PRAIRIE LAKES HEALTH CARE SYSTEM INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PRAIRIE LAKES HEALTH CARE SYSTEM INC (EIN 46-0391067)
- Tax period
- 2012-06-01 to 2013-05-31
- Filed
- 2014-03-10
- IRS object ID
- 201410699349300651
- Schema version
- 2012v2.1
- 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 B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-03-10T10:28:23-05:00 | Timestamp |
| Tax Period End Date | 2013-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460391067 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE LAKES HEALTH CARE SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PRAI | NameControl |
| Phone | 6058827000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1210 | AddressLine1 |
| City | WATERTOWN | City |
| State | SD | State |
| ZIP Code | 57201 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ADAM PAUL | Name |
| Title | CFO | Title |
| Phone | 6058827000 | Phone |
| Date Signed | 2014-02-18 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT E SCHILE | Name |
| PTIN | P00369682 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JILL FULLER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1210 | AddressLine1 |
| City | WATERTOWN | City |
| State | SD | State |
| ZIP Code | 57201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 103527713 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PRAIRIELAKES.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | SD | StateLegalDomicile |
| Activity Or Mission Description | HEALTH CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 568 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 971412 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 226880 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 221819 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 78930177 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 76847038 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4029479 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7926738 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2094818 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1280572 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 85281354 | TotalRevenuePriorYear |
| Total Revenue Current Year | 86276167 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 155832 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 150067 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33433689 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34654662 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 36004779 | OtherExpensePriorYear |
| Other Expenses Current Year | 35071365 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 69594300 | TotalExpensesPriorYear |
| Total Expenses Current Year | 69876094 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15687054 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 16400073 | RevenuesLessExpensesCY |
| Total Assets BOY | 181017131 | TotalAssetsBOY |
| Total Assets EOY | 211469945 | TotalAssetsEOY |
| Total Liabilities BOY | 32586154 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30712094 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 148430977 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 180757851 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PRAIRIE LAKES HEALTH CARE SYSTEM THROUGH THE EFFORTS OF ITS DEDICATED EMPLOYEES AND PHYSICIANS, PROVIDES HIGH QUALITY, AFFORDABLE AND COMPASSIONATE HEALTHCARE SERVICES FOR THE PEOPLE IN THE REGION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 60914066 | Expense |
| Grants | 150067 | Grants |
| Revenue | 76847038 | Revenue |
| Description | PRAIRIE LAKES HEALTHCARE SYSTEM (PLHS) IS A LEADER IN REGIONAL HEALTHCARE FOR NORTHEASTERN SOUTH DAKOTA. CARING FOR A NINE-COUNTY SERVICE AREA OF 88,000 PEOPLE, THE HEALTH PROFESSIONALS OF PLHS ARE DEDICATED TO EXCELLENCE. THAT COMMITMENT HAS MADE PLHS ONE OF THE MOST INNOVATIVE RURAL MEDICAL CENTERS IN THE NATION. PLHS HAS BEEN A DYNAMIC MODEL FOR RURAL HEALTH; HAS SERVED AS A "SHOW SITE" FOR PATIENT CARE TECHNOLOGY AND DIAGNOSTIC EQUIPMENT; AND WE ARE UNCHALLENGED IN OUR UNCOMPROMISING CARE FOR PATIENTS AND THEIR FAMILIES. PLHS IS A TECHNOLOGICALLY-ADVANCED PROVIDER OF HEALTHCARE SERVICES TO THE PEOPLE OF NORTHEAST SOUTH DAKOTA. OUR MISSION TO OFFER QUALITY AND COMPASSIONATE SERVICES GUIDES OUR MEDICAL STAFF, EMPLOYEES, ADMINISTRATION, AND BOARD OF DIRECTORS. BECAUSE OF OUR PROACTIVE EFFORTS, PLHS HAS BEEN FIRST IN THE STATE TO OFFER PATIENTS LEADING-EDGE TECHNOLOGY AND SERVICES.PLHS WAS THE FIRST HOSPITAL IN SOUTH DAKOTA TO INSTALL AN ADVANCED COMPUTED TOMOGRAPHY (CT) SCANNER THAT PROVIDES DETAILED IMAGES OF THE BODY. THIS ADVANCED TECHNOLOGY NOT ONLY MEANS MORE DIAGNOSTIC INFORMATION FOR DOCTORS IN ROUTINE SITUATIONS, BUT ITS SPEED CAN ALSO SAVE PRECIOUS EXAM TIME IN THE EMERGENCY ROOM.PLHS FIRST IN STATE TO OFFER IMRT. PRAIRIE LAKES CANCER CENTER WAS THE FIRST CANCER CENTER IN SOUTH DAKOTA TO OFFER ITS PATIENTS A SOPHISTICATED RADIATION THERAPY CALLED IMRT - INTENSITY MODULATED RADIATION THERAPY. THE GOAL AT THE CANCER CENTER IS TO CONTINUE TO STAY ABREAST OF THE LATEST ONCOLOGY TREATMENTS AND TECHNOLOGY AND BRING ADVANCED THERAPIES - LIKE IMRT - HERE TO WATERTOWN.PLHS RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S NCDR ACTION REGISTRYGWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2013 - ONE OF ONLY 197 HOSPITALS NATIONWIDE TO DO SO. THE AWARD RECOGNIZES PRAIRIE LAKES' COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS, AND SIGNIFIES THAT PLHS HAS REACHED AN AGGRESSIVE GOAL OF TREATING THESE PATIENTS TO STANDARD LEVELS OF CARE AS OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION (ACC/AHA) CLINICAL GUIDELINES AND RECOMMENDATIONS.PLHS WAS RECOGNIZED AS A TOP-RANKED HOSPITAL IN THE COUNTRY FOR THE VALUE IT PROVIDES TO THE COMMUNITY BY A LEADING HEALTHCARE FIRM SPECIALIZING IN OPERATIONAL BENCHMARKING AND PERFORMANCE ENHANCEMENT STRATEGIES. PRAIRIE LAKES RECEIVED THE COMMUNITY FIVE STAR DESIGNATION BASED ON ITS PERFORMANCE IN THE FOLLOWING AREAS: FINANCIAL VIABILITY AND PLANT REINVESTMENT, HOSPITAL COST STRUCTURE, HOSPITAL CHARGE STRUCTURE AND HOSPITAL QUALITY PERFORMANCE.IN MAY, 2013, CMS RELEASED HOSPITAL PRICE RANGES OF 100 COMMON TREATMENTS. THE REPORT SHOWED WIDE VARIATIONS AMONG HOSPITALS IN PRICES CHARGED FOR THE SAME PROCEDURES. PLHS CONSISTENTLY HAD THE LOWEST PRICES AMONG THE STATE PROVIDERS FOR PROCEDURES PERFORMED AT THE HOSPITAL. FOR THE PAST DECADE, THE ORGANIZATION HAS MADE A CONCERTED EFFORT TO BENCHMARK FAVORABLY TO OTHER PROVIDERS ON PRICING. | Description |
| Total Program Service Expense | 60914066 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 79 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 568 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADAM PAUL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6058827000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 9TH AVENUE NW | AddressLine1 |
| City | WATERTOWN | City |
| State | SD | State |
| ZIP Code | 57201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| JOHN CALVIN | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ROGER CARTER MD | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| DUSTIN FLATTEN | |||||||||
| BOARD TREASURER | 1.00 | X | 0 | 0 | 0 | X | |||
| VINCE FOLEY | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| CATHERINE GERRISH MD | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| BERNIE HANSON MD | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| GEOFF HEIG | |||||||||
| BOARD SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |||
| MONTE HOPPER | |||||||||
| BOARD CHAIR | 1.00 | X | 0 | 0 | 0 | X | |||
| JIM REDLINGER | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| GERALD RIEBER MD | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| MARK ROBY | |||||||||
| BOARD VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |||
| DOUGLAS SHARP | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | 1.00 | |||
| LUANN STRAIT | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | 2.00 | |||
| JILL FULLER | |||||||||
| CEO | 40.00 | 470175 | 0 | 28364 | X | 2.00 | |||
| ADAM PAUL | |||||||||
| CFO | 40.00 | 248532 | 0 | 13473 | X | ||||
| MICHAEL ANDERSON | |||||||||
| CHIEF INVESTMENT OFFICER | 40.00 | 350920 | 0 | 28247 | X | ||||
| NATE LAKE | |||||||||
| VICE PRESIDENT | 40.00 | 167598 | 0 | 23603 | X | ||||
| TRACI RABINE | |||||||||
| VP CLINIC OPERATIONS | 40.00 | 154998 | 0 | 23469 | X | ||||
| MICHELE TURBAK | |||||||||
| CHIEF NURSING OFFICER | 40.00 | 166291 | 0 | 23730 | X | ||||
| EVELIO GARCIA MD | |||||||||
| PHYSICIAN | 40.00 | 1170058 | 0 | 28364 | X | ||||
| SALEM MAALIKI MD | |||||||||
| PHYSICIAN | 40.00 | 1001488 | 0 | 28364 | X | ||||
| BIPINKUMAR AMIN MD | |||||||||
| PHYSICIAN | 40.00 | 628462 | 0 | 28364 | X | ||||
| CHRIS ADDUCCI MD | |||||||||
| PHYSICIAN | 40.00 | 525000 | 0 | 28364 | X | ||||
| JEFFERY BRINDLE MD | |||||||||
| PHYSICIAN | 40.00 | 503734 | 0 | 28364 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5387256 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 282706 | TotalOtherCompensation |
| Number Individuals GT100 K | 27 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BROWN CLINIC | |||||
| 506 1ST AVE SE | WATERTOWN | SD | 57201 | HOSPITALIST/SURGICAL COVERAGE | 617695 |
| WEATHERBY LOCUMS | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | ER MD ONCOLOGY COVERAGE | 382470 |
| DR EW FILLER MD PC | |||||
| 21804 468TH AVE | VOLGA | SD | 57006 | ER MD COVERAGE | 381963 |
| DR TRUONG THINH | |||||
| 754 TERRA BELLA DRIVE | MILPITAS | CA | 95035 | ER MD COVERAGE | 334630 |
| PDS INC | |||||
| 4152 30TH AVE S STE 103 | FARGO | ND | 58104 | SLEEP STUDIES | 266800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Related Organizations | 64180 | RelatedOrganizations |
| All Other Contributions | 157639 | AllOtherContributions |
| Total Contributions | 221819 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | 75876265 | 75876265 | |
| RETAIL PHARMACY | 446110 | 710993 | 710993 | |
| LAB SERVICE | 621500 | 259780 | 259780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 76847038 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 421015 | TotalRevenueColumn |
| Exclusion | $421,015 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 818795 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 818795 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 818795 | TotalRevenueColumn |
| Exclusion | $818,795 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 24114131 | Securities |
| Other | 643138 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16580144 | Securities |
| Other | 671402 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7533987 | Securities |
| Other | -28264 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7505723 | TotalRevenueColumn |
| Exclusion | $7,505,723 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722210 | 250985 | $250,985 | |
| OTHER INCOME | 900099 | 180059 | $180,059 | |
| CATERING | 722320 | 26495 | $25,856 | 639 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4238 | TotalRevenueColumn |
| Exclusion | $4,238 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 461777 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 86276167 | TotalRevenueColumn |
| Related Or Exempt Function Income | 75876265 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 971412 | UnrelatedBusinessRevenue |
| Exclusion | $9,206,671 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150067 | Total |
| Program Services | 150067 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1579310 | Total |
| Management And General | 1579310 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28399163 | Total |
| Program Services | 25616636 | ProgramServices |
| Management And General | 2782527 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 648446 | Total |
| Program Services | 612988 | ProgramServices |
| Management And General | 35458 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1979269 | Total |
| Program Services | 1882419 | ProgramServices |
| Management And General | 96850 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2048474 | Total |
| Program Services | 1784814 | ProgramServices |
| Management And General | 263660 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26390 | Total |
| Management And General | 26390 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6070710 | Total |
| Program Services | 5006106 | ProgramServices |
| Management And General | 1064604 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 244578 | Total |
| Program Services | 16 | ProgramServices |
| Management And General | 244562 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5783697 | Total |
| Program Services | 5320277 | ProgramServices |
| Management And General | 463420 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 439594 | Total |
| Program Services | 63502 | ProgramServices |
| Management And General | 376092 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 992825 | Total |
| Program Services | 17293 | ProgramServices |
| Management And General | 975532 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 390827 | Total |
| Program Services | 283206 | ProgramServices |
| Management And General | 107621 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211486 | Total |
| Program Services | 63985 | ProgramServices |
| Management And General | 147501 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 753686 | Total |
| Program Services | 753686 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4613384 | Total |
| Program Services | 4379140 | ProgramServices |
| Management And General | 234244 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 323895 | Total |
| Program Services | 323895 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DRUGS | 6515821 | 6515821 | |
| MEDICAL SUPPLIES | 3791679 | 3791679 | |
| PROVISION FOR BAD DEBT | 2095388 | 2095388 | |
| EQUIP RENT/MAINTENANCE | 1824865 | 1780214 | 44651 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 992540 | Total |
| Program Services | 472934 | ProgramServices |
| Management And General | 519606 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69876094 | Total |
| Program Services | 60914066 | ProgramServices |
| Management And General | 8962028 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1558 | BOY |
| EOY | 1558 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7700535 | BOY |
| EOY | 7906505 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7466057 | BOY |
| EOY | 7529123 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21033 | BOY |
| EOY | 15522 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1767814 | BOY |
| EOY | 672473 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1633591 | BOY |
| EOY | 1542896 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 434407 | BOY |
| EOY | 516464 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 107101004 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 55643207 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54039109 | BOY |
| EOY | 51457797 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101188116 | BOY |
| EOY | 133328865 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4688636 | BOY |
| EOY | 5938750 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 565861 | BOY |
| EOY | 511901 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1510414 | BOY |
| EOY | 2048091 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181017131 | BOY |
| EOY | 211469945 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12148605 | BOY |
| EOY | 11691323 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18469057 | BOY |
| EOY | 16468220 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1968492 | BOY |
| EOY | 2552551 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32586154 | BOY |
| EOY | 30712094 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145492341 | BOY |
| EOY | 177279679 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2938636 | BOY |
| EOY | 3478172 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148430977 | BOY |
| EOY | 180757851 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181017131 | BOY |
| EOY | 211469945 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 16400073 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 18353562 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | -2966297 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 539536 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2341520 | OtherCostOrOtherBasis |
| Book Value | 2341520 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47326716 | OtherCostOrOtherBasis |
| Depreciation | 17871195 | Depreciation |
| Book Value | 29455521 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2622265 | OtherCostOrOtherBasis |
| Depreciation | 1517951 | Depreciation |
| Book Value | 1104314 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54562730 | OtherCostOrOtherBasis |
| Depreciation | 36254061 | Depreciation |
| Book Value | 18308669 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 247773 | OtherCostOrOtherBasis |
| Book Value | 247773 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 51457797 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 457(B) PAYABLE | $1,950,416 |
| LONG-TERM PTO | $510,235 |
| ASBESTOS PAYABLE | $91,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2552551 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE INTERNAL REVENUE SERVICE (IRS) HAS DETERMINED THAT PRAIRIE LAKES AND HOME CONNECTIONS ARE TAX-EXEMPT, NOT-FOR-PROFIT CORPORATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HEALTH SYSTEM FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE HEALTH SYSTEM'S FINANCIAL STATEMENTS. THE HEALTH SYSTEM'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE INFORMATION TAX RETURNS FOR THE YEARS ENDED 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1762970 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1762970 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02520 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3121929 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1018798 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2103131 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4884899 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1018798 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3866101 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05530 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8913739 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4437469 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4476270 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06410 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 150067 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 150067 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9063806 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4437469 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4626337 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06620 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13948705 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5456267 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8492438 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12150 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,095,388 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 28040933 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 23739721 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 4301212 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE LAKES HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 9TH AVE NW | AddressLine1 |
| City | WATERTOWN | City |
| State | SD | State |
| ZIP Code | 57201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE LAKES HEALTH CARE SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SISSETON SATELLITE DIALYSIS | ||||
| 5 EAST CHESTNUT | SISSETON | SD | 57262 | DIALYSIS UNIT |
| BROOKINGS SATELLITE DIALYSIS | ||||
| 300 22ND AVENUE | BROOKINGS | SD | 57006 | DIALYSIS UNIT |
| ORTONVILLE SATELLITE DIALYSIS | ||||
| 450 EASTVOLD AVENUE | ORTONVILLE | MN | 56278 | DIALYSIS UNIT |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 3C: CRITERIA FOR DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE SERVICES FOR WHICH A PATIENT IS ELIGIBLE AT THE TIME OF SERVICE OR DURING THE BILLING-AND-COLLECTION PROCESS MAY INCLUDE THE FOLLOWING FACTORS:(A) INDIVIDUAL OR FAMILY INCOME AND NET WORTH(B) EMPLOYMENT STATUS AND EARNING CAPACITY(C) FAMILY SIZE(D) OTHER FINANCIAL OBLIGATIONS(E) THE AMOUNT AND FREQUENCY OF BILLINGS FOR HEALTHCARE SERVICES(F) OTHER SOURCES OF PAYMENT FOR THE SERVICES RENDERED(G) TYPE OF SERVICES PROVIDED, WHETHER ELECTIVE OR NON-ELECTIVE | |
| PART I, LINE 7: THE COSTS ARE CALCULATED USING A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. $2,095,388 IN BAD DEBT EXPENSE WAS ELIMINATED WHEN CALCULATING PART I, LINE 7. | |
| PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES INCLUDED IN SCHEDULE H, PART I, LINE 7G RELATES TO THE EMERGENCY ROOM, CARDIOLOGY SERVICES, ONCOLOGOY SERVICES, AND SPECIALTY PHYSICIANS. | |
| PART III, LINE 4: BAD DEBT EXPENSE INCLUDED IN PART III, LINE 2 IS DETERMINED BY THE PERCENTAGE OF PRIVATE PAY ACCOUNTS THAT ARE HISTORICALLY WRITTEN OFF TO BAD DEBT.THE FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE PERTAINING TO BAD DEBT EXPENSE SPECIFICALLY. HOWEVER, WITHIN NOTE 1, "PATIENT ACCOUNTS RECEIVABLE", THE PROVISION FOR BAD DEBTS IS REFERENCED. THIS NOTE IS INCLUDED ON PAGE 8 OF THE FINANCIAL STATEMENTS.THE ORGANIZATION DOES NOT HAVE A WAY TO IDENTIFY THE NUMBER OF PEOPLE WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE SO WE HAVE REPORTED $0 IN PART III, LINE 3. | |
| PART III, LINE 8: THERE WAS NO SHORTAGE CALCULATED IN PART III, LINE 8. THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6 WAS DERIVED USING THE 2013 FILED MEDICARE COST REPORT. | |
| PART III, LINE 9B: FINANCIAL ASSISTANCE/CHARITY CARE FORM IS SENT TO THE PATIENT FOR COMPLETION. UPON RECEIPT BY THE FACILITY, THE FORM AND GUIDELINES ARE REVIEWED AND THE PATIENT IS NOTIFIED OF THE QUALIFICATION FOR FINANCIAL ASSISTANCE/CHARITY CARE. THE PATIENT'S ACCOUNT(S) ARE THEN WRITTEN OFF. | |
| PART V, SECTION B, LINE 3: PRAIRIE LAKES HELD TWO FOCUS GROUPS WITH COMMUNITY AND HEALTH LEADERS AS WELL AS CONDUCTED SEVERAL INTERVIEWS TO DETERMINE THE LEADING HEALTH ISSUES AND PRIORITIES. IN ADDITION, PRAIRIE LAKES PARTNERED WITH HEALTHSTREAM, INC., A COMMUNITY PERCEPTION RESEARCHER, TO CONDUCT A COMMUNITY SURVEY. IN JUNE 2012, PRAIRIE LAKES HELD TWO FOCUS GROUPS TO SEEK THE INPUT OF COMMUNITY AND HEALTHCARE LEADERS. THE GOAL OF THESE FOCUS GROUPS WAS TO IDENTIFY UNMET HEALTHCARE NEEDS, UNDERSERVED POPULATIONS, AND LIMITED ACCESS TO CARE IN THE REGION. TO ENSURE ALL POPULATIONS AND INTERESTS WERE REPRESENTED, PRAIRIE LAKES CONTACTED KEY COMMUNITY AND HEALTH LEADERS WHO WERE UNABLE TO ATTEND EITHER FOCUS GROUP FOR PERSONAL INTERVIEWS.IN JULY AND AUGUST 2012, PRAIRIE LAKES PARTNERED WITH HEALTHSTREAM, INC. TO CONDUCT A COMMUNITY INSIGHTS COMMUNITY NEEDS ASSESSMENT OF PRAIRIE LAKES' PRIMARY AND SECONDARY SERVICE AREAS. TO COMPLETE THE RESEARCH OBJECTIVES, 506 CONSUMERS WERE SURVEYED OVER THE TELEPHONE. SURVEYS WERE COMPLETED WITH RESIDENTS 18 YEARS OF AGE OR OLDER. ONLY RESIDENTS LIVING IN DEFINED ZIP CODES WERE ELIGIBLE TO COMPLETE THE SURVEY. | PRAIRIE LAKES HEALTH CARE SYSTEM |
| PART V, SECTION B, LINE 5C: THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON THE ORGANIZATIONS WEBSITE, WWW.PRAIRIELAKES.COM/ABOUT-PLHS/COMMUNITY-BENEFIT.HTML. | PRAIRIE LAKES HEALTH CARE SYSTEM |
| PART V, SECTION B, LINE 7: THE OBESITY ISSUE IS CURRENTLY BEING ADDRESSED THROUGH COMMUNITY NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT LOSS INITIATIVES. PRIMARY CARE CLINICS, THE HOSPITAL, AND THE COMMUNITY RECREATION CENTER PROVIDE A NUMBER OF PROGRAMS. THE HOSPITAL WILL EVALUATE OPPORTUNITIES TO PROVIDE CASH DONATIONS TO SUPPORT COMMUNITY INITIATIVES THAT ADDRESS INEQUITIES ASSOCIATED WITH PROVIDING SERVICES. COMMUNITY-BASED MENTAL HEALTH SERVICES ARE PROVIDED BY THE HUMAN SERVICE AGENCY. THE AGENCY PROVIDES SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES; THOSE STRUGGLING WITH CHEMICAL AND GAMBLING ADDICTIONS; PEOPLE DIAGNOSED WITH A MENTAL ILLNESS; AND TO INDIVIDUALS COPING WITH A DEPRESSED MOOD, ANXIETY, MARITAL STRESS, OR OTHER LIFE STRESSES. THE AGENCY PROVIDES RESIDENTIAL DETOX SERVICES FOR MEDICALLY STABLE INDIVIDUALS WITH FINANCIAL SUPPORT FOR THIS SERVICE FROM VARIOUS ENTITIES INCLUDING PRAIRIE LAKES HEALTHCARE SYSTEM. PATIENTS REQUIRING INPATIENT MENTAL HEALTH SERVICES ARE TRANSFERRED TO PROVIDERS OUTSIDE THE SERVICE AREA. THE HOSPITAL LACKS THE EXPERTISE TO PROVIDE ADDITIONAL MENTAL HEALTH SERVICES AND DOES NOT WANT TO DUPLICATE THE EFFORTS OF OTHER COMMUNITY PROVIDERS. HOWEVER, THE HOSPITAL WILL SUPPORT EFFORTS TO WORK WITH COMMUNITY MENTAL HEALTH PROVIDERS TO IMPROVE CARE COORDINATION AND REFERRAL PROCESSES. IN ADDITION TO THE TOP FIVE HEALTH CONCERNS, FOUR OTHER CONCERNS WERE IDENTIFIED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT FY 2013 AND WILL NOT BE TARGETED FOR SPECIFIC INITIATIVES IN THE IMPLEMENTATION PLAN FOR THE REASONS DESCRIBED:1. CANCER2. POOR NUTRITION3. TOBACCO USE4. EXCESSIVE ALCOHOL CONSUMPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT REVEALED A LOWER CANCER MORTALITY RATE IN THE SERVICE AREA THAN IN THE STATE. THE ORGANIZATION HAS A FULLY DEVELOPED CANCER PROGRAM. CASH DONATIONS ARE MADE ANNUALLY TO COMMUNITY GROUPS WHO PROVIDE ASSISTANCE TO CANCER PATIENTS WITH NEEDS. NO SPECIFIC INITIATIVES ARE PLANNED BUT THE ORGANIZATION WILL CONTINUE TO PROVIDE CASH DONATIONS TO COMMUNITY GROUPS PROVIDING SUPPORT OF CANCER PATIENTS. THE LIFESTYLE HEALTH ISSUES RELATED TO POOR NUTRITION, TOBACCO USE, AND EXCESSIVE ALCOHOL CONSUMPTION ARE ADDRESSED THROUGH A NUMBER OF COMMUNITY INITIATIVES. PLHS WILL CONTINUE TO SUPPORT THESE INITIATIVES THROUGH CASH DONATIONS. | PRAIRIE LAKES HEALTH CARE SYSTEM |
| PART V, SECTION B, LINE 20D: THE HOSPITAL USED THE CRITERIA SET FORTH IN ITS FINANCIAL ASSISTANCE POLICY TO DETERMINE THE LEVEL OF DISCOUNT FOR PATIENTS QUALIFYING FOR ASSISTANCE. THE HOSPITAL USES THE MOST RECENTLY COMPLETED FISCAL YEAR'S AVERAGE PAYMENT PERCENT OF GROSS BILLED CHARGES PAID ON CLAIMS FOR PATIENTS THAT HAVE MEDICARE OR PRIVATE INSURANCE. | PRAIRIE LAKES HEALTH CARE SYSTEM |
| PART VI, LINE 2: THE FACILITY CONDUCTS NEEDS ASSESSMENT SURVEYS IN THE COMMUNITY AND SURROUNDING AREA TO DETERMINE WHAT HEALTH CARE SERVICES NEED TO BE ADDRESSED. | |
| PART VI, LINE 3: PRIVATE PAY INPATIENTS SPEAK WITH A SOCIAL WORKER TO DETERMINE IF THEY HAVE A NEED FOR FINANCIAL ASSISTANCE. THE SOCIAL WORKER WILL GIVE THEM A NUMBER OF AVAILABLE OPTIONS FOR ASSISTANCE. AFTER A PATIENT HAS RECEIVED STATEMENTS WITH THE PORTION THAT THEY ARE RESPONSIBLE FOR THEY ARE CONTACTED TO SEE IF THEY ARE IN NEED OF FINANCIAL ASSISTANCE. AT THAT TIME THEY ARE INFORMED OF ALL OPTIONS AVAILABLE TO THEM. | |
| PART VI, LINE 4: PRAIRIE LAKES HEALTH CARE SYSTEM'S PRIMARY SERVICE AREA COVERS 3 COUNTIES IN SOUTH DAKOTA WITH A POPULATION OF APPROXIMATELY 36,000. IT'S SECONDARY SERVICE AREA COVERS 4 COUNTIES IN SOUTH DAKOTA AND 3 COUNTIES IN MINNESOTA WITH A POPULATION OF 54,000. | |
| PART VI, LINE 5: THE ORGANIZATION OFFERS FREE HEALTH SEMINARS TO COMMUNITY MEMBERS COVERING A VARIETY OF HEALTH TOPICS IN AN EFFORT TO EDUCATE PEOPLE ABOUT LEADING HEALTHY LIVES. COMMUNITY FORUMS ARE HELD TO UPDATE ATTENDEES ABOUT NEW EVENTS AND TECHNOLOGY AT THE FACILITY. THE ORGANIZATION WORKS WITH THE TECHNICAL INSTITUTE AND TWO STATE UNIVERSITIES TO HELP TRAIN MEDICAL STUDENTS. THE ORGANIZATION IS DEDICATED TO IMPLEMENTING AND MAINTAINING THE MOST CURRENT TECHNOLOGY IN PROVIDING CARE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| WATERTOWN UNITED WAY | |||||||
| PO BOX 283 | WATERTOWN | SD | 57201 | 460359557 | 501(C)(3) | 30500 | COMMUNITY ORGANIZATION FUNDING |
| NATIONAL KIDNEY FOUNDATION | |||||||
| 1970 OAKCREST AVE STE 208 | ST PAUL | MN | 55113 | 131673104 | 501(C)(3) | 10000 | RESEARCH AND SCREENINGS |
| SANFORD CLINIC | |||||||
| 901 4TH ST NW | WATERTOWN | SD | 57201 | 460447693 | 501(C)(3) | 10000 | FAMILY PLANNING CLINIC |
| WATERTOWN COMMUNITY FOUNDATION | |||||||
| 211 KEMP AVE E | WATERTOWN | SD | 57201 | 460350319 | 501(C)(3) | 10400 | H20 2020/SEA OF GOODWILL FUND |
| HUMAN SERVICE AGENCY | |||||||
| PO BOX 1030 | WATERTOWN | SD | 57201 | 460275247 | 501(C)(3) | 6000 | DETOX FUNDING |
| FOCUS WATERTOWN | |||||||
| 1 EAST KEMP AVE | WATERTOWN | SD | 57201 | 470813269 | 501(C)(6) | 32000 | COMMUNITY DEVELOPMENT |
| LUTHERAN OUTDOORS IN SD | |||||||
| 2001 S SUMMIT AVE | SIOUX FALLS | SD | 57197 | 460320561 | 501(C)(3) | 6000 | JOY RANCH FUNDING |
| CITY OF WATERTOWN | |||||||
| 23 2ND ST NE | WATERTOWN | SD | 57201 | 466000515 | CITY GOVERNMENT | 10000 | FIRE RESCUE TRAINING CENTER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE GRANTS ARE APPROVED BY ADMINISTRATION AND GIVEN AS UNRESTRICTED DONATIONS. THYE ARE NOT MONITORED ONCE GIVEN. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JILL FULLER | ||||||||||||||
| CEO | 277631 | 0 | 126000 | 0 | 66544 | 0 | 7500 | 0 | 20864 | 0 | 498539 | 0 | 0 | 0 |
| ADAM PAUL | ||||||||||||||
| CFO | 186471 | 0 | 40000 | 0 | 22061 | 0 | 5594 | 0 | 7879 | 0 | 262005 | 0 | 0 | 0 |
| MICHAEL ANDERSON | ||||||||||||||
| CHIEF INVESTMENT OFFICER | 214556 | 0 | 100000 | 0 | 36364 | 0 | 7383 | 0 | 20864 | 0 | 379167 | 0 | 0 | 0 |
| NATE LAKE | ||||||||||||||
| VICE PRESIDENT | 116692 | 0 | 25000 | 0 | 25906 | 0 | 4158 | 0 | 19445 | 0 | 191201 | 0 | 0 | 0 |
| TRACI RABINE | ||||||||||||||
| VP CLINIC OPERATIONS | 112228 | 0 | 23000 | 0 | 19770 | 0 | 4024 | 0 | 19445 | 0 | 178467 | 0 | 0 | 0 |
| MICHELE TURBAK | ||||||||||||||
| CHIEF NURSING OFFICER | 119932 | 0 | 23000 | 0 | 23359 | 0 | 4229 | 0 | 19501 | 0 | 190021 | 0 | 0 | 0 |
| EVELIO GARCIA MD | ||||||||||||||
| PHYSICIAN | 892699 | 0 | 70000 | 0 | 207359 | 0 | 7500 | 0 | 20864 | 0 | 1198422 | 0 | 0 | 0 |
| SALEM MAALIKI MD | ||||||||||||||
| PHYSICIAN | 975488 | 0 | 26000 | 0 | 0 | 0 | 7500 | 0 | 20864 | 0 | 1029852 | 0 | 0 | 0 |
| BIPINKUMAR AMIN MD | ||||||||||||||
| PHYSICIAN | 478500 | 0 | 60000 | 0 | 89962 | 0 | 7500 | 0 | 20864 | 0 | 656826 | 0 | 0 | 0 |
| CHRIS ADDUCCI MD | ||||||||||||||
| PHYSICIAN | 454327 | 0 | 0 | 0 | 70673 | 0 | 7500 | 0 | 20864 | 0 | 553364 | 0 | 0 | 0 |
| JEFFERY BRINDLE MD | ||||||||||||||
| PHYSICIAN | 441822 | 0 | 0 | 0 | 61912 | 0 | 7500 | 0 | 20864 | 0 | 532098 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 460315509 | IssuerEIN |
| CUSIP Number | 83755VRN6 | CUSIPNumber |
| Date Issued | 2010-12-08 | DateIssued |
| Issue Price | 21672812 | IssuePrice |
| Description Of Purpose | CURRENT REFUNDING OF SERIES 1998 BONDS & ADVANCE REFUNDING OF SERIES 2002 | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 5204592 | AmountRetired |
| Total Proceeds | 25166290 | TotalProceeds |
| Amount In Reserve Fund | 3303 | AmountInReserveFund |
| Refunding Escrow | 24731480 | RefundingEscrow |
| Issuance Costs From Proceeds | 431508 | IssuanceCostsFromProceeds |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 1 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 1 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE K PART IV, ARBITRAGE, LINE 2C | DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2013 |
| SCHEDULE K, PART II, LINE 3 | THE DIFFERENCE IN THE ISSUANCE PRICE INCLUDED IN PART I, LINE A, COLUMN E OF $21,672,812 IS DIFFERENT THAN THE TOTAL PROCEEDS OF ISSUANCE INCLUDED IN PART II, LINE 3 OF $25,166,290 BECAUSE OF THE TRUSTEE FUNDS UTILIZED DURING THE REFINANCING. | |
| SCHEDULE K, PART III | SPECIAL RULE FOR REFUNDING OF PRE-2003 ISSUES | PLHS IS NOT REQUIRED TO COMPLETE PART III OF SCHEDULE K BECAUSE THE BOND ISSUANCE LISTED IN PART I WERE TO REFUND BONDS ISSUED PRIOR TO JANUARY 1, 2003. THE TAX SOFTWARE USED TO PREPARE THE FORM 990 DOESN'T ALLLOW FOR THE SUPPRESSING OF THIS SECTION, THEREFORE, THESE ANSWERS ARE ANSWERED NO INSTEAD OF BEING LEFT BLANK. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SALEM MAALIKI MD | NamePerson |
| Relationship With Organization | HIGHEST COMPENSATED EMPLOYEE | RelationshipWithOrganization |
| Purpose Of Loan | SIGNING BONUS | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $75,000 | OriginalPrincipalAmount |
| Balance Due | 15522 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 15522 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| WATERTOWN PUBLIC OPINION | |||
| TRUSTEE OF PLHS, MARK ROBY, WAS A KEY EMPLOYEE OF WATERTOWN PUBLIC OPINION | 115269 | PLHS PAID TO ADVERTISE IN THE WATERTOWN PUBLIC OPINION. | 0 |
| BROWN CLINIC | |||
| TRUSTEE OF PLHS, CATHY GERRISH, WAS A KEY EMPLOYEE OF BROWN CLINIC | 625586 | PLHS PAID BROWN CLINIC FOR: CONTRACT HOSPITALIST PHYSICIANS, MEDICAL DIRECTORSHIP, TRAUMA CALL COVERAGE, AND COMPENSATION FOR COMPUTER TRAINING. | 0 |
| SANFORD CLINIC WATERTOWN | |||
| TRUSTEE OF PLHS, ROGER CARTER, WAS A KEY EMPLOYEE OF SANFORD CLINIC | 721066 | SANFORD PAID PLHS FOR RENT AND UTILITIES FOR A MEDICAL OFFICE BUILDING ON THE HOSPITAL'S MAIN CAMPUS. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE OFFICERS OF THE CORPORATION. EXCEPT AS MAY BE LIMITED BY THE BOARD, THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION. THE EXECUTIVE COMMITTEE SHALL ACT IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD AND SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL ALSO SERVE AS THE CORPORATION'S COMPENSATION COMMITTEE, UNLESS IT OR THE BOARD DELEGATES THOSE RESPONSIBILITIES TO ANOTHER COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL NOT USURP THE FUNCTIONS OF THE OTHER STANDING COMMITTEES, ALTHOUGH IT WILL COORDINATE PROJECTS, TASKS AND COMMUNICATIONS AMONG SUCH COMMITTEES. A MAJORITY OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF ANY BUSINESS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | EXECUTIVE MANAGEMENT WILL REVIEW THE FORM 990 IN DETAIL. THEY WILL THEN PRESENT THE FORM 990 TO THE FINANCE COMMITTEE CHAIR FOR FINAL REVIEW PRIOR TO FILING WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST STATEMENT IS SIGNED BY ALL BOARD MEMBERS ON AN ANNUAL BASIS. THAT STATEMENT DISCLOSES ANY AREAS THAT MAY HAVE A POTENTIAL FOR CONFLICT OF INTEREST WITH THEMSELVES OR FAMILY MEMBERS. THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE CEO AND THE BOARD. AT BOARD MEETINGS, THE MEMBERS WILL EXCUSE THEMSELVES FROM ANY DISCUSSION OR VOTING ON AN ISSUE WHERE A CONFLICT MAY EXIST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION COMPARABILITY STUDIES ARE REVIEWED EACH YEAR FOR ALL POSITIONS. THE COMPENSATION STUDIES ARE CONDUCTED INTERNALLY BY THE HUMAN RESOURCES DEPARTMENT. THE HUMAN RESOURCES DEPARTMENT HAS ACCESS TO VARIOUS COMPENSATION SURVEYS WHICH THEY REVIEW IN ORDER TO DETERMINE IF THE HOSPITAL'S COMPENSATION IS REASONABLE COMPARED TO OTHER FACILITIES. THE LAST COMPENSATION STUDY WAS PERFORMED IN 2012. THE BOARD APPROVES SALARY OF THE CEO THROUGH ITS EXECUTIVE COMMITTEE SERVING AS THE COMPENSATION COMMITTEE. THE BOARD DELEGATES VICE PRESIDENT EXECUTIVE COMPENSATION APPROVAL TO CEO BASED ON THE ORGANIZATION'S COMPENSATION PHILOSOPHY IN CONJUNCTION WITH MARKET BENCHMARKS. THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE SALARIES OF OTHER KEY EMPLOYEES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS ARE AVAILABLE THROUGH FILINGS WITH BONDING AUTHORITY. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN PRAIRIE LAKES FOUNDATION 539,536. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| PRAIRIE LAKES HOME CONNECTIONS INC | ||||||||||
| 401 9TH AVE NW | WATERTOWN | SD | 57201 | 460394984 | HOMEMAKER & NURSING SERVICES | SD | 501(C)(3) | 9 | N/A | 0 |
| PRAIRIE LAKES FOUNDATION INC | ||||||||||
| 401 9TH AVE NW | WATERTOWN | SD | 57201 | 460350240 | PROMOTES HEALTH EDUCATION AND GENERAL HEALTH AND WELL-BEING OF THE PUBLIC | SD | 501(C)(3) | 7 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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