ENDEAVOR HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ENDEAVOR HEALTH (EIN 46-0401085)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-06-26
IRS object ID
201411779349300206
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-06-26T08:21:18-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN450250958EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 EAST 10TH ST PO BOX 5125AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175125ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN460401085EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lemmon Area Medical AssociationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLEMMNameControl
Phone6053743871Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 6th Avenue West PO Box 479AddressLine1
CityLemmonCity
StateSDState
ZIP Code57638ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameChad AbelName
TitleAdministratorTitle
Phone6053743871Phone
Date Signed2014-06-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaurie HansonName
PTINP00851848PTIN
Phone6053391999Phone
Date Prepared2014-05-27DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Five Counties Nursing HomeBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonChad AbelNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1401 6th Avenue West PO Box 479AddressLine1
CityLemmonCity
StateSDState
ZIP Code57638ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2728976GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.fivecounties.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1952YearFormation
State Legal DomicileSDStateLegalDomicile
Activity Or Mission DescriptionTo provide health care to the residents of Lemmon, South Dakota.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees69TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year86835ContributionsGrantsPriorYear
Contributions Grants Current Year163391ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2664996ProgramServiceRevenuePriorYear
Program Service Revenue CY2515701ProgramServiceRevenueCY
Investment Income Prior Year472InvestmentIncomePriorYear
Investment Income Current Year-2276InvestmentIncomeCurrentYear
Other Revenue Prior Year24000OtherRevenuePriorYear
Other Revenue Current Year35776OtherRevenueCurrentYear
Total Revenue Prior Year2776303TotalRevenuePriorYear
Total Revenue Current Year2712592TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1680978SalariesEtcPriorYear
Salaries Etc Current Year1765106SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1252462OtherExpensePriorYear
Other Expenses Current Year1245268OtherExpensesCurrentYear
Total Expenses Prior Year2933440TotalExpensesPriorYear
Total Expenses Current Year3010374TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-157137RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-297782RevenuesLessExpensesCY
Total Assets BOY2460746TotalAssetsBOY
Total Assets EOY2238476TotalAssetsEOY
Total Liabilities BOY1301323TotalLiabilitiesBOY
Total Liabilities EOY1359082TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1159423NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY879394NetAssetsOrFundBalancesEOY
Mission DescriptionFive Counties Nursing Home is committed to preserving and improving the quality of life for the people we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2725054Expense
Revenue2515701Revenue
DescriptionLemmon Area Medical Association ("Association") is a nonprofit association whose purpose is to operate Five Counties Nursing Home and to raise the funds necessary for its operation. Five Counties Nursing Home consists of a 43-bed nursing home and a 10-unit assisted living facility. For the year ended September 30, 2013, the Association provided 14,066 nursing home days of care and 196 days of assisted living.Description
Total Program Service Expense2725054TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees69NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Lemmon Area Medical AssociationBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6053743871TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 479AddressLine1
CityLemmonCity
StateSDState
ZIP Code57638ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Bryan Peterson
Chairperson1.00XX000
Jeannie Ericsson
Vice President1.00XX000
Debra Ruen
Secretary1.00XX000
Mel Maxon
Treasurer1.00XX000
Richard Greff
Board Member1.00X000
Kim Petik
Board Member1.00X000
Mark Evans
Board Member1.00X000
Patricia Raasch Oct-Jul
Administrator40.00X2620806572
Deb Arbogast
Director of Nursing40.00128966010154X
Rita Kling
MDS Coordinator40.0010522208771X
FieldValueIRS element (for citing)
Total Reportable Comp From Org260396TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation25497TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Prime Time Healthcare LLC
306 E 1st St Ste 2PapillionNE68046Nursing Staff180705
Dakota Travel Nurse
502 W Main StMandanND58554Nursing Staff122350
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions163391AllOtherContributions
Total Contributions163391TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Program Svc Revenue62300024507932450793
Other Revenue9000993894638946
Assisted Living6230001914019140
Dietary Revenue62300068226822
FieldValueIRS element (for citing)
Total Program Service Revenue2515701TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column259TotalRevenueColumn
Exclusion$259ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real25000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real25000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column25000TotalRevenueColumn
Exclusion$25,000ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other4974Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other7509Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-2535Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2535TotalRevenueColumn
Exclusion-$2,535ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events19651GrossIncomeFundraisingEvents
Fundraising Direct Expenses8875FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column10776TotalRevenueColumn
Exclusion$10,776ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2712592TotalRevenueColumn
Related Or Exempt Function Income2515701RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$33,500ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6359Total
Management And General6359ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1373912Total
Program Services1249951ProgramServices
Management And General123961ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9670Total
Program Services8768ProgramServices
Management And General902ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total272651Total
Program Services248809ProgramServices
Management And General23842ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total102514Total
Program Services92953ProgramServices
Management And General9561ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total456Total
Management And General456ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24927Total
Management And General24927ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total457604Total
Program Services449336ProgramServices
Management And General8268ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7703Total
Management And General7703ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total74457Total
Program Services50183ProgramServices
Management And General24274ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total121880Total
Program Services121179ProgramServices
Management And General701ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total24393Total
Program Services13345ProgramServices
Management And General11048ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total129Total
Program Services129ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total54018Total
Program Services54018ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total201153Total
Program Services201153ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total20390Total
Program Services20390ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies - Program Rela195073195073
Equipment Maintenance28073197678306
Sale Tax Expense1235012350
Dues and Subscription46274627

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total18035Total
Management And General18035ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3010374Total
Program Services2725054ProgramServices
Management And General285320ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY658832BOY
EOY573687EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY108094BOY
EOY95557EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY35237BOY
EOY36952EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10425BOY
EOY4648EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4699393LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3171761LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1648158BOY
EOY1527632EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2460746BOY
EOY2238476EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY166688BOY
EOY217102EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1134635BOY
EOY1141980EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1301323BOY
EOY1359082EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY756288BOY
EOY526933EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY301175BOY
EOY239774EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY101960BOY
EOY112687EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1159423BOY
EOY879394EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2460746BOY
EOY2238476EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-297782ReconcilationRevenueExpenses
Reconciliation Unrealized Invest17753ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years215533CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years280506CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years263900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year86835CurrentTaxYearMinus1Year
Current Tax Year163391CurrentTaxYear
Total1010165Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2576087CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2602379CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2406017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2664996CurrentTaxYearMinus1Year
Current Tax Year2535352CurrentTaxYear
Total12784831Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2791620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2882885CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2669917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2751831CurrentTaxYearMinus1Year
Current Tax Year2698743CurrentTaxYear
Total13794996Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years871896CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years769495CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years724185CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year784643CurrentTaxYearMinus1Year
Current Tax Year765603CurrentTaxYear
Total3915822Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years871896CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years769495CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years724185CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year784643CurrentTaxYearMinus1Year
Current Tax Year765603CurrentTaxYear
Total3915822Total
FieldValueIRS element (for citing)
Public Support Total5099879174PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42871CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26871CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23468CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24472CurrentTaxYearMinus1Year
Current Tax Year25259CurrentTaxYear
Total142941Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42871CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26871CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23468CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24472CurrentTaxYearMinus1Year
Current Tax Year25259CurrentTaxYear
Total142941Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2834491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2909756CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2693385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2776303CurrentTaxYearMinus1Year
Current Tax Year2724002CurrentTaxYear
Total13937937Total
FieldValueIRS element (for citing)
Public Support Percentage5090.70880PublicSupportPercentage509
Prior Year Support Percentage0.72960PriorYearSupportPercentage
Investment Income Percentage0.01030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01350PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance9354BeginningBalance
Additions During Year68100AdditionsDuringYear
Distributions During Year71629DistributionsDuringYear
Ending Balance5825EndingBalance
Included On FS0IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance105081BeginningOfYearBalance
Contributions21272Contributions
End Of Year Balance126353EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance82085BeginningOfYearBalance
Contributions22996Contributions
End Of Year Balance105081EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance65951BeginningOfYearBalance
Contributions16134Contributions
End Of Year Balance82085EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance36138BeginningOfYearBalance
Contributions30721Contributions
Investment Earnings Or Losses172InvestmentEarningsOrLosses
Other Expenditures1081OtherExpenditures
End Of Year Balance65951EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance33353BeginningOfYearBalance
Contributions3529Contributions
Investment Earnings Or Losses172InvestmentEarningsOrLosses
Other Expenditures916OtherExpenditures
End Of Year Balance36138EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.97000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4837OtherCostOrOtherBasis
Book Value4837BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2445871OtherCostOrOtherBasis
Depreciation1386950Depreciation
Book Value1058921BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2153040OtherCostOrOtherBasis
Depreciation1710454Depreciation
Book Value442586BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis95645OtherCostOrOtherBasis
Depreciation74357Depreciation
Book Value21288BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1527632TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt2739220TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments17753NetUnrealizedGainsInvestments
Other Revenues8875OtherRevenues
Revenue Not Rptd F99026628RevenueNotRptdF990
Revenue Subtotal2712592RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902712592TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3019249TotExpensesEtcAuditedFinclStmt
Other Expenses Included8875OtherExpensesIncluded
Expenses Not Rptd F9908875ExpensesNotRptdF990
Expenses Subtotal3010374ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903010374TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part IV, Line 1b:Funds are held in trust for residents. The organization acts as a payee for residents.
Part V, Line 4:Will use interest for capital expenditures but first the funds must reach $150,000 before the organization will begin to receive the interestDescription of Intended Use of Endowment Funds:
Part X, Line 2:The Association is a South Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Association is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. The Association 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 Association will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred.Description of Uncertain Tax Positions Under FIN 48:

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Best for LastNameOfEvent1
Gross Receipts Event119651GrossReceiptsEvent1
Gross Revenue Event119651GrossRevenueEvent1
Cash Prizes Event17000CashPrizesEvent1
Food And Beverage Event11875FoodAndBeverageEvent1
Gross Receipts Total19651GrossReceiptsTotal
Gross Revenue Total Events19651GrossRevenueTotalEvents
Cash Prizes Total Events7000CashPrizesTotalEvents
Food And Beverage Total Events1875FoodAndBeverageTotalEvents
Direct Expense Summary Events8875DirectExpenseSummaryEvents
Net Income Summary10776NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 8bThe organization does not have committees with broad authority to act on behalf of the governing board.
Form 990, Part VI, Section B, line 11The Administrator reviews the 990 in detail. After his review, the 990 is provided to each board member. The Administrator presents the 990 to the Board of Directors at the meeting held prior to its filing. The 990 is not filed until each board member has been given a copy of it and given ample time to review it.
Form 990, Part VI, Section B, line 12cBoard members, department heads and the Administrator are covered by the policy. Any potential conflicts are directed to the Secretary. The Board of Directors determines whether a conflict exists. If the person with the conflict is a board member, that person is required to leave the meeting during the discussion. If a conflict exists, the board member involved is required to abstain from voting.
Form 990, Part VI, Section B, line 15aThe organization uses salary information provided by South Dakota Association of Healthcare Organizations (SDAHO) to determine the appropriate level of compensation for the Administrator. The Administrator's compensation does not exceed the amount determined by SDAHO surveys. Minutes are kept regarding the discussion, deliberation, and determination of the Administrator's salary. The process for determining compensation was last undertaken in 2013.
Form 990, Part VI, Section C, line 19The conflict of interest policy, bylaws, and articles of incorporation are available to the general public upon request. The financial statements are not available to the general public.
Form 990, Part IX, line 11gProfessional Medical Fees: Program service expenses 449,336. Management and general expenses 0. Fundraising expenses 0. Total expenses 449,336. Fiscal services: Program service expenses 0. Management and general expenses 5,218. Fundraising expenses 0. Total expenses 5,218. Consulting and management: Program service expenses 0. Management and general expenses 3,050. Fundraising expenses 0. Total expenses 3,050.Other Fees

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Lemmon Prairie Pines ApartmentsBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1401 Sixth Avenue WestAddressLine1
CityLemmonCity
StateSDState
ZIP Code576380479ZIPCode
FieldValueIRS element (for citing)
EIN460442677EIN
Primary ActivitiesLow Income HousingPrimaryActivities
Legal Domicile StateSDLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NoneBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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