PLATTE COMMUNITY MEMORIAL HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- PLATTE COMMUNITY MEMORIAL HOSPITAL INC (EIN 46-0239781)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-03-24
- IRS object ID
- 202540839349300714
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-03-24T08:45:07-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 N REID PL STE 400 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571037034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460239781 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLATTE COMMUNITY MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PLAT | BusinessNameControlTxt |
| Phone | 6053373364 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 E 7TH STREET | AddressLine1Txt |
| City | PLATTE | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57369 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK BURKET | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6053373364 | PhoneNum |
| Signature | 2025-03-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURIE HANSON CPA | PreparerPersonNm |
| PTIN | P00851848 | PTIN |
| Phone | 6053391999 | PhoneNum |
| Preparation | 2025-03-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLATTE HEALTH CENTER-AVERA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK BURKET | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 E 7TH STREET | AddressLine1Txt |
| City | PLATTE | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57369 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,652,386 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PHCAVERA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 196 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,047,336 | PYContributionsGrantsAmt |
| CY Contributions Grants | $268,134 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,308,559 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,390,028 | CYProgramServiceRevenueAmt |
| PY Investment Income | $339,379 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,493,020 | CYInvestmentIncomeAmt |
| PY Other Revenue | $92,497 | PYOtherRevenueAmt |
| CY Other Revenue | $69,837 | CYOtherRevenueAmt |
| PY Total Revenue | $21,787,771 | PYTotalRevenueAmt |
| CY Total Revenue | $21,221,019 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,921 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $23,883 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,430,344 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,352,803 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,257,032 | PYOtherExpensesAmt |
| CY Other Expenses | $5,893,043 | CYOtherExpensesAmt |
| PY Total Expenses | $16,690,297 | PYTotalExpensesAmt |
| CY Total Expenses | $17,269,729 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,097,474 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,951,290 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,733,413 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,260,796 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,309,066 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,211,910 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,424,347 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $28,048,886 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PLATTE COMMUNITY MEMORIAL HOSPITAL, INC. IS A HEALTH MINISTRY ROOTED IN THE GOSPEL. OUR MISSION IS TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,878,218 | ExpenseAmt |
| Grant | $23,883 | GrantAmt |
| Revenue | $19,390,028 | RevenueAmt |
| Desc | THE PURPOSE OF THE PLATTE COMMUNITY MEMORIAL HOSPITAL, INC. IS TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY OF PLATTE AND THE SURROUNDING AREAS. THE FACILITY CONSISTS OF A 17-BED CRITICAL ACCESS HOSPITAL, A 39-BED LONG-TERM CARE FACILITY, AND THREE RURAL HEALTH CLINICS IN PLATTE, GEDDES, AND WHITE LAKE, SOUTH DAKOTA. SERVICES OFFERED INCLUDE PRIMARY CARE, EMERGENCY, SAME-DAY SURGERY, CARDIAC REHAB, PHARMACY, LABORATORY, IMAGING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, TELEMEDICINE, SLEEP LAB, PSYCHIATRY, AND NUMEROUS SPECIALTIES VIA OUTREACH PROVIDERS. INPATIENT AND OUTPATIENT STATISTICAL DATA FOR THE YEAR WERE AS FOLLOWS: 409 INPATIENT DAYS; 490 SWING BED DAYS; 10,668 LONG-TERM CARE DAYS; 7,207 OUTPATIENT VISITS; AND 10,586 CLINIC VISITS.TO FULFILL ITS MISSION OF COMMUNITY SERVICE, THE PLATTE HEALTH CENTER PROVIDES CHARITY CARE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE. CONSISTENT WITH ITS MISSION TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES, PHC STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE.PHC ATTESTED TO THE PROGRAM YEAR 2023 OF MEANINGFUL USE. THIS ATTESTATION TO CMS STATES PHC HAS MET AND WILL COMPLY WITH THE REQUIREMENTS FOR MEANINGFUL USE. WITH THIS, PHC HAS ENHANCED PATIENT CARE BY IMPLEMENTING AN ELECTRONIC HEALTH RECORD SYSTEM AS WELL AS THE MANY PATIENT SAFETY MEASURES THAT COMES WITH IT. | Desc |
| Total Program Service Expenses | $14,878,218 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 196 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VICKI JENSEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6053373364 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 E 7TH STREET | AddressLine1Txt |
| City | PLATTE | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57369 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DENNIS VANDERWERFF | |||||||
| BOARD CHAIR | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JESSE BLOCK | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JILL GUSTAD | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRANDI DELANGE | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KAREN TURNIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT GRAVES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANN JOHNSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM EHLERS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DENNIS SEVERSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK BURKET | |||||||
| CEO | 40.00 | Yes (X) | $239,854 | $0 | $77,248 | ||
| VICKI JENSEN | |||||||
| CFO | 40.00 | Yes (X) | $106,334 | $0 | $47,671 | ||
| DR NELSON BATOON | |||||||
| PHYSICIAN | 40.00 | $330,439 | $0 | $58,115 | Yes (X) | ||
| DR JEROME BENTZ | |||||||
| PHYSICIAN | 25.00 | $170,803 | $0 | $37,302 | Yes (X) | ||
| JEFFREY KONSTANZ | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $208,964 | $0 | $63,751 | Yes (X) | ||
| HAU TRAN | |||||||
| PHYSICIAN | 40.00 | $357,099 | $0 | $50,629 | Yes (X) | ||
| APRIL VEURINK | |||||||
| CNP | 40.00 | $175,302 | $0 | $9,112 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,588,795 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $343,828 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SF CONSTRUCTIONJOURNEY | |||||
| PO BOX 2728 | SIOUX FALLS | SD | 571012728 | CONSTRUCTION | $2,305,183 |
| AVERA QUEEN OF PEACE | |||||
| 525 N FOSTER | MITCHELL | SD | 57301 | MGMT AGREEMENT/SERVICES | $831,919 |
| PRIME TIME HEALTHCARE LLC | |||||
| PO BOX 3544 | OMAHA | NE | 681033544 | TEMP/CONTRACT CNAS AND RNS | $408,302 |
| AVERA MCKENNAN HOSPITAL | |||||
| 1325 S CLIFF AVE | SIOUX FALLS | SD | 571175045 | PURCHASED SERVICES | $271,451 |
| EIDE BAILLY LLP | |||||
| PO BOX 5125 | SIOUX FALLS | SD | 571175125 | ACCOUNTING SERVICES | $208,495 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $268,134 | GovernmentGrantsAmt |
| Total Contributions | $268,134 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $12,589,658 | $12,589,658 |
| NURSING HOME REVENUE | 623000 | $3,545,250 | $3,545,250 |
| CLINIC REVENUE | 621110 | $1,935,452 | $1,935,452 |
| PHARMACY REVENUE | 623990 | $1,157,469 | $1,157,469 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,199 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $162,199 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,390,028 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $655,479 | TotalRevenueColumnAmt |
| Exclusion | $655,479 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $69,837 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $69,837 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,837 | TotalRevenueColumnAmt |
| Exclusion | $69,837 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,073,422 | SecuritiesAmt |
| Other | $6,195,486 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,259,131 | SecuritiesAmt |
| Other | $6,172,236 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $814,291 | SecuritiesAmt |
| Other | $23,250 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $837,541 | TotalRevenueColumnAmt |
| Exclusion | $837,541 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,221,019 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,390,028 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,562,857 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,883 | TotalAmt |
| Program Services | $23,883 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,340 | TotalAmt |
| Management And General | $458,340 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,872 | TotalAmt |
| Program Services | $58,872 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,251,338 | TotalAmt |
| Program Services | $7,818,305 | ProgramServicesAmt |
| Management And General | $433,033 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $398,535 | TotalAmt |
| Program Services | $377,963 | ProgramServicesAmt |
| Management And General | $20,572 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,619,710 | TotalAmt |
| Program Services | $1,521,542 | ProgramServicesAmt |
| Management And General | $98,168 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,008 | TotalAmt |
| Program Services | $512,453 | ProgramServicesAmt |
| Management And General | $53,555 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35 | TotalAmt |
| Management And General | $35 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,347 | TotalAmt |
| Program Services | $11,479 | ProgramServicesAmt |
| Management And General | $80,868 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568 | TotalAmt |
| Management And General | $568 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,409,272 | TotalAmt |
| Program Services | $1,114,700 | ProgramServicesAmt |
| Management And General | $294,572 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,391 | TotalAmt |
| Program Services | $7,501 | ProgramServicesAmt |
| Management And General | $22,890 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,609 | TotalAmt |
| Program Services | $282,515 | ProgramServicesAmt |
| Management And General | $85,094 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,659 | TotalAmt |
| Program Services | $65,476 | ProgramServicesAmt |
| Management And General | $401,183 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,146 | TotalAmt |
| Program Services | $379,284 | ProgramServicesAmt |
| Management And General | $12,862 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,023 | TotalAmt |
| Program Services | $33,629 | ProgramServicesAmt |
| Management And General | $3,394 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,094 | TotalAmt |
| Program Services | $40,036 | ProgramServicesAmt |
| Management And General | $8,058 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,156 | TotalAmt |
| Program Services | $92,388 | ProgramServicesAmt |
| Management And General | $34,768 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $909,599 | TotalAmt |
| Program Services | $761,364 | ProgramServicesAmt |
| Management And General | $148,235 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,966 | TotalAmt |
| Program Services | $21,788 | ProgramServicesAmt |
| Management And General | $127,178 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,342,117 | $1,340,553 | $1,564 |
| REPAIRS AND MAINTENANCE | $368,536 | $364,089 | $4,447 |
| DUES AND SUBSCRIPTIONS | $44,293 | $26,523 | $17,770 |
| RECRUITMENT AND RECOGNI | $28,106 | $7,193 | $20,913 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,126 | TotalAmt |
| Program Services | $16,682 | ProgramServicesAmt |
| Management And General | $63,444 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,269,729 | TotalAmt |
| Program Services | $14,878,218 | ProgramServicesAmt |
| Management And General | $2,391,511 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,029,245 | BOYAmt |
| EOY | $2,720,413 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,713,626 | BOYAmt |
| EOY | $1,908,145 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,397 | BOYAmt |
| EOY | $200,302 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,762 | BOYAmt |
| EOY | $133,306 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,829,319 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,693,108 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,486,348 | BOYAmt |
| EOY | $12,136,211 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,155,408 | BOYAmt |
| EOY | $3,340,558 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,998,287 | BOYAmt |
| EOY | $10,736,981 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,817 | BOYAmt |
| EOY | $271,262 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,700,523 | BOYAmt |
| EOY | $3,813,618 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,733,413 | BOYAmt |
| EOY | $35,260,796 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,742,652 | BOYAmt |
| EOY | $1,928,458 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425 | BOYAmt |
| EOY | $425 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,190,486 | BOYAmt |
| EOY | $4,772,891 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,503 | BOYAmt |
| EOY | $510,136 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,309,066 | BOYAmt |
| EOY | $7,211,910 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,405,720 | BOYAmt |
| EOY | $24,712,605 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,018,627 | BOYAmt |
| EOY | $3,336,281 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,424,347 | BOYAmt |
| EOY | $28,048,886 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,733,413 | BOYAmt |
| EOY | $35,260,796 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,951,290 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$539,701 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$192,527 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $405,477 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $568 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $568 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1F | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT FOR GRANTS PAID TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES REPRESENTS THE PORTION OF DUES PAID TO SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATION (SDAHO) THAT ARE ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,786,086 | BeginningYearBalanceAmt |
| Contributions | $1,473 | ContributionsAmt |
| Investment Earnings Or Losses | $284,242 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,071,801 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,611,416 | BeginningYearBalanceAmt |
| Contributions | $1,390 | ContributionsAmt |
| Investment Earnings Or Losses | $173,280 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,786,086 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,936,661 | BeginningYearBalanceAmt |
| Contributions | $962 | ContributionsAmt |
| Investment Earnings Or Losses | -$326,207 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,611,416 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,502,516 | BeginningYearBalanceAmt |
| Contributions | $1,168 | ContributionsAmt |
| Investment Earnings Or Losses | $432,977 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,936,661 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,630,519 | BeginningYearBalanceAmt |
| Contributions | $6,073 | ContributionsAmt |
| Investment Earnings Or Losses | -$18,442 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $115,634 | OtherExpendituresAmt |
| End Year Balance | $2,502,516 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.60830 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.39170 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $242,952 | OtherCostOrOtherBasisAmt |
| Book Value | $242,952 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,663,862 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,033,082 | DepreciationAmt |
| Book Value | $9,630,780 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,549,946 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,284,097 | DepreciationAmt |
| Book Value | $1,265,849 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,372,559 | OtherCostOrOtherBasisAmt |
| Depreciation | $375,929 | DepreciationAmt |
| Book Value | $996,630 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,136,211 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INTEREST IN AVERA HEALTH FOUNDATION | $4,030,663 | F |
| UNDER LOAN AGREEMENT | $249,647 | F |
| ASSETS LIMITED AS TO USE - FUNDED DEPRECIATION | $6,456,671 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,736,981 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED COMPENSATION | $490,136 |
| OTHER RECEIVABLES | $3,282,482 |
| PROPERTY HELD FOR FUTURE USE | $41,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,813,618 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION PAYABLE | $490,136 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENT | $20,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $510,136 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $21,086,795 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$539,701 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $405,477 | OtherRevenueAmt |
| Revenue Not Reported | -$134,224 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,221,019 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,221,019 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,269,729 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $17,269,729 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $17,269,729 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE NURSING HOME RESIDENTS ARE ALLOWED TO HAVE FUNDS IN THE RESIDENT TRUST ACCOUNT. THE MONEY CAN BE USED FOR ANY PERSONAL ITEMS THEY DESIRE: SNACKS, LUNCH, HAIRCUTS, ETC. THE RESIDENTS ARE NOT CHARGED ANY FEES FOR UTILIZING THE ACCOUNT. THE ACCOUNT IS RECONCILED MONTHLY BY THE BUSINESS OFFICE STAFF. INTEREST IS PAID TO ANY INDIVIDUAL RESIDENT WHO HAS OVER $50 IN THEIR ACCOUNT. |
| PART V, LINE 4: | THE INCOME WILL BE USED TOWARD EXPENDITURES FOR HEALTHCARE SERVICES. |
| PART X, LINE 2: | THE HEALTH 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 HEALTH 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 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 405,477. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 43 | PersonsServedCnt |
| Total Community Benefit Expns | $313,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $313,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 43 | PersonsServedCnt |
| Total Community Benefit Expns | $313,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $313,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 293 | PersonsServedCnt |
| Total Community Benefit Expns | $18,570 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,615 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,886,442 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,963,127 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,923,315 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11140 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $490 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 293 | PersonsServedCnt |
| Total Community Benefit Expns | $8,905,502 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,974,742 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,930,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11180 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 336 | PersonsServedCnt |
| Total Community Benefit Expns | $9,218,502 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,974,742 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,243,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12990 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,122,294 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,143,600 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$21,306 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLATTE HEALTH CENTER-AVERA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 E 7TH STREET | AddressLine1Txt |
| City | PLATTE | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57369 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PHCAVERA.ORG | WebsiteAddressTxt |
| State License | 10557 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 3 PROVIDER-BASED CLINICS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLATTE HEALTH CENTER-AVERA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PLATTE HEALTH CENTER-AVERA | PART V, SECTION B, LINE 5: THE CHNA COORDINATOR COLLECTED QUALITATIVE OR PRIMARY REVIEW DATA THROUGH THE USE OF A COMMUNITY-WIDE SURVEY AS WELL AS TWO FOCUS GROUPS AND THREE KEY INFORMANT INTERVIEWS.THE GREATEST PORTION OF THE ORGANIZATION'S PATIENTS AND CUSTOMERS RESIDE IN THE COUNTY OF CHARLES MIX AND THE TOWNS OR PLATTE, GEDDES, AND WHITE LAKE. ONLINE AND PAPER SURVEYS WERE UTILIZED TO SOLICIT BROADER INPUT FROM THE COMMUNITY REGARDING POTENTIAL HEALTH NEEDS. PAPER COPIES WERE AVAILABLE UPON REQUEST FREE OF CHARGE. THE ORGANIZATION EVEN REACHED OUT ON SOCIAL MEDIA, UTILIZING THE FACILITY'S FACEBOOK PAGE AND AVERA'S WEBPAGE TO MAKE THE LINK AVAILABLE TO AS MANY PEOPLE AS POSSIBLE. THE SURVEY WAS OPENED ON SEPTEMBER 1, 2021, AND CLOSED ON NOVEMBER 1, 2021. A TOTAL OF 144 SURVEYS WERE COLLECTED. THE GOAL WAS TO OBTAIN AT LEAST 100 SURVEYS.FOCUS GROUPS CONSISTED OF DEPARTMENT DIRECTORS WITHIN THE HOSPITAL AND BOARD MEMBERS FROM WITHIN THE COMMUNITY. INTERVIEWS WERE CONDUCTED WITH THE FOLLOWING KEY COMMUNITY MEMBERS: CHARLES MIX COUNTY COMMUNITY HEALTH NURSE, THE PLATTE-GEDDES SCHOOL COUNSELOR, AND RIVER COUNSELING LICENSED COUNSELORS. |
| PLATTE HEALTH CENTER-AVERA | PART V, SECTION B, LINE 11: AS PART OF THE CHNA, THE COMMITTEE DISCUSSED THE DATA GATHERED AND CAME TO A CONSENSUS, RANKING THE HEALTH NEEDS OF THE COMMUNITY AS FOLLOWS:1. PROVIDING ACCESS TO PREVENTATIVE AND SCREENING PROGRAMS INCLUDING HEALTH PROMOTION AND EDUCATION TO DECREASE THE RATE OF OBESITY, CARDIOVASCULAR DISEASE, AND DIABETES.2. IMPROVE ACCESS TO MENTAL HEALTH SERVICES.3. ADDRESS SOCIAL DETERMINANTS OF HEALTH TO INCLUDE HOUSING/DAYCARE AS A WORKFORCE ISSUE.OTHER COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED WERE AFTER SCHOOL PROGRAM/ACTIVITIES, ACCESS TO INFORMATION ABOUT COMMUNITY RESOURCES, ADDICTION/SUBSTANCE ABUSE, AND ACCESS TO MEDICAL CARE DUE TO COST. DUE TO LIMITED FINANCIAL RESOURCES, THE HOSPITAL IS NOT ABLE TO ADDRESS ALL OF THE IDENTIFIED NEEDS. INFORMATION AROUND THE NEED FOR AFTERSCHOOL ACTIVITIES WILL BE SHARED WITH THE PLATTE CHAMBER OF COMMERCE AND DEVELOPMENT CORPORATION AND PLATTE-GEDDES SCHOOL DISTRICT AS THESE NEEDS ARE BEYOND THE SCOPE OF THE HOSPITAL'S SERVICES. ADDICTION AND SUBSTANCE ABUSE PROGRAM IS OUTSIDE OF THE FACILITY'S CURRENT SCOPE OF PRACTICE TO ADDRESS. IT IS POSSIBLE THIS CAN BE INCLUDED AS A PART OF THE MENTAL HEALTH SERVICES INITIATIVE. ACCESS TO MEDICAL SERVICE CONCERNS DUE TO COST IS ADDRESSED BY THE ORGANIZATION VIA PATIENT ASSISTANCE PROGRAMS. THE FOLLOWING ACTIONS WERE TAKEN DURING THE TAX YEAR TO ACHIEVE THE GOALS OF THE MOST RECENT CHNA. PLATTE HEALTH CENTER CONTINUES TO COLLABORATE WITH AVERA HEART HOSPITAL AND PROVIDE THE STAFFING AND RESOURCES FOR THE PROVISION OF PLANET HEART SCREENING SERVICES IN THE COMMUNITY. THE FACILITY COLLABORATES WITH LOCAL BUSINESSES AND THE COMMUNITY TO PROVIDE THE STAFFING AND RESOURCES TO PROMOTE SCREENING ACTIVITIES FOR MAMMOGRAPHY, COLO-RECTAL CANCER AND PROSTATE CANCER AND ENCOURAGE ANNUAL HEALTH/WELLNESS ASSESSMENTS. PLATTE HEALTH CENTER PROVIDES STAFFING AND RESOURCES FOR DIABETIC EDUCATION PROGRAMS AND ACTIVITIES. A DIG PINK EVENT WAS HELD IN OCTOBER. FUNDS RAISED WILL BE DESIGNATED TO PROMOTE BREAST CANCER SCREENINGS FOR UNDER/UNINSURED PATIENTS. IN NOVEMBER 2023, A NEW PSYCHIATRIST OPENED HER PRACTICE AT THE PLATTE HEALTH CENTER. THIS WAS THE SINGLE MOST EXCITING MOMENT OF THE YEAR FOR THE FACILITY. THERE ARE VERY FEW LICENSED PSYCHIATRISTS IN THE STATE OF SD, SO THIS IS HUGE FOR A COMMUNITY THE SIZE OF PLATTE. NOT ONLY WILL PATIENTS FROM OUR COMMUNITY BENEFIT, BUT PATIENTS FROM ALL ACROSS THE STATE. PATIENTS CAN BE SEEN IN PERSON OR VIRTUALLY. THE FACILITY INVESTED IN TWO GOVERNOR HOMES TO ADDRESS AFFORDABLE HOUSING CONCERNS, WHICH IN TURN IMPACT WORKFORCE. THESE HOMES HAVE BEEN OFFERED TO FULL-TIME EMPLOYEES AT A PRICE THAT COVERS ONLY THE COST OF THE HOME. THE INTENT IS TO ASSIST YOUNG FAMILIES WITH THE PURCHASE OF THE FIRST HOME; AND CULTIVATE EMPLOYEE/EMPLOYER LOYALTY TO AIDE IN WORKFORCE RETENTION. |
| PLATTE HEALTH CENTER-AVERA | PART V, SECTION B, LINE 13H: PRESUMPTIVE CHARITY CARE IS A TOOL OF LAST RESORT AND APPLIES ONLY AFTER ALL OTHER AVENUES HAVE BEEN EXHAUSTED. THERE ARE OCCASIONS WHEN A PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE DISCOUNT, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE BECAUSE DOCUMENTATION WAS LACKING THAT WOULD SUPPORT THE PROVISION OF FINANCIAL AID. SUCH INSTANCES HAVE RESULTED IN A PATIENT'S BILL BEING ASSIGNED TO A COLLECTION AGENCY AND ULTIMATELY RECOGNIZED IN THE ACCOUNTING RECORDS AS A BAD DEBT EXPENSE, DUE TO A LACK OF PAYMENT. THIS APPROACH, HOWEVER, RESULTS NEITHER IN A FAIR SOLUTION FOR THE PATIENT NOR IN AN APPROPRIATE ACCOUNTING OF THE TRANSACTION. OFTEN THERE IS ADEQUATE INFORMATION PROVIDED BY THE PATIENT OR THROUGH OTHER SOURCES, WHICH COULD PROVIDE PHC WITH SUFFICIENT EVIDENCE TO PROVIDE THE PATIENT WITH A CHARITY CARE DISCOUNT, WITHOUT NEEDING TO DETERMINE ELIGIBILITY FOR MEDICAL INDIGENCE. THIS PRESUMPTIVE ELIGIBILITY, WHEN PROPERLY DOCUMENTED INTERNALLY BY PHC STAFF, IS SUFFICIENT TO PROVIDE A CHARITY CARE DISCOUNT TO PATIENTS WHO QUALIFY. ONCE DETERMINED, DUE TO THE INHERENT NATURE OF THE PRESUMPTIVE CIRCUMSTANCES, THE ONLY DISCOUNT THAT CAN BE GRANTED TO THE PATIENT BY PHC IS A 100% WRITE-OFF OF THE ACCOUNT BALANCE. |
| PLATTE HEALTH CENTER-AVERA | PART V, SECTION B, LINE 24: THE POLICY DOES NOT COVER ELECTIVE PROCEDURES AND THE FACILITY HAS CONFIRMED NO FAP PATIENTS HAD ELECTIVE PROCEDURES. |
| PART V SECTION B, LINE 10A | THE IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST AND ATHTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/#PLATTE |
| PART V SECTION B, LINE 7A | THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ATHTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/#PLATTE |
| PART V SECTION B, LINE 16A-C | THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT:HTTPS://WWW.AVERA.ORG/APP/FILES/PUBLIC/451D4AF2-8881-4580-A3DF-82C5537E5EC8/PLATTE-FINANCIAL-ASSISTANCE.PDF THE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://WWW.AVERA.ORG/APP/FILES/PUBLIC/33676278-79EE-48A4-8E87-5B9FAE74F85C/PLATTE-SUMMARY-OF-FINANCIAL-ASSISTANCE.PDF THE APPLICATION IS AVAILABLE AT:HTTPS://WWW.AVERA.ORG/APP/FILES/PUBLIC/4775520E-7935-4BB9-BCE4-CF940A4056AB/PLATTE-FINANCIAL-ASSISTANCE-APPLICATION.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - PLATTE CARE CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 E 7TH STREET | AddressLine1Txt |
| City | PLATTE | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57369 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | NURSING HOME | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO FPG, PLATTE HEALTH CENTER (PHC) UTILIZES OTHER FACTORS INCLUDING AN ASSET TEST, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. PRESUMPTIVE CHARITY CARE MAY ALSO BE USED BASED ON INDIVIDUAL LIFE CIRCUMSTANCES (HOMELESSNESS, PATIENTS WITH NO INCOME, PATIENTS WHO HAVE QUALIFIED FOR OTHER FINANCIAL ASSISTANCE PROGRAMS SUCH AS FOOD STAMPS OR WIC). |
| PART I, LINE 7: | CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7E AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM.LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT. |
| PART III, LINE 2: | THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE HEALTH CENTER DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THE RESPECTIVE CLASS OF PATIENTS AND RESIDENTS. DURING THE YEAR ENDED JUNE 30, 2024, THE HEALTH CENTER ADJUSTED THE QUALIFYING CRITERIA UNDER THE CHARITY CARE POLICY, WHICH RESULTED IN A RECLASSIFICATION OF ACCOUNTS CONSIDERED BAD DEBT IN PREVIOUS YEARS THAT NOW QUALIFIED AS PRESUMPTIVE CHARITY CARE UNDER THE ADJUSTED POLICY. IMPLICIT PRICE CONCESSION FOR THE YEAR OF $139,000 WAS REDUCED FOR PRIOR YEAR RECLASSIFICATIONS OF $435,000 RESULTING IN A NET NEGATIVE IMPLICIT PRICE CONCESSION OF $296,000. DUE TO THE NEGATIVE IMPLICIT PRICE CONCESSION PER THE GENERAL LEDGER, AN AMOUNT OF $0 HAS BEEN REPORTED ON LINE 2. |
| PART III, LINE 3: | THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN CHARLES MIX COUNTY FOR 2023. THEREFORE, 22.8% OF IMPLICIT PRICE CONCESSIONS CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. APPOXIMATELY $31,692 OF THE AMOUNT REPORTED IN THE NARRATIVE FOR PART III, LINE 2 CAN REASONBLY BE CONSIDERED CHARITY CARE. HOWEVER, AN AMOUNT OF $0 HAS BEEN REPORTED DUE TO THE ADJUSTMENT MADE TO IMPLICIT PRICE CONCESSION IN THE CURRENT YEAR. |
| PART III, LINE 4: | THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS ON PAGES 14-15 OF THE ATTACHED AUDIT REPORT. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/24. MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. |
| PART III, LINE 9B: | IF A PATIENT QUALIFIES FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME, UNINSURED, OR UNDER-INSURED PATIENTS AND IS COOPERATING WITH THE ORGANIZATION WITH REGARD TO EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE ORGANIZATION OR ITS AGENT SHALL NOT SEND, NOR INTIMATE THAT IT WILL SEND, THE UNPAID BILL TO ANY OUTSIDE COLLECTION AGENCY. WHEN THE ORGANIZATION SENDS THE UNCOLLECTED ACCOUNT TO AN OUTSIDE COLLECTION AGENCY, THE AMOUNT REFERRED TO THE AGENCY SHALL REFLECT THE REDUCED-PAYMENT LEVEL FOR WHICH THE PATIENT WAS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS. IF AN UNCOLLECTED ACCOUNT IS IN COLLECTION AND IT'S DETERMINED THE ACCOUNT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN ALL COLLECTION ACTIVITY IS STOPPED. PHC DOES NOT REPORT ANY DATA TO ANY OF THE CREDIT AGENCIES, HOWEVER, THE COLLECTION AGENCIES PHC UTILIZES MAY REPORT TO THE CREDIT AGENCIES. |
| PART VI, LINE 2: | THE PLATTE HEALTH CENTER IS CONSTANTLY EVALUATING THE NEEDS OF OUR PATIENTS AND THE COMMUNITIES WE SERVE. PATIENT SURVEYS ARE INSTRUMENTAL IN BOTH SHORT AND LONG-TERM STRATEGIC PLANNING. THE PLATTE, GEDDES, AND WHITE LAKE MEDICAL CLINICS PERFORM AN ANNUAL PATIENT SATISFACTION SURVEY. THE NURSING HOME ALSO PERFORMS ANNUAL SURVEYS. THE HOSPITAL SURVEYS ARE ONGOING. EMERGENCY AND INPATIENT SURVEYS ARE PERFORMED BY AN INDEPENDENT THIRD PARTY UPON DISCHARGE, WITH QUARTERLY SCORES BEING PROVIDED TO ADMINISTRATION. ALL OF THE SURVEY RESULTS ARE REVIEWED BY ADMINISTRATION AND THEN DISCUSSED AT THE BOARD LEVEL. THE BOARD AGENDA HAS A STANDING STRATEGIC PLANNING ITEM THAT DISCUSSES FACILITY GOALS AND COMMUNITY NEEDS; AND HOW EACH CAN BE ACHIEVED. MONTHLY PROVIDER MEETINGS ARE ALSO INSTRUMENTAL TO MEETING THE NEEDS OF OUR PATIENTS. ADMINISTRATION, PHYSICIANS, AND ADVANCED PRACTICE PROVIDERS MEET REGULARLY TO DISCUSS THE NEED FOR NEW SERVICES, EVALUATING CURRENT SERVICES, AND ESTABLISHING BEST PRACTICES TO ENSURE WE OFFER A TOP NOTCH PATIENT EXPERIENCE. |
| PART VI, LINE 3: | THE PATIENT ASSISTANCE POLICY IS POSTED ON OUR FACILITY'S WEBSITE AT WWW.PHCAVERA.ORG. SIGNAGE IS ALSO POSTED THROUGHOUT OUR FACILITY THAT EXPLAINS WHAT PATIENTS SHOULD DO IF THEY HAVE CONCERNS ABOUT PAYING THEIR BILL. DISCHARGE PACKETS INCLUDE THE SUMMARY FOR FINANCIAL ASSISTANCE DOCUMENT.UPON OUTPATIENT SERVICE REGISTRATIONS AND/OR ADMISSION, THE BUSINESS OFFICE STAFF WORKS TO EDUCATE ALL SELF-PAY PATIENTS ON OUR PATIENT ASSISTANCE POLICY. SELF-PAY PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID OR OTHER STATE/FEDERAL BENEFITS ARE INFORMED OF A THIRD PARTY VENDOR WHOM THE FACILITY HAS ENLISTED TO ASSIST PATIENTS IN EXPLORING BENEFITS THAT MAY BE AVAILABLE. THE THIRD PARTY VENDOR IS A PUBLIC INTEREST LAW FIRM THAT PROVIDES FREE LEGAL SERVICES TO THOSE WHO QUALIFY. A REPRESENTATIVE FROM THAT VENDOR WILL CONTACT PATIENTS TO DETERMINE WHETHER IT IS APPROPRIATE FOR THEM TO ASSIST IN AN APPLICATION FOR BENEFITS. WHEN THE GROUP ACCEPTS A CASE, THEY FOLLOW IT UNTIL APPLICATIONS HAVE BEEN APPROVED OR DENIED. ALL OF THIS IS DONE AT NO CHARGE TO THE PATIENT.THE SUMMARY OF FINANCIAL ASSISTANCE DOCUMENT AND THE PATIENT ASSISTANCE FORM ARE SENT OUT WITH THE INITIAL SELF-PAY BILL TO ALL SELF-PAY PATIENTS WITHIN 7-10 DAYS OF THE DATE OF SERVICE. SELF-PAY BALANCES THAT GO UNPAID FOR 60 DAYS WILL RECEIVE A SERIES OF TWO LETTERS WITH THEIR MONTHLY STATEMENT. THE LETTERS EXPLAIN THE FACILITY'S COLLECTION PROCESS, AND INCLUDE THE PLAIN LANGUAGE DOCUMENT, THE PATIENT ASSISTANCE FORM, AND POLICY FOR THE GUARANTOR TO COMPLETE. THE FORM IS REQUIRED TO BE COMPLETED AND RETURNED IN A TIMELY MANNER. UPON RECEIPT OF THE PATIENT ASSISTANCE FORM, THE FORM IS REVIEWED TO DETERMINE THE AMOUNT OF DISCOUNT THE PATIENT QUALIFIES FOR UNDER THE POLICY. A FOLLOW-UP LETTER IS MAILED TO THE PATIENT EXPLAINING THE AMOUNT OF DISCOUNT AND PAYMENT PLAN FOR THE REMAINING BALANCE. FAILURE TO RETURN THE COMPLETED PATIENT ASSISTANCE FORM OR CONTACTING THE FACILITY FOR PAYMENT ARRANGEMENTS WILL RESULT IN THE PATIENT ACCOUNT GOING TO THE FACILITY'S COLLECTION AGENCY PROVIDED AT LEAST 120 DAYS HAVE PASSED SINCE THE FIRST POST DISCHARGE BILLING STATEMENT WAS SENT TO THE PATIENT. IF THE PATIENT RETURNS THE COMPLETED ASSISTANCE FORM WITHIN 240 DAYS FROM THE FIRST POST DISCHARGE BILLING STATEMENT, PHC WILL HALT COLLECTION ACTIVITY UNTIL A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY CAN BE MADE. IF PHC APPROVES THE PATIENT FOR FINANCIAL ASSISTANCE, COLLECTION ACTIONS WILL CEASE. |
| PART VI, LINE 4: | PLATTE HEALTH CENTER IS A CRITICAL ACCESS HOSPITAL IN PLATTE, SD. PLATTE IS A RURAL COMMUNITY WITH ALMOST 1,400 RESIDENTS LOCATED IN SOUTH CENTRAL SOUTH DAKOTA. THE FACILITY SERVES AN AREA OF ABOUT 5,000 PEOPLE IN CHARLES MIX, DOUGLAS, GREGORY, AURORA, AND BRULE COUNTIES. THE DOMINANT INDUSTRIES INCLUDE SMALL FAMILY BUSINESSES AND FAMILY FARMS. THE AREA IS VERY WELL KNOWN FOR RECREATIONAL HUNTING AND FISHING. WITH MORE THAN 1,950 PERMANENT CAMPSITES IN THE COUNTY, THE POPULATION RAPIDLY INCREASES BETWEEN MAY AND OCTOBER. THE PHC ALSO PROVIDES CARE FOR THREE DIFFERENT HUTTERITE COLONIES IN ITS GEOGRAPHIC SERVICE AREA: THE PLATTE COLONY, CEDAR GROVE COLONY, AND GRASS RANCH COLONY. THESE COLONIES MAKE UP A LARGE PORTION OF OUR POPULATION AND COMPRISE SOME UNIQUE CULTURAL DIFFERENCES. THE PLATTE HEALTH CENTER MAKES EXTRA EFFORT TO ENSURE WE ARE MEETING THE HEALTHCARE NEEDS OF THEIR COMMUNITIES. HUTTERITE COLONIES ARE NOT A PART OF THE REFERENCED CENSUS DATA.THE MAJORITY OF PEOPLE SERVED BY PHC ARE LIVING IN NORTHERN CHARLES MIX COUNTY. THE COUNTY IS AN ESTIMATED 1,100 SQUARE MILES AND HAS A POPULATION OF 9,373. CONSISTENTLY 80 PERCENT OF PLATTE HEALTH CENTER'S HOSPITAL DISCHARGES COME FROM CHARLES MIX COUNTY, AND ABOUT 74 PERCENT OF ALL SERVICES. ACCORDING TO THE U.S. CENSUS BUREAU QUICK FACTS DATA, CHARLES MIX COUNTY IS COMPRISED OF ABOUT 61 PERCENT CAUCASIAN PEOPLE, 33 PERCENT NATIVE AMERICAN, AND 6 PERCENT OTHER. PHC PREDOMINANTLY SERVES A CAUCASIAN POPULATION. THE ANNUAL MEDIAN HOUSEHOLD INCOME FOR CHARLES MIX COUNTY IN 2023 IS $64,850; HOWEVER, ALMOST 22.8 PERCENT OF THE POPULATION LIVES BELOW THE POVERTY LEVEL ($30,000/YEAR FOR A FAMILY OF FOUR). THERE ARE AN ESTIMATED 2,468 (OR 26%) PEOPLE ELIGIBLE FOR SOUTH DAKOTA MEDICAID; 1,061 ADULTS AND 1,407 CHILDREN, WHICH IS A STATISTIC THAT CONTINUES TO RISE EVERY YEAR. ABOUT 18 PERCENT OF THE COUNTY'S POPULATION REMAINS UNINSURED, WHICH IS ABOUT TEN PERCENT MORE THAN THE STATE AVERAGE. THE LOCAL PLATTE-GEDDES SCHOOL DISTRICT HAS APPROXIMATELY 16% OF THE STUDENTS ON FREE/REDUCED MEAL PLANS. |
| PART VI, LINE 5: | THE PLATTE HEALTH CENTER BOARD OF DIRECTORS CONSISTS OF NINE VOLUNTEER MEMBERS WHO REPRESENT ALL OF OUR SERVICE AREAS, INCLUDING PLATTE, GEDDES, WHITE LAKE, ACADEMY, NEW HOLLAND, AND HARRISON, SD. THE BOARD MEMBERS SHOW A SINCERE INTEREST IN UNDERSTANDING THE OPERATIONS OF THE FACILITY, ITS CONTINUED VIABILITY, AS WELL AS THE NEEDS OF THE COMMUNITY IT SERVES. THE BOARD HAS A STANDING ITEM FOR STRATEGIC PLANNING ON THEIR MONTHLY AGENDA. THIS IS FOR DISCUSSION ON THE NEED FOR NEW OR EXPANDED SERVICES, BUILDING PROJECTS, PROVIDERS, OUTREACH SERVICES, AND OTHER PATIENT RELATED TOPICS. AS A STANDING ITEM, THESE ITEMS BECOME GOALS AND STRATEGY FOR THE FACILITY'S FUTURE. THE BOARD HAS COMMITTED TO CONTRIBUTING FUNDS ANNUALLY TO THE AVERA POOLED INVESTMENTS. THESE FUNDS ARE INTENDED TO SUPPORT EQUIPMENT UPGRADES AND FUTURE BUILDING PROJECTS.MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PROVIDERS IN THE AREA. IN TOTAL WITH AVERA ESERVICES THE FACILITY HAS ABOUT 250 CREDENTIALLED PROVIDERS. THIS NUMBER INCLUDES THE THREE FULL-TIME EMPLOYED FAMILY PRACTICE PHYSICIANS, TWO CERTIFIED NURSE PRACTITIONERS, TWO PHYSICIAN ASSISTANTS, AND A CERTIFIED REGISTERED NURSE ANESTHETIST. PHC HAS NUMEROUS SPECIALTY PHYSICIANS VIA OUTREACH CLINICS AND ESERVICES.PHC IS THE ONLY HOSPITAL IN THE PLATTE COMMUNITY. THE NEXT CLOSEST CRITICAL ACCESS HOSPITAL IS 35 MILES TO THE EAST; AND THE CLOSEST REGIONAL HOSPITAL IS 66 MILES NORTHEAST. PHC WORKS VERY HARD TO PROVIDE QUALITY HEALTHCARE IN A RURAL SETTING. PHC PROVIDES INNOVATIVE TECHNOLOGY APPLICATIONS LEVERAGED BY HIGHLY TRAINED STAFF WITH ECARE SERVICES, WHICH INCLUDE EEMERGENCY, EICU, EPHARMACY, AND ECONSULT. THROUGH A GROWING TELECOMMUNICATIONS NETWORK, WE OFFER VIDEO TELECONFERENCING FOR EDUCATIONAL AND MEDICAL SERVICES. WE EXTEND OUR MISSION IN THE REGION THROUGH MOBILE OUTREACH PROGRAMS AND PROVIDE LOCAL HEALTH CARE SPECIALIST VISITS RIGHT HERE IN PLATTE SAVING OUR PATIENTS TIME AND TRAVEL EXPENSES. THE FACILITY IS CERTIFIED AS A TRAUMA RECEIVING FACILITY WITH FULLY INTEGRATED EEMERGENCY AND ESTROKE SERVICES IN BOTH EMERGENCY ROOM (ER) BAYS. EMERGENCY ROOM SERVICES ARE A SUBSIDIZED SERVICE FOR THE ORGANIZATION. THIS SERVICE IS NOT ONLY PROVIDED TO COMPLY WITH REGULATORY REQUIREMENTS BUT HAS ALSO BEEN IDENTIFIED AS A CRITICAL SERVICE FOR THE COMMUNITY AND ORGANIZATION AS IT ENSURES ACCESS TO EMERGENCY SERVICES FOR OUR CUSTOMERS.PLATTE HEALTH CENTER IS A FARM (FRONTIER AND RURAL MEDICINE) SITE. THE FARM PROGRAM IS THE UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE'S RURAL TRACK MEDICAL STUDENT PROGRAM. THIS IS A UNIQUE OPPORTUNITY FOR A SELECT GROUP OF MEDICAL STUDENTS TO OBTAIN NINE MONTHS OF THEIR CLINICAL TRAINING IN RURAL COMMUNITIES. THE PROGRAM EDUCATES MEDICAL STUDENTS ON THE NEED FOR PHYSICIANS IN RURAL FAMILY MEDICINE; AND THE FACILITY BUILDS ON RELATIONSHIPS THAT COULD RESULT IN THE RECRUITMENT OF FUTURE PHYSICIANS. THIS IS A COMPETITIVE PROGRAM IN WHICH BOTH THE HOSPITAL AND MEDICAL STUDENT MUST APPLY FOR THROUGH AN APPLICATION PROCESS.PLATTE HEALTH CENTER IS A HEALING MINISTRY FOR THE SICK, THE ELDERLY, AND THE OPPRESSED, AND PROVIDES HEALTHCARE SERVICES TO ALL PERSONS IN NEED, WITHOUT REGARD TO AGE, RACE, SEX, CREED, NATIONAL ORIGIN, OR ABILITY TO PAY.IN CONJUNCTION WITH THE FACILITY'S COMMUNITY HEALTH NEEDS ASSESSMENT, THE FACILITY MAKES OTHER CONTRIBUTIONS TO THE COMMUNITY IT SERVES. THE PLATTE HEALTH CENTER ENCOURAGES VOLUNTEERING AT ALL LEVELS OF THE FACILITY. FACILITY EMPLOYEES ROUTINELY DONATE TIME AND MONEY TO SOME VERY WORTHY CAUSES. THE FACILITY PARTICIPATED IN THE FOLLOWING VOLUNTEER PROJECTS DURING THE YEAR: PLATTE HEALTH CENTER STAFF VOLUNTEERS TO OPERATE THE PUBLIC MOVIE THEATER THE SECOND SATURDAY OF EVERY MONTH. STAFF CONDUCTED A FOOD DRIVE FOR THE HELPING HANDS FOOD PANTRY LOCATED IN PLATTE, SD. THE MEDICAL CLINICS HOSTED A COMMUNITY BAKE SALE. THE PROCEEDS WERE USED TO COVER THE EXPENSE OF MEDICAL LICENSES FOR TWO PHYSICIANS WHO ARE FULFILLING A MEDICAL MISSION IN NORTH AFRICA. OUR RADIOLOGY DEPARTMENT CONDUCTED GO PINK EVENTS IN OCTOBER FOR BREAST CANCER AWARENESS. FUNDS WERE RAISED TO SUPPORT THE LOCAL BREAST CANCER SURVIVOR SUPPORT GROUP; AND TO PROVIDE SCREENING MAMMOGRAMS FOR UNINSURED/UNDERINSURED WOMEN. SURPLUS MEDICAL SUPPLIES ARE SENT TO FOREIGN COUNTRIES IN NEED. BAKE SALES COVER THE COST OF MAILING THESE ITEMS. FACILITY PROVIDES MEDICAL, NURSING, AND OTHER HEALTHCARE PROFESSION STUDENTS THE OPPORTUNITY TO JOB SHADOW AND GAIN HANDS-ON LEARNING AT THE FACILITY. EMPLOYEES PARTICIPATED AND HELPED ORGANIZE NUMEROUS FUND RAISING ACTIVITIES FOR LOCAL RESIDENTS DEALING WITH SERIOUS HEALTH CONDITIONS. |
| PART VI, LINE 6: | THE PLATTE HEALTH CENTER IS AFFILIATED WITH THE AVERA HEALTH SYSTEM AND IS A MANAGED FACILITY OF AVERA QUEEN OF PEACE. AVERA QUEEN OF PEACE AND THE PHC WORK COOPERATIVELY TO ENHANCE HEALTHCARE. THEIR DEDICATED RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, AND VARIOUS OTHER ACTIVITIES.THROUGH THIS AFFILIATION, THE PLATTE HEALTH CENTER HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE, PHYSICIAN RECRUITING, AND MANY OTHER SERVICES. AVERA HEALTH CAN PROVIDE THESE SERVICES TO THE HOSPITAL AT A COST BELOW THAT WHICH THE HOSPITAL COULD OTHERWISE ACHIEVE ON ITS OWN. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PANTHER CUB ACADEMY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 504 E 2ND STREET | AddressLine1Txt |
| City | PLATTE | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57369 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 922092194 | RecipientEIN |
| IRC Section | 501(C)3 | IRCSectionDesc |
| Cash Grant | $20,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | START UP FOR NEW DAYCARE FACILITY | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FACILITY DOES NOT LOOK FOR GRANTS TO AWARD; HOWEVER, THE FACILITY WILL CONSIDER GRANT REQUESTS. IN THE CURRENT YEAR, THE COMMUNITY OPENED A NEW NONPROFIT DAYCARE. THE NEW DAYCARE DID A FUNDRAISING CAMPAIGN; AND THE BOARD WAS WELL AWARE OF A NEED AS IT WAS PREVIOUSLY IDENTIFIED ON THE FACILITY'S CHNA. THE BOARD THEN APPROVED A DONATION IN THE AMOUNT OF $20,000 TO THE NEW DAYCARE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAU TRAN | ||||||||||||||
| PHYSICIAN | $291,373 | $0 | $0 | $0 | $65,726 | $0 | $9,714 | $0 | $41,392 | $0 | $408,205 | $0 | $0 | $0 |
| DR NELSON BATOON | ||||||||||||||
| PHYSICIAN | $329,639 | $0 | $0 | $0 | $800 | $0 | $16,500 | $0 | $42,092 | $0 | $389,031 | $0 | $0 | $0 |
| MARK BURKET | ||||||||||||||
| CEO | $238,992 | $0 | $0 | $0 | $862 | $0 | $34,883 | $0 | $42,716 | $0 | $317,453 | $0 | $0 | $0 |
| JEFFREY KONSTANZ | ||||||||||||||
| PHYSICIAN ASSISTANT | $189,664 | $0 | $19,300 | $0 | $0 | $0 | $22,020 | $0 | $42,007 | $0 | $272,991 | $0 | $0 | $0 |
| DR JEROME BENTZ | ||||||||||||||
| PHYSICIAN | $170,003 | $0 | $0 | $0 | $800 | $0 | $8,645 | $0 | $29,106 | $0 | $208,554 | $0 | $0 | $0 |
| APRIL VEURINK | ||||||||||||||
| CNP | $159,079 | $0 | $7,000 | $0 | $9,223 | $0 | $8,782 | $0 | $480 | $0 | $184,564 | $0 | $0 | $0 |
| VICKI JENSEN | ||||||||||||||
| CFO | $106,334 | $0 | $0 | $0 | $0 | $0 | $6,156 | $0 | $41,748 | $0 | $154,238 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I | FormAndLineReferenceDesc |
| Explanation | PHYSICIANS AND ADVANCED PRACTICE PROVIDERS CAN ACHIEVE INCENTIVE PAY AS OUTLINED IN THEIR RESPECTIVE EMPLOYMENT CONTRACTS. FOR THE YEAR END 06/30/24, THE FACILITY HAD TWO ADVANCED PRACTIVE PROVIDERS ACHIEVE THEIR INCENTIVE GOALS. ONE WAS A PHYSICIAN ASSISTANT WHO EARNED AN INCENTIVE BASED ON PRODUCTIVITY STANDARDS. THE OTHER WAS A CERTIFIED NURSE PRACTITIONER WHO ACHIEVED INCENTIVE BY MEETING THE FOLLOWING CRITERIA: PARTICIPATION/ATTENDANCE AT PROVIDER AND MEDICAL STAFF MEETINGS; ED RESPONSE TIME REQUIREMENTS; STAFF EDUCATION REQUIREMENTS; AND ANNUAL WELLNESS VISITS FOR NURSING HOME RESIDENTS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JULIE GUSTAD | |||
| MOTHER-IN-LAW OF JILL GUSTAD, BOARD MEMBER | $38,375 | COMPENSATION | 0 |
| JEANETTE PHEIFER | |||
| MOTHER OF BRANDI DELANGE, BOARD MEMBER | $20,497 | COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL HAVE THE BOARD PRESIDENT AS ITS CHAIRMAN AND RESPONSIBLE PERSON. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE FACILITY DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF DIRECTORS AND THAT IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF DIRECTORS. ALL OTHER COMMITTEES ARE ADVISORY TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 8B | IF AND WHEN THE EXECUTIVE COMMITTEE MEETS, IT DOES NOT PREPARE MINUTES FOR THEIR MEETINGS. INSTEAD, IT REPORTS TO THE BOARD AND DISCUSSION OF EXECUTIVE COMMITTEE MEETINGS IS INCLUDED IN THE BOARD MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO AND CFO REVIEW THE FORM 990. AFTER THEIR REVIEW, A COPY OF THE COMPLETED FORM 990 IS GIVEN TO ALL BOARD MEMBERS FOR THEIR FEEDBACK. THE CFO FILES THE TAX RETURN WITH THE IRS AFTER VERIFYING WITH THE BOARD THAT IT IS OKAY TO PROCEED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD IS REQUIRED ANNUALLY TO SIGN-OFF ON THE CONFLICT OF INTEREST POLICY. PER POLICY, BOARD MEMBERS ARE EXPECTED TO DISCLOSE CONFLICTS AS THEY ARISE. THE FULL BOARD REVIEWS THE POTENTIAL CONFLICTS OF INTEREST AND DETERMINES WHETHER A CONFLICT EXISTS. IF A CONFLICT EXISTS, THE AFFECTED PERSON IS REQUIRED TO ABSTAIN FROM VOTING ON THE ITEM THAT GIVES RISE TO THE CONFLICT. ALL EMPLOYEES ARE REQUIRED TO FOLLOW THE CONFLICT OF INTEREST POLICY. ADMINISTRATION REVIEWS AND RESOLVES ANY CONFLICTS AS THEY ARISE. IN MATTERS OF PATIENT CARE, ADMINISTRATION WOULD CONVENE AN ETHICS COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | PER THE CEO'S CONTRACT, THE CEO ANNUAL COMPENSATION SHALL BE AGREED UPON AT AN ANNUAL REVIEW OF THE CEO'S COMPENSATION AND PERFORMANCE BY THE BOARD. IF NO OTHER AMOUNT IS SET AT THE ANNUAL REVIEW, THE SALARY SHALL REMAIN THE SAME FOR THE NEXT CALENDAR YEAR, SUBJECT TO ANNUAL INFLATIONARY INCREASE. THIS ANNUAL REVIEW SHALL OCCUR THREE MONTHS PRIOR TO THE END OF EACH YEAR OF THE CONTRACT. THE COMPENSATION PACKAGE FOR THE CFO IS BASED ON A REVIEW OF THE SDAHO ANNUAL COMPENSATION SURVEY AND APPROVED BY THE CEO. THE ANNUAL SDAHO SURVEY IS BASED ON MARKET BY FACILITY SIZE AND LOCATION. ANY MARKET INCREASES ARE AWARDED ON JULY 1ST ANNUALLY. ANNUAL MERIT INCREASES (NOT TO EXCEED 2.5 PERCENT) ARE GIVEN BASED ON A PERFORMANCE REVIEW ON THE CFO'S ANNIVERSARY DATE OF EMPLOYMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF 405,477. |
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