Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
EIN 41-1865874 • 501(c)3 • Grand Rapids, MN
Profile
Provide quality, accessible, and valuable health care services via a hospital, home health agency, and clinic to the surrounding rural community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
Liabilities / Revenue
27th percentile
Higher debt load relative to revenue than 27% of similar nonprofits.
Net Margin
52nd percentile
Higher net margin than 52% of similar nonprofits.
Top Officer Pay
95th percentile
Higher top officer pay than 95% of similar nonprofits.
Top officer pay equals 2.1% of source-year revenue.
Asset Growth
50th percentile
Faster asset growth than 50% of similar nonprofits.
Revenue Growth
66th percentile
Faster revenue growth than 66% of similar nonprofits.
Assets
Up$104,855,208
Up $5,845,278 (+5.9%) from 2023
Liabilities
Down$25,454,408
Down $2,588,309 (-9.2%) from 2023
Net Assets
Up$79,400,800
Up $8,433,587 (+12%) from 2023
Revenue
Up$140,219,254
Up $17,985,359 (+15%) from 2023
Expenses
Up$132,878,872
Up $15,302,923 (+13%) from 2023
Net Income
Up$7,340,382
Up $2,682,436 (+58%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Provide quality, accessible, and valuable health care services via a hospital, home health agency, and clinic to the surrounding rural community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $31,813,086 | $33,045,477 | ▲ $1,232,391 |
| Cash and Non-Interest-Bearing Accounts | $24,112,730 | $23,935,133 | ▼ $177,597 |
| Accounts Receivable | $13,479,778 | $16,195,673 | ▲ $2,715,895 |
| Investments in Publicly Traded Securities | $11,609,713 | $12,294,119 | ▲ $684,406 |
| Investments Other Securities | $6,565,578 | $7,530,445 | ▲ $964,867 |
| Inventories for Sale or Use | $1,935,238 | $2,445,460 | ▲ $510,222 |
| Prepaid Expenses and Deferred Charges | $474,187 | $133,261 | ▼ $340,926 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $99,009,930 | $104,855,208 | ▲ $5,845,278 |
| Other Assets Total | $9,019,620 | $9,275,640 | ▲ $256,020 |
| Liabilities | |||
| Other Liabilities | $21,969,970 | $17,041,766 | ▼ $4,928,204 |
| Accounts Payable and Accrued Expenses | $6,047,595 | $8,332,969 | ▲ $2,285,374 |
| Deferred Revenue | $25,152 | $79,673 | ▲ $54,521 |
| Total Liabilities | $28,042,717 | $25,454,408 | ▼ $2,588,309 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $67,638,272 | $75,985,733 | ▲ $8,347,461 |
| Net Assets With Donor Restrictions | $3,328,941 | $3,415,067 | ▲ $86,126 |
| Total Net Assets Fund Balance | $70,967,213 | $79,400,800 | ▲ $8,433,587 |
| Total Liabilities and Net Assets / Fund Balance | $99,009,930 | $104,855,208 | ▲ $5,845,278 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $24,933,191 | $7,408,121 | $32,341,312 |
| Equipment | $4,480,065 | $8,961,384 | $13,441,449 |
| Other Land Buildings | $2,244,465 | $405,319 | $2,649,784 |
| Land | $1,387,756 | - | $1,387,756 |
| Other Assets Org | $5,243,073 | - | - |
| Other Securities | $2,614,339 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Darin Skaudis MD | Physician | FT | $612,697 | $87,503 | $700,200 |
| Wallace Curry Jr MD | Physician | FT | $542,736 | $152,943 | $695,679 |
| David Anderson MD | Physician | FT | $569,334 | $77,160 | $646,494 |
| Brent Schotl MD | Physician | FT | $479,064 | $141,831 | $620,895 |
| Heidi Malling MD | Physician | FT | $469,266 | $89,056 | $558,322 |
| Daniel Soular | CMO | PT | $416,732 | $134,523 | $551,255 |
| Keith Murphy MD | Director | FT | $483,814 | $54,626 | $538,440 |
| Simon Lick MD | Treasurer | FT | $367,431 | $74,229 | $441,660 |
| Jon Pederson | VP Operations | FT | $256,540 | $89,136 | $345,676 |
| Todd Christensen | VP Finance | PT | $249,739 | $78,028 | $327,767 |
| Name | Title |
|---|---|
| Dale Adams | Chair, end 12/2024 |
| Jean MacDonell | President & CEO |
| Mindy Nuhring | Vice Chair |
| Brian Amdahl | Director |
| Cindy Feyer | Director |
| Connie Ross-Henderschott | Director |
| Kimberly DeRoche MD | Director |
| Nick Rothstein | Director |
| Tom McBride | Director |
| Dale Furman | Director, end 12-2024 |
| Becky Adams | Director, new 1-2024 |
| Malissa Bahr | Director, new 1-2024 |
| Laura Reed | Former Officer |
| Jeoff Will | Officer, new 1-2024 |
| Mike Miskovich DDS | Secretary |
| Mitchell Vincent | VP Operations |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Real Estate Commercial | 1 | $999,400 | Market value |
| Total Noncash Contributions | 1 | $999,400 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $82,910,471 |
| Other Expenses | $49,968,401 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $61,474,599 | $6,385,181 | - | $67,859,780 |
| Fees for Services Other | $8,453,023 | $3,037,858 | $0 | $11,490,881 |
| Other Employee Benefits | $6,462,326 | $1,420,280 | - | $7,882,606 |
| Payroll Taxes | $3,755,510 | $507,584 | - | $4,263,094 |
| Pension Plan Contributions | $2,463,106 | $441,885 | - | $2,904,991 |
| Office Expenses | $1,872,187 | $408,744 | - | $2,280,931 |
| Depreciation Depletion | $773,712 | $793,641 | - | $1,567,353 |
| Occupancy | $1,502,998 | $6,885 | - | $1,509,883 |
| All Other Expenses | $927,673 | $444,137 | $0 | $1,371,810 |
| Fees for Services Management | $1,209,677 | $86,027 | - | $1,295,704 |
| Other Expenses | $1,257,769 | $178,642 | - | $1,257,769 |
| Interest | $993,545 | - | - | $993,545 |
| Insurance | $488,112 | $50,000 | - | $538,112 |
| Advertising | $59,331 | $257,773 | - | $317,104 |
| Conferences and Meetings | $172,838 | $16,352 | - | $189,190 |
| Travel | $125,275 | $37,586 | - | $162,861 |
| Fees for Services Legal | - | $23,060 | - | $23,060 |
| Fees for Services Accounting | - | $12,180 | - | $12,180 |
| Fees for Services Lobbying | - | $6,933 | - | $6,933 |
| Total Functional Expenses | $118,764,124 | $14,114,748 | $0 | $132,878,872 |
| Line Item | Amount |
|---|---|
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Expenses per Audited Statements | $0 |
| Other Expense Adjustments | $0 |
| Total Expenses per Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Deferred Compensation Obligations | $15,444,121 |
| Federal Income Taxes | $1,597,645 |
| Work Comp Reserve | - |
| Other Long-Term Debt | - |
| Due to Corporate | - |
“The Tax Department conducts a detailed review of the completed return. The Form 990 is then reviewed by the Grand Itasca Director of Finance and a copy is provided to the finance committee and board of directors for approval prior to filing the return with the IRS.”
“Board members sign the conflict of interest policy annually.”
“Compensation is determined by assessing the market through the use of surveys and studies and determining pay rates and ranges from the results of the assessment. The CEO compensation package is summarized in an employment agreement that is approved by the board. The compensation package is based upon market for the position.”
“Compensation is determined by assessing the market through the use of surveys and studies and determining pay rates and ranges from the results of the assessment. The CEO compensation package is summarized in an employment agreement that is approved by the board. The compensation package is based upon market for the position.”
“Financial statements, conflict of interest policy and governing documents are available upon request for the same period of disclosure as set forth in Section 6104(D).”
“Form 1099's and were filed by a related organization Fairview Health Services, a 501(c)(3) non-profit, tax-exempt organizations. Fairview Health Services reports the five highest compensated independent contractors for the system.”
“Other - Total Revenue: 30067, Related or Exempt Function Revenue: 30067, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“Specialty services include rehabilitation in the following areas: Cardiac and Pulmonary rehabilitation, Audiology, Orthopedic, Sports related injuries, Neurological, Vestibular, and Cancer Rehab. Hand therapy services are also provided in seven locations. MHFRS serves about 750,000 patient visits/year. M Health Fairview Emergency Medical Services offers emergency medical services and scheduled transportation across the Metro Area and supports the community by responding to more than 60,000 calls annually. Ebenezer, a non-profit subsidiary of Fairview, provides long-term senior care facilities, senior housing, and adult care services. Ebenezer's goal is to provide a supportive environment where older adults can pursue longer, healthier, and more meaningful lives. COMMUNITY COMMITMENT Fairview, an anchor institution rooted in our communities, is in a unique position to be a catalyst for progress and change. A member of the Healthcare Anchor Network ("HAN") - a group of like-minded healthcare organizations committed to building more inclusive and sustainable local economies across the country - Fairview continues to invest heavily in the health and wellness of its local communities. This commitment includes education, training, community programs, and research, as well as significant investments in care delivery. Fairview is reducing the impact racial or ethnic populations experiencing health disparities face through its multi-cultural mobile vaccination program, founded in 2006. Trust, cost, and transportation are three of the most significant barriers to healthcare access. Fairview partners with nearly 200 community partners to offer free, accessible vaccinations in trusted spaces with appropriate language and cultural considerations. Further, Fairview's longstanding relationship with local public health agencies and community partners has allowed Fairview to provide staffing, coordination, and outreach for mobile vaccination clinics at schools, public high rises, community centers, churches, and other locations, increasing vaccine access to those in the area. From January 2021 (when Fairview initiated its free community COVID vaccination clinics) through December 31, 2024, the team hosted 2,323 total vaccination events and distributed 67,941 COVID vaccines, 30,088 flu shots, and 2,259 mpox vaccines. Access to nutritious food is an important part of an individual's health. Another example of Fairview's community investment is its Food is Medicine programs. Fairview is driving innovative strategies to advance food security to reduce health disparities and diet-related health conditions, cultivate trusting and engaged partnerships to build and share resources, and nurture just and equitable food systems. Our fresh food prescription programs support the consumption of meals at home for improved health outcomes by providing culturally appropriate, locally grown produce, protein, and pantry staples to patients and community members experiencing food insecurity. Fairview is committed to contracting with local Black, Indigenous, and People of Color ("BIPOC")- and/or women-owned growers and producers in support of our local food economy. Our health system is also partnering with local nonprofits to expand food access and distribution. On average, 100,000 pounds of food are packaged weekly at the Fairview Community Health and Wellness Hub food hub. Fairview also leads and coordinates East Side Table, a collaborative of community organizations working together to empower individuals to improve overall health and wellbeing. The goal is to increase access to healthy food in diverse, priority neighborhoods in the Twin Cities by distributing fresh food prescription boxes and monthly groceries to seniors and engaging community through cooking demonstrations and meals. The Fairview Community Health and Wellness Hub ("Hub") opened in July 2022. The Hub represents Fairview's intentional, holistic approach to health and wellbeing and commitment t”
“All cash disbursements are centralized through a related organization, Fairview Health Services a 501(c)3 non-profit tax-exempt organization. Therefore, the related organization, Fairview Health Services, makes the payment and files the related Form 1099's and Form 1096 instead of this organization.”
“Fairview Health Services, a related 501(c)3 tax-exempt organization, files and remits all related Section 4960 excise tax on Form 4720 for the system.”
“Fund balance adj - prinipal pmt - 579095; Total - 579095;”
“Grand Itasca Clinic and Hospital is part of Fairview Health Services. Fairview recognizes all tax positions, including those positions in a previously filed tax return or a position expected to be taken in a future tax filing that is reflected in measuring current or deferred income tax assets and liabilities, when it is more likely than not (likelihood of greater than 50%) that, based on technical merits, the position will be sustained upon examination. $8,300,000 and $6,800,000 uncertain tax positions recorded on the consolidated balance sheets as of December 31, 2024 and 2023, respectively. Fairview has made reasonable estimates of the provision for income taxes and on existing deferred tax balances based on accounting guidance included in ASC 740, Income Taxes. Fairview does not expect that there will be a significant change in the total amount of unrecognized tax benefits within the next 12 months.”
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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| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1601 Golf Course Road |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Grand Rapids |
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| IRS990/Desc | 0 | Grand Itasca Clinic & Hospital is an integrated multi-specialty clinic and hospital. The facility is licensed for 45 beds. In addition to providing traditional hospital services, the facility has a surgery center, full complement of imaging services, a 24-hour emergency department, outpatient rehabilitation services, and outpatient clinic services. The facility employs almost 700 people. The organization cares for over 111,000 patients each year, including emergency visits, surgeries, births, home health and clinic visits. Grand Itasca serves the patient regardless of the person's ability to pay. During the calendar year, the system provided $1,894,966 of charity care, $2,366,271 of discounts to the uninsured and absorbed $22,965,128 of unpaid Medicare and Medicaid costs. Grand Itasca also paid $2,094,954 in payments for Minnesota Care Tax and Medicaid Surcharges, which were used to fund care for the indigent and underinsured. Grand Itasca Clinic and Hospital is part of Fairview Health Services. Fairview Health Services is an integrated academic health system located in Minneapolis, Minnesota, and, along with its affiliates and subsidiaries, is one of the leading health care providers in Minnesota with $8 billion in operating revenue for 2024. Fairview offers a broad continuum of health care services through its hospitals, clinics, and other health care related operations and is a Minnesota nonprofit corporation that is exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code. The most recent community health needs assessment (CHNA) identified 3 key areas as the greatest needs in our community - navigating and accessing care and resources; healing, connectedness, and mental health; structural racism and barriers to equity. Fairview Health Services is meeting the needs of the community by focusing on racial and ethnic populations experiencing health disparities and people experiencing poverty through partnering with the community to build solutions, removing barriers to create and expand relevant programs and focused services. Please see Schedule H for a description of additional services, community benefit activities, and the full spectrum of charity care that Fairview Health Services provides to the community. Fairview serves the entire twelve-county Minneapolis/St. Paul Metro Area, as well as communities throughout greater Minnesota and portions of Northern Iowa and Western Wisconsin, and the Dakotas. It is one of the most comprehensive and geographically accessible systems in Minnesota. The Fairview System consists of ten hospitals, including M Health Fairview University of Minnesota Medical Center and M Health Fairview Masonic Children's Hospital (collectively, "UMMC"), which is the adult and pediatric teaching hospital of the University of Minnesota. UMMC along with seven of Fairview's other hospitals in the Metro Area. Fairview also has two hospitals located in northern Minnesota. Fairview operates over 80 primary and specialty care clinics, 37 retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, a physician network, senior care housing and long- term care facilities, medical transportation and has ownership interest in six ambulatory care centers. Fairview, through its integrated care model, aims to deliver the benefits of academic medicine to more patients and families by expanding care, research, and education by offering access to a greater pool of physicians and patients, while seeking to reduce the total cost of care for patients. Fairview Health Services is an integrated academic health system located in Minneapolis, Minnesota, and, along with its affiliates and subsidiaries, is one of the leading health care providers in Minnesota with $8 billion in operating revenue for 2024. Fairview offers a broad continuum of health care services through its hospitals, clinics, and other health care related operations and is a Minnesota nonprofit corpor |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 36.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/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 | 227999 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 31810 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 33866 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 146472 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 52989 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 41985 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 89766 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 49309 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 33120 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 39828 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 42885 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 53863 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 55258 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 34624 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 45636 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 71065 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Jeoff Will |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Becky Adams |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Brian Amdahl |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Cindy Feyer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Connie Ross-Henderschott |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Dale Adams |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Dale Furman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Keith Murphy MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Kimberly DeRoche MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Malissa Bahr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Mike Miskovich DDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Mindy Nuhring |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Nick Rothstein |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Simon Lick MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Tom McBride |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Daniel Soular |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Jean MacDonell |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Jon Pederson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Mitchell Vincent |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Todd Christensen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Brent Schotl MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Darin Skaudis MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | David Anderson MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Heidi Malling MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Wallace Curry Jr MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | Laura Reed |
| 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 | 504574 |
| 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 | 388671 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 509270 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 296367 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 287939 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 578010 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 646337 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 591236 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 523698 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 650043 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1422135 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 543864 |
| 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 | 720627 |
| 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 | 568690 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 290724 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 2902634 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Officer, new 1-2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director, new 1-2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Chair, end 12/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director, end 12-2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Director, new 1-2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP Operations |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | VP Operations |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | VP Finance |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Former Officer |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1997 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 10284 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 878598 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 15 |
| IRS990/GovernmentGrantsAmt | 0 | 670553 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 10284 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 878598 |
| IRS990/GrossReceiptsAmt | 0 | 140871330 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 4270 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 738710 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 168 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 50000 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 488112 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 538112 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 993545 |
| IRS990/InterestGrp/TotalAmt | 0 | 993545 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1935238 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2445460 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1263967 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1263967 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 6565578 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 7530445 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 11609713 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 12294119 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 16774824 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 31813086 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 33045477 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 49820301 |
| IRS990/LegalDomicileStateCd | 0 | MN |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | Provide quality, accessible, and valuable health care services via a hospital, home health agency, and clinic to the surrounding rural community. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 70967213 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 79400800 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 888881 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 888881 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 86634 |
| IRS990/NetIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | 86634 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 4270 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 4270 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 514110 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 67638272 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 75985733 |
| IRS990/NoncashContributionsAmt | 0 | 999400 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 6885 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1502998 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1509883 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 408744 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1872187 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2280931 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
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