Liabilities / Assets
31st percentile
Higher debt load relative to assets than 31% of similar nonprofits.
EIN 41-1865315 • 501(c)3 • Melrose, MN
Profile
Centracare health works to improve the health of every patient, every day.
Refreshing map…
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
31st percentile
Higher debt load relative to assets than 31% of similar nonprofits.
Liabilities / Revenue
24th percentile
Higher debt load relative to revenue than 24% of similar nonprofits.
Net Margin
64th percentile
Higher net margin than 64% of similar nonprofits.
Top Officer Pay
93rd percentile
Higher top officer pay than 93% of similar nonprofits.
Top officer pay equals 3.2% of source-year revenue.
Asset Growth
18th percentile
Faster asset growth than 18% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
Assets
Down$69,907,565
Down $1,849,692 (-2.6%) from 2023
Liabilities
Down$6,171,109
Down $9,682,870 (-61%) from 2023
Net Assets
Up$63,736,456
Up $7,833,178 (+14%) from 2023
Revenue
Down$51,426,339
Down $3,471,603 (-6.3%) from 2023
Expenses
Down$45,951,382
Down $6,448,396 (-12%) from 2023
Net Income
Up$5,474,957
Up $2,976,793 (+119%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
Centracare health works to improve the health of every patient, every day.
We're here for your whole life to listen, then serve, to guide and heal because health means everything.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $33,754,757 | $31,031,740 | ▼ $2,723,017 |
| Investments Other Securities | $33,187,006 | $29,716,473 | ▼ $3,470,533 |
| Savings and Temporary Cash Investments | $82,605 | $11,282,585 | ▲ $11,199,980 |
| Accounts Receivable | $6,518,190 | $6,757,287 | ▲ $239,097 |
| Investments Program Related | - | $620,212 | - |
| Prepaid Expenses and Deferred Charges | $130,052 | $317,497 | ▲ $187,445 |
| Inventories for Sale or Use | $381,812 | $245,137 | ▼ $136,675 |
| Cash and Non-Interest-Bearing Accounts | $10,883,087 | $1,305 | ▼ $10,881,782 |
| Total Assets | $87,022,550 | $80,850,643 | ▼ $6,171,907 |
| Other Assets Total | $2,085,041 | $878,407 | ▼ $1,206,634 |
| Liabilities | |||
| Other Liabilities | $7,015,759 | $23,499,132 | ▲ $16,483,373 |
| Accounts Payable and Accrued Expenses | $7,156,525 | $5,201,650 | ▼ $1,954,875 |
| Unsecured Notes Loans Payable | $20,055,885 | $291,596 | ▼ $19,764,289 |
| Deferred Revenue | - | $141,521 | - |
| Total Liabilities | $34,228,169 | $29,133,899 | ▼ $5,094,270 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $52,787,892 | $51,710,255 | ▼ $1,077,637 |
| Net Assets With Donor Restrictions | $6,489 | $6,489 | → $0 |
| Total Net Assets Fund Balance | $52,794,381 | $51,716,744 | ▼ $1,077,637 |
| Total Liabilities and Net Assets / Fund Balance | $87,022,550 | $80,850,643 | ▼ $6,171,907 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $26,690,199 | $21,151,919 | $47,842,118 |
| Equipment | $3,800,572 | $12,577,150 | $16,377,722 |
| Land | $517,250 | - | $517,250 |
| Leasehold Improvements | $23,719 | $155,907 | $179,626 |
| Other Securities | $29,716,473 | - | - |
| Name | Title | Other | Total |
|---|---|---|---|
| David Anfinson | Vice Chair | $3,667 | $3,667 |
| Steve Laraway | Board Chair | $3,500 | $3,500 |
| James Hebl Md | Director | $1,000 | $1,000 |
| Jeff Gau | Director | $1,000 | $1,000 |
| Joe Uphus | Director | $1,000 | $1,000 |
| Michelle Johnson | Director | $1,000 | $1,000 |
| Tim Wensman | Director | $1,000 | $1,000 |
| Bob Thueringer | Director | $1,000 | $1,000 |
| Name | Title |
|---|---|
| Kenneth Holmen Md | President/CEO |
| Cindy Firkins Smith Md | Vice President |
| Bryan Rolph Md | Director |
| Christian Schmidt Md | Director |
| Father Tom Knoblach | Director |
| Richard Wehseler Md | Director |
| Bobbie Bertram Aprn | Director (beg 9/16/21) |
| Bryan Bauck | Executive Director |
| Michael Blair | Chief Financial Offc/sr VP/treasurer |
| Amy Porwoll | Chief Information System Offcr/sr VP |
| Santo Cruz | Chief Legal Officer/sr VP/secretary |
| Anthony Gardner | Chief Marketing & Comm Officer/sr VP |
| Craig Broman | Chief Operating Officer/evp |
| Leanne Anderson | Physician |
| Lindsey Chmielewski | Physician |
| Michael Beste | Physician |
| Patrick Heller | Physician |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Aya Healthcare INC | Travel Nurses | PO BOX 123519, Dallas, TX 75312 | $1,281,542 |
| West Central Anesthesia PC | Anesthesia Services | 10382 AUGUSTA DRIVE, Sauk Centre, MN 56378 | $700,888 |
| Converdia Health Staffing | Staffing Agency | 2108 SOUTH UNIVERSITY DR STE 106B, Fargo, ND 58103 | $401,740 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $28,799,079 |
| Other Expenses | $21,301,189 |
| Grants and Similar Amounts Paid | $879,917 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $10,842,423 | $3,614,141 | - | $14,456,564 |
| Current Officers, Directors, Trustees, and Key Employees | $6,545,797 | $2,181,932 | - | $8,727,729 |
| Fees for Services Other | $3,917,148 | $1,305,716 | - | $5,222,864 |
| Other Employee Benefits | $2,943,378 | $981,126 | - | $3,924,504 |
| Depreciation Depletion | $2,468,825 | $822,942 | - | $3,291,767 |
| Information Technology | $1,586,854 | $528,951 | - | $2,115,805 |
| Payroll Taxes | $745,262 | $248,421 | - | $993,683 |
| Occupancy | $714,100 | $238,033 | - | $952,133 |
| Grants to Domestic Orgs | $856,508 | - | - | $856,508 |
| Other Expenses | $639,164 | $213,055 | - | $852,219 |
| Interest | $587,738 | $195,913 | - | $783,651 |
| Pension Plan Contributions | $522,449 | $174,150 | - | $696,599 |
| Insurance | $151,343 | $50,448 | - | $201,791 |
| All Other Expenses | $142,332 | $47,440 | - | $189,772 |
| Conferences and Meetings | $53,070 | $17,690 | - | $70,760 |
| Office Expenses | $34,699 | $11,566 | - | $46,265 |
| Travel | $21,280 | $7,093 | - | $28,373 |
| Grants to Domestic Individuals | $23,409 | - | - | $23,409 |
| Advertising | $5,344 | $1,781 | - | $7,125 |
| Total Functional Expenses | $38,455,121 | $12,525,064 | $0 | $50,980,185 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $21,070,161 |
| Third Party Payor Settlements | $1,265,697 |
| Lease Liabilities | $707,165 |
| Asset Retirement Obligation | $456,109 |
“The sole member is centracare health system, a minnesota nonprofit organization.”
“All board members are appointed by centracare health system, the sole corporate member.”
“The following matters are reserved for action by centracare health system, the sole member: 1. Adoption of amendments to the articles of incorporation or bylaws. 2. Appointment of directors and officers. 3. Approval of the corporation's annual operating and capital budgets and any debts to be incurred. 4. Approval of all strategic plans. 5. Determination of the dissolution of or the discontinuation of the business of the corporation. 6. Approval of any transaction which may affect the corporation's status as an organization exempt from federal income taxation.”
“The board of directors has delegated the approval authority of the form 990 to the audit committee. Annually, at the audit committee meeting, prior to filing with the irs, the audit committee reviews and approves form 990. A copy of form 990 is then provided for the full board to review prior to filing with the irs.”
“The board members are required to review and sign a conflict of interest questionnaire twice a year. All staff sign conflicts of interest forms on an annual basis. The questionnaires are reviewed by the corporate compliance officer as well as the corporate compliance group (a compliance committee which includes internal members and outside counsel). The responses to the questionnaires are then reviewed with the executive committee of the board. The corporate compliance officer is responsible for monitoring conflicts of interests related to board and staff and to alert affected parties when a conflict arises. When an actual conflict arises, the affected party is asked to recuse him/her self from the decision making process. The corporate compliance officer attends board meetings and specified board committee meetings where conflict issues may arise.”
“The compensation and benefits of the president are subject to full compensation and benefits comparability studies conducted biennially by a third party independent compensation consultant. However, the compensation portion of the study is reviewed annually by the consultant and updated for compensation committee and board of directors review and approval. The most recent full review was done june 2022. The third party independent compensation consultant is retained by st. Could hospital to perform services. The compensation and benefits of the vice presidents (non-medical providers) are subject to full compensation and benefits comparability studies conducted biennially by a third party independent compensation consultant. However, the compensation portion of the study is reviewed annually by the consultant and updated for compensation committee and board of directors review and approval. The most recent full review was completed in june 2022. The third party independent compensation consultant is retained by st. Cloud hospital to perform these services.”
“The hospital/centracare health system does not generally make its governing documents or conflict of interest policy available to the public. The hospital/centracare health system does do an annual report to the community in which financial results are reported to and discussed with the public. This report is available to the public on the organization's website.”
“Medical fees: program service expenses 969,943. Management and general expenses 323,314. Fundraising expenses 0. Total expenses 1,293,257. Professional fees: program service expenses 962. Management and general expenses 321. Fundraising expenses 0. Total expenses 1,283. Laboratory fees: program service expenses 1,219,194. Management and general expenses 406,398. Fundraising expenses 0. Total expenses 1,625,592. Purchased services: program service expenses 1,325,703. Management and general expenses 441,901. Fundraising expenses 0. Total expenses 1,767,604. Contracted services: program service expenses 1,988,200. Management and general expenses 662,733. Fundraising expenses 0. Total expenses 2,650,933. Reclass information technology: program service expenses -1,586,854. Management and general expenses -528,951. Fundraising expenses 0. Total expenses -2,115,805.”
“Where applicable, the impact resulting from the covid-19 pandemic during the periods ended december 31, 2022, june 30, 2022, and december 31, 2021, has been considered. Sources of relief included the coronavirus aid, relief and economic security act (the "cares act"), which was enacted on march 27, 2020, and the paycheck protection program and health care enhancement act (the "ppphce act"), which was enacted on april 24, 2020. Together, the cares act and the ppphce act included $178 billion in funding to be distributed to eligible providers through the public health and social services emergency fund (the "phssef"). In addition, the cares act provided for an expansion of the medicare accelerated and advance payment program whereby inpatient acute care hospitals and other eligible providers may request accelerated payment of up to 100 percent of their medicare payment amount for a six-month period to be repaid through withholding of future medicare fee-for-service payments beginning 365 days after receipt. Centracare was the beneficiary of these stimulus measures. During the year ended june 30, 2022, centracare has served over 5,300 community members by hosting various events and activities. Some of the events and activities hosted included: bounce back project, dental access workgroups, leadership meetings, health & energy integration meetings, age friendly task force, safe space training, diabetes management, community status assessments and many others. Centracare also hosted many covid-19 and influenza vaccination clinics for the community.”
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 | 7156525 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5201650 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6518190 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 6757287 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1781 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 5344 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 7125 |
| IRS990/AllOtherContributionsAmt | 0 | 23832 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 47440 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 142332 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 189772 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ADAM PAULSON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3202564231 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 525 MAIN STREET WEST |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MELROSE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 56352 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 10883087 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1305 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2181932 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 6545797 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 8727729 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 17690 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 53070 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 70760 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1281542 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 700888 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 401740 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 123519 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 10382 AUGUSTA DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2108 SOUTH UNIVERSITY DR STE 106B |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SAUK CENTRE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | FARGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 75312 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 56378 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 58103 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | AYA HEALTHCARE INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | WEST CENTRAL ANESTHESIA PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CONVERDIA HEALTH STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | TRAVEL NURSES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ANESTHESIA SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | STAFFING AGENCY |
| IRS990/CostOfGoodsSoldAmt | 0 | 71011 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 975418 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 879917 |
| IRS990/CYInvestmentIncomeAmt | 0 | 5625162 |
| IRS990/CYOtherExpensesAmt | 0 | 21301189 |
| IRS990/CYOtherRevenueAmt | 0 | 250213 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 52124182 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 7994790 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 28799079 |
| IRS990/CYTotalExpensesAmt | 0 | 50980185 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 58974975 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 141521 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 822942 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2468825 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3291767 |
| IRS990/Desc | 0 | CCH - MELROSE IS PART OF A LARGER INTEGRATED HEALTH CARE DELIVERY SYSTEM KNOWN AS CENTRACARE HEALTH, A SYSTEM RECOGNIZED FOR BEING A LEADER IN PROVIDING HIGH-QUALITY, COMPREHENSIVE CARE THROUGHOUT THE REGION. CCH - MELROSE IS A 14 BED CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE CARE SERVICES IN THE AREAS OF MEDICAL, SURGICAL, DIAGNOSTIC AND OBSTETRICS ALONG WITH OTHER SERVICES OF 24 HOUR EMERGENCY ROOM, IMAGING, LABORATORY, REHABILITATION, AND CHEMOTHERAPY TO THE COMMUNITY OF STEARNS COUNTY. THERE WERE 506 INPATIENT VISITS, 2,051 INPATIENT DAYS WITH 50,806 OUTPATIENT VISITS IN FISCAL YEAR 2022. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | CENTRACARE HEALTH - MELROSE |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 6489 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 6489 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 19871813 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1305716 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 3917148 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 5222864 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 33.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 1.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 1.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 33.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 30.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 33.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 33.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 6.50 |
| 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 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 6.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 6.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 6.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | 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 | 45185 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 47990 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 2687 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 51695 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 48657 |
| 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 | 17026 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 54992 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 45247 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 54651 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 52457 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 36652 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 43903 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 50142 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 47005 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 27237 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 38320 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KENNETH HOLMEN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | CHRISTIAN SCHMIDT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BRYAN ROLPH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RICHARD WEHSELER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BOBBIE BERTRAM APRN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DAVID ANFINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | STEVE LARAWAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | BOB THUERINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JAMES HEBL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JEFF GAU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JOE UPHUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MICHELLE JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | TIM WENSMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | FATHER TOM KNOBLACH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | CRAIG BROMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MICHAEL BLAIR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | SANTO CRUZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CINDY FIRKINS SMITH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | AMY PORWOLL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ANTHONY GARDNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | PATRICK HELLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | MICHAEL BESTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | LINDSEY CHMIELEWSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | LEANNE ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | BRYAN BAUCK |
| 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/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1690800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 508558 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 456324 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 361850 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 160634 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 3667 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 3500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 1000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 1000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 1000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 1000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 1000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 1000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 1157044 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 696579 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 495979 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 911392 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 581153 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 447036 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 486824 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 383047 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 356803 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 348964 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 329530 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR (BEG 9/16/21) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF OPERATING OFFICER/EVP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF FINANCIAL OFFC/SR VP/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CHIEF LEGAL OFFICER/SR VP/SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHIEF INFORMATION SYSTEM OFFCR/SR VP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CHIEF MARKETING & COMM OFFICER/SR VP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | EXECUTIVE DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1997 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 931005 |
| IRS990/GrantAmt | 0 | 879917 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 23409 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 23409 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 856508 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 856508 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 59045986 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 321224 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 528951 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1586854 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2115805 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 50448 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 151343 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 201791 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 195913 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 587738 |
| IRS990/InterestGrp/TotalAmt | 0 | 783651 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 381812 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 245137 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 5625162 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 5625162 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 33187006 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 29716473 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 620212 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 33884976 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 33754757 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 31031740 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 64916716 |
| IRS990/LegalDomicileStateCd | 0 | MN |
| 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 | WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 52794381 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 51716744 |
| IRS990/NetIncomeOrLossGrp/ExclusionAmt | 0 | 250213 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 250213 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -9072427 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 52787892 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 51710255 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 238033 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 714100 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 952133 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 11566 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 34699 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 46265 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2085041 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 878407 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 981126 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2943378 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3924504 |
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