DOUGLAS COUNTY MEMORIAL HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- DOUGLAS COUNTY MEMORIAL HOSPITAL (EIN 46-0400557)
- Tax period
- 2024-06-01 to 2025-05-31
- Filed
- 2026-02-09
- IRS object ID
- 202640409349301114
- Schema version
- 2024v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-02-09T11:38:34-05:00 | ReturnTs |
| Tax Period End | 2025-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 460434947 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELO PROF LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 249 | AddressLine1Txt |
| City | MITCHELL | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460400557 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUGLAS COUNTY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DOUG | BusinessNameControlTxt |
| Phone | 6057242159 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 708 8TH STREET | AddressLine1Txt |
| City | ARMOUR | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57313 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN COFFEY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6057242159 | PhoneNum |
| Signature | 2026-02-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LUCAS H HAUERT CPA | PreparerPersonNm |
| PTIN | P01980092 | PTIN |
| Phone | 6059967717 | PhoneNum |
| Preparation | 2026-02-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HEATH BROUWER | PrincipalOfficerNm |
| Gross Receipts | $12,712,456 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DCMHSD.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | PROMOTION OF GENERAL HEALTH CARE AND REHABILITATION SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 106 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $446,776 | PYContributionsGrantsAmt |
| CY Contributions Grants | $46,745 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,943,033 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,268,967 | CYProgramServiceRevenueAmt |
| PY Investment Income | $289,140 | PYInvestmentIncomeAmt |
| CY Investment Income | $351,658 | CYInvestmentIncomeAmt |
| PY Other Revenue | $107,103 | PYOtherRevenueAmt |
| CY Other Revenue | $45,086 | CYOtherRevenueAmt |
| PY Total Revenue | $12,786,052 | PYTotalRevenueAmt |
| CY Total Revenue | $12,712,456 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,555,889 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,393,640 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,557,747 | PYOtherExpensesAmt |
| CY Other Expenses | $5,622,886 | CYOtherExpensesAmt |
| PY Total Expenses | $12,113,636 | PYTotalExpensesAmt |
| CY Total Expenses | $12,016,526 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $672,416 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $695,930 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,696,271 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,282,185 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,894,307 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,784,291 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,801,964 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,497,894 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROMOTION OF GENERAL HEALTH CARE AND REHABILITATION SERVICES | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,301,985 | ExpenseAmt |
| Revenue | $12,268,967 | RevenueAmt |
| Desc | DOUGLAS COUNTY MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO PERSONS IN THE ARMOUR, CORSICA, AND STICKNEY COMMUNITIES. DURING THE FISCAL YEAR ENDED MAY 31, 2025, THE HOSPITAL PROVIDED 377 INPATIENT DAYS, 203 SUBACUTE DAYS, 641 EMERGENCY ROOM VISITS, 11,547 OUTPATIENT VISITS AND 5,300 ASSISTED LIVING DAYS. THE FACILITY PROVIDED 1,376 HOME DELIVERED MEALS TO HOME BOUND COMMUNITY MEMBERS ALONG WITH 2,448 MEALS TO SENIOR MEALS PROGRAM. | Desc |
| Total Program Service Expenses | $10,301,985 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 106 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN COFFEY CFO | PersonNm |
| Phone | 6057242159 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 708 8TH STREET | AddressLine1Txt |
| City | ARMOUR | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57313 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| MAURICE CHESSMORE | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $407,562 | $0 | $52,459 | |||
| JENNIFER BIETZ | ||||||||
| PHYSICIAN AS | 40.00 | Yes (X) | $166,444 | $0 | $40,739 | |||
| HEATH BROUWER | ||||||||
| ADMINISTRATO | 40.00 | $167,774 | $0 | $24,590 | Yes (X) | |||
| MARLYS LUEBKE | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $167,627 | $0 | $10,902 | |||
| NAKAYLA PHEIFER | ||||||||
| NURSE PRACTI | 40.00 | Yes (X) | $145,051 | $0 | $23,612 | |||
| RAMSEY DEHAAN | ||||||||
| PHARMACIST | 40.00 | Yes (X) | $149,269 | $0 | $17,075 | |||
| JOEL BAIER | ||||||||
| PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| BRAD VANDEN BERG | ||||||||
| VICE-PRESIDE | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| SCOTT HOLBECK | ||||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JODI SCHRANK | ||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| SAM SCHUMAN | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,203,727 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $169,377 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARDINAL | |||||
| PO BOX 70539 | CHICAGO | IL | 60885 | MEDICAL SERVICE | $2,191,307 |
| SANFORD HEALTH | |||||
| 2603 EAST BROADWAY AVE | BISMARCK | ND | 58501 | MEDICAL SERVICE | $723,926 |
| INDEPENDENT PHARMACY COOP | |||||
| 1550 COLUMBUS ST | SUN PRAIRIE | WI | 53590 | PHARMACY SERV. | $389,285 |
| DAKOTA DRYWALL | |||||
| PO BOX 78 | WESSINGTON SPRINGS | SD | 57382 | CONSTRUCTION | $145,000 |
| DOCKSIDE | |||||
| 351 OLD GALLATIN ROAD | SCOTTSVILLE | KY | 42164 | PHARMACY SERV | $129,384 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $43,745 | GovernmentGrantsAmt |
| All Other Contributions | $3,000 | AllOtherContributionsAmt |
| Total Contributions | $46,745 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT SERVICES | $12,092,039 | $12,092,039 |
| OTHER OPERATING REVENUE | $107,749 | $107,749 |
| ASSISTED LIVING | $69,179 | $69,179 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,268,967 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $351,658 | TotalRevenueColumnAmt |
| Exclusion | $351,658 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED GAIN ON INVESTMENT | Desc |
| Total Revenue Column | $45,086 | TotalRevenueColumnAmt |
| Exclusion | $45,086 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $45,086 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,712,456 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,268,967 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $396,744 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,166,257 | TotalAmt |
| Program Services | $4,348,094 | ProgramServicesAmt |
| Management And General | $818,163 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,241 | TotalAmt |
| Program Services | $189,184 | ProgramServicesAmt |
| Management And General | $45,057 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,660 | TotalAmt |
| Program Services | $460,705 | ProgramServicesAmt |
| Management And General | $107,955 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,482 | TotalAmt |
| Program Services | $366,697 | ProgramServicesAmt |
| Management And General | $57,785 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,015 | TotalAmt |
| Management And General | $5,015 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,158 | TotalAmt |
| Management And General | $61,158 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,232,517 | TotalAmt |
| Program Services | $906,937 | ProgramServicesAmt |
| Management And General | $325,580 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,655 | TotalAmt |
| Program Services | $4,730 | ProgramServicesAmt |
| Management And General | $24,925 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,091 | TotalAmt |
| Program Services | $181,099 | ProgramServicesAmt |
| Management And General | $58,992 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,262 | TotalAmt |
| Program Services | $6,127 | ProgramServicesAmt |
| Management And General | $7,135 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,288 | TotalAmt |
| Program Services | $46,051 | ProgramServicesAmt |
| Management And General | $1,237 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,137 | TotalAmt |
| Program Services | $100,249 | ProgramServicesAmt |
| Management And General | $2,888 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433,084 | TotalAmt |
| Program Services | $420,959 | ProgramServicesAmt |
| Management And General | $12,125 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,152 | TotalAmt |
| Management And General | $84,152 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $3,249,366 | $3,167,379 | $81,987 |
| REPAIRS AND MAINTENANCE | $121,136 | $100,749 | $20,387 |
| RENT AND LEASES | $3,025 | $3,025 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,016,526 | TotalAmt |
| Program Services | $10,301,985 | ProgramServicesAmt |
| Management And General | $1,714,541 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400 | BOYAmt |
| EOY | $673 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,886,927 | BOYAmt |
| EOY | $2,335,176 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,768,441 | BOYAmt |
| EOY | $1,194,770 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,571 | BOYAmt |
| EOY | $157,801 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,076 | BOYAmt |
| EOY | $571,976 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,653 | BOYAmt |
| EOY | $137,102 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,426,240 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,371,556 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,099,978 | BOYAmt |
| EOY | $6,054,684 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $927,360 | BOYAmt |
| EOY | $1,003,635 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,009,202 | BOYAmt |
| EOY | $7,826,368 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,663 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,696,271 | BOYAmt |
| EOY | $19,282,185 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $908,787 | BOYAmt |
| EOY | $862,247 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,978,919 | BOYAmt |
| EOY | $2,915,443 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,601 | BOYAmt |
| EOY | $6,601 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,894,307 | BOYAmt |
| EOY | $3,784,291 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,801,964 | BOYAmt |
| EOY | $15,497,894 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,801,964 | BOYAmt |
| EOY | $15,497,894 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,696,271 | BOYAmt |
| EOY | $19,282,185 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $695,930 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $210,526 | OtherCostOrOtherBasisAmt |
| Book Value | $210,526 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,648,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,787,313 | DepreciationAmt |
| Book Value | $4,861,201 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,567,200 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,584,243 | DepreciationAmt |
| Book Value | $982,957 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,054,684 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $7,826,368 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $7,826,368 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEPOSITS - PRAIRIE VILLA | Desc |
| Amt | $6,601 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,601 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.250000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,987 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $85,987 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $556,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $681,583 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $642,387 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $681,583 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,987 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $164,756 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,728 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $164,756 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,728 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $807,143 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $751,311 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $181,015 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $645,954 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $138,689 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,825,266 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,370,058 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $455,208 | MedicareSurplusOrShortfallAmt |
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUGLAS COUNTY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 708 8TH STREET | AddressLine1Txt |
| City | ARMOUR | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57313 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DCMHSD.ORG | WebsiteAddressTxt |
| State License | LICENSE 10526 | StateLicenseNum |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUGLAS COUNTY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.DCMHSD.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.DCMHSD.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.DCMHSD.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.DCMHSD.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.DCMHSD.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, DOUGLAS COUNTY MEMORIAL HOSPITAL - PART V, LINE 5 | IN CONDUCTING THE CHNA THE HOSPITAL FACILITY RELIED HEAVILY UPON THE KNOWLEDGE OF THE ARMOUR MAYOR, DOUGLAS COUNTY COMMUNITY HEALTH NURSE, DOUGLAS COUNTY COMMISSIONER, ARMOUR HIGH SCHOOL PRINCIPAL, CORSICA HIGH SCHOOL PRINCIPAL, ARMOUR NURSING HOME ADMINISTRATOR, PHYSICIAN ASSISTANT, CORSICA CLINIC NURSE MANAGER, THE CEO, AND CFO OF THE DOUGLAS COUNTY MEMORIAL HOSPITAL. THE HOSPITAL RELIED ON THEIR INPUT AS TO WHAT THE NEEDS OF THE COMMUNITY ARE BASED ON THEIR WORKING KNOWLEDGE OF THE ILLNESSES THAT ARE OCCURRING IN THE DOUGLAS COUNTY. |
| FACILITY 1, DOUGLAS COUNTY MEMORIAL HOSPITAL - PART V, LINE 11 | THE HOSPITAL CONDUCTED A CHNA IN THE CURRENT TAX PERIOD. THE PRIORITIES IDENTIFIED IN THE ASSESSMENT WERE: MENTAL HEALTH; SHORTAGE OF DENTAL RESOURCES; WELLNESS; INCREASED ACCESS TO SPECIALTY SERVICES; TRANSPORTATION ISSUES FOR INDIVIDUALS WITH LIMITED MOBILITY; ACCESS TO LONG TERM CARE SERVICES. FOR MENTAL HEALTH THE HOSPITAL IS CONTINUING TO COLLABORATE WITH SANFORD HEALTH TO HAVE DR. EGGERS, WHO IS A PSYCHIATRIST, AVAILABLE TO PROVIDE TELE-MENTAL HEALTH SERVICES TO YOUTH. DCMH IS EXPLORING THE TELE- MENTAL HEALTH SERVICES OPPORTUNITIES BY ADDITIONAL COLLABORATION WITH SANFORD, AVERA, OR ANOTHER PROVIDER OF THESE SERVICES (SUCH AS A LOCAL NURSING HOME). ESPECIALLY TO SOMEONE WHO COULD PROVIDE THIS CARE TO ELDERLY PATIENTS. TO HAVE THE TELEMEDICINE SERVICES AVAILABLE IT COSTS THE FACILITY OVER 36,000 PER YEAR. THE FACILITY WILL COMMIT TO DISCUSSING THE AVAILABLE SERVICES DIRECTLY WITH OUR PATIENTS AS WELL AS ANY OTHER LOCAL COMMUNITY ORGANIZATIONS THAT MAY BE ABLE TO SUPPORT THIS INITIATIVE. THE ANTICIPATED IMPACT OF THIS WOULD BE AN INCREASED MENTAL & BEHAVIORAL HEALTH WITHIN THE COMMUNITY ALONG WITH POTENTIALLY ALLOWING PATIENTS TO REMAIN CLOSER TO FAMILY AND FRIENDS WHILE RECEIVING THEIR HEALTHCARE. THE SHORTAGE IN DENTAL SERVICES HAS SEVERAL CHALLENGES IN HAVING THIS AVAILABLE. FIRST, FINDING SPACE IS DIFFICULT ESPECIALLY BASED ON THE COST TO CONSTRUCT THE SPACE. IT IS COST PROHIBITIVE BASED ON THE NUMBER OF PEOPLE BEING CARED FOR TO BE ABLE TO HAVE A PRACTICE START FROM NOTHING. SECOND, DENTISTS WITHIN A REASONABLE DRIVING DISTANCE ALREADY HAVE FULL PRACTICES. FINALLY, MANY DENTISTS DO NOT TAKE MEDICAID FOR INSURANCE, WHICH IS A SIGNIFICANT PART OF THE POPULATION IN DOUGLAS COUNTY THAT NEEDS THESE SERVICES. THE HOSPITAL DOES NOT HAVE AN ABILITY TO ADDRESS THESE ISSUES ON ITS OWN. CURRENTLY DCMH PROVIDERS ARE ABLE TO PROVIDE REFERRALS TO OTHER DENTAL PROVIDERS THAT WILL PROVIDE NEEDED DENTAL CARE. THERE ARE SEVERAL OPTIONS WITHIN A THIRTY MILE RADIUS, AND DCMH WILL USE THESE PROVIDERS WHILE WE AWAIT THE ARRIVAL OF THE NEW DENTAL PRACTICE. THERE IS AN INDIVIDUAL WHO HAS PURCHASED A BUILDING WITHIN THE COMMUNITY AND HAS BEGUN A DENTAL PRACTICE. THE HOSPITAL WILL SEE HOW IT MAY SUPPORT THIS NEEDED ENDEAVOR WITHIN OUR COMMUNITY. DCMH INTENDS TO COMMIT TIME OF PROVIDERS AND NURSES TO DISCUSS DENTAL OPTIONS FOR PATIENTS NEEDING THIS CARE. WITH WELLNESS THE DOUGLAS COUNTY HOSPITAL INTENDS TO CONTINUE TO OFFER ITS WELLNESS EQUIPMENT TO THE PUBLIC FOR 10/MONTH. THE EQUIPMENT FOR THE WELLNESS AREA HAS COST THE FACILITY OVER 18,000 AND OCCUPIES 326 SQUARE FEET OF SPACE. DCMH INTENDS TO HAVE HOSPITAL STAFF CONTINUE TO GIVE TALKS TO STUDENTS REGARDING HYGIENE, IMPORTANCE OF EXERCISE AND SEXUALLY TRANSMITTED DISEASES. THE HOSPITAL WILL CONTINUE TO EVALUATE OTHER OPPORTUNITIES TO PROMOTE GENERAL WELLNESS TO COMMUNITY. THE ANTICIPATED IMPACT OF THESE EDUCATIONAL EFFORTS WILL BE TO CREATE A GREATER UNDERSTANDING OF THE PHYSICAL EXERCISE IN OVERALL WELLNESS (INCLUDING BENEFITS TO MENTAL HEALTH). THE GOAL IS FINALLY TO IMPROVE HEALTH TO THE COMMUNITY. THE HOSPITAL INTENDS TO INCREASE ACCESS TO SPECIALTY SERVICES BY AVERA'S INFECTIOUS DISEASE DEPARTMENT WAS RECENTLY ADDED TO OUR SPECIALTIES AVAILABLE THROUGH TELEMEDICINE. THIS NEW CONNECTION MAY LEAD TO ADDITIONAL SPECIALTY OPPORTUNITIES AVAILABLE FOR OUR PATIENTS AS NEW OPPORTUNITIES SHOW THEMSELVES WITH THIS DEVELOPING RELATIONSHIP. TO HAVE THE TELEMEDICINE SERVICES AVAILABLE IT COSTS THE FACILITY OVER 36,000 PER YEAR. MANY SPECIALTIES HAVE BEEN ADDED THROUGH THE TELEMEDICINE PROGRAM WHICH DECREASES THE COST OF TRAVEL AND SAVES TIME FOR OUR PATIENTS. NEW SPECIALISTS CONTINUE TO BE ADDED BASED ON THEIR COMMITMENT TO PROVIDE THESE SERVICES TO OUR RURAL AREA. DCMH ANTICIPATES THE IMPACT OF TELEMEDICINE TO DECREASE THE COST OF TRAVEL TO SEE SPECIALISTS, SAVE TIME FOR TRAVEL, IMPROVED ACCESS TO SPECIALTY SERVICES, SHORTER WAIT TIMES, IMPROVED HEALTH OUTCOMES, AND IMPROVED PATIENT AND COMMUNITY SATISFACTION. WITH TRANSPORTATION ISSUES FOR INDIVIDUALS WITH LIMITED MOBILITY DCMH HAS LIMITED ABILITY TO MEET THIS NEED, BUT IS COMMITTED TO EXPLORING PARTNERSHIPS AND/OR OPTIONS FOR A THIRD PARTY TO PROVIDE THIS SERVICE TO COMMUNITY MEMBERS. THE DESIRED IMPACT WOULD BE TO PROVIDE COMMUNITY MEMBERS AN ABILITY TO OVERCOME TRANSPORTATION/MOBILITY CHALLENGES SO THAT THEY MAY RECEIVE THE QUALITY MEDICAL CARE AND SUPPORT THAT THEY NEED IN A ROUTINE AND TIMELY MANNER AS THEIR HEALTH NEEDS REQUIRE. FINALLY, WITH RESPECT TO ACCESS TO LONG TERM CARE SERVICES THE DOUGLAS COUNTY MEMORIAL HOSPITAL CURRENTLY HAS A 16 BED ASSISTED LIVING. THE NURSING HOME LOCATED IN ARMOUR CLOSED IN 2022. THE HOSPITAL EVALUATED THE POSSIBILITY OF PURCHASING THIS ORGANIZATION AND COMBINING IT WITH THE CURRENT OPERATIONS. AFTER REVIEWING STATE SURVEY REPORTS OF THE FACILITY, NEEDS OF THE PHYSICAL STRUCTURE, POSSIBILITY OF BUILDING A CONNECTED STRUCTURE TO THE HOSPITAL, AND THE FINANCIAL IMPACT THAT COMBINING THE TWO ORGANIZATIONS WOULD HAVE ON THE HOSPITAL, IT WAS DECIDED FOR THE HOSPITAL NOT TO PURCHASE THE NURSING HOME. THERE WERE TOO MANY RISKS THAT THE CONCERN WAS THAT ADDING THE NURSING HOME MAY JEOPARDIZE THE FINANCIAL STABILITY OF THE HOSPITAL. LICENSING OF BEDS FOR LONG TERM CARE SERVICES IS STRICTLY CONTROLLED BY THE STATE. NEW BED LICENSES ARE NOT GRANTED EASILY, SO IT WOULD BE DIFFICULT FOR THE HOSPITAL TO BE ABLE TO OBTAIN LICENSURE FOR ADDITIONAL BEDS. EVEN IF LICENSURE COULD BE OBTAIN, TO BUILD THE FACILITIES THAT ARE NECESSARY TO HOUSE SUCH SERVICES ARE COST PROHIBITIVE FOR THE HOSPITAL TO TAKE ON. DUE TO THESE FACTORS, THE BEST SOLUTION IS FOR THE OTHER FIVE NURSING HOMES WITHIN THE THIRTY MILE RADIUS TO PROVIDE THIS CARE. STATE OCCUPANCY FOR NURSING HOMES IS CURRENTLY BELOW 65%, SO THERE ARE BEDS AVAILABLE FOR PEOPLE NEEDING CARE. OTHER OPPORTUNITIES WILL BE EVALUATED BY THE ORGANIZATION ON A CASE-BY-CASE BASIS. DCMH WILL WORK WITH THE OTHER LOCAL NURSING HOMES, PARTICULARLY THE GOOD-SAM NURSING HOME IN CORSICA (OR OTHERS AS DESIRED BY PATIENTS/FAMILIES), TO REFER PATIENTS AS THEY ARE IN NEED OF THIS CARE. THE DESIRED OUTCOME FOR THIS WOULD BE THAT OUR PATIENTS ARE ABLE TO RECEIVE QUALITY LONG TERM CARE SERVICES AS NEEDED LOCALLY SO THEY MAY CONTINUE THIS PART OF THEIR LIFE WITH THE AVAILABLE CONNECTION TO FAMILY AND FRIENDS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| PRAIRIE HEALTH CLINIC ARMOUR | ||||
| 708 8TH STREET | ARMOUR | SD | 57313 | RURAL HEALTH CLINIC |
| PRAIRIE HEALTH CLINIC CORSICA | ||||
| 265 E MAIN STREET | CORSICA | SD | 57328 | RURAL HEALTH CLINIC |
| PRAIRIE PHARMACY ARMOUR | ||||
| 1311 BRADDOCK STREET | ARMOUR | SD | 57313 | RETAIL/OUTPATIENT PHARMACY |
| PRAIRIE PHARMACY CORSICA | ||||
| 265 E MAIN STREET | CORSICA | SD | 57328 | RETAIL/OUTPATIENT PHARMACY |
| PRAIRIE VILLA | ||||
| 1309 BRADDOCK STREET | ARMOUR | SD | 57313 | ASSISTED LIVING CENTER |
| PRAIRIE HEALTH CLINIC STICKNEY | ||||
| 301 MAIN STREET | STICKNEY | SD | 57375 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHODOLOGY USED FOR LINE 7A IS THE FACILITY'S AUDITED FINANCIAL STATEMENT'S INFORMATION FOR ALL PATIENT SEGMENTS INPUT INTO SCHEDULE H INSTRUCTIONS WORKSHEETS 1 & 2. LINE 7B USES CHARGES FROM HOSPITAL'S INTERNAL RECORDS AND COSTS FROM WORKSHEET 2 CALCULATIONS. LINE 7E USES COSTS FROM THE FACILITIES MEDICARE COST REPORT AND OFFSETTING REVENUE FROM THE GENERAL LEDGER SYSTEM. THIS INFORMATION WAS THEN INPUT IN THE SCHEDULE H INSTRUCTIONS WORKSHEET 4 TO COME TO THE FINAL FIGURES. |
| SCHEDULE H, PART III, LINE 2 | THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THE RESPECTIVE CLASS OF PAYORS. |
| SCHEDULE H, PART III, LINE 3 | THE ESTIMATED AMOUNT RELATED TO RELATED TO CHARITY CARE IS 8% OF IMPLICIT PRICE CONCESSIONS, WHICH IS BASED ON THE POVERTY LEVEL OF THE DOUGLAS COUNTY ACCORDING TO THE US CENSUS BUREAU DATA AS OF 2020. |
| SCHEDULE H, PART III, LINE 4 | THE FOOTNOTES ON IMPLICIT PRICE CONCESSIONS TO THE FINANCIAL STATEMENTS CAN BE FOUND ON PAGE 24. |
| SCHEDULE H, PART III, LINE 8 | THE FIGURE REPORTED ON LINE 6 COMES DIRECTLY FROM THE FACILITY'S FILED COST REPORT. THE DOUGLAS COUNTY MEMORIAL HOSPITAL PROVIDES SERVICES TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THAT THE HOSPITAL WILL NOT RECEIVE ALL THE COSTS ASSOCIATED WITH PROVIDING THESE SERVICES. PROVIDING THESE SERVICES IS ESSENTIAL TO OUR MEDICARE PATIENTS, OUR COMMUNITY, AND INCREASES THEIR ACCESS TO HEALTHCARE SERVICES. THERE, THE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6 ARE DIRECTLY FROM THE FILED MEDICARE COST REPORT ENDED ON 05/31/2025. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. |
| SCHEDULE H, PART VI, LINE 2 | IN ADDITION TO THE CHNA THAT WAS COMPLETED DURING THE FISCAL YEAR ENDED 05/31/2022, DCMH DETERMINES PATIENT NEEDS THROUGH THE SATISFACTION SURVEYS COMPLETED BY PATIENTS OF THE HOSPITAL AND CLINICS. ASSESSMENT OF THE NEEDS FOR HEALTHCARE ARE CONSIDERED MONTHLY WITH THE MEDICAL STAFF MEETINGS AS THE PROVIDERS EVALUATE THE CLINICAL SITUATIONS THAT HAVE PRESENTED IN THE PREVIOUS MONTH AND THOSE SITUATIONS THEY CAN FORESEE NEEDING TO MEET THE NEEDS OF IN THE COMING MONTH. THE VOLUTEER BOARD OF DIRECTORS, WHO ARE ALL LOCAL COMMUNITY MEMBERS WITHIN THE HOSPITAL'S SERVICE AREA, ALSO CONSIDER, AS APPROPRIATE, THE NEEDS OF THE COMMUNITY AS THEY ARE ABLE TO SEE BASED ON THEIR OWN NEEDS AND THE NEEDS OF THEIR FAMILY AND NEIGHBORS WHO MAY BRING CONCERNS TO THEM DIRECTLY. DCMH ALSO COMMUNICATES WITH OUTSIDE SPECIALITY PROVIDERS, OTHER HOSPITALS, STATE AND FEDERAL GOVERNMENTAL HEALTH AGENCIES. CONTINUED ASSESSMENT OF THE COMMUNITY'S HEALTH NEEDS IS A CONSTANT EFFORT FOR DCMH TO CONSIDER IN ORDER TO PROVIDE SERVICES THAT THE COMMUNITY REQUIRES AND THE HOSPITAL IS ABLE TO PROVIDE. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT FINANCIAL SERVICES EVALUATES EACH ACCOUNT FOR PATIENT ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, AND PROVIDES ELIGIBLE PATIENTS WITH INFORMATION REGARDING THESE PROGRAMS ALONG WITH THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE WRITTEN OFF THROUGH FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART VI, LINE 4 | THE COMMUNITY SERVED IS DEFINED AS DOUGLAS COUNTY AS 69% OF THE HOSPITAL'S PATIENTS COME FROM DOUGLAS COUNTY. THE HOSPITAL ALSO PROVIDES SERVICES TO PATIENTS FROM NEIGHBORING COUNTIES. DCMH CONSIDERS PART OF ITS COMMUNITY ALL PEOPLE REGARDLESS OF ABILITY TO PAY AND/OR WHETHER THEY ARE ELIGIBLE FOR ASSISTANCE UNDER FINANCIAL ASSISTANCE. THE PRIMARY INDUSTRIES IN DOUGLAS COUNTY INCLUDE AGRICULTURE AND HEALTH AND SOCIAL SERVICES. AS OF THE 2020 CENSUS ESTIMATE, THERE WERE 2,835 PEOPLE WITH AN AVERAGE POPULATION DENSITY OF 7 RESIDENT PER SQUARE MILE. THE COUNTY IS ESTIMATED TO EXPERIENCE A SLIGHT DECREASE IN TOTAL POPULATION BY 0.42% FROM 2022 TO 2027 ACCORDING TO ENVIRONICS ANALYTICS. THIS IS LESS THAN THE PREVIOUS TRENDS OF DECREASE: 2000 TO 2010 DECREASED BY 13.19% AND 2010 TO 2022 DECREASED BY 4.10%. THE RACIAL MAKEUP OF THE COUNTY WAS 95.1% WHITE, 2.6% AMERICAN INDIAN AND THE REMAINDER OTHER. MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY IS 67,373 WHICH IS ABOVE THE STATE MEDIAN HOUSEHOLD INCOME OF 65,841. THE AVERAGE HOUSEHOLD INCOME IN THE COMMUNITY IS 83,128 WHICH IS BELOW THE STATE AVERAGE HOUSEHOLD INCOME OF 87,071 APPROXIMATELY 8% OF THE COMMUNITY HAS AN INCOME BELOW THE POVERTY LINE. THIS IS LESS THAN THE STATE ESTIMATE OF 12.8% AND THE UNITED STATES ESTIMATE OF 12.8%. CORRELATIONS EXIST BETWEEN HEALTH OUTCOMES AND SOCIOECONOMIC STATUS. HIGH INCOME INDIVIDUALS TEND TO BE IN BETTER HEALTH THAN LOW INCOME INDIVIDUALS. THE UNEMPLOYMENT RATE IS ESTIMATED TO BE 2.2% ACCORDING TO BLS DATA SERIES AS OF DECEMBER 2021. THIS COMPARES TO THE STATE UNEMPLOYMENT RATE OF 2.8% AND UNITED STATES UNEMPLOYMENT RATE OF 3.9% DURING THIS SAME TIME. EMPLOYMENT STATUS CAN IMPACT MENTAL HEALTH AND HEALTH CARE UTILIZATION. UNEMPLOYED PERSONS HAVE MORE DEPRESSION AND ANXIETY SYMPTOMS THAN THOSE WHO ARE EMPLOYED. 85% OF INDIVIDUALS HAD HEALTH INSURANCE COVERAGE WITH THE REMAINING 15% HAVING NO COVERAGE. |
| SCHEDULE H, PART VI, LINE 5 | DURING THE FISCAL YEAR ENDED MAY 31, 2024, THE HOSPITAL PROVIDED 435 INPATIENT DAYS, 206 SUBACUTE DAYS, 579 EMERGENCY ROOM VISITS, 11,849 OUTPATIENT VISITS AND 5,734 ASSISTED LIVING DAYS. THE FACILITY PROVIDED 2,855 HOME DELIVERED MEALS TO HOME BOUND COMMUNITY MEMBERS ALONG WITH 2,694 MEALS TO SENIOR MEALS PROGRAM. THE BOARD OF DIRECTORS IS COMPLETELY MADE UP OF COMMUNITY MEMBERS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYED BY NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. THE HOSPITAL ALSO PROVIDES THE PHYSICAL LOCATION FOR THE DOUGLAS COUNTY COMMUNITY HEALTH OFFICE WHICH ALSO ALLOWS THE HOSPITAL TO WORK CLOSELY WITH OUR LOCAL HEALTH AGENCY. AN OPEN MEDICAL STAFF ALSO ALLOWS PROVIDERS WHO ARE NOT EMPLOYED BY THE ORGANIZATION TO SEE PATIENTS, AND PROVIDE MEDICAL TREATMENT AT THE FACILITY. THE DOUGLAS COUNTY MEMORIAL HOSPITAL IS ALSO EXPANDING ITS TELEMEDICINE CAPABILITIES ALLOWING PATIENTS WHO WOULD OTHERWISE HAVE TO TRAVEL DISTANCES IN EXCESS OF NINETY MILES TO SEE SPECIALISTS WHO CAN NOW BE SEEN LOCALLY. GIVEN THE INCLEMENT WEATHER OF SOUTH DAKOTA THIS PROVIDES PATIENTS THE ABILITY TO SEE THEIR PROVIDERS WITHOUT HAVING TO RUN A RISK OF BEING CAUGHT IN POTENTIALLY DANGEROUS CONDITIONS. THIS IS MOST ESPECIALLY TRUE FOR THE EDERLY POPULATION AS THEY ARE OFTEN THE ONES IN MOST NEED OF SEEING THESE SPECIALTY PROVIDERS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| MAURICE CHESSMORE | ||||
| PHYSICIAN | $407,562 | $20,503 | $31,956 | $460,021 |
| JENNIFER BIETZ | ||||
| PHYSICIAN ASSISTANT | $166,444 | $8,783 | $31,956 | $207,183 |
| HEATH BROUWER | ||||
| ADMINISTRATOR | $167,774 | $8,904 | $15,686 | $192,364 |
| MARLYS LUEBKE | ||||
| PHYSICIAN | $167,627 | $8,250 | $2,652 | $178,529 |
| NAKAYLA PHEIFER | ||||
| NURSE PRACTITIONER | $145,051 | $4,518 | $19,094 | $168,663 |
| RAMSEY DEHAAN | ||||
| PHARMACIST | $149,269 | $7,595 | $9,480 | $166,344 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS REVIEWED AND APPROVED BY THE ADMINISTRATOR AND CHIEF FINANCIAL OFFICER BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | AT THE BOARD'S ANNUAL MEETING |
| FORM 990, PAGE 6, PART VI, LINE 15A | PROCESS COMPLETED THROUGH BOARD COMPENSATION COMMITTEE |
| FORM 990, PAGE 6, PART VI, LINE 15B | PROCESS COMPLETED THROUGH BOARD COMPENSATION COMMITTEE |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATMENTES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | 906,937 325,580 0 |
| FORM 990, PART XI, LINE 9 | ASSISTED LIVING REVENUES - NETTED ON FINANCIAL STATEMENTS 0 ASSISTED LIVING EXPENSES - NETTED ON FINANCIAL STATEMENTS 0 |
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