 25-bed critical access hospital, a 40-bed nursing facility, a 42-unit assisted living facility, a primary care clinic, home health, hospice, and public health in Roseau, Minnesota. The organization also operates a 40-bed nursing facility, 12 apartments of assisted living, and a primary care clinic in Greenbush, Minnesota. The organization also operates a community wellness/rehabilitation center and a primary care clinic in Warroad, Minnesota. The purpose of the Medical Center is to own, maintain, and operate a hospital, clinics, and long term care facilities, and to furnish medical and surgical care to the sick, infirm, or injured.Continued on Schedule O...Acute Care Hospital (Inpatient and Outpatient)Inpatient days: 2,600 (1,291 IP and 1,309 SWB)Long Term CareLifeCare Roseau Manor Resident Days: 12,571LifeCare Greenbush Manor Resident Days: 10,847LifeCare Greenbush Assisted Living Resident Days: 1,951LifeCare Senior Living Resident Days: 11,801Clinic Visits: 11,061Home Health Visits: 2,232Hospice Clients Served: 32To fulfill its mission of community service, LifeCare Medical Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. The amount of charges foregone, based on established rates, was $226,215 for the year ended September 30, 2024.LifeCare Medical Center was selected by The National Rural Health Association's Rural Health Policy Institute, iVantage Health Analytics and The Chartis Center for Rural Health as one of the top 100 Critical Access Hospitals in the country based on quality, customer surveys, and financial indicators. We are very proud of our staff in being selected in 2018, 2020, and 2021 for this honor. |
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| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| 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 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/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 | 42458 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 40356 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 32140 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 47134 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 42674 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 27802 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 46282 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 39319 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 36269 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Corwin Vatnsdal |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Therese McBride |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Brenda Sather |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Mark Wilson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Beth Johnson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Matthew Ulwelling |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Ronald Brummer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Chuck Lindner |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Jessica Foss |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Mark Karl |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Dan Urness |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Megan Comstock |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Keith Okeson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Cathy Huss |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Shannon D Carlson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Kelly Hulst |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Alan Grillo |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Andrew Humes |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | ReNae Johnson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Amber Wibbels |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | James Cain |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 2200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1400 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 1100 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 1700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 900 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 600 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 900 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 1300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 1100 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 1100 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 900 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 496229 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 334605 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 236146 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 181521 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 464846 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 299869 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 274426 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 229326 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 505530 |
| 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/TitleTxt | 0 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CEO/President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Emergency Medicine Physici |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CRNA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Podiatrist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | General Surgeon |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1995 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -46939 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 8144921 |
| IRS990/GrantAmt | 0 | 47500 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 7500 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 7500 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 40000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 40000 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 75268464 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 372765 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 50 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 354218 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 354218 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 381452 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 118597 |
| IRS990/InterestGrp/TotalAmt | 0 | 118597 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1890498 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2411972 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1850792 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1850792 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 541795 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 641828 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 52040851 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 45443357 |
| IRS990/IRPDocumentCnt | 0 | 107 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 45085656 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 28344217 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 36685343 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 81770999 |
| IRS990/LegalDomicileStateCd | 0 | MN |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 46939 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 256256 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | To provide care for a healthy life. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 97134598 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 107766210 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -46939 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -46939 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 116509 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 116509 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1084470 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 97134598 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 107766210 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 46844 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1225622 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1272466 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 1362135 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 676125 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2038260 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 587413 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 9538258 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 726518 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3342706 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4069224 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Repairs & Maintenance |
| IRS990/OtherExpensesGrp/Desc | 2 | Surcharge Fees |
| IRS990/OtherExpensesGrp/Desc | 3 | Food and Dietary Cateri |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 905985 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 37075 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 7332925 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 579061 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 632656 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 465384 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 7332925 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1485046 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 632656 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 502459 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1644965 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 3857486 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 4074784 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 25156114 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 29230898 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 429234 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1738162 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 2167396 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 142166 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 937245 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 1079411 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 283882 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 406176 |
| IRS990/PrincipalOfficerNm | 0 | Keith Okeson |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
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