PRAIRIE LAKES HEALTH CARE SYSTEM INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PRAIRIE LAKES HEALTH CARE SYSTEM INC (EIN 46-0391067)
- Tax period
- 2010-06-01 to 2011-05-31
- Filed
- 2012-03-30
- IRS object ID
- 201200909349300530
- Schema version
- 2010v3.4
- 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 | 2012-03-30T11:25:15-05:00 | Timestamp |
| Tax Period End Date | 2011-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-06-01 | 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 | JILL FULLER | Name |
| Title | CEO | Title |
| Phone | 6058827000 | Phone |
| Date Signed | 2012-03-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 102317335 | 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 | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 535 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 992580 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -140232 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 183025 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 129359 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 72101819 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 77489811 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4813465 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3309449 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1163648 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1077973 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 78261957 | TotalRevenuePriorYear |
| Total Revenue Current Year | 82006592 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 353799 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 143596 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33186900 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33571146 | 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 | 34447459 | OtherExpensePriorYear |
| Other Expenses Current Year | 38983847 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 67988158 | TotalExpensesPriorYear |
| Total Expenses Current Year | 72698589 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 10273799 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9308003 | RevenuesLessExpensesCY |
| Total Assets BOY | 154135009 | TotalAssetsBOY |
| Total Assets EOY | 169631399 | TotalAssetsEOY |
| Total Liabilities BOY | 35566965 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 34640935 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 118568044 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 134990464 | NetAssetsOrFundBalancesEOY |
| 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 | 62958599 | Expense |
| Grants | 143596 | Grants |
| Revenue | 77489811 | Revenue |
| Description | HEALTHCARE PROGRAMS, GENERAL/OTHER - ACUTE CARE, INPATIENT AND OUTPATIENT MEDICAL CARE IS PROVIDED TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY, IN SUPPORT OF THE FACILITY'S HEALTH CARE MISSION. IN FISCAL YEAR 2011, THERE WERE 3,396 ADMISSIONS AND 82,088 OUTPATIENTS. | Description |
| Total Program Service Expense | 62958599 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 1 | 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 | 0 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 58 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 535 | 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | 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 |
| Other Website | X | OtherWebsite |
| 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 | PO BOX 1210 | 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 | 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 | |||
| 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 | |||
| MONTE HOPPER | ||||||||
| BOARD VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| MARK ROBY | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DOUG SHARP | ||||||||
| BOARD CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| LUANN STRAIT | ||||||||
| BOARD SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| LISSA TURBAK | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DUSTIN FLATTEN | ||||||||
| BOARD TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| GEOFF HEIG | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| GERALD RIEBER MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JIM REDLINGER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JILL FULLER | ||||||||
| CEO | 40.00 | 365799 | 0 | 48449 | X | |||
| MICHAEL ANDERSON | ||||||||
| INTERIM CFO / CIO | 40.00 | 311692 | 0 | 33392 | X | |||
| NATHAN LAKE | ||||||||
| VP OF HUMAN RESOURCES | 40.00 | 146941 | 0 | 3569 | X | |||
| TRACI RABINE | ||||||||
| VP CLINIC OPERATIONS | 40.00 | 135575 | 0 | 24465 | X | |||
| MICHELE TURBAK | ||||||||
| CNO | 40.00 | 149241 | 0 | 20781 | X | |||
| EVELIO GARCIA MD | ||||||||
| PHYSICIAN | 40.00 | 1174658 | 0 | 45850 | X | |||
| IVALDO LUNARDI MD | ||||||||
| PHYSICIAN | 40.00 | 596014 | 0 | 47850 | X | |||
| SALEM MAALIKI MD | ||||||||
| PHYSICIAN | 40.00 | 955028 | 0 | 23850 | X | |||
| SAIRAV SHAH MD | ||||||||
| PHYSICIAN | 40.00 | 761847 | 0 | 0 | X | |||
| JEFFREY BRINDLE MD | ||||||||
| PHYSICIAN | 40.00 | 480692 | 0 | 36258 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4645730 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 235649 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | 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 |
|---|---|---|---|---|---|
| EMERGENCY PRACTICE ASSOCIATES | |||||
| PO BOX 1260 | WATERLOO | IA | 50704 | ER MD COVERAGE | 1367235 |
| HGA | |||||
| PO BOX 86 | MINNEAPOLIS | MN | 55486 | CONSULTING | 430934 |
| CALIBER CREATIVE | |||||
| 1308 E CEDAR ST | BRANDON | SD | 57005 | ADVERTISING/PROMOTION | 333507 |
| PDS INC | |||||
| 4152 30TH AVE S STE 103 | FARGO | ND | 58104 | SLEEP STUDIES | 329600 |
| DR RAM S PANKAJ | |||||
| 3 CASCADE COURT EAST | BURR RIDGE | IL | 60521 | ORTHOPEDIC IOCUM COVERAGE | 245318 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Related Organizations | 120000 | RelatedOrganizations |
| All Other Contributions | 9359 | AllOtherContributions |
| Total Contributions | 129359 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PROGRAM SERVICE REV | 621400 | 76631032 | 76631032 | |
| RETAIL PHARMACY | 900000 | 646214 | 646214 | |
| LAB SERVICE | 621500 | 212565 | 212565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 77489811 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 371618 | TotalRevenueColumn |
| Exclusion | $371,618 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 728941 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 728941 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 728941 | TotalRevenueColumn |
| Exclusion | $728,941 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23248574 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20306636 | Securities |
| Other | 4107 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2941938 | Securities |
| Other | -4107 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2937831 | TotalRevenueColumn |
| Exclusion | $2,937,831 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| OTHER INCOME | 900099 | 215231 | $215,231 | |
| CAFETERIA REVENUE | 722210 | 129844 | 129844 | |
| VENDING MACHINES | 722210 | 2869 | 2869 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1088 | TotalRevenueColumn |
| Unrelated Business Revenue | 1088 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 349032 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 82006592 | TotalRevenueColumn |
| Related Or Exempt Function Income | 76631032 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 992580 | UnrelatedBusinessRevenue |
| Exclusion | $4,253,621 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143596 | Total |
| Program Services | 143596 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 532147 | Total |
| Management And General | 532147 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27561330 | Total |
| Program Services | 24273280 | ProgramServices |
| Management And General | 3288050 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 449700 | Total |
| Program Services | 404434 | ProgramServices |
| Management And General | 45266 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3050438 | Total |
| Program Services | 2682738 | ProgramServices |
| Management And General | 367700 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1977531 | Total |
| Program Services | 1726902 | ProgramServices |
| Management And General | 250629 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44787 | Total |
| Management And General | 44787 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58685 | Total |
| Management And General | 58685 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5098123 | Total |
| Program Services | 4191087 | ProgramServices |
| Management And General | 907036 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 401843 | Total |
| Program Services | 27774 | ProgramServices |
| Management And General | 374069 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 523534 | Total |
| Program Services | 499125 | ProgramServices |
| Management And General | 24409 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 941832 | Total |
| Management And General | 941832 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 489828 | Total |
| Program Services | 405809 | ProgramServices |
| Management And General | 84019 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148090 | Total |
| Program Services | 57136 | ProgramServices |
| Management And General | 90954 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1084716 | Total |
| Program Services | 1084716 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4661280 | Total |
| Program Services | 4435763 | ProgramServices |
| Management And General | 225517 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285769 | Total |
| Program Services | 285769 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DRUGS | 10305370 | 10305370 | |
| MEDICAL SUPPLIES | 8037271 | 7802321 | 234950 |
| PROVISION FOR BAD DEBTS | 2508573 | 2508573 | |
| 2010 BONDS REFUNDING LO | 2046562 | 2046562 | |
| REPAIRS & MAINTENANCE | 1584170 | 1583685 | 485 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 763414 | Total |
| Program Services | 540521 | ProgramServices |
| Management And General | 222893 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72698589 | Total |
| Program Services | 62958599 | ProgramServices |
| Management And General | 9739990 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1860 | BOY |
| EOY | 1558 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6592938 | BOY |
| EOY | 6321488 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7983065 | BOY |
| EOY | 6994797 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63100 | BOY |
| EOY | 88633 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 391968 | BOY |
| EOY | 651081 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1556922 | BOY |
| EOY | 1645996 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 373459 | BOY |
| EOY | 408091 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 103004653 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 48192865 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53641128 | BOY |
| EOY | 54811788 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78925172 | BOY |
| EOY | 93648690 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2884822 | BOY |
| EOY | 3085144 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 676656 | BOY |
| EOY | 619820 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1043919 | BOY |
| EOY | 1354313 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154135009 | BOY |
| EOY | 169631399 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11379661 | BOY |
| EOY | 12430100 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22877103 | BOY |
| EOY | 20409894 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1310201 | BOY |
| EOY | 1800941 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35566965 | BOY |
| EOY | 34640935 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115933222 | BOY |
| EOY | 132155320 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2634822 | BOY |
| EOY | 2835144 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118568044 | BOY |
| EOY | 134990464 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154135009 | BOY |
| EOY | 169631399 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 9308003 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 7114417 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | 46003898 | OtherCostOrOtherBasis |
| Depreciation | 15054555 | Depreciation |
| Book Value | 30949343 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2540820 | OtherCostOrOtherBasis |
| Depreciation | 1262151 | Depreciation |
| Book Value | 1278669 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 51681491 | OtherCostOrOtherBasis |
| Depreciation | 31876159 | Depreciation |
| Book Value | 19805332 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 436924 | OtherCostOrOtherBasis |
| Book Value | 436924 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 54811788 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 457(B) PAYABLE | $1,238,274 |
| LONG-TERM PTO | $470,767 |
| ASBESTOS PAYABLE | $91,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1800941 | TotalOfAmounts |
| Total Revenue | 82006592 | TotalRevenue |
| Total Expenses | 72698589 | TotalExpenses |
| Excess Or Deficit For Year | 9308003 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 6914095 | NetUnrealizedGLOnInvestments |
| Other | $200,322 | OtherAmount |
| Total Adjustments | 7114417 | TotalAdjustments |
| Excess Or Deficit Per FS | 16422420 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 78635202 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 78635202 | RevenueSubtotal |
| Other Revenues Not Included | 3371390 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 3371390 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 82006592 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 70652027 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 70652027 | ExpensesSubtotal |
| Other Expenses Not Included | 2046562 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 2046562 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 72698589 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN TEMPORARILY RESTRICETED NET ASSETS 200,322. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | OTHER INCOME 116,350. INVESTMENT INCOME 3,255,040. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | 2010 BOND REFINANCING LOSS 2,046,562. |
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 |
| Pcent200 | X | Pcent200 |
| 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 | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 212536 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 212536 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3020965 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1080075 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1940891 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02670 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3721786 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1786158 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1935628 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02660 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6955287 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2866233 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4089055 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05620 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3632012 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4441632 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -809620 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 113500 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 113500 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3745512 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4441632 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -696120 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10700799 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7307865 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3392935 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05780 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 30000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 30000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 30000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 30000 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,421,763 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 28951542 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 24099923 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 4851619 | 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 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
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 (10 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 7: THE COSTS ARE CALCULATED USING A COST TO CHARGE RATIO. $2,508,573 IN BAD DEBT EXPENSE WAS ELIMINATED WHEN CALCULATING PART I, LINE 7. |
| PART II: THE ORGANIZATION SUPPORTS COMMUNITY BUILDING ACTIVITIES THROUGH ITS CASH DONATION TO FOCUS WATERTOWN, AN ECONOMIC DEVELOPMENT COMPANY THAT ATTRACTS NEW BUSINESSES TO WATERTOWN. |
| PART III, LINE 4: BAD DEBT 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. |
| PART III, LINE 8: MEDICARE AMOUNTS WERE DERIVED FROM THE 2011 MEDICARE COST REPORT AND ASHORTFALL WAS NOT CALCULATED. |
| 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 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 6: THE ORGANIZATION OFFERS FREE HEALTH SEMINARS FREE 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. |
| PART VI, LINE 7: N/A |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| WATERTOWN AREA UNITED WAY | |||||||
| PO BOX 283 | WATERTOWN | SD | 57201 | 460359557 | 501(C)(3) | 30000 | GENERAL DONATION |
| PRAIRIE LAKES HEALTH CARE FOUNDATION | |||||||
| 401 9TH AVE NW | WATERTOWN | SD | 57201 | 460350240 | 501(C)(3) | 21262 | BASH FUNDRAISING EVENT |
| BOYS AND GIRLS CLUB OF WATERTOWN | |||||||
| 1000 3RD AVE NE | WATERTOWN | SD | 57201 | 460311845 | 501(C)(3) | 7500 | GENERAL DONATION |
| SANFORD CLINIC | |||||||
| 901 4TH ST NW | WATERTOWN | SD | 57201 | 460447693 | 501(C)(3) | 10000 | GENERAL DONATION |
| WATERTOWN SCHOOL DISTRICT | |||||||
| PO BOX 730 | WATERTOWN | SD | 57201 | 466001273 | 5000 | GENERAL DONATION | |
| HUMAN SERVICE AGENCY | |||||||
| PO BOX 1030 | WATERTOWN | SD | 57201 | 460275247 | 501(C)(3) | 6000 | GENERAL DONATION |
| FOCUS WATERTOWN | |||||||
| PO BOX 332 | WATERTOWN | SD | 57201 | 470813269 | 501(C)(6) | 30000 | ASSIST IN BRINGING BUSINESSES TO WATERTOWN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | 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) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| 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 (7 entries)
| 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 | |||||||||||||
| 309299 | 0 | 56500 | 0 | 0 | 0 | 19960 | 0 | 28489 | 0 | 414248 | 0 | 301657 | 0 |
| MICHAEL ANDERSON | |||||||||||||
| 204000 | 0 | 100000 | 0 | 7692 | 0 | 14892 | 0 | 18500 | 0 | 345084 | 0 | 263937 | 0 |
| EVELIO GARCIA MD | |||||||||||||
| 1124658 | 0 | 50000 | 0 | 0 | 0 | 7350 | 0 | 38500 | 0 | 1220508 | 0 | 1213963 | 0 |
| IVALDO LUNARDI MD | |||||||||||||
| 546014 | 0 | 50000 | 0 | 0 | 0 | 7350 | 0 | 40500 | 0 | 643864 | 0 | 1137457 | 0 |
| SALEM MAALIKI MD | |||||||||||||
| 955028 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 16500 | 0 | 978878 | 0 | 927140 | 0 |
| SAIRAV SHAH MD | |||||||||||||
| 711847 | 0 | 50000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 761847 | 0 | 0 | 0 |
| JEFFREY BRINDLE MD | |||||||||||||
| 462834 | 0 | 0 | 0 | 17858 | 0 | 7350 | 0 | 28908 | 0 | 516950 | 0 | 487004 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
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) |
|---|---|---|
| Amount Retired | 2101397 | AmountRetired |
| Total Proceeds | 25166290 | TotalProceeds |
| Amount In Reserve Fund | 3303 | AmountInReserveFund |
| Refunding Escrow | 24731480 | RefundingEscrow |
| Issuance Costs From Proceeds | 431508 | IssuanceCostsFromProceeds |
| 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) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| 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 |
| Exception To Rebate | 0 | ExceptionToRebate |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, PART II, LINE 3 | Identifier |
| Explanation | 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 IS THE TRUSTEE FUNDS UTILIZED DURING THE REFINANCING. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| EVELIO GARCIA MD | ||||||
| SIGNING BONUS | X | $140,000 | 42067 | 0 | 1 | 1 |
| SALEM MAALIKI MD | ||||||
| SIGNING BONUS | X | $75,000 | 46566 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 88633 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE IS COMPRISED OF THE OFFICERS OF THE ORGANIZATION. EXCEPT AS MAY BE LIMITED BY THE BOARD, THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS OF THE ORGANIZATION IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD AND IS AT ALL TIMES SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD. THE EXECUTIVE COMMITTEE ALSO SERVES AS THE ORGANIZATION'S COMPENSATION COMMITTEE. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FINANCE COMMITTEE WILL REVIEW THE FORM 990 BEFORE IT IS FILED WITH THE IRS. THE FINANCE COMMITTE WILL DETERMINE IF IT IS NECESSARY FOR THE BOARD TO REVIEW THE FORM 990. | |
| 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. 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 12C | |
| 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 2010. 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 B, LINE 15 | |
| 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 VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 6,914,095. CHANGE IN TEMPORARILY RESTRICETED NET ASSETS 200,322. TOTAL TO FORM 990, PART XI, LINE 5: 7,114,417. | FORM 990, PART XI, LINE 5: |
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 |
| 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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