2017-05-12T11:39:49-05:00 2016-06-30 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2015-07-01 237072116 SOUTH DAKOTA ACHIEVE SOUT 6054449500 4100 S WESTERN AVENUE SIOUX FALLS SD 57105 STEVE WILSON CFO 6054449500 2017-05-12 1 LAURIE HANSON P00851848 6053391999 2017-05-12 2015 2021-01-29 14:40:06Z LIFESCAPE ANNE MC FARLAND 4100 S WESTERN AVENUE SIOUX FALLS SD 57105 25600852 0 X WWW.LIFESCAPESD.ORG X 1958 SD PROVIDE SUPPORT SERVICES TO PEOPLE WITH DEVELOPMENTAL DISABILITIES. 16 15 1006 688 0 0 449530 544030 23255168 24890187 695832 166635 0 0 24400530 25600852 0 0 0 0 19016587 21213433 0 0 0 6143691 6988565 25160278 28201998 -759748 -2601146 14499383 14496488 4987958 7663115 9511425 6833373 WE EMPOWER CHILDREN AND ADULTS WITH DISABILITIES TO LEAD FULFILLING LIVES.VISION STATEMENT: ALL PEOPLE ARE VALUED AND RESPECTED. 0 0 25627620 24890187 ADULT SERVICES SERVED 498 ADULTS IN FY16 WITH DEVELOPMENTAL AND ACQUIRED DISABILITIES THROUGH RESIDENTIAL SERVICES, DAY PROGRAMMING, SUPPORTED EMPLOYMENT, AND SUPPORTED LIVING SERVICES. LIFESCAPE'S VISION IS THAT ALL PEOPLE ARE VALUED AND RESPECTED, AND USES A PERSON-CENTERED AND SELF-DIRECTED APPROACH TO HELPING PEOPLE LEAD FULFILLING LIVES WITH AS MUCH INDEPENDENCE AS POSSIBLE. 25627620 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 74 0 1 1006 1 0 0 0 0 0 0 0 0 0 0 X 16 15 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X STEVE WILSON 6054449820 4100 S WESTERN AVE SIOUX FALLS SD 57105 DRPATTY PETERS VICE CHAIR 1.00 3.00 X 0 0 0 HCHIP CARLSON VICE CHAIR UNTIL APRIL 2016 1.00 1.00 X X 0 0 0 GAYLE VER HEY SECRETARY 1.00 3.00 X X 0 0 0 PDANIEL DONOHUE TREASURER 1.00 1.00 X X 0 0 0 JOHN ROZELL MEMBER-AT-LARGE 1.00 5.00 X X 0 0 0 JACK HOPKINS DIRECTOR 1.00 3.00 X 0 0 0 JOE HENKIN DIRECTOR 1.00 3.00 X 0 0 0 MOLLY MCCARTHY DIRECTOR 1.00 1.00 X 0 0 0 JON SODERHOLM DIRECTOR 1.00 3.00 X 0 0 0 DRLARRY FENTON DIRECTOR BEG JAN 2016 1.00 1.00 X 0 0 0 MARK STERNHAGEN DIRECTOR 1.00 1.00 X 0 0 0 CLAUDIA VUCUREVICH DIRECTOR 1.00 1.00 X 0 0 0 TERRI GRABLANDER DIRECTOR 1.00 1.00 X 0 0 0 JASON HARRIS DIRECTOR 1.00 1.00 X 0 0 0 JEFF HAZARD DIRECTOR 1.00 3.00 X 0 0 0 DRJOHN BILLION DIRECTOR 1.00 3.00 X 0 0 0 ANNE MC FARLAND CEO 23.00 27.00 X X 0 221349 20467 BRANDI KOWALCZYK CFO UNTIL 11/2016 21.00 29.00 X 0 111419 24088 0 332768 44555 0 1 1 0 LIFESCAPE 2501 W 26TH STREET SIOUX FALLS SD 57105 IT,MATERIALS,MANAGEMENT, AND OTHER OVERH 2056531 HENRY CARLSON COMPANY 1205 W RUSSELL STREET SIOUX FALLS SD 57104 CONSTRUCTION 153641 2 512566 31464 544030 FEES FOR SERVICES 561499 21988380 21988380 FOOD SERVICE 722210 1137478 1137478 FAMILY SUPPORT 561499 388603 388603 PRODUCTION 561439 336921 336921 CUSTODIAL 561499 276429 276429 762376 762376 24890187 115834 115834 50801 0 50801 50801 50801 25600852 24890187 0 166635 117468 117468 17550854 17542891 7963 157354 157283 71 2104657 2103708 949 1283100 1282522 578 8947 909 8038 92383 442 91941 27161 16667 10494 240791 178989 61802 51262 550 50712 378353 285118 93235 12530 12530 891160 862664 28496 343871 337389 6482 56024 10407 45617 164493 164493 908014 837429 70585 192561 192561 SHARED SERVICES 2025285 2025285 FOOD 815606 806807 8799 MEDICAL SUPPLIES 280445 280445 EQUIPMENT 124119 120699 3420 375560 328179 47381 28201998 25627620 2574378 0 809142 219649 1976406 2389784 66792 68106 42209 29962 16038808 10214489 5822655 5824319 5127254 5222105 260303 286787 394622 455776 14499383 14496488 1793547 2126573 168437 40000 2293768 2841026 732206 2655516 4987958 7663115 X 7845917 5237515 439699 370049 1225809 1225809 9511425 6833373 14499383 14496488 -2601146 -76906 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 392 1 138 1 19756 20286 0 PART II-B, LINE 1: SOUTH DAKOTA ACHIEVE (SDA) CONTRACTS FOR LOBBYING SERVICES. THE LOBBYIST IS IN DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS AND GOVERNMENT OFFICIALS DURING THE STATE'S 30-40 DAY LEGISLATIVE SESSION. THE LOBBYIST HELPS SDA DEFINE ISSUES AND MAKE CONTACT WITH APPROPRIATE LEGISLATIVE AND EXECUTIVE BRANCH PERSONNEL TO MAKE SURE THEY TRULY UNDERSTAND HOW ISSUES THAT MAY BE IN FRONT OF THEM WILL AFFECT SDA. LOBBYING REVOLVES AROUND PROPOSED BUDGETARY ISSUES AS WELL AS ADVOCATING FOR THE WELFARE OF PEOPLE SERVED BY SDA. 423560 423560 9225862 6076542 3149320 10660 3660 7000 5437788 3422783 2015005 940938 711504 229434 5824319 DUE TO OTHER REALTED PARTY 2655516 2655516 X PART X, LINE 2: LIFESCAPE AND MOST OF ITS AFFILIATED ORGANIZATIONS ARE ORGANIZED AS SOUTH DAKOTA NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THESE ORGANIZATIONS ARE ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. TOGETHER THESE ORGANIZATIONS HAVE DETERMINED THAT THEY ARE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAVE NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. REHABILITATION MEDICAL SUPPLY IS A TAXABLE ORGANIZATION AND IS SUBJECT TO FEDERAL INCOME TAXES. THE ORGANIZATION 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 ORGANIZATION 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. REHABILITATION MEDICAL SUPPLY'S TAX RETURN IS NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2013. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 AT ADMISSION MOST PEOPLE COMPLETE AN ADMISSION APPLICATION WHICH STATES THE NONDISCRIMINATION PRACTICES OF SOUTH DAKOTA ACHIEVE, DBA LIFESCAPE. SCHEDULE E, PART I, LINE 6 THE ORGANIZATION RECEIVES A SUBSTANTIAL AMOUNT OF ITS SUPPORT FROM THE FEDERAL GOVERNMENT, THE STATE OF SOUTH DAKOTA AND LOCAL GOVERNMENTS IN SOUTH DAKOTA. A SIGNIFICANT REDUCTION IN THE LEVEL OF SUPPORT, IF THIS WERE TO OCCUR, WOULD HAVE A SIGNIFICANT EFFECT ON THE ORGANIZATION'S PROGRAMS AND ACTIVITIES. 0 0 0 0 0 0 0 0 0 ANNE MC FARLAND CEO 0 220575 0 0 0 774 0 12600 0 8470 0 242419 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED PARTY, LIFESCAPE, TO DETERMINE COMPENSATION FOR THE CEO AND CFO. LIFESCAPE USES THE METHODS LISTED IN PART I, LINE 3 TO DETERMINE THE COMPENSATION. HENRY CARLSON COMPANY DIRECTOR H.CHIP CARLSON III OWNS MORE THAN 35% OF HENRY CARLSON CO. 153641 CONSTRUCTION WORK PROVIDED TO SDA 0 ELIZABETH DEBERG FAMILY MEMBER OF ANNE MCFARLAND 65245 COMPENSATION 0 BETH SUTTON FAMILY MEMBER OF ANNE MCFARLAND 52223 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1 AN EXECUTIVE COMMITTEE COMPRISED OF THE CHAIR, VICE CHAIR, SECRETARY, TREASURER, IMMEDIATE PAST CHAIR, CHIEF EXECUTIVE OFFICER AND ONE (1) DIRECTOR CAN ACT ON BEHALF OF THE BOARD BETWEEN BOARD MEETINGS. ALL ACTION TAKEN BY THE EXECUTIVE COMMITTEE MUST BE RATIFIED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR THE MANAGING, HIRING AND EVALUATION OF THE CORPORATION'S CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION A, LINE 2 ANNE MCFARLAND HAS A BUSINESS RELATIONSHIP WITH JACK HOPKINS, CHIP CARLSON, MOLLY MCCARTHY, PATTY PETERS, JOHN ROZELL, JOE HENKIN, P DANIEL DONOHUE, JON SODERHOLM, MARK STERNHAGEN, GAYLE VER HEY, CLAUDIA VUCUREVICH, TERRI GRABLANDER, JASON HARRIS, JEFF HAZARD, DR. JULIE JOHNSON, AND DR. JOHN BILLION. THE BUSINESS RELATIONSHIP EXISTS BECAUSE ANNE MCFARLAND WAS PAID BY LIFESCAPE FROM 7/1/15 THROUGH 6/30/16. PERSONS LISTED AS HAVING A BUSINESS RELATIONSHIP WITH HER SERVE ON THE BOARD OF LIFESCAPE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS LIFESCAPE, A SOUTH DAKOTA NON-PROFIT, EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE ELECTED BY THE MEMBER AND SHALL BE THE SAME PERSONS WHO SERVE AS THE DIRECTORS OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND A FINAL COPY OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C LIFESCAPE HAS A CONFLICT OF INTEREST POLICY THAT IS SIGNED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS. IN ADDITION, A CONFLICT LETTER IS SENT TO ALL BOARD MEMBERS AND SENIOR LEADERS OF LIFESCAPE TO COMPLETE AND TO DISCLOSE ANY POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND CFO OF CCHS ARE COMPENSATED BY LIFESCAPE, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE UPON REQUEST. SIOUX RESIDENTIAL SERVICES INC AKA HARVEST APARTMENTS 4100 S WESTERN AVE SIOUX FALLS SD 57105 460378935 HUD PROPERTY FOR INDIVIDUALS SUPPORTED BY SDA SD 501(C)(3) LINE 9 SOUTH DAKOTA ACHIEVE 1 LIFESCAPE 4100 S WESTERN AVE SIOUX FALLS SD 57105 465151247 ASSIST CHILDREN'S CARE HOSPITAL & SCHOOL AND SD ACHIEVE SD 501(C)(3) LINE 11A, I N/A 0 CHILDREN'S CARE HOSPITAL & SCHOOL DBA LIFESCAPE 2501 W 26TH ST SIOUX FALLS SD 57105 460233030 HOSPITAL & SCHOOL FOR CHILDREN WITH SPECIAL NEEDS & THEIR FAMILIES SD 501(C)(3) LINE 3 LIFESCAPE 0 LIFESCAPE FOUNDATION 4100 S WESTERN AVE SIOUX FALLS SD 57105 460353254 SUPPORT PROGRAMS & SERVICES OF LIFESCAPE ENTITIES SD 501(C)(3) LINE 11A, I LIFESCAPE 0 BEACON APARTMENTS LIMITED PARTNERSHIP 4100 S WESTERN AVE SIOUX FALLS SD 57105 471232136 LOW INCOME HOUSING SD SOUTH DAKOTA ACHIEVE DBA LIFESCAPE RELATED -18 390049 1 1 0.00010 REHABILITATION MEDICAL SUPPLY 2501 W 26TH STREET SIOUX FALLS SD 57105 411936988 SALES & SERVICE OF DURABLE MEDICAL EQUIPMENT, ORTHOTICS, & PROSTHETICS SD N/A C 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0